大 漏兮真火毒。时流血水胀而疼。初起未损终须损。肾要盈兮心要清。
此症大 之间生一漏。时流血而色紫晕。病在心部。火之实毒。故要补肾以泻心也。宜服∶
燥湿汤
川黄连（炒一钱） 苍术（泔水制） 白术（土炒） 陈皮（各八分） 白茯苓 半夏 枳壳
栀仁（炒黑各七分） 细甘草（三分）
上锉剂。白水二钟。煎至八分。去滓热服。
五花丸（治漏睛脓出。目停风热在胞中。结聚脓汁。和泪相杂。常流涎水。久而不治。至乌珠坠落。）
金沸草（二两） 砂仁（炒） 川椒皮（各七钱） 甘草（炙四钱） 白菊花 黄柏（酒制） 枸杞子（各一两半）
巴戟（八钱）
上为细末。炼蜜为丸。如桐子大。每服二十丸。空心或盐汤或温酒送下。
相火经行小 伤。不时流血胀难当。休教血少神膏损。致使终身不见光。
此症小 之间生一漏。时流血水。其色鲜红。是病由心络而来。下焦火横行之疾。当于肾中补而抑之。宜服∶
泻湿汤
车前子 黄芩 木通 陈皮（各一钱） 淡竹叶（二十片） 茯苓 枳壳 栀仁（炒黑） 荆芥穗 苍术（各八分）
甘草（三分）
上锉剂。白水二钟。煎至八分。去滓热服。
白薇丸
白薇（五钱） 石榴皮 防风 白蒺藜（杵去刺） 羌活（各三钱）
上为细末。米粉糊为丸。如桐子大。每服二十丸。白滚汤送下。
益阴肾气丸（见卷二，加羌活防风。以补肝肾不足。）
The condition of canthal fistula (Le Jing) at the large canthus originates from true fire-toxin. It frequently discharges blood and fluid, accompanied by swelling and pain. Although initially undamaged, it will inevitably lead to tissue destruction eventually. The therapeutic key lies in replenishing the Kidney Qi and clearing Heart Fire.
This condition manifests as a fistula between the large canthus (medial canthus) and the small canthus (lateral canthus), frequently discharging blood with a purplish hue and halo. The pathology resides in the Heart region, caused by excess fire-toxin. Therefore, treatment requires tonifying the Kidney to drain the Heart. The appropriate prescription is:
Zaoshi Tang (Dampness-Drying Decoction)
Coptidis Rhizoma (Chuan Lianlian, stir-fried, 1 qian) Atractylodis Rhizoma (Cangzhu, processed with rice water) Atractylodis Macrocephalae Rhizoma (Baizhu, earth-fried) Citri Reticulatae Pericarpium (Chenpi, each 8 fen) Poria (Baifuling) Pinelliae Tuber (Banxia) Aurantii Fructus (Zhike) Gardeniae Semen (Zhiren, stir-fried until black, each 7 fen) Glycyrrhizae Radica et Rhizoma (Xigancao, 3 fen)
Crush these ingredients into pieces. Add two zhong of clear water, decoct until reduced to eight-tenths. Strain the dregs and take warm.
Wuhua Wan (Five-Flower Pill; treats Le Jing with pus discharge, wind-heat stagnation in the eyelids, accumulation of pus mixed with tears, constant salivation-like discharge. If untreated for a long time, it may lead to the prolapse or loss of the cornea/pupil.)
Antennariae Herba (Jinfecao, 2 liang) Amomi Fructus Rotundus (Sharen, stir-fried) Zanthoxyli Pericarpium (Chuanjiaopi, each 7 qian) Glycyrrhizae Radica et Rhizoma (Gancao, honey-fried, 4 qian) Chrysanthemi Flos (Baijuhua) Phellodendri Cortex (Huangbai, wine-processed) Lycii Fructus (Gouqizi, each 1.5 liang) Morinda Officinalis Radix (Bajitian, 8 qian)
Grind these into fine powder. Form pills using refined honey, sized like wu-tong seeds. Take 20 pills per dose, administered on an empty stomach with salted water or warm wine.
When ministerial fire circulates and injures the small canthus, bleeding occurs intermittently, accompanied by unbearable swelling and pain. One must prevent blood loss from damaging the Shen Gao (crystalline lens/intraocular structures), which would result in lifelong blindness.
This condition presents as a fistula between the small canthus and the large canthus, frequently discharging bright red blood and fluid. This pathology stems from the Heart collaterals and is a disorder of lower jiao fire pathogen moving horizontally. Treatment should involve tonifying the Kidney to suppress the fire. The appropriate prescriptions are:
Xieshi Tang (Dampness-Draining Decoction)
Plantaginis Semen (Cheqianzi) Scutellariae Radix (Huangqin) Akebiae Caulis (Mutong) Citri Reticulatae Pericarpium (Chenpi, each 1 qian) Lophatheri Herba (Dan Zhuye, 20 leaves) Poria (Fuling) Aurantii Fructus (Zhike) Gardeniae Semen (Zhiren, stir-fried until black) Schizonepetae Spica (Jingjisui) Atractylodis Rhizoma (Cangzhu, each 8 fen) Glycyrrhizae Radica et Rhizoma (Gancao, 3 fen)
Crush these ingredients into pieces. Add two zhong of clear water, decoct until reduced to eight-tenths. Strain the dregs and take warm.
Baiwei Wan
Anemarrhenae Rhizoma (Baiwei, 5 qian) Punicae Pericarpium (Shiliupi) Saposhnikoviae Radix (Fangfeng) Tribuli Fructus (Bailiji, pounded and thorns removed) Notopterygii Rhizoma et Radix (Qianghuo, each 3 qian)
Grind these into fine powder. Form pills using rice flour paste, sized like wu-tong seeds. Take 20 pills per dose, administered with plain boiled water.
Yiyin Shenqi Wan (See Volume II; add Qianghuo and Fangfeng to tonify Liver and Kidney deficiency.)