目内赤者心热，导赤散主之。淡红者心虚热，生犀散主之。青肝热、泻青丸主之，浅淡者补之。黄者脾热，泻黄散
主之。无精光者肾虚，地黄丸主之。龙木论小儿斗睛候，皆因失误筑打，损着头面额角，兼倒扑，令儿肝受惊风，遂使
两眼斗睛，宜服牛黄丸。口议血眼，宜服生熟地黄散流行血气，热毒服小防风汤，风毒服小流气饮，积毒服小菊花膏主
之。斑疮入眼，决明散、蜜蒙花散主之，又有犀角散、石楠散通顶为妙。或泻后眼如上膜，或痘疹入腹，眼不能开，及
诸症眼定无精光难治。
导赤散 见第八问。
泻青丸 见第八问。
生犀散 治目内淡红者、心虚热。
生犀（镑、二钱） 地骨皮 赤芍药 柴胡 干葛（各一两） 甘草（半两）
上锉，每服二钱，水一盏，煎至七分，滤去滓温服。
泻黄散 浅淡者补之，黄者脾热。
藿香叶（七钱） 山栀仁（一两） 石膏（五钱） 甘草（五钱） 防风（四两、去芦）
上锉散，同蜜酒微炒，每服二钱，水煎服，不拘时。
地黄丸 见第八问。
生熟地黄散 治小儿疳蚀眼患，闭合不开，羞明怕日及内障。
生地黄（洗） 熟地黄（洗） 麦门冬（去心，各一两） 川当归 枳壳（麸炒） 甘草（炙） 防风 杏仁（汤
泡、去皮尖、炒赤） 赤芍药（各半两）
上锉每服二钱，黑豆七粒，煎豆熟为度，去滓服。
地黄散 治小儿心肝蕴热，目赤肿疼，内生赤脉，或白膜遮睛，四边散漫者犹易治，若暴遮黑睛，多致失明，
宜速用此方，亦治疮疹入眼。
生地黄 熟地黄 蝉蜕（去头足） 木贼草 谷精草 生犀末 当归（去芦、切焙、各二钱半） 防风（去芦） 羌
活白蒺藜（去刺） 甘草 沙苑 蒺藜 木通（各一钱半） 黄连（去须） 大黄（煨、各一钱） 玄参（半钱）
上为细末，每服一字，或半钱，量大小加减，煎羊肝汤食后调下，日三，忌口将息，亦治大人。
小防风汤 治小儿热毒眼患。
大黄（蒸） 山栀子 甘草（炙） 防风 赤芍药 川当归（洗） 羌活（各等分）
上锉散，每服二钱，水小盏，煎五分，去滓，通口服，食后。
小流气饮 治小儿风毒眼患。
蝉蜕（去足） 甘草（炙） 羌活 天麻 当归 赤芍药 防风 大黄 薄荷 杏仁（各等分）
上锉散，每服二钱，水煎去滓，食后通口服。
小菊花膏 治小儿积毒眼患。
黄连 黄芩 大黄 菊花 羌活 苍术（米泔浸） 荆芥穗 防风（各等分）
上为细末，蜜丸芡实大，每服一丸，细嚼白滚汤下。
决明散 治小儿疹痘疮入眼。
栝蒌根（半两） 决明子 赤芍药 甘草（炙、各二钱半）
上为细末，每服半钱，蜜水调下，日三。
蜜蒙花散 治小儿疹痘，并诸毒入眼。
蜜蒙花（一钱） 青葙子 决明子 车前子（各五分）
上为细末，用羊肝一个，破开缝三条，掺药令匀扎紧，以湿纸七重裹，炭火中煨熟，空心食之，效如神。
犀角饮 治眼疼。
犀角（一两） 射干 龙胆草 黄芩（各半两） 钩藤（七钱半） 人参（二两） 茯苓 甘草（各二钱半）
上锉散，每服二钱，水一盏，煎至五分，食后去滓温服。
牛黄丸 治肝受惊风，遂使眼目疼痛。
牛黄 白附子 肉桂 全蝎 川芎 石膏（各二钱半） 白芷 藿香（各半两） 辰砂 麝香（各少许）
上为细末，炼蜜为丸，如梧桐子大，临卧时薄荷汤化下三丸，乳母忌食辛辣热物，并湿面等物。
If the interior of the eye is red, it indicates Heart Heat (Xin Re), which should be primarily treated with Daochi San (Coptis Decoction). If the color is pale red, it indicates Deficient Heat of the Heart (Xin Xu Re), which should be primarily treated with Shengxi San (Raw Rhinoceros Horn Decoction). Greenness indicates Liver Heat (Gan Re), primarily treated with Xieqing Wan (Drain the Blue Pill); if the color is shallow and pale, tonification should be used. Yellowness indicates Spleen Heat (Pi Re), primarily treated with Xiehuang San (Drain the Yellow Powder). Lack of luster in the eyes indicates Kidney Deficiency (Shen Xu), primarily treated with Dihuang Wan (Rehmannia Pill). According to the "Longmu Lun" regarding the symptom of strabismus or upward deviation of the eyes in children, this is all due to accidental blows or strikes that damage the head, face, forehead, and temples, combined with falls and tumbles, causing the child's Liver to suffer from Wind-Strike (Jing Feng), thereby resulting in both eyes deviating. It is appropriate to take Niuhuang Wan (Calculus Bovis Pill). For "Kouyi Blood Eye" (redness and swelling of eyelids with bleeding), it is appropriate to take Shengshu Dihuang San (Raw and Prepared Rehmannia Powder) to circulate Qi and Blood; for cases caused by Heat-Toxin (Re Du), take Xiaofangfeng