卫气少而寒气乘之也。元气微而饮食伤之也。外乘内伤。酿而成之也。父母以其纯阳耶。故深冬不为裳。
父母以其恶风耶。故盛夏不解衣。父母以其数饥耶。故乳后强食之。父母以其或渴耶。故乳后更饮之。有
为父母愚憨者。又不审其寒暑饮食。故寒而不为暖。暑而不能凉。饮而不至渴。食而不及饥。而小儿幽玄
衔默。抱疾而不能自言。故外乘内伤。因循积渐。酿而成疳也。渴而易饥。能食而瘦。腹胀不利。作HT HT 声。日
远不治。遂生目病。其病生翳。睫闭不能开。眵泪如糊。久而脓流。竟枯两目。何则。为阳气下走也。为阴气反
上也。治法当如阴阳应象大论曰。清阳出上窍。浊阴出下窍。清阳发腠理。浊阴走五脏。清阳行四肢。浊阴
归六腑。各还其原。不反其常。是其治也。当作升阳降阴之剂。茯苓泻湿汤主之。升麻龙胆草饮子主之。此
药非独于目。并治以上数证。然勿缓。缓则危也。为父母者。其慎诸。
茯苓泻湿汤（治小儿易饥而渴。瘦瘠腹胀不利。作HT HT 声。目病生翳。睫闭不开。眵泪如糊。
久而流脓。俗为疳毒眼。）
柴胡（四分） 白术 甘草（炙） 蔓荆子 人参 枳壳（麸炒） 茯苓
薄荷叶（各二分） 前胡 苍术 独活（各三分） 防风 真川芎 羌活（各三分半） 泽泻（一分半）
上锉剂。水一钟半。煎至六分。去滓温服。
上方为小儿寒暑饮食不调。而酿成此证。夫寒暑饮食不节。皆能伤动脾胃。脾胃者。阴阳之会元也。故
清阳下而不升。浊阴上而不降。今以白术、人参。先补脾胃为君。柴胡、甘草、枳壳。辅上药补脾胃为臣。苍
术燥湿。茯苓、泽泻。导浊阴下降为佐。然后以羌活、独活、防风、蔓荆子、前胡、川芎、薄荷诸主风药以胜湿。
引清阳上升为使。此正治神效之法也。
升麻龙胆草饮子（又名消翳散。治小儿疳眼。流脓生翳。湿热为病。疗眼中诸疾之症。）
羌活 黄芩（炒） 龙胆草 青蛤粉（各五分） 蛇蜕 甘草（炙） 谷精草 川郁金（各三分） 麻黄（一分半）
升麻（二分）
上锉剂。作细末亦可。每服二钱。热茶清浓调下。
上方君以升麻。行足阳明胃。足太阴脾也。臣以羌活、麻黄。风以胜湿也。佐以甘草。承和上下。谷精草明
目退翳。蛇蜕主小儿惊疳等疾。使以青蛤粉。治疳止利。川郁金补血破血。龙胆草疗眼中诸疾。黄芩除
上热。目内赤肿。火炒者。为龙胆草。性已苦寒。恐不炒则又过于寒也。
Wei Qi (Defensive Qi) is deficient, allowing Cold Evil to take advantage. Yuan Qi (Original Qi) is weak, and improper diet causes injury. External invasion combined with internal damage brews into this disease. Parents, considering the child as possessing pure Yang, do not clothe them sufficiently in deep winter. Parents, thinking the child dislikes wind, do not allow them to remove clothes in midsummer. Parents, fearing frequent hunger, force-feed after breastfeeding. Parents, fearing thirst, continue to feed water after breastfeeding. Some parents are foolish and ignorant, failing to examine the child's cold/heat and diet carefully; thus, they do not warm the child when cold, nor cool them when hot; drinking does not quench thirst, eating does not satisfy hunger. Children are quiet and silent, harboring illness but unable to speak of it. Therefore, external invasion and internal damage, following a course of delay and gradual accumulation, brew into Gan Disease (a chronic pediatric condition characterized by emaciation, sallow complexion, sparse/dry hair, and abnormal appetite). Symptoms include thirst and easy hunger, ability to eat yet remaining thin, abdominal distension with difficulty in defecation, and borborygmus sounds like "HT HT". If treatment is delayed day by day, eye diseases arise. This eye disease produces nebulae (corneal opacity), eyelids close and cannot open, discharge and tears become paste-like, and over time pus flows, eventually leading to blindness in both eyes. Why? Because Yang Qi sinks and moves downward, while Yin Qi rebels and moves upward. The treatment method should follow the *Su Wen: Yin Yang Ying Xiang Da Lun*: "Clear Yang emerges from the upper orifices, turbid Yin exits from the lower orifices; Clear Yang disperses through the cou-li (interstices), turbid Yin travels to the Zang organs; Clear Yang circulates in the four limbs, turbid Yin returns to the Fu organs." Let each return to its origin, not reversing their normal state; this is the treatment principle. One should prepare decoctions that raise Yang and descend Yin. Use Fuling Xi Shi Tang (Poria Decoction to Drain Dampness) as the primary formula, or Shengma Longdancao Yinzi (Ephedra and Gentian Decoction) as the primary formula. These medicines treat not only eye diseases but also the aforementioned several syndromes. However, do not delay; delay leads to danger. Parents, please be cautious.
