风动而生热。譬犹烈火焰而必吹。此物类感召。而不能违间者也。因热而召。是为外来。久热不散。感而自
生。是为内发。内外之邪。为病则一。淫热之祸。条例如前。益以风邪。害岂纤止。风加头痛。风加鼻塞。风加肿
胀。风加涕泪。风加脑巅沉重。风加眉骨酸疼。有一于此。羌活胜风汤主之。风加痒。则以杏仁龙胆草泡散
洗之。病者有此数证。或不服药。或误服药。翳必随之而生。翳如云雾。翳如丝缕。翳如秤星。翳如秤星者或
一点。或三四点。而至数十点。翳如螺盖者。为病久不去。治不如法。至于极至。为服寒凉药过多。脾胃受伤。
生意不能上升。渐而至也。然必要明经络。方能应手。凡翳自内 而出。为手太阳足太阳受邪。治在小肠
膀胱经。加蔓荆子、苍术。羌活胜风汤主之。自锐 客主人而入者。为足少阳手少阳手太阳受邪。治在胆
与三焦小肠经。加龙胆草、 本。少加人参。羌活胜风汤主之。自目系而下者。为足厥阴手少阴受邪。治在
肝经心经。加黄连。倍加柴胡。羌活胜风汤主之。自抵过而上者。为手太阳受邪。治在小肠经。加木通、五味
子。羌活胜风汤主之。热甚者兼用治淫热之药。 鼻碧云散。俱治以上之证。大抵如开锅盖法。 之随效。
然力少而锐。宜不时用之。以聚其力。虽然。始者易而久者难。渐复而复。渐复而又复可也。急于复者则不
治。今世医用磨翳药者有之。用手法揭翳者有之。噫。翳犹疮也。奚能即愈乎。庸医用此。非徒无益。增害尤
甚。愚者蒙害。欣然而不悟。可胜叹哉。故置风热不制之病治法。
羌活胜风汤（风胜者服。兼治眵多 。紧涩羞明。赤脉贯睛。头痛鼻塞。肿巅涕泪。脑岩沉
重。眉骨酸疼。外翳如云雾丝缕秤星螺盖。）
柴胡（七分） 黄芩 白术（各六分） 荆芥穗 枳壳 川芎 白芷 川羌活 防风 独活
前胡 苏薄荷（各五分） 桔梗 甘草（各三分）
上锉剂。白水二钟。煎至八分。去滓。食后热服。
上方为风热不制而作也。夫窍不利者。皆脾胃不足之证。故先以枳壳、白术。调治胃气为君。羌活。川芎。
白芷、独活、防风、前胡诸治风药。皆主升发为臣。桔梗除寒热。薄荷、荆芥清利上焦。甘草和百药为佐。柴
胡解热。行少阳厥阴经。黄芩疗上热。主目中赤肿为使。又治伤寒愈后之病。热服者。热性炎上。令在上
散。不令流下也。生翳者。随翳所见经络加药。翳凡自内 而出者加蔓荆子。治太阳经加苍术。去小肠
膀胱之湿。内 者。手太阳足太阳之属也。自锐 而入。客主人斜下者。皆用龙胆草。为胆草味苦。与胆
味合。少加人参。益三焦之气。加 本。乃太阳经风药。锐 客主人者。足少阳手少阳手太阳之属也。凡
自目系而下者。倍加柴胡行肝气。加黄连泻心火。目系者。足厥阴手少阴之属也。自抵过而上者。加木
通。导小肠中热。五味子酸以收敛。抵过者。手太阳之属也。
杏仁龙胆草泡散（治风热上攻。 赤痒。）
滑石（另研取末） 龙胆草 黄连 当归尾 杏仁（去皮尖） 赤芍药（各一钱） 以白沸汤泡
顿蘸洗。冷热任意。不拘时候。
上方以龙胆草、黄连苦寒去热毒为君。当归尾行血。杏仁润燥为佐。滑石甘寒泄气。赤芍药苦酸除痒
为使。惟风痒者可用。
Wind stirring generates heat. It is like a fierce flame that must be blown by wind. This is the mutual induction among categories of things, which cannot be violated. Attracted by external heat, it is called "external origin"; prolonged heat not dissipating, generating wind-heat from internal sensation, is called "internal origin". Whether the pathogenic factors are external or internal, the resulting disease manifestations are identical. The disasters of excessive heat have been detailed previously; adding the harm of wind pathogens, how could it be merely minor ailments? Wind causing headache, wind causing nasal congestion, wind causing swelling, wind causing tearing and runny nose, wind causing heaviness in the crown of the head, wind causing soreness and pain in the brow bones. If any of these occur, Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind) is the primary prescription. If wind causes itching, wash with Xingren Longdancao Paosan (Almond and Gentian Soaking Powder). If patients have these syndromes but do not take medicine or take incorrect medicine, nebulae (cataracts/opacities) will inevitably follow. Nebulae may appear like clouds and mist, like silk threads, or like star scales. "Nebulae like star scales" may be one spot, three or four spots, or even dozens of spots. "Nebulae like snail covers" result from long-standing illness without resolution, improper treatment reaching its extreme, often due to excessive consumption of cold-natured medicines damaging the Spleen and Stomach, preventing the rising of vital energy, gradually forming. However, one must clearly understand the meridians to achieve effective results. Any nebula originating from the inner canthus outward indicates pathogenic invasion of the Hand-Taiyang and Foot-Taiyang meridians; treatment should focus on the Small Intestine and Bladder meridians, adding Vitex Fruit (Man Jing Zi) and Atractylodes Rhizome (Cang Zhu), primarily using Qianghuo Shengfeng Tang. Any nebula entering from the outer canthus through the Kezhuren acupoint indicates pathogenic invasion of the Foot-Shaoyang, Hand-Shaoyang, and Hand-Taiyang meridians; treatment should focus on the Gallbladder, Sanjiao, and Small Intestine meridians, adding Gentian Root (Long Dan Cao) and Ligusticum Rhizome (Gao Ben), with a small amount of Ginseng Radix et Rhizoma (Ren Shen), primarily using Qianghuo Shengfeng Tang. Any nebula extending downward from the eye connection (Mu Xi) indicates pathogenic invasion of the Foot-Jueyin and Hand-Shaoyin meridians; treatment should focus on the Liver and Heart meridians, adding Coptis Rhizome (Huang Lian), doubling the dosage of Bupleurum Root (Chai Hu), primarily using Qianghuo Shengfeng Tang. Any nebula growing upward from the inner canthus indicates pathogenic invasion of the Hand-Taiyang meridian; treatment should focus on the Small Intestine meridian, adding Akebia Caulis (Mu Tong) and Schisandra Berry (Wu Wei Zi), primarily using