左寸脉洪数。心火炎上也。关弦而洪。肝火盛也。右寸关俱弦洪。肝木夹相火之势。而
来侮所不胜之金。而制己所胜之土也。
夫天运拂经。则两曜薄蚀。人身违和。则两目眵昏。是眼目之在人。犹日月之丽天。明
则其
常。而昏则其变也。一身之中。惟目最贵重。脏腑之精华萃焉。血脉之宗会系焉。东垣曰。
按阴阳应象论云。诸脉皆属于目。又曰。目得血而能视。五脏六腑之精气。皆上注于目而
为之
精。精之窠为眼。骨之精为瞳子。筋之精为黑睛。血之精为目窠之总络。气之精为白眼。肌
肉之精则为约束裹撷。筋骨血气之精而与脉并而为系。上属于脑。后出于项。是故瞳子黑眼
法于阴。白眼赤目法于阳。故阴阳合德。而为精明也。是以五脏六腑。十二经脉三百六十五
络。其血气皆禀受于脾土。上会于目而为明。故目者心之使也。心者神之舍也。若精神乱而
不守。卒然见非常之怪。邪中其精则精散。则视岐昏。一物为两也。因事烦扰。饮食失节。
劳役过度。致脾胃虚弱。心火大盛。则百脉沸胜。血脉并行。经云。天明日月不明。邪害空
窍是也。董院使云。目之首尾。赤睛属心。其满眼白睛属肺。其乌睛圆大属肝。其上下肉
胞属脾。而中间黑瞳一点如漆者。肾实主之。是随五脏各有证应。然论其所主。则瞳子之关
系重焉。何以言之。目者肝肾外候也。肝取木。肾取水。水能生木。子肝母肾。焉有子母而
能相离者哉。故肝肾之气充。则精彩光明。肝肾之气乏。则昏蒙眩晕。乌轮赤晕。刺痛浮浆
此肝热也。胆生清泪。枯黄绕睛。此肝虚也。瞳人开大。淡白偏斜。此肾虚也。瞳人焦小
或带微黄。此肾热也。又曰。白睛带赤。或红筋者。其热在肺。上胞下胞。或目唇间如疥
点者。其热在脾。又曰。眼者轻膜裹水。照彻四方。溯源反本。非天一之水。而目孰为之主
宰乎。析而论之。则拘急牵 。瞳青胞白。痒而清泪。不赤不痛。是之谓风眼。乌轮突起。
胞硬肿红。眵泪湿浆。裹热刺痛。是之谓热眼。浑而泪。胞肿而软。上壅朦胧。酸涩微赤。
是之谓气眼。其或风与热并。则痒而浮赤。风与气搏。则痒涩昏沉。血热交聚。故生淫肤粟
肉红缕偷针之类。气血不至。故有眇视胞垂雀眼盲障之形。淡紫而隐红者。为虚热。鲜红而
兼赤者。为实热。两 呈露生 肉者。此心热血旺。白睛红膜如纸伞者。此气滞血凝。热症
瞳人内涌。白睛带湿。色浮而赤也。冷症。瞳人青绿。白睛枯槁。气沉而浊也。眼热已久
复为风冷所乘。则赤烂。眼中不赤。但为痰饮所注。则作痛。肝气不顺而夹热。所以羞明
热气蓄聚而伤胞。所以胞合。刘河间曰。在腑则为表。当除风散热。在脏则为里。当养血
安神。如暴失明。昏涩翳膜眵泪。斑入眼。此风热也。一云。斑入眼。此肝气盛。而发在标
也。宜表散以祛之。如昏弱不欲视物。内障见黑花。瞳子散大。皆里也。血少神劳。肾虚也
宜养血补水安神以调之。观在前诸公所论治疗之法。大概以凉肝清心。调血顺气为先。不
可固执水能生木之说。而偏补养。盖肾水恶燥。设遇虚证。亦不过以当归、地黄等药润养之
轻则温补之可也。况夫脾能发燥。肝亦好润。古方率用杏仁、干柿、饴糖、沙蜜为佐。果
非润益之意乎。抑且脾者诸阴之首。目者血脉之宰也。故脾虚则五脏之精气皆失所司。不得
归明于目矣。心者。君火也。主藏神明。宜静而安。相火代行其令。相火乃胞络之火。主百
脉。皆荣于目。既劳役妄动。又因邪气所并。而损血脉。是故诸病生焉。翳目者。虽宜养血
安神。又当兼理脾胃。乃良法也。至于退翳一节。尤关利害。夫翳起于肺。肺家受热。轻则
朦胧。重则生翳。有曰真珠翳状如碎米者易散。有曰梅花翳状如梅花者难消。虽翳自热生。
然治法先退翳。而后退热者。谓热极生翳。若先去赤热。则血为之凝而翳不能去。其有赤
眼。与之凉药过多。又且涤之以水。不反掌而水凝。眼特一团水耳。水性清澄。尤不可规规
于点洗。缘其喜怒失节。嗜欲无度。劳役眼力。泣涕过伤。凌寒冲风。当暑冒日。不避烟火
饮啖辛辣。此皆患生于脏腑者也。专事点洗可乎哉。在乎察受病之因。究标本之理。推明
运气以调之。斟酌药饮以平之。患者又能静坐闲居。澄神息虑。节饮食。戒色欲。专内视。
简外观。爱惜目力。则无有不安者矣。
一论暴发眼肿如桃。并赤眼痛涩难开者。
祛风清热散
当归尾（二两） 赤芍（二钱） 川芎（一钱五分） 生地黄（三钱） 黄连（六分） 黄芩（二
钱）
栀子（三钱） 连翘（三钱） 薄荷（八分） 防风（一钱五分） 荆芥（一钱） 羌活（二钱） 桔梗
（八分） 枳壳（一钱） 甘草（八分） 白芷梢（一钱）
上锉一剂。灯草七根。水煎。食后服。肿痛甚。加大黄、芒硝、风热。加蔓荆子、牛蒡
子。
乌珠痛。加天麻、川乌。（生用三片）犯眼。加苍术、朱砂。眼生翳障。加白蒺藜。眼目被人
打伤青肿。加大黄。如杖疮肿痛未破。作憎寒壮热。或打重血气攻心。加大黄、桃仁。如打
扑伤损内重。瘀血不散。加大黄、桃仁。服之立愈。
一论治眼暴发赤肿。睑高。苦痛不可忍者。
救苦汤
连翘 桔梗 红花 细辛（各二分） 当归身（夏月减半） 甘草（炙各一钱） 苍术（米泔
浸）
龙胆草（各一钱四分） 羌活（太阳） 升麻（阳明） 柴胡（少阳） 防风 本 黄连 生地
黄黄柏 黄芩 知母（各三钱） 川芎（六分）
上锉一剂。水煎。临卧服。
一治火眼赤眼暴发。肿痛不可忍者。
黄连 黄柏 生白矾（各三分）
上锉。胶枣一枚。煎水半钟。洗之立消。
一洗暴发烂弦风眼。用皂矾不拘多少。瓦器盛。于三伏内晒之至白色。须晒十余日。方
好。再入黄连末十分之一。每用少许水和。纸隔洗眼。立效。
一治眼暴发肿痛。用白矾枯过为末。每用三钱。生姜去皮。取自然汁。调如膏。抹纸上
令患人闭目。将药贴眼睛上。烧一炷香尽。痛即止。用温水轻轻洗去。神效。
一外治火眼肿痛。用青矾炒三钱。黄土六钱。皆为细末。井花水调作两饼。如眼睛大。
先将
眼用水洗净。次用纸贴眼上。后用饼贴纸上。令病患仰卧。用水润饼。如干再润。两三时即
已。
一治眼暴发。赤肿痛泪。隐涩难开。用大黄末。新汲水调涂两眉正上头两脑。水润之。
须臾。肿消痛止。
一治如前症。用黄连末五钱。薄荷二钱半。为末。用鸡蛋清和。隔纸涂眼上良久。干则
以水润之。即效。
一论凡眼疾暴发。新久肿痛。痛不可忍者。皆缘心家火起所致也。并治一应障翳等疾。
光明丸 李中山传。
生地黄 白芷 羌活 独活 甘草 薄荷 防风 荆芥 木贼 甘菊花 草决明 黄连
黄芩 黄柏 大黄 连翘 桔梗（各五钱） 归尾 川芎（各三钱）
上药十九味。为末。炼蜜为丸。如绿豆大。每服三五十丸。白滚汤送下。早晚各进一服
一论暴发眼。
泻火升阳汤
黄 （八分） 人参（七分） 甘草（五分） 柴胡（一钱五分） 栀子（二钱） 菊花（二钱）
枳实
（一钱六分） 甘枸杞子 当归 川芎（各三钱） 黄芩（二钱） 升麻（一钱五分） 薄荷（二钱）
本（二钱） 生地黄（三钱） 龙胆草（一钱）
上锉一剂。用水一钟。酒一钟。煎至一钟。临卧服。渣再用水三钟。煎至一钟。温服即
