夫眼赤烂者。皆是风热所生也。初患赤眼。经久不瘥。外则因风冷所伤。内则以肺脾积
热。
治肝脏风热。眼目赤烂肿痛。宜服龙脑散方。
龙脑（一分细研） 牛黄（一分细研） 朱砂（一分细研） 天竹黄（半两细研） 赤
芍药（半
两）
车前子
（半两）
黄（一两锉
碎微炒）
上件药。捣细罗为散。都研令匀。每于食后。煎竹叶汤。调下一钱。忌炙爆热面毒滑鱼
肉。
治眼暴热冲上。疼痛赤肿生翳。仙灵脾丸方。
仙灵脾（二两） 甘菊花 黄芩 车前子 石膏（细研水飞过） 玄参 决明子 羚羊
角屑
（以
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。以温水下二十丸。
治肝肺壅热。眼圆赤烂肿痛。或生翳方。
胡黄连 甘草（炙微赤锉） 黄连（去须） 黄柏（锉各半两） 蜜（二两） 灯心（二
株） 淡
竹叶
上件药。除龙脑蜜外。捣筛为散。用雪水三大盏。入蜜。于银铛内。煎至一中盏。滤去
滓。
治眼久患不瘥。赤烂。时痒肿痛。视物不得方。
黄丹（一分细研） 川朴硝（半两细研） 蜜（五两）
上件药。于铜器内。以慢火煎十余沸。时时搅。以新绵滤。候冷点之。
又方。
黄连（一两去须捣为末） 古字钱（五文） 蜜（三两）
上件药。以竹筒盛。于饭甑上。蒸一炊久。绵滤取汁。点之。
又方。
黄连（半两去须） 黄柏（半两锉） 古钱（七文） 蕤仁（三七枚汤浸去粗皮细研）
上件药。以水二大盏。煎取半中盏。绵滤去滓。以铜箸点之。
又方。
黄连（一两去须捣为末） 古字钱（二七文） 龙脑（半钱） 杏仁（二七枚汤浸去皮
尖双仁
细研）
上件药。都浸三七日。每日搅一遍。日足点之。
又方。
淡竹叶（一两） 黄连（一两去须） 黄柏（一两半）
上件药。细锉。以水三大盏。煎取一中盏。绵滤去滓。日三四度点之效。
治眼风泪。赤烂肿痛。积久生障翳。宜用此方。
青石脂 砂 石决明（捣细研水飞过） 青盐 龙脑（细研） 决明子 干姜（炮裂
锉各
一分）
上件药。捣罗为末。入龙脑。都研令匀。炼蜜和丸。如麻子大。每取一丸。以少温水化。
点
治眼赤肿烂。痛风痒泪出。宜点此方。
雄黄（半两细研） 细辛（一分末） 龙脑（半钱细研）
上件药。同研令匀。每至夜卧时。以铜箸点之。
治眼风热赤烂。宜点蕤仁膏方。
蕤仁（半两去赤皮） 石胆（一钱） 腻粉（半两） 黄蜡（半两）
上件药。除蜡外。一处细研如粉。后以蜡入油少许。煎如面脂。纳药中搅为膏。每取如
豆大
治眼赤烂。涂碧云膏方。
腊月猪脂（五两炮去滓） 铜绿（一两细研） 腻粉（半两）
上件药。都入一通油瓷瓶子内。以篦子搅令匀后。冷凝结为膏。每用。先以热盐浆水洗
眼后
治眼赤烂。洗眼秦皮汤方。
秦皮（一两） 蕤仁（一两） 甘草（一两半） 细辛（一两） 栀子仁（一两） 苦
竹叶（二握）
印
上件药。捣粗罗为散。以水三升。煎取一升。去滓。稍热洗目。不计度数。冷即重暖用
之。
治眼赤烂。痒痛不止。洗眼柏皮汤方。
柏白皮 黄柏 蕤仁（各一两） 黄连（三分去须） 苦竹叶（二握）
上件药。细锉。以水三升。煎取二升。去滓。稍热淋洗。冷即重暖用之。
治眼赤烂。开不得。宜服腻粉膏方。
腻粉（一两）
上件药。以口脂调如膏。每日于大 上。点三五度。
又方。
上取马牙硝一两。纳于猪胆中。悬于霜露中。旋旋掠取上面霜。点眼。或入蕤仁黄连末
少许
又方。
上取青盐一两。以水二升。煎至一升半。滤去滓。微热频洗眼。冷即重暖。不勒度数洗
之。
又方。
取鸡冠血点目中。日三五度。
Ophthalmia with redness and ulceration is caused by wind-heat pathogens. Initially presenting as red eyes, if the condition persists without healing, it is externally due to injury from wind-cold pathogens and internally due to accumulated heat in the Lung and Spleen.
