同治初年，予官粤东，偶患目疾，郭玉麓廉访（祥瑞）授《眼科抄本》一卷，云传自叶
天
传
三
光绪四年正月抚浙使者南昌梅启照小岩氏识
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瞳仁属肾，大小 属心，黑珠属肝，上胞属脾，白珠属肺，下胞属胃。
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凡眼白珠有红丝微痛者，用清散药。宜左荆防汤∶荆芥八分，蔓荆子八分，赤芍八分，
川芎八分，防风八分，车前子一钱，蝉蜕六分（去翅足），菊花一钱，生地钱半（切片），青
葙
凡眼大角红肿者，心火也。照前方加黄芩八分（酒炒），木通八分，加淡竹叶九片引。
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凡眼白珠尽红、肿痛生眵、流泪羞明者，火盛也，宜用凉血散火汤。生地二钱（切片），
丹皮八分，赤芍八分，黄芩八分，防风八分，荆芥八分，归尾八分，蝉蜕六分，柴胡八分，
车前子一钱。如头痛恶风或发热加羌活八分，如眼痛不可忍、口渴加川连八分酒炒，或肿不
消、红不退加红花四分。
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凡眼小角淡红或赤而痛者，心之虚火也，宜用养血散火汤。生地一钱（切片），丹皮八
分
八分
若服此药红痛俱愈，但看物不明，去荆芥、防风，加沙苑蒺藜一钱（淡盐水炒），菟丝
子
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凡眼黑珠周遭红者，肝火也。或痛极，或微痛，宜用泻肝汤。柴胡八分，防风六分，荆
芥六分，川芎六分，归尾八分，赤芍八分，菊花八分，栀仁八分（酒炒），青皮八分，车前
子
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凡眼弦作痒及烂者，风也。内服下方搜风散，外点蕤仁膏。防风六分，荆芥六分，蕤仁
八分，刺蒺藜一钱，菊花一钱，蝉蜕六分，甘草四分，谷精草六分，赤芍八分，车前子一钱
，加老生姜一薄片引。
外用洗药∶羌活钱半，防风钱半，胆矾四分，冬桑叶七片，水煎熏洗。或用白矾放热水
浸融，常在痒烂处轻轻频擦亦妙。
蕤仁膏方∶蕤仁（水浸去皮）一两，研烂，用水两碗熬至一酒杯，滤去渣炖热，再下研
就
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凡眼睛云翳遮满黑珠，当瞳仁处稍薄者，看物不甚清楚，尚可以治，用拨云散加减治之
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凡眼睛云翳遮满珠，当瞳人处色绿不见瞳人，其翳凸起，名曰绿水泛瞳人，不治。
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凡眼赤脉一条贯瞳人者，心火乘肾也。用加味导赤散。生地钱半（切片），木通八分，
甘
赤芍
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凡眼大角长肉一块及黑珠，名 肉攀睛。宜服加味导赤散，外点硝炉散。生地钱半（切
片），木通八分，红花四分，赤芍八分，防风六分，荆芥六分，蝉蜕八分，甘草四分，归尾
八分，生姜一薄片引。痛者加黄芩八分，酒炒。痒者加蕤仁八分，刺蒺藜八分。
硝炉散∶浮水甘石不拘多少， 红，童便淬七次，焙干，研极细末，水飞三次。再用羌
活、防风、蔓荆子、川芎、白芷、川连、黄芩、菊花各等分，煎浓汁、将甘石末拌透晒干听
用。制过甘石一钱，火硝三分，顶上四六，冰片一分，擂匀点睛。
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凡眼睛不红不肿痛者，气郁也。宜用开郁汤。柴胡六分，青皮八分，香附八分（酒炒），
青葙子八分，防风六分，荆芥六分，决明八分，车前子八分，川芎八分，栀仁八分，生姜一
薄片引。黑珠夜暮痛者，加夏枯草一钱。若有红丝者，加归尾八分，生地一钱。
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凡眼睛不红、不肿痛，眼胞下坠，视物不明者，气虚也，宜服加减补中益气汤。黄芩一
钱（蜜炙），柴胡三钱，陈皮八分，茯苓一钱，升麻三分，枸杞一钱，川芎八分，炙草五分，
白术一钱，归身一钱，不用引。
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凡眼睛不红、不肿、不痛、眼胞不下坠，但视物不明者，肝肾虚也，宜服加味地黄汤。
熟地二钱（切片），山萸一钱，丹皮八分，川芎八分，山药一钱，泽泻八分，归身一钱。加
用
丸
各
有
