小儿生赘生睑内，初小渐大隐摩瞳，赤涩泪多脾胃热，钩割 洗去瘀红，清胃散用车
前子，膏军柴桔黑芩风。
【注】小儿生赘之证，生于眼胞之内，初起如麻子，久则渐长如豆，隐摩瞳仁，赤涩
泪出。此乃脾胃积热上壅所致。先用手法或钩割或 洗，散去外瘀；后用清胃散，清其内热。
清胃散方
车前子 石膏 大黄 柴胡 桔梗 黑参 黄芩 防风（各一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
小儿疳眼肝脾病，肿疼涩泪翳遮瞳，咬甲揉鼻合面卧，肥儿神麦荑连同。
【注】小儿疳眼者，初因饮食伤脾，久则肝热上冲，肿痛难开，隐涩泪多，渐生白膜，
云翳遮睛，外则 眉咬甲揉鼻，喜合面而卧，不喜抬头。宜用四味肥儿丸，久服即效。
四味肥儿丸方
神曲（炒） 麦芽（炒） 芜荑 黄连（炒，各等分）
上为细末，令匀，水糊为丸，桐子大，每服一钱，空心白汤送下。
小儿通睛因惊振，看东反西视斜偏，牛黄珠麝竺金黛，地龙苏附珀油蚕。
【注】小儿通睛之证，或因惊恐，或缘击振，致双目睛通，瞻视偏斜，看东反西，视
左反右。急用牛黄丸，疏风镇惊，久则即成
难治之证。
牛黄丸方
牛黄（三钱） 珍珠（三钱） 麝香（少许） 天竺黄（三钱） 金铂（为衣，量加） 青黛（三钱）
地龙（三钱） 苏合油（五钱） 白附子（炮，三钱） 琥珀（三钱） 香油（五钱） 僵蚕（三钱）
以上九味，各另研极细，共为一处，用细甘草梢一两煎汁，次入苏合油香油兑均，和
药为丸，黄豆大，金铂为衣，薄荷汤化下一丸。忌一切酒面、辛热、生痰等物。
Pediatric eyelid growths originate inside the eyelids; initially small, they gradually enlarge and obscurely rub against the pupil. Redness, dryness, and excessive tearing indicate Spleen-Stomach Heat (Pi Wei Re). Treatment involves hook-cutting or washing to remove stasis and redness, followed by Qingwei San (Clear Stomach Powder) containing Cheqianzi (Plantago Seed), Dajun (Rhubarb), Chaihu (Bupleurum Root), Jiegeng (Platycodon Root), Heiqin (Scrophularia Root), Huangqin (Scutellaria Root), and Feng (Saposhnikovia Root).
[Note] The condition of pediatric eyelid growths occurs within the eyelids. Initially resembling a hemp seed, it gradually grows to the size of a bean over time, obscuring and rubbing against the pupil, causing redness, dryness, and tearing. This is caused by accumulated Heat in the Spleen and Stomach obstructing upwards. First, use manual techniques, either hook-cutting or washing, to dissipate external blood stasis; then use Qingwei San (Clear Stomach Powder) to clear internal Heat.
Formula: Qingwei San (Clear Stomach Powder)
Cheqianzi (Plantaginis Semen), Shigao (Gypsum Fibrosum), Dahuang (Rhei Radix et Rhizoma), Chaihu (Bupleuri Radix), Jiegeng (Platycodi Radix), Shenjin (Scrophulariae Radix), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix) (each 1 qian).
Grind into coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm after meals.
Pediatric Gan Eye (Malnutrition Eye) stems from Liver-Spleen pathology, presenting with swelling, pain, dryness, tearing, and nebula covering the pupil. Symptoms include nail-biting, nose-rubbing, and prone sleeping. Treatment uses Fei'er Wan (Fetus-Enriching Pill), incorporating Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), and Tiyi (Meliosmae Fructus).
[Note] Pediatric Gan Eye (Malnutrition Eye) initially arises from dietary injury to the Spleen. Over time, Liver Heat rushes upward, causing severe swelling and pain that makes opening the eyes difficult, along with dull pain, dryness, and excessive tearing. A white membrane gradually forms, with nebula obscuring the cornea. External signs include frowning, nail-biting, nose-rubbing, a preference for prone sleeping, and reluctance to lift the head. Siwei Fei'er Wan (Four-Ingredient Fetus-Enriching Pill) is suitable; long-term administration yields efficacy.
Formula: Siwei Fei'er Wan (Four-Ingredient Fetus-Enriching Pill)
Shenqu (Fermented Mass of Medicinal Substances) (stir-fried), Maiya (Germinated Barley Fruit) (stir-fried), Wuyi (Meliosmae Fructus), Huanglian (Coptidis Rhizoma) (stir-fried) (equal parts).
Grind into fine powder, mix evenly, bind with water paste to form pills the size of tung tree seeds. Take 1 qian per dose, administered on an empty stomach with plain boiled water.
Pediatric strabismus (Tongjing) results from fright and shock, characterized by looking east but seeing west, and oblique gaze. Niu Huang Wan (Calculus Bovis Pill) is used, containing Niuhuang (Calculus Bovis), Zhenzhu (Margarita), Shexiang (Moschus), Tianzhuhuang (Calami Tuber), Jinbo (Laminam Aurum), Qingdai (Indigo Naturalis), Dilong (Pheretima), Suheyou (Styrax), Fuzi (Aconiti Lateralis Radix Praeparata), Hupo (Electrum), Xiangyou (Sesamum Oleum), and Jiangcan (Bombyx Batryticatus).
[Note] The condition of pediatric strabismus may be due to fright or physical shock, causing both eyeballs to turn inward, with deviated gaze—looking east but seeing west, looking left but seeing right. Urgently use Niu Huang Wan (Calculus Bovis Pill) to dispel Wind and calm fright; if neglected, it becomes difficult to treat.
Formula: Niu Huang Wan (Calculus Bovis Pill)
Niuhuang (Calculus Bovis) (3 qian), Zhenzhu (Margarita) (3 qian), Shexiang (Moschus) (a small amount), Tianzhug Huang (Calami Tuber) (3 qian), Jinbo (Laminam Aurum) (as coating, appropriate amount), Qingdai (Indigo Naturalis) (3 qian), Dilong (Pheretima) (3 qian), Suheyou (Styrax) (5 qian), Baifuzi (Typhonii Rhizoma) (processed, 3 qian), Hupo (Electrum) (3 qian), Xiangyou (Sesamum Oleum) (5 qian), Jiangcan (Bombyx Batryticatus) (3 qian).
The above nine ingredients are each ground separately into extremely fine powder and mixed together. Decoct 1 liang of fine Licorice Root tip (Gancao Gao) in water, add Suheyou (Styrax) and Sesame Oil, mix evenly, and combine with the medicinal powder to form pills the size of soybeans. Coat with Laminam Aurum (Gold Leaf). Dissolve one pill in Mint Decoction (Bohe Tang) for administration. Avoid all alcohol, wheat products, spicy and hot foods, and phlegm-producing substances.