此眼初患之时，皆因生后乳母多食湿面酒醋壅毒之物。致令小儿双目尽赤。眵掩四 赤烂。号曰胎风。后长成十五
以来。切宜镰洗出血。服黄 饮子。点蕤仁膏即瘥。
诗曰∶
襁褓双眸 尽红 医人欲识号胎风 婴儿乳母吞诸热 潜入初于五脏中
痒发手揉能禁制 外风因便得侵冲 良医先用通丸散 次用蕤仁眶内攻
服药临时随冷热 铍镰瘀血断根踪 不然久后为何状 倒睫拳毛一世中
黄 饮子
黄 （三两） 车前子 细辛 黄芩 五味子（各一两） 防风（一两半）
上捣为末。以水一盏。散一钱。煎至五分。食后去渣温服。
蕤仁膏
蕤仁（五钱） 石胆 黄蜡 小麻油 腻粉（各少许）
上捣研。令细如粉为妙。后入油蜡子瓷碗内。慢火煎成膏。点眼。
此眼初患之时。或即痒痛。作时发歇不定。或出多泪。遂合睑肉疮出。四 如朱砂色相似。然后渐生膜翳。障闭瞳
仁。盖是脾脏毒风即热膈中。致令眼病。不宜点药炙着头面。恐伤眼也。宜服泻肝汤、坠膈丸立效。
诗曰∶
风赤生于脾脏家 疮生面睑似朱砂 乌珠洁净未为事 两年还有翳来遮
轻翳点除权得瘥 欲饮钩镰知者夸 若把炙烧来退却 欲除根本路程赊
泻肝汤
人参 黄芩 茯苓 大黄 桔梗 芒硝（各一两） 茺蔚子（二两） 黑参（一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温温服之。
坠膈丸
五味子 干山药 知母 泽泻 车前子 石决明（各一两） 防风（一两半）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
At the initial onset of this eye condition, it is caused by the wet nurse consuming excessive amounts of damp noodles, alcohol, vinegar, and other foods that cause toxin accumulation after the infant's birth. This results in both eyes of the child becoming completely red, with discharge obscuring the canthi, accompanied by redness and ulceration. This condition is termed "Fetal Wind" (Tai Feng). When the child grows to about fifteen years of age, it is essential to scrape and wash the area until bleeding occurs, administer Huangqin Yinzi (Coptis Decoction), and apply Ruiren Gao (Buckthorn Ointment) for recovery.
The poem states:
In swaddling clothes, both eyes are entirely red; if physicians wish to identify it, they call it Fetal Wind.
The infant's wet nurse swallows various heat-inducing substances, which secretly infiltrate and lodge within the five zang organs initially.
When itching arises, rubbing with hands cannot be restrained; external wind then easily invades and rushes in.
A skilled physician first uses Tongwan San (Unblocking Pill and Powder), then applies Ruiren ointment to attack from within the orbital region.
Medicinal intake should be adjusted according to cold or heat conditions at the time; using a Pi Lian (scalpel/scraping tool) to sever stasis cuts off the root of the disease.
Otherwise, what will the condition look like later? Inverted eyelashes and curled hairs will persist for a lifetime.
Huangqin Yinzi (Coptis Decoction)
Huangqin (Coptidis Rhizoma, 3 liang), Cheqianzi (Plantaginis Semen, 1 liang), Xixin (Asari Radix et Rhizoma, 1 liang), Huangqin (Coptidis Rhizoma, 1 liang), Wuweizi (Schisandrae Fructus, 1 liang), Fangfeng (Saposhnikoviae Radix, 1.5 liang).
Crush the above into powder. Take one qian of powder with one zhan of water, decoct until half remains (five fen), remove dregs, and take warm after meals.
Ruiren Gao (Buckthorn Ointment)
Ruiren (Prunus Armeniaca Seed, 5 qian), Shidan (Melanterium, a small amount), Huangla (Beeswax, a small amount), Xiaamayou (Sesame Oil, a small amount), Nifen (Calomel, a small amount).
Crush and grind the above until fine as powder. Then place oil and wax in a porcelain bowl, slowly heat to form an ointment, and apply to the eyes.
At the initial onset of this eye condition, there may be immediate itching and pain, with irregular intervals of onset and remission, or excessive tearing. Subsequently, sores may appear on the eyelid flesh, with the four corners resembling the color of cinnabar. Gradually, membranous nebulae form, obstructing the pupil. This is due to toxic wind and heat accumulating in the spleen and lodging in the diaphragm, causing the eye disease. It is inadvisable to apply eye drops or moxibustion to the head and face, as this may damage the eyes. It is appropriate to administer Xiegan Tang (Liver-Draining Decoction) and Zhuige Wan (Diaphragm-Descending Pills) for immediate effect.
The poem states:
Wind-redness originates from the spleen house; sores arise on the face and eyelids resembling cinnabar.
If the black pearl (cornea/pupil) remains clean, it is not yet a major issue, but after two years, nebulae will still come to obscure vision.
Light nebulae can be temporarily cleared by dropping medicine; those who know praise the use of the hook-sickle (metaphor for radical treatment).
If one relies on cauterization to retreat the pathogen, removing the root cause becomes a distant journey.
Xiegan Tang (Liver-Draining Decoction)
Renshen (Ginseng Radix, 1 liang), Huangqin (Coptidis Rhizoma, 1 liang), Fuling (Poria, 1 liang), Dahuang (Rhei Radix et Rhizoma, 1 liang), Jiegeng (Platycodonis Radix, 1 liang), Mangxiao (Natrii Sulfas, 1 liang), Chongweizi (Leonuri Fructus, 2 liang), Heishen (Black Ginseng, 1.5 liang).
Grind the above into powder. Take one qian of powder with one zhan of water, decoct until half remains (five fen), remove dregs, and take warm after meals.
Zhuige Wan (Diaphragm-Descending Pills)
Wuweizi (Schisandrae Fructus, 1 liang), Gan Shanyao (Dioscoreae Rhizoma, 1 liang), Zhimu (Anemarrhenae Rhizoma, 1 liang), Zexie (Alismatis Rhizoma, 1 liang), Cheqianzi (Plantaginis Semen, 1 liang), Shijueming (Argonautae Ossa, 1 liang), Fangfeng (Saposhnikoviae Radix, 1.5 liang).
Grind the above into powder, refine honey, and make pills the size of tung tree seeds. Take ten pills with tea on an empty stomach.