内外诸因。种种不一。有郁七情六淫。伤感过度而致者。其症随愈随复。最难调治。有外受风邪燥火克
削。致荣卫失调。而淹滞涩翳。朦 不清。宜散宜和。随症施之。若因他症侵乘。及物伤等症累目。虽内外
轻重。各分其类。总之火郁者宜疏之。气滞者宜导之。燥甚风邪。宜审虚实调之。庶不至客邪延久。成痼疾已。
风兮风兮祸何多。未伤人身先损目。有因睥反烂弦红。有致偏 并振搐。有成内障多 肉。内外轻重皆
不同。比之常症犹难逐。驱风活血养阴精。胜似求仙去问卜。
此症谓患风病患而目病也。盖风属木。木为肝。肝之窍在目。本乎一气。久病则热盛。何也。木能生火也。
火盛则血因风火。久而不熄。遂致耗损矣。况久病必生郁。郁则又生火。火性上炎。火热极而又生风。展
转相生。内外障翳皆起于此。故患风木之病。各因其故而发之。有日浅而郁未深。为偏 歪斜者。有入
睥而睥反湿赤胜烂者。有血虚筋弱而振搐者。有恣燥嗜热。火邪乖乱清和融纯之气。因郁而为内障
者。有风胜血滞。结为外障。如 肉等症者。再加以服饵香燥之药。耽酒纵辛。不善保养。以致阴愈亏而
火愈燥。火愈燥而风愈胜。病变为凝瘀之重者。治当各因其证。而伐其本。且外内常劫不同。大抵若因
风病目者。当去风为先。清火次之。不然。源既不清。流何能止。目病今虽暂退。后必复来。治之虽至再至
三。风不除而火不熄。目终无痊愈之期矣。宜服∶
正容汤（治口眼 斜。仪容不正。服此即能正之。故云。）
羌活 白附子 防风 秦艽 胆星 白僵蚕 半夏（制） 木瓜 甘草 黄松节（即茯神心木各等分）
上锉剂。白水二钟。生姜三片。煎至八分。去滓。加酒一杯服之。
上方祛风以羌防。化痰须星夏。生草清热。秦艽荣筋。面部需白附僵蚕。筋舒急资木瓜、松节。姜散风邪。
酒行药势。此方服十剂。平服如故。敢陈一得。愿献知音。
半夏茯苓天麻汤（治痰厥头痛。头旋眼黑。烦闷恶心。气短促。言语心神颠倒。目不敢开。
如在风云中。或头痛如裂。身重如山。四肢厥冷。）
天麻 黄 （蜜制） 人参 苍术（泔水泡制） 橘皮 泽泻 白茯苓
炒曲（各五分） 白术（炒一钱） 半夏（姜制） 麦芽（炒各钱半） 黄柏（酒制二分） 干姜
（炮二钱一方二分）
上锉剂。白水二钟。煎至八分。去滓。食后服。
此头痛为足太阴痰厥头痛。非半夏不能疗。眼黑头旋。风虚内作。非天麻不能除。天麻苗谓之定风草。
乃治内风之神药。内风者虚风是也。黄 甘温。泻火补元气。实表虚。止自汗。人参甘温。调中补气泻火。
二术甘温。除湿补中益气。泽泻、茯苓。利小便导湿。橘皮苦温。益气调中而升阳。炒曲消食。荡胃中之滞
气。麦芽宽中而助胃气。干姜辛热。以涤中寒。黄柏苦寒。用酒洗以疗之。冬日少火在泉。而发燥也。
夜光柳红散（治风邪伤胞睑。致风牵睑翻不收。出泪汪汪者。）
人参 荆芥穗 川乌（炮） 川白芷 南星（制） 软石膏 川芎（各二两） 何首乌 草乌（去皮尖炮） 石决
明（ ） 本 川细辛 雄黄 当归身 蒲黄 苏薄荷 防风 茅苍术（浸炒） 甘松 藿香叶 全蝎（各一两半）
川
羌活（三两）
上为细末。每服二钱或三钱。茶清调下。
加减地黄丸（治男妇肝脏积热。肝虚目暗。膜入水轮。漏睛眵泪。眼见黑花。视物不明。混睛冷
泪。翳膜遮障。及肾脏虚惫。肝受虚热。及远年近日。暴热赤眼。风毒瓦斯眼。并治之。兼治干湿香港脚。消
中消渴。及诸风气等疾。由肾气虚败者。但服此能补肝益肾。驱风明目。神效。）
生地（干者一斤） 熟地（干者一斤） 石斛（去苗） 防风（去芦） 枳壳（炒） 牛膝（酒洗）
杏仁（泡去皮尖麸炒黄入瓦器研去油各四两）
上为细末。除杏霜另入。勿犯铁器。炼蜜为丸。如梧桐子大。每服五十丸。空心以豆淋酒送下。或饭饮及
青盐汤亦可。忌一切动风毒等物。
豆淋酒法
黑豆半升。拣簸。炒令烟出。以酒三斤浸之。不用黑豆。用此酒煮独活。即是紫汤也。
（唐丞相李恭。公在扈从蜀中日患眼。或涩。或生翳膜。或疼痛。或见黑花如豆大。云气缠绕不断。
或见如飞虫翅羽。百方治之不效。有僧智深云。相公此病。由受风毒。夫五脏实则泻其子。虚则补其母。
母能令子实。子能令母虚。肾是肝之母。今肾受风毒。故致肝虚。肝虚则目中恍惚。五脏亦然。香港脚消中
消渴诸风等症。皆由肾虚。地黄丸主之。）
蝉花无比散（治大小男妇。远年近日。一切风眼气眼攻注。眼目昏暗。睑生风粟。或痛或痒。渐生翳
膜遮睛。视物不明。及久患偏正头风。牵搐两眼。渐渐细小。连眶赤烂。小儿疮疹入目。白膜遮睛。赤涩瘾
痛。常服驱风退翳明目。）
白茯苓 防风（去芦） 甘草（炙各四两） 蛇蜕（微炒一两） 赤芍药（十三两） 苍术（泔水浸去皮
切片炒十五两） 蝉蜕（去头足翅一两） 白蒺藜（炒半斤） 羌活 当归 川芎 石决明（用盐入东流水
煮一伏时漉出捣如粉另入各三两）
除石决粉。余共为细末搅匀。每服二三钱。食后米泔调下。或茶清亦可。忌食发风毒等物。
槐子丸（治肝虚风邪所攻。致目偏视。）
槐子仁（二两） 酸枣仁（去壳） 蔓荆子 覆盆子 柏子仁 白蒺藜（炒去刺） 车前子 牛蒡子 茺蔚子（各
一两）
上为细末。炼蜜为丸。如梧桐子大。每服四五十丸。空心白滚汤送下。
川芎石膏散（治风热上攻头目。昏眩痛闷。风痰喘嗽。鼻塞口疮。烦渴淋闭。眼生翳膜。
此药清神利头目。）
石膏（ ） 防风 苏薄荷 连翘（各一两） 桔梗 甘草 寒水石 滑石（飞过各二两半） 川芎
人参 荆芥穗 当归 黄芩 大黄（炮） 山栀仁（炒） 白术（制） 菊花 赤芍（各五钱） 缩砂仁
（炒二钱五分）
除寒水石、石膏、滑石各研细另入。余共为细末搅匀。每服二三钱。食远滚白汤调服。忌姜蒜辛热等物。
摩风膏（治风牵眼偏邪）
白芷 黑附子 广木香 防风 细辛 骨碎补 当归身 本（各一两） 乌头
赤芍药 浓肉桂（各一两半） 牛酥（即骨髓） 鹅脂（各四两） 猪板油（半斤）
除酥脂板油外。以上诸药。各为细末。用真麻油半斤。浸一昼夜。再入酥脂板油共熬。以文武火熬如膏
为度。涂于患处。
Various internal and external etiological factors are numerous and diverse. Some arise from the stagnation of the Seven Emotions (Joy, Anger, Worry, Overthinking, Sorrow, Fear, Fright) or invasion by the Six Exogenous Pathogens (Wind, Cold, Summer-heat, Dampness, Dryness, Fire), as well as excessive emotional distress. The symptoms tend to remit and recur, making them difficult to treat. Others result from external Wind pathogen and Dryness-Fire consuming and restricting, leading to disharmony between Ying (Nutritive Qi) and Wei (Defensive Qi), manifesting as lagophthalmos, astringency, and hazy opacities. Treatment should employ dispersing and harmonizing methods according to the syndrome. If caused by other diseases invading or injuries from foreign objects affecting the eyes, although the severity varies internally and externally, generally speaking: for stagnant Fire, dispersion is indicated; for Qi stagnation, guidance is indicated; for severe Dryness and Wind, differentiation of deficiency and excess is required for regulation. This prevents exogenous pathogens from lingering and becoming chronic stubborn diseases.
