治小儿热毒眼患小防风汤方
大黄（蒸） 山栀子 甘草（炙） 赤芍药 川当归（洗） 防风 羌活
上等分 咀每服二大钱水小小盏煎至半去滓通口服食后
治小儿风毒眼患小流气饮方
蝉蜕（去大脚） 甘草（炙） 羌活 天麻 川当归 赤芍药 防风 大黄 脑薄荷 杏仁
上件等分 咀每服大钱水小小盏煎至半去滓通口食后服
治小儿积毒眼患小菊花膏良方
黄连 黄芩 大黄 菊花 羌活 苍术（米泔浸） 荆芥穗 防风
上等分为末炼蜜为膏尾指大每服一饼细嚼白汤下
议曰除疳蚀斑疮二症外皆由五脏所积热毒而作又有胎内受气乘母所食热毒稍长因毒相触
忽作
障瞑不由肿赤热毒积成其候者此等决定难医若加寒凉之药坏害尤甚若赤肿眵泪疼痛医膜谨谨
与忌其热毒之物清心凉肝顺气行血解热散毒认症泻脏常宜用四顺清凉饮随风热毒所发轻重加
药与服万一克效不必执 方药指症攻疗盖小儿无患气眼所患即与大人不同至重者谓赤肿等俱
作宜与利下即便解散若有瘀血眼胞内外四维肿盛即从鼻中取出败血立愈既无气眼不作攀 虽
有赤脉贯睛亦是热毒所致即不可钩镰针割凡当利下并以大黄药洗心散之属乃佳
Formula for Treating Pediatric Eye Affections Caused by Heat-Toxin: Xiao Fangfeng Tang (Minor Wind-Protecting Decoction)
Da Huang (Rhubarb Root and Rhizome, steamed), Shan Zhi Zi (Gardenia Fruit), Gan Cao (Licorice Root, honey-fried), Chi Shao Yao (Red Peony Root), Chuan Dang Gui (Chinese Angelica Root, washed), Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome and Root).
All ingredients in equal proportions. Coarsely crush. For each dose, take two large qian (approx. 6-9g depending on historical context, here referring to a specific measure), add one small cup of water, decoct until half remains, strain, and take orally after meals.
Formula for Treating Pediatric Eye Affections Caused by Wind-Toxin: Xiao Liuqi Yin (Minor Qi-Circulating Beverage)
Chan Tui (Cicada Slough, remove large legs), Gan Cao (Licorice Root, honey-fried), Qiang Huo (Notopterygium Rhizome and Root), Tian Ma (Gastrodia Rhizome), Chuan Dang Gui (Chinese Angelica Root), Chi Shao Yao (Red Peony Root), Fang Feng (Saposhnikovia Root), Da Huang (Rhubarb Root and Rhizome), Nao Bo He (Mentha haplocalyx with high menthol content), Xing Ren (Apricot Seed).
All ingredients in equal proportions. Coarsely crush. For each dose, take one large qian, add one small cup of water, decoct until half remains, strain, and take orally after meals.
Excellent Formula for Treating Pediatric Eye Affections Caused by Accumulated Toxin: Xiao Juhua Gao (Minor Chrysanthemum Ointment)
Huang Lian (Coptis Rhizome), Huang Qin (Scutellaria Root), Da Huang (Rhubarb Root and Rhizome), Ju Hua (Chrysanthemum Flower), Qiang Huo (Notopterygium Rhizome and Root), Cang Zhu (Atractylodes Rhizome, soaked in rice wash water), Jing Jie Sui (Schizonepeta Spikelet), Fang Feng (Saposhnikovia Root).
Grind all ingredients into fine powder. Form into ointment using refined honey. Each piece should be the size of a little finger. Take one piece per dose, chew thoroughly, and swallow with plain boiled water.
Discussion:
Except for the conditions of gan erosion (nutritional deficiency ulceration) and ban chuang (macular lesions), all other eye affections are caused by accumulated heat-toxin within the five zang organs. Additionally, some cases arise from qi reception during fetal development, where the mother consumed heat-toxin substances; as the child grows slightly, the toxins interact and suddenly cause opacities and blurred vision. These do not manifest primarily through swelling, redness, or heat-toxin accumulation symptoms. Such cases are determined to be difficult to treat. If cold-cooling herbs are added, the harm is even more severe. In cases presenting with redness, swelling, purulent discharge, tearing, pain, and corneal opacity, one must strictly avoid heat-toxin inducing foods. The treatment principle involves clearing the heart and cooling the liver, regulating qi and promoting blood circulation, resolving heat and dispersing toxin, and purging heat from the relevant zang organs based on symptoms. Si Shun Qing Liang Yin (Four-Obedience Clearing and Cooling Decoction) should commonly be used. Adjust the dosage according to the severity of the wind-heat toxin manifestation. If efficacy is achieved, do not rigidly adhere to fixed formulas; instead, treat according to the specific symptoms. Generally, children do not suffer from "qi eyes" (a specific type of strabismus or nerve-related eye issue distinct from adults); pediatric eye affections differ from those in adults. In severe cases where redness and swelling are prominent, purgative methods should be employed to rapidly resolve the pathogenic factors. If there is blood stasis causing severe swelling around the eyelids, removing the stale blood via the nasal cavity can lead to immediate recovery. Since "qi eyes" do not occur in children, pterygium (fleshy growth crossing the cornea) will not develop. Even if conjunctival vessels extend across the pupil, it is also caused by heat-toxin and should not be treated with hook-knife surgery. Whenever purgation is indicated, using Da Huang-based formulas combined with Xi Xin San (Heart-Washing Powder) is preferable.
Formula for Treating Pediatric Heat Lin, Sand Lin, and Stone Lin: Shi Wei San (Pyrrosia Leaf Powder)
Shi Wei (Pyrrosia Leaf, remove petioles), Hai Jin Sha (Lygodium Spore), Mu Tong (Akebia Stem), Hua Shi (Talcum).
Grind all ingredients into fine powder. Add one small cup of water, decoct until half remains, and take orally.