产后患目血不足，病有三因治可通，思哭劳瞻多内障，嗜辛浓味外障成。外因头风
风烂湿，四物补肝香附芎，夏枯熟地归芍草，随人加减可收功。
【注】产后患目，乃去血过多不足之证，病虽有三因之别，而治法可以加减变通。内
因者，多缘思虑哭泣，或竭视劳瞻，致成内障，须四物补肝汤，倍熟地芎归；外因者，因
嗜辛辣浓味，或因头风，致成风赤湿烂。宜本方倍香附、川芎、夏枯草，随证加减以治之。
四物补肝汤方
香附（酒制，一钱五分） 川芎（一钱） 夏枯草（二钱） 熟地黄（焙干，四钱） 当归身（酒洗，二钱）
白芍药（酒洗，一钱五分） 甘草（炙，五分）
上为粗末，以水二盏，煎至一盏，食远去渣温服。
肿膏方
腻粉（少许） 黄蜡 代赭石（研，各五钱） 细磁末 黄柏（细末） 麻油（各一两）
上为极细末，入铜杓内，入油蜡同煎为膏，涂患处。
紫金膏方
炉甘石（炉甘石入大银罐内，盐泥封固，用炭火 一炷香，以罐通红为度，取起为末，用黄连水飞过，
再入黄芩黄连黄柏汤内，将汤煮干，以甘石如松花色，四两） 黄丹（入锅内，炒黑色，用草试之，草灼提
起，如此三次，研极细末，水飞，四两） 硼砂（研细飞过，三钱） 朱砂（研细飞过，三钱） 轻粉（五
分） 青盐（水洗去泥，五分） 珍珠（三钱） 白丁香（乳汁化开，去渣，五分） 没药（五分） 乳香
（五分） 海螵蛸（去皮研细，二钱） 枯矾（五分） 砂（五分） 当归（研细，五分） 川芎（研细，
五分） 黄连（研细，五分） 甘草（研细，五分） 麝香（五分） 冰片（五分）
如法炮制，各研极细无声，用好白蜜十五两，入锅内，熬去沫，只用白蜜十两，先下炉甘石搅匀，次
下黄丹搅匀，再下诸药，不住手搅匀，如紫金色，不粘手为度。
石燕丹方
炉甘石（炉甘石入大银罐内，盐泥封固，用炭火 一炷香，以罐通红为度，取起为末，用黄连水飞过，
再入黄芩黄连黄柏汤内，将汤煮干，以甘石如松花色，四两） 硼砂（铜杓内同水煮干） 石燕 琥珀 朱砂（水飞，
各取净末一钱五分） 鹰屎白（如无，白丁香代之，一钱） 冰片 麝香（各分半）
上为极细末，研至无声，每用少许，水蘸点眼大 。
枯涩无泪，加熊胆、白蜜。血翳，加真阿魏。黄翳，加鸡内金。风热翳，加蕤仁。热
翳，加珍珠、牛黄。冷翳，加附子尖雄黄。老翳，倍硼砂，加猪胰子。
摩风膏方
黄连 细辛 当归 杏仁（去皮尖，为霜） 防风 松脂（各五钱） 白芷 黄蜡（各一两） 麻油（四两）
先将蜡油熔化，前药共研为细末，慢火熬膏，贴太阳穴。
摩障灵光膏方
黄连（锉如豆大一两，童便浸一宿，晒干为末） 黄丹（水飞，三两） 当归（酒洗，二钱） 麝香（五分）
乳香（五分） 轻粉（一钱） 砂（一钱） 白丁香（一钱） 龙脑（一钱） 海螵蛸（俱另研细末，一钱）
炉甘石（以黄连一两，煎水淬七次，研细，六两）
先用好白蜜十两，熬五七沸，以净纸搭去蜡面，除黄丹外，下余药，用柳木搅匀；次下黄丹再搅，慢火
徐徐搅至紫色，却将乳香、麝香、轻粉、 砂和匀，入上药内，以不粘手为度。
广大重明汤方
防风 菊花 龙胆草 甘草 细辛（各等分）
上为粗末，水一盏，煎半盏，去渣带热熏洗。
五胆膏方
猪胆汁 黄牛胆汁 羊胆汁 鲤鱼胆汁（各二钱五分） 白蜜（二两） 胡黄连（研末） 青皮（研末）
川黄连（研末） 熊胆（各二钱五分）
上将诸药末与蜜并胆汁和匀，入瓷瓶内，以细纸封头牢系，坐饭甑中蒸，待饭熟为度。
Postpartum eye diseases are often caused by blood deficiency due to excessive blood loss. The etiology can be categorized into internal, external, and other factors, requiring flexible treatment strategies. Internal causes, such as excessive thinking, crying, or visual fatigue (overuse of eyes), tend to lead to internal cataracts (obscuration of the lens). External causes, such as a preference for spicy and rich foods or invasion by head wind (cephalalgia due to wind pathogen), tend to lead to external obstructions, such as wind-redness and damp rot (redness and ulceration of the eyelids). Treatment should utilize Siwu Bugan Tang (Four-Substance Liver-Nourishing Decoction) with modifications, primarily using Xiangfu (Cyperi Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiakucao (Prunellae Spica), Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), and Gancao (Glycyrrhizae Radix et Rhizoma). Adjusting dosages according to individual conditions yields effective results.
