（附论）
夫眼者五脏之精华。若风邪热毒。内干脏腑。则随其经络。上冲于目。故令赤脉波贯黑
睛也。上下左右。各有部分。不可不察。其从大 侵睛而痒者。肺胃脉热也。其从小 起者。
手
邪热也。其源不同。当察其部分。根据经以治之。
龙木论云。眼小 赤脉外障。此眼初患之时。皆从小 渐生赤脉。奔大 睛上。皆因三
焦聚热。上冲肝膈壅热使然。治疗稍迟。恐损眼也。宜服犀角饮子。后点摩翳膏即瘥。
歌曰。赤脉根源小 中。安然渐渐觉不冲。三焦聚热为灾患。欲疗洗冷冻饮料子通。浮大必
须钩割烙。频频用药即消融。咸酸冷热房中事。谨戒犹如受戒同。
摩顶明目膏（出圣济总录）治风热冲目。赤脉 肉。
生麻油（二升） 真酥（五两） 车前子叶 淡竹叶（洗锉） 盐花（研各半两） 吴
蓝大青
黄
芩
马牙硝（别研） 朴硝 马齿苋实（研各一分） 上除硝、盐、油、酥、外。细锉绵裹。入
通油
腻瓷瓶中。绵幂口。重汤煮三伏时。捩去滓。新绵滤置生铁器中。每日饭后及卧。开发滴顶
心。生铁熨斗子磨顶三千下。兼去目中热毒。昏胀痛涩。
前胡汤（出圣济总录）治肝实热。赤脉波睛。
前胡（去芦） 升麻 秦皮（去粗皮） 决明子（微炒） 蕤仁（去皮研如膏各二两） 菊
花
（二两
黄（锉炒碎
一两） 上除芒硝、竹叶外。粗捣筛。每服五钱。以水二盏。入竹叶七片。煎至一盏。去滓。
入芒
真珠散（出圣惠方）治风热。赤脉贯黑睛。及有花翳。
真珠末 琥珀（各二分） 龙脑 丹砂（各半分） 砂（小豆大） 上同研细末。每
日三五
次点之。
犀角散（一名生犀饮）治眼赤脉。冲贯黑睛。热毒肿痛。心躁烦乱。
犀角饮子（龙木论）治眼小 赤脉外障。
犀角 羚羊角 大黄 人参 茯苓 知母 黄芩（各一两） 桔梗 防风（各二两） 上
为
末。以水一盏。散一钱。煎至五分。食后去滓温服。
黄芩汤（出圣济总录）治风热。目赤痛。赤脉贯黑睛。生翳。
黄芩（去黑心） 木通（锉） 枳壳（去瓤麸炒） 甘草（微炙锉） 葳蕤 山栀子仁 生
干地
黄（
去滓。
入芒硝一钱。食后温服。临卧再服。
羚羊角汤（出圣济总录）治眼目疼肿赤脉攻黑睛。
黄连煎（出圣惠方）治肝脏壅热。目生赤脉。冲贯黑睛。赤痛不止。
黄 汤（出圣济总录）治眼上下赤脉贯黑睛。
黄 （锉） 芍药 知母 升麻 犀角屑（各一两半） 苦竹叶（五十片） 上 咀。
每服五
钱
芍药汤（出圣济总录）治目小 赤脉。利心肺。
芍药 芎 黄芩（去黑心） 大黄（锉炒熟） 甘草（炙赤锉各半两） 黄连（去须
一两）
上咀。每服五钱。以水二盏半。煎至一盏。去滓。食后临卧温服之。
羚羊角丸（出圣济总录）治肝肺壅热。眼生 肉。赤脉涩痛。及眼障翳
膜。目
睛痒痛羞明。及小儿风疳。烁阳眼赤。
羚羊角（末） 昨叶何草（炒绢内洗去土各一两） 生干地黄（洗焙） 郁金（炮土上
出火毒
各二
如
梧桐子大。每服十五丸。浓煎淡竹叶黑豆汤。放冷。食后临卧服。小儿丸如绿豆大。每服七
丸至十丸。
摩翳膏（出龙木论）治眼小 赤脉外障。兼治血灌瞳仁。渐生翳障。
石决明（一分） 真珠末（一分） 水晶（一分） 朱砂（一分） 龙脑（一分） 琥
珀（二分） 上为末如粉面。后入酥为膏。每至夜后点眼。立效。一方不用酥。
通明汤（出圣济总录）散三焦热。治小儿 偏赤。赤脉射黑睛。
木通（锉） 葳蕤 甘草（炙各一两半） 黄芩（去黑心） 枳壳（去瓤麸炒各一两） 上
咀。每服五钱。以水二盏。煎至一盏。去滓。下芒硝。及下生地黄汁。各少许。再煎沸。食
后温服。
蕤仁煎（出圣惠方）治眼风热碜涩。生赤脉。冲注瞳仁。热泪疼痛。
蕤仁（一两汤浸去皮研） 青盐（三分） 黄连（一两去须捣研） 上以醋浆水一中盏。
煎取
一小盏。去滓。纳一铜器中。别取鲤鱼胆、乌鸡胆各一枚。取汁入煎药汁中。用槐枝如指大。
长一尺去皮。作槌研之。不住手。自昼研到夜。以绵滤过。于瓷盒中盛。每以铜箸。少许点
眼中。切避风也。
(Attached Discussion)
The eyes are the gathering place of the essence of the five Zang organs. If wind pathogens and heat toxins invade the interior and interfere with the functions of the Zang organs, they will ascend along the meridians to attack the eyes, causing the red vessels (hyperemia of the conjunctival blood vessels) to penetrate the black pupil (cornea) like waves. The appearance of red vessels in different parts of the upper, lower, left, and right eyes corresponds to specific organ affiliations and must be carefully distinguished. If the red vessels start from the inner canthus (medial canthus), invade the cornea, and are accompanied by itching, this indicates heat in the Lung and Stomach meridians; if the red vessels begin at the outer canthus (lateral canthus), it is due to pathogenic heat affecting the Hand Shaoyin Heart meridian. Although the sources of pathology differ, treatment should be based on the location of the red vessels according to meridian theory.
