夫眼。若两 头有赤脉。及息肉者。宜钩起。以铍针割取令尽。如未全尽。重取之。以
尽为
割
须审细疗之。绝浓者入水轮。即以曲头篦子折起。勿使掣损瞳人。切须稳审。不得粗心。瞳
人甚薄。不宜伤损。凡钩割及用针不得在旦。旦则腹空。五脏皆虚。即晕闷便倒。亦须着人
扶头。若有此候。皆是虚弱之人。切宜缓缓调理。大凡钩割。不得一时急速取之。唯在斟量。
渐次镰洗。免有晕闷之虑也。若有赤脉 肉。宜针镰者。并可依此法矣。
夫眼目者。一身之精明。五脏之日月。若肝气通和。则诸疾不生也。若脏腑壅滞。不能
宣通
治肝脏久积风热。两眼赤痛。上焦壅滞。头重心烦。四肢不利。宜服羚羊角散方。
羚羊角屑（三分） 茯神（三分） 车前子（三分） 甘菊花（三分） 决明子（三分）
防风
（三分
麻（三分）
栀子
草（三
分炙
上件药。捣罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食后温服。忌炙爆
热面
治眼赤。风泪出。痒及胎赤障。翳睑急痛。栀子散方。
栀子仁（半两） 秦皮（三分） 蔓荆子（三分） 白芷（三分） 细辛（三分） 玄
参（三分）
决明
枳壳
（三分
上件药。捣细罗为散。每于食后。煎竹叶汤调下一钱。忌炙爆油腻生果热面。
治肝脏热极。目赤。涩痛泪不止。风湿痒。心膈壅滞。头目常疼。宜服石决明丸
方。
石决明（一两捣细研水飞过） 黄连（三分去须） 玄参（三分） 地骨皮（三分） 防
风（三
分去
分） 车前
子（三
分） 决
明子
黄（三分
锉碎
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以薄荷汤下二十丸。
治眼赤涩痛方。
蜜（四两） 黄丹（二两） 黄连（一两去须别捣罗为末） 腻粉（半两） 蕤仁（半
两汤浸去
皮细
七日用
绢滤
上件药。除龙脑麝香外拌和令匀。入瓷瓶中。用油单密封。以重汤煮一日。入麝香龙脑。
以
治眼赤及风赤眼肿痛方。
黄连（一两去须别捣罗为末） 杏仁（二七枚汤浸去皮尖双仁细研） 胆子矾（半分细
研）
腻粉
上件药。都研令匀。入少许粟米粥和稀稠得所。涂于瓷合子中。别用艾一两。烧令烟出。
合
眼
治热毒眼赤生翳。黄连煎水药方。
黄连（半两去须） 蕤仁（半两汤浸去赤皮研） 杏仁（四十九枚汤浸去皮尖双仁研） 黄
柏
（半
上件药。除龙脑外。并捣细罗为散。入生绢袋盛。用雪水二大盏。浸药二七日。取出袋
子。
出。
治眼赤痛不开。黄连膏点眼方。
黄连（一两去须） 黄柏（半两） 川升麻（半两） 蕤仁（一两去赤皮研） 细辛（一
两） 石
胆（
上件药。细锉。以水三大盏。煎至一盏半。绵滤去滓。入白蜜四两相和。煎令汁稠入研
了石
治眼赤痛。昼夜不开。点眼枸杞煎方。
枸杞叶（半斤研取汁） 杏仁（七枚去皮尖研） 黄连（一分去须捣罗为末） 腻粉（一
钱）
青盐
上件药。除枸杞汁外。以新绵裹纳净瓷合中。将枸杞汁。浸一复时后。绞捩去滓。以铜
箸头
治肝热眼赤痛。点乳汁煎方。
人乳汁（半合） 古字钱（十枚）
以乳汁。于铜器中。磨钱令变色。煎稀稠成煎即住。纳瓷瓶中盛。每以铜箸头。取少
许点
治眼赤痛。点竹叶煎方。
竹叶（二握洗净切） 大枣（五枚擘碎） 古字钱（七枚） 黄连（半两去须捣为末）
上件药。令和。纳铜器中。以水一盏。煎至五分。绵滤去滓。又重煎取三分。纳瓷瓶子
中盛
治眼赤痛。点黄连煎方。
黄连（半两去须） 马牙硝（一分） 蜜（半匙）
上件药。取大梨两枚。剜作坑子。留蒂作盖子。用绵裹诸药末。内和梨中。以盖子覆之。
冬
治眼赤痛。鱼胆贴眼膏方。
鲤鱼胆（七枚） 黄连（半两去须捣为末） 川大黄（半两捣罗为末）
上件药。取鱼胆汁调药末。以瓷瓶盛。于饭下蒸之。饭熟为度。取出。如干。即入少许
熟水
治眼赤痛。拓地龙粪饼子方。
地龙粪（半两研） 栀子仁（半两末） 牛蒡根（三两生者）
上件药。捣令熟。硬软得所。捏作饼子。闭目卧。以拓眼上。时时易之。
治眼赤痛。洗眼竹叶汤方。
淡竹叶（净洗三握） 黄连（一两去须） 青钱（二十文） 大枣（十枚擘破去核） 栀
子仁
（半两）
上件药。都锉。以水三升。煎取一半。滤去滓。微热。淋洗眼。冷则重暖不勒度数。以
瘥为
治眼赤痛。槐皮洗眼汤方。
槐子（皮）〔一（二）两锉〕 秦皮（一两） 黄连（半两去须） 淡竹叶（一握） 蕤
仁（半两
汤浸
上件药。捣粗罗为散。每用药一两。以水三大盏。入古字钱十四文。煎至两盏。去滓。
每暖
治眼赤肿疼痛不可忍。洗眼方。
黄连（一两去须） 秦皮（一两） 大枣（七枚）
上件药。锉。用水二大盏。煎至一盏。去滓。放温。日三度洗眼。
治眼赤痛点眼方。
鹅梨（一枚大者捣绞取汁） 黄连（半两捣为末） 腻粉（一字）
上以绵裹黄连腻粉。纳梨汁中。浸一日。每取少许点之。
又方。
黄连（半两去须捣罗为末）
上以生竹筒。一个留节。可长六七寸。以水二大合。将黄连末用新绵裹。纳竹筒中。着
青钱
少许
又方。
上以硝石研令极细。每夜临卧。以铜箸取如黍米大。点目 头。至明旦以盐浆水洗。
又方。
上取野狐浆草。捣取汁。点之立瘥。