"O Wind, O Wind, how many disasters you bring! Before harming the body, you first damage the eyes." Some present with ectropion, red and rotting eyelid margins; others cause facial deviation accompanied by tremors and convulsions; some develop internal cataracts with fleshy growths. The internal and external conditions vary in severity and are harder to resolve than common syndromes. Dispersing Wind, invigorating Blood, nourishing Yin essence is superior to seeking immortality through divination.
This syndrome refers to eye disease occurring in patients suffering from Wind disorders. Wind corresponds to Wood, which corresponds to the Liver. The Liver opens into the eyes, originating from one Qi. Prolonged illness leads to intense Heat. Why? Because Wood generates Fire. When Fire is excessive, Blood is scorched by Wind and Fire, burning continuously and causing consumption. Moreover, prolonged illness inevitably generates stagnation, which further generates Fire. Fire nature ascends; extreme Heat generates Wind. They generate each other cyclically, giving rise to both internal and external opacities. Thus, Wind-Wood diseases manifest due to various causes. Some have short duration and shallow stagnation, presenting as facial deviation; some affect the Spleen, causing eyelid eversion with dampness, redness, and rotting; some suffer from tremors due to Blood deficiency and weak sinews; some indulge in dry and hot foods, allowing Fire pathogen to disrupt clear, harmonious Qi, forming internal opacities due to stagnation; some have Wind dominance and Blood stasis, forming external opacities such as pterygium. Additionally, taking aromatic-dry medicines, indulging in alcohol and pungent foods, and poor self-care lead to further Yin depletion and increased Fire dryness, which increases Wind dominance, resulting in severe coagulation and stasis. Treatment must address each syndrome and attack the root. Internal and external acute conditions differ. Generally, for eye disease caused by Wind, dispelling Wind is primary, clearing Fire is secondary. Otherwise, if the source is not cleared, how can the flow stop? Although eye symptoms may temporarily recede, they will surely return. Even with repeated treatments, if Wind is not removed and Fire is not extinguished, the eyes will never fully recover. Suitable prescriptions include:
Zhengrong Tang (Correcting Contour Decoction): Treats facial paralysis with mouth and eye deviation, correcting appearance upon administration.
Qianghuo (Notopterygii Rhizoma et Radix), Baifuzi (Typhonii Rhizoma), Fangfeng (Saposhnikoviae Radix), Qinjiao (Gentianae Macrophyllae Radix), Danshenxing (Arisaematis Cum Bile), Baijiangcan (Bombyx Batryticatus), Banxia (Pinelliae Rhizoma Praeparatum), Mugua (Chaenomelis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Huangsongjie (Fuwenshen Xinmu, equal parts).
Decoct these ingredients in two units of water with three slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to eight-tenths. Strain, add one unit of wine, and take orally.
In this formula, Qianghuo and Fangfeng dispel Wind; Danshenxing and Banxia resolve Phlegm; raw Ganqing clears Heat; Qinjiao nourishes sinews; Baifuzi and Baijiangcan target the face; Mugua and Songjie relax tense sinews; Shengjiang disperses Wind pathogen; Wine promotes the action of herbs. After ten doses, the condition resolves. I dare to share this insight for those who understand.
Banxia Fuling Tianma Tang (Pinellia, Poria, and Gastrodia Decoction): Treats Phlegm-Jue headache, vertigo, blurred vision, irritability, nausea, shortness of breath, mental confusion, inability to open eyes, feeling like being in wind and clouds, splitting headache, heavy body, cold limbs.
Tianma (Gastrodiae Rhizoma), Huangqin (Scutellariae Radix, honey-fried), Renshen (Ginseng Radix), Cangzhu (Atractylodis Rhizoma, soaked in rice water), Chuanpi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma), Baifuling (Poria, fried Shenqu, five fen each), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, one qian), Banxia (Pinelliae Rhizoma, ginger-processed), Maiya (Hordei Fructus Germinatus, stir-fried, 1.5 qian each), Huangbai (Phellodendri Cortex, wine-processed, two fen), Ganjiang (Zingiberis Rhizoma, roasted, two qian; one prescription uses two fen).
Decoct in two units of water until reduced to eight-tenths. Strain and take after meals.
