神祟疼痛忽然发，胞热睛疼缘肺肝，洗肝散用硝黄桔，栀子黄芩知母添，黑参热甚
加归地，外点还宜石燕丹。
【注】神祟疼痛之证，平素无病，忽然发动，睑皮火热，睛珠如刺，极痛难当。此肺
肝风热，上攻于眼，不可 洗。宜服酒调洗肝散，外点石燕丹。
酒调洗肝散方
朴硝 大黄 桔梗 栀子 黄芩 知母（炒） 黑参（各等分）
热甚者，加生地黄、当归尾。
上为末，每服二三钱，温酒调下，日服二次。
石燕丹（方见卷末）
突起睛高珠肿疼，风热毒火上冲睛，针后退热桔梗饮，硝黄茺芍黑芩风，还睛五味
参苓细，山药车前防远茺。
【注】突起睛高之证，缘风热火毒，上冲于眼，疼痛难忍，睛珠突高胀起。宜先用针
出其清涎毒水，后服退热桔梗饮子，用还睛丸调理可愈。
退热桔梗饮子
桔梗 芒硝 大黄 茺蔚子 白芍药（炒） 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。
还睛丸方
五味子（半两） 人参（二两） 茯苓（一两） 细辛（半两） 山药（一两） 车前子 防风 远志
茺蔚子（各二两）
上为细末，炼蜜丸，桐子大，空心茶清送下三钱。
漏睛脓出睑 间，或流脓汁或清涎，目无翳障不疼痛，风热攻冲心火炎。竹叶泻经
汤柴泻，升麻竹叶草车前，黄芩草决川羌活，苓芍将军栀子连。
【注】漏睛脓出之证，生于睑 ，或流脓水，或淌清涎，目无翳障，不疼不痛。乃风
热攻冲，心火上炎。宜用竹叶泻经汤主之。
竹叶泻经汤方
柴胡（五分） 泽泻（四分） 升麻（五分） 青竹叶（十片） 甘草（炙，五分） 车前子（四分）
黄芩（六分） 草决明（四分） 川羌活（五分） 白茯苓（四分） 赤芍药（四分） 大黄（六分） 栀子仁
（炒，五分） 川黄连（五分）
上为粗末，以水二盏，煎至一盏，食后温服。
Shensui pain (Sudden severe eye pain) occurs suddenly. The heat in the eyelids and pain in the eyeball are caused by wind-heat of the Lung and Liver (Zang-Fu organs: Lungs and Liver) attacking upwards. The treatment should use Xigan San (Liver-Washing Powder), which contains Xiaoshao (Mirabilite), Dahuang (Rhubarb Root and Rhizome), and Jiegeng (Platycodon Root). Gardenia (Zhizi), Scutellaria Root (Huangqin), and Anemarrhena Rhizome (Zhimu) may be added. If the heat is severe, Heishen (Black Ginseng), Danggui (Angelica Sinensis), and Shengdihuang (Rehmannia Root) can be added. For external application, Shiyandan (Swallow Stone Pill) is suitable.
[Note] The syndrome of Shensui pain appears suddenly in a person who was previously healthy. The eyelid skin feels hot, and the eyeball feels like it is being pierced, causing unbearable pain. This is due to wind-heat of the Lung and Liver attacking the eyes. Cold water washing is contraindicated. It is appropriate to take Jiutiao Xigan San (Wine-Mixed Liver-Washing Powder) internally and apply Shiyandan externally.
Jiutiao Xigan San Formula:
Xiaoshao (Mirabilite), Dahuang (Rhubarb Root and Rhizome), Jiegeng (Platycodon Root), Zhizi (Gardenia Fruit), Huangqin (Scutellaria Root), Zhimu (Anemarrhena Rhizome, stir-fried), Heishen (Black Ginseng) — equal parts.
For severe heat, add Shengdihuang (Rehmannia Root) and Dangguiwei (Tail of Angelica Sinensis).
Grind the above herbs into powder. Take 2–3 qian per dose, mixed with warm wine. Administer twice daily.
Shiyandan (See formula at the end of this volume).