For liver wind-heat causing ophthalmia with redness, ulceration, pain, and swelling, Longnao San (Dragon Brain Powder) is indicated.
Borneolum Syntheticum (1 fen, finely ground) Calculus Bovis (1 fen, finely ground) Cinnabaris (1 fen, finely ground) Tianshuhuang (Half liang, finely ground) Radix Paeoniae Rubra (Half liang) Semen Plantaginis (Half liang) Radix Scutellariae (1 liang, sliced, slightly stir-fried)
Crush the above herbs, pass them through a fine sieve to make a powder, and grind thoroughly to mix evenly. After meals, decoct Bamboo Leaves in water, take one qian of the powder mixed with this decoction. Avoid roasted, fried, hot-natured wheat products, and toxic or slippery fish and meat.
For sudden onset of heat rushing upward into the eyes, causing pain, redness, swelling, and formation of nebula, Xianlingpi Wan (Epimedium Pill) is indicated.
Radix Epimedii (2 liang) Flos Chrysanthemi Indici Radix Scutellariae Semen Plantaginis Gypsum Fibrosum (finely ground, washed with water for sedimentation) Radix Scrophulariae Fructus Cassiae (Cornu Saigae Tataricae Slice)
Crush the above herbs, pass them through a sieve to make a powder. Mix with refined honey and pound 300-200 times. Form pills the size of Sophora seeds. After meals, take 20 pills with warm water.
For liver and lung qi stagnation with heat causing circumcorneal redness, ulceration, pain, swelling, or nebula formation:
Rhizoma Picrorhizae Radix Glycyrrhizae Preparata (stir-fried until slightly red, sliced) Rhizoma Coptidis (remove stamens) Cortex Phellodendri Amurensis (sliced, each half liang) Mel (2 liang) Junci Medulla (2 stems) Folium Bambusae (light green variety)
Except for Borneolum Syntheticum and Mel, crush and sieve the remaining herbs into a powder. Use three large bowls of snow water, add Mel, and decoct in a silver pan until reduced to one medium bowl. Filter out the dregs.
For chronic ophthalmia that does not heal, characterized by redness, ulceration, intermittent itching, pain, swelling, and blurred vision:
Minium (1 fen, finely ground) Natrii Sulfas (Half liang, finely ground) Mel (5 liang)
In a copper vessel, boil slowly over low fire for more than ten boils, stirring occasionally. Filter through new cotton wool. Allow to cool before instilling into the eyes.
Another prescription.
Rhizoma Coptidis (1 liang, remove stamens, crush into powder) Ancient Cash Coins (5 coins) Mel (3 liang)
Place the herbs in a bamboo tube and steam over a rice steamer for the duration of cooking a meal. Filter through cotton wool to obtain the juice for instillation.
Another prescription.
Rhizoma Coptidis (Half liang, remove stamens) Cortex Phellodendri Amurensis (Half liang, sliced) Ancient Cash Coins (7 coins) Fructus Pruni Persicae Seed (37 seeds, soaked in hot water, remove coarse skin, finely ground)
Decoct two large bowls of water until reduced to half a medium bowl. Filter through cotton wool to remove dregs. Instill using a chopstick.
Another prescription.
Rhizoma Coptidis (1 liang, remove stamens, crush into powder) Ancient Cash Coins (14 coins) Borneolum Syntheticum (Half qian) Semen Armeniacae Amarum (14 seeds, soaked in hot water, remove skin and sharp tips, double-kernel seeds only, finely ground)
Soak all ingredients for 37 days, stirring once daily. After the period is complete, use for instillation.