Tang (Minor Saposhnikovia Decoction); for those caused by Wind-Toxin (Feng Du), take Xiaoliuqi Yin (Minor Moving-Qi Drink); for those caused by Accumulated Toxin (Ji Du), take Xiaojuhua Gao (Minor Chrysanthemum Paste) as the primary treatment. When pox or measles toxins enter the eyes, Jueming San (Cassia Seed Powder) and Mimenghua San (Honey-flowered Buddleja Powder) are primarily used; additionally, Xijiao San (Rhinoceros Horn Powder) and Shinan San (Fatsia Powder) to clear the upper body are excellent. Or, if after diarrhea the eyes appear covered by a membrane, or if pox/rash toxins sink into the abdomen causing the eyes to be unable to open, and in various conditions where the eyes are fixed without luster, these are difficult to treat.
Daochi San See Question 8.
Xieqing Wan See Question 8.
Shengxi San Treats pale redness inside the eye and Deficient Heat of the Heart.
Shengxi (sliced, 2 qian) Gudupi (Root Bark of Chinese Wolfberry) Chishao (Red Peony Root) Chaihu (Bupleurum Root) Gan'ge (Pueraria Root) (each 1 liang) Gancao (Licorice Root) (0.5 liang)
Crush the above ingredients. Take 2 qian per dose, add 1 zhan of water, decoct until 0.7 zhan remains, filter out the dregs, and take warm.
Xiehuang Shan Treats shallow/pale colors with tonification; yellow indicates Spleen Heat.
Huoxiangye (Leaf of Agastache) Shanzhiren (Seed of Gardenia) Shigao (Gypsum Fibrosum) Gancao (Licorice Root) (each 0.5 liang) Fangfeng (Saposhnikovia Root) (4 liang, remove rhizome)
Crush into powder, stir-fry slightly with honey and wine. Take 2 qian per dose, decoct in water, take at any time.
Dihuang Wan See Question 8.
Shengshu Dihuang San Treats pediatric malnutrition affecting the eyes (Gan Shi Yan), closed eyelids, photophobia, and internal cataracts.
Shengdihuang (Fresh Rehmannia Root, washed) Shudihuang (Prepared Rehmannia Root, washed) Maimendong (Ophiopogon Tuber, remove heart) (each 1 liang) Chuandanggui (Angelica Sinensis) Zhike (Bitter Orange Fruit, bran-fried) Gancao (Licorice Root, honey-fried) Fangfeng (Saposhnikovia Root) Xingren (Apricot Seed, soaked in water, skin removed, stir-fried until red) Chishao (Red Peony Root) (each 0.5 liang)
Crush the above. Take 2 qian per dose, add 7 black soybeans, decoct until beans are cooked, filter out dregs, and take.
Dihuang San Treats pediatric accumulation of Heat in Heart and Liver, red and swollen painful eyes, internal red vessels, or white membrane covering the pupil. If the membrane spreads around the edges, it is easier to treat; if it suddenly covers the cornea, it often leads to blindness, so use this formula quickly. It also treats pox/rash entering the eyes.
