熟地 党参 制于术 黄 （蜜炙） 归身 炙草 枣仁 制远志 茯神 菟丝子 湘莲
肉
金（右） 风热郁于肝脾，两目赤脉贯睛，凝翳满目，沿眶赤烂。
连翘 山栀 归尾 赤芍 生地 木通 甘草梢 羌活 薄荷 枳壳 菊花 桑叶 车
前草
沈（左） 湿邪化火，目胞浮肿。
猪苓 茯苓 泽泻 白术 桂枝 黄柏 桑叶 灯心
戚（左） 暑风湿邪郁于肝脾，目胞浮肿，白翳赤障，头痛不止。
当归 赤芍 薄荷 茯苓 米仁 藿香 青蒿 滑石 石斛 荷梗
又 二至合黑逍遥去白术甘草，加米仁、谷精草、石决明、六一散。
又 二地六味去萸肉，加西洋参、麦冬、菟丝子、丹参、六一散。
孙（幼） 湿食伤脾，又兼肝木克土，遂致腹大膨胀，两目鸡盲。
苍术 浓朴 陈皮 甘草 党参 云苓 山楂 麦芽 神曲 萆 炭
艾（左） 肺肾阴亏，气逆上冲，以致珠大脱眶。
人参 生地 熟地 天冬 麦冬 五味子 丹参 菟丝子 枸杞子 牛膝
又 人参固本合五子饮加丹参。
董（幼） 稚年气血未足，内热伤阴，以致两目鸡盲，咳呛多痰，此肺疳之症。
党参 山药 茯苓 炙草 新会白 归身 石决明 甜杏仁 川贝 鸡肝
又 异功散去白术用山药，加归身、石决明、菟丝子、钩藤、野料豆、红枣。
李（左） 劳心过度，思虑伤脾，阴精不能上注，以致右目银翳白障，瞳神淡色，
防有失光之患。
熟地 归身 党参 制于术 茯神 白芍 炙草 丹参 枣仁 枸杞子 野马料豆
又 左归饮合生脉散加丹参。
张（左） 肝胃阴寒，兼之太阳少阳两经风邪头痛，右目堆云白障， 肉壅肿。
吴茱萸（泡淡） 淡干姜 甘草（炙） 归身 柴胡 羌活 枸杞子 白蔻仁 葱白
又 归芍六君子加香附、白蒺藜、枸杞子、豆蔻仁、煨姜、红枣。
叶（左） 肝肾阴亏，虚阳上炎，以致两目小 肉壅结，右目横关内障，勉力拟
方。
西洋参 天冬 麦冬 生地 熟地 旱莲草 女贞子 丹参 苏木 红花
又 人参固本加归身、石决明、丹参、牛膝、菟丝子。
又 肉已退其半，横关内障微现，视尚模糊，宜养阴和中退障为主。行血熟六物
加菟丝子、白蒺藜、甲片。
又 横关内障稍为缩短，红障未消，手足寒冷，乃内素有热，外束寒邪所致，其
障必须全现，在外方可消去，难以速效，姑再拟方。理中汤合理阴煎，又合补肝散加菟丝子、新
又 照前方加肉桂炒白芍。
又 横关内障喜得全现，在外已短其半，两目红障十去其八，视仍未清。行血八
珍汤加枸杞子、蝉衣、野料豆、龙衣。
又 横关内障已短大半，红障亦散，视犹不清。补血八珍汤加菟丝子、香附、白
蒺藜、龙衣。
又 补血异功散加丹参、菟丝子、牛膝、凤凰蜕。
又 横关内障浮薄，视物昏花。异功散加香附、归身、马料豆、龙衣。
又 补肝四君子加蝉蜕、丹参、龙衣。
又 二至合异功加香附、归身、龙衣、白蒺藜。
又 二至合异功散加丹参、蝉蜕、青葙子、新绛屑。
又 四君子加当归、鹿角屑、煨木香、白蒺藜。
又 右目横翳未尽，视尚不清。行血熟四物合五脱散。
马（右） 痘后迎风流泪，又兼火郁睛明，左目已成漏睛。
生地 木通 甘草梢 竹叶 连翘 黑山栀 归尾 石决明 赤芍
沈（左） 气血大亏，兼之风寒郁伏厥阴阳明，以致寒热骨疼，气逆呕吐，两目堆
云内障，视物无形，勉力拟方。
人参 制于术 干姜 炙草 熟地 归身 肉桂 吴茱萸 白芍 独活 生姜 大枣
又 两瞳痛伤，最为危重。前进温中解寒之剂，骨痛头疼少止，然两目难以奏效
，再须质之高明。
归身 熟地 制半夏 陈皮 茯苓 炙草 党参 制于术 枸杞子 白蒺藜 焦枳壳
马料豆
顾（右） 阴虚内热，燥邪伤脾，左目樱核，右目瘤子。
生地 丹皮 茯苓 泽泻 归身 石决明 丹参 黑山栀 女贞子 石斛
叶（幼） 暑湿化火，刑克肝脾，致生眼癣，右目起星，满面疮疡。
生地 当归 赤芍 柴胡 茯苓 米仁 甘草梢 薄荷 黄柏 滑石
张（右） 体素阴亏，兼之怀娠中满，肝胃蕴热，化火生风，以致左偏头痛，左目
堆云内障，险极之症。
黄连 吴茱萸 生地 归身 白芍 甘草 制香附 夏枯草 黄芩 焦枳壳
又 补肝二至左金白虎汤，加黄芩枳壳芦根。
钱（左） 心肾不交，下焦遗泄，瞳神散大，失光之症。
生地 山药 萸肉 丹皮 茯神 泽泻 黄柏 龟板 丹参 麦冬 湘莲
卢（左） 燥热刑于心肺，右目小 肉玉粒。
生地 丹皮 茯苓 泽泻 玉竹 麦冬 丹参 车前子 女贞子 石斛 冬桑叶
赵（右） 瘀血凝滞右目睛明穴中，以致内生血瘤，颜色青紫，大如银杏，疼痛羞
明。
桃仁 红花 川芎 当归 生地 赤芍 制香附 夏枯草 丹参 侧柏叶
又 血瘤已落，红翳未尽，视物不清。生六物合杞菊加丹参、石决明、茺蔚子。
沈（左） 湿热郁于脾肺，致生黄水唇疮，两目微肿赤烂，畏日羞明。
苍术 浓朴 陈皮 甘草 生地 木通 黄柏 绿豆皮 竹叶 灯心
张（左） 风克阳明，血凝气滞，以致睥翻粘睑。
生地 当归 赤芍 川芎 苏木 红花 焦枳壳 煨木香 荆芥
施（左） 寒燥合邪，刑于脾肺，两目赤涩云膜，眼梢湿烂。
玉竹 广皮 茯苓 杏仁 甘草 归身 麦冬 蕤仁 白蒺藜 冬桑叶 料豆皮
蔡（左） 精血不足，肝郁不舒，兼之寒郁少阴，以致右目瞳神内障，视物模糊，
竭力拟方。
党参 制于术 茯苓 陈皮 炮姜 甘草（炙） 远志 枸杞子 白蔻仁 花椒目
又 内障已散，舌色微白，视物不清，宜温中养阴保光为主。六味异功散加香附
归身枸杞子桂枝炒白芍佛手。
程（右） 肝肾精血两亏，阳气不藏，以致萤星满目，谨防青盲。
熟地 山药 萸肉 丹皮 茯苓 泽泻 人参 麦冬 五味子 青铅
曹（左） 热郁三焦，黄膜 肉。
生地 木通 甘草梢 竹叶 连翘 山栀 归尾 赤芍 黄芩 甘菊 焦枳壳 料豆皮
冬桑叶
又 知柏四物加石决明、黑山栀、车前草。
钱（幼） 目肿如桃，眵泪如脓，皮肤蒸热畏风，两目常闭难开，未卜黑珠损否，
症拟暑湿，宜用清利。
香薷 浓朴 扁豆 茯苓 苍术 黄柏 银花 六一散
张（左） 风寒郁伏肝肺，以致左目凝脂翳障，有变旋螺之势。
桂枝 白芍 炙草 香附 苏叶 陈皮 当归 杏仁 枸杞子
沈（左） 寒邪挟风，乘虚伤于肝胃，右目小 痕陷，堆云白障，疼痛羞明。
党参 生台术 干姜 甘草 川芎 归身 枸杞子 白豆蔻
又 八珍汤去川芎，加红花、陈皮、石决明。
胡（左） 热郁三焦，大小 赤障，防变 肉攀睛。
生地 当归 川芎炭 赤芍 丹皮 山栀 旱莲草 女贞子 桑白皮 竹叶 灯心
李（左） 燥火刑金克木，两目云膜赤障。
生地 木通 赤芍 归尾 连翘 山栀 桑白皮 地骨皮 米仁 甘草梢 灯心
又 清火导赤散加黄芩、石斛、竹叶。
桂（右） 精血素亏，又兼暴
伤阴，以致瞳神散大，视物不明。
柴胡 五味子 归身 熟地 山药 萸肉 丹皮 茯苓 泽泻 远志
又 照前方合生脉散。
瞿（右） 阴精不能上承于目，以致干涩昏花，宜滋阴充液。
旱莲草 女贞子 生地 山药 丹皮 茯苓 泽泻 天冬 麦冬 枣仁 莲肉
马（右） 肝经郁热，两目已成赤脉贯睛。
川芎 当归 生地 赤芍 茯苓 柴胡 郁金 甘草 蝉衣 荷叶边
施（右） 燥热郁于肺胃，右目拳毛倒入，眼皮紧急。
知母 黄柏 生地 丹皮 泽泻 归身 蕤仁 麦冬 冬桑叶
马（右） 产后气血两亏，阳明虚热生风，以致头痛目疼。
熟地 归身 川芎炭 白芍 党参 茯苓 制于术 炙草 升麻 杜仲 省头草
又 照前方去升麻加枸杞子。