Qianghuo Shengfeng Tang. In cases of severe heat, combine with medicines treating excessive heat, as well as Biyun San (Green Cloud Powder), both capable of treating the above syndromes. Generally, the treatment method is like lifting a pot lid; apply according to symptoms for immediate effect. However, the medicinal force is mild yet sharp, suitable for intermittent use to accumulate efficacy. Although so, initial stages are easy to treat while chronic stages are difficult; gradual recovery and repeated regulation are appropriate. Rushing recovery leads to non-healing. Some modern physicians use corneal abrasion methods, others use manual techniques to remove opacities. Alas! Opacities are like ulcers; how can they heal immediately? Quack doctors using these methods bring no benefit but increase harm, causing fools to suffer without realizing it, truly lamentable. Therefore, the treatment methods for diseases of uncontrolled wind-heat are placed here.
Qianghuo Shengfeng Tang (For those with dominant wind pathogens, also treats excessive eye discharge, tight and light-sensitive eyelids, red vessels crossing the pupil, headache, nasal congestion, facial swelling, heaviness in the crown, soreness in brow bones, external opacities like clouds, silk, stars, or snail shells.)
Chai Hu (7 fen) Huang Qin Bai Zhu (each 6 fen) Jing Jie Sui Zhi Ke Chuan Xiong Bai Zhi Chuan Qiang Huo Fang Feng Du Huo Qian Hu Su Bo He (each 5 fen) Jie Geng Gan Cao (each 3 fen)
Crush the ingredients into a decoction packet. Add two zhong of water, boil until reduced to eight fen, remove dregs, and take hot after meals.
The above formula was established for conditions caused by uncontrolled wind-heat. Obstruction of orifices is generally a syndrome of Spleen and Stomach deficiency. Thus, Zhi Ke and Bai Zhu are used first to regulate Stomach Qi as the Sovereign drug. Qiang Huo, Chuan Xiong, Bai Zhi, Du Huo, Fang Feng, Qian Hu, and other wind-dispelling drugs act as Ministers, primarily promoting ascending and dispersing actions. Jie Geng removes cold and heat; Bo He and Jing Jie clear and benefit the Upper Jiao; Gan Cao harmonizes all drugs as an Assistant. Chai Hu resolves heat and circulates through the Shaoyang and Jueyin meridians; Huang Qin treats upper heat and main redness and swelling of the eyes as an Envoy. It also treats residual illnesses after recovery from Shanghan (Cold Damage). Taking it hot is because heat nature rises, allowing the medicinal power to disperse in the upper body rather than flowing downward. For generated opacities, add herbs according to the involved meridians. Opacities originating from the inner canthus outward: add Man Jing Zi. Treating Taiyang meridians: add Cang Zhu to remove dampness from the Small Intestine and Bladder. The inner canthus belongs to the Hand-Taiyang and Foot-Taiyang categories. Entering from the outer canthus through Kezhuren obliquely downward: use Long Dan Cao, as its bitter taste matches the Gallbladder flavor. Add a little Ren Shen to boost Qi of the Sanjiao. Add Gao Ben, a wind-drug of the Taiyang meridian. The outer canthus and Kezhuren belong to the Foot-Shaoyang, Hand-Shaoyang, and Hand-Taiyang categories. Extending downward from the eye connection: double Chai Hu to move Liver Qi, add Huang Lian to drain Heart Fire. The eye connection belongs to the Foot-Jueyin and Hand-Shaoyin categories. Growing upward from the inner canthus: add Mu Tong to guide heat from the Small Intestine, Wu Wei Zi uses sourness to astringe. The inner canthus belongs to the Hand-Taiyang category.
Xingren Longdancao Paosan (Treats wind-heat attacking upward, redness and itching of the eyes.)
Hua Shi (separately ground to powder) Long Dan Cao Huang Lian Dang Gui Wei Xing Ren (peeled and core removed) Chi Shao Yao (each 1 qian) Soak in boiling white water, dip and wash as desired, temperature flexible, time unrestricted.
In this formula, Long Dan Cao and Huang Lian use their bitter-cold nature to remove heat toxins as the Sovereign drug. Dang Gui Wei moves blood, Xing Ren moistens dryness as Assistants. Hua Shi is sweet-cold and drains Qi; Chi Shao Yao is bitter-sour and relieves itching as an Envoy. This is only applicable for wind-itch syndromes.