迎风热泪出。肝虚夹火来。水中起隐伏。久则成内灾。
此症不论何时何风。见之则流热泪。若有别症及风气者非也。乃肝胆肾水之津液不足。故因虚窍不
密。而风邪引出其泪也。中有隐伏之火发。故泪流而热。久而不治。及有触犯。则有变矣。宜服∶
羚羊角散（治肝脏受热。眼目昏花。时多热泪。）
羚羊角（锉细末） 羌活 玄参 车前子 山栀仁（炒） 黄芩 栝蒌（各五钱） 胡黄连 家菊花（各三钱） 细
辛（一钱）
上为细末。每服二钱。食后竹叶煎汤调下。
白僵蚕散（治冲风泪出）
白僵蚕（炒） 粉草 旋复花 细辛 木贼草 荆芥（二钱半） 嫩桑叶（一两）
上为细末。每服二钱。白水煎。食后温服。
珍珠散（治肝虚见风泪出）
珍珠（另研） 丹砂（研各三分） 干姜（研二分） 贝齿（火 水淬干研一两）
上共研极细令匀。以熟绢帛箍三遍。每仰卧。以少许点眼中。闭少时为妙。
无时冷泪。水木俱伤。此幽阴之深患。其为病也非常。然斯疾每出不意。非青盲则内障为殃。
此症为目无赤病也。只是时常流出冷泪。久则瞻视昏渺。非比迎风冷泪。因虚引邪之轻者。此盖精液
耗伤。肝气渐弱。精膏涩枯。肾水不足。幽阴已甚。久而失治。则有内障青盲之患。精血衰败之人。及悲伤
哭泣久郁。妇人产后悲泣太过者。每多此症。且为祸又缓。人不为虑。往往罹其害而祸成也。悔已迟矣。宜服∶
菊睛丸（治肝肾不足。眼目昏暗。瞻视不明。茫茫漠漠。常见黑花。多有冷泪。久服补不足强肝肾。）
甘菊花（去梗叶四两炒） 巴戟（去心一两） 肉苁蓉（酒洗去皮炒切焙二两） 枸杞子（捣焙三两）
上为细末。炼蜜为丸。如桐子大。每服三钱。温酒或青盐汤。空心食前送下。
麝香散（治眼冷泪不止。 鼻。）
香附子 川椒目（各等分） 苍术 麝香（各少许）
上为细末。令病者噙水一口。将药吹于鼻内。
Hot tears flowing out in the wind. Liver deficiency with accompanying fire. Hidden within the water, it arises; if prolonged, it becomes an internal disaster.
Hot tears flow out when exposed to wind, caused by liver deficiency combined with fire pathogen. This fire lies hidden within the kidney water (Yin fluid); if left untreated for a long time, it becomes an internal affliction.
This condition occurs regardless of the time or type of wind encountered; hot tears flow whenever it is observed. If accompanied by other symptoms or typical wind-cold patterns, it is not this condition. It is due to insufficient fluids of the Gallbladder, Liver, and Kidney waters. Because the orifices are loose and unconsolidated due to deficiency, wind pathogens draw out the tears. The latent fire within flares up, causing the tears to feel hot. If not treated for a long time, or if triggered by external factors, complications may arise. It is suitable to take:
Lingyangjiao San (Treats liver heat causing blurred vision and frequent hot tears.)
Lingyangjiao (Antelope Horn, finely ground powder), Qianghuo (Notopterygii Rhizoma et Radix), Xuanshen (Scrophulariae Radix), Cheqianzi (Plantaginis Semen), Shanzhiren (Gardeniae Fructus, stir-fried), Huangqin (Scutellariae Radix), Gualou (Trichosanthis Fructus) (each 5 qian), Huhuanglian (Coptidis Rhizoma var. chinensis), Jiajuhua (Chrysanthemi Flos) (each 3 qian), Xixin (Asari Radix et Rhizoma) (1 qian).
Grind all ingredients into a fine powder. Take 2 qian per dose, mixed with decoction of Zhu Ye (Bambusa Leaves) after meals.
Baijiangcan San (Treats tearing induced by wind exposure.)
Baijiangcan (Bombyx Batryticatus, stir-fried), Fencao (Glycyrrhizae Radix et Rhizoma), Xuanfuhua (Inulae Flos), Xixin (Asari Radix et Rhizoma), Muzecao (Equiseti Herba), Jingjie (Schizonepetae Spica) (each 2.5 qian), Nensangye (Mori Folium) (1 liang).
Grind all ingredients into a fine powder. Take 2 qian per dose, decocted in water, taken warm after meals.
Zhenzhu San (Treats tearing upon wind exposure due to liver deficiency.)
Zhenzhu (Pearl, separately ground), Dansha (Cinnabaris, ground) (each 3 fen), Ganjiang (Zingiberis Rhizoma, ground) (2 fen), Beichi (Concha Arcae, calcined, quenched with water, dried, and ground) (1 liang).
Grind all ingredients together into an extremely fine powder and mix evenly. Wrap in cooked silk gauze three times. When lying supine, apply a small amount to the eyes. Keeping the eyes closed for a short while is ideal.
Cold tears flowing at any time. Water and Wood are both injured. This is a deep affliction of dark Yin. Its pathology is extraordinary. However, this disease often appears unexpectedly; it results either in Qingmang (blindness) or Neizhang (internal eye cataract/disease).
This condition presents without redness or heat in the eyes. It is merely the frequent flow of cold tears. Over time, vision becomes dim and blurry. It differs from the mild case of cold tears in the wind caused by deficiency inviting pathogens. This condition stems from the depletion of essence and fluids, gradual weakening of Liver Qi, drying up of the ocular essence, insufficiency of Kidney Water, and extreme accumulation of dark Yin. If left untreated for a long time, it leads to Neizhang or Qingmang. Individuals with depleted essence and blood, those who have suffered from prolonged grief and crying, depression, or women who wept excessively after childbirth, often suffer from this condition. Moreover, its harm develops slowly, so people do not worry about it. Often, they suffer the consequences only when the disaster has already occurred, making regret too late. It is suitable to take:
Jujing Wan (Treats insufficiency of Liver and Kidney causing dim vision, unclear sight, vast blurriness, frequent seeing of black flowers, and abundant cold tears. Long-term use tonifies deficiencies and strengthens Liver and Kidney.)
Ganjuhua (Chrysanthemi Flos, remove stems and leaves, 4 liang, stir-fried), Bajiji (Morinda Officinalis Radix, remove heart, 1 liang), Rongshunrou (Cistanches Herba, washed in wine, peel removed, stir-fried, sliced, and baked, 2 liang), Gouqizi (Lycii Fructus, crushed and baked, 3 liang).
Grind all ingredients into a fine powder. Form pills using refined honey, sized like tung tree seeds. Take 3 qian per dose, swallowed before meals on an empty stomach with warm wine or light salt water.
Shexiang San (Treats incessant cold tears in the eyes. Administered via nose.)
Xiangfu (Cyperi Rhizoma), Chuanjiaomu (Zanthoxyli Semen) (equal parts), Cangzhu (Atractylodis Rhizoma), Shexiang (Moschus) (small amounts each).
Grind all ingredients into a fine powder. Ask the patient to hold a mouthful of water, then blow the powder into the nostrils.