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When children suffer from eye nebula (corneal opacity), one should not lightly use topical eye drops; the primary treatment should be internal medication to dissipate the nebula. One must observe the distribution of red vessels (ocular hyperemia) up, down, inside, and outside, and treat according to the affected meridians. This has been detailed in Volume 7 of Miscellaneous Diseases and the General Discussion by Master Xue previously, so it is not repeated here.

[Xue Ji] A fourteen-year-old girl, due to anger, first experienced amenorrhea, alternating chills and fever, and hypochondriac pain. Subsequently, greenish-green nebulae appeared in both eyes, developing from the outside inward. I reasoned that alternating chills and fever with hypochondriac pain are syndromes of the Foot Jueyin Liver Meridian, while nebulae arising from the outside are syndromes of the Foot Shaoyang Gallbladder Meridian. The pulse at the left Guan position was wiry and rapid, and rough upon pressure, indicating wind-heat in the Liver Meridian accompanied by blood stasis. Thus, I prescribed Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with added Fangfeng (Saposhnikovia Root) and Longdancao (Gentian Root). After four doses, the alternating chills, fever, and hypochondriac pain decreased abruptly. She then used Liuwei Wan (Six-Ingredient Rehmannia Pill) for over a month, after which the nebula dissipated.

A fifteen-year-old boy had white nebulae in both eyes, skin resembling scabies but not quite on his abdomen, diaphragm, and whole body, afternoon fever, dry mouth, and emaciation like a skeleton. This is a syndrome of Gan Gan (Liver Malnutrition Syndrome). He was cured using Liufei'er Wan (Six-Ingredient Fattening Child Pill). Later, his penis became itchy, urine was cloudy and white, and sores worsened, resembling Leprosy (Da Feng). He used Da Lushen Siwei Fei'er Wan (Large Aloe Four-Ingredient Fattening Child Pill), and all symptoms gradually improved. He was then cured using Da Wuyi Tang (Large Chromolaena Decoction).

A nine-year-old boy, who had chronic Liver Fire, developed eye nebulae. Taking Lushen Wan (Aloe Pill) and Fei'er Wan (Fattening Child Pill) led to immediate recovery. After age fourteen, due to excessive mental exertion and irregular diet, he suffered from night blindness. He was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), Renshen Weitang (Ginseng Stomach-Tonifying Decoction), and Siwei Fei'er Wan (Four-Ingredient Fattening Child Pill).

Another child frequently developed eye nebulae, caused entirely by the wet nurse's anger. Using Jiwei Lushen Wan (Nine-Ingredient Aloe Pill) and Chaihu Zhizi San (Bupleurum and Gardenia Powder), administered to both mother and child, resulted in a cure.

Another child, due to irregular breastfeeding and overdosing on medicine, developed abdominal distension, poor appetite, and irregular bowel movements. His eyes saw spots (visual disturbances). After taking eye medications, floating nebulae gradually formed. I used Yigong San (Extraordinary Skill Powder) with added Danggui (Angelica Sinensis) and Chaihu (Bupleurum). As his diet gradually recovered and bowel movements normalized, I slightly supplemented with Jiwei Lushen Wan, and his vision gradually cleared. Finally, he was cured using Renshen Weitang and Fei'er Wan.

A twelve-year-old boy, suffering from cold damage with cough and fever, took dispersing medicines, causing gradual visual impairment. Then he took fire-descending medicines, leading to reduced diet and gradual formation of eye nebulae. I diagnosed this as deficiency of Middle Qi. Using Renshen Weitang, his diet gradually recovered. He then used Qianjin Bugan Wan (Thousand Gold Liver-Tonifying Pill) and fumigation therapy, resulting in a cure.

A twelve-year-old girl had white nebulae, sallow and puffy face, dry mouth, and diarrhea. She was cured using Siwei Fei'er Wan.

*Ben Shi Fang* treats Sun Han Shui Xian (Sun Cold-Water Depression), where nebulae obscure the pupil.
Fangfeng (Saposhnikovia Root), Baijili (Tribulus Fruit) (each 1 liang), Qianghuo (Notopterygium Root), Ganhua Ju (Chrysanthemum Flower) (3 liang).
Grind into powder. Take 2 qian per dose, add a little salt, and take with boiling water.

