膏粱之变。滋味过也。气血俱盛。禀受浓也。亢阳上炎。阴不济也。邪入经络。内无御也。因生而化。因化而热。
热为火。火性炎上。足厥阴肝。为木。木生火。母妊子。子以淫胜。祸发反克。而肝开窍于目。故肝受克而目亦
受病也。其病眵多。 紧涩。赤脉贯睛。脏腑秘结者为重。重者芍药清肝散主之。通气利中丸主之。眵多
紧涩。赤脉贯睛。脏腑不秘结者为轻。轻者减大黄芒硝。芍药清肝散主之。黄连天花粉丸主之。少盛。
服通气利中丸。目眶烂者。内服上药。外以黄连炉甘石散收其烂处。兼以点眼春雪膏、龙脑黄连膏。 鼻
碧云散。攻其淫热。此治淫热反克之法也。非膏粱之变。非气血俱盛。非亢阳上炎。非邪入经络。毋用此也。
用此则寒凉伤胃。胃气不升降。反为所害。治疾者不可不明也。噫。审诸。
芍药清肝散（治眵多 。紧涩羞明。赤脉贯睛。脏腑秘结。）
白术 石膏 真川芎 防风 桔梗 滑石（各三钱） 荆芥穗 前胡 芍药 甘草 苏薄荷（各二钱半） 柴胡 黄
芩知母 山栀仁 羌活（各二钱） 芒硝（三钱半） 大黄（四钱）
共末。每服三钱。水二钟。煎至一钟。食远热服。
上方为治淫热反克而作也。风热不制之病。热甚大便结者。从权用之。盖苦寒药也。苦寒伤胃。故先以
白术之甘温。甘草之甘平。生胃气为君。次以川芎、防风、荆芥、桔梗、羌活之辛温。升发清利为臣。又以芍
药、前胡、柴胡之微苦。薄荷、山栀、黄芩之微苦寒。且导且攻为佐。终以知母、滑石、石膏之苦寒。大黄、芒硝
之大苦寒。祛逐淫热为使。惟大便不结者。减大黄芒硝。此逆则攻之治法也。大热服者。反治也。
通气利中丸（治证同上）
锦纹大黄（二两半） 滑石（取末另入） 牵牛（取末） 黄芩（各两半） 云头白术（一两）
白芷 羌活（各五钱）
除滑石牵牛。另研极细末外。余合为细末。入上药和匀。滴水为丸。如桐子大。每服三十丸。加至百丸。食
后临睡茶清送下。
上方以白术苦甘温。除胃中热为君。白芷辛温解利。羌活苦甘平微温。通利诸节为臣。黄芩微苦寒。疗
热滋化。滑石甘寒。滑利小便。以厘清浊为佐。大黄苦寒。通大便泻诸实热。牵牛辛苦寒。利大便除风毒
为使。逆攻之法也。风热不制之病。热甚而大便结者。亦可兼用。然牵牛有毒。非神农药。今与大黄并用。
取性猛烈而快也。大抵不宜久用。久用伤元气。盖从权之药也。量虚实加减。
黄连天花粉丸（治同上）
黄连 菊花 苏薄荷 川芎（各一两） 黄柏（六两） 连翘（二两）
天花粉 黄芩 栀子（各四两）
上为细末。滴水成丸。如桐子大。每服五十丸。加至百丸。食后临卧茶清下。
上方为淫热反克。脏腑不秘结者作也。风热不制之病。稍热者亦可服。以黄连、天花粉之苦寒为君。菊
花之苦甘平为臣。川芎之辛温。薄荷之辛苦为佐。连翘、黄芩之苦微寒。黄柏、栀子之苦寒为使。合之则
除热清利。治目赤肿痛。
黄连炉甘石散（治眼眶破烂。畏日羞明。余治同上。）
炉甘石（一斤） 黄连（四两） 龙脑（量入）
先以炉甘石置巨火 通红为度。另以黄连。用水一盆。瓷器盛贮。纳黄连于水内。却以通红炉甘石淬
七次。就以所贮瓷器置日中晒干。然后同黄连研为细末。欲用时。以一二钱再研极细。旋量入龙脑。每
用少许。井花水调如稠糊。临睡以箸头蘸敷破烂处。不破烂者。点眼内 锐 尤佳。不宜使入眼内。
上方以炉甘石收湿除烂为君。黄连苦寒为佐。龙脑除热毒为使。凡目病俱可用。宜者固可。即不宜者
亦无害也。奇经客邪之病。量加朴硝泡汤。滴眼瘀肉黄赤脂上。
龙脑黄连膏（治目中赤脉。如溜热炙人。）
川黄连（八两） 片脑（二钱）
上以黄连去芦。刮去黑皮。洗净锉碎。以水三大碗。贮于瓷器内煎。随入黄连于内煎。用文武火熬。减大
半碗。滤去渣。以滓复煎。滤净澄清。入薄瓷器盛放。重汤蒸炖成膏。约半盏许。再复滤净。待数日。出火毒。
临时旋加片脑。以一钱为率。用时酌量加之。不拘时。以少许点眼大 内。又方。加熊胆、蚺蛇胆各少许。更妙。
上方。以黄连治目痛解诸毒为君。龙脑去热毒为臣。乃君臣药也。凡目痛者。俱宜用。
鼻碧云散（治肿胀红赤。昏暗羞明。瘾涩疼痛。风热鼻塞。脑酸。外翳攀睛。眵泪稠粘。）
鹅不食草（二钱） 青黛 真川芎（各一钱）
上为细末。每用如大豆许。先噙水满口。 入鼻中。以泪出为度。不拘时。
上方以鹅不食草解毒为君。青黛去热为佐。川芎大辛。除邪破留为使。升透之药也。大抵如开锅盖法。
常欲使邪毒不闭。令有出路。然力少而锐。 之随效。宜常 以聚其力。凡目病。俱可用。
蕤仁春雪膏（治肝经不足。内受风热。上攻头目。昏暗痒痛。瘾涩难开。昏眩赤肿。怕日羞明。
不能远视。迎风有泪。多见黑花。）
蕤仁（去皮壳心压去油四钱） 龙脑（五分研）
先将蕤仁研细。入龙脑和匀。用生好真川白蜜一钱二分。再研和匀。每用簪角蘸点内 锐 。
上方以龙脑除热毒为君。生蜜解毒和百药为臣。蕤仁去暴热治目痛为使。此药与黄连炉甘石散、龙
脑黄连膏并用。
Variations from rich and greasy food are caused by excessive richness of taste. Qi and blood are both abundant due to a robust constitution. Hyperactive Yang flares upward because Yin fails to restrain it. Pathogenic factors enter the meridians, and there is no internal defense. Consequently, changes occur, and heat arises from these changes.