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凡眼睛黑珠有白点及成块，轻者为云，浓者为眵。宜服加减拨云散。防风六分，荆芥六
分，蝉蜕八分，车前子八分，木贼八分，柴胡六分，黄芩八分，青葙子八分，赤芍一钱，决
明八分，甘草四分，加老生姜一薄片引。
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凡眼睛黑珠有云翳，眼角红及有赤丝者。宜服加减拨云散。防风六分，荆芥六分，蝉蜕
六分，车前子八分，木贼八分，归尾八分，黄芩八分，青葙子一钱，赤芍八分，菊花八分，
生地钱半（切片），生姜一薄片引。痛甚流泪，生眵眼胞，或加川黄连酒炒八分。
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凡眼睛黑珠云翳围满，有瞳人者可治，内服拨云散，外点硝炉散。木贼一两，防风六钱
，柴胡六钱，青葙子八钱，蝉蜕一两，黄芩六钱，菊花八钱，车前子八钱，共研极细末。早
晨空心开水调服二钱，晚服一钱。或用猪肝一块，割开放药末二钱填内、用湿棉纸包好，置
灰中煨熟食之，亦可煎服之。药用前方拨云散加减治之。
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凡眼睛白珠有翳，或白，或桃红，或酱色，或凸起，宜用拨云散加减治之。不红不肿、
无赤丝、只用拨云散，如红肿有赤丝加归尾、生地、赤芍之类。
In the early years of the Tongzhi reign, while serving as an official in Guangdong, I accidentally suffered from an eye disease. Guo Yulu, the Circuit Intendant (courtesy name: Xiangrui), bestowed upon me a volume of "Ophthalmology Manuscript," claiming it was passed down from Mr. Ye Tianshi. Recorded by Mei Qizhao (style name: Xiaoyan), Envoy of Zhejiang, in January of the 4th year of Guangxu.
The pupil belongs to the Kidney; the size and movement of the black pearl (iris/cornea area) relate to the Heart; the black pearl itself belongs to the Liver; the upper eyelid belongs to the Spleen; the white pearl (sclera) belongs to the Lung; the lower eyelid belongs to the Stomach.
For cases where the sclera has fine red vessels and slight pain, use heat-clearing and dispersing herbs. The suitable prescription is Zuo Jingfang Decoction: Schizonepetae Herba (Jingjie) 8 fen, Viticis Fructus (Manjingzi) 8 fen, Paeoniae Radix Rubra (Chishao) 8 fen, Chuanxiong Rhizoma (Chuanxiong) 8 fen, Saposhnikoviae Radix (Fangfeng) 8 fen, Plantaginis Semen (Cheqianzi) 1 qian, Bombyx Batryticatus (Chantui) 6 fen (wings and feet removed), Chrysanthemi Flos (Juhua) 1 qian, Rehmanniae Radix (Shengdi) 1.5 qian (sliced), Qingxiangzi [Qingqi]...
For cases where the canthus is red and swollen, it is due to Heart Fire. To the previous formula, add Scutellariae Radix (Huangqin) 8 fen (stir-fried with wine), Akebiae Caulis (Mutong) 8 fen, and use Lophatheri Herba (Dan Zhuye) 9 leaves as a guiding herb.