The *Longmu Lun* states: "Outer obstruction of the eye with red vessels at the small canthus." When this eye disease first occurs, red vessels gradually emerge from the lateral canthus and spread onto the cornea. This is caused by heat accumulation in the Sanjiao (Triple Burner), which ascends to attack the Liver and Diaphragm, resulting in stagnation and heat. If treatment is delayed even slightly, vision may be damaged. It is appropriate to take Xijiao Yinzi (Rhinoceros Horn Decoction), followed by the application of Moyi Gao (Corneal Opacity Rubbing Ointment) for recovery.
The verse says: "The root of red vessels lies in the small canthus, gradually arising without a sense of rushing. Heat accumulation in the Sanjiao brings disaster; to treat it, one must first use the Tongxi Lengdong Yinzi (Washing Cold-Freezing Decoction). If the vessels are floating and large, hooking, cutting, and cauterization are necessary; frequent medication will dissolve them. Avoid salty, sour, cold, and hot matters in sexual activity, guarding strictly as if observing precepts."
Moding Mingmu Gao (from *Shengji Zonglu*), treating wind-heat attacking the eyes, red vessel proliferation, and pterygium.
Ingredients: Sheng Mayou (Raw Sesame Oil, 2 sheng), Zhensu (Butter/Sheeep Fat, 5 liang), Cheqianzi Ye (Plantago Leaf), Danzhuye (Lophatherum Leaf, washed and chopped), Yanhua (Salt Flowers, ground, each half liang), Wulan (Isatis Root), Daqing (Isatis Leaf), Huangqin (Scutellaria Root), Mayaxiao (Sodium Nitrate, ground separately), Puxiao (Mirabilite), Machixie Shi (Portulaca Fruit, ground, each 1 fen).
Preparation and Administration: Excluding nitrate salts, salt, oil, and butter, finely chop the remaining herbs, wrap them in cotton cloth, and place them in a glazed porcelain jar that has been oiled. Cover the mouth with cotton cloth and boil in water for three "Fu" periods (approximately 20+ days). Remove, wring out the dregs, filter the liquid through new cotton cloth, and store in an iron vessel. After meals and before bed, drip the oil onto the Baihui acupoint (top of the head) and rub the top of the head 3,000 times with an iron flatiron. This also helps remove heat toxins from the eyes, relieving dullness, distending pain, and dryness/astringency.