Protruding high eyeballs with swelling and pain are caused by wind-heat and toxic fire rushing upward to the eyes. After acupuncture to reduce heat, use Jiegeng Yin (Platycodon Decoction). The formula contains Mangxiao (Natrii Sulfas), Dahuang (Rhubarb Root and Rhizome), Chongweizi (Leonurus Fructus), Baishaoyao (White Peony Root, stir-fried), Heishen (Black Ginseng), Huangqin (Scutellaria Root), and Fangfeng (Saposhnikovia Root). For conditioning, use Huanjing Wan (Restore Vision Pill), which contains Wuweizi (Schisandra Berry), Renshen (Ginseng Root), Fuling (Poria), Xixin (Asarum Root), Shanyao (Dioscorea Rhizome), Cheqianzi (Plantago Seed), Fangfeng (Saposhnikovia Root), Yuanzhi (Polygala Root), and Chongweizi (Leonurus Fructus).
[Note] The syndrome of protruding high eyeballs is caused by wind-fire and toxic heat rushing upward to the eyes, resulting in unbearable pain and swelling/protrusion of the eyeball. Initially, use an acupuncture needle to drain the clear saliva and toxic fluid. Subsequently, administer Tuire Jiegeng Yinzi (Heat-Reducing Platycodon Decoction) and condition with Huanjing Wan for recovery.
Tuire Jiegeng Yinzi Formula:
Jiegeng (Platycodon Root), Mangxiao (Natrii Sulfas), Dahuang (Rhubarb Root and Rhizome), Chongweizi (Leonurus Fructus), Baishaoyao (White Peony Root, stir-fried), Heishen (Black Ginseng), Huangqin (Scutellaria Root), Fangfeng (Saposhnikovia Root) — each 1 qian.
Grind the above herbs into coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Huanjing Wan Formula:
Wuweizi (Schisandra Berry, 0.5 liang), Renshen (Ginseng Root, 2 liang), Fuling (Poria, 1 liang), Xixin (Asarum Root, 0.5 liang), Shanyao (Dioscorea Rhizome, 1 liang), Cheqianzi (Plantago Seed), Fangfeng (Saposhnikovia Root), Yuanzhi (Polygala Root), Chongweizi (Leonurus Fructus) — each 2 liang.
Grind the above herbs into fine powder. Mix with refined honey to make pills the size of tung tree seeds. Take 3 qian on an empty stomach, washed down with tea water.
Leaking tear duct with pus between the eyelids involves either flowing pus or clear saliva. There are no corneal opacities (Yi zhang), and there is no pain. This is caused by wind-heat attacking and Heart fire flaring upward. The treatment should primarily use Zhuye Xiejing Tang (Bamboo Leaf Decoction for Draining the Meridian). The formula contains Chaihu (Bupleurum Root), Zexie (Alisma Rhizome), Shengma (Cimicifuga Rhizome), Qingzhuye (Green Bamboo Leaf), Gancao (Licorice Root, processed), Cheqianzi (Plantago Seed), Huangqin (Scutellaria Root), Caojueming (Astragalus Gypsum or Bilestone), Chuan Qianghuo (Notopterygium Rhizome), Baifuling (White Poria), Chi Shaoyao (Red Peony Root), Dahuang (Rhubarb Root and Rhizome), Zhiziren (Gardenia Seed, stir-fried), and Chuan Huanglian (Coptis Rhizome).
[Note] The syndrome of leaking tear duct with pus occurs between the eyelids, with either pus or clear saliva flowing out. There are no corneal opacities, and there is no pain. This is due to wind-heat attacking and Heart fire flaring upward. It is appropriate to use Zhuye Xiejing Tang as the primary treatment.
Zhuye Xiejing Tang Formula:
Chaihu (Bupleurum Root, 5 fen), Zexie (Alisma Rhizome, 4 fen), Shengma (Cimicifuga Rhizome, 5 fen), Qingzhuye (Green Bamboo Leaf, 10 leaves), Gancao (Licorice Root, honey-fried, 5 fen), Cheqianzi (Plantago Seed, 4 fen), Huangqin (Scutellaria Root, 6 fen), Caojueming (Astragalus Gypsum or Bilestone, 4 fen), Chuan Qianghuo (Notopterygium Rhizome, 5 fen), Baifuling (White Poria, 4 fen), Chi Shaoyao (Red Peony Root, 4 fen), Dahuang (Rhubarb Root and Rhizome, 6 fen), Zhiziren (Gardenia Seed, stir-fried, 5 fen), Chuan Huanglian (Coptis Rhizome, 5 fen).
Grind the above herbs into coarse powder. Add two cups of water and decoct until one cup remains. Take warm after meals.