夫斑疮入眼者。由因患伤寒时行热病。毒瓦斯蒸眼。其眼涩痛。或有片片黄赤。如玳瑁色。
上
疼痛。眼肿不开。亦忌点药。候疮子出。眼即渐瘥。唯宜利脾肺。解热毒。平和凉药。稍稍
服之。亦可于眼睑上下。贴 药。以散毒瓦斯。脱或不明斯理。点诸眼药。则睛 破。脓血俱
出。便令双损。候疮子退后。点药无妨也。
治斑豆疮入眼。赤涩肿痛。或生翳渐长。宜服真珠散方。
真珠末（一分） 琥珀（一分细研） 牛黄（一分细研） 龙脑（二钱细研） 天竺黄
（半两细
研）
苓（半两）
车前
上件药。捣细罗为散。入研了药。拌令匀。每于食后。煎竹叶汤。调下一钱。忌炙爆热
面。
治斑豆疮入眼。疼痛壮热。口干烦渴。宜服柴胡散方。
柴胡（去苗） 黄芩 栀子仁 赤芍药 川升麻 麦门冬（去心） 甘草（炙微赤锉） 玄
参
（以
上件药。捣筛为散。每服四钱。以水一中盏。入淡竹叶二七片。煎至六分。去滓。每于
食后
治斑豆疮入眼。口干心烦。宜服黄芩散方。
黄芩 栀子仁 黄连（去须） 葳蕤 川升麻 蕤仁（汤浸去赤皮） 甘草（炙微赤锉
各一
两）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服之。
治斑豆疮入眼。体热心烦。少得睡卧。宜服防风丸方。
防风（一两去芦头） 黄芩（一两） 茺蔚（三分） 玄参（三分） 川大黄（半两锉
碎微炒）
知母
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食后。煎竹叶汤。下二十
丸。
治斑豆疮入眼。疼痛难开。宜服郁金丸。
郁金 栀子仁 黄连（去须） 川大黄（锉碎微炒各一两） 石决明（一两捣碎细研水
飞过）
蛇
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服不计时候。以温水下十丸。
治斑豆疮入眼不退。宜用蛴螬点眼方。
蛴螬（五枚捣绞为汁） 曾青（一钱） 朱砂（二钱）
上件药。先研曾青朱砂如粉。后入蛴螬汁同调。令稀稠得所。每点少许。极妙。
治斑豆疮入眼。宜外贴黄药散方。
黄药（一两） 木香（一两） 川大黄（三两锉）
上件药。捣细罗为散。每用好浆水。调为膏。摊生绢上。贴眼睑上下。不得入眼。干即
易之
Cases where pox lesions invade the eyes are caused by toxic vapors steaming into the eyes due to contracting cold damage (Shanghan) or epidemic febrile diseases. The eyes feel dry and painful, with patchy yellow-red discoloration resembling the pattern of tortoiseshell. There is pain in the upper eyelids, and the eyes swell shut. At this stage, applying eye drops is contraindicated; one should wait for the pox eruptions to appear, after which the eye condition will gradually improve. Treatment should focus on benefiting the Spleen and Lung, resolving heat toxicity, and taking mild, cooling medicines in small doses. Alternatively, medicated patches can be applied to the upper and lower eyelids to disperse toxic vapors. If this principle is not understood and various eye drops are used indiscriminately, it may lead to corneal perforation, discharge of pus and blood, resulting in bilateral damage. After the pox lesions have subsided, applying eye drops is no longer a concern.
For pox lesions invading the eyes, presenting with redness, dryness, swelling, pain, or the gradual growth of nebulae (corneal opacity), the Zhenzhu San (Pearl Powder) formula is indicated.
Zhenzhu Mo (Pearl Powder, 1 fen)
Hupo (Amber, 1 fen, finely ground)
Niuhuang (Calculus Bovis, 1 fen, finely ground)
Longnao (Borneolum Syntheticum, 2 qian, finely ground)
Tianzhuhuang (Spatholobi Caulis, 0.5 liang, finely ground)
Fuling (Poria, 0.5 liang)
Cheqianzi (Plantaginis Semen, 0.5 liang)
The above herbs are pounded into a fine powder through a silk sieve, mixed thoroughly with the finely ground ingredients. Each dose consists of 1 qian, taken after meals with decoction of Zhu Ye (Bamboo Leaf). Avoid fried, roasted, and hot-natured wheat products.