This headache is Foot-Taiyin Phlegm-Jue headache, unmanageable without Banxia. Blurred vision and vertigo are caused by internal Wind-deficiency, unresolvable without Tianma. Tianma's sprout is called Dingfengcao (Calming Wind Grass), a divine herb for treating internal Wind. Internal Wind refers to Deficient Wind. Huangqin is sweet and warm, clearing Fire, tonifying Yuan Qi, securing the exterior, stopping spontaneous sweating. Renshen is sweet and warm, regulating the middle, tonifying Qi, clearing Fire. Ershu (Cangzhu and Baizhu) are sweet and warm, removing dampness, tonifying the middle and Qi. Zexie and Fuling promote urination to drain dampness. Chuanpi is bitter and warm, benefiting Qi, regulating the middle, and raising Yang. Fried Shenqu aids digestion and eliminates gastric stagnation. Maiya broadens the middle and assists Stomach Qi. Ganjiang is acrid and hot, washing away middle Cold. Huangbai is bitter and cold, processed with wine. In winter, the Lesser Fire resides in the spring, causing dryness.
Yeguang Liuhong San (Night-Shining Willow-Red Powder): Treats Wind pathogen injuring the eyelids, causing wind-pulled eyelid retraction and excessive tearing.
Renshen (Ginseng Radix), Jingjisui (Schizonepetae Spica), Chuanwu (Aconiti Radix, roasted), Chuanbaizhi (Angelicae Dahuricae Radix), Nanxing (Arisomatis Rhizoma, processed), Ruan Shigao (Gypsum Fibrosum), Chuanxiong (Ligustici Chuanxiong Rhizoma, two liang each), Heshouwu (Polygoni Multiflori Radix), Caowu (Aconiti Kusnezoffii Radix, peeled and roasted), Shijueming (Haliotidis Concha), Gaoben (Ligustici Wallichii Rhizoma et Radix), Chuanxixin (Asari Radix et Rhizoma), Xionghuang (Realgar), Dangguishen (Angelicae Sinensis Radix), Huyang (Lygodii Spora), Subohhe (Menthae Haplocalycis Herba), Fangfeng (Saposhnikoviae Radix), Mao Cangzhu (Atractylodis Rhizoma, soaked and stir-fried), Gansong (Nardostachyos Radix et Rhizoma), Huoxiangye (Agastaches Folium), Quanxie (Scorpio, one and a half liang each), Chuan Qianghuo (Notopterygii Rhizoma et Radix, three liang).
Grind into fine powder. Take two or three qian per dose, mixed with tea liquor.
Jiajian Dihuang Wan (Modified Rehmannia Pill): Treats liver heat accumulation in men and women, liver deficiency causing dim vision, membrane entering the pupil, leaking tears and discharge, seeing black spots, unclear vision, cold tears, opaque membranes blocking vision, kidney deficiency, liver receiving deficient heat, sudden red eyes from long-standing or recent heat, wind-toxic eye diseases. Also treats wet and dry gout, Xiao Zhong (wasting-thirst), Xiao Ke (diabetes), and wind diseases caused by kidney Qi failure. Taking this pill tonifies Liver and Kidney, dispels Wind, brightens eyes, and is miraculous.
Shengdi (Rehmanniae Radix, dried, one jin), Shudi (Rehmanniae Radix Preparata, dried, one jin), Shihu (Dendrobii Caulis, remove seedlings), Fangfeng (Saposhnikoviae Radix, remove radicle), Zhike (Aurantii Fructus, stir-fried), Niuxi (Achyranthis Bidentatae Radix, wine-washed), Xingren (Armeniacae Semen Amarum, soaked, peel and tip removed, bran-stir-fried yellow, ground in earthenware, oil removed, four liang each).
Grind into fine powder. Keep Apricot paste separate. Do not use iron vessels. Form pills with refined honey, size of Sophora seeds. Take fifty pills on an empty stomach with Doulin Jiu (Black Bean Soaked Wine), or with rice drink or green salt water. Avoid all wind-moving toxic substances.
Doulin Jiu Method
Half sheng of black beans, winnowed, stir-fried until smoke appears. Soak in three jin of wine. Remove beans. Use this wine to decoct Du Huo (Angelicae Pubescentis Radix), known as Zi Tang.
(Tang Chancellor Li Gong suffered from eye disease while accompanying the emperor in Shu. Symptoms included dryness, opacity formation, pain, seeing bean-sized black flowers, cloud-like wrapping, or flying insect wings. Hundreds of remedies failed. Monk Zhishen said: "Your Excellency's disease is due to Wind-Toxin. When Five Viscera are excess, purge the child; when deficient, tonify the mother. The mother makes the child excess; the child makes the mother deficient. Kidney is the mother of Liver. Now Kidney receives Wind-Toxin, causing Liver deficiency. Liver deficiency causes visual hallucinations. The same applies to other viscera. Gout, wasting-thirst, and wind diseases are all due to Kidney deficiency. Dihuang Wan is the main treatment.")
