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The black part of the eye (cornea/pupil area) belongs to the Liver, the white part (sclera/conjunctiva) belongs to the Lung, the pupil belongs to the Kidney, the upper and lower eyelids belong to the Spleen, and the inner and outer canthi belong to the San Jiao (Triple Burner). The Heart is the wheel of movement and mechanism for the eyes. Therefore, if the interior of the eye is red, it is caused by accumulated heat in the Heart attacking upwards; Dao Chi San (see Mouth section) is used as the primary treatment. If the eye appears greenish, it indicates Liver Heat; Xie Qing Wan is used. If yellow, it indicates Spleen Heat; Xie Huang San (see Tongue section) is used. If there is blurred vision without swelling, pain, or redness, no pterygium/membrane, or with floating black spots and lack of luster in the gaze, this is Yin deficiency of the Liver and Kidney. Cold-natured medicines should not be administered; Zi Yin Shen Qi Wan is indicated. For newborns whose eyes are closed at birth, this is caused by the nursing mother consuming hot or toxic foods. A small amount of Bear Gallbladder (Xiong Dan) should be used to wash the eyes with steamed water, seven times a day. If they do not open after three days, Di Huang Tang is administered to the infant, and Mu Tong San (see Fetal Heat section) to the nursing mother. If the nursing mother consumes hot/toxic foods causing the infant's eyes to become red, Xiao Feng San with modifications is used for regulation. For epidemic wind-heat causing blurry, red, and swollen eyes, Kai Ming Tang and Chong He Tang are indicated. For strabismus (Dou Jing), Niu Huang Gao is used. For phthisis oculi (Gan Yan) with pus and discharge, Long Dan Yin Zi is used. For chickenpox toxins or innocent phthisis entering the eyes, Yang Gan San is used. If cleaning upon birth is incomplete, filth soaks into the eyes causing redness and ulceration of the canthi that does not heal; or due to difficult labor, delayed fetal rotation, pressure on the fetal head, and blood injection into the eyes, resulting in an inability to see the pupil at birth, with red and swollen external eyelids and ulcerated margins, Sheng Di Tang should be taken, and Si Shen San used for washing. Heavy cold-natured medicines must be avoided to prevent damage to the Zang-Fu organs. If Liver Qi rushes upward, causing severe descent of brain fluid and curtain-like pterygium, Bu Nao Huan Jing Wan is indispensable.

Various untreatable conditions: The sclera resembles roasted brain marrow; the pterygium resembles plum blossom stamens; the pupil is scattered; glaucoma leading to blindness; pus discharging from the sclera; internal pterygium enveloping the pupil; distended blood vessels; ruptured pupil; white opacity penetrating the center of the pupil; protrusion of the black globe.

Xie Qing Wan (Drain the Green Pill)
Long Dan Cao (Radix Gentianae), Zhi Zi Ren (Semen Gardeniae), Da Huang (Radix et Rhizoma Rhei), Qiang Huo (Rhizoma Notopterygii), Fang Feng (Radix Saposhnikoviae) (each 1 qian); Dang Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong) (each 1.5 qian).
Made into honey pills, taken with Bamboo Leaf and Mint Decoction.

Zi Yin Shen Qi Wan (Nourish Yin Kidney Qi Pill)
Shu Di (Prepared Radix Rehmanniae) (3 liang), Shan Yao (Rhizoma Dioscoreae), Gui Wei (Tail of Radix Angelicae Sinensis), Dan Pi (Cortex Moutan), Bei Wei (Fructus Schisandrae), Chai Hu (Radix Bupleuri) (each 5 qian); Fu Ling (Poria), Ze Xie (Rhizoma Alismatis) (each 2.5 qian); Sheng Di (Raw Radix Rehmanniae, wine-fried) (4 liang).
Made into honey pills, coated with Cinnabar (Chen Sha). Take ten pills on an empty stomach with plain warm water.

Zhang Yuan'an said: In middle age, Kidney Water declines, causing blurry vision. It is highly advisable to regularly take Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) supplemented with Gou Qi (Fructus Lycii), Gan Ju (Flos Chrysanthemi), and Sha Yuan Ji Li (Semen Astragali Complanati). For those with excess fire, add 1 liang of Huang Bo (Cortex Phellodendri) fried in wine; for those with deficient fire, add 1 liang of Rou Gui (Cortex Cinnamomi). For blurry vision accompanied by deficient heat, redness, swelling, and painful dryness, reduce the dosage of this pill and prepare it as a decoction, adding Gou Qi and Gan Ju. After several doses, it will heal itself. Do not recklessly use Wind-dispelling medicines, as this damages the True Yuan (Original Qi).

Sheng Di Huang Tang (Rehmannia Root Decoction)
Sheng Di (Raw Radix Rehmanniae), Chi Shao (Radix Paeoniae Rubra), Gui Wei (Tail of Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Gan Cao (Radix Glycyrrhizae), Hua Fen (Radix Trichosanthis), Deng Xin Cao (Medulla Junci).

Xiao Feng Tang (Wind-Expelling Decoction)
Fang Feng (Radix Saposhnikoviae), Fu Ling (Poria), Chan Tui (Periostracum Cicadae), Chen Pi (Pericarpium Citri Reticulatae), Hou Po (Cortex Magnoliae Officinalis), Chuan Xiong (Rhizoma Chuanxiong), Qiang Huo (Rhizoma Notopterygii), Jing Jie Sui (Herba Schizonepetae Spike), Bai Jiang Can (Bombyx Batryticatus), Huo Xiang Ye (Leaf Pogostemonis Cablin), Gan Cao (Radix Glycyrrhizae).

Kai Ming Tang (Brightening Eyes Decoction)
Qiang Huo (Rhizoma Notopterygii), Bai Zhi (Radix Angelicae Dahuricae), Jing Jie (Herba Schizonepetae), Fang Feng (Radix Saposhnikoviae), Ju Hua (Flos Chrysanthemi), Chuan Xiong (Rhizoma Chuanxiong), Sheng Di (Raw Radix Rehmanniae), Huang Qin (Radix Scutellariae), Dang Gui Wei (Tail of Radix Angelicae Sinensis), Man Jing Zi (Fructus Viticis), Cao Jue Ming (Semen Cassiae), Bo He (Herba Menthae), Deng Xin Cao (Medulla Junci), Sheng Jiang (Rhizoma Zingiberis Recens).

Chong He Tang (Harmonizing Decoction) Treats red-fire eyes caused by colds in all four seasons; extremely effective.
Qiang Huo (Rhizoma Notopterygii), Cang Zhu (Rhizoma Atractylodis Chinensis), Fang Feng (Radix Saposhnikoviae), Bai Zhi (Radix Angelicae Dahuricae), Sheng Di (Raw Radix Rehmanniae), Huang Qin (Radix Scutellariae), Chuan Xiong (Rhizoma Chuanxiong), Xi Xin (Herba Asari), Gan Cao (Radix Glycyrrhizae), Sheng Jiang (Rhizoma Zingiberis Recens), Cong Bai (White Part of Allium Fistulosum).

Si Shen San (Four Spirits Powder)
Tong Qing (Vermilion Copper), Ming Fan (Alumen), Hai Piao Xiao (Endoconcha Sepiae) (boiled before use, each 1 qian), Peng Sha (Borax) (2 qian).
Made into pills using Deng Long Guo Jiang (juice of the lamp dragon fruit), size of Euryale Seed (Qian Shi). When needed, soak in water, steam until cooked, and use the clear water to wash/wipe the eyes.

Jiang Jun Chong Yi San (General Clearing Opacity Powder) Washes away all opacities.
Wen Ge (Concha Meretricis), Ku Shen (Radix Sophorae Flavescentis), Sheng Ma (Rhizoma Cimicifugae), Bo He (Herba Menthae), Fang Feng (Radix Saposhnikoviae), Jing Jie (Herba Schizonepetae), Bai Zhi (Radix Angelicae Dahuricae), Chuan Xiong (Rhizoma Chuanxiong), Qiang Huo (Rhizoma Notopterygii), Cao Jue Ming (Semen Cassiae).

Shi Er Jiang Jun Er Sheng Tang (Twelve Generals Two Sages Decoction)
Hei Mian Jiang Jun (Black-faced General - likely a specific preparation or herb alias, 12 pieces), Lv Sheng (Green Sage), Bai Sheng (White Sage) (each 0.5 qian, decocted for washing).
Cheng Zixian said: These are simply Wu Bei Zi (Galla Chinensis), Bai Fan (Alumen), and Tong Lu (Vermilion Copper). They earned their prestigious names due to their efficacy.

Long Dan Yin Zi (Gentian Drink)
Qing Ge Fen (Blue Shell Powder), Chao Huang Qin (Stir-fried Radix Scutellariae) (2 qian), Qiang Huo (Rhizoma Notopterygii), Long Dan Cao (Radix Gentianae) (each 2 qian), Ma Huang (Herba Ephedrae) (3.5 qian), She Tui (Molitus Serpentis), Gu Jing Cao (Herba Eyebrights) (each 0.5 qian).
Grind into powder. Take 2 qian per dose, mixed with tea.

Yang Gan San (Sheep Liver Powder)
Mi Meng Hua (Flos Descurainiae), Qing Xiang Zi (Semen Celosiae), Jue Ming Zi (Semen Cassiae), Che Qian Zi (Semen Plantaginis) (each 1 qian).
Take one leaf of sheep liver, slice thinly, sprinkle the powder on it, wrap in wet paper, and bake/roast. Eat on an empty stomach.

Niu Huang Gao (Calculus Bovis Ointment)
Niu Huang (Calculus Bovis), She Xiang (Moschus) (each 0.5 qian), Bai Fu Zi (Rhizoma Typhonii, processed), Rou Gui (Cortex Cinnamomi), Quan Xie (Scorpio), Chuan Xiong (Rhizoma Chuanxiong), Shi Gao (Gypsum Fibrosum) (each 1 qian), Bai Zhi (Radix Angelicae Dahuricae), Chen Sha (Cinnabar, purified), Huo Xiang Ye (Leaf Pogostemonis Cablin) (each 2 qian).
Made into honey pills, size of Euryale Seed. Dissolve in Mint Decoction and take.

Sai Bao Wan Chui Gao (Treasure-Competing Ten-Thousand-Beaten Ointment) Treats old opacities with red threads, flesh growth, wind-fire ulcerated lid margins, and heavy opacities; miraculous effect.
Lu Gan Shi (Calamina) (1 liang, crushed into small pieces, placed in a silver jar, mixed with Fire Xiao (Potassium Nitrate), heated red-hot, removed, ground extremely fine, washed with water (fei), and re-ground until perfectly fine). Rui Ren (Semen Pruni Armeniacae) (1 liang, oil removed completely), Hu Po (Amber), Zhen Zhu (Pearl), Ma Nao (Agate), Shan Hu (Coral), Shi Xie (Crab Stone) (each 5 qian), Ci Huang (Orpiment), Xiong Huang (Realgar) (each 2.5 qian).
Wrap the above in cloth, beat and grind fine, wash with water. Add 200 sheets each of Gold and Silver Foil, grind together finely. Then add human milk, grind 100,000 times until like flying dust. Then take Jing Jie Sui, Cao Jue Ming, Fang Feng, Qiang Huo, Mu Zei (Herba Equiseti), Ju Hua, Rui Ren, Qian Li Guang (Herba Senecionis Scandentis) (each 5 qian), chop finely, decoct in two bowls of water, clarify, and boil down to a paste. Add milk, boil thoroughly again, and mix with the previously beaten medicine, beating 10,000 times more. If dry, moisten with paste. Form into slices, store tightly. When needed, take a little, soften, and apply to the eye.

Li Ling San (Spirit-Standing Powder)
Lu Gan Shi (Calamina) (1 qian, prepared as above), Bing Pian (Borneolum Syntheticum), She Xiang (Moschus) (each 1 fen), Xiong Dan (Bear Gallbladder) (2 fen), Rui Ren (Semen Pruni Armeniacae) (3 fen, oil removed completely).
Grind fine, apply to the pterygium/membrane.

Fen Dan San (Pink Cinnabar Powder)
Qing Fen (Calomel), Huang Dan (Litharge) in equal parts, ground to powder. Store in a small bamboo tube and insufflate into the ear. For left-eye opacity, insufflate right ear; for right-eye opacity, insufflate left ear. Miraculous effect.

Bi Chen Gao (Dust-Repelling Ointment) Treats dust entering the eye, causing swelling, pain, fever, and crying after rubbing.
Ding Yan Chen Mo (Soot from top smoke, aged ink) (grind thickly with fresh well water, mix with Yuan Ming Fen (Mirabilite) to form a paste. Dip a new brush and apply to the eye, 3-5 times daily. Avoid fried/spicy foods).
Wu Pugong said: For fly hairs entering the eye, also dip in ink and apply. Close the eye slightly for a moment; the ink dyes the hair black, then pick it out with a brush.

Bu Nao Huan Jing Wan (Tonify Brain Restore Vision Pill)
Ci Huang (Orpiment) (calcined, ground with vinegar, 3 qian), Qian Li Guang (Herba Senecionis Scandentis) (mixed with wine and stir-fried), Tu Si Zi (Semen Cuscutae) (soaked in wine and stir-fried), Chuan Mu Zei (Herba Equiseti, nodes removed, soaked in child's urine for one day), Xing Ren (Semen Armeniacae Amarum, skin and tip removed), Chong Wei Zi (Fructus Leonuri), Jing Jie Sui (Herba Schizonepetae Spike), Gan Ju Hua (Flos Chrysanthemi), Qiang Huo (Rhizoma Notopterygii), Fang Feng (Radix Saposhnikoviae), She Tui (Molitus Serpentis) (wine-soaked and baked), Shi Jue Ming (Concha Haliotidis, calcined, each 1 qian), Chuan Xiong (Rhizoma Chuanxiong), Bai Ji Li (Semen Tribuli), Chan Tui (Periostracum Cicadae), Cang Zhu (Rhizoma Atractylodis Chinensis), Jiu Zheng Di Huang (Wine-steamed Rehmannia Root) (each 1 liang).
Each ingredient ground separately and mixed evenly. Made into pills with refined honey, size of a bullet. Take one pill three times daily. Take with Mint Decoction or good tea.

Da Fu Pi Yin (Areca Peel Drink) Treats headache and eye distension, as well as hemi-crania and regular headaches; miraculous.
Da Fu Pi (Pericarpium Arecae), Dang Gui Wei (Tail of Radix Angelicae Sinensis), He Shou Wu (Radix Polygoni Multiflori), Ma Huang (Herba Ephedrae), Chuan Xiong (Rhizoma Chuanxiong), Bei Xi Xin (Herba Asari Radix et Rhizomatis).