范（左） 酒湿伤于肺肾，两目银翳赤障。
生地 丹皮 茯苓 泽泻 远志 萆 丹参 鸡距子 野马料豆
又 生六味去萸肉合杞菊，加萆 、益智仁、菟丝子。
尤（左） 肝肾精血两亏，又兼寒邪伤阴，以致左目瞳神蟹珠，视物少形，勉拟温
中救阴法，以图得效。
制附子 干姜 生白术 炙草 归身 熟地 肉桂 枸杞子 制香附 石决明（ ）
马（右） 精血素亏，兼之怀妊中满，气郁肝胆，两目视物昏花，防变青盲，宜滋
阴疏利。
生地 熟地 山药 云苓 泽泻 制香附 归身 黄芩 苏梗 焦枳壳 荷叶
又 治气六合汤加黄芩、枸杞子。
陆（幼） 风湿郁于脾肺，两目眼癣，满身风疹。
玉竹 苡仁 茯苓 广皮 甘草 草 秦艽 当归 杏仁
顾（左） 阴不摄阳，肝风内动，两目时痛时痒，赤涩昏花。
枸杞子 甘菊 玉竹 新会白 云苓 山药 甘草 石决明 料豆皮 黑芝麻 冬桑叶
又 二地六味去萸肉，加西洋参、麦冬、钩藤、石决明、丹参、料豆皮。
又 左归饮合扶桑加丹参、石决明。
范（左） 暑湿两邪刑于肝肺，两目黄白云膜，黑珠白陷。
猪苓 白术 泽泻 茯苓皮 五加皮 地骨皮 生姜皮 广藿香 当归 六一散 花椒
目
张（右） 阳明血少，胃热生风，两目黑珠云翳，眶肿赤烂。
防风 山栀 藿香 石膏 甘草 当归 钩藤 桑叶 芦根
叶（左） 血虚内热，风邪化燥，刑于脾肺，两目沿眶赤烂，右目翳雾昏花。
当归 生地 赤芍 黄芩 秦艽 防风 甘草 杏仁 山栀 蕤仁 竹叶
张（左） 少阴邪热，左目 肉壅突疼痛。
黄连 黄芩 犀角 知母 山栀 滑石 麦冬 茯神 西洋参
王（右） 风邪郁伏肝肺，两目星障满布，红肿羞明。
羌活 防风 生地 川芎 当归 赤芍 薄荷 白蒺藜 荷叶
周（左） 误伤左目，瞳神惊散，胆肾精液为瘀血灌浑，下视略有微光，右目近视
光呆。宜保全右目，兼理左目，行气活血为要。
熟地 川芎炭 归身 白芍 桃仁 红花 枸杞子 菟丝子 楮实子 紫槿皮 肉桂
制香附 虫
又 照前方去肉桂，加党参、丹参。
沈（左） 邪火上攻，大 肿痛出血。
鲜生地 白芍 丹皮 犀角 藕汁
徐（左） 体素阴亏，又兼寒郁肝胃，右目小 痛伤痕陷，左目星翳 肉，视物不
明。
熟地 归身 柴胡 白芍 茯苓 焦于术 甘草 炮姜 白蒺藜 砂仁 荷叶
又 熟六物加枸杞子、白蒺藜。
朱（左） 心肾不交，气血不和，虚阳上浮，中气下陷，以致左目玛瑙垂帘，右目
蚬肉垂帘，视物不清。
苏木 红花 熟地 川芎炭 归身 白芍 党参 炙草 龟板 黄柏
又 滋肾生肝饮去萸肉五味子，用菟丝子、白芍，加丹参、蝉蜕。
又 行血生补中益气汤加丹参、蝉衣。
王（右） 气血素亏，兼之风寒郁伏太阳少阳，以致左目蟹睛高突，右目云翳赤障
，壅肿疼痛。
玉竹 陈皮 生台术 茯苓 甘草 当归 柴胡 防风 白芍 石决明 车前子
又 黑逍遥去薄荷，加蔓荆子、蝉蜕、石决明、杏仁、车前草。
又 补肝散合生六物加石决明、茺蔚子。
朱（左） 气血两亏，风寒邪克肝阴，以致两目壅肿 肉，黑珠内泛，视物无形，
勉力拟方救治。
熟地 川芎 当归 白芍 柴胡 茯苓 焦于术 甘草 防风 苏木 红花 煨姜 灯
心
又 行血熟六物加炮姜、菟丝子、香附。
何（左） 年未弱冠，气血不能充足，左目为物所伤，青珠已破，泛壅高突，疼痛
不止，勉拟救治。
苏木 红花 熟地 川芎炭 当归 白芍 香附 牛膝 紫槿皮 炮姜炭 防风炭
虫
又 左目黑珠泛突已平十分之九，伤痕未退，白障未消，未识瞳神损否，姑再拟
方。行血熟六物加防风炭、香附炭、菟丝子、牛膝、 虫。
又 凝瘀已散，珠圆平复，白障未退，瞳神已损，光影全无，惟念尚在童年，再
拟一方，望其侥幸。行血八珍汤加枸杞子、菟丝子。
徐（幼） 稚年气血未足，又兼风湿郁于脾肺，以致咳嗽气逆，左目红肿珠突，眼
泪如脓。
羌活 防风 当归 赤芍 柴胡 茯苓 米仁 甘草 杏仁 葱头
又 珠突已平，红肿少退，不能睁视。异功散去白术用米仁，加 草、防风、
当归、石决明、杏仁。
黄（左） 精血两亏，酒湿伤于肺肾，以致瞳神混浊，视物昏花，须防失光。
旱莲草 女贞子 生地 山药 丹皮 茯苓 泽泻 萆 益智仁 丹参 鸡距子
陆（左） 精血两亏，心肾不交，相火上炎，以致大 发痒出血，宜引火归源法。
熟地 山药 丹皮 茯苓 泽泻 萸肉 制附子 肉桂 人参
韩（左） 中气不足，眼皮宽纵，拳毛倒睫。
[Background Information]
Book: Yin Hai Zhi Nan (Guide to the Silver Sea / Ophthalmology Guide)
Author: Gu Xi
Dynasty: Qing Dynasty
Chapter: Treatment Cases for Reference (3/4)
Category: Comprehensive
[English Translation]
Shu Di Huang (Rehmanniae Radix Preparata), Dang Shen (Codonopsis Radix), Zhi Bai Zhu (Atractylodis Macrocephalae Rhizoma Prepared), Huang Qi (Astragali Radix, Honey-fried), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Suan Zao Ren (Ziziphi Spinosae Semen), Zhi Yuan Zhi (Polygalae Radix Prepared), Fu Shen (Poria with Hostwood), Tu Si Zi (Cuscutae Semen), Xiang Lian Rou (Nelumbinis Semen).
Patient Jin (Right Eye): Wind-heat pathogen stagnating in the Liver and Spleen, causing red vessels penetrating the pupil in both eyes, corneal opacity covering the eye, and erythema with ulceration along the orbital rim.
Lian Qiao (Forsythiae Fructus), Shan Zhi (Gardeniae Fructus), Dang Gui Wei (Angelicae Sinensis Radix Tail), Chi Shao (Paeoniae Radix Rubra), Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma Tip), Qiang Huo (Notopterygii Rhizoma et Radix), Bo He (Menthae Haplocalycis Herba), Zhi Ke (Aurantii Fructus), Ju Hua (Chrysanthemi Flos), Sang Ye (Mori Folium), Che Qian Cao (Plantaginis Herba).