*Bao Ming Ji* Lingyangjiao San (Antelope Horn Powder) treats Bing Yi (Ice Nebula) that persists for a long time.
Lingyangjiao (Antelope Horn shavings), Shengma (Cimicifuga Rhizome), Xixin (Asarum Root) (each equal parts), Gancao (Licorice Root) (half amount).
Grind into powder. Half is made into honey pills the size of paulownia seeds, taking 50-70 pills per dose. The other half is decocted in rice water to swallow the pills.
Fa Xian Yi (Depressed Nebula) also belongs to the category of Lingyangjiao San; usage depends on individual circumstances. For those with Yin deficiency and heat, administer Shenxian Tuiyun Wan (Immortal Cloud-Removing Pill) concurrently.

[Li Dongyuan] Buyang Tang (Tonify Yang Decoction) treats Yang failing to overcome Yin, i.e., Yin excess and Yang deficiency, leading to obstruction of the nine orifices. Green or white nebulae appear in the eyes because the Yang Qi of the Foot Jueyin Liver Meridian is suppressed within the Foot Taiyang Bladder and Foot Shaoyin Kidney Meridians, preventing it from ascending to the eyes, thus causing internal obstruction of green nebulae. One should tonify the Yang Qi of the Liver within the Taiyang and Shaoyin meridians (as if in the depths of the earth), allowing it to surge upward. This is first tonifying Yang, then draining the Fire of the Foot Jueyin Liver Meridian which lies hidden within Yang at the Biao points of the Foot Taiyin Spleen Meridian. *Neijing* states: "When Yin is excess and Yang is deficient, one should first tonify Yang, then drain Yin." Take Shengyang Tang (Raise Yang Decoction) on an empty stomach daily, and Xiayin Wan (Drain Yin Pill) before bed. One must regulate constitution to achieve balance beforehand, and take it when the weather is clear and bright, tonifying Yang to ascend and reach the extremities of the Liver Meridian, thereby clearing the orifices of the eyes.
Qianghuo (Notopterygium Root), Duhuo (Angelica Pubescens Root), Dangguishen (Body of Angelica Sinensis, wine-washed, dried), Gancaoshao (Tip of Licorice Root), Shudihuang (Prepared Rehmannia Root), Renshen (Ginseng Root), Huangqi (Astragalus Root), Baizhu (Atractylodes Macrocephala Rhizome) (each 1 liang), Zexie (Alisma Rhizome), Juhong (Pomelo Peel) (each 0.5 liang), Shengdihuang (Rehmannia Root, fried), Baifuling (Poria), Zhimu (Anemarrhena Rhizome, fried yellow) (each 3 qian), Chaihu (Bupleurum Root) (2 liang), Fangfeng (Saposhnikovia Root), Baishao (White Peony Root) (each 5 qian), Rougui (Cinnamon Bark) (1 qian).
For each dose of 5 qian, decoct in water, take on an empty stomach. Wait until the medicinal force has fully circulated before eating.

[Li Dongyuan] Qianghuo Tuiyi Tang (Notopterygium Nebula-Removing Decoction)
Chaihu (Bupleurum Root), Gancao (Licorice Root), Huangqi (Astragalus Root) (each 3 qian), Qianghuo (Notopterygium Root), Huanglian (Coptis Rhizome), Wuweizi (Schisandra Berry), Shengma (Cimicifuga Rhizome), Dangguishen (Body of Angelica Sinensis) (each 2 qian), Fangfeng (Saposhnikovia Root) (1.5 qian), Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark, wine-soaked), Shaoyao (Peony Root), Caolongdan (Gentian Root, wine-washed) (each 5 qian), Shigao (Gypsum Fibrosum) (2.5 qian).
Divide into two doses, decoct in water, add a little wine, take hot before bed. Avoid speaking.