For cases where the entire sclera is red, accompanied by swelling, pain, discharge (discharge from eyes), tearing, and photophobia, it indicates excessive Fire. The suitable prescription is Liangxue Sanhuo Decoction: Rehmanniae Radix (Shengdi) 2 qian (sliced), Moutan Cortex (Danpi) 8 fen, Paeoniae Radix Rubra (Chishao) 8 fen, Scutellariae Radix (Huangqin) 8 fen, Saposhnikoviae Radix (Fangfeng) 8 fen, Schizonepetae Herba (Jingjie) 8 fen, Angelicae Sinensis Radix (Guiwei) 8 fen, Bombyx Batryticatus (Chantui) 6 fen, Bupleuri Radix (Chaihu) 8 fen, Plantaginis Semen (Cheqianzi) 1 qian. If there is headache, aversion to wind, or fever, add Notopterygii Rhizoma et Radix (Qianghuo) 8 fen. If eye pain is unbearable or there is thirst, add Coptidis Rhizoma (Chuanlian) 8 fen (stir-fried with wine). If swelling does not subside or redness does not recede, add Carthami Flos (Honghua) 4 fen.
For cases where the canthus is pale red or red and painful, it is due to Deficient Fire of the Heart. The suitable prescription is Yangxue Sanhuo Decoction: Rehmanniae Radix (Shengdi) 1 qian (sliced), Moutan Cortex (Danpi) 8 fen... If after taking this medicine the redness and pain both resolve, but vision remains unclear, remove Schizonepetae Herba (Jingjie) and Saposhnikoviae Radix (Fangfeng), add Astragali Complanati Semen (Shayuanjili) 1 qian (stir-fried with light salt water), and Cuscutae Semen (Tusizi)...
For cases where the periphery of the black pearl is red, it is due to Liver Fire. Whether the pain is extreme or slight, the suitable prescription is Xiegan Decoction: Bupleuri Radix (Chaihu) 8 fen, Saposhnikoviae Radix (Fangfeng) 6 fen, Schizonepetae Herba (Jingjie) 6 fen, Chuanxiong Rhizoma (Chuanxiong) 6 fen, Angelicae Sinensis Radix (Guiwei) 8 fen, Paeoniae Radix Rubra (Chishao) 8 fen, Chrysanthemi Flos (Juhua) 8 fen, Gardeniae Fructus (Zhiren) 8 fen (stir-fried with wine), Citri Reticulatae Pericarpium Viride (Qingpi) 8 fen, Plantaginis Semen (Cheqianzi)...
For cases where the eyelid margin is itchy and ulcerated, it is due to Wind. Internally take the Sousong San (Wind-Searching Powder); externally apply Ruiren Ointment. Saposhnikoviae Radix (Fangfeng) 6 fen, Schizonepetae Herba (Jingjie) 6 fen, Pruni Semen (Ruiren) 8 fen, Tribuli Fructus (Cijili) 1 qian, Chrysanthemi Flos (Juhua) 1 qian, Bombyx Batryticatus (Chantui) 6 fen, Glycyrrhizae Radix et Rhizoma (Gancao) 4 fen, Sparganii Rhizoma (Gujingcao) 6 fen, Paeoniae Radix Rubra (Chishao) 8 fen, Plantaginis Semen (Cheqianzi) 1 qian, plus one thin slice of old ginger as a guiding herb.
External wash preparation: Notopterygii Rhizoma et Radix (Qianghuo) 1.5 qian, Saposhnikoviae Radix (Fangfeng) 1.5 qian, Alum (Danfan) 4 fen, Mori Folium (Dongsangye) 7 leaves. Boil in water for fumigation and washing. Alternatively, dissolve Alum in hot water and gently rub frequently on the itchy and ulcerated areas, which is also effective.
Ruiren Ointment Formula: Pruni Semen (Ruiren) (soaked in water and peeled) 1 liang, pounded into a paste, boiled in two bowls of water until reduced to the volume of one wine cup, filtered to remove dregs, heated again, then mixed with ground... [Text incomplete].
For cases where corneal opacity covers the entire black pearl, but is slightly thinner at the pupil, causing somewhat unclear vision, it is still treatable. Use Bo Yun San (Cloud-Dispersing Powder) with modifications.
For cases where corneal opacity covers the entire eyeball, the pupil area appears green with no visible pupil, and the opacity is protruding, named "Green Water Flooding the Pupil," it is incurable.