Patient Shen (Left Eye): Dampness transforming into fire, eyelid edema.
Zhu Ling (Polyporus), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gui Zhi (Cinnamomi Ramulus), Huang Bo (Phellodendri Cortex), Sang Ye (Mori Folium), Deng Xin Cao (Junci Medulla).
Patient Qi (Left Eye): Summer-heat, dampness, and wind pathogens stagnating in the Liver and Spleen, eyelid edema, white corneal opacity and red barrier, unremitting headache.
Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra), Bo He (Menthae Haplocalycis Herba), Fu Ling (Poria), Yi Yi Ren (Coicis Semen), Huo Xiang (Agastaches Herba), Qing Hao (Artemisiae Annuae Herba), Shi Gao (Gypsum Fibrosum - *Note: Text says Hua Shi Slipperstone but context implies cooling damp heat, usually Hua Shi is Talcum, here likely Hua Shi*), Shi Hu (Dendrobii Caulis), He Geng (Loti Pedunculus).
Second prescription: Er Zhi Wan (Two Solstice Pill) combined with Hei Xiao Yao San (Black Free and Easy Wanderer Powder), remove Bai Zhu and Gan Cao, add Yi Yi Ren, Gu Jing Cao (Evodiae Flos - *Note: Usually Gu Jing Cao is Valeriana or similar, here likely refers to a specific ophthalmic herb like Evodia or similar clearing agent*), Shi Jue Ming (Haliotidis Concha), Liu Yi San (Six-to-One Powder).
Third prescription: Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) remove Yu Rou (Corni Fructus), add Xi Yang Shen (American Ginseng), Mai Dong (Ophiopogonis Radix), Tu Si Zi, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Liu Yi San.
Patient Sun (Child): Dampness and food retention injuring the Spleen, accompanied by Liver Wood overacting on Earth, resulting in abdominal distension and bloating, bilateral vision obscured like chicken blindness.
Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Shen (Codonopsis Radix), Yun Ling (Poria), Shan Zha (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus), Shen Qu (Massa Medicata Fermentata), Bi Xie Tan (Dioscoreae Hypoglaucae Rhizoma Charred).
Patient Ai (Left Eye): Lung and Kidney Yin deficiency, rebellious Qi rushing upward, causing eyeball protrusion from the orbit.
Ren Shen (Ginseng Radix), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Tu Si Zi (Cuscutae Semen), Gou Qi Zi (Lycii Fructus), Niu Xi (Achyranthis Bidentatae Radix).
Second prescription: Ren Shen Gu Ben Wan (Ginseng Solidify Root Pill) combined with Wu Zi Yan Zong Wan (Five Seeds Progeny-Prolonging Pill), add Dan Shen.
Patient Dong (Child): Young age with insufficient Qi and Blood, internal heat injuring Yin, resulting in bilateral vision obscured like chicken blindness, coughing with excessive phlegm, this is a symptom of Lung Guan (Lung Consumption).
Dang Shen (Codonopsis Radix), Shan Yao (Dioscoreae Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Xin Hui Bai (Xinhui Tangerine Peel), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Shi Jue Ming (Haliotidis Concha), Tian Xing Ren (Pruni Armeniacae Semen Amaram), Chuan Bei (Fritillariae Thunbergii Bulbus), Ji Gan (Chicken Liver).