[Note] Postpartum eye disease is a syndrome of blood deficiency resulting from excessive blood loss. Although etiologies differ between internal and external causes, treatment methods can be adapted through the addition and subtraction of herbs. For internal causes, often induced by overthinking, weeping, or visual strain leading to internal cataracts, Siwu Bugan Tang should be used with increased doses of Shudihuang, Chuanxiong, and Danggui. For external causes, resulting from indulgence in spicy and rich flavors or invasion by head wind leading to wind-redness and damp rot, this formula should be modified with increased doses of Xiangfu, Chuanxiong, and Xiakucao, adjusted according to specific symptoms.
Siwu Bugan Tang (Four-Substance Liver-Nourishing Decoction)
Xiangfu (prepared with wine, 1.5 qian), Chuanxiong (1 qian), Xiakucao (2 qian), Shudihuang (baked dry, 4 qian), Dangguishen (washed with wine, 2 qian), Baishao (washed with wine, 1.5 qian), Gancao (roasted, 0.5 qian).
Grind the above ingredients into coarse powder. Add two cups of water and decoct until one cup remains. Take warm after meals, discarding the dregs.
Zhong Gao (Swelling Ointment)
Nifen (a small amount), Huangla (Yellow Beeswax), Daizheshi (Hematitum, finely ground, 5 qian each), Xicimo (Magnetitum Finely Ground Powder), Huangbai (Phellodendri Cortex, fine powder), Mayou (Sesame Oil, 1 liang each).
Grind all ingredients into an extremely fine powder. Place in a copper spoon, add oil and wax, and simmer together to form an ointment. Apply to the affected area.
Zijin Gao (Purple Gold Ointment)
Luganshi (Calcined Calamina): Place Luganshi in a large silver jar, seal with salt mud, calcine over charcoal fire for the duration of one incense stick until the jar glows red, remove and grind into powder. Fly with Huanglian (Coptidis Rhizoma) water, then boil in a decoction of Huangqin (Scutellariae Radix), Huanglian, and Huangbai until the liquid is dry, until the calamine resembles pine flower color (4 liang). Huangdan (Lithargyrum): Stir-fry in a pot until black, test with grass (grass burns and lifts when lifted), repeat three times, grind into extremely fine powder, fly with water (4 liang). Pengsha (Borax, finely ground and flown, 3 qian), Zhusha (Cinnabar, finely ground and flown, 3 qian), Qingfen (Calomelas, 5 fen), Qingyan (Halitum, washed clean, 5 fen), Zhenzhu (Pearl, 3 qian), Baixiangding (Turdus Albigularis Excrement, dissolved in milk, filtered, 5 fen), Moyao (Myrrha, 5 fen), Ruxiang (Olibanum, 5 fen), Haipiaoxiao (Sepiae Endoconcha, peeled and finely ground, 2 qian), Kufan (Alumen Exsiccatum, 5 fen), Sha (Realgar, 5 fen), Danggui (Angelicae Sinensis Radix, finely ground, 5 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma, finely ground, 5 fen), Huanglian (Coptidis Rhizoma, finely ground, 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, finely ground, 5 fen), Shexiang (Moschus, 5 fen), Bingpian (Borneolum Syntheticum, 5 fen).
Process according to the method, grinding each herb into an extremely fine, silent powder. Use 15 liang of high-quality white honey, boil in a pot to remove foam, retaining only 10 liang. First add Luganshi and stir evenly, then add Huangdan and stir evenly, then add all other medicines, stirring continuously until it turns purple-golden and does not stick to the hands.
