香附（八两分四分，酒、醋、盐、便各煮过晒干） 黄柏（酒炒） 熟
地（各一两） 泽兰叶 川芎（酒炒） 白芍（酒炒） 当归（炒各两
半） 益母草（四两忌铁）
共为末，炼蜜丸桐子大。每服三钱，空心淡盐汤下。食远亦可服。
妇人行经，去血过多，眼疼，黑眼花翳白陷，此
血衰肝虚也。宜服∶
当归 菊花（各五钱） 川芎 白术 细辛 茺蔚
子白芍 羌活 薄荷 大黄（各二钱） 甘草（三钱）
车前（三钱） 防风（二钱半） 白蒺藜（三钱）
上为末，灯心汤下（一钱五分。）
妇人室女，经逆上行，血灌瞳人，此血热也。或
患久，血死在目珠，而生 肉。以通经为主，宜服∶
当归 生地 栀子 薄荷 赤芍 黄芩（酒洗各一
两） 大黄（八钱） 红花（二两） 黄连（六钱） 川芎（六钱）
羌活（六钱） 甘草（三钱） 苏木（六钱） 木贼（五钱）
上为末极细，姜皮汤下二钱。
妇人眼酋红，血热逆于上也。宜服∶
川芎 红花（各二钱） 当归 赤芍 山栀（各一两）
黄连（三钱） 苏木（三钱） 枳壳 没药（去油） 连翘 黄芩
（各八钱） 大黄（八钱） 白芷（五钱） 薄荷（六钱） 犀角（二钱）
共为末，姜皮汤下二钱。
上因他病而成眼病数条，有红肿云翳类外障者，却用不的治外障药；有昏暗不明如内障者，却用不
的治内障药。只看病从何而起，因微知着，随病施治。
如疮毒入目，生红丝、云翳，宜解疮毒也；打伤血凝，生红丝、云翳，宜行滞血也；伤寒后生红丝、
云翳，宜扶正气也∶妇女逆经，血涌于目，生红丝、云翳，宜破血通经也。若见形像，概曰热也，竟以寒
凉之药投之，则伤目矣。
如头疼而目昏暗不明，宜除风散热也；痰盛而目
昏暗不明，宜清痰利窍也；虚弱而目昏暗不明，宜滋
肾养血也；胎前产后而目昏暗不明，宜养血补肝也。
若观外貌，概曰虚也，竟以补益之药投之，则伤目
矣。
病症多端，难以缕指，特举似有余而非有余，
似不足而非不足数症，使人知所变通，而无执固之
失也。
洗眼红枣儿（不论年久烂弦风眼，俱可洗。）
皮硝一斤，滚水泡化，澄清去渣，用上号红枣
一斤，去核，入硝汁内浸一日，取出晒干，又浸，汁
尽为度。将枣儿一个，装黄连末三分，仍旧合之，勿
令泄气。用时取枣一个，投滚水汤泡之，不时洗眼，
极效。
[Sizhi Xiangfu Wan (Four-Processed Cyperi Rhizome Pill)]
Cyperi Rhizoma (Xiangfu, 香附) (8 liang, divided into four parts, each boiled separately in wine, vinegar, salt water, and urine respectively, then dried) Phellodendri Cortex Huangbai (Phellodendron Bark, 黄柏) (processed with wine) Prepared Rehmanniae Radix Shudi (Prepared Rehmannia Root, 熟地黄) (1 liang each) Lantanae Herba Ze Lan Ye (Lantana Herb, 泽兰叶) Chuanxiong Rhizoma Chuanxiong (Sichuan Lovage Rhizome, 川芎) (processed with wine) Paeoniae Radix Alba Baishao (White Peony Root, 白芍) (processed with wine) Angelicae Sinensis Radix Danggui (Dong Quai Root, 当归) (fried, 1.5 liang each) Leonuri Herba Yimu Cao (Motherwort Herb, 益母草) (4 liang, avoid iron)
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 3 qian per dose, administered on an empty stomach with light salt water. It can also be taken well after meals.
In women, excessive blood loss during menstruation may cause eye pain, blurred vision, floaters (black flowers), and white depression of corneal opacities. This is due to blood deficiency and liver emptiness. The following formula is suitable:
Angelicae Sinensis Radix Danggui (Dong Quai Root, 当归) Chrysanthemi Flos Juhua (Chrysanthemum Flower, 菊花) (5 qian each) Chuanxiong Rhizoma Chuanxiong (Sichuan Lovage Rhizome, 川芎) Atractylodis Macrocephalae Rhizoma Baizhu (Large-headed Atractylodes Rhizome, 白术) Asari Radix et Rhizoma Xixin (Asarum Root and Rhizome, 细辛) Lycii Fructus Gouqi Zi (Goji Berry, 枸杞子) *Note: Text says 'Chongwei Zi' which is Leonuri Fructus* Leonuri Fructus Chongwei Zi (Matrimony Vine Fruit, 茺蔚子) Paeoniae Radix Alba Baishao (White Peony Root, 白芍) Notopterygii Rhizoma et Radix Qianghuo (Notopterygium Rhizome and Root, 羌活) Menthae Haplocalycis Herba Bohe (Mint Herb, 薄荷) Rheum Palmatum Radix et Rhizoma Dahuang (Rhubarb Root and Rhizome, 大黄) (2 qian each) Glycyrrhizae Radix et Rhizoma Gancao (Licorice Root and Rhizome, 甘草) (3 qian) Plantaginis Semen Cheqianzi (Plantago Seed, 车前子) (3 qian) Saposhnikoviae Radix Fangfeng (Divaricate Saposhnikovia Root, 防风) (2.5 qian) Tribuli Fructus Bijieli (Tribulus Fruit, 白蒺藜) (3 qian)
Grind into fine powder. Administer 1.5 qian with a decoction of Jiaoteng (Centum Segments Vine, 灯心草).