Second prescription: Yi Gong San (Benefit the Work Powder) remove Bai Zhu use Shan Yao, add Dang Gui Shen, Shi Jue Ming, Tu Si Zi, Gou Teng (Uncariae Ramulus cum Uncis), Ye Liao Dou (Wild Soybean), Hong Zao (Jujubae Fructus).
Patient Li (Left Eye): Overwork of the mind, excessive thinking injuring the Spleen, Yin essence unable to ascend to the eyes, resulting in silver opacity and white barrier in the right eye, pale pupil color, fear of potential loss of sight.
Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Dang Shen (Codonopsis Radix), Zhi Bai Zhu (Atractylodis Macrocephalae Rhizoma Prepared), Fu Shen (Poria with Hostwood), Bai Shao (Paeoniae Radix Alba), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Suan Zao Ren (Ziziphi Spinosae Semen), Gou Qi Zi (Lycii Fructus), Ye Ma Liao Dou (Wild Horse Soybean).
Second prescription: Zuo Gui Yin (Left Restoring Decoction) combined with Sheng Mai San (Generate the Pulse Powder), add Dan Shen.
Patient Zhang (Left Eye): Liver and Stomach Yin-cold, accompanied by wind pathogens invading the Taiyang and Shaoyang meridians causing headache, right eye cloud-like white barrier, fleshy growth swelling.
Wu Zhu Yu (Evodiae Fructus, soaked to reduce bitterness), Dan Gan Jiang (Dried Ginger), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Chai Hu (Bupleuri Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Gou Qi Zi (Lycii Fructus), Bai Kou Ren (Amomi Fructus Rotundus Seed), Cong Bai (Allii Fistulosi Bulbus).
Second prescription: Gui Shao Liu Jun Zi Tang (Angelica and Peony Six Gentlemen Decoction) add Xiang Fu (Cyperi Rhizoma), Bai Ji Li (Tribuli Fructus), Gou Qi Zi (Lycii Fructus), Dou Kou Ren (Cardamomi Fructus), Wei Jiang (Roasted Ginger), Hong Zao (Jujubae Fructus).
Patient Ye (Left Eye): Liver and Kidney Yin deficiency, deficient Yang flaming upward, resulting in fleshy growths at the inner canthus of both eyes, horizontal關 (guan) cataract in the right eye, reluctantly prescribing a formula.
Xi Yang Shen (American Ginseng), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Han Lian Cao (Ecliptae Herba), Nv Zhen Zi (Ligustri Lucidi Fructus), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Su Mu (Sappan Lignum), Hong Hua (Carthami Flos).
Second prescription: Ren Shen Gu Ben Wan add Dang Gui Shen, Shi Jue Ming, Dan Shen, Niu Xi, Tu Si Zi.
Third prescription: The fleshy growth has receded by half, horizontal guan cataract slightly appears, vision still blurred, should focus on nourishing Yin, harmonizing the Middle, and reducing opacity. Use Xing Xue Shu Liu Wu Tang (Blood-Moving Rehmannia Six Substances Decoction) add Tu Si Zi, Bai Ji Li, Jia Pian (Tartar Testudinis).
Fourth prescription: Horizontal guan cataract slightly shortened, red barrier not eliminated, cold hands and feet, indicating internal heat constrained by external cold pathogen; the barrier must fully manifest externally to be eliminated, difficult to achieve quick effect, tentatively prescribe again. Li Zhong Tang (Regulate the Middle Decoction) combined with Li Yin Jian (Restore Yin Decoction), further combined with Bu Gan San (Tonify Liver Powder) add Tu Si Zi, Xin Jiang Xie (New Crimson Fragments).
Fifth prescription: Follow previous formula add Rou Gui (Cinnamomi Cortex) stir-fried with Bai Shao.
Sixth prescription: Horizontal guan cataract happily fully manifested, externally shortened by half, bilateral red barriers reduced by eight-tenths, vision still unclear. Use Xing Xue Ba Zhen Tang (Blood-Moving Eight Treasures Decoction) add Gou Qi Zi, Chan Yi (Bombyx Batryticatus), Ye Liao Dou, Long Yi (Ophichthys Skin/Snake Slough).
Seventh prescription: Horizontal guan cataract shortened by more than half, red barrier dispersed, vision still unclear. Use Bu Xue Ba Zhen Tang (Blood-Nourishing Eight Treasures Decoction) add Tu Si Zi, Xiang Fu, Bai Ji Li, Long Yi.
Eighth prescription: Bu Xue Yi Gong San (Blood-Nourishing Benefit the Work Powder) add Dan Shen, Tu Si Zi, Niu Xi, Feng Huang Tui (Phoenix Shedding/Cicada Slough).
Ninth prescription: Horizontal guan cataract floating and thin, vision dim and blurry. Use Yi Gong San add Xiang Fu, Dang Gui Shen, Ma Liao Dou, Long Yi.
Tenth prescription: Bu Gan Si Jun Zi Tang (Tonify Liver Four Gentlemen Decoction) add Chan Tui (Cicada Slough), Dan Shen, Long Yi.
Eleventh prescription: Er Zhi Wan combined with Yi Gong San add Xiang Fu, Dang Gui Shen, Long Yi, Bai Ji Li.
Twelfth prescription: Er Zhi Wan combined with Yi Gong San add Dan Shen, Chan Tui, Qing Xiang Zi (Celosiae Flos), Xin Jiang Xie.
Thirteenth prescription: Si Jun Zi Tang (Four Gentlemen Decoction) add Dang Gui, Lu Jiao Xie (Deer Antler Shavings), Wei Mu Xiang (Costi Radix Roasted), Bai Ji Li.
Fourteenth prescription: Right eye horizontal opacity not yet exhausted, vision still unclear. Use Xing Xue Shu Si Wu Tang (Blood-Moving Rehmannia Four Substances Decoction) combined with Wu Tuo San.
Patient Ma (Right Eye): Tearing upon exposure to wind after smallpox, accompanied by fire stagnation at Jingming acupoint, left eye已形成 Lou Jing (Leaking Pupil syndrome).
Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma Tip), Zhu Ye (Bambusae Folium), Lian Qiao (Forsythiae Fructus), Hei Shan Zhi (Gardeniae Fructus Charred), Dang Gui Wei (Angelicae Sinensis Radix Tail), Shi Jue Ming (Haliotidis Concha), Chi Shao (Paeoniae Radix Rubra).
Patient Shen (Left Eye): Great deficiency of Qi and Blood, accompanied by wind-cold stagnating in Jueyin and Yangming meridians, resulting in chills, fever, bone pain, rebellious Qi with vomiting, bilateral cloud-like internal cataracts, formless vision, reluctantly prescribing a formula.
