目有粉青而昏者何也？答曰∶脾家风湿，瘀血滞精，宜服分昧散，点推云散。（方见十四问）
分昧散
琥珀（一两） 防风（一两） 元参（一两五钱） 蔓荆子（炒，一两五钱） 草决明（一两五钱） 甘
草（一两） 细辛（一两） 牛蒡子（炒，一两五钱） 苍术（米泔浸，一两） 大黄（一两） 甘菊（一两）
白蒺藜（炒，一两五钱）
水煎或为末，白汤调下，每服二钱。
老膜散 治翳膜极重者。（老膜散法中未见，忽附于此，前证用此未免过峻，施之翳膜极浓者可也）
珍珠（二分） 熊胆（一分五厘） 辰砂（一分五厘） 陀僧（一分五厘） 蕤仁（一分五厘） 白丁香
（一分五厘） 荸荠粉（二分） 砂（升过，一分）
共为细末点之。
目有赤脉下垂而昏痛者何也？答曰∶是肝家邪风所致。木生火，火乘风邪，故血妄行。宜服通血散。
通血散
草决明 防风 荆芥 赤芍 当归 大黄 山栀 羌活 木贼 蒺藜 甘草
共为末，每服茶汤调服三钱。
目有赤肿，瞳仁痛者何也？答曰∶肾水枯，心火旺，水不能胜火。宜服洗心散（方见二问五问）、补肾丸
（方见十一问）。
目有沙涩流泪者何也？答曰∶脾家热也。翻过眼皮，将针拨破红点，铜烙熨之平复。若热泪睛痛，怕日羞
明，胞肿，宜点推云散，（方见十四问。）服加味洗心散（方见二问五问。二问五问方各不同，见证斟酌用之）
What is the reason for eyes appearing pinkish-blue and dim? The answer is: This is caused by wind-dampness in the Spleen system, with blood stasis obstructing the flow of essence. It is appropriate to take Fenmei San (Divided Obscurity Powder) and apply Tuiyun San (Pushing Clouds Powder) as eye drops. (Formula see Question 14)
Fenmei San (Divided Obscurity Powder)
Amber (1 liang) Fangfeng (Saposhnikovia Root, 1 liang) Xuanshen (Scrophulariae Radix, 1.5 liang) Manjingzi (Vitex Fruit, stir-fried, 1.5 liang) Caojueming (Cassiae Semen, 1.5 liang) Gancao (Licorice Root, 1 liang) Xixin (Asarum Root, 1 liang) Niubangzi (Arctii Fructus, stir-fried, 1.5 liang) Cangzhu (Atractylodis Rhizoma, soaked in rice water, 1 liang) Dahuang (Rhei Radix et Rhizoma, 1 liang) Ganju (Chrysanthemi Flos, 1 liang) Baijili (Tribuli Fructus, stir-fried, 1.5 liang)
Decoct in water or grind into powder, mix with warm water for oral administration, 2 qian per dose.
Laomo San (Old Membrane Powder) Treats extremely severe pterygium or corneal opacity. (The preparation method for Laomo San is not detailed in the text; it is attached here incidentally. Using this formula for previous conditions would be too harsh; it may only be used when the opacity is extremely dense.)
Zhenzhu (Pearl, 2 fen) Xiongdan (Ursi Bile, 1.5 li) Chen sha (Cinnabar, 1.5 li) Tuoseng (Calamina, 1.5 li) Ruiren (Pruni Armeniacae Semen, 1.5 li) Baixiangding (Stercus Mustelae, 1.5 li) Qifen (Dioscoreae Bulbiferae, 2 fen) Sha (Sand, sublimed, 1 fen)
Grind together into a fine powder and apply to the eyes.
What is the reason for eyes having hanging red vessels, accompanied by dimness and pain? The answer is: This is caused by pathogenic wind affecting the Liver system. In Five Element theory, Wood generates Fire; when Fire is affected by wind pathogen, blood flows recklessly. It is appropriate to take Tongxue San (Blood Circulation Powder).
Tongxue San (Blood Circulation Powder)
Caojueming (Cassiae Semen) Fangfeng (Saposhnikovia Root) Jingjie (Schizonepetae Spica) Chishao (Paeoniae Radix Rubra) Danggui (Angelicae Sinensis Radix) Dahuang (Rhei Radix et Rhizoma) Shanzhi (Gardeniae Fructus) Qianghuo (Notopterygii Rhizoma et Radix) Muzei (Equiseti Herba) Jili (Tribuli Fructus) Gancao (Licorice Root)
Grind together into powder, take 3 qian per dose, mixed with tea water.
What is the reason for red and swollen eyes with pain in the pupil? The answer is: Kidney Water is depleted, Heart Fire is hyperactive, and Water cannot control Fire. It is appropriate to take Xixin San (Heart Cleansing Powder) (Formula see Questions 2 and 5) and Bushen Wan (Kidney Tonifying Pill) (Formula see Question 11).
What is the reason for eyes feeling gritty and tearing? The answer is: Heat in the Spleen system. Flip up the eyelid, puncture the red spots with a needle, and cauterize them flat using a heated copper instrument. If there are hot tears, eye pain, photophobia, and swollen eyelids, it is appropriate to apply Tuiyun San (Pushing Clouds Powder) (Formula see Question 14) and take Jiawei Xixin San (Modified Heart Cleansing Powder) (Formula see Questions 2 and 5. The formulas in Questions 2 and 5 differ; select according to the specific presentation).