Chanhua Wubi San (Cicada Flower Peerless Powder): Treats men and women, old and new cases, all Wind-Eye and Qi-Eye attacks, dim vision, wind-granules on eyelids, pain or itching, gradual opacity covering the pupil, unclear vision, long-standing lateral or frontal headache pulling eyes inward, gradually shrinking, red and rotting orbits, pediatric pox entering eyes, white membrane covering pupil, redness, astringency, itching pain. Regular use dispels Wind, reduces opacity, and brightens eyes.
Baifuling (Poria), Fangfeng (Saposhnikoviae Radix, remove radicle), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, four liang each), Shetui (Bostrichis Periostracum, lightly stir-fried, one liang), Chishaoyao (Paeoniae Radix Rubra, thirteen liang), Cangzhu (Atractylodis Rhizoma, soaked in rice water, peeled, sliced, stir-fried, fifteen liang), Chantui (Cicadae Periostracum, remove head, feet, wings, one liang), Baijili (Tribuli Fructus, stir-fried, half jin), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shijueming (Haliotidis Concha, boiled in east-flowing water with salt for one fu-shi, drained, pounded to powder, added separately, three liang each).
Remove Shijueming powder. Grind remaining ingredients to fine powder, mix evenly. Take two or three qian per dose after meals, mixed with rice wash or tea liquor. Avoid wind-moving toxic foods.
Huai Zi Wan (Sophora Seed Pill): Treats Liver deficiency attacked by Wind pathogen, causing deviated gaze.
Huai Zirén (Sophorae Semen, two liang), Suanzaoren (Ziziphi Spinosae Semen, shell removed), Manjingzi (Viticis Fructus), Fupenzi (Rubi Fructus), Baiziren (Platycladi Semen), Baijili (Tribuli Fructus, stir-fried, thorns removed), Cheqianzi (Plantaginis Semen), Niubangzi (Arctii Fructus), Chongweizi (Leonuri Fructus, one liang each).
Grind into fine powder. Form pills with refined honey, size of Sophora seeds. Take forty to fifty pills on an empty stomach with plain boiling water.
Chuanxiong Shigao San (Ligusticum and Gypsum Powder): Treats Wind-Heat attacking head and eyes, dizziness, pain, oppression, Wind-Phlegm wheezing cough, nasal congestion, oral ulcers, irritability, thirst, dysuria, eye opacities. This medicine clears spirit and benefits head and eyes.
Shigao (Gypsum Fibrosum), Fangfeng (Saposhnikoviae Radix), Subohhe (Menthae Haplocalycis Herba), Lianqiao (Forsythiae Fructus, one liang each), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Hanshuishi (Calcitum), Huashi (Talcum, flown, two and a half liang each), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix), Jingjisui (Schizonepetae Spica), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma, roasted), Shanzhiren (Gardeniae Semen, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, processed), Juhua (Chrysanthemi Flos), Chishao (Paeoniae Radix Rubra, five qian each), Suosharen (Amomi Fructus, stir-fried, two qian five fen).
Grind Hanshuishi, Shigao, and Huashi separately into fine powder. Mix remaining ingredients into fine powder. Take two or three qian per dose near mealtime with boiling water. Avoid ginger, garlic, and pungent-hot substances.
Mofeng Gao (Wind-Rubbing Ointment): Treats wind-pulled eye deviation.
Baizhi (Angelicae Dahuricae Radix), Heifuzi (Aconiti Radix Preparata), Guangmuxiang (Costi Rhizoma), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Gusuibu (Drynariae Rhizoma), Dangguishen (Angelicae Sinensis Radix), Gaoben (Ligustici Wallichii Rhizoma et Radix, one liang each), Wutou (Aconiti Radix), Chishaoyao (Paeoniae Radix Rubra), Nourongui (Cinnamomi Cortex, concentrated, one and a half liang each), Niusu (Cow Marrow), E'zhi (Goose Fat, four liang each), Zhu Banyou (Porci Adeps, half jin).
Except for marrow, goose fat, and pork lard, grind all other herbs into fine powder. Soak in half jin of true sesame oil for one day and night. Add marrow, goose fat, and pork lard. Boil over mild and strong fire until it becomes an ointment consistency. Apply to the affected area.