无时热泪。其祸幽微。此损耗中之伏隐。乃不足中之有余。服寒凉则伤汁损血。服热药则血壅难舒。当以
意中求趣。补益当而消除。
此症谓目无别病。止是热泪无时而常流也。若有别病而热泪出者。乃火激动其水。非此病之比。盖肝
胆肾水耗而阴精亏涩。及劳心竭力。过虑深思。动其火而伤其汁也。故膏液不足。又哭泣太伤者。每每
患此。久而失治。触犯者变为内障。因其为患微缓。罹其祸也多矣。宜服∶
当归饮子
当归身 人参 柴胡 黄芩 白芍药 甘草 大黄（各一钱） 滑石（五分）
上锉剂。水二钟。生姜三片。煎至八分。去滓温服。
椒 丸（治目昏多泪）
熟地黄（切焙干） 川椒（去目及闭口者微炒） 生地黄（切焙干）
上三味各等分。为细末。炼蜜为丸。如桐子大。每服五十丸。盐米饮空心送下。
（江陵傅氏。家贫。鬻纸为业。好接待游士。一日。有客方巾布袍。邀傅饮。傅目昏多泪。客教以此方。
服不一月。目能夜视物。享年八九十。聪明不衰。）
丹溪云。风沿眼系。上膈有积热。自饮食中挟怒气而成。顽痰痞塞。浊气不下降。清气不上升。由是火益
炽而水益降。积而久也。眼沿因脓渍而肿。于中生细小虫丝。遂年久不愈。而多痒者是也。用紫金膏。以
银钗脚揩去油腻点之。试问若果痒者。又当去虫。以绝根本。盖紫金膏只去湿与去风凉血而已。若前
所谓饮食挟怒成痰。又须更与防风通圣散。去硝黄为细末。以酒拌匀晒干。根据法服之。禁诸浓味及大
料物。方尽诸法之要。
Hot tears flow continuously without a specific time pattern. The harm is subtle and hidden. This is a latent hazard within the depletion of essence, representing an excess of deficiency (deficiency with empty heat). Taking cold-natured drugs damages fluids and blood; taking hot-natured drugs causes blood stagnation and difficulty in circulation. One should seek the therapeutic principle from medical theory, ensuring that tonification is appropriate and pathogenic factors are eliminated.
This condition refers to eyes having no other diseases, characterized only by the continuous flow of hot tears at all times. If hot tears occur alongside other eye diseases, it is caused by fire agitating water, which is not comparable to this disease. It is due to the depletion of liver, gallbladder, and kidney water, leading to deficiency and astringency of yin essence, combined with excessive mental exertion, over-anxiety, and deep thinking, which stir up internal fire and damage fluids. Therefore, when the ocular humors (lubricating substances) are insufficient, and injury occurs from excessive weeping, people often suffer from this. If left untreated for a long time and if taboos are violated, it may transform into internal cataract (Neizhang). Because the pathology is mild and slow, many suffer from its consequences. It is suitable to take:
Danggui Yin Zi (Angelica Decoction)
Dangguishen (Radix Angelicae Sinensis Root), Renshen (Radix Ginseng), Chaihu (Radix Bupleuri), Huangqin (Radix Scutellariae), Baishaoyao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae) (each 1 qian), Huashi (Talcum) (0.5 qian).
The above herbs are cut into pieces. Add two zhong of water and three slices of fresh ginger. Decoct until eight parts remain. Remove the dregs and take warm.
Jiao Wan (Pepper Pill) (for treating dim vision and excessive tearing)
Shudihuang (Prepared Radix Rehmanniae, sliced and dried by baking), Chuanjiao (Fructus Zanthoxyli, remove seeds and closed-mouth ones, lightly stir-fried), Shengdihuang (Raw Radix Rehmanniae, sliced and dried by baking).
Take equal parts of these three herbs, grind into fine powder, and make pills with refined honey, sized like paulownia seeds. Take fifty pills per dose, administered on an empty stomach with salted rice water.
(The Fu family of Jiangling was poor and made a living selling paper. They liked to host traveling scholars. One day, a guest wearing a square cap and cloth robe invited Mr. Fu to drink. Mr. Fu suffered from dim vision and excessive tearing at the time. The guest taught him this prescription. After taking it for less than a month, his eyes could see objects at night. He lived to be eighty or ninety years old, remaining sharp-minded and clear-hearing.)
Zhu Danxi said that Fengyan (wind-affected eyelid margin) involves the eye system, where accumulated heat exists in the upper diaphragm, formed by diet combined with anger. Stubborn phlegm obstructs the chest and diaphragm, preventing turbid qi from descending and clear qi from ascending. Consequently, fire becomes more intense while water descends further. Over time, the eyelid margins swell due to pus exudation, and tiny worm-like filaments grow inside, resulting in chronic non-healing conditions accompanied by itching. Use Zijin Gao (Purple Gold Ointment); scrape off the grease with the tip of a silver hairpin and apply it to the affected area. If there is indeed itching, one must also eliminate parasites to eradicate the root cause. Since Zijin Gao only removes dampness, wind, and cools the blood, if the condition is as previously described—phlegm formed by diet and anger—one must additionally use Fangfeng Tongsheng San (Bupleurum Powder to Circulate the Extremities). Remove Xiebai (Rhizoma Pinelliae Preparata? Note: Context implies Mangxiao/Radix Salinae and Dahuang/Radix et Rhizoma Rhei based on standard formula composition, but text says "Xiao Huang" likely referring to Mangxiao and Dahuang) and Huang, grind into fine powder, mix evenly with wine, dry, and take according to the method. Prohibit consumption of rich flavors and strong spices. This is the key to mastering various treatments.