愈。如未全愈。将第三次渣。用水一钟。煎至半钟。温服。忌鱼鸡。
一论内障眼。得之脾胃元气虚弱。心火与三焦皆盛。饮食失节
形体劳役。不得休息。故上为此症也。
冲和养胃汤
黄 （一钱五分） 人参（一钱） 炙甘草（一钱五分） 当归（酒洗一钱） 白术（去芦一钱）
白芍（酒炒六分） 白
茯苓（三分） 柴胡（七分） 升麻（一钱） 羌活（一钱五分） 防风（五分） 黄连（七分） 黄芩
（七分） 干姜（一分） 五味子（二分）
上锉一剂。水煎。稍热服。
一论肝主目。肝受热。则不能视。血弱则肝气无以荣养。肝气有亏。则有花也。久视艰
涩
大赤色者。此血不足。肝之失养也。迎风有泪。肾之虚也。黑睛有翳不散。此亦因劳受
风。血弱不能行也。宜服此药补肝血。滋胆水。益肾气。大有殊功。
家传养肝丸
羚羊角（镑另研五钱） 生地黄（酒浸） 熟地黄（酒蒸） 肉苁蓉（酒洗） 甘枸杞子 防风
（去
芦） 草决明（炒） 菊花 羌活 当归（酒洗） 沙苑蒺藜（炒各一两） 楮实子（炒五钱） 羊
子肝（小肝叶煮焙干为末）
上为细末。炼蜜为丸。如梧桐子大。每服五十丸。加至七十丸至百丸。早盐汤下。午茶
下。临卧。酒下。不饮酒人。当归汤下。即补肝重明丸去赤芍、甘草。
一论素禀虚弱。勤劳。眼目昏暗。
当归（酒洗一钱五分） 白芍（酒炒一钱） 川芎（一钱） 黄柏（人乳汁炒一钱） 生地黄（
二钱）
龙胆草（酒洗四分） 密蒙花（五分） 白术（去芦一钱） 人参（五分） 知母（人乳汁炒一钱）
茺蔚子（一钱） 黄芩（酒炒七分）
上锉一剂。水煎服。
一论病目。用凉药过多。以致隐涩难开。
防风（七分） 黄 （一钱） 炙甘草（五分） 蔓荆子（三分） 当归（五分） 白芷（三分）
升麻（七分） 柴胡（五分）
上锉一剂。水煎服。
一论日晡两目紧涩。不能瞻视者。此元气下陷也。补中益气汤（方见内伤）。根据本方倍参
一论肾水枯竭。神光不足。眼目昏暗。此壮水之主。以制阳光。
壮水明目丸
熟地黄（一两二钱） 山药（一两二钱） 泽泻（八钱） 山茱萸（酒蒸去核一两二钱） 茯苓
（去
皮一两） 川芎（二钱） 牡丹皮（八钱） 当归（酒洗一两） 生地黄（五钱） 蔓荆子（一两）
甘菊花（五钱） 黄连（五钱） 柴胡（三钱） 五味子（五钱）
上为细末。炼蜜为丸。如梧桐子大。每服四五十丸。用好酒调服。
一论远年近日。烂弦风眼。翳障青盲。肿痛百病。
点眼仙方 临州马伏所传。
蕤仁（三钱净去皮将竹纸碾去油方入药用笔筒卷纸将叶铺纸上重层卷碾） 珍珠（二分五
厘生
用绵纸包打碎碾） 琥珀（二分生用纸包打碎碾烂） 熊胆（一分五厘生碾碎） 牛黄（一分生用
）麝香（半分生用） 片脑（一分五厘生用） 蜂蜜（三钱五分用慢火煨化滤去渣）
上先秤眼药罐。次加蜜。秤后入药。搅以上药八味。调匀点睛。
一论暴发风热。时行火眼神效。
紫金锭 陈省斋秘传。
川黄连四两。锉为粗末。将井花水十钟。浸两三日。入锅煎至三钟。去渣。再熬至半钟
下水胶一钱二分溶化。调后药为锭。铜绿（五钱） 轻粉（二钱） 宫粉（三两）
上共为细末。将黄连汁调为锭。阴干。用时将井花水磨。加熊胆五分。冰片二分。尤妙
一论两目翳障。烂弦风热。昏蒙色眼。皆治。
光明散
炉甘石（用上好的四两） 珍珠（四钱）
上二味。用竹纸包定。将新倾银紫泥罐为饼。包石珠在内为丸。外用熊胆一钱。硼砂二
钱。
火硝三钱。研末为衣。再用紫泥罐包裹晒干。用炭火 炼。以七根线香为度。炼四炷香。用
童便淬之。浸黑色为妙。又炼根半香。以好醋淬之。再炼根半香歇火。听用。
前炼过末药一钱。加熊胆一分。火硝一分。为极细末。点眼。其效如神。
一论远年近日。内障青盲。云翳推移。火眼暴发。迎风流泪。怕日羞明。肝肾虚损等疾
点之悉愈。能治七十二种眼疾。能医二十年目不明者。惟有瞳人反背而睛散者。不治。
仙传珊瑚紫金膏 薛巡兵秘传。
白炉甘石（南方出名羊脑炉甘童便浸七日用灰火硝银砂锅内 投入童便内共十日晒干细
研一
两） 麝香（拣净去皮细研五分） 黄丹（高者名□丹滚水飞过三次晒干细研为细末一两） 海
螵蛸（
即乌贼鱼骨剥去皮甲壳火炙过细研一钱） 乳香（光明者入砂锅内微火炒出其烟研细末二钱）
没药（光明者入砂锅内微
火炒出烟细研二钱） 白硼砂（明净二钱细研） 青盐（去泥土细研五分） 片脑（细研三分）
上将前七味。各研细末。称足。合入一处。入钵内再研。细极无声。后入麝片二味。再研调匀。将蜂蜜用细袋滤
过。熬蜜滴水成珠。夏老冬嫩。春秋酌老嫩之间。用蜜调药。令稀稠得
所。瓷器内封固。不可泄气。点眼神效。
一人两目作痛。服降火去风之药。两目如绯。热倦殊甚。余用十全大补汤数剂。诸症悉
退。服补中益气汤兼六味丸而愈。复因劳役。午后目涩热倦。再用十全大补而痊。
一人年二十。素嗜酒色。两目赤痛。或作或止。两尺洪大。按之微弱。余谓少年得此病
目
一人目赤不明。服祛风散热药。反剧而重听。脉大而虚。此因劳心过度。饮食失节。用补
The pulse at the left Cun position is surging and rapid, indicating flaming heart fire. The Guan position pulse is wiry and surging, indicating abundant liver fire. Both the right Cun and Guan positions exhibit wiry and surging pulses, suggesting that liver wood, carrying the momentum of ministerial fire, insults the metal it cannot overcome (lung) and controls the earth it can overcome (spleen).
