【因证】 脾热则甘；胆热则苦。口苦亦有肝虚寒者。
【治】 三黄丸治甘。柴胡汤治口苦，及谋虑不决。
柴胡汤加麦冬、枣仁、地骨皮、远志。
【脉】 心脉系舌根，脾脉系舌旁，肝脉、肾脉络舌本。
【因证】 因风寒所中，则舌卷缩而不言。七情所郁，则舌肿满不得息。肝壅则
血上涌，心
热则裂而疮。脾热则滑苔，是虚热，心经飞扬上窜；脾闭则白苔如雪；脾热则舌强。舌卷而
卵缩者，厥阴绝也，死。
【治】 金沸草散 治风寒伤心脾，令人寒热、齿浮、舌肿。
金沸草 荆芥（四两） 前胡 麻黄（各三两） 甘草 半夏（一两）
升麻柴胡汤 治心脾虚热上攻，舌上生疮，舌本强，两颊肿痛。
升麻 柴胡 白芍 栀子 木通（一两） 杏子 大青 黄芩（三钱） 石膏（二两）
舌肿破 锅底煤，即锅底烟，醋盐敷。
出血如泉 白胶香、五倍子、牡蛎，末糁。
白胎语涩 薄荷汁、白蜜，姜片揩，敷之。
【因】 风热血少。经曰∶目得血而能视。肝血不上荣也，神劳。目者，神气之
主，劳则魂魄散，不能相得。肾虚，水精不上奉也。
【证治】 在腑则为表，当除风散热。在脏则为里，宜养血安神。如暴失明，昏
涩翳膜，眵
泪斑入眼，皆表也，风热也，宜发散以去之。如昏弱不欲视物，内障见黑花，瞳散，皆里也
，血少神劳肾虚也，宜养血补水安神以调之。
斑入眼，此肝气盛而发在表；瞳子散大，皆辛热之为也。辛主散，热乘之，当除风热，
凉血
益血，以收耗散之气。以芩连苦寒除邪气之盛为君，归身、地黄养血凉血为臣，五味酸寒体
浮收瞳散，地骨皮、天冬泻热补气。
凡目暴赤肿，以防风、黄芩为君以泻火，黄连、当归为佐以和血。
凡目疾暴赤肿，以防风、羌活、柴胡、升麻、白芷、芩、连、甘草、当归，白睛红加白
豆蔻少许。
凡目久病昏暗，以熟地、归根为君，在羌活、防风、甘菊之类杂佐之。
拨云汤 羌活 防风（一钱半） 木 川芎 荆芥（一钱） 葛根 细辛 柴胡 升麻
（五分） 知母 归身 川柏 甘草 黄 （各一两）
内障，是脾虚火盛上，加下药，人参、五味、白芍、茯苓、白术；湿热，加下药∶黄连
（炒）、黄芩、生地；睛痛加归、地黄；胸中不利，加槐子；赤翳，加羚角；腑秘，加大黄。
上熬滴水不散，加蜜少许点之。蔓荆、椒眼、地黄、甘草、荆芥、麻黄、升麻，随所长
加之。
春雪膏 点眼。
朴硝置生腐上蒸，待流下，瓦器接之。
地黄丸 治不能远视、近视，此大除风热。
生地 天门冬（各四两） 炒枳壳 甘菊（各二两）
蜜丸，茶酒任下。
《局方》定志丸 治不能近视，反能远视。
人参 远志 菖蒲 白茯苓
蜜丸。
泻青丸 治风热。
熟干地黄丸 治血少安神。
驻景丸 补肾水。
车前子 菟丝子 熟地黄（各五两）
槐子散 治体肥气盛，风热上行，目昏涩。
槐子 黄芩 木贼 苍术
末之，茶下。
桔梗丸 治太阳卫虚血实，瞳人肿痛，眼黑肝风盛。
桔梗（一斤） 牵牛头末（三两）
蜜丸，水下。
神仙退翳丸 治一切翳晕，内外障昏无睛，累效。
当归（酒洗） 川芎 犀角屑 枳实 川连 蝉蜕 栝蒌根 薄荷（六钱） 甘菊 蛇蜕
密蒙花 荆芥（与甘草煎三味） 地骨皮（三钱，洗） 炒白蒺藜 羌活 地黄（用干，酒浸
，一两） 木贼（一两半，去节，童便浸一宿，火干）
上末，炼蜜丸，米饮下。妇人气旺者，木香汤下之。
家珍方 治眼梢赤。
川连 白矾（三钱） 铜绿（五分） 密陀僧（一钱） 轻粉（少许）
末，贴之。
又方 黄丹 白矾（等分）
验方 治痘后目上翳。
谷精草 蛇壳 绿豆壳 天花粉
上等分末，粟米泔浸，煮蜜柿干为度，食之。
羊肝丸 治一切目病，不问障盲。
白乳羊肝（一具，竹刀刮去膜） 黄连（一两） 甘菊 防风 薄荷（去梗） 荆芥 羌活
当归 川芎（各三钱）
上为末，羊肝捣丸，浆水下。
烂翳验方 茜根烧灰，灯草点之，须臾大痛，以百节草刮去之。
七宝膏 珍珠 珊瑚 甘石（三味 ，以连水淬七次） 石沙 脑子 麝香 蕤仁
（去壳，各一钱） 研细点之。
[Pathogenesis and Manifestations] When the Spleen has heat, there is a sweet taste in the mouth; when the Gallbladder has heat, there is a bitter taste in the mouth. Bitter taste in the mouth can also be caused by Liver deficiency and cold.