For cases where a single red vessel runs through the pupil, it indicates Heart Fire attacking the Kidney. Use Jiawei Daochi San (Modified Guide Out the Heat Powder): Rehmanniae Radix (Shengdi) 1.5 qian (sliced), Akebiae Caulis (Mutong) 8 fen, Glycyrrhizae Radix et Rhizoma (Gancao)... Paeoniae Radix Rubra (Chishao)...
For cases where flesh grows from the canthus onto the black pearl, named "Pterygium" (Meat Climbing over the Eye), internally take Jiawei Daochi San (Modified Guide Out the Heat Powder); externally apply Xiaolu San (Nitre and Furnace Powder). Rehmanniae Radix (Shengdi) 1.5 qian (sliced), Akebiae Caulis (Mutong) 8 fen, Carthami Flos (Honghua) 4 fen, Paeoniae Radix Rubra (Chishao) 8 fen, Saposhnikoviae Radix (Fangfeng) 6 fen, Schizonepetae Herba (Jingjie) 6 fen, Bombyx Batryticatus (Chantui) 8 fen, Glycyrrhizae Radix et Rhizoma (Gancao) 4 fen, Angelicae Sinensis Radix (Guiwei) 8 fen, one thin slice of ginger as a guiding herb. If painful, add Scutellariae Radix (Huangqin) 8 fen (stir-fried with wine). If itchy, add Pruni Semen (Ruiren) 8 fen, Tribuli Fructus (Cijili) 8 fen.
Xiaolu San (Nitres and Furnace Powder): Float-water Gypsum (Fushui Ganshi) as needed, calcined until red, quenched seven times in child's urine, dried, and ground to an extremely fine powder, washed with water three times. Then mix with equal parts of Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Viticis Fructus (Manjingzi), Chuanxiong Rhizoma (Chuanxiong), Angelicae Dahuricae Radix (Baizhi), Coptidis Rhizoma (Chuanlian), Scutellariae Radix (Huangqin), and Chrysanthemi Flos (Juhua). Decoct into a thick liquid, mix thoroughly with the Gypsum powder, dry, and set aside. Take 1 qian of prepared Gypsum, 3 fen of Nitrum (Huoxiao), [ratio/text unclear], and 1 fen of Borax (Bingpian), grind uniformly, and apply to the eyes.
For cases where the eyes are not red, swollen, or painful, it is due to Qi Stagnation. The suitable prescription is Kaiyu Decoction: Bupleuri Radix (Chaihu) 6 fen, Citri Reticulatae Pericarpium Viride (Qingpi) 8 fen, Cyperi Rhizoma (Xiangfu) 8 fen (stir-fried with wine), Qingxiangzi [Qingqi] 8 fen, Saposhnikoviae Radix (Fangfeng) 6 fen, Schizonepetae Herba (Jingjie) 6 fen, Cassiae Semen (Jueming) 8 fen, Plantaginis Semen (Cheqianzi) 8 fen, Chuanxiong Rhizoma (Chuanxiong) 8 fen, Gardeniae Fructus (Zhiren) 8 fen, one thin slice of ginger as a guiding herb. If the black pearl hurts at dusk, add Prunellae Spica (Xiakucao) 1 qian. If there are red vessels, add Angelicae Sinensis Radix (Guiwei) 8 fen, Rehmanniae Radix (Shengdi) 1 qian.
For cases where the eyes are not red, swollen, or painful, but the eyelids droop and vision is unclear, it is due to Qi Deficiency. The suitable prescription is Jiawei Buzhong Yiqi Tang (Modified Tonify the Middle and Augment the Qi Decoction): Scutellariae Radix (Huangqin) 1 qian (honey-fried), Bupleuri Radix (Chaihu) 3 qian, Citri Reticulatae Pericarpium (Chenpi) 8 fen, Poria (Fuling) 1 qian, Cimicifugae Rhizoma (Shengma) 3 fen, Lycii Fructus (Gouqi) 1 qian, Chuanxiong Rhizoma (Chuanxiong) 8 fen, Honey-fried Glycyrrhizae Radix et Rhizoma (Zhigancao) 5 fen, Atractylodis Macrocephalae Rhizoma (Baizhu) 1 qian, Angelicae Sinensis Radix (Guishen) 1 qian, no guiding herb needed.