Qianhu Tang (from *Shengji Zonglu*), treating excess heat in the Liver channel, with red vessels penetrating the cornea.
Ingredients: Qianhu (Peucedani Radix, rhizome removed), Shengma (Cimicifugae Rhizoma), Qinpi (Fraxini Cortex, rough bark removed), Juemingzi (Cassiae Semen, lightly stir-fried), Ruiren (Prunus Persica Kernel, skin removed and ground into paste, each 2 liang), Juhua (Chrysanthemi Flos, 2 liang), Huangqin (Scutellariae Radix, chopped and stir-fried, 1 liang).
Preparation and Administration: Except for Mangxiao (Natrii Sulfas) and Zhuye (Bamboo Leaves), coarsely grind and sieve the herbs. Take 5 qian per dose, add 2 zhan of water and 7 bamboo leaves, decoct until 1 zhan remains, strain, add Mangxiao, and take warm after meals.
Zhenzhu San (from *Shenghui Fang*), treating wind-heat, red vessels penetrating the cornea, and the presence of floral nebula (leucoma).
Ingredients: Zhenzhu Mo (Pearl Powder), Hupo (Amber, each 2 fen), Longnao (Borneolum Syntheticum), Dansha (Cinnabaris, each half fen), Sha (Arsenic Trioxide, size of a mung bean).
Preparation and Administration: Grind together into a fine powder. Instill into the eyes 3-5 times daily.
Xijiao San (also known as Shengxi Yin), treating eye red vessels penetrating the cornea, heat-toxin swelling and pain, and mental restlessness/confusion.
Ingredients: Xijiao (Rhinocerotis Cornu), Lingyangjiao (Saigae Tataricae Cornu), Dahuang (Rhei Radix et Rhizoma), Renshen (Ginseng Radix), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix, each 1 liang), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix, each 2 liang).
Preparation and Administration: Grind into powder. Take 1 qian of powder with 1 zhan of water, decoct until 0.5 zhan remains, strain, and take warm after meals.
Huangqin Tang (from *Shengji Zonglu*), treating wind-heat, red and painful eyes, red vessels penetrating the cornea, and nebula formation.
Ingredients: Huangqin (Scutellariae Radix, black heart removed), Mutong (Akebiae Caulis, chopped), Zhike (Aurantii Fructus, pulp and bran removed, stir-fried with wheat bran), Gancao (Glycyrrhizae Radix et Rhizoma, lightly roasted and chopped), Weirui (Polygonati Odorati Rhizoma), Shanzhizi Ren (Gardeniae Semen, processed), Shenggan Dihuang (Rehmanniae Radix Preparata, sliced).
Preparation and Administration: Coarsely grind and sieve. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, add 1 qian of Mangxiao (Natrii Sulfas), and take warm after meals. Repeat before bedtime.
Lingyangjiao Tang (from *Shengji Zonglu*), treating eye pain and swelling, with red vessels attacking the cornea.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Zhizi Ren (Gardeniae Semen), Xuanshen (Scrophulariae Radix), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Mangxiao (Natrii Sulfas), Zhuye (Bamboo Leaves).
Preparation and Administration: Coarsely grind and sieve. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, add Mangxiao, and take warm after meals.
Huanglian Jian (from *Shenghui Fang*), treating liver congestion and heat, red vessels in the eyes penetrating the cornea, and unceasing red pain.
Ingredients: Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Zhizi Ren (Gardeniae Semen), Xuanshen (Scrophulariae Radix), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Mangxiao (Natrii Sulfas), Zhuye (Bamboo Leaves).
Preparation and Administration: Coarsely grind and sieve. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, add Mangxiao, and take warm after meals.
Huang Tang (from *Shengji Zonglu*), treating red vessels penetrating the cornea in the upper and lower eyes.
