暴赤生翳心肝病，风热上壅痛难当，赤肿热泪羞明痒，最宜 洗出血良。初起先用芦
根饮，黑连硝黄芩与防，去翳镇肝 石决，辛薯参苓车味羌。
【注】暴赤生翳，其证赤肿生翳，痒痛难当，时流热泪羞明，乃心、肝二经风热，上
壅攻目所致。宜 洗出血，服芦根饮子，清其内热，后服镇肝丸。 音廉。 者，或以针锋
微刺之，或以灯心草微刮之也。
芦根饮子
芦根（一钱） 黑参（一钱五分） 黄连（一钱） 芒硝（一钱） 大黄（一钱） 黄芩（一钱五分）
防风（一钱）
上为粗末，以水二盏，煎至一盏，食后，去渣温服。
镇肝丸方
本（一两五钱） 石决明（ ，二两） 细辛（三钱） 山药（炒） 人参 茯苓 车前子（各一两）
五味子（三钱） 羌活（一两）
上罗为细末，炼蜜为丸，如桐子大，空心茶清送下三钱。
血灌瞳仁目睛痛，犹如血灌色相同，胆汁肝血因热耗，血为火迫灌睛瞳。急用止痛
没药散，硝黄血竭引茶清，痛止大黄当归散，贼芩栀子菊苏红。
【注】血灌瞳仁，目睛疼痛，瞳仁如血灌红色。缘肝血热耗，胆汁皆亏，血因火迫，灌
入瞳中。宜服止痛没药散，止疼后，服大黄当归散。
止痛没药散方
没药（二两） 芒硝（一两半） 大黄（一两半） 血竭（一两）
上捣筛为细末，食后热茶清调下一钱。
大黄当归散方
大黄（一两） 当归（二钱） 木贼（一两） 黄芩（一两） 栀子（五钱） 菊花（三钱） 苏木（五钱）
红花（八钱）
上为细末令匀，每服二钱，食远茶清调下。
Baochi Shengyi (Acute Red Eye with Corneal Opacity) originates from disorders of the Heart and Liver meridians. Wind-Heat pathogenic factors ascend and obstruct, causing severe and unbearable pain. The eyes are red and swollen, with hot tears flowing, photophobia, and itching. It is most suitable to use Xichuxueliang (Blood-Washing Good Remedy) for washing. In the initial stage, first administer Lugenyin (Reed Rhizome Decoction), which contains Heishen (Black Ginseng), Huanglian (Coptis Rhizome), Mangxiao (Mirabilite), Dahuang (Rhubarb Root and Rhizome), Huangqin (Scutellaria Root), and Fangfeng (Saposhnikovia Root). To remove opacity and calm the Liver, Zhen Gan Wan (Liver-Calming Pill) can be used, containing Shijueming (Abalone Shell), Xinyi (Magnolia Flower), Shanyao (Chinese Yam), Renshen (Ginseng Root), Fuling (Poria), Cheqianzi (Plantago Seed), Wuweizi (Schisandra Fruit), and Qianghuo (Notopterygium Root).
[Note] Baochi Shengyi presents with symptoms of redness, swelling, corneal opacity, unbearable itching and pain, frequent hot tears, and photophobia. This is caused by Wind-Heat in the Heart and Liver meridians ascending and attacking the eyes. It is appropriate to wash with Xichuxueliang, then take Lugenyin Zi to clear internal heat, followed by Zhen Gan Wan. The character "Xi" (Wash) is pronounced like "Lian". "Xi" refers to slightly pricking the affected area with a needle tip or gently scraping it with a rush pith.
Lugenyin Zi Formula:
Lugen (Reed Rhizome, 1 qian), Heishen (Black Ginseng, 1.5 qian), Huanglian (Coptis Rhizome, 1 qian), Mangxiao (Mirabilite, 1 qian), Dahuang (Rhubarb Root and Rhizome, 1 qian), Huangqin (Scutellaria Root, 1.5 qian), Fangfeng (Saposhnikovia Root, 1 qian).
Grind the above into coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Zhen Gan Wan Formula:
Ben (1.5 liang - *Note: Original text says 'Ben', likely a typo or specific local herb, kept as literal*), Shijueming (Abalone Shell, 2 liang), Xixin (Asarum Root, 3 qian), Shanyao (Chinese Yam, stir-fried), Renshen (Ginseng Root), Fuling (Poria), Cheqianzi (Plantago Seed, each 1 liang), Wuweizi (Schisandra Fruit, 3 qian), Qianghuo (Notopterygium Root, 1 liang).
Sieve into fine powder. Make pills with refined honey, size of tung tree seeds. Take 3 qian on an empty stomach with clear tea.
Xueguan Tongren (Hyphema/Blood in Pupil) causes eye pain, resembling blood filling the eye, with identical coloration. Due to heat consuming bile and liver blood, blood is forced by fire to pour into the pupil area. Urgently use Zhengtong Moyao San (Myrrh Pain-Relieving Powder), containing Xiaohuang (Mirabilite and Rhubarb) and Xuexie (Dragon's Blood), guided by clear tea. After pain subsides, take Dahuang Danggui San (Rhubarb and Angelica Decoction), containing Zeiqin (Huangqin/Scutellaria), Zhizi (Gardenia Fruit), Juhua (Chrysanthemum Flower), Sumu (Sappan Wood), and Hong (Honghua/Safflower).
[Note] Xueguan Tongren presents with eye pain and a pupil area appearing red as if filled with blood. The cause is consumption of liver blood due to heat and deficiency of bile; blood is forced by fire to enter the pupil. It is appropriate to take Zhengtong Moyao San. After pain stops, take Dahuang Danggui San.
Zhengtong Moyao San Formula:
Moyao (Myrrh, 2 liang), Mangxiao (Mirabilite, 1.5 liang), Dahuang (Rhubarb Root and Rhizome, 1.5 liang), Xuexie (Dragon's Blood, 1 liang).
Pound and sieve into fine powder. Take 1 qian mixed with hot clear tea after meals.
Dahuang Danggui San Formula:
Dahuang (Rhubarb Root and Rhizome, 1 liang), Danggui (Angelica Sinensis Root, 2 qian), Muzei (Equisetum Hiemale Stem, 1 liang), Huangqin (Scutellaria Root, 1 liang), Zhizi (Gardenia Fruit, 5 qian), Juhua (Chrysanthemum Flower, 3 qian), Sumu (Sappan Wood, 5 qian), Honghua (Safflower, 8 qian).
Grind into uniform fine powder. Take 2 qian each time, mixed with clear tea taken well after meals.