[Treatment] Sanhuang Wan (Three-Yellow Pill) treats sweet taste in the mouth. Chaihu Tang (Bupleurum Decoction) treats bitter taste in the mouth and indecisiveness in planning.
Add Ophiopogonis Radix (Maidong), Ziziphi Spinosae Semen (Suanzaoren), Paeoniae Cortex (Digupi), and Polygalae Radix (Yuanzhi) to Chaihu Tang.
[Pulse] The Heart pulse connects to the root of the tongue, the Spleen pulse connects to the sides of the tongue, and the Liver and Kidney pulses connect to the base of the tongue.
[Pathogenesis and Manifestations] If struck by Wind-Cold, the tongue curls and shrinks, preventing speech. Depression of the Seven Emotions causes tongue swelling and fullness, obstructing breathing. Liver congestion causes blood to rush upward; Heart heat causes cracking and sores on the tongue. Spleen heat causes a slippery coating, indicating deficient heat with Heart channel heat flying upward; Spleen closure causes a white coating like snow; Spleen heat causes tongue stiffness. Tongue curling with testicular retraction indicates exhaustion of the Jueyin channel, which is fatal.
[Treatment] Jinfeicao San (Boiling Down Herb Powder) treats Wind-Cold damaging the Heart and Spleen, causing alternating chills and fever, floating teeth, and tongue swelling.
Ingredients: Jinfeicao (Spreading Vetch Herb), Jingjie (Schizonepeta Herb) (4 liang each), Qianhu (Peucedani Radix), Mahuang (Ephedra Herb) (3 liang each), Gancao (Licorice Root), Banxia (Pinellia Rhizome) (1 liang).
Shengma Chaihu Tang (Cimicifuga and Bupleurum Decoction) treats upward attack of deficient heat from Heart and Spleen, sores on the tongue, stiffness of the tongue base, and swelling/pain in both cheeks.
Ingredients: Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba), Zhizi (Gardeniae Fructus), Mutong (Akebiae Caulis) (1 liang each), Xingzi (Apricot Seed), Daqing (Isatidis Folium), Huangqin (Scutellariae Radix) (3 qian each), Shigao (Gypsum Fibrosum) (2 liang).
Swollen and ulcerated tongue: Apply soot from the bottom of the pot (Guodimei), mixed with vinegar and salt, externally.
Bleeding like a spring: Sprinkle powder made from Baijiaoxiang (Agarwood Resin), Wubeizi (Chinese Gall), and Muli (Oyster Shell).
White coating with slurred speech: Apply Mint Juice and White Honey, wipe with ginger slice, then apply medication.
[Pathogenesis] Wind-Heat and Blood Deficiency. The classics state: "The eyes see only when nourished by blood." This is due to Liver Blood failing to nourish the eyes upwards, combined with mental fatigue. The eyes are the master of Shen (Spirit); fatigue scatters Hun and Po, preventing their harmony. Kidney deficiency prevents Water Essence from ascending to nourish the eyes.