Heat is Fire; the nature of Fire is to flare upward. The Foot Jueyin Liver Meridian belongs to Wood; Wood generates Fire. The Mother (Wood) nourishes the Child (Fire). When the Child (Fire) overcomes excessively, it counter-attacks the Mother (Wood), leading to pathological counter-restriction. Since the Liver opens into the eyes, when the Liver is restricted, the eyes also become diseased. Symptoms include excessive eye discharge, tightness and dryness, and red vessels traversing the eyeball. If accompanied by constipation of the Zang-Fu organs, it is a severe case, treated primarily with Shaoyao Qinggan San (Peony Decoction to Clear the Liver) or Tongqi Lizhong Wan (Pill to Unblock Qi and Benefit the Middle). If there is excessive eye discharge, tightness, dryness, and red vessels traversing the eyeball, but without constipation of the Zang-Fu organs, it is a mild case. For mild cases, reduce Dahuang (Rhubarb Rhizome) and Mangxiao (Mirabilite), treat primarily with Shaoyao Qinggan San (Peony Decoction to Clear the Liver) or Huanglian Tianhuafen Wan (Coptis and Trichosanthes Pill). If symptoms are slightly less severe, take Tongqi Lizhong Wan (Pill to Unblock Qi and Benefit the Middle). For ulceration of the eye sockets, take the above medicines internally, and externally apply Huanglian Luguanshi San (Coptis and Calamine Powder) to the ulcerated areas. Additionally, use Dianyan Chunxue Gao (Eye-Dropping Spring Snow Ointment) and Longnao Huanglian Gao (Borneol and Coptis Ointment) for eye application. Use Biyun San (Blue Cloud Powder) nasally to attack the exuberant heat. This is the method for treating exuberant heat counter-restriction. Do not use this if it is not a variation from rich and greasy food, if Qi and blood are not both abundant, if hyperactive Yang does not flare upward, and if pathogenic factors have not entered the meridians. Using this will damage the Stomach with cold-cooling herbs, causing the Stomach Qi to fail in ascending and descending, resulting in further harm. Physicians must understand this clearly. Alas, exercise caution.