For pox lesions invading the eyes, presenting with severe pain, high fever, dry mouth, and irritability with thirst, the Chaihu San (Bupleurum Powder) formula is indicated.
Chaihu (Bupleuri Radix, stems removed)
Huangqin (Scutellariae Radix)
Zhizi Ren (Gardeniae Fructus)
Chishao Yao (Paeoniae Radix Rubra)
Chuan Shengma ( Cimicifugae Rhizoma )
Maimendong (Ophiopogonis Radix, heart removed)
Gancao (Licorice Root, honey-fried until slightly red, sliced)
Xuanshen (Scrophulariae Radix)
The above herbs are pounded and sifted into a powder. Each dose is 4 qian, boiled with 1 zhong zhan of water and fourteen leaves of Dan Zhu Ye (Light Bamboo Leaf) until reduced to 6/10 volume. Strain and take warm after meals.
For pox lesions invading the eyes, presenting with dry mouth and mental restlessness, the Huangqin San (Scutellaria Powder) formula is indicated.
Huangqin (Scutellariae Radix)
Zhizi Ren (Gardeniae Fructus)
Huanglian (Coptidis Rhizoma,须 removed)
Weirui (Polygonati Odorati Rhizoma)
Chuan Shengma (Cimicifugae Rhizoma)
Ruiren (Prunus Persica Seed, soaked in water, skin removed)
Gancao (Licorice Root, honey-fried until slightly red, sliced, each 1 liang)
The above herbs are pounded and sifted into a powder. Each dose is 3 qian, boiled with 1 zhong zhan of water until reduced to 6/10 volume. Strain and take warm after meals.
For pox lesions invading the eyes, presenting with body heat, mental restlessness, and poor sleep, the Fangfeng Wan (Saposhnikovia Pill) formula is indicated.
Fangfeng (Saposhnikoviae Radix, 1 liang, rhizome removed)
Huangqin (Scutellariae Radix, 1 liang)
Chongwei Zi (Leonuri Fructus, 3 fen)
Xuanshen (Scrophulariae Radix, 3 fen)
Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, sliced, lightly stir-fried)
Zhimu (Anemarrhenae Rhizoma, 1 liang)
The above herbs are pounded into powder, mixed with refined honey, and pounded 300-200 times. Form pills the size of Sophora seeds. Take 20 pills after meals with Zhu Ye Tang (Bamboo Leaf Decoction).
For pox lesions invading the eyes, presenting with unbearable pain and difficulty opening the eyes, the Yujin Wan (Curcuma Pill) formula is indicated.
Yujin (Curcumae Radix)
Zhizi Ren (Gardeniae Fructus)
Huanglian (Coptidis Rhizoma,须 removed)
Chuan Dahuang (Rhei Radix et Rhizoma, sliced, lightly stir-fried, each 1 liang)
Shijueming (Concha Arcae, 1 liang, crushed, finely ground, water-washed)
Shetui (Bombyx Batryticatus, 1 liang)
The above herbs are pounded into powder, mixed with refined honey, and formed into pills the size of mung beans. Take 10 pills at any time with warm water.
For pox lesions invading the eyes that do not resolve, the Qilao Eye-Drop Formula is indicated.
Qilao (Larva Blabericola, 5 pieces, crushed and juice extracted)
Zengqing (Malachite, 1 qian)
Zhusha (Cinnabar, 2 qian)
First grind Zengqing and Zhusha into powder, then mix with Qilao juice to achieve appropriate consistency. Apply a small amount to the eye. This is highly effective.
For pox lesions invading the eyes, the external application of Huangyao San (Yellow Herb Powder) is indicated.
Huangyao (Radix Polygoni Multiflori? Note: Context suggests a specific local herb, literal translation "Yellow Medicine") (1 liang)
Muxiang (Aucklandiae Radix, 1 liang)
Chuan Dahuang (Rhei Radix et Rhizoma, 3 liang, sliced)
The above herbs are pounded into a fine powder. Mix with good Jiangshui (fermented grain water) to form a paste. Spread on raw silk and apply to the upper and lower eyelids. Ensure it does not enter the eye. Replace when dry.