症为风热挟痰而作也。自里而发于外。当散。切不可下。疹属热与痰在肺。清肺火降痰。或解散出汗。
亦有可下者。瘾疹都属脾家。以其隐隐然在皮肤之间也。发则多痒。此因余毒不解。上攻于眼目也。宜
服消毒化 汤。
消毒化 汤
白芷 黑栀仁（炒各八分） 防风 黄芩（炒） 陈皮 白芍药（各一钱） 羌活（七分）
甘草（三分） 犀角（锉细末一钱）
前八味。共为一剂。白水二钟。煎至七分。去滓净。再煎滚。先将犀角生末。入在碗内。后入滚药于角末内。
搅匀温服。
疳症皆因饮食失节。饥饱失调。以致腹大面黄。重则伤命。轻则害目。患此勿治其目。竟治其疳。目病自
愈。切忌油面炙爆等物。
按小儿疳眼。无论肥瘦。但见白珠先带黄兼白色皱起。后微红生眵。怕亮不睁。上下眼睥频频札动不
定。黑珠上有白膜成如此样HT 圈。堆起白晕。晕内一黑一白。亦有肥瘦不同。疳眼无疑也。但肥疳大便如豆
腐渣糟粕相似。瘦疳大便小如栗硬结燥。乃疳积入眼。攻致肝经。亦难治矣。小儿患疳眼声哑者。命将终也。
疳眼伤脾湿热熏。木盛土衰风毒生。渴泻肚大青筋露。目札涩痒且羞明。时时揉鼻常 发。湿热生虫莫
看轻。急宜先服消疳散。瞬息延缓成突睛。芦荟丸子根据序治。肝平脾医保瞳神。
消疳退云饮
陈皮 浓朴（姜汁炒） 苍术（米泔制） 莱菔子（炒研碎少许） 柴胡 甘草（炙少许） 枳壳（麸炒）
草决明（炒研碎） 桔梗 青皮 黄连（酒炒） 密蒙花 栀子（炒黑） 黄芩（酒炒）
神曲（炒） 家菊花（各等分）
共锉剂。姜皮灯心为引。水二钟煎服。滓再煎。
鸡肺散（治疳疾眼。生白膜白翳。自然潜消。其效如神。）
雄鸡一只（一斤三四两者取其搭脊血一块即名鸡肺将肺同后药共研烂） 辰砂（三分研细） 冰片（三厘研细）
三共研细如膏。用无灰酒炖滚搅匀。食之即愈。
九味芦荟丸（治龈毒成疳。肝经积热。眼目生翳。齿蚀烂龈。或透颊腮。或肝脾疳热结核。
耳内生疮出水。或小便出津。拗中结核。或大便不调。肢体消瘦等症。并服。）
芦荟 木香 胡黄连 宣黄连（炒） 青皮 鹤虱 白雷丸 白芜荑（炒各一两） 麝香（三钱拣去皮毛另研细入
末为丸）
共为细末。神曲糊为丸。麻子大。每服五分。空心米汤送下。量其病者大小用之。忌一切生冷油面炙爆等物。
生熟地黄丸（治肝疳眼。白膜遮睛。紧闭不开。羞明怕日。合面而卧。肉色青黄。发竖筋青。
壮热羸瘦。）
生地黄 熟地黄（各五钱） 川芎 杏仁（泡去皮尖） 赤茯苓 胡黄连（微炒） 半夏（泡制）
天麻 地骨皮 当归身 枳壳（麸炒） 甘草（各二钱半） 大黑豆（四十五粒煮熟去皮再煮烂同汁
捣膏和前药后加炼蜜）
上为细末。炼蜜为丸。如龙眼大。空心滚汤化下。
鸡肝散（治小儿疳眼。不赤不肿不疼。但开畏明。此药治之。）
川乌（大者一枚去皮生用） 好坯子（一字）
上为细末。五岁一钱。雄鸡肝一具。净洗去筋膜。竹刀薄切开。掺药在内。箬叶包裹。麻皮扎定。用米泔水
半盏。瓷器中煮熟。切作片。空心临卧冷食之。将煮肝汤送下。如脑热闭目鼻中干燥。吹通顶散。
龙胆芦荟丸（治三焦及肝胆二经。积染风热。以致目生云翳。或结瘰 。耳内生疮。发寒作痛。
或虚火内烧。肌体羸瘦。发热作渴。饮食少进。肚腹不调。皮干腹膨胀。口内有疮。牙龈溃烂。或牙
齿蚀落。腮颊腐烂。下部生疮等病。）
芦荟 胡黄连（炒） 龙胆草（各一两） 川芎 芜荑（六钱） 当归身 白芍药（各一两半）
木香（八钱） 甘草（炙五钱）
上为细末。炼蜜为丸。每两匀作十丸。量其大小而服。用白滚汤化下。
是方以白芍药和血补脾胃。当归养血脉。为君。芦荟去疳清热。胡黄连疗骨蒸劳热。为臣。龙胆草治诸
目疾。芜荑杀疳虫。逐五内痛气。川芎提清气上升。为佐。木香调气。甘草和诸药。为使。
消疳散（治疳积。眼生翳膜遮睛。）
使君子（用白者去油） 雷丸（去皮用白者红者杀人勿用以米泔水浸苍术少许将雷丸同苍术用火
之用雷丸去苍术炒干各等分研为细末）
每一岁用一分。男用雌。女用雄鸡肝。勿犯铁器。净去筋膜血水。炖半熟。蘸药食。重不过三四服见效。若
翳浓。加木贼烧灰。雄黄、珍珠各一钱。另研极细。入前药服。
天麻丸（治肝疳风疳疳眼）
青黛 天麻 夜明砂（微炒） 五灵脂 川芎 芦荟 川黄连（炒各三钱）
龙胆草 蝉蜕（去头足） 防风（各一钱半） 干蟾头（炙焦三钱） 全蝎（二枚焙） 麝香（少许）
上为细末。猪胆汁浸糕成丸。如麻子大。每服十丸。薄荷汤送下。或化下亦可。