When the heavenly cycle deviates from its regular path, the two luminaries (sun and moon) suffer eclipse; when the human body experiences disharmony, the eyes produce discharge and vision becomes dim. The eyes in the human body are like the sun and moon hanging in the sky: brightness is their normal state, while dimness is an abnormal change. Among all parts of the body, the eyes are the most precious, where the essence of the zang-fu organs gathers and the root of blood vessels connects. Li Dongyuan stated: According to the *Treatise on Yin and Yang Corresponding to Phenomena*, all meridians belong to the eyes. It also states: The eyes can see only when they receive blood nourishment. The essence of the five zang and six fu organs all ascends to the eyes to form their essence. The nest of essence is the eye; the essence of bone manifests as the pupil; the essence of sinew manifests as the black eye (iris); the essence of blood manifests as the general network of the eyelids; the essence of qi manifests as the white eye (sclera); the essence of muscle manifests as the constraints wrapping the eye. The essence of sinew, bone, blood, and qi combines with the meridians to form the optic nerve, which ascends to connect with the brain and exits posteriorly from the neck. Therefore, the pupil and black eye follow yin, while the white eye and red vessels follow yang. Thus, when yin and yang harmonize, clear vision is achieved. Consequently, the essence and qi of the five zang and six fu organs, twelve primary meridians, and three hundred and sixty-five collaterals all derive from spleen-earth, ascending to converge at the eyes to produce clarity of vision. Hence, the eyes are the messengers of the heart, and the heart is the residence of the spirit. If the spirit becomes chaotic and fails to reside properly, sudden exposure to unusual or strange sights may cause evil pathogens to invade the essence, leading to dispersion of essence, resulting in diplopia (seeing one object as two) or visual blurring. Due to mental distress, irregular diet, and excessive labor, the spleen and stomach become weak, and heart fire becomes excessive, causing the hundred vessels to boil and surge, with blood vessels flowing chaotically. The classics state: "Although the sun and moon are bright, if evil harms the empty orifices," this refers to such conditions. Dean Dong stated: The head and tail of the eyes, if red, belong to the heart; the entire white sclera belongs to the lung; the large round black pupil belongs to the liver; the upper and lower eyelid flesh belongs to the spleen; and the small black dot in the center resembling lacquer is actually governed by the kidney. This corresponds to the manifestations of the five zang organs. However, regarding their primary governance, the relationship of the pupil is the most significant. Why? Because the eyes are external indicators of the liver and kidney. Liver corresponds to wood, and kidney corresponds to water; water generates wood, with liver as the child and kidney as the mother. How can child and mother be separated? Therefore, when liver and kidney qi are abundant, the gaze is bright and vivid; when deficient, vision is blurred and dizzy. Red