Shaoyao Qinggan San (Peony Decoction to Clear the Liver): Treats excessive eye discharge, tightness and dryness, photophobia, red vessels traversing the eyeball, and constipation of the Zang-Fu organs.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Shigao (Gypsum Fibrosum), Zhen Chuanxiong (Ligusticum Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Huashi (Talcum) (each 3 qian); Jingjiesui (Schizonepetae Spica), Qianhu (Peucedani Radix), Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Su Bohe (Menthae Haplocalycis Herba) (each 2.5 qian); Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Shanzhiren (Gardeniae Semen) (each 2 qian); Mangxiao (Mirabilite) (3.5 qian), Dahuang (Rhei Radix et Rhizoma) (4 qian).
Grind all into powder. Take 3 qian per dose, decoct with two zhong of water until one zhong remains, and take warm after meals.
The above formula was created to treat exuberant heat counter-restriction. It is used prudently for conditions where Wind-Heat is uncontrolled and heat is severe with constipation. As it consists of bitter-cold herbs that can damage the Stomach, Baizhu's sweet-warm nature and Gancao's sweet-neutral nature are used as Sovereign herbs to generate Stomach Qi. Next, Chuanxiong, Fangfeng, Jingjie, Jiegeng, and Qianghuo's acrid-warm nature serves as Minister herbs to ascend and clear. Shaoyao, Qianhu, and Chaihu's slightly bitter nature, along with Bohe, Shanzhi, and Huangqin's slightly bitter-cold nature, act as Assistant herbs to guide and attack. Finally, Zhimu, Huashi, and Shigao's bitter-cold nature, along with Dahuang and Mangxiao's greatly bitter-cold nature, serve as Envoy herbs to expel exuberant heat. For those without constipation, reduce Dahuang and Mangxiao. This is the treatment method of attacking against the reverse flow. Taking it hot is a contrary treatment method.
Tongqi Lizhong Wan (Pill to Unblock Qi and Benefit the Middle): Treats the same syndromes as above.
Ingredients: Jinwen Dahuang (Rhei Radix et Rhizoma) (2.5 liang), Huashi (Talcum) (take powder separately), Qianniu (Pharbitidis Semen) (take powder), Huangqin (Scutellariae Radix) (each 1.5 liang), Yuntou Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Baizhi (Angelicae Dahuricae Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 5 qian).
Except for Huashi and Qianniu which are ground separately into fine powder, mix the rest into a fine powder, combine evenly with the above powders, add drops of water to form pills the size of tung seeds. Take 30 pills per dose, increasing up to 100 pills, taken after meals and before sleep with tea liquor.
In the above formula, Baizhu's bitter-sweet-warm nature clears Stomach heat as Sovereign. Baizhi's acrid-warm nature resolves and benefits, and Qianghuo's bitter-sweet-neutral and slightly warm nature unblocks and benefits various joints as Ministers. Huangqin's slightly bitter-cold nature treats heat transformation, and Huashi's sweet-cold nature lubricates urination to clarify turbidity as Assistants. Dahuang's bitter-cold nature unblocks bowels and purges excess heat, and Qianniu's bitter-acrid-cold nature unblocks bowels and removes wind-toxin as Envoys. This is a method of reverse attack. For conditions where Wind-Heat is uncontrolled and heat is severe with constipation, it can also be used concurrently. However, Qianniu is toxic and not an ideal herb; combined with Dahuang here, its fierce and rapid action is utilized. Generally, it should not be used long-term as it damages Yuan Qi; it is a prudent medicine. Adjust dosage according to deficiency or excess.
Huanglian Tianhuafen Wan (Coptis and Trichosanthes Pill): Treats the same as above.
Ingredients: Huanglian (Coptidis Rhizoma), Juhua (Chrysanthemi Flos), Su Bohe (Menthae Haplocalycis Herba), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (each 1 liang), Huangbai (Phellodendri Cortex) (6 liang), Lianqiao (Forsythiae Fructus) (2 liang), Tianhuafen (Trichosanthis Radix), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus) (each 4 liang).
Grind all into fine powder, add drops of water to form pills the size of tung seeds. Take 50 pills per dose, increasing up to 100 pills, taken after meals and before sleep with tea liquor.
The above formula is for exuberant heat counter-restriction without Zang-Fu constipation. For Wind-Heat uncontrolled conditions with slight heat, it can also be taken. Huanglian and Tianhuafen's bitter-cold nature serves as Sovereign; Juhua's bitter-sweet-neutral nature as Minister; Chuanxiong's acrid-warm nature and Bohe's bitter-acrid nature as Assistants; Lianqiao, Huangqin's bitter-slightly-cold nature, and Huangbai, Zhizi's bitter-cold nature as Envoys. Combined, they clear heat and benefit, treating redness, swelling, and pain of the eyes.