Ren Shen (Ginseng Radix), Zhi Bai Zhu (Atractylodis Macrocephalae Rhizoma Prepared), Gan Jiang (Zingiberis Rhizoma), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Rou Gui (Cinnamomi Cortex), Wu Zhu Yu (Evodiae Fructus), Bai Shao (Paeoniae Radix Alba), Du Huo (Angelicae Pubescentis Radix), Sheng Jiang (Zingiberis Rhizoma Recens), Da Zao (Jujubae Fructus).
Second prescription: Pain and injury to both pupils are most critical. Previous warming middle and resolving cold agents have slightly stopped bone pain and headache, however, the eyes are difficult to treat, must consult a superior physician.
Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Shu Di Huang (Rehmanniae Radix Preparata), Zhi Ban Xia (Pinelliae Rhizoma Preparatum), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Dang Shen (Codonopsis Radix), Zhi Bai Zhu (Atractylodis Macrocephalae Rhizoma Prepared), Gou Qi Zi (Lycii Fructus), Bai Ji Li (Tribuli Fructus), Jiao Zhi Ke (Aurantii Fructus Charred), Ma Liao Dou.
Patient Gu (Right Eye): Yin deficiency with internal heat, dryness pathogen injuring the Spleen, left eye Ying He (Cherry Pit syndrome), right eye Liu Zi (Tumor).
Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Shi Jue Ming (Haliotidis Concha), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Hei Shan Zhi (Gardeniae Fructus Charred), Nv Zhen Zi (Ligustri Lucidi Fructus), Shi Hu (Dendrobii Caulis).
Patient Ye (Child): Summer-dampness transforming into fire, punishing Liver and Spleen, causing eye tinea, star-shaped opacities in the right eye, facial ulcers.
Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra), Chai Hu (Bupleuri Radix), Fu Ling (Poria), Yi Yi Ren (Coicis Semen), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma Tip), Bo He (Menthae Haplocalycis Herba), Huang Bo (Phellodendri Cortex), Hua Shi (Talcum).
Patient Zhang (Right Body Constitution): Constitution inherently Yin deficient, accompanied by pregnancy fullness, Liver and Stomach accumulating heat, transforming into fire generating wind, resulting in left-sided migraine, left eye cloud-like internal cataract, extremely dangerous condition.
Huang Lian (Coptidis Rhizoma), Wu Zhu Yu (Evodiae Fructus), Sheng Di Huang (Rehmanniae Radix), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Bai Shao (Paeoniae Radix Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhi Xiang Fu (Cyperi Rhizoma Prepared), Xia Ku Cao (Prunellae Spica), Huang Qin (Scutellariae Radix), Jiao Zhi Ke (Aurantii Fructus Charred).
Second prescription: Bu Gan Er Zhi Zuo Jin Bai Hu Tang (Tonify Liver Two Solstice Left Metal White Tiger Decoction), add Huang Qin, Zhi Ke, Lu Gen (Imperatae Rhizoma).
Patient Qian (Left Eye): Heart and Kidney not interacting, lower jiao leakage, dilated pupil, symptom of blindness.
Sheng Di Huang (Rehmanniae Radix), Shan Yao (Dioscoreae Rhizoma), Yu Rou (Corni Fructus), Dan Pi (Moutan Cortex), Fu Shen (Poria with Hostwood), Ze Xie (Alismatis Rhizoma), Huang Bo (Phellodendri Cortex), Gui Ban (Testudinis Carapax et Plastrum), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Mai Dong (Ophiopogonis Radix), Xiang Lian.
Patient Lu (Left Eye): Dry-heat punishing Heart and Lung, right eye small canthus Yu Li (Jade Grain).
Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Yu Zhu (Polygonati Odorati Rhizoma), Mai Dong (Ophiopogonis Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Che Qian Zi (Plantaginis Semen), Nv Zhen Zi (Ligustri Lucidi Fructus), Shi Hu (Dendrobii Caulis), Dong Sang Ye (Winter Mulberry Leaf).
Patient Zhao (Right Eye): Blood stasis stagnating in the Jingming acupoint of the right eye, causing internal blood tumor, blue-purple color, size like a ginkgo nut, painful and photophobic.
Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Chi Shao (Paeoniae Radix Rubra), Zhi Xiang Fu (Cyperi Rhizoma Prepared), Xia Ku Cao (Prunellae Spica), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Ce Bai Ye (Platycladi Cacumen).
Second prescription: Blood tumor has fallen, red opacity not exhausted, vision unclear. Use Sheng Liu Wu Tang (Generate Six Substances Decoction) combined with Qi Ju (Qi Ju Di Huang Wan), add Dan Shen, Shi Jue Ming, Chong Wei Zi (Leonuri Fructus).
Patient Shen (Left Eye): Damp-heat stagnating in Spleen and Lung, causing yellow fluid lip sores, slight swelling and red ulceration of both eyes, fear of sun and photophobia.
Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Huang Bo (Phellodendri Cortex), Lv Dou Pi (Phaseoli Cocti Cutis), Zhu Ye (Bambusae Folium), Deng Xin Cao (Junci Medulla).
Patient Zhang (Left Eye): Wind overcoming Yangming, blood coagulation and Qi stagnation, causing eyelid eversion and adhesion.
Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Su Mu (Sappan Lignum), Hong Hua (Carthami Flos), Jiao Zhi Ke (Aurantii Fructus Charred), Wei Mu Xiang (Costi Radix Roasted), Jing Jie (Schizonepetae Herba).
Patient Shi (Left Eye): Cold and dryness combining as pathogens, punishing Spleen and Lung, bilateral red and dry cloud membranes, wet ulceration at eye corners.
Yu Zhu (Polygonati Odorati Rhizoma), Guang Pi (Broad Tangerine Peel), Fu Ling (Poria), Xing Ren (Armeniacae Semen Amaram), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Mai Dong (Ophiopogonis Radix), Rui Ren (Chrysobalanis Kernel), Bai Ji Li (Tribuli Fructus), Dong Sang Ye (Winter Mulberry Leaf), Liao Dou Pi (Soybean Skin).
Patient Cai (Left Eye): Insufficient Essence and Blood, Liver depression and discomfort, accompanied by cold stagnating in Shaoyin, resulting in right eye pupil internal cataract, blurred vision, exerting effort to prescribe.
Dang Shen (Codonopsis Radix), Zhi Bai Zhu (Atractylodis Macrocephalae Rhizoma Prepared), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Pao Jiang (Prepared Ginger), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Yuan Zhi (Polygalae Radix), Gou Qi Zi (Lycii Fructus), Bai Kou Ren (Amomi Fructus Rotundus Seed), Hua Jiao Mu (Zanthoxyli Fructus Seed).
Second prescription: Internal cataract has dispersed, tongue color slightly white, vision unclear, should focus on warming the Middle, nourishing Yin, and preserving light. Liu Wei Yi Gong San (Six Ingredient Benefit the Work Powder) add Xiang Fu, Dang Gui Shen, Gou Qi Zi, Gui Zhi, Chao Bai Shao, Fo Shou (Citri Sarcodactylis Fructus).