halos around the black eye, stinging pain, and floating exudate indicate liver heat. Clear tears secreted by the gallbladder, with yellowish dryness surrounding the eyes, indicate liver deficiency. Dilated pupils, pale and deviated, indicate kidney deficiency. Scorching small pupils or those with a slight yellow tint indicate kidney heat. Furthermore, white sclera with redness or red veins indicates heat in the lung. Redness or acne-like spots on the upper and lower eyelids or between the eyes indicate heat in the spleen. Moreover, the eyes are wrapped in thin membranes containing water, illuminating all directions. Tracing back to the source, without the water of Tianyi (kidney water), who would govern the eyes? Analyzing further: Tension and traction, blue-black eyes with white eyelids, itching with clear tears, no redness or pain, is called Wind Eye. Protrusion of the black eye, hard and swollen red eyelids, sticky discharge and tears, internal heat with stinging pain, is called Heat Eye. Turbid tearing, soft and swollen eyelids, upper congestion and blurriness, soreness and slight redness, is called Qi Eye. If wind and heat combine, there is itching and floating redness; if wind and qi clash, there is itching, astringency, and heaviness. Blood heat aggregation produces conditions like skin overgrowth, red filaments, and hordeolum. When qi and blood do not reach, conditions like monocular blindness, ptosis, night blindness, and visual obstruction occur. Pale purple with hidden red indicates deficiency heat; bright red with crimson indicates excess heat. Exposed canthi growing pterygium indicate abundant heart blood and heat. White sclera with red membranes like paper umbrellas indicate qi stagnation and blood coagulation. In heat syndromes, the pupil bulges inward, the white sclera is moist, and the color floats and is red. In cold syndromes, the pupil is green-blue, the white sclera is withered, and the qi sinks and is turbid. If eye heat persists and is invaded by wind-cold, redness and ulceration occur. If the eye is not red but painful due to phlegm-fluid retention, it causes pain. Unsmooth liver qi combined with heat causes photophobia. Accumulated heat damaging the eyelids causes them to close. Liu Hejian stated: Disease in the fu organs is exterior syndrome, requiring wind-dispelling and heat-clearing; disease in the zang organs is interior syndrome, requiring blood-nourishing and spirit-calming. Sudden blindness, blurriness, films, discharge, and spots entering the eye indicate wind-heat. Another view holds that spots entering the eye indicate abundant liver qi manifesting at the superficial level, suitable for dispersing via exterior-releasing methods. Blurred weakness, unwillingness to look, internal cataracts with black flowers, and dilated pupils are