目有两睛，犹天之有日月也，平空昏者何故？答曰∶皆因酒色过度，忧愁思虑悲哭，或醉饱，脏血不匀，肝经
抑郁，则为患矣。宜点虎液珍珠膏，服明目流气饮。
明目流气饮 治目中障翳，隐涩难开，迎风冷泪，时时暴赤，视物不明，眼生黑花。
大黄（炮） 牛蒡子（炒） 川芎 甘菊 白蒺藜（炒去刺） 细辛 防风 元参 栀子（炒） 荆芥穗
蔓荆子（炒） 甘草 黄芩 木贼（去节） 草决明（炒，以上俱七分） 苍术（米泔水浸，六分）
水煎食后服，或为末，临卧时酒送二钱。一方加木通、白术、石决明。
目有赤肿者何故？答曰∶五脏热邪内攻，
以致心火暴盛，皆酒之所致也，宜点青龙虎液膏，服洗心散、羊肝丸。（方见七十一问）
洗心散 治肝热传于心经，积热上攻，眼弦涩，睛疼，热盛风多。
木通 赤芍 甘草 荆芥 黄连 薄荷 当归 生地黄
水煎食后服。（五问、六十三问其方俱与此不同）
目有赤而不痛者何故？答曰∶肝实也。肝者，血脏也，肝实则血盛，盛则血气上攻，侵贯瞳仁，故赤而
不痛。并痛至坐卧不得，宜点凤麟、羊脑玉，服泻肝散。
泻肝散
大黄（五钱） 荆芥（一两） 甘草（一钱）
共为细末，每用热汤送二钱。
目有赤而昏暗，起黑云，大角红者何故？答曰∶肝虚也。肝属木，木生火，子盗母气，则昏暗。火发则木
衰。若心火旺，则血有余，贯大角，侵于瞳神，目既赤而又昏也，宜点虎液膏。肝实者服泻肝散。（方见三问。）胆
虚者，服补胆散。心火旺者服泻心散。
补胆散 治黑白内外障翳，胆虚者，胆以泻为补。
当归 羌活 蒺藜 蝉蜕 荆芥 甘草（各二钱）
共为末，每服二钱，米汤下。
泻心散 治目赤疼痛，心火实者。
甘草（二钱） 泽泻（五钱） 黄连（三钱）
共为末，每服二钱，灯心汤下。
The eyes have two eyeballs, just as the sky has the sun and the moon. What is the reason for sudden dimness? The answer is: It is all due to excess in alcohol and sexual activity, sorrow, worry, thinking, and weeping, or drunkenness and overeating, leading to uneven distribution of blood in the Zang organs, depression of the Liver Meridian, thus causing disease. It is suitable to apply Huye Zhenzhu Gao (Tiger Liquid Pearl Ointment) and take Mingmu Liuqi Yin (Brighten Eyes Qi-Regulating Decoction).
Mingmu Liuqi Yin treats eye opacities (membranous obstructions covering vision), a feeling of hidden roughness making it difficult to open the eyes, cold tears triggered by wind, frequent sudden redness, blurred vision, and seeing black spots before the eyes.
Dahuang (Rhubarb Root and Rhizome, processed) Niubangzi (Arctii Fructus, fried) Chuanxiong (Ligusticum Chuanxiong Rhizome) Ganju (Chrysanthemi Flos) Baijili (Tribuli Fructus, fried and thorns removed) Xixin (Asari Radix et Rhizoma) Fangfeng (Saposhnikoviae Radix) Yuan Shen (Scrophulariae Radix) Zhizi (Gardeniae Fructus, fried) Jingjie Sui (Schizonepetae Spica)
Manjingzi (Vittariae Semen, fried) Gancao (Licorice Root) Huangqin (Scutellariae Radix) Muzei (Equiseti Herba, nodes removed) Cao Jueming (Cassiae Semen, fried, above ingredients each 0.7 qian) Cangzhu (Atractylodis Rhizoma, soaked in rice wash water, 0.6 qian)
Decoct with water and take after meals, or make into powder, take 2 qian with wine before going to bed. Another prescription adds Mutong (Akebiae Caulis), Baizhu (Atractylodis Macrocephalae Rhizoma), and Shijueming (Concha Arcae).
What is the reason for redness and swelling of the eyes? The answer is: Heat pathogens from the Five Zang organs attack inward, causing sudden exuberance of Heart Fire, which is caused by drinking alcohol. It is suitable to apply Qinglong Huye Gao (Green Dragon Tiger Liquid Ointment) and take Xixin San (Clear Heart Powder) and Yanggan Wan (Sheep Liver Pill). (Prescription see Question 71)
Xixin San treats Liver heat transmitting to the Heart Meridian, accumulated heat attacking upward, eyelid roughness and pain, eyeball pain, excessive heat and wind.
Mutong (Akebiae Caulis) Chishao (Paeoniae Radix Rubra) Gancao (Licorice Root) Jingjie (Schizonepetae Spica) Huanglian (Coptidis Rhizoma) Bohe (Menthae Haplocalycis Herba) Danggui (Angelicae Sinensis Radix) Shengdihuang (Rehmanniae Radix Recens)
Decoct with water and take after meals. (The prescriptions in Questions 5 and 63 are different from this one.)
What is the reason for redness without pain in the eyes? The answer is: This is Liver Excess syndrome. The Liver is the organ that stores blood; when the Liver is excess, blood is abundant. Abundance leads to Qi and Blood rushing upward, invading and penetrating the pupil, hence redness without pain. If pain is severe enough to prevent sitting or lying down comfortably, it is suitable to apply Fenglin and Yangnao Yu (Phoenix Feather and Sheep Brain Jade) and take Xiegan San (Drain Liver Powder).
Xiegan San
Dahuang (Rhubarb Root and Rhizome, 5 qian) Jingjie (Schizonepetae Spica, 1 liang) Gancao (Licorice Root, 1 qian)
Grind together into fine powder, take 2 qian each time with hot water.
What is the reason for redness with dimness, appearance of black clouds, and redness at the outer canthus (large corner) of the eyes? The answer is: This is Liver Deficiency syndrome. The Liver belongs to Wood, and Wood generates Fire. When the child steals from the mother (Fire draining Wood), dimness occurs. When Fire flares up, Wood declines. If Heart Fire is exuberant, there is surplus blood, which pours into the outer canthus and invades the pupil spirit, causing the eyes to be both red and dim. It is suitable to apply Huye Gao (Tiger Liquid Ointment). For Liver Excess, take Xiegan San (Drain Liver Powder). (Prescription see Question 3.) For Gallbladder Deficiency, take Budan San (Tonify Gallbladder Powder). For exuberant Heart Fire, take Xiexin San (Drain Heart Powder).
Budan San treats internal and external opacities of the white and black parts of the eye. For Gallbladder Deficiency, purging acts as tonifying.
Danggui (Angelicae Sinensis Radix) Qianghuo (Notopterygii Rhizoma et Radix) Jili (Tribuli Fructus) Chantui (Cicadae Periostracum) Jingjie (Schizonepetae Spica) Gancao (Licorice Root, each 2 qian)
Grind together into powder, take 2 qian each time with rice soup.
Xiexin San treats redness and pain of the eyes, for Heart Fire Excess syndrome.
Gancao (Licorice Root, 2 qian) Zexie (Alismatis Rhizoma, 5 qian) Huanglian (Coptidis Rhizoma, 3 qian)
Grind together into powder, take 2 qian each time with Jiaxin Tang (Centumbriae Herba decoction).