[Manifestations and Treatment] Disease in the Fu organs is Exterior syndrome, requiring dispelling Wind and clearing Heat. Disease in the Zang organs is Interior syndrome, requiring nourishing Blood and calming Spirit. Sudden blindness, blurry vision with nebula, discharge and tearing, or spots entering the eye are all Exterior syndromes caused by Wind-Heat, requiring dispersal to eliminate the pathogen. Blurry/weak vision unwilling to look at objects, interior cataract seeing black flowers, dilated pupils are all Interior syndromes caused by Blood deficiency, mental fatigue, and Kidney deficiency, requiring nourishing Blood, replenishing fluids, and calming Spirit for regulation.
Spots entering the eye indicate excessive Liver Qi manifesting in the Exterior; dilated pupils are caused by acrid-hot substances. Acrid nature disperses, and Heat exacerbates it; thus, one must dispel Wind-Heat, cool and nourish Blood, and gather scattered Qi. Use Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) for their bitter-cold property to clear excess pathogenic factors as Sovereign herbs; Danggui Shen (Angelica Sinensis Radix) and Dihuang (Rehmanniae Radix) to nourish and cool Blood as Minister herbs; Wuweizi (Schisandrae Fructus) for its sour-cold property and light floating texture to constrict dilated pupils; Digupi (Paeoniae Cortex) and Tiantong (Asparagi Radix) to drain Heat and tonify Qi.
For sudden redness and swelling of the eyes, use Fangfeng (Saposhnikoviae Radix) and Huangqin (Scutellariae Radix) as Sovereign herbs to drain Fire, and Huanglian (Coptidis Rhizoma) and Danggui (Angelicae Sinensis Radix) as Assistant herbs to harmonize Blood.
For acute redness and swelling of the eyes, use Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Gancao (Licorice Root), and Danggui (Angelicae Sinensis Radix). Add a small amount of Baidoukou (Cardamomi Fructus) if the sclera is red.
For chronic dimness of the eyes, use Shudihuang (Prepared Rehmanniae Radix) and Danggui Shen (Angelicae Sinensis Radix) as Sovereign herbs, assisted by Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), and Ganju (Chrysanthemi Flos).
Boyun Tang (Cloud-Piercing Decoction): Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (1.5 qian each), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jingjie (Schizonepetae Spica) (1 qian each), Gegen (Puerariae Lobatae Radix), Xixin (Asari Radix et Rhizoma), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma) (0.5 qian each), Zhimu (Anemarrhenae Rhizoma), Danggui Shen (Angelicae Sinensis Radix), Chuanbai (Phellodendri Chinensis Cortex), Gancao (Licorice Root), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (1 liang each).
For interior cataracts caused by Spleen deficiency and flourishing fire attacking upward, add: Renshen (Ginseng Radix), Wuweizi (Schisandrae Fructus), Baishao (Paeoniae Radix Alba), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma). For damp-heat, add: Fried Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Shengdi (Rehmanniae Radix). For eye pain, add Danggui (Angelicae Sinensis Radix) and Dihuang (Rehmanniae Radix). For chest discomfort, add Huaizi (Sophorae Fructus). For red nebula, add Lingyangjiao (Saiga Tataricae Cornu). For constipation, add Dahuang (Rhei Radix et Rhizoma).
Decoct the above until a drop does not disperse, add a little honey, and instill into the eye. Manjingzi (Viticis Fructus), Jiaomu (Zanthoxyli Fructus), Dihuang (Rehmanniae Radix), Gancao (Licorice Root), Jingjie (Schizonepetae Spica), Mahuang (Ephedrae Herba), Shengma (Cimicifugae Rhizoma) may be added according to their specific strengths.
Chunxue Gao (Spring Snow Ointment): For eye instillation.
Put Xiaoming (Mirabilitum) on rotting matter and steam it; collect the dripping liquid in a ceramic vessel.
Dihuang Wan (Rehmannia Pill): Treats inability to see far or near; this formula primarily dispels Wind-Heat.
Ingredients: Shengdi (Rehmanniae Radix), Tianmendong (Asparagi Radix) (4 liang each), Fried Zhike (Aurantii Fructus), Ganju (Chrysanthemi Flos) (2 liang each).
Make honey pills, taken with tea or wine.
Ju Fang Dingzhi Wan (Prescription Bureau's Calming Spirit Pill): Treats inability to see near but ability to see far.