Shiyan Dan (Stone Swallow Pill/Powder)
Luganshi (prepared as above, 4 liang), Pengsha (boiled dry in a copper spoon), Shiyan (Fossilia Os Draconis), Hupo (Amber), Zhusha (Cinnabar, water-flown, take pure powder 1.5 qian each), Yingshibai (Eagle Droppings White; if unavailable, substitute Baixiangding, 1 qian), Bingpian (Borneolum Syntheticum), Shexiang (Moschus, 0.5 fen each).
Grind all ingredients into an extremely fine, silent powder. Use a small amount moistened with water to dot into the eyes.
For dryness and lack of tears, add Xiongdan (Ursi Fel) and Baimi (White Honey). For blood nebula, add Zhenawei (Ferulae Resina). For yellow nebula, add Jinneijin (Galli Gigerii Endothelium Corneum). For wind-heat nebula, add Ruiren (Pruni Semen). For heat nebula, add Zhenzhu (Pearl) and Niuhuang (Bovis Calculus). For cold nebula, add Fuzijian (Aconiti Lateralis Radix Preparata tip) and Xionghuang (Realgar). For old nebula, double the dose of Pengsha and add Zhuyanzi (Porci Pancreas).
Mofeng Gao (Wind-Massaging Ointment)
Huanglian (Coptidis Rhizoma), Xixin (Asari Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Xingren (Armeniacae Semen Amarum, skin and tips removed, pounded into paste), Fangfeng (Saposhnikoviae Radix), Songzhi (Pini Rosin) (each 5 qian), Baizhi (Angelicae Dahuricae Radix), Huangla (Yellow Beeswax) (each 1 liang), Mayou (Sesame Oil, 4 liang).
First melt the wax and oil. Grind the preceding herbs into a fine powder. Simmer slowly over low heat to make an ointment. Apply to the Taiyang acupoint.
Mozhang Lingguang Gao (Obstruction-Eliminating Spiritual Light Ointment)
Huanglian (Coptidis Rhizoma, cut into bean-sized pieces, 1 liang, soaked in child's urine overnight, dried and powdered), Huangdan (Lithargyrum, water-flown, 3 liang), Danggui (Angelicae Sinensis Radix, washed with wine, 2 qian), Shexiang (Moschus, 5 fen), Ruxiang (Olibanum, 5 fen), Qingfen (Calomelas, 1 qian), Sha (Realgar, 1 qian), Baixiangding (Turdus Albigularis Excrement, 1 qian), Longnao (Borneolum Syntheticum, 1 qian), Haipiaoxiao (Sepiae Endoconcha, separately ground into fine powder, 1 qian), Luganshi (Calcined Calamina, quenched seven times in decoction of 1 liang Huanglian, finely ground, 6 liang).
First, boil 10 liang of high-quality white honey for five to seven boils, skim off the wax layer with clean paper. Except for Huangdan, add the remaining herbs and stir evenly with a willow wood stick. Then add Huangdan and stir again. Simmer slowly on low heat, stirring constantly until purple. Finally, mix Ruxiang, Shexiang, Qingfen, and Sha evenly, and incorporate them into the above mixture, stopping when it no longer sticks to the hands.
Guangda Chongming Tang (Great Broadening and Brightening Decoction)
Fangfeng (Saposhnikoviae Radix), Juhua (Chrysanthemi Flos), Longdancao (Gentianae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Xixin (Asari Radix et Rhizoma) (equal parts).
Grind into coarse powder. Add one cup of water, decoct until half a cup remains. Strain and use hot vapor for fumigation and washing.
Wudan Gao (Five Gall Bladders Ointment)
Zhudanche (Porcine Bile), Huangniudanche (Bovine Bile), Yangdanche (Ovine Bile), Liyudanche (Cyprini Carassii Bile) (each 2.5 qian), Baimi (White Honey, 2 liang), Huhuanglian (Picrorhizae Rhizoma, powdered), Qingpi (Citri Reticulatae Pericarpium Viride, powdered), Chuanhuilian (Coptidis Rhizoma, powdered), Xiongdan (Ursi Fel) (each 2.5 qian).
Mix all herb powders with honey and bile evenly. Place in a porcelain bottle, seal tightly with thin paper, and steam in a rice steamer until the rice is cooked.