Another prescription.
Folium Bambusae (light green variety) (1 liang) Rhizoma Coptidis (1 liang, remove stamens) Cortex Phellodendri Amurensis (1.5 liang)
Finely slice the herbs. Decoct three large bowls of water until reduced to one medium bowl. Filter through cotton wool to remove dregs. Instill 3-4 times daily for efficacy.
For epiphora due to wind, redness, ulceration, pain, and long-term formation of cataracts/nepha:
Lapis Aluminis (Arsenical Alum) Realgar Lapis Aragonitae (Crush finely, wash with water for sedimentation) Sal Marinum (Blue variety) Borneolum Syntheticum (finely ground) Fructus Cassiae Radix Zingiberis Preparata (Pao, sliced, each 1 fen)
Crush and sieve the herbs into a powder. Add Borneolum Syntheticum and grind evenly. Mix with refined honey to form pills the size of hemp seeds. Take one pill, dissolve in a small amount of warm water, and instill.
For redness, swelling, ulceration, wind-pain, itching, and tearing:
Realgar (Half liang, finely ground) Radix Asari (1 fen, powder) Borneolum Syntheticum (Half qian, finely ground)
Grind together evenly. At bedtime, instill using a chopstick.
For wind-heat causing redness and ulceration, apply Ruren Gao (Prunus Ointment):
Fructus Pruni Persicae Seed (Half liang, remove red skin) Lapis Vitrioli (1 qian) Calomelas (Half liang) Cera Flava (Half liang)
Except for the wax, grind the other ingredients finely into powder. Melt the wax with a little oil, cook until like face cream consistency, then mix with the powder to form an ointment. Take a bean-sized amount.
Apply Biyun Gao (Green Cloud Ointment) for redness and ulceration:
Porcine Fat (Winter, 5 liang, processed to remove dregs) Cupri Acetas Viridis (1 liang, finely ground) Calomelas (Half liang)
Place all ingredients in an oil-glazed porcelain bottle. Stir evenly with a comb. Cool until it solidifies into an ointment. Before use, wash the eyes with warm salt water solution.
Wash eyes with Qinpi Tang (Qinpi Decoction) for redness and ulceration:
Cortex Fraxini (1 liang) Fructus Pruni Persicae Seed (1 liang) Radix Glycyrrhizae (1.5 liang) Radix Asari (1 liang) Fructus Gardeniae (1 liang) Folium Bambusae (bitter variety, 2 handfuls)
Coarsely crush and sieve the herbs. Decoct three sheng of water until reduced to one sheng. Filter out dregs. Wash the eyes while slightly warm. Frequency is unlimited; reheat if cooled.
Wash eyes with Baipi Tang (Baipi Decoction) for redness, ulceration, persistent itching, and pain:
Cortex Platycladi Radix Phellodendri Amurensis Fructus Pruni Persicae Seed (each 1 liang) Rhizoma Coptidis (3 fen, remove stamens) Folium Bambusae (bitter variety, 2 handfuls)
Finely slice the herbs. Decoct three sheng of water until reduced to two sheng. Filter out dregs. Rinse while slightly warm; reheat if cooled.
For redness and ulceration preventing eye opening, take Nifen Gao (Calomelas Ointment):
Calomelas (1 liang)
Mix with lip balm/oil to form a paste. Apply to the outer canthus 3-5 times daily.
Another prescription.
Take Natrii Sulfas (Marble type) 1 liang, place inside a pig gallbladder, and hang in frost and dew. Scrape off the frost that forms on the surface for instillation. Alternatively, add a small amount of powdered Fructus Pruni Persicae Seed and Rhizoma Coptidis.
Another prescription.
Take Sal Marinum (Blue variety) 1 liang, decoct in two sheng of water until reduced to 1.5 sheng. Filter out dregs. Wash eyes frequently while slightly warm; reheat if cooled. No limit on frequency.
Another prescription.
Instill blood from a rooster's comb into the eyes, 3-5 times daily.