Shengdihuang (Fresh Rehmannia Root) Shudihuang (Prepared Rehmannia Root) Chantui (Cicada Slough, remove head and feet) Muzeicao (Equisetum) Gujingcao (Eyebright) Shengximò (Powder of Raw Rhinoceros Horn) Danggui (Angelica Sinensis, remove rhizome, cut and bake) (each 2.5 qian) Fangfeng (Saposhnikovia Root, remove rhizome) Qianghuo (Notopterygium Rhizome) Baijili (Tribulus Fruit, remove spines) Gancao (Licorice Root) Shayuan (Astragalus Complanatus) Jili (Tribulus Fruit) Mutong (Akebia Stem) (each 1.5 qian) Huanglian (Coptis Rhizome, remove stamens) Dahuang (Rhubarb Rhizome, baked) (each 1 qian) Xuanshen (Scrophularia Root) (0.5 qian)
Grind into fine powder. Take 1 zi or 0.5 qian per dose, adjust according to age/size. Mix with sheep liver soup and take after meals, three times daily. Observe dietary restrictions. Also treats adults.
Xiaofangfeng Tang Treats pediatric Heat-Toxin eye disorders.
Dahuang (Rhubarb Rhizome, steamed) Shanzhizi (Seed of Gardenia) Gancao (Licorice Root, honey-fried) Fangfeng (Saposhnikovia Root) Chishao (Red Peony Root) Chuandanggui (Angelica Sinensis, wash) Qianghuo (Notopterygium Rhizome) (equal parts)
Crush into powder. Take 2 qian per dose, add a small zhan of water, decoct until 0.5 zhan remains, filter out dregs, take orally after meals.
Xiaoliuqi Yin Treats pediatric Wind-Toxin eye disorders.
Chantui (Cicada Slough, remove feet) Gancao (Licorice Root, honey-fried) Qianghuo (Notopterygium Rhizome) Tianma (Gastrodia Rhizome) Danggui (Angelica Sinensis) Chishao (Red Peony Root) Fangfeng (Saposhnikovia Root) Dahuang (Rhubarb Rhizome) Bohe (Mentha Herb) Xingren (Apricot Seed) (equal parts)
Crush into powder. Take 2 qian per dose, decoct in water, filter out dregs, take orally after meals.
Xiaojuhua Gao Treats pediatric Accumulated-Toxin eye disorders.
Huanglian (Coptis Rhizome) Huangqin (Scutellaria Root) Dahuang (Rhubarb Rhizome) Juhua (Chrysanthemum Flower) Qianghuo (Notopterygium Rhizome) Cangzhu (Atractylodes Rhizome, soaked in rice water) Jingjiesui (Perilla Leaf Tip) Fangfeng (Saposhnikovia Root) (equal parts)
Grind into fine powder, make pills with honey the size of an Indian corn seed. Take one pill per dose, chew thoroughly, and swallow with plain boiled water.
Jueming San Treats pediatric pox/rash/toxins entering the eyes.
Gualougen (Trichosanthes Root) (0.5 liang) Juemingzi (Cassia Seed) Chishao (Red Peony Root) Gancao (Licorice Root, honey-fried) (each 2.5 qian)
Grind into fine powder. Take 0.5 qian per dose, mix with honey water, three times daily.
Mimenghua San Treats pediatric pox/rash and various toxins entering the eyes.
Mimenghua (Buddleja Flower) (1 qian) Qingxiangzi (Celosia Seed) Juemingzi (Cassia Seed) Cheqianzi (Plantago Seed) (each 0.5 fen)
Grind into fine powder. Take one sheep liver, cut three slits, sprinkle medicine evenly inside, tie tightly, wrap in seven layers of wet paper, and simmer in charcoal fire until cooked. Eat on an empty stomach; efficacy is miraculous.
Xijiao Yin Treats eye pain.
Xijiao (Rhinoceros Horn) (1 liang) Shegan (Belamcanda Rhizome) Longdancao (Gentiana Root) Huangqin (Scutellaria Root) (each 0.5 liang) Gouteng (Uncaria Ramulus cum Uncis) (0.75 liang) Renshen (Ginseng Radix et Rhizoma) (2 liang) Fuling (Poria) Gancao (Licorice Root) (each 2.5 qian)
Crush into powder. Take 2 qian per dose, add 1 zhan of water, decoct until 0.5 zhan remains, filter out dregs, and take warm after meals.
Niuhuang Wan Treats Liver affected by Wind-Strike, causing eye pain.
Niuhuang (Calculus Bovis) Baifuzi (Typhonii Rhizoma) Rougui (Cinnamon Bark) Quanxie (Scorpio) Chuanyuxiong (Ligusticum Rhizome) Shigao (Gypsum Fibrosum) (each 2.5 qian) Baizhi (Angelica Dahurica) Huoxiang (Agastache) (each 0.5 liang) Chencha (Cinnabar) Shexiang (Moschus) (small amounts)
Grind into fine powder, make pills with refined honey the size of Sophora seeds. At bedtime, dissolve three pills in Mint Tea. The nursing mother should avoid spicy, hot foods, and damp wheat products.