Ingredients: Huangqin (Scutellariae Radix, chopped), Shaoyao (Paeoniae Radix), Zhimu (Anemarrhenae Rhizoma), Shengma (Cimicifugae Rhizoma), Xijiao Xie (Rhinocerotis Cornu, shaved, each 1.5 liang), Ku Zhuye (Bitter Bamboo Leaves, 50 pieces).
Preparation and Administration: Chop. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, add Mangxiao, and take warm after meals.
Shaoyao Tang (from *Shengji Zonglu*), treating red vessels at the small canthus, benefiting the Heart and Lungs.
Ingredients: Shaoyao (Paeoniae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix, black heart removed), Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried cooked), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until red and chopped, each half liang), Huanglian (Coptidis Rhizoma, whiskers removed, 1 liang).
Preparation and Administration: Chop. Take 5 qian per dose, add 2.5 zhan of water, decoct until 1 zhan remains, strain, and take warm after meals and before bedtime.
Lingyangjiao Wan (from *Shengji Zonglu*), treating liver and lung congestion and heat, pterygium formation in the eyes, red vessel astringent pain, eye obstruction and nebula membranes, itchy and painful eyes sensitive to light, pediatric wind-gan syndrome, and "burning yang" red eyes in children.
Ingredients: Lingyangjiao Mo (Saigae Tataricae Cornu Powder), Zuo Ye He Cao (Herba Siegesbeckiae, stir-fried in silk gauze, washed to remove dirt, 1 liang), Shenggan Dihuang (Rehmanniae Radix Preparata, washed and dried), Yujin (Curcumae Radix, processed on soil to remove fire toxicity, each 2 liang).
Preparation and Administration: Grind into powder, mix with honey to form pills the size of paulownia seeds. Take 15 pills per dose, swallowed with thick decoction of Danzhuye (Lophatherum Leaf) and Douko (Black Soybean), cooled down, taken after meals and before bedtime. For children, make pills the size of mung beans, taking 7-10 pills per dose.
Moyi Gao (from *Longmu Lun*), treating outer obstruction of the eye with red vessels at the small canthus, and also treating hemophthalmos (blood flooding the pupil) and gradual nebula formation.
Ingredients: Shijueming (Haliotidis Concha, 1 fen), Zhenzhu Mo (Pearl Powder, 1 fen), Shuijing (Quartz Crystal, 1 fen), Zhusha (Cinnabar, 1 fen), Longnao (Borneolum Syntheticum, 1 fen), Hupo (Amber, 2 fen).
Preparation and Administration: Grind into a powder similar to flour, then mix with butter to form an ointment. Instill into the eyes every night for immediate effect. Another formula does not use butter.
Tongming Tang (from *Shengji Zonglu*), dispersing Sanjiao heat, treating pediatric strabismus with redness, and red vessels shooting into the cornea.
Ingredients: Mutong (Akebiae Caulis, chopped), Weirui (Polygonati Odorati Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 1.5 liang), Huangqin (Scutellariae Radix, black heart removed), Zhike (Aurantii Fructus, pulp and bran removed, stir-fried with wheat bran, each 1 liang).
Preparation and Administration: Chop. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, strain, add Mangxiao (Natrii Sulfas) and fresh Shengdihuang juice (Rehmanniae Radix Juice), each in small amounts, boil again, and take warm after meals.
Ruiren Jian (from *Shenghui Fang*), treating wind-heat grittiness in the eyes, red vessel formation, penetration into the pupil, hot tears, and pain.
Ingredients: Ruiren (Prunus Persica Kernel, 1 liang, soaked in hot water, skin removed, ground), Qingyan (Green Salt, 3 fen), Huanglian (Coptidis Rhizoma, 1 liang, whiskers removed, pounded and ground).
Preparation and Administration: Use 1 zhan of vinegar-water decoction, boil down to 1 small zhan, strain. Place in a copper vessel. Separately obtain one carp gallbladder and one black chicken gallbladder, extract the juice, and add it to the decoction. Use a locust branch (size of a finger, length 1 chi, peeled) as a pestle to grind continuously from day to night. Filter through cotton cloth, store in a porcelain box. Instill a small amount into the eye using a copper stick, avoiding wind exposure.