风泪初起冬月甚，久则冬夏泪蒙蒙。肝虚冷泪不疼赤，实则热泪肿红疼。虚用补肝
归白芍，蒺芎熟地木贼风；实用茶调荆薄草，贼防羌决菊膏芎。
【注】冲风泪出之证，见风泪出，初起则
冬月甚，夏月轻，久则冬夏皆然，此乃肝脏虚风邪热所致。若泪冷不赤不痛为虚，宜用
补肝汤；泪热肿赤疼痛为实，宜用川芎茶调散。
止泪补肝散方
当归（二钱） 白芍药（炒，一钱） 蒺藜（一钱） 川芎（五分） 熟地黄（二钱） 木贼（一钱）
防风（一钱）
上为粗末，以水二盏，煎至一盏，食远去渣温服。
川芎茶调散方
荆芥 薄荷 甘草（炙） 木贼 防风 羌活 石决明（ ） 菊花 石膏 川芎（各一两）
上为细末，令匀，每服三钱，食后茶清调下。
风赤疮痍 睑生，黑睛端好睑烂红，脾经风热宜急治，久生翳膜遮瞳睛。加减四物
汤生地，苦参牛蒡薄荷风，当归赤芍天花粉，连翘荆芥穗川芎。
【注】风赤疮痍者，起于两 ，其黑睛则端然无恙，惟睑边烂而红赤。此乃脾经风热
上攻所致，宜急治之，久则恐生翳膜，遮盖睛瞳。用加减四物汤。
加减四物汤方
生地黄 苦参 牛蒡子 薄荷 防风 当归 赤芍药 天花粉 连翘 荆芥穗 川芎（各一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
Wind-induced tearing initially worsens in winter, but after a long duration, vision becomes blurred with tears in both winter and summer. Cold tears due to Liver deficiency are painless and non-erythematous; hot tears due to excess present with swelling, redness, and pain. For deficiency patterns, Bu Gan Tang (Tonify the Liver Decoction) is used, composed of Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Ji Li (Tribuli Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata), Mu Zei (Equiseti Herba), and Fang Feng (Saposhnikoviae Radix). For excess patterns, Chuan Xiong Cha Tiao San (Chuanxiong Powder Regulated with Tea) is used, composed of Jing Jie (Schizonepetae Spica), Bo He (Menthae Haplocalycis Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Shi Jue Ming (Haliotidis Concha), Ju Hua (Chrysanthemi Flos), Shi Gao (Gypsum Fibrosum), and Chuan Xiong (Ligustici Chuanxiong Rhizoma).
[Note] The syndrome of tearing upon exposure to wind presents as lacrimation triggered by wind. Initially, it worsens in winter and improves in summer; after a long duration, it persists in both seasons. This is caused by deficient wind and pathogenic heat in the Liver. If the tears are cold without redness or pain, it is a deficiency pattern, suitable for Bu Gan Tang (Tonify the Liver Decoction). If the tears are hot with eyelid swelling, redness, and pain, it is an excess pattern, suitable for Chuan Xiong Cha Tiao San (Chuanxiong Powder Regulated with Tea).
Formula for Zhi Lei Bu Gan San (Stop Tearing and Tonify the Liver Powder): Dang Gui (Angelicae Sinensis Radix) 2 qian, Chao Bai Shao (Stir-fried Paeoniae Radix Alba) 1 qian, Ji Li (Tribuli Fructus) 1 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 5 fen, Shu Di Huang (Rehmanniae Radix Praeparata) 2 qian, Mu Zei (Equiseti Herba) 1 qian, Fang Feng (Saposhnikoviae Radix) 1 qian. Grind the above into coarse powder. Add two zhan of water, decoct until one zhan remains, remove the dregs, and take warm before meals.
Formula for Chuan Xiong Cha Tiao San (Chuanxiong Powder Regulated with Tea): Jing Jie (Schizonepetae Spica), Bo He (Menthae Haplocalycis Herba), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Mu Zei (Equiseti Herba), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Shi Jue Ming (Haliotidis Concha), Ju Hua (Chrysanthemi Flos), Shi Gao (Gypsum Fibrosum), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang). Grind the above into fine powder and mix evenly. Take 3 qian per dose, mixed with clear tea after meals.
Feng Chi Chuang Yi (Wind-red Eczema/Sores): Sores appear on the eyelids, while the cornea remains intact, but the eyelids are ulcerated and erythematous. This is caused by wind-heat in the Spleen meridian ascending upward; it should be treated urgently. If neglected, nebula may form and cover the pupil. Use Jia Jian Si Wu Tang (Modified Four Substances Decoction), composed of Sheng Di Huang (Rehmanniae Radix), Ku Shen (Sophorae Flavescentis Radix), Niu Bang Zi (Arctii Fructus), Bo He (Menthae Haplocalycis Herba), Fang Feng (Saposhnikoviae Radix), Dang Gui (Angelicae Sinensis Radix), Chi Shao Yao (Paeoniae Radix Rubra), Tian Hua Fen (Trichosanthis Radix), Lian Qiao (Forsythiae Fructus), Jing Jie Sui (Schizonepetae Spica), and Chuan Xiong (Ligustici Chuanxiong Rhizoma).
[Note] Feng Chi Chuang Yi (Wind-red Eczema/Sores) originates from the eyelids, while the cornea remains completely healthy, with only the eyelid margins being ulcerated and erythematous. This is caused by wind-heat in the Spleen meridian attacking upwards; it should be treated urgently. If neglected, nebula may form and cover the pupil. Use Jia Jian Si Wu Tang (Modified Four Substances Decoction).
Formula for Jia Jian Si Wu Tang (Modified Four Substances Decoction): Sheng Di Huang (Rehmanniae Radix), Ku Shen (Sophorae Flavescentis Radix), Niu Bang Zi (Arctii Fructus), Bo He (Menthae Haplocalycis Herba), Fang Feng (Saposhnikoviae Radix), Dang Gui (Angelicae Sinensis Radix), Chi Shao Yao (Paeoniae Radix Rubra), Tian Hua Fen (Trichosanthis Radix), Lian Qiao (Forsythiae Fructus), Jing Jie Sui (Schizonepetae Spica), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 qian). Grind the above into coarse powder. Add two zhan of water, decoct until one zhan remains, remove the dregs, and take warm after meals.