For cases where the eyes are not red, swollen, or painful, eyelids do not droop, but vision is unclear, it is due to Liver and Kidney Deficiency. The suitable prescription is Jiawei Dihuang Tang (Modified Rehmannia Pill/Decoction): Prepared Rehmanniae Radix (Shudi) 2 qian (sliced), Corni Fructus (Shanyu) 1 qian, Moutan Cortex (Danpi) 8 fen, Chuanxiong Rhizoma (Chuanxiong) 8 fen, Dioscoreae Rhizoma (Shanyao) 1 qian, Alismatis Rhizoma (Zexie) 8 fen, Angelicae Sinensis Radix (Guishen) 1 qian. Add to make pills... each... have... [Text fragmented].
For cases where the black pearl has white spots or clumps, light ones are called "Cloud," heavy ones are called "Discharge." The suitable prescription is Jiawei Boyun San (Modified Cloud-Dispersing Powder): Saposhnikoviae Radix (Fangfeng) 6 fen, Schizonepetae Herba (Jingjie) 6 fen, Bombyx Batryticatus (Chantui) 8 fen, Plantaginis Semen (Cheqianzi) 8 fen, Equiseti Herba (Muzei) 8 fen, Bupleuri Radix (Chaihu) 6 fen, Scutellariae Radix (Huangqin) 8 fen, Qingxiangzi [Qingqi] 8 fen, Paeoniae Radix Rubra (Chishao) 1 qian, Cassiae Semen (Jueming) 8 fen, Glycyrrhizae Radix et Rhizoma (Gancao) 4 fen, plus one thin slice of old ginger as a guiding herb.
For cases where the black pearl has corneal opacity, the canthus is red, and there are red vessels. The suitable prescription is Jiawei Boyun San (Modified Cloud-Dispersing Powder): Saposhnikoviae Radix (Fangfeng) 6 fen, Schizonepetae Herba (Jingjie) 6 fen, Bombyx Batryticatus (Chantui) 6 fen, Plantaginis Semen (Cheqianzi) 8 fen, Equiseti Herba (Muzei) 8 fen, Angelicae Sinensis Radix (Guiwei) 8 fen, Scutellariae Radix (Huangqin) 8 fen, Qingxiangzi [Qingqi] 1 qian, Paeoniae Radix Rubra (Chishao) 8 fen, Chrysanthemi Flos (Juhua) 8 fen, Rehmanniae Radix (Shengdi) 1.5 qian (sliced), one thin slice of ginger as a guiding herb. If pain is severe with tearing and discharge affecting the eyelids, add Coptidis Rhizoma (Chuanlian) 8 fen (stir-fried with wine).
For cases where corneal opacity surrounds the black pearl completely, but the pupil is visible, it is treatable. Internally take Boyun San (Cloud-Dispersing Powder); externally apply Xiaolu San (Nitres and Furnace Powder). Equiseti Herba (Muzei) 1 liang, Saposhnikoviae Radix (Fangfeng) 6 qian, Bupleuri Radix (Chaihu) 6 qian, Qingxiangzi [Qingqi] 8 qian, Bombyx Batryticatus (Chantui) 1 liang, Scutellariae Radix (Huangqin) 6 qian, Chrysanthemi Flos (Juhua) 8 qian, Plantaginis Semen (Cheqianzi) 8 qian. Grind all into an extremely fine powder. In the morning, take 2 qian mixed with warm water on an empty stomach; in the evening, take 1 qian. Alternatively, take one piece of pig liver, cut open, fill with 2 qian of the powder, wrap in wet cotton paper, roast in ashes until cooked, and eat. It can also be decocted and taken. The medicinal usage follows the modified Boyun San formula above.
For cases where the sclera has opacity, appearing white, peach-red, sauce-colored, or protruding, use Boyun San (Cloud-Dispersing Powder) with modifications. If not red or swollen, without red vessels, use only Boyun San. If red, swollen, with red vessels, add Angelicae Sinensis Radix (Guiwei), Rehmanniae Radix (Shengdi), Paeoniae Radix Rubra (Chishao), etc.