interior syndromes caused by blood deficiency and spiritual fatigue/kidney deficiency, suitable for nourishing blood, replenishing water, and calming the spirit. Observing previous physicians' treatments, the general approach prioritizes cooling the liver, clearing the heart, regulating blood, and smoothing qi. One should not rigidly adhere to "water generates wood" and over-supplement. Kidney water dislikes dryness; even in deficiency, one merely uses herbs like Dang Gui and Shu Di Huang to moisten. Mild cases can be warmed and tonified. Moreover, spleen generates dryness, while liver prefers moisture. Ancient formulas often use Xing Ren, Gan Shi, Yi Tang, and Sha Mi as assistants, clearly intending to moisten and benefit. Since the spleen is the head of all yin organs and the eyes are the masters of blood vessels, spleen deficiency causes the essence of the five zang and six fu organs to lose their direction and fail to illuminate the eyes. The heart is the monarch fire, governing the spirit, preferring stillness and peace. Ministerial fire acts on its behalf; it is the fire of the pericardium, governing the hundred vessels, all nourishing the eyes. Labor and reckless movement, combined with evil invasion damaging the vessels, give rise to various diseases. Treating leukoma requires nourishing blood and calming the spirit, but must also regulate the spleen and stomach, which is the excellent method. Regarding removing leukoma, it is particularly critical. Leukoma arises from the lung; lung heat causes mild blurriness or severe leukoma. Some say Pearl Leukoma, shaped like broken rice, is easy to disperse; Plum Blossom Leukoma, shaped like plum blossoms, is difficult to eliminate. Although leukoma arises from heat, treatment应先 remove leukoma then clear heat, because extreme heat generates leukoma; if heat is cleared first, blood coagulates and leukoma cannot be removed. Patients with red eyes given too many cooling medicines and washed with water find the water congeals quickly; the eye is merely a mass of water. Water is clear, so one should not rigidly rely on washing. Causes include emotional imbalance, excessive desires, eye strain, excessive crying, exposure to cold and wind, sun exposure in summer, avoiding smoke and fire, and spicy foods. These diseases originate in the zang-fu organs. Can one rely solely on topical washing? One must investigate the cause, understand the root and branch, analyze the vital energy to regulate it, and balance it with appropriate medications. Patients should sit quietly, clarify their spirit, control diet, abstain from sexual desire, focus inward, reduce external distractions, and cherish their eyesight, ensuring health.
A discussion on acute eye swelling like a peach and red eyes with painful astringency making opening difficult.