Patient Cheng (Right Eye): Liver and Kidney Essence and Blood both deficient, Yang Qi not storing, resulting in stars filling the vision, beware of Qing Mang (Green Blindness).
Shu Di Huang (Rehmanniae Radix Preparata), Shan Yao (Dioscoreae Rhizoma), Yu Rou (Corni Fructus), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Ren Shen (Ginseng Radix), Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Qing Qian (Lead Carbonate).
Patient Cao (Left Eye): Heat stagnating in Triple Burner, yellow membrane fleshy growth.
Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma Tip), Zhu Ye (Bambusae Folium), Lian Qiao (Forsythiae Fructus), Shan Zhi (Gardeniae Fructus), Dang Gui Wei (Angelicae Sinensis Radix Tail), Chi Shao (Paeoniae Radix Rubra), Huang Qin (Scutellariae Radix), Gan Ju (Chrysanthemi Indici Flos), Jiao Zhi Ke (Aurantii Fructus Charred), Liao Dou Pi, Dong Sang Ye.
Second prescription: Zhi Bai Si Wu Tang (Anemarrhena, Phellodendron, Four Substances Decoction) add Shi Jue Ming, Hei Shan Zhi, Che Qian Cao.
Patient Qian (Child): Eyes swollen like peaches, discharge and tears like pus, skin steaming heat and aversion to wind, eyes often closed and hard to open, unknown if black pearl damaged, symptoms suggest summer-dampness, should use clearing and draining methods.
Xiang Ru (Elsholtziae Herba), Hou Po (Magnoliae Officinalis Cortex), Bian Dou (Vigna Semen), Fu Ling (Poria), Cang Zhu (Atractylodis Rhizoma), Huang Bo (Phellodendri Cortex), Yin Hua (Lonicerae Japonicae Flos), Liu Yi San (Six-to-One Powder).
Patient Zhang (Left Eye): Wind-cold stagnating in Liver and Lung, causing left eye lipid film opacity, tendency to become spiral screw shape.
Gui Zhi (Cinnamomi Ramulus), Bai Shao (Paeoniae Radix Alba), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Xiang Fu (Cyperi Rhizoma), Su Ye (Perillae Folium), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui (Angelicae Sinensis Radix), Xing Ren (Armeniacae Semen Amaram), Gou Qi Zi (Lycii Fructus).
Patient Shen (Left Eye): Cold pathogen carrying wind, taking advantage of deficiency to injure Liver and Stomach, right eye small canthus scar depression, cloud-like white barrier, painful and photophobic.
Dang Shen (Codonopsis Radix), Sheng Tai Zhu (Raw Atractylodis Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Gou Qi Zi (Lycii Fructus), Bai Dou Kou (Amomi Fructus Rotundus).
Second prescription: Ba Zhen Tang (Eight Treasures Decoction) remove Chuan Xiong, add Hong Hua, Chen Pi, Shi Jue Ming.
Patient Hu (Left Eye): Heat stagnating in Triple Burner, red barriers at inner and outer canthi, beware of transformation into fleshy growth climbing the cornea.
Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong Tan (Charred Ligustici Chuanxiong Rhizoma), Chi Shao (Paeoniae Radix Rubra), Dan Pi (Moutan Cortex), Shan Zhi (Gardeniae Fructus), Han Lian Cao (Ecliptae Herba), Nv Zhen Zi (Ligustri Lucidi Fructus), Sang Bai Pi (Mori Radicis Cortex), Zhu Ye (Bambusae Folium), Deng Xin Cao (Junci Medulla).
Patient Li (Left Eye): Dry-fire punishing Metal and overcoming Wood, bilateral cloud membranes and red barriers.
Sheng Di Huang (Rehmanniae Radix), Mu Tong (Akebiae Caulis), Chi Shao (Paeoniae Radix Rubra), Dang Gui Wei (Angelicae Sinensis Radix Tail), Lian Qiao (Forsythiae Fructus), Shan Zhi (Gardeniae Fructus), Sang Bai Pi (Mori Radicis Cortex), Di Gu Pi (Lycii Cortex), Yi Yi Ren (Coicis Semen), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma Tip), Deng Xin Cao.
Second prescription: Qing Huo Dao Chi San (Clear Fire Lead Out Urine Powder) add Huang Qin, Shi Hu, Zhu Ye.
Patient Gui (Right Eye): Essence and Blood inherently deficient, accompanied by sudden anger injuring Yin, resulting in dilated pupil, unclear vision.
Chai Hu (Bupleuri Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Shu Di Huang (Rehmanniae Radix Preparata), Shan Yao (Dioscoreae Rhizoma), Yu Rou (Corni Fructus), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Yuan Zhi (Polygalae Radix).
Second prescription: Follow previous formula combined with Sheng Mai San.
Patient Qu (Right Eye): Yin essence unable to ascend to the eyes, resulting in dryness, astringency, and blurriness, should nourish Yin and replenish fluids.
Han Lian Cao (Ecliptae Herba), Nv Zhen Zi (Ligustri Lucidi Fructus), Sheng Di Huang (Rehmanniae Radix), Shan Yao (Dioscoreae Rhizoma), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Suan Zao Ren (Ziziphi Spinosae Semen), Lian Rou (Nelumbinis Semen).
Patient Ma (Right Eye): Liver meridian stagnant heat, bilateral eyes already have red vessels penetrating the pupil.
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Chi Shao (Paeoniae Radix Rubra), Fu Ling (Poria), Chai Hu (Bupleuri Radix), Yu Jin (Curcumae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chan Yi (Bombyx Batryticatus), He Ye Bian (Loti Folium Margin).
Patient Shi (Right Eye): Dry-heat stagnating in Lung and Stomach, right eye inverted eyelashes, eyelids tight.
Zhi Mu (Anemarrhenae Rhizoma), Huang Bo (Phellodendri Cortex), Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex), Ze Xie (Alismatis Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Rui Ren (Chrysobalanis Kernel), Mai Dong (Ophiopogonis Radix), Dong Sang Ye (Winter Mulberry Leaf).
Patient Ma (Right Eye): Postpartum dual deficiency of Qi and Blood, Yangming deficient heat generating wind, resulting in headache and eye pain.
Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Chuan Xiong Tan (Charred Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Dang Shen (Codonopsis Radix), Fu Ling (Poria), Zhi Bai Zhu (Atractylodis Macrocephalae Rhizoma Prepared), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Sheng Ma (Cimicifugae Rhizoma), Du Zhong (Eucommiae Cortex), Sheng Tou Cao.
Second prescription: Follow previous formula remove Sheng Ma add Gou Qi Zi.
Patient Fan (Left Eye): Alcohol-dampness injuring Lung and Kidney, bilateral silver opacity and red barrier.
Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Yuan Zhi (Polygalae Radix), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Ji Ju Zi (Berberidis Fructus), Ye Ma Liao Dou.