Huanglian Luguanshi San (Coptis and Calamine Powder): Treats ulceration of eye sockets, photophobia, and other symptoms as above.
Ingredients: Luguanshi (Calamina) (1 jin), Huanglian (Coptidis Rhizoma) (4 liang), Longnao (Borneolum Syntheticum) (appropriate amount).
First, place Luguanshi in a strong fire until red-hot. Prepare a basin of water in a porcelain vessel, submerge Huanglian in the water, then quench the red-hot Luguanshi seven times. Place the porcelain vessel in the sun to dry. Then grind together with Huanglian into a fine powder. When using, take 1-2 qian and grind again into extreme fineness, adding Longnao as needed. Mix a small amount with well water into a thick paste. Before sleep, dip the tip of a chopstick and apply to ulcerated areas. If not ulcerated, applying to the inner canthus is best; avoid entering the interior of the eye.
In the above formula, Luguanshi absorbs dampness and heals ulcers as Sovereign; Huanglian's bitter-cold nature as Assistant; Longnao removes heat-toxin as Envoy. It can be used for all eye diseases; suitable ones benefit, unsuitable ones are harmless. For diseases of the extraordinary vessels with pathogenic factors, add Poxiao (Natrii Sulfas) dissolved in water to drip on yellow-red lipid on the cornea.
Longnao Huanglian Gao (Borneol and Coptis Ointment): Treats red vessels in the eyes, feeling like flowing heat burning the person.
Ingredients: Chuan Huanglian (Coptidis Rhizoma) (8 liang), Pian Nao (Borneolum Syntheticum) (2 qian).
Remove the rhizome base of Huanglian, scrape off black skin, wash, and chop finely. Add three large bowls of water to a porcelain vessel and boil. Add Huanglian and decoct using medium-low heat until reduced by half a bowl. Filter out dregs, re-boil the dregs, filter cleanly and clarify. Store in a thin porcelain vessel, steam in a double boiler until it becomes an ointment, about half a cup. Filter cleanly again, wait several days to remove "fire toxicity". Add Pian Nao just before use, standardizing at 1 qian, adjusting as needed. Apply a small amount to the outer canthus anytime. Another method: add Xiongdan (Ursi Fel) and Ranshedan (Bungarorum Fel) each in small amounts for better effect.
In the above formula, Huanglian treats eye pain and resolves toxins as Sovereign; Longnao removes heat-toxin as Minister. These are Sovereign and Minister herbs. All cases of eye pain are suitable for use.
Bi Yun San (Blue Cloud Powder): Treats swelling, redness, dimness, photophobia, itching, dryness, pain, Wind-Heat nasal congestion, sourness in the brain, external pterygium growing onto the cornea, and sticky eye discharge and tears.
Ingredients: E Bushi Cao (Centipedae Herba) (2 qian), Qingdai (Indigo Naturalis), Zhen Chuanxiong (Ligusticum Chuanxiong Rhizoma) (each 1 qian).
Grind into fine powder. Use an amount the size of a soybean. First, fill the mouth with water, then spray into the nose until tears flow. Time is not restricted.
In the above formula, E Bushi Cao resolves toxins as Sovereign; Qingdai removes heat as Assistant; Chuanxiong's great acridity dispels evil and breaks stagnation as Envoy. It is an ascending and penetrating herb. Generally, it acts like opening a pot lid, ensuring pathogenic toxins do not close in but have an exit. Its power is small but sharp, effective immediately upon use. It is suitable for gathering force. It can be used for all eye diseases.
Rui Ren Chunxue Gao (Vitamin A Ointment / Prunus Glandulosa Spring Snow Ointment): Treats Liver Meridian deficiency, internal Wind-Heat invasion, attacking head and eyes, dimness, itching, pain, difficulty opening eyes, dizziness, redness and swelling, photophobia, inability to see far, tearing in wind, and frequent appearance of black spots.
Ingredients: Rui Ren (Pruni Glandulosae Semen) (skin, shell, and heart removed, oil pressed out, 4 qian), Longnao (Borneolum Syntheticum) (5 fen, ground).
First grind Rui Ren finely, mix with Longnao evenly. Add 1.2 qian of fresh, high-quality Sichuan white honey, grind and mix evenly. Dip the tip of a hairpin and apply to the inner canthus.
In the above formula, Longnao removes heat-toxin as Sovereign; raw honey resolves toxins and harmonizes hundred herbs as Minister; Rui Ren removes sudden heat and treats eye pain as Envoy. This medicine is used concurrently with Huanglian Luguanshi San and Longnao Huanglian Gao.