Qu Feng Qing Re San (Wind-Dispersing Heat-Clearing Powder)
Dang Gui Wei (Two liang), Chi Shao (Two qian), Chuan Xiong (One qian five fen), Sheng Di Huang (Three qian), Huang Lian (Six fen), Huang Qin (Two qian), Zhi Zi (Three qian), Lian Qiao (Three qian), Bo He (Eight fen), Fang Feng (One qian five fen), Jing Jie (One qian), Qiang Huo (Two qian), Jie Geng (Eight fen), Zhi Ke (One qian), Gan Cao (Eight fen), Bai Zhi Shao (One qian).
Decoct one dose with seven stalks of Deng Cao in water, take after meals. For severe swelling and pain, add Da Huang and Mang Xiao; for wind-heat, add Man Jing Zi and Niu Bang Zi. For black eye pain, add Tian Ma and Chuan Wu (three slices raw). For eye invasion, add Cang Zhu and Zhu Sha. For leukoma, add Bai Ji Li. For bruising from injury, add Da Huang. For unbroken杖疮 with chills and high fever, or severe trauma affecting heart qi, add Da Huang and Tao Ren. For severe internal trauma with unresolved blood stasis, add Da Huang and Tao Ren. Immediate recovery follows administration.
A discussion on treating acute red and swollen eyes with high eyelids and unbearable pain.
Jiu Ku Tang (Relieve Suffering Decoction)
Lian Qiao, Jie Geng, Hong Hua, Xi Xin (Two fen each), Dang Gui Shen (halved in summer), Zhi Gan Cao (One qian each), Cang Zhu (soaked in rice water), Long Dan Cao (Four qian four fen each), Qiang Huo (Taiyang channel), Sheng Ma (Yangming channel), Chai Hu (Shaoyang channel), Fang Feng, Ben Cao, Huang Lian, Sheng Di Huang, Huang Bo, Huang Qin, Zhi Mu (Three qian each), Chuan Xiong (Six fen).
Decoct one dose in water, take before bed.
A treatment for acute fire-eye and red-eye with unbearable swelling and pain.
Huang Lian, Huang Bo, Sheng Bai Fan (Three fen each).
Crush, decoct with one gelatinous date in half a zhong of water, wash the eyes, immediate resolution.
A wash for acute marginal blepharitis (rotten string wind-eye). Use sufficient Zao Fan, store in a clay vessel, dry in the dog days until white (over ten days). Add one-tenth Huang Lian powder. Mix with water, apply using paper barrier, immediate effect.
Treatment for acute eye swelling and pain. Burn Bai Fan to ash, powder it. Use three qian, mix with fresh ginger juice into a paste. Apply on paper to closed eyes for the duration of one incense stick. Pain stops. Wash gently with warm water. Divine efficacy.
External treatment for fire-eye swelling and pain. Stir-fry Qing Fan (three qian) and yellow soil (six qian) to fine powder. Mix with well water into two cakes size of the eye. Clean eye, place paper over eye, then cake on paper. Patient lies supine. Moisten cake with water until dry, repeat. Resolve in two to three hours.
Treatment for acute eye onset with redness, swelling, pain, tearing, and astringency. Apply Da Huang powder mixed with fresh water to the area above the eyebrows and temples. Swelling and pain subside shortly.
Treatment for the above condition. Mix five qian Huang Lian powder with two qian half Bo He powder. Combine with egg white, apply through paper to eyes for a long time. Moisten if dry. Immediate effect.
A discussion stating that all acute eye diseases, new or old, with unbearable pain, are caused by heart fire. Also treats various opacities.
Guang Ming Wan (Bright Light Pill) Transmitted by Li Zhongshan.
Sheng Di Huang, Bai Zhi, Qiang Huo, Du Huo, Gan Cao, Bo He, Fang Feng, Jing Jie, Mu Zei, Gan Ju Hua, Cao Jue Ming, Huang Lian, Huang Qin, Huang Bo, Da Huang, Lian Qiao, Jie Geng (Five qian each), Gui Wei, Chuan Xiong (Three qian each).
Grind nineteen ingredients into powder, make pills with honey the size of mung beans. Take 30-50 pills with plain boiled water, morning and evening.
A discussion on acute eye.
Xie Huo Sheng Yang Tang (Drain Fire and Raise Yang Decoction)
Huang Qi (Eight fen), Ren Shen (Seven fen), Gan Cao (Five fen), Chai Hu (One qian five fen), Zhi Zi (Two qian), Ju Hua (Two qian), Zhi Shi (One qian six fen), Gou Qi Zi, Dang Gui, Chuan Xiong (Three qian each), Huang Qin (Two qian), Sheng Ma (One qian five fen), Bo He (Two qian), Ben Cao (Two qian), Sheng Di Huang (Three qian), Long Dan Cao (One qian).