宝鉴灸雀目疳眼法
小儿雀目。夜不见物。灸手大拇指甲后一寸。内 横纹头白肉际灸一炷。如小麦大。
小儿疳眼。灸合谷二穴各一壮。炷如小麦大。在手大指次指两骨间陷者中是。
升麻干葛汤（治暴发。两目红肿疼痛。寒热相争。河间云。暴发者属腑。表散是也。一二服即止。）
升麻 桔梗（各五分） 羌活 川芎 防风（各一钱） 干葛（一钱五分） 麻黄
白芷（各三分） 蝉蜕（七个） 陈皮 甘草（各四分）
上锉剂。生姜一片。葱白一段。白水二钟。煎至一钟。去滓。食后热服。取汗为度。
车前子散（治小儿肝经积热上攻。眼中逆顺生翳。血灌瞳神。羞明多眵。）
密蒙花 羌活 车前子（炒） 粉草（炒） 白蒺藜 黄芩（炒） 草决明 菊花 龙胆草（洗净炒各等分）
上为末。每服二钱。食后饭汤送下。
养肝丸（治小儿肝血不足。眼目昏花。或生眵泪。久视无力。）
防风 当归身（酒制） 白芍药（酒洗炒） 川芎（酒洗炒） 楮实子（去膜阴干） 车前子（酒煮焙）
熟地（酒蒸捣膏） 萎蕤仁（去壳皮尖油取霜各等分）
除熟地膏蕤霜另入。余为细末。炼蜜为丸。或一钱或五分一丸。量婴孩大小。每服一丸。滚白汤不拘时
服。若治大人。仍做小丸。每服三钱。滚汤送下。
通顶散（治小儿脑热。脑枕骨疼。闭目不开。或头风痛。攒眉啼哭。并赤目。）
川芎 薄荷（各五钱） 茵陈 甘草（各四钱） 朴硝（三钱甜硝亦可）
上为细末。用少许吹鼻中。即效。如要嚏喷。加踯躅花一钱。只用朴硝吹鼻亦止。
The symptoms are caused by wind-heat combined with phlegm. The pathogen originates from the interior and manifests on the exterior. It should be treated with dispersing methods; purgation must strictly be avoided. Rashes belong to heat and phlegm in the Lung, requiring clearing of Lung fire and descending of phlegm, or resolving the exterior through sweating.
There are cases where purgation is applicable. Urticaria (Hives) all belong to the Spleen, as they appear faintly within the skin. When erupting, itching is common, due to residual toxins failing to resolve and attacking upwards to the eyes. It is suitable to take Xiaodu Huazhang Tang (Disinfectant and Opacity-Dissolving Decoction).
Xiaodu Huazhang Tang (Disinfectant and Opacity-Dissolving Decoction)
Bai Zhi (Angelicae Dahuricae Radix), Hei Zhi Ren (Gardeniae Fructus, fried, 8 fen each), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix, fried), Chen Pi (Citri Reticulatae Pericarpium), Bai Shao Yao (Paeoniae Radix Alba, 1 qian each), Qiang Huo (Notopterygii Rhizoma et Radix, 7 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Xi Jiao (Rhinocerotis Cornu, finely powdered, 1 qian).