Fuling Xi Shi Tang (Treats pediatric easy hunger and thirst, emaciation, abdominal distension with difficulty in defecation, borborygmus like "HT HT", eye diseases producing nebulae, closed eyelids unable to open, paste-like discharge and tears, pus flowing over time, commonly known as Gan Toxic Eye.)
Chai Hu (Bupleuri Radix, 4 fen) Bai Zhu (Atractylodis Rhizoma, unmeasured) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, unmeasured) Man Jing Zi (Viticis Fructus, unmeasured) Ren Shen (Ginseng Radix et Rhizoma, unmeasured) Zhi Ke (Aurantii Fructus Immaturus, bran-fried, unmeasured) Fu Ling (Poria, unmeasured)
Bo He Ye (Menthae Haplocalycis Folium, 2 fen each) Qian Hu (Peucedani Radix, unmeasured) Cang Zhu (Atractylodis Rhizoma, 3 fen each) Du Huo (Angelicae Pubescentis Radix, 3 fen each) Fang Feng (Saposhnikoviae Radix, unmeasured) Zhen Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3.5 fen each) Qiang Huo (Notopterygii Rhizoma et Radix, 3.5 fen each) Ze Xie (Alismatis Rhizoma, 1.5 fen)
Cut the above into pieces. Add one and a half zhong of water, decoct until six parts remain, remove dregs, and take warm.
The above formula addresses this syndrome brewed from irregular cold/heat and diet in children. Irregular cold/heat and diet can all injure the Pi Wei (Spleen and Stomach). Pi Wei is the convergence of Yin and Yang. Thus, Clear Yang sinks and fails to rise, Turbid Yin rebels and fails to descend. Now, using Bai Zhu and Ren Shen to first tonify Pi Wei as Jun (Emperor) herbs; Chai Hu, Gan Cao, and Zhi Ke assist the above herbs to tonify Pi Wei as Chen (Minister) herbs; Cang Zhu dries dampness, Fu Ling and Ze Xie guide Turbid Yin downward as Zuo (Assistant) herbs; then use Qiang Huo, Du Huo, Fang Feng, Man Jing Zi, Qian Hu, Chuan Xiong, Bo He, etc., wind-dispelling herbs to overcome dampness and guide Clear Yang upward as Shi (Envoy) herbs. This is indeed a divine and effective method of treatment.
Shengma Longdancao Yinzi (Also known as Xiaoyi San, treats pediatric Gan Eye, pus flow and nebula formation, pathogenic damp-heat, treating various eye diseases.)
Qiang Huo (Notopterygii Rhizoma et Radix, 5 fen each) Huang Qin (Scutellariae Radix, fried, unmeasured) Long Dan Cao (Gentianae Radix, unmeasured) Qing Ge Fen (Concha Meretricis et Cyclinae, 5 fen each) She Tui (Ophichthidis Cutis Cornea, unmeasured) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, unmeasured) Gu Jing Cao (Evodiae Fructus, unmeasured) Chuan Yu Jin (Curcumae Radix, 3 fen each) Ma Huang (Ephedrae Herba, 1.5 fen)
Sheng Ma (Bupleuri Radix, 2 fen)
Cut the above into pieces, or grind into fine powder. Take two qian per dose, mixed with strong hot tea water.
In the above formula, Sheng Ma is the Jun herb, circulating through the Foot-Yangming Stomach Channel and Foot-Taiyin Spleen Channel; Qiang Huo and Ma Huang are the Chen herbs, using wind herbs to overcome dampness; Gan Cao is the Zuo herb, harmonizing up and down; Gu Jing Brightens the eyes and dispels nebulae; She Tui treats pediatric Jing Gan (convulsive Gan) and other diseases; Qing Ge Fen is the Shi herb, treating Gan to stop diarrhea; Chuan Yu Jin nourishes blood and breaks blood stasis; Long Dan Cao treats various eye diseases; Huang Qin clears upper heat and treats redness and swelling inside the eyes. The Long Dan Cao is fire-fried because its nature is bitter and cold; without frying, it might be excessively cold.