The eyes, if there are red blood vessels at the inner and outer canthi, as well as polyps, should be hooked up and excised completely with a Pi needle (a surgical knife). If not completely removed, repeat the excision until finished. Treatment must be meticulous. In severe cases where the pathogen invades the Water Wheel (pupil), use a curved comb to lift the lesion, avoiding traction damage to the pupil. One must be steady and prudent, never careless. The pupil is very thin and should not be injured. Hooking, cutting, and needling should not be performed in the morning. In the morning, the abdomen is empty and the five Zang organs are deficient, which may lead to dizziness, fainting, or collapse. It is also necessary to have someone support the head. Such occurrences indicate a weak constitution; gradual regulation is essential. Generally, hooking and cutting should not be done hastily but with careful measurement, gradually scraping and washing, to avoid the risk of dizziness. For conditions involving red vessels and fleshy growths suitable for needle-knife treatment, this method should be followed.
The eyes are the manifestation of the essence and spirit of the whole body, comparable to the sun and moon of the five Zang organs. If Liver Qi is harmonious and flowing freely, various diseases will not arise. If the Zang and Fu organs are obstructed and cannot circulate smoothly, disease ensues.
To treat wind-heat accumulated in the Liver over a long period, causing redness and pain in both eyes, upper Jiao obstruction, heavy head, irritability, and discomfort in the four limbs, Lingyangjiao San (Antelope Horn Powder) is indicated.
Lingyangjiao Xie (Antelope Horn Shavings) (3 fen) Fushen (Poria with Hostwood) (3 fen) Cheqianzi (Plantago Seed) (3 fen) Ganjuhua (Chrysanthemum Flower) (3 fen) Juemingzi (Cassia Seed) (3 fen)
Fangfeng (Saposhnikovia Root) (3 fen) Mahuang (Ephedra Herb) (3 fen) Zhizi (Gardenia Fruit) (3 fen) Gancao (Licorice Root) (3 fen, honey-fried)
Crush and sieve the above ingredients into a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to six parts, remove the dregs, and take warm after meals. Avoid fried, roasted, hot-natured wheat products.
To treat red eyes, wind-induced tearing, itching, congenital red opacity, and urgent eyelid pain, Zhizi San (Gardenia Powder) is indicated.