The first eight herbs constitute one dose. Boil in two zhong (approx. 400ml) of plain water until reduced to seven-tenths (approx. 280ml). Strain the dregs. Bring the liquid to a boil again. Place the raw Xi Jiao powder in a bowl first, then pour the boiling decoction into the powder. Stir well and take warm.
Gan syndrome (Malnutrition syndrome) is caused by irregular diet and imbalance between hunger and fullness, leading to abdominal distension and sallow complexion. In severe cases, it endangers life; in mild cases, it damages the eyes. When suffering from this condition, do not treat only the eyes; instead, directly treat the Gan syndrome, and the eye disease will heal spontaneously. Strictly avoid fried noodles and roasted foods.
Note: For pediatric Gan eye, regardless of whether the child is fat or thin, if the sclera (white part of the eye) first turns yellow with white wrinkling, followed by slight redness and discharge, photophobia, frequent blinking of upper and lower eyelids, and a white membrane forming on the cornea (black part of the eye) resembling an HT ring with a white halo containing black and white areas, this is undoubtedly Gan eye. However, if the stool of a fat Gan child resembles tofu dregs, or the stool of a thin Gan child is small like chestnuts and hard/dry, indicating Gan accumulation has entered the eyes and attacked the Liver meridian, it is difficult to treat. If a child with Gan eye has a hoarse voice, death is imminent.
Gan eye involves damp-heat steaming the Spleen; Wood excess and Earth deficiency generate wind-toxin. Thirst, diarrhea, large abdomen with visible veins, eye blinking,涩 (astringency/itchiness), and photophobia occur. Frequent nose rubbing and sneezing happen; damp-heat generating parasites must not be underestimated. Urgently administer Xiaogan San (Eliminate Gan Powder) first; any delay may result in proptosis. Lulu Wan (Aloe Pill) treats according to sequence, calming the Liver, protecting the Spleen, and preserving the pupil spirit.
Xiaogan Tuiyun Yin (Eliminate Gan and Cloud-Dispelling Decoction)
Chen Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Cang Zhu (Atractylodis Rhizoma, processed with rice wash water), Lai Fu Zi (Radish Seed, fried and crushed slightly), Chai Hu (Bupleuri Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried slightly), Zhi Ke (Aurantii Fructus, bran-fried), Cao Jue Ming (Cassiae Semen, fried and crushed), Jie Geng (Platycodonis Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Huang Lian (Coptidis Rhizoma, wine-fried), Mi Meng Hua (Flos Myricariae), Zhi Zi (Gardeniae Fructus, charred), Huang Qin (Scutellariae Radix, wine-fried), Shen Qu (Massa Medicata Fermentata, fried), Jia Ju Hua (Chrysanthemi Flos, equal parts).
Grind together. Use Jiang Pi (Zingiberis Pericarpium) and Deng Xin Cao (Junci Medullary as引 (guide)). Boil in two zhong of water and take. Re-boil the dregs.
Ji Fei San (Chicken Lung Powder) (Treats Gan disease eye, generating white membrane/opacities, which naturally dissipate; efficacy is miraculous.)
One male chicken (weighing 1 jin 3-4 liang, take a piece of blood from the spine named "Chicken Lung", grind the lung with subsequent herbs thoroughly), Chen Sha (Cinnabar, 3 fen, finely ground), Bing Pian (Borneolum Syntheticum, 3 li, finely ground).
Grind the three together into a paste. Stew in non-grain alcohol until boiling, stir well, and consume. Cure follows.
Jiuwei Lulu Wan (Nine-Ingredient Aloe Pill) (Treats gum toxicity becoming Gan, liver meridian accumulated heat, eye opacities, tooth erosion and gum rot, spreading to cheeks, liver-spleen Gan heat nodules, ear sores with discharge, urinary fluid leakage, inguinal nodules, irregular bowel movements, emaciation, etc. Take for all these conditions.)
Lulu (Aloeswood), Mu Xiang (Aucklandiae Radix), Hu Huang Lian (Coptidis Chinensis Rhizoma alternative), Xuan Huang Lian (Coptidis Rhizoma, fried), Qing Pi (Citri Reticulatae Pericarpium Viride), He Shi (Hedychii Spicatum Rhizoma), Bai Lei Wan (Wanitosporae Sclerotium), Bai Wu Yi (Meliosmae Fructus, fried, 1 liang each), She Xiang (Moschus, 3 qian, select clean, grind separately, add to powder for pill making).
