柴胡 栀仁（炒） 川羌活 升麻 甘草（炙） 川黄连
（各五分） 泽泻 白茯苓 赤芍 草决明 车前（各四分）
黄芩 大黄（各六分） 青竹叶（十片）
水二钟，煎一钟，食后温服。
山栀仁（炒十两） 杏仁（泡去皮尖取霜二两） 锦纹大黄
（五两） 石蜜（一斤炼熟）
共为末，蜜丸桐子大。每服三十丸，加至百丸，
茶汤送下。此症俗名“漏睛”、久而不治，竟枯两目。大
人亦多此症。
小儿初生下，眼不开者，由产母过食辛热等物，
致成斯疾。当以熊胆少许，蒸水洗眼，一日七次。如
三日不开，用生地黄散。凡小儿不洗净，则秽浸渍于
目中，使眼赤烂，至长不瘥。
小儿五、七岁，目闭不开者，足太阳经为目上纲，
足阳明经为目下纲，热则筋纵，目不开。宜服∶
炙甘草 黄 当归 防风（各一钱） 蔓荆子
白芷（各五分） 柴胡 升麻（各七分）
水二钟，煎一钟，稍热服。
大人眼睫无力，常欲睡闭，无疼痛而瘾涩难开。
此服寒凉太多，而真气不能通九窍也。宜用此方。
小儿目上下睫瘾起内疣，用手法除后，服∶
防风 羌活 归尾 白芍（各六分） 红花 苏木
（各少许） 苍术 白茯苓 独活 前胡 黄芩（各五分）
细甘草 防己（各四分）
水二钟，煎一钟，食后大热服。渣再煎。病在上
睫加黄连、柴胡；病在下睫加 本、蔓荆子。
此病初起，或在上眼皮内，或在下眼皮内。初如
豆，如白果大，速服此药即消。日久坚硬如石，非刀
割去不消。若因循不治，长如桃，如杯，如盏，高
大疼痛则伤命。大人亦有此症者，屡治过，俱以此
方收功，神效。
Bupleuri Radix (Chaihu), Gardeniae Fructus (Zhiren, stir-fried), Notopterygii Rhizoma et Radix (Chuan Qianghuo), Cimicifugae Rhizoma (Shengma), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Gancao, honey-fried), Coptidis Rhizoma (Chuan Huanglian) (each 5 fen), Alismatis Rhizoma (Zexie), Poria (Baifuling), Paeoniae Radix Rubra (Chishao), Cassiae Semen (Caojueming), Plantaginis Semen (Cheqianzi) (each 4 fen), Scutellariae Radix (Huangqin), Rhei Radix et Rhizoma (Dahuang) (each 6 fen), Bamboo Leaves (Qingzhuye) (10 slices).
Decoct with two zhong of water until one zhong remains. Take warm after meals.
Gardeniae Fructus (Zhiren, stir-fried, 10 liang), Armeniacae Semen Amarum (Xingren, peeled and removed of tips to obtain the paste, 2 liang), Rheum Palmatum (Jinwen Dahuang, 5 liang), Honey (Shimi, refined and cooked, 1 jin).
Grind into fine powder, make pills with honey the size of paulownia seeds. Each dose is 30 pills, increase up to 100 pills, take down with tea broth. This condition is commonly known as "Lou Jing" (chronic inflammation of eyelid glands, often accompanied by lacrimal fistula); if not treated for a long time, it may lead to blindness in both eyes. Adults also often suffer from this condition.
When infants are just born with eyes unable to open, it is caused by the mother consuming too much spicy and hot substances during pregnancy, leading to this disease in the fetus. A small amount of Bear Bile (Xiongdan) should be used with steamed water to wash the eyes, seven times a day. If they do not open after three days, use Shengdi Huang San (Rehmannia Root Powder). If the secretions around the infant's eyes are not cleaned thoroughly, turbid pathogens will infiltrate the eyes, causing redness and ulceration that persists until adulthood.
In children aged five or seven, if the eyes are closed and cannot open, it is because the Foot-Taiyang Bladder Meridian governs the upper eyelid, and the Foot-Yangming Stomach Meridian governs the lower eyelid; heat causes flaccidity of the tendons, resulting in inability to open the eyes. It is suitable to take the following prescription:
Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao), Scutellariae Radix (Huangqin), Angelicae Sinensis Radix (Danggui), Saposhnikoviae Radix (Fangfeng) (each 1 qian), Viticis Fructus (Manjingzi), Angelicae Dahuricae Radix (Baizhi) (each 5 fen), Bupleuri Radix (Chaihu), Cimicifugae Rhizoma (Shengma) (each 7 fen).
Decoct with two zhong of water until one zhong remains. Take slightly warm.
Adults with weak eyelids who frequently desire to sleep with eyes closed, without pain but feeling gritty and difficult to open, suffer from excessive consumption of cold-natured medicines, preventing true qi from unblocking the nine orifices. The following prescription is suitable.
For children with grittiness and internal warts on the upper and lower eyelids, remove them manually first, then take the following prescription:
Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Sinensis Radix Caulis (Guiwei), Paeoniae Radix Alba (Baishao) (each 6 fen), Carthami Flos (Honghua), Sappan Lignum (Sumu) (small amounts), Atractylodis Rhizoma (Cangzhu), Poria (Baifuling), Angelicae Pubescentis Radix (Duhuo), Peucedani Radix (Qianhu), Scutellariae Radix (Huangqin) (each 5 fen), Glycyrrhizae Radix et Rhizoma (Xigancao), Podagricae Radix (Fangji) (each 4 fen).
Decoct with two zhong of water until one zhong remains. Take very hot after meals. Decoct the dregs again. For lesions on the upper eyelid, add Coptidis Rhizoma (Huanglian) and Bupleuri Radix (Chaihu); for lesions on the lower eyelid, add Ligustici Rhizoma et Radix (Gaoben) and Viticis Fructus (Manjingzi).
This disease initially appears either inside the upper eyelid or the lower eyelid. Initially, it is like a bean or a ginkgo nut; taking this medicine quickly will cause it to dissipate. If left for a long time, it becomes hard as stone and can only be eliminated by surgical excision. If neglected and untreated, it may grow as large as a peach, cup, or bowl, becoming tall, large, painful, and life-threatening. Adults also have this condition; I have treated many cases successfully with this prescription, which is remarkably effective.