Zhizi Ren (Gardenia Seed) (0.5 liang) Qinpi (Ailanthus Bark) (3 fen) Manjingzi (Vitex Fruit) (3 fen) Baizhi (Angelica Dahurica Root) (3 fen) Xixin (Asarum Root) (3 fen) Xuanshen (Scrophularia Root) (3 fen)
Juemingzi (Cassia Seed) (3 fen) Zhike (Bitter Orange) (3 fen)
Crush and finely sieve the above ingredients into a powder. After meals, take 1 qian mixed with Bamboo Leaf Decoction. Avoid fried, greasy, raw fruit, and hot-natured wheat foods.
To treat extreme heat in the Liver, red eyes, astringency and pain with continuous tearing, wind-damp itching, chest and diaphragm stagnation, and frequent headache and eye pain, Shijueming Wan (Concha Argo Pill) is indicated.
Shijueming (Concha Argo) (1 liang, crushed, ground, and water-sedimented) Huanglian (Coptis Rhizome) (3 fen, remove stamens) Xuanshen (Scrophularia Root) (3 fen) Digupi (Phellodendron Bark) (3 fen) Fangfeng (Saposhnikovia Root) (3 fen, remove rhizome)
Qianghuo (Notopterygium Rhizome) (3 fen) Cheqianzi (Plantago Seed) (3 fen) Juemingzi (Cassia Seed) (3 fen) Huangqin (Scutellaria Root) (3 fen, sliced)
Grind the above ingredients into powder, mix with refined honey, and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills at any time with Mint Decoction.
Formula for treating red, astringent, and painful eyes.
Fengmi (Honey) (4 liang) Huangdan (Lead Tetroxide) (2 liang) Huanglian (Coptis Rhizome) (1 liang, remove stamens, grind separately into powder) Nifen (Calomel) (0.5 liang) Ruiren (Prunus Persica Kernel) (0.5 liang, soaked in hot water, skin removed, ground finely)
Longnao (Borneol) (small amount) Shexiang (Musk) (small amount)
Mix all ingredients except Borneol and Musk evenly, place in a porcelain bottle, seal tightly with oil paper, and boil in a double boiler for one day. Add Musk and Borneol, mix well, and store. Filter through silk gauze after seven days for use.
Formula for treating red eyes and wind-red swollen/painful eyes.
Huanglian (Coptis Rhizome) (1 liang, remove stamens, grind separately into powder) Xingren (Apricot Seed) (14 seeds, soaked in hot water, skin and tip removed, double kernel, ground finely) Danfan (Alum) (0.5 fen, ground finely)
Nifen (Calomel) (small amount)
Grind all ingredients evenly, mix with a small amount of millet porridge to a suitable consistency, apply in a porcelain container. Burn 1 liang of Mugwort to produce smoke, and fumigate the covered eyes.
Decoction for treating heat-toxin red eyes with corneal opacity.
Huanglian (Coptis Rhizome) (0.5 liang, remove stamens) Ruiren (Prunus Persica Kernel) (0.5 liang, soaked in hot water, red skin removed, ground) Xingren (Apricot Seed) (49 seeds, soaked in hot water, skin and tip removed, double kernel, ground) Huangbai (Phellodendron Bark) (0.5 liang, sliced)
Grind all ingredients except Borneol into a fine powder, place in a raw silk bag. Soak in two large bowls of snow water for fourteen days. Remove the bag and squeeze out the juice.
Eye-drop formula for treating red, painful eyes that cannot open.
Huanglian (Coptis Rhizome) (1 liang, remove stamens) Huangbai (Phellodendron Bark) (0.5 liang) Chuan Shengma ( Cimicifuga Rhizome) (0.5 liang) Ruiren (Prunus Persica Kernel) (1 liang, red skin removed, ground) Xixin (Asarum Root) (1 liang) Shidan (Stibnite) (small amount)
Finely slice the ingredients, decoct in three large bowls of water until reduced to one and a half bowls. Strain through cotton cloth to remove dregs. Mix with four liang of white honey, boil until thick, then add ground Stibnite.
Eye-drop decoction for treating red, painful eyes that cannot open day or night.
Gouqi Ye (Goji Leaf) (0.5 jin, ground to extract juice) Xingren (Apricot Seed) (7 seeds, skin and tip removed, ground) Huanglian (Coptis Rhizome) (1 fen, remove stamens, grind into powder) Nifen (Calomel) (1 qian)
Qingyan (Green Salt) (small amount)
Wrap all ingredients except Goji juice in new cotton, place in a clean porcelain container. Pour Goji juice over them, soak for one shichen (two hours), wring out to remove dregs, and use the tip of a chopstick to apply drops.
Milk decoction for treating Liver-heat red, painful eyes.
Ren Ruzhi (Human Breast Milk) (0.5 he) Gu Zi Qian (Ancient Coins) (10 pieces)
In a copper vessel, rub the coins in the milk until the color changes. Boil until it forms a syrup-like consistency, then stop. Store in a porcelain bottle. Use the tip of a chopstick to take a small amount for eye drops.
Bamboo Leaf decoction for treating red, painful eyes.
Zhuye (Bamboo Leaf) (2 handfuls, washed and cut) Dazao (Jujube) (5 pieces, split) Gu Zi Qian (Ancient Coins) (7 pieces) Huanglian (Coptis Rhizome) (0.5 liang, remove stamens, ground into powder)
Mix ingredients, place in a copper vessel, add one bowl of water, boil until reduced to five parts. Strain through cotton cloth to remove dregs. Re-boil to obtain three parts. Store in a porcelain bottle.
Huanglian decoction for treating red, painful eyes.
Huanglian (Coptis Rhizome) (0.5 liang, remove stamens) Mayaxiao (Mirabilite) (1 fen) Fengmi (Honey) (half spoon)
Take two large pears, hollow them out, keeping the stem as a lid. Wrap the powdered herbs in cotton, place inside the pear, cover with the lid... (text incomplete, implies steaming or heating).
Fish Gallbladder paste for treating red, painful eyes.
Li Yu Dan (Carp Gallbladder) (7 pieces) Huanglian (Coptis Rhizome) (0.5 liang, remove stamens, ground into powder) Chuan Dahuang (Rhubarb Root) (0.5 liang, ground into powder)
Mix fish gallbladder juice with the herb powders, store in a porcelain bottle, and steam over rice until the rice is cooked. Remove. If too dry, add a little boiled water.
Earthworm Excrement Cake for treating red, painful eyes.
Di Long Fen (Earthworm Excrement) (0.5 liang, ground) Zhizi Ren (Gardenia Seed) (0.5 liang, powdered) Niubang Gen (Arctium Root) (3 liang, fresh)
Pound until soft and pliable, form into cakes. Lie down with eyes closed, place the cake on the eye, and replace frequently.
Bamboo Leaf wash for treating red, painful eyes.
Dan Zhuye (Light Bamboo Leaf) (3 handfuls, washed clean) Huanglian (Coptis Rhizome) (1 liang, remove stamens) Qing Qian (Green Coins) (20 wen) Dazao (Jujube) (10 pieces, split and pitted) Zhizi Ren (Gardenia Seed) (0.5 liang)
Slice all ingredients, decoct in three sheng of water until reduced by half. Strain to remove dregs. Wash eyes while slightly warm. Re-warm if cool. Repeat until cured.
Sophora Bark wash for treating red, painful eyes.
Huai Pi (Sophora Bark) (2 liang, sliced) Qinpi (Ailanthus Bark) (1 liang) Huanglian (Coptis Rhizome) (0.5 liang, remove stamens) Dan Zhuye (Light Bamboo Leaf) (1 handful) Ruiren (Prunus Persica Kernel) (0.5 liang, soaked in hot water)
Coarsely grind into powder. For each dose of 1 liang, decoct in three large bowls of water with 14 ancient coins until reduced to two bowls. Strain. Wash eyes with warm liquid.
Wash for intolerable red, swollen, and painful eyes.
Huanglian (Coptis Rhizome) (1 liang, remove stamens) Qinpi (Ailanthus Bark) (1 liang) Dazao (Jujube) (7 pieces)
Slice ingredients, decoct in two large bowls of water until reduced to one bowl. Strain and let cool to warm temperature. Wash eyes three times daily.
Eye-drop formula for red, painful eyes.
E Li (Goose Pear) (one large, pounded and juiced) Huanglian (Coptis Rhizome) (0.5 liang, ground into powder) Nifen (Calomel) (one zi)
Wrap Huanglian and Calomel in cotton, soak in pear juice for one day. Apply a small amount each time.
Another formula.
Huanglian (Coptis Rhizome) (0.5 liang, remove stamens, ground into powder)
Take one fresh bamboo tube with nodes intact, about 6-7 cun long. Add two large he of water. Wrap Huanglian powder in new cotton, place inside the bamboo tube... (text incomplete).
Another formula.
Grind Nitre (Xiaoshi) extremely finely. Every night before sleep, use a chopstick to take an amount the size of a millet seed and apply to the canthus. Rinse with salt water the next morning.
Another formula.
Take Yehu Jiang Cao (Wild Fox Slurry Grass), pound to extract juice, and apply drops for immediate cure.