Ingredients: Renshen (Ginseng Radix), Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Fuling (Poria).
Make honey pills.
Xieqing Wan (Draining Green Pill): Treats Wind-Heat.
Shugan Dihuang Wan (Prepared Rehmannia Pill): Treats Blood deficiency and calms Spirit.
Zhujing Wan (Eye-Residing Pill): Tonifies Kidney Water.
Ingredients: Cheqianzi (Plantaginis Semen), Tusizi (Cuscutae Semen), Shudihuang (Prepared Rehmanniae Radix) (5 liang each).
Huaizi San (Sophora Seed Powder): Treats obesity with excessive Qi, upward-rising Wind-Heat, and blurry/dry eyes.
Ingredients: Huaizi (Sophorae Fructus), Huangqin (Scutellariae Radix), Muzei (Equiseti Herba), Cangzhu (Atractylodis Rhizoma).
Powder form, taken with tea.
Jiegeng Wan (Platycodon Pill): Treats Taiyang Wei Qi deficiency with Blood excess, painful/swollen pupils, black eyes, and excessive Liver Wind.
Ingredients: Jiegeng (Platycodonis Radix) (1 jin), Qianniu Toumo (Morning Glory Seed Powder) (3 liang).
Make honey pills, taken with water.
Shenxian Tuiyi Wan (Immortal Nebula-Dispelling Pill): Treats all types of nebula and halos, interior/exterior cataracts with dimness and lack of spirit, with repeated efficacy.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-washed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xijiao (Rhinocerotis Cornu), Zhishi (Aurantii Fructus), Chuanlian (Coptidis Rhizoma), Chantui (Cicadae Periostracum), Gualougen (Trichosanthis Radix), Bohe (Menthae Haplocalycis Herba) (6 qian each), Ganju (Chrysanthemi Flos), Shetui (Serpentis Shed Skin), Mienghua (Flos Buddlejae), Jingjie (Schizonepetae Spica) (decoct these three with Gancao), Digupi (Paeoniae Cortex) (3 qian, washed), Fried Bailiji (Tribuli Fructus), Qianghuo (Notopterygii Rhizoma et Radix), Dihuang (Rehmanniae Radix, dried, wine-soaked, 1 liang), Muzei (Equiseti Herba) (1.5 liang, remove joints, soak in child's urine overnight, dry over fire).
Powder form, make honey pills, taken with rice drink. For women with abundant Qi, take with Muxiang Tang (Aucklandia Decoction).
Jiazhen Formula: Treats red corners of the eyes.
Ingredients: Chuanlian (Coptidis Rhizoma), Baifan (Alumen) (3 qian), Tonglv (Chalcanthite) (5 fen), Mituoseng (Litharge) (1 qian), Qingfen (Calomelas) (a little).
Powder form, apply externally.
Another Formula: Huandan (Minii Preparatum), Baifan (Alumen) (equal parts).
Verified Formula: Treats nebula after smallpox.
Ingredients: Gujingcao (Evodiae Flos), Sheke (Snake Shell), Lvdouke (Mung Bean Hull), Tianhuafen (Trichosanthis Radix).
Equal parts powder, soak in millet wash water, boil until resembling dried persimmon paste, eat.
Yanggan Wan (Sheep Liver Pill): Treats all eye diseases, regardless of cataract or blindness.
Ingredients: White milky sheep liver (1 piece, scrape off membrane with bamboo knife), Huanglian (Coptidis Rhizoma) (1 liang), Ganju (Chrysanthemi Flos), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba, remove stems), Jingjie (Schizonepetae Spica), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (3 qian each).
Powder form, mix with pounded sheep liver to make pills, taken with grain water.
Rotting Nebula Verified Formula: Burn Qiancao (Rubiae Radix) to ash, apply with rush light; severe pain occurs momentarily, then scrape off nebula with Baijiecao (Selaginellae Herba).
Qibao Gao (Seven-Treasure Ointment): Zhenzhu (Pearl), Shanhu (Coral), Ganshi (Calamina), Shisha (Quartz), Naozi (Borneolum Syntheticum), Shexiang (Moschus), Ruiren (Pruni Armeniaci Semen) (remove shell, 1 qian each). These three (Pearl, Coral, Calamine) are quenched seven times in Lianqiao water. Grind finely and instill into eyes.