Second prescription: Sheng Liu Wei (Generate Six Flavor) remove Yu Rou combine Qi Ju (Qi Ju Di Huang Wan), add Bi Xie, Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Tu Si Zi.
Patient You (Left Eye): Liver and Kidney Essence and Blood both deficient, accompanied by cold pathogen injuring Yin, resulting in left eye pupil crab-pupil syndrome, vision lacking form, reluctantly prescribing warming middle and saving Yin method to seek effect.
Zhi Fu Zi (Prepared Aconiti Lateralis Radix), Gan Jiang (Zingiberis Rhizoma), Sheng Bai Zhu (Raw Atractylodis Macrocephalae Rhizoma), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Shu Di Huang (Rehmanniae Radix Preparata), Rou Gui (Cinnamomi Cortex), Gou Qi Zi (Lycii Fructus), Zhi Xiang Fu (Cyperi Rhizoma Prepared), Shi Jue Ming (Haliotidis Concha).
Patient Ma (Right Eye): Essence and Blood inherently deficient, accompanied by pregnancy fullness, Qi stagnating in Liver and Gallbladder, bilateral vision dim and blurry, beware of transformation into Green Blindness, should nourish Yin and promote drainage.
Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Shan Yao (Dioscoreae Rhizoma), Yun Ling (Poria), Ze Xie (Alismatis Rhizoma), Zhi Xiang Fu (Cyperi Rhizoma Prepared), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Huang Qin (Scutellariae Radix), Su Geng (Perillae Caulis), Jiao Zhi Ke (Aurantii Fructus Charred), He Ye (Loti Folium).
Second prescription: Zhi Qi Liu He Tang (Regulate Qi Six Harmony Decoction) add Huang Qin, Gou Qi Zi.
Patient Lu (Child): Wind-dampness stagnating in Spleen and Lung, bilateral eye tinea, whole body wind rashes.
Yu Zhu (Polygonati Odorati Rhizoma), Yi Yi Ren (Coicis Semen), Fu Ling (Poria), Guang Pi (Broad Tangerine Peel), Gan Cao (Glycyrrhizae Radix et Rhizoma), Cao Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix), Dang Gui (Angelicae Sinensis Radix), Xing Ren (Armeniacae Semen Amaram).
Patient Gu (Left Eye): Yin failing to control Yang, Liver Wind stirring internally, bilateral eyes alternating pain and itching, red, astringent, and blurry.
Gou Qi Zi (Lycii Fructus), Gan Ju (Chrysanthemi Indici Flos), Yu Zhu (Polygonati Odorati Rhizoma), Xin Hui Bai (Xinhui Tangerine Peel), Yun Ling (Poria), Shan Yao (Dioscoreae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shi Jue Ming (Haliotidis Concha), Liao Dou Pi (Soybean Skin), Hei Zhi Ma (Sesami Fructus Nigrum), Dong Sang Ye (Winter Mulberry Leaf).
Second prescription: Er Di Liu Wei (Two Rehmannias Six Ingredients) remove Yu Rou, add Xi Yang Shen, Mai Dong, Gou Teng, Shi Jue Ming, Dan Shen, Liao Dou Pi.
Third prescription: Zuo Gui Yin combined with Fu Sang San add Dan Shen, Shi Jue Ming.
Patient Fan (Left Eye): Summer-heat and dampness two pathogens punishing Liver and Lung, bilateral yellow-white cloud membranes, black pearl white depression.
Zhu Ling (Polyporus), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ze Xie (Alismatis Rhizoma), Fu Ling Pi (Poria Exocarpium), Wu Jia Pi (Acanthopanacis Cortex), Di Gu Pi (Lycii Cortex), Sheng Jiang Pi (Zingiberis Rhizoma Recens Cutis), Guang Huo Xiang (Patchouli Herba), Dang Gui (Angelicae Sinensis Radix), Liu Yi San (Six-to-One Powder), Hua Jiao Mu.
Patient Zhang (Right Eye): Yangming Blood deficiency, Stomach heat generating wind, bilateral black pearl cloud opacities, orbital swelling and red ulceration.
Fang Feng (Saposhnikoviae Radix), Shan Zhi (Gardeniae Fructus), Huo Xiang (Agastaches Herba), Shi Gao (Gypsum Fibrosum), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Gou Teng (Uncariae Ramulus cum Uncis), Sang Ye (Mori Folium), Lu Gen (Imperatae Rhizoma).
Patient Ye (Left Eye): Blood deficiency with internal heat, wind pathogen transforming into dryness, punishing Spleen and Lung, bilateral orbital red ulceration, right eye foggy opacity and blurriness.
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Chi Shao (Paeoniae Radix Rubra), Huang Qin (Scutellariae Radix), Qin Jiao (Gentianae Macrophyllae Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xing Ren (Armeniacae Semen Amaram), Shan Zhi (Gardeniae Fructus), Rui Ren (Chrysobalanis Kernel), Zhu Ye (Bambusae Folium).
Patient Zhang (Left Eye): Shaoyin evil heat, left eye fleshy growth protruding and painful.
Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Xi Jiao (Rhinocerotis Cornu - *Note: Substitute with Buffalo Horn in modern practice, but text says Xi Jiao*), Zhi Mu (Anemarrhenae Rhizoma), Shan Zhi (Gardeniae Fructus), Hua Shi (Talcum), Mai Dong (Ophiopogonis Radix), Fu Shen (Poria with Hostwood), Xi Yang Shen (American Ginseng).
Patient Wang (Right Eye): Wind pathogen stagnating in Liver and Lung, bilateral star opacities fully distributed, red swelling and photophobia.
Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Sheng Di Huang (Rehmanniae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra), Bo He (Menthae Haplocalycis Herba), Bai Ji Li (Tribuli Fructus), He Ye (Loti Folium).
Patient Zhou (Left Eye): Accidental injury to left eye, pupil spirit startled and scattered, Gallbladder and Kidney essence turbidified by blood stasis, downward vision has slight faint light, right eye myopic and dull. Should preserve right eye, simultaneously treat left eye, moving Qi and invigorating Blood is essential.
Shu Di Huang (Rehmanniae Radix Preparata), Chuan Xiong Tan (Charred Ligustici Chuanxiong Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Bai Shao (Paeoniae Radix Alba), Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), Gou Qi Zi (Lycii Fructus), Tu Si Zi (Cuscutae Semen), Chu Shi Zi (Celtidis Fructus), Zi Jin Pi (Broussonetiae Cortex), Rou Gui (Cinnamomi Cortex), Zhi Xiang Fu (Cyperi Rhizoma Prepared), Di Bie Chong (Eupolyphaga).
Second prescription: Follow previous formula remove Rou Gui, add Dang Shen, Dan Shen.
Patient Shen (Left Eye): Evil fire attacking, large canthus swelling, pain, and bleeding.
Xian Sheng Di Huang (Fresh Rehmanniae Radix), Bai Shao (Paeoniae Radix Alba), Dan Pi (Moutan Cortex), Xi Jiao (Rhinocerotis Cornu), Ou Zhi (Nymphaeae Rhizoma Juice).