Grind into fine powder. Use Shen Qu (Massa Medicata Fermentata) paste to form pills, size of hemp seeds. Take 5 fen per dose, with empty-stomach rice soup. Adjust dosage based on patient size. Avoid all cold, raw, oily, fried, and roasted foods.
Sheng Shu Di Huang Wan (Raw and Cooked Rehmannia Pill) (Treats Liver Gan eye, white membrane covering pupil, tightly closed, photophobia, lying face down, sallow-green flesh color, erect hair, blue veins, high fever, emaciation.)
Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata, 5 qian each), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xing Ren (Armeniacae Semen Amarum, soaked, peel and tip removed), Chi Fu Ling (Poria with Red Heart), Hu Huang Lian (Coptidis Chinensis Rhizoma alternative, lightly fried), Ban Xia (Pinelliae Rhizoma, soaked and processed), Tian Ma (Gastrodiae Rhizoma), Di Gu Pi (Lycii Cortex), Dang Gui Shen (Angelicae Sinensis Radix), Zhi Ke (Aurantii Fructus, bran-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2.5 qian each), Dahei Dou (Sojae Semen Nigrum, 45 grains, boiled, peeled, re-boiled, mashed into paste with juice, added to other herbs later with refined honey).
Grind into fine powder. Use refined honey to form pills, size of longan. Take with boiling water on an empty stomach.
Ji Gan San (Chicken Liver Powder) (Treats pediatric Gan eye, not red, swollen, or painful, but photophobic. This medicine treats it.)
Chuan Wu (Aconiti Radix, one large one, peeled, used raw), Hao Pi Zi (Good Hemp Seed, one zi).
Grind into fine powder. For five-year-olds, take 1 qian. Take one male chicken liver, clean thoroughly removing fascia. Slice thinly with a bamboo knife, sprinkle medicine inside, wrap in bamboo leaf, tie with hemp rope. Stew in half a zhong of rice wash water in a porcelain vessel until cooked. Cut into slices. Eat cold on an empty stomach before bed. Send down with the liver stewing liquid. If brain heat closes eyes and nose is dry, blow Tongding San into the nose.
Longdan Lulu Wan (Gentian and Aloe Pill) (Treats San Jiao and Liver/Gallbladder meridians, accumulated wind-heat causing eye cloudiness, scrofula, ear sores, chills and pain, internal deficiency fire burning, emaciation, fever with thirst, poor appetite, abdominal irregularity, dry skin and bloating, oral ulcers, gum rot, tooth loss, cheek rot, lower body sores, etc.)
Lulu (Aloeswood), Hu Huang Lian (Coptidis Chinensis Rhizoma alternative, fried), Long Dan Cao (Gentianae Radix, 1 liang each), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Wu Yi (Meliosmae Fructus, 6 qian), Dang Gui Shen (Angelicae Sinensis Radix), Bai Shao Yao (Paeoniae Radix Alba, 1.5 liang each), Mu Xiang (Aucklandiae Radix, 8 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian).
Grind into fine powder. Use refined honey to form pills. Divide each liang into ten pills. Take appropriate amount based on size, dissolved in boiling water.
In this formula, Bai Shao Yao harmonizes blood and tonifies Spleen/Stomach, Dang Gui nourishes blood vessels, serving as Sovereign (Jun). Lulu eliminates Gan and clears heat, Hu Huang Lian treats bone-steaming consumption fever, serving as Minister (Chen). Long Dan Cao treats various eye diseases, Wu Yi kills Gan parasites and expels internal pain qi, Chuan Xiong raises clear qi upwards, serving as Assistant (Zuo). Mu Xiang regulates qi, Gan Cao harmonizes all herbs, serving as Envoy (Shi).
Xiaogan San (Eliminate Gan Powder) (Treats Gan accumulation, eye opacities covering pupil.)
Shi Jun Zi (Quisqualis Fructus, use white ones, remove oil), Lei Wan (Wanitosporae Sclerotium, use white part, red part kills humans, do not use. Soak in rice wash water with slight Cang Zhu, roast Lei Wan with Cang Zhu over fire, use Lei Wan after removing Cang Zhu, fry dry, equal parts, grind fine).
Use 1 fen per year of age. Boys use female chicken liver, girls use male chicken liver. Do not touch iron. Cleanly remove fascia and blood water. Stew until half-cooked, dip in medicine and eat. Effect seen in no more than 3-4 doses. If opacity is thick, add Mu Zei (Equiseti Herba) burnt to ash, Xiong Huang (Realgar), Zhen Zhu (Pearl) 1 qian each, grind extremely fine, mix with previous medicine.
