天行赤眼四时生，传染热泪肿赤疼，受邪浅深随人化。驱风散热饮防风，牛蒡将军
羌赤芍，连翘栀薄草归芎。
【注】天行赤眼者，四时流行风热之毒，传染而成，老幼相传，沿门逐户，赤肿涩泪，
羞明疼痛，受邪浅深，视人强弱，强者先愈，弱者迟愈。宜用驱风散热饮，风盛倍羌防，热
盛倍大黄。
驱风散热饮
防风 牛蒡子（炒研） 大黄（酒浸） 羌活 赤芍药 连翘 栀子（炒） 薄荷（各一钱） 甘草（五
分） 当归尾 川芎（各一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
小儿青盲胎受风，瞳子端然视物蒙。明目羊肝桂柏味，细菊羌连白术同。
【注】小儿青盲者，因胎受风邪，生后瞳仁端好，黑白分明，惟视物不见，有时夜卧
多惊，呕吐痰涎黄汁。宜用镇肝明目羊肝丸，久服可愈。
镇肝明目羊肝丸方
羯羊肝（用新瓦盆焙干，如大只用一半，竹刃切片，一具） 官桂 柏子仁 五味子 细辛 菊花
羌活（各五钱） 黄连（炒，七钱） 白术（五钱）
上为细末，炼蜜为丸，如桐子大，沸汤研调，空心服一钱。
胎风赤烂缘胎热，目赤眵粘 烂红。小防风汤羌栀草，归尾将军赤芍风。
【注】胎风赤烂之证，因在母腹其母过食辛热，或生后，乳母过食辛热，致令小儿双
目尽赤，眵泪胶粘，四 湿烂。宜用小防风汤治之。
小防风汤方
羌活 栀子 甘草 当归尾 大黄 赤芍药 防风（各五分）
上为粗末，以水一盏半，煎至五分，空心温服。
Tianxing Chigan (Acute Infectious Conjunctivitis) can occur in all four seasons, is contagious, and presents with hot tears, eyelid swelling, redness, and pain. The depth of pathogenic invasion transforms according to individual constitution. The treatment should employ Qufeng Sanre Yin (Wind-Dispersing and Heat-Resolving Decoction), which contains Fangfeng (Saposhnikoviae Radix), Niubangzi (Arctii Fructus), Jiangjun (Rhei Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Chishao (Paeoniae Radix Rubra), Lianqiao (Forsythiae Fructus), Zhizi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Dangguiwei (Angelicae Sinensis Radix caudex), and Chuanxiong (Ligustici Chuanxiong Rhizoma).
[Note] Tianxing Chigan refers to epidemic wind-heat toxic pathogens prevailing in the four seasons, acquired through contagion, spreading among old and young, door to door. Symptoms include redness, swelling, astringency, tearing, photophobia, and pain. The depth of pathogenic invasion depends on the strength of the person; those who are strong recover first, while those who are weak recover later. It is appropriate to use Qufeng Sanre Yin (Wind-Dispersing and Heat-Resolving Decoction); if wind is predominant, double the dosage of Qianghuo and Fangfeng; if heat is predominant, double the dosage of Dahuang (Rhei Radix et Rhizoma).
Qufeng Sanre Yin (Wind-Dispersing and Heat-Resolving Decoction)
Fangfeng (Saposhnikoviae Radix), Niubangzi (Arctii Fructus, stir-fried and crushed), Dahuang (Rhei Radix et Rhizoma, soaked in wine), Qianghuo (Notopterygii Rhizoma et Radix), Chishao (Paeoniae Radix Rubra), Lianqiao (Forsythiae Fructus), Zhizi (Gardeniae Fructus, stir-fried), Bohe (Menthae Haplocalycis Herba) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian), Dangguiwei (Angelicae Sinensis Radix caudex), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian).
Crush the above into coarse powder. Add two cups of water, decoct until one cup remains, remove dregs, and take warm after meals.
Xiao'er Qingmang (Congenital Visual Impairment or Amblyopia in Children) often results from wind pathogen invasion during gestation. The pupil appears normal and upright, but vision is blurred. Treatment should employ Mingmu Yanggan Wan (Liver-Brightening Sheep Liver Pill), which contains Guizhi (Cinnamomi Ramulus), Baipiao (Phellodendri Cortex), Wuweizi (Schisandrae Chinensis Fructus), Xixin (Asari Radix et Rhizoma), Juhua (Chrysanthemi Flos), Qianghuo (Notopterygii Rhizoma et Radix), Huanglian (Coptidis Rhizoma), and Baizhu (Atractylodis Macrocephalae Rhizoma).
[Note] Xiao'er Qingmang occurs because the fetus was invaded by wind pathogen in utero. After birth, the pupil looks normal and distinct, yet the child cannot see. Sometimes there is night terrors during sleep, and vomiting of phlegm-saliva and yellow fluid. It is appropriate to use Zhen Gan Mingmu Yanggan Wan (Liver-Calming and Eye-Brightening Sheep Liver Pill); long-term consumption can lead to cure.
Zhen Gan Mingmu Yanggan Wan (Liver-Calming and Eye-Brightening Sheep Liver Pill) Formula
Jieyanggan (Sheep liver, baked dry in a new clay pot; if large, use half; slice with bamboo knife, one whole liver), Guizhi (Cinnamomi Ramulus), Baiziren (Platycladi Semen), Wuweizi (Schisandrae Chinensis Fructus), Xixin (Asari Radix et Rhizoma), Juhua (Chrysanthemi Flos), Qianghuo (Notopterygii Rhizoma et Radix) (each 5 qian), Huanglian (Coptidis Rhizoma, stir-fried) (7 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian).
Grind the above into fine powder. Form pills with refined honey, size like tung seeds. Take 1 qian empty stomach, dissolved in boiling water.
Taifeng Chilan (Neonatal Blepharitis) originates from fetal heat, presenting with red eyes, sticky discharge, erosion, and redness. Treatment should employ Xiao Fangfeng Tang (Minor Saposhnikovia Decoction), which contains Qianghuo (Notopterygii Rhizoma et Radix), Zhizi (Gardeniae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Dangguiwei (Angelicae Sinensis Radix caudex), Jiangjun (Dahuang/Rhei Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), and Fangfeng (Saposhnikoviae Radix).
[Note] The syndrome of Taifeng Chilan arises because the mother consumed excessive spicy and hot foods during pregnancy, or because the nursing mother consumed excessive spicy and hot foods after birth. This causes both eyes of the infant to be completely red, with sticky eye discharge and tears, and moist erosion of the eyelids. It is appropriate to treat with Xiao Fangfeng Tang (Minor Saposhnikovia Decoction).
Xiao Fangfeng Tang (Minor Saposhnikovia Decoction) Formula
Qianghuo (Notopterygii Rhizoma et Radix), Zhizi (Gardeniae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Dangguiwei (Angelicae Sinensis Radix caudex), Dahuang (Rhei Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), Fangfeng (Saposhnikoviae Radix) (each 0.5 qian).
Crush the above into coarse powder. Add one and a half cups of water, decoct until half a cup remains, and take warm on an empty stomach.