Decoct one dose with one zhong water and one zhong wine to one zhong. Take before bed. Reprocess dregs with three zhongs water to one zhong, take warm. Cure. If not fully cured, process third dregs with one zhong water to half zhong, take warm. Avoid fish and chicken.
A discussion on internal cataract caused by spleen-stomach yuan qi deficiency, excessive heart fire and sanjiao, irregular diet, physical labor, and lack of rest.
Chong He Yang Wei Tang (Harmonize and Nourish Stomach Decoction)
Huang Qi (One qian five fen), Ren Shen (One qian), Zhi Gan Cao (One qian five fen), Dang Gui (Washed in wine, one qian), Bai Zhu (De-rhizome, one qian), Bai Shao (Stir-fried in wine, six fen), Bai Fu Ling (Three fen), Chai Hu (Seven fen), Sheng Ma (One qian), Qiang Huo (One qian five fen), Fang Feng (Five fen), Huang Lian (Seven fen), Huang Qin (Seven fen), Gan Jiang (One fen), Wu Wei Zi (Two fen).
Decoct one dose in water, take slightly warm.
A discussion on liver governing the eyes. Liver heat prevents vision. Weak blood fails to nourish liver qi; deficient liver qi causes floaters. Difficulty seeing for long periods, large redness indicates blood insufficiency and liver malnourishment. Tearing in wind indicates kidney deficiency. Persistent leukoma on black eye indicates wind invasion due to labor and weak blood flow. This formula tonifies liver blood, nourishes gallbladder water, and benefits kidney qi with great merit.
Family-Inherited Yang Gan Wan (Nourish Liver Pill)
Ling Yang Jiao (Powdered separately, five qian), Sheng Di Huang (Soaked in wine), Shu Di Huang (Steamed in wine), Rou Cong Rong (Washed in wine), Gou Qi Zi, Fang Feng (De-rhizome), Cao Jue Ming (Stir-fried), Ju Hua, Qiang Huo, Dang Gui (Washed in wine), Sha Yuan Ji Li (Stir-fried, one liang each), Chu Shi Zi (Stir-fried, five qian), Yang Zi Gan (Small lobe boiled, baked, powdered).
Grind to fine powder, make pills with honey the size of paulownia seeds. Take 50 pills, increase to 70-100. Morning with salt water, noon with tea, bedtime with wine. Non-drinkers use Dang Gui decoction. This is Bu Gan Chong Ming Wan minus Chi Shao and Gan Cao.
A discussion on chronic weakness and labor causing dim vision.
Dang Gui (Washed in wine, one qian five fen), Bai Shao (Stir-fried in wine, one qian), Chuan Xiong (One qian), Huang Bo (Fried in human milk, one qian), Sheng Di Huang (Two qian), Long Dan Cao (Washed in wine, four fen), Mi Meng Hua (Five fen), Bai Zhu (De-rhizome, one qian), Ren Shen (Five fen), Zhi Mu (Fried in human milk, one qian), Chong Wei Zi (One qian), Huang Qin (Stir-fried in wine, seven fen).
Decoct one dose in water, take orally.
A discussion on eye disease caused by excessive cooling medicines leading to astringency and difficulty opening.
Fang Feng (Seven fen), Huang Qi (One qian), Zhi Gan Cao (Five fen), Man Jing Zi (Three fen), Dang Gui (Five fen), Bai Zhi (Three fen), Sheng Ma (Seven fen), Chai Hu (Five fen).
Decoct one dose in water, take orally.
A discussion on tightness and astringency of both eyes in the late afternoon (Shen hour), unable to gaze, indicating sinking of yuan qi. Bu Zhong Yi Qi Tang (See Internal Injury section). Double the Ren Shen dosage.
A discussion on exhaustion of kidney water, insufficient divine light, and dim vision. This employs "Strengthening the Master of Water to Control Solar Flare."
Zhuang Shui Ming Mu Wan (Strengthen Water Brighten Eyes Pill)
Shu Di Huang (One liang two qian), Shan Yao (One liang two qian), Ze Xie (Eight qian), Shan Zhu Yu (Steamed in wine, de-seeded, one liang two qian), Fu Ling (Peeled, one liang), Chuan Xiong (Two qian), Mu Dan Pi (Eight qian), Dang Gui (Washed in wine, one liang), Sheng Di Huang (Five qian), Man Jing Zi (One liang), Gan Ju Hua (Five qian), Huang Lian (Five qian), Chai Hu (Three qian), Wu Wei Zi (Five qian).
Grind to fine powder, make pills with honey the size of paulownia seeds. Take 40-50 pills mixed with good wine.
A discussion on chronic and recent marginal blepharitis, leukoma, amaurosis, swelling, pain, and myriad diseases.