[Luo Qianfu] Wuxiu Chongming Wan (Five Elegances Double-Brightening Pill) treats eye nebulae obscuring the pupil, gritty sensation, and blurred vision. Regular consumption clears and benefits the head and eyes.
Ganhua Ju (Chrysanthemum Flower) (500 flowers), Jingjie (Schizonepeta Spike), Muzei (Equisetum Stem, nodes removed) (500 stems), Chushi (Chinese Wolfberry Fruit) (500 fruits).
Grind into powder, make into honey pills the size of paulownia seeds. Take 50 pills per dose, with plain warm water.

Zhen Gan San (Settle Liver Powder) removes phlegm-heat and reduces nebulae.
Huhuanglian (Picrorhiza Rhizome), Zhiziren (Gardenia Seed) (each 1 liang), Gancao (Licorice Root, lightly roasted), Mayaxiao (Saltpeter), Qingxiangzi (Celosia Seed) (each 0.5 liang, above ground into fine powder, set aside), Zhenzhumo (Pearl Powder, ground), Niuhuang (Calculus Bovis, ground) (each 2.5 qian).
Mix well, grind finely. Take 1 qian per dose, with 8 fen of water, add a little Jingjie (Schizonepeta Spike) and Bohe (Mint Leaf), decoct to 4 fen, strain, take warm after meals.

Jingquanshi San (Well Spring Stone Powder) treats Yan Gan (Eye Malnutrition Syndrome), where pathogenic heat attacks the eyes, gradually forming cataracts and damaging the pupil.
Jingquanshi (Well Spring Stone), Shijueming (Abalone Shell), Ganhua Ju (Chrysanthemum Flower), Yemingsha (Cyprinus Carpio Feces, lightly fried), Huanglian (Coptis Rhizome, remove roots), Wancansha (Silkworm Frass, lightly fried) (each 0.5 liang).
Grind into fine powder. Take 1 qian per dose, with one bowl of rice wash water, add a little raw pork liver, decoct to 5 fen, until the liver is soft. Let cool slightly, take occasionally after milk/food.

[Luo Shi] Zhu Gan San (Boiled Liver Powder) treats pediatric Gan eye nebulae, photophobia, and inability to see. Ten days of administration will surely reduce them. For adult Nyctalopia (Night Blindness), one dose is effective.
Yemingsha (Cyprinus Carpio Feces), Qinghafen (Green Clam Powder), Gujingcao (Sparganium Rhizome) (each 1 liang).
Grind into fine powder. Take 1 qian per dose, 2 qian for ages seven and above. Take a large slice of pork liver, split open, sprinkle medicine inside, spread evenly, tie with hemp thread. Boil the liver in half a bowl of rice wash water until cooked. Remove. Pour the liver broth into a bowl to fumigate the eyes. Divide the liver into three portions. Chew thoroughly, then swallow with the liver broth. Three times a day, at any time. For adult nyctalopia, take on an empty stomach; vision returns at night. If the condition has persisted for a long time, take twice a day.

Long La Yinzi (Dragon Wax Drink) treats Gan eye with pus discharge and Gan nebulae, caused by damp-heat. It is miraculous. It does not apply to cold-damp conditions.
Qinghafen (Green Clam Powder), Shetuipi (Snake Slough), Gujingcao (Sparganium Rhizome) (each 0.5 liang), Qianghuo (Notopterygium Root), Caolongdan (Gentian Root) (each 3 qian), Mahuang (Ephedra Herb) (2.5 qian), Huangqin (Scutellaria Root, fried), Shengma (Cimicifuga Rhizome) (each 2 qian), Yujin (Curcuma Radix), Gancao (Licorice Root, roasted) (each 0.5 qian).
Grind into fine powder. Take 2 qian per dose after meals, mixed with tea liquor.

Moxibustion for Nyctalopia and Gan Eye Method: For pediatric nyctalopia (night blindness), moxa one Zhu at the inner edge of the transverse crease one cun behind the nail of the thumb, on the boundary of white flesh. For pediatric Gan eye, moxa Hegu (LI4) acupoint, bilateral, one Zhu each, moxa cone size of wheat grain, located in the depression between the first and second metacarpal bones.