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Lulu Zhankai (Wheel Unfolding) syndrome is identical to Hu Yan Ning Jing (Hawk Eye Fixed Gaze) syndrome. Hu Yan Ning Jing refers to the appearance of the eyeball being fixed and unmovable, gazing without rotation. Lulu Zhankai, characterized by a dilated pupil, results from the dispersion of the water essence of the Gallbladder and Kidney. The size of the pupil changes according to the expansion or contraction of the Huang Ren (Iris): when the Iris expands, the pupil becomes small; when the Iris contracts, the pupil becomes large. It is incorrect for people not to understand that the pupil's ability to change size is due to this mechanism. This condition occurs because the Liver is affected by Wind pathogen, preventing the "wheel" (ocular adjustment mechanism) from unfolding, thus keeping the pupil round. As it contracts following the Liver wheel, the pupil appears dilated and unable to converge, hence named Lulu Zhankai syndrome.

Wind pathogen fills and enters the brain and eye tendons, pulling them upward. This syndrome is commonly contracted by children suffering from Ji Jing Feng (Acute Convulsive Disorder) or Man Jing Feng (Chronic Convulsive Disorder). The treatment method is the same as described previously. Apply Mo Feng Gao (Wind-Rubbing Ointment) mixed with ginger juice and sesame oil for friction massage, and frequently administer Bhe Ke (Mussel Shell) powder orally. The nursing mother must observe dietary restrictions.

[Image: Lulu Zhankai Diagram]

Question: Why does the pupil open widely, the eye fail to converge, and exhibit abnormal expansion and contraction? Answer: This is caused by the Liver being affected by Wind pathogen and excessive phlegm accumulation. Treatment methods include using Pi Xun Ding Zi (Pi Xun锭剂), Niu Huang Wan (Calculus Bovis Pill), and Shi Nan San (Stemnan Vine Powder). In the early stages, surface-releasing methods should be employed. If children suffer from this condition, the treatment remains the same.

Pi Xun Ding Zi: Treats conditions where the Liver and Gallbladder are affected by Wind, leading to the aforementioned symptoms, as well as Tong Jing (Strabismus) in children and wide pupils.
Ingredients: Niu Dan Nan Xing (Arisaema cum Bile, 7 qian), Fang Feng (Saposhnikovia Root), Gan Jiang (Dried Ginger) (each 3 qian), Bai Fu Zi (Typhonii Rhizoma, 5 qian), Niu Huang (Calculus Bovis, 3 fen), Chuan Wu (Aconiti Radix), Bai Zhi (Angelicae Dahuricae Radix), Bo He (Menthae Haplocalycis Herba), Mu Xiang (Aucklandiae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Ren Shen (Ginseng Radix) (each 5 qian), Zhu Sha (Cinnabar, 1 qian), She Xiang (Moschus, 5 fen), Bai Jiang Can (Bombyx Batryticatus, 20 pieces, raw use), Pian Nao (Borneolum Syntheticum, 5 fen).
Preparation and Administration: Grind all the above herbs into fine powder. For winter preparation, boil two jin of honey and half a jin of Gan Cao (Licorice Root) to make a paste of appropriate consistency, then mix with the herb powder to form ingots, coated with Jin Bo (Gold Leaf). For children with Ji Jing Feng or Man Jing Feng presenting with convulsions of hands and feet, dissolve one ingot in water prepared by grinding Jin Yin Bo (Silver and Gold Leaf). For adults with Po Shang Feng (Traumatic Tetanus), dissolve three to four ingots in wine. Each ingot weighs approximately one qian or seven fen. For summer preparation, boil one jin of Ma Huang (Ephedrae Herba) and half a jin of Gan Cao (Licorice Root) in three to four bowls of water in a clay pot until reduced to one bowl, add one jin of honey, and slowly simmer until drops form beads in water. Then mix with the aforementioned herb powder to form pills, which constitute the ingots.

Niu Huang Wan (Calculus Bovis Pill): Capable of dispelling Wind-Phlegm.
Ingredients: Niu Huang (Calculus Bovis, 2 fen), Bai Fu Zi (Typhonii Rhizoma), Quan Xie (Scorpio), Rou Gui (Cinnamomi Cortex), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shi Gao (Gypsum Fibrosum) (each 1 liang), Bai Zhi (Angelicae Dahuricae Radix, 3 fen), Huo Xiang (Agastaches Herba, 5 qian), She Xiang (Moschus, a little), Zhu Sha (Cinnabar, 2 qian).
Preparation and Administration: Grind the above into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take two or three pills each time, administered with Bo He Tang (Mint Decoction) before bedtime.

Tong Ding Shi Nan San (Stemnan Vine Powder for Opening the Crown): Capable of benefiting the diaphragm and opening Wind-Phlegm.
Ingredients: Shi Nan Teng (Stemnan Vine), Li Lu (Veratri Rhizoma) (each 1 liang), Gua Di (Cucumeris Fructus, 7 fen).
Preparation and Administration: Grind the above into powder. Administer one spoonful with Mi Tang (Rice Decoction), once or twice daily, instilled into the mouth to expel Wind-Phlegm.