Dian Yan Xian Fang (Divine Eye-Drop Formula) Transmitted by Ma Fu of Linzhou.
Rui Ren (Three qian, peeled, oil removed via bamboo paper rolling), Zhen Zhu (Two fen five li, raw, crushed in cotton paper), Hu Po (Two fen, raw, crushed in paper), Xiong Dan (One fen five li, raw, crushed), Niu Huang (One fen, raw), She Xiang (Half fen, raw), Pian Nao (One fen five li, raw), Feng Mi (Three qian five fen, melted slowly, filtered).
Weigh the eye-drop jar, add honey, weigh again, add drugs, mix eight ingredients evenly for application.
A discussion on acute wind-heat and epidemic fire-eye. Highly effective.
Zi Jin Ding (Purple Gold锭) Secret Transmission of Chen Shengzhai.
Chuan Huang Lian (Four liang), coarse powder. Soak in ten zhongs of well water for two to three days. Decoct to three zhongs, filter. Boil down to half zhong. Dissolve one qian two fen of water glue. Mix with following drugs to form ingots: Tong Lv (Five qian), Qing Fen (Two qian), Gong Fen (Three liang).
Grind together to fine powder. Mix with Huang Lian juice to form ingots. Dry in shade. Grind with well water before use. Add Xiong Dan (Five fen) and Bing Pian (Two fen) for best results.
A discussion on bilateral leukoma, marginal blepharitis with wind-heat, blurriness, and colored vision. All treated.
Guang Ming San (Bright Light Powder)
Lu Gan Shi (Four liang, high quality), Zhen Zhu (Four qian).
Wrap both in bamboo paper. Form cakes in a new silver-purple mud pot, encasing stone and pearl inside. Coat externally with Xiong Dan (One qian), Peng Sha (Two qian), Huo Xiao (Three qian) ground to powder. Wrap in purple mud pot, dry, calcine with charcoal fire for the duration of seven incense sticks. Quench in child's urine until black. Calcine another half incense, quench in good vinegar. Calcine another half incense, stop fire. Take one qian of processed powder, add Xiong Dan (One fen), Huo Xiao (One fen), grind to ultra-fine powder for eye application. Divine efficacy.
A discussion on chronic and recent internal cataracts, amaurosis, shifting cloud-like leukoma, acute fire-eye, wind-induced tearing, photophobia, liver-kidney deficiency. All cured by application. Treats seventy-two eye diseases. Cures twenty-year blindness. Except for reversed pupils and scattered eyeballs, which are untreatable.
Xian Chuan Shan Hu Zi Jin Gao (Immortal Coral Purple Gold Ointment) Secret Transmission of Xue Xunbing.
Bai Lu Gan Shi (Southern Yang Brain type, soaked in child's urine for seven days, fired with ash/fire/nitrate in silver pot, soaked in urine for ten days, dried, ground fine, one liang), She Xiang (Selected clean, peeled, ground fine, five fen), Huang Dan (High grade, passed through boiling water three times, dried, ground fine, one liang), Hai Piao Xiao (Cuttlefish bone, peeled, roasted, ground fine, one qian), Ru Xiang (Bright quality, stir-fried in sand pot until smoke appears, ground fine, two qian), Mo Yao (Bright quality, stir-fried in sand pot until smoke appears, ground fine, two qian), Bai Peng Sha (Clear, two qian, ground fine), Qing Yan (Cleaned, ground fine, five fen), Pian Nao (Ground fine, three fen).
Grind first seven ingredients finely, weigh accurately, mix in mortar until silent. Add She Xiang and Pian Nao, mix uniformly. Filter honey through fine bag, boil until it forms beads when dropped in water (older in summer, younger in winter, adjust for spring/autumn). Mix medicine with honey to proper consistency. Seal in porcelain jar, prevent air leakage. Divine efficacy for eye drops.
Case 1: A patient suffered bilateral eye pain. After taking fire-descending and wind-dispelling medicines, eyes became crimson, with severe heat and fatigue. I administered Shi Quan Da Bu Tang for several doses; symptoms resolved. Then used Bu Zhong Yi Qi Tang combined with Liu Wei Di Huang Wan for cure. Recurrence of afternoon eye dryness, heat, and fatigue due to labor was cured with another course of Shi Quan Da Bu Tang.
Case 2: A twenty-year-old man, accustomed to alcohol and sex, suffered recurrent bilateral red and painful eyes. Radial pulses were surging and rapid, but weak upon pressure. I diagnosed this youth's eye disease...
Case 3: A patient had red, unclear eyes. After taking wind-dispersing and heat-clearing medicines, symptoms worsened with hearing loss. Pulse was large and empty. This was due to excessive mental labor and irregular diet. Using tonification...