柴胡 山栀 羌活 升麻 甘草 黄连 泽泻 赤茯苓 赤芍药 草决明 车前子 黄芩 竹叶
积热必溃，此方主之。
积者，重叠凝聚之谓，热则酝酿为邪毒矣。邪深不行，聚久不散，势不得不溃。其病瘾湿不自在，视物微昏，
内开窍如针孔，按之则沁沁脓出，本经谓之漏睛。治当先理清阳，故用柴胡、羌活、茯苓、甘草。次泄浊阴，
故用草决、升麻、车前、泽泻；总破其积者，必开必利，黄芩、黄连、大黄是也；除其热者，必苦必寒，赤芍、
山栀、竹叶是也。服后目虽稍瘥，转觉便秘烦冤，此火已下降，只以杏仁一两，大黄二两，山栀仁四两，蜜丸。
早晚服二三钱，当有效。盖杏仁微寒治烦，为烦为热之所致，山栀、大黄苦寒而利，治秘，为秘为积之不解。引
而伸之，不但漏睛，凡风毒、流毒皆为对症。
诗曰∶连草大黄竹叶青，升时遥望决睛明，条芩赤芍通山泽，谁向羌胡觅茯苓。
人参 百合 当归 地黄 柴胡 防风 羌活 细辛 本 红花 赤芍 大黄 黄连 黄芩
上方用当归、地黄、百合、人参，为损者温之，司培宗气也。用柴胡、防风、羌活、细辛、 本，为结者散
之，升发风邪也。用红花、赤芍、大黄、黄连、黄芩，为客者逐之，抑阳救阴也。强阳暴热，眼肿翳蚀，头痛如
破，此方主之。
诗曰∶三黄合本泛胡羌，人定风蓬不用防，何日当归杭芍地，红花摇落细辛香。
Chai Hu (Radix Bupleuri), Shan Zhi (Fructus Gardeniae), Qiang Huo (Rhizoma Notopterygii), Sheng Ma (Rhizoma Cimicifugae), Gan Cao (Radix Glycyrrhizae), Huang Lian (Rhizoma Coptidis), Ze Xie (Rhizoma Alismatis), Chi Fu Ling (Poria with Red Hosta Root), Chi Shao Yao (Radix Paeoniae Rubra), Cao Jue Ming (Semen Cassiae), Che Qian Zi (Semen Plantaginis), Huang Qin (Radix Scutellariae), Zhu Ye (Folium Bambusae).
Ji Re (accumulated heat) inevitably leads to ulceration; this formula is indicated for such conditions.
"Ji" refers to a state of overlapping and coalescence; when heat ferments within this state, it transforms into pathogenic toxins. When pathogens are deep-seated and their movement is obstructed, prolonged accumulation that fails to dissipate inevitably leads to rupture. The symptoms include dampness and discomfort in the eyelids, slight blurring of vision, and an opening at the inner canthus resembling a pinhole, from which pus exudes upon pressure. This classic text refers to it as Lou Jing (chronic dacryocystitis). Treatment should first clarify the clear yang qi; therefore, Chai Hu, Qiang Huo, Fu Ling, and Gan Cao are used. Secondly, turbid yin should be drained; thus, Cao Jue Ming, Sheng Ma, Che Qian Zi, and Ze Xie are employed. To generally break up the accumulation, one must open orifices and promote drainage; Huang Qin, Huang Lian, and Da Huang serve this purpose. To eliminate heat, bitter-cold herbs are necessary; Chi Shao Yao, Shan Zhi, and Zhu Ye fulfill this role. After taking the medicine, although the eyes may improve slightly, constipation and a sense of vexatious oppression may arise; this indicates that the fire has descended. One should then prepare pills using 1 liang of Xing Ren (Semen Armeniacae Amarum), 2 liang of Da Huang (Radix et Rhizoma Rhei), and 4 liang of Shan Zhi Ren (Semen Gardeniae), made with honey. Take 2-3 qian morning and evening; effectiveness is expected. Xing Ren is slightly cold and treats vexation caused by heat; Shan Zhi and Da Huang are bitter-cold and purgative, treating constipation caused by unresolved stagnation and accumulation. By extension, this formula is not only suitable for Lou Jing but also for any eye disease caused by wind-toxin or flowing-toxin.
Poem:
Lian Cao Da Huang Zhu Ye Qing,
Sheng Shi Yao Wang Jue Jing Ming,
Tiao Qin Chi Shao Tong Shan Ze,
Shui Xiang Qiang Hu Mi Fu Ling.
Ren Shen (Radix Ginseng), Bai He (Bulbus Lilii), Dang Gui (Radix Angelicae Sinensis), Di Huang (Radix Rehmanniae), Chai Hu (Radix Bupleuri), Fang Feng (Radix Saposhnikoviae), Qiang Huo (Rhizoma Notopterygii), Xi Xin (Herba Asari), Ben Cao (Radix Ligustici Wallichii), Hong Hua (Flos Carthami), Chi Shao (Radix Paeoniae Rubra), Da Huang (Radix et Rhizoma Rhei), Huang Lian (Rhizoma Coptidis), Huang Qin (Radix Scutellariae).
The upper formula uses Dang Gui, Di Huang, Bai He, and Ren Shen to warm those who are deficient, thereby cultivating the Zong Qi (pectoral qi). It employs Chai Hu, Fang Feng, Qiang Huo, Xi Xin, and Ben Cao to disperse those who are knotted, thereby ascending and dispersing wind pathogens. It utilizes Hong Hua, Chi Shao, Da Huang, Huang Lian, and Huang Qin to expel guest pathogens, thereby suppressing hyperactive yang and saving yin. For conditions where strong yang and sudden heat cause eyelid swelling, corneal erosion, and severe headache as if bursting, this formula is indicated.
Poem:
San Huang He Ben Fan Hu Qiang,
Ren Ding Feng Peng Bu Yong Fang,
He Ri Dang Gui Hang Shao Di,
Hong Hua Yao Luo Xi Xin Xiang.