按小儿目病，与大人不同。大人目病，多因忧患、
恼怒、七情、色欲所致，内伤于脏腑，外发于眼目。
至于小儿目病，不过胎毒、血热之故。症既不同，治
法亦异。
盖小儿秉受天真不足，气血嫩弱，间有云翳障膜，极难治疗。若发散过则精气散；寒凉多则脾胃
伤。误针则光明立失；点重则易于伤瞳。须认症真切。内服之药，要极和平；外点之药，勿涉猛烈。优
游渐进，调理得宜，日久自然消磨。不然，心粗手滑，鲜有不伤目者。每见婴儿目病，自坏者十之一、
二，治伤者十之八、九。余故表而出之，为世之为人父母与业斯道者留心焉。
小儿目赤，心经实热也。宜服∶
生地 生甘草 木通 黄芩 赤芍 羌活（各等分）
共为末，每服二钱，灯心煎汤下。点元灵丹。
小儿目淡红，心经虚热也。宜用∶
生犀角末（二钱） 赤芍 柴胡 地骨皮 干葛（各一两） 甘草（五钱）
共为末，每二钱，水一钟，煎七分，温服。点白玉锭。
小儿赤眼，多泪睛疼，心躁，并热翳、急惊、
发搐等症，此肝热也。宜服∶
生犀角末（二钱） 赤芍 柴胡 地骨皮 干葛（各一两） 甘草（五钱）
共为末，每二钱，水一钟，煎七分，温服。点白玉锭。
小儿赤眼，多泪睛疼，心躁，并热翳、急惊、
发搐等症，此肝热也。宜服∶
According to pediatric eye diseases, they differ from those in adults. Adult eye diseases are mostly caused by worry, anger, emotional disturbances (Seven Emotions), and excessive sexual desire, leading to internal damage to the Zang-Fu organs and external manifestation in the eyes. As for pediatric eye diseases, they are merely due to fetal toxins and blood heat. Since the symptoms differ, the treatment methods also vary.
Generally, children lack sufficient innate true Qi (Tianzhen), and their Qi and Blood are tender and weak. Occasionally, there may be nebulae or membranes, which are extremely difficult to treat. If dispersing methods (such as sweating) are overused, essence and Qi will scatter; if cold and cooling herbs are used excessively, the Spleen and Stomach will be damaged. Incorrect acupuncture will cause immediate loss of vision; applying heavy-pointing medications easily damages the pupil. One must accurately identify the symptoms. Internal medications must be extremely mild; external eye-drop medications should not be harsh. Proceed with leisurely gradualness, regulate appropriately, and after a long time, it will naturally dissipate. Otherwise, being careless and having light-handed techniques rarely fails to injure the eyes. It is often seen that among infants with eye diseases, one or two out of ten deteriorate on their own, while eight or nine out of ten are injured by improper treatment. Therefore, I have explicitly listed these points for parents and practitioners in this field to pay attention to.
Pediatric red eyes indicate Excess Heat in the Heart Meridian. It is suitable to take:
Sheng Di Huang (Rehmanniae Radix Recens), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma Recens), Mu Tong (Akebiae Caulis), Huang Qin (Scutellariae Radix), Chi Shao (Paeoniae Radix Rubra), Qiang Huo (Notopterygii Rhizoma et Radix) (equal parts).
Grind into powder. Take 2 qian each time, administered with decoction of Deng Xin Cao (Junci Medullia). Apply Yuan Ling Dan externally to the eyes.
Pediatric pale red eyes indicate Deficiency Heat in the Heart Meridian. It is suitable to use:
Sheng Xi Jiao Mo (Rhinocerotis Cornu Pulvis, Raw) (2 qian), Chi Shao (Paeoniae Radix Rubra), Chai Hu (Bupleuri Radix), Di Gu Pi (Lycii Cortex), Gan Ge (Puerariae Radix) (each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (5 qian).
Grind into powder. Take 2 qian each time, add one zhong of water, decoct until seven-tenths remain, and take warm. Apply Bai Yu Ding externally to the eyes.
Pediatric red eyes with excessive tearing, eyeball pain, mental restlessness, along with hot nebulae, acute convulsive syndrome (Ji Jing Feng), and spasms, indicate Liver Heat. It is suitable to take:
Sheng Xi Jiao Mo (Rhinocerotis Cornu Pulvis, Raw) (2 qian), Chi Shao (Paeoniae Radix Rubra), Chai Hu (Bupleuri Radix), Di Gu Pi (Lycii Cortex), Gan Ge (Puerariae Radix) (each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (5 qian).
Grind into powder. Take 2 qian each time, add one zhong of water, decoct until seven-tenths remain, and take warm. Apply Bai Yu Ding externally to the eyes.
Pediatric red eyes with excessive tearing, eyeball pain, mental restlessness, along with hot nebulae, acute convulsive syndrome (Ji Jing Feng), and spasms, indicate Liver Heat. It is suitable to take: