Library

Question: What is the cause of blood nebula obscuring both eyes? Answer: It is all due to heat in the Heart Meridian, deficiency and exhaustion of the Liver, and invasion by pathogenic heat. This leads to redness, dryness, pain, swelling, and tearing in the eyes. Gradually, red meridians penetrate the eyeball, with frequent recurrences. Over time, fibrous nodules and pus form, completely covering the black pupil (cornea and iris), resembling red flesh; hence it is named "Blood Nebula Enveloping the Pupil." It is appropriate to administer Xie Xin Tang (Drain the Heart Decoction), followed by Xiu Gan Huo Xue Tang (Repair the Liver and Invigorate Blood Decoction).

Image of Blood Nebula Enveloping the Pupil

Xie Xin Tang (Drain the Heart Decoction)
Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Rheii Radix et Rhizoma (Dahuang), Forsythiae Fructus (Lianqiao), Schizonepetae Herba (Jingjie), Paeoniae Radix Rubra (Chishao), Plantaginis Semen (Cheqianzi), Menthae Haplocalycis Herba (Bohe), Chrysanthemi Flos (Juhua) (each 1 liang).
The above herbs are coarsely crushed. Each dose is 4-5 qian, decocted in water and taken warm.

Xiu Gan Huo Xue Tang (Repair the Liver and Invigorate Blood Decoction)
Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Recens (Shengdihuang), Paeoniae Radix Rubra (Chishao) (each 1.5 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Notopterygii Rhizoma et Radix (Qianghuo) (each 7 qian), Astragali Membranacei Radix (Huangqi), Saposhnikoviae Radix (Fangfeng), Coptidis Rhizoma (Huanglian), Rheii Radix et Rhizoma (Dahuang), Menthae Haplocalycis Herba (Bohe), Forsythiae Fructus (Lianqiao), Chrysanthemi Flos (Juhua), Tribuli Fructus (Bajili) (each 1 liang).
Each dose is 4-5 qian, decocted in water with two zhan of wine, and taken warm.

Question: What causes blood nebula enveloping the pupil? Answer: It is caused by excess heat and vigorous blood in the Heart. This disease is easy to treat in its initial stage; however, if it progresses to a point where the blood dissipates and becomes difficult to eliminate, during pain, Po Xue Hong Hua San (Break Blood and Safflower Powder), Danggui Longdan Tang (Angelica and Gentian Decoction), and Qingliang San (Cooling Clearing Powder) for topical application should be used.

Danggui Longdan Tang (Angelica and Gentian Decoction)
Saposhnikoviae Radix (Fangfeng), Gypsum Fibrosum (Shigao), Bupleuri Radix (Chaihu), Notopterygii Rhizoma et Radix (Qianghuo), Schisandrae Chinensis Fructus (Wuweizi), Cimicifugae Rhizoma (Shengma), Glycyrrhizae Radix et Rhizoma (Gancao), Coptidis Rhizoma (Huanglian, washed with wine), Scutellariae Radix (Huangqin, washed with wine), Astragali Membranacei Radix (Huangqi), Phellodendri Chinensis Cortex (Huangbai, washed with wine), Angelicae Sinensis Radix (Danggui), Gentianae Macrophyllae Radix (Longdancao), Paeoniae Radix Rubra (Chishao) (each 5 qian).
The above herbs are coarsely crushed. Each dose is 5 qian, decocted in water until two wan remain, strained, with a small amount of wine added, and taken hot before sleep. Speech should be avoided.

Po Xue Hong Hua San (Break Blood and Safflower Powder)
Angelicae Sinensis Radix Caudex (Danggui Shao), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Rubra (Chishao), Aurantii Fructus Immaturus (Zhiqiao), Perillae Folium (Suye), Forsythiae Fructus (Lianqiao), Coptidis Rhizoma (Huanglian), Astragali Membranacei Radix (Huangqi), Gardeniae Jasminoidis Fructus (Zhizi), Rheii Radix et Rhizoma (Dahuang), Sappan Lignum (Sumu), Carthami Flos (Honghua), Angelicae Dahuricae Radix (Baizhi), Menthae Haplocalycis Herba (Bohe), Cimicifugae Rhizoma (Shengma).
All herbs are in equal proportions. Decoct in water with three zhan of wine and take warm.