Patient Xu (Left Eye): Constitution inherently Yin deficient, accompanied by cold stagnating in Liver and Stomach, right eye small canthus painful scar depression, left eye star opacity and fleshy growth, unclear vision.
Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Chai Hu (Bupleuri Radix), Bai Shao (Paeoniae Radix Alba), Fu Ling (Poria), Jiao Yu Zhu (Charred Atractylodis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Pao Jiang (Prepared Ginger), Bai Ji Li (Tribuli Fructus), Sha Ren (Amomi Fructus), He Ye (Loti Folium).
Second prescription: Shu Liu Wu Tang (Rehmannia Six Substances Decoction) add Gou Qi Zi, Bai Ji Li.
Patient Zhu (Left Eye): Heart and Kidney not interacting, Qi and Blood not harmonious, deficient Yang floating upward, Middle Qi sinking, resulting in left eye Agate Curtain, right eye Clam Flesh Curtain, unclear vision.
Su Mu (Sappan Lignum), Hong Hua (Carthami Flos), Shu Di Huang (Rehmanniae Radix Preparata), Chuan Xiong Tan (Charred Ligustici Chuanxiong Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix Stem-end), Bai Shao (Paeoniae Radix Alba), Dang Shen (Codonopsis Radix), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Prepared), Gui Ban (Testudinis Carapax et Plastrum), Huang Bo (Phellodendri Cortex).
Second prescription: Zi Sheng Gan Yin (Nourish Kidney Generate Liver Decoction) remove Yu Rou and Wu Wei Zi, use Tu Si Zi and Bai Shao, add Dan Shen, Chan Tui.
Third prescription: Xing Xue Sheng Bu Zhong Yi Qi Tang (Move Blood Generate Tonify Middle Boost Qi Decoction) add Dan Shen, Chan Yi.
Patient Wang (Right Eye): Qi and Blood inherently deficient, accompanied by wind-cold stagnating in Taiyang and Shaoyang, resulting in left eye Crab Pupil high protrusion, right eye cloud opacity and red barrier, swelling and pain.
Yu Zhu (Polygonati Odorati Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Sheng Tai Zhu (Raw Atractylodis Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chai Hu (Bupleuri Radix), Fang Feng (Saposhnikoviae Radix), Bai Shao (Paeoniae Radix Alba), Shi Jue Ming (Haliotidis Concha), Che Qian Zi (Plantaginis Semen).
Second prescription: Hei Xiao Yao San (Black Free and Easy Wanderer Powder) remove Bo He, add Man Jing Zi (Vitalae Fructus), Chan Tui, Shi Jue Ming, Xing Ren, Che Qian Cao.
Third prescription: Bu Gan San (Tonify Liver Powder) combined with Sheng Liu Wu Tang (Generate Six Substances Decoction) add Shi Jue Ming, Chong Wei Zi.
Patient Zhu (Left Eye): Dual deficiency of Qi and Blood, wind-cold pathogen overcoming Liver Yin, resulting in bilateral swelling and fleshy growth, black pearl internal flooding, formless vision, reluctantly prescribing formula for rescue.
Shu Di Huang (Rehmanniae Radix Preparata), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Chai Hu (Bupleuri Radix), Fu Ling (Poria), Jiao Yu Zhu (Charred Atractylodis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix), Su Mu (Sappan Lignum), Hong Hua (Carthami Flos), Wei Jiang (Roasted Ginger), Deng Xin Cao (Junci Medulla).
Second prescription: Xing Xue Shu Liu Wu Tang (Blood-Moving Rehmannia Six Substances Decoction) add Pao Jiang, Tu Si Zi, Xiang Fu.
Patient He (Left Eye): Age not yet twenty, Qi and Blood cannot be sufficient, left eye injured by object, black pearl broken, flooding and high protrusion, unremitting pain, reluctantly prescribing for rescue.
Su Mu (Sappan Lignum), Hong Hua (Carthami Flos), Shu Di Huang (Rehmanniae Radix Preparata), Chuan Xiong Tan (Charred Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Xiang Fu (Cyperi Rhizoma), Niu Xi (Achyranthis Bidentatae Radix), Zi Jin Pi (Broussonetiae Cortex), Pao Jiang Tan (Charred Prepared Ginger), Fang Feng Tan (Charred Saposhnikoviae Radix), Di Bie Chong (Eupolyphaga).
Second prescription: Left eye black pearl flooding and protrusion flattened nine-tenths, scars not retreated, white barrier not eliminated, unknown if pupil spirit damaged, tentatively prescribe again. Xing Xue Shu Liu Wu Tang add Fang Feng Tan, Xiang Fu Tan, Tu Si Zi, Niu Xi, Di Bie Chong.
Third prescription: Stagnant blood stasis dispersed, pearl round and flat, white barrier not retreated, pupil spirit damaged, no light or shadow, only considering still in childhood, prescribe another formula, hoping for luck. Xing Xue Ba Zhen Tang (Blood-Moving Eight Treasures Decoction) add Gou Qi Zi, Tu Si Zi.
Patient Xu (Child): Young age Qi and Blood not sufficient, accompanied by wind-dampness stagnating in Spleen and Lung, resulting in cough and rebellious Qi, left eye red swelling and pearl protrusion, tears like pus.
Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra), Chai Hu (Bupleuri Radix), Fu Ling (Poria), Yi Yi Ren (Coicis Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xing Ren (Armeniacae Semen Amaram), Cong Tou (Allii Fistulosi Bulbus).
Second prescription: Pearl protrusion flattened, red swelling slightly receded, cannot open eyes to see. Yi Gong San remove Bai Zhu use Yi Yi Ren, add Cao Bi Xie, Fang Feng, Dang Gui, Shi Jue Ming, Xing Ren.
Patient Huang (Left Eye): Dual deficiency of Essence and Blood, alcohol-dampness injuring Lung and Kidney, resulting in turbid pupil, dim vision, must beware of loss of sight.
Han Lian Cao (Ecliptae Herba), Nv Zhen Zi (Ligustri Lucidi Fructus), Sheng Di Huang (Rehmanniae Radix), Shan Yao (Dioscoreae Rhizoma), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Ji Ju Zi (Berberidis Fructus).
Patient Lu (Left Eye): Dual deficiency of Essence and Blood, Heart and Kidney not interacting, Minister Fire flaming upward, resulting in large canthus itching and bleeding, should use method of guiding fire back to source.
Shu Di Huang (Rehmanniae Radix Preparata), Shan Yao (Dioscoreae Rhizoma), Dan Pi (Moutan Cortex), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Yu Rou (Corni Fructus), Zhi Fu Zi (Prepared Aconiti Lateralis Radix), Rou Gui (Cinnamomi Cortex), Ren Shen (Ginseng Radix).
Patient Han (Left Eye): Middle Qi insufficient, eyelids loose and lax, inverted eyelashes.