In women or unmarried girls, if menstrual blood reverses and flows upward, filling the pupil, this is due to blood heat. If the condition persists, dead blood stagnates in the eyeball, forming polyps. Treatment should focus on unblocking the menses. The following formula is suitable:
Angelicae Sinensis Radix Danggui (Dong Quai Root, 当归) Rehmanniae Radix Shengdi (Rehmannia Root, 生地黄) Gardeniae Fructus Zhizi (Gardenia Fruit, 栀子) Menthae Haplocalycis Herba Bohe (Mint Herb, 薄荷) Paeoniae Radix Rubra Chishao (Red Peony Root, 赤芍) Scutellariae Radix Huangqin (Scutellaria Root, 黄芩) (wine-washed, 1 liang each) Rheum Palmatum Radix et Rhizoma Dahuang (Rhubarb Root and Rhizome, 大黄) (8 qian) Carthami Flos Honghua (Safflower Flower, 红花) (2 liang) Coptidis Rhizoma Huanglian (Coptis Rhizome, 黄连) (6 qian) Chuanxiong Rhizoma Chuanxiong (Sichuan Lovage Rhizome, 川芎) (6 qian) Notopterygii Rhizoma et Radix Qianghuo (Notopterygium Rhizome and Root, 羌活) (6 qian) Glycyrrhizae Radix et Rhizoma Gancao (Licorice Root and Rhizome, 甘草) (3 qian) Sappan Lignum Susun (Sappan Wood, 苏木) (6 qian) Equiseti Herba Muzei (Horsetail Herb, 木贼) (5 qian)
Grind into extremely fine powder. Administer 2 qian with a decoction of Ginger Pericarpium (Jiangpi, 姜皮).
Women with red and swollen eyes suffer from blood heat reversing upwards. The following formula is suitable:
Chuanxiong Rhizoma Chuanxiong (Sichuan Lovage Rhizome, 川芎) Carthami Flos Honghua (Safflower Flower, 红花) (2 qian each) Angelicae Sinensis Radix Danggui (Dong Quai Root, 当归) Paeoniae Radix Rubra Chishao (Red Peony Root, 赤芍) Gardeniae Fructus Zhizi (Gardenia Fruit, 山栀) (1 liang each) Coptidis Rhizoma Huanglian (Coptis Rhizome, 黄连) (3 qian) Sappan Lignum Susun (Sappan Wood, 苏木) (3 qian) Aurantii Fructus Zhiqiao (Bitter Orange Fruit, 枳壳) Myrrha Resina Moyao (Myrrh Resin, 没药) (de-oiled) Forsythiae Fructus Lianqiao (Forsythia Fruit, 连翘) Scutellariae Radix Huangqin (Scutellaria Root, 黄芩) (8 qian each) Rheum Palmatum Radix et Rhizoma Dahuang (Rhubarb Root and Rhizome, 大黄) (8 qian) Angelicae Dahuricae Radix Baizhi (Dahurian Angelica Root, 白芷) (5 qian) Menthae Haplocalycis Herba Bohe (Mint Herb, 薄荷) (6 qian) Rhinocerotis Cornu Xijiao (Rhinoceros Horn, 犀角) (2 qian)
Grind into fine powder. Administer 2 qian with a decoction of Ginger Pericarpium (Jiangpi, 姜皮).
The aforementioned eye conditions arise from other diseases. Some present with redness, swelling, and cloud-like opacities resembling external cataracts, yet external cataract treatments are inappropriate. Others present with dimness and unclear vision resembling internal cataracts, yet internal cataract treatments are inappropriate. One must identify the origin of the disease, infer the significant symptoms from subtle signs, and treat according to the specific condition.
For example, if sores and toxins enter the eye causing red filaments and cloud-like opacities, one should resolve the toxin; if trauma causes blood stasis leading to red filaments and cloud-like opacities, one should move stagnant blood; if red filaments and cloud-like opacities appear after a cold damage (Shanghan) illness, one should support healthy qi; if reverse menstruation causes blood to surge into the eye, leading to red filaments and cloud-like opacities, one should break blood stasis and unblock the menses. If these manifestations are generally diagnosed as heat and treated with cold-cooling herbs, the eyes will be damaged.
If headache accompanies dim and unclear vision, one should dispel wind and clear heat; if phlegm abundance causes dim and unclear vision, one should clear phlegm and open orifices; if weakness causes dim and unclear vision, one should nourish kidney essence and nourish blood; if dim and unclear vision occurs before pregnancy or postpartum, one should nourish blood and tonify the liver. If these appearances are generally diagnosed as deficiency and treated with tonifying herbs, the eyes will be damaged.
There are numerous types of symptoms, difficult to list individually. Here, several cases that seem like excess but are not, or seem like deficiency but are not, are specifically cited to enable practitioners to adapt flexibly and avoid rigid adherence.
[Xiyan Hongza'er (Washing Eye Red Dates)]
Suitable for washing eyes in cases of marginal blepharitis (Lanxian Feng Yan, 烂弦风眼) regardless of duration.
Mirabilite (Pinxiao, 皮硝) (1 jin), dissolve in boiling water, clarify, and remove dregs. Take 1 jin of high-quality red dates, remove pits, and soak in the mirabilite solution for one day. Remove, dry, and repeat soaking until the liquid is fully absorbed. Stuff 3 fen of Coptidis Rhizoma Huanglian (Coptis Rhizome, 黄连) powder into one date, seal it tightly to prevent air leakage. When using, take one date, steep in boiling water, and use the water to wash the eyes frequently. This is highly effective.