Tian Ma Wan (Gastrodia Pill) (Treats Liver Gan, Wind Gan, Gan Eye)
Qing Dai (Indicum), Tian Ma (Gastrodiae Rhizoma), Ye Ming Sha (Typhlotrichii Retinervus), Wu Ling Zhi (Trogopterori Faeces), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Lulu (Aloeswood), Chuan Huang Lian (Coptidis Rhizoma, fried, 3 qian each), Long Dan Cao (Gentianae Radix), Chan Tui (Cicadae Periostracum, remove head and feet), Fang Feng (Saposhnikoviae Radix, 1.5 qian each), Gan Chan Tou (Bufo Toad Head, roasted until charred, 3 qian), Quan Xie (Scorpio, 2 pieces, baked), She Xiang (Moschus, slight amount).
Grind into fine powder. Soak cake in pig bile to form pills, size of hemp seeds. Take 10 pills per dose, send down with mint soup. Or dissolve and take.
Baojian Moxibustion Method for Night Blindness and Gan Eye
For pediatric night blindness (cannot see at night): Moxibustion on the hand thumb nail posterior one cun, at the inner transverse crease head, white flesh boundary. One moxa cone, size of wheat grain.
For pediatric Gan eye: Moxibustion on Hegu (LI4) acupoints, one mound each. Cone size of wheat grain. Located in the depression between the first and second metacarpal bones.
Shengma Gan Ge Tang (Kudzu and Cimicifuga Decoction) (Treats sudden onset, red/swollen/painful eyes, alternating chills and fever. He Jian said: Sudden onset belongs to Fu organs, exterior dispersion is the method. Stops after 1-2 doses.)
Sheng Ma (Cimicifugae Rhizoma), Jie Geng (Platycodonis Radix, 5 fen each), Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix, 1 qian each), Gan Ge (Puerariae Lobatae Radix, 1.5 qian), Ma Huang (Ephedrae Herba), Bai Zhi (Angelicae Dahuricae Radix, 3 fen each), Chan Tui (Cicadae Periostracum, 7 pieces), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen each).
Grind into coarse powder. Add one slice of fresh ginger, one segment of green onion white. Boil in two zhong of plain water until reduced to one zhong. Strain. Take hot after meals. Induce sweating as the goal.
Cheqianzi San (Plantago Seed Powder) (Treats pediatric liver meridian accumulated heat attacking upward, reverse/normal opacity generation in eyes, blood flooding pupil, photophobia, excessive discharge.)
Mi Meng Hua (Flos Myricariae), Qiang Huo (Notopterygii Rhizoma et Radix), Che Qian Zi (Plantaginis Semen, fried), Fen Cao (Licorice, fried), Bai Ji Li (Tribuli Fructus), Huang Qin (Scutellariae Radix, fried), Cao Jue Ming (Cassiae Semen), Ju Hua (Chrysanthemi Flos), Long Dan Cao (Gentianae Radix, washed and fried, equal parts).
Grind into powder. Take 2 qian per dose, send down with rice soup after meals.
Yanggan Wan (Nourish Liver Pill) (Treats pediatric liver blood deficiency, blurry vision, discharge/tears, weakness after prolonged viewing.)
Fang Feng (Saposhnikoviae Radix), Dang Gui Shen (Angelicae Sinensis Radix, wine-processed), Bai Shao Yao (Paeoniae Radix Alba, wine-washed and fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma, wine-washed and fried), Chu Shi Zi (Torreya Semen, remove membrane, shade-dried), Che Qian Zi (Plantaginis Semen, wine-boiled and baked), Shu Di (Rehmanniae Radix Preparata, wine-steamed and mashed into paste), Wei Rui Ren (Polygonati Odorati Rhizoma, remove shell/skin/tip/oil to get frost, equal parts).
Except for Shu Di paste and Wei Rui frost which are added separately, grind the rest into fine powder. Use refined honey to form pills. Size 1 qian or 5 fen per pill. Adjust based on infant size. Take one pill per dose with boiling white water at any time. For adults, make small pills, take 3 qian per dose with boiling water.
Tongding San (Reach Top Powder) (Treats pediatric brain heat, occipital pain, closed eyes, or wind-headache, furrowed brows crying, and red eyes.)
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bo He (Menthae Haplocalycis Herba, 5 qian each), Yin Chen (Artemisiae Scopariae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 qian each), Piao Xiao (Mirabilitum, 3 qian, sweet salt also acceptable).
Grind into fine powder. Blow a small amount into the nose. Immediate effect. If sneezing is desired, add Zhi Zhu Hua (Daphne Genkwa Flower) 1 qian. Using only Piao Xiao blown into the nose also stops symptoms.