以下眼科七十二症问答一卷，据万邑文永周刊本谓∶传自涿鹿李公方治永周精于医，手
录之，注中称豁然子者，永周别号也。光绪乙亥夏四月，余患目疾甚剧，金陵王镇田先生谓
宜用苦寒重剂，爰授此书证之，遂服三黄汤七剂始愈。阅全书，详审简当，洵有异授，初刊
于道光丁酉，乱后已少传本，因重梓之，以广其传。忆十年前，在粤东患目疾，得叶天士先
生秘传药方，亦已重梓，然其用药至黄连而止，观此又进一层矣。甚哉！医道之难也，世之
读是书者慎诸。光绪二年丙子四月南昌梅启照识于江宁藩署之瞻园。
第一问∶目有两睛，犹天之有日月也。平空昏者何故？答曰∶皆因酒色过度，忧悉思虑
悲哭，或醉饱、脏血不匀，肝经抑郁，则为患矣。宜点虎液珍珠膏，服明目流气饮。
明目流气饮∶治目中障翳，隐涩难开，血风冷泪，时时暴赤，视物不明，眼生黑花。大
黄（炮）、牛蒡子（炒）、川芎、甘菊、白蒺藜（炒去刺）、细辛、防风、元参、栀子（炒）、
荆芥
六分，水煎
第二问∶眼目赤肿者何故？答曰∶五脏热邪内攻，以致心火暴盛皆酒之所致也。宜点青
龙虎液膏，服洗心散、羊肝丸（方见七十一问）。
洗心散∶治肝热传于心经，积热上攻，眼弦涩，睛疼，热盛风多。赤芍、甘草、荆芥、
生地黄、木通、大黄连、薄荷、当归。水煎，食后服。
第三问∶眼有赤而不痛者何故？答曰∶肝实也。肝者，血脏也。肝实则血盛，盛则血气
上攻，侵贯瞳人，故赤而不痛。若痛至坐卧不得，宜点凤麟羊脑玉，服泻肝散。
泻肝散∶大黄五钱，荆芥一两，甘草一钱，共为末。每用热汤送下二钱。
第四问∶目有赤而昏暗，起黑云，大角红者，何故？答曰∶肝虚也。肝属木，木生火，
子盗母气则昏暗，火发则木衰。若心火旺则血有余，贯大角，侵于瞳神，故既赤而又昏也。
宜点虎液膏。肝实者服泻肝散（方见三问），肝虚者服补胆散，心火旺者服泻心散。
补胆散∶治黑白内外障翳胆虚者。肝胆以泻为补。当归、羌活、蒺藜、蝉蜕、荆芥、甘
草各二钱，共为末。每服二钱，米汤下。
泻心散∶治目赤疼痛，心火实者。甘草二钱，泽泻五钱，黄连三钱，共为末。每服二钱
，灯芯汤送下。
第五问∶目有大角赤痛者何故？答曰∶心实也。大角属心，南方火位之象也。心火旺则
大角赤痛，宜点青龙膏，服洗心散、三黄汤。
洗心散∶生地、薄荷、荆芥、防风、羌活、山栀、黄连、黄芩、北柴胡、石膏、甘草、
川芎、菊花、龙胆草、淡竹叶各等分为末，日进三服。
三黄汤∶治热泪倾出，沙涩睛疼，怕日羞明、胞肿者用黄连、黄柏、黄芩各等分，俱炒
，水煎服。
第六问∶目有小角赤者何故？答曰∶心虚也。心属火，火能生土，故火乃土之母。土实
则火虚，如子肥知母瘦也。宜点虎液珍珠琥珀膏，服补心散。
补心散∶治疼痛不已，当归一两五钱，川芎一两，生地一两五钱，粉草、远志（去心）
一
茯苓
砂、
第七问∶眼有白翳多者何故？答曰∶肺属金，金能生水。水若旺，满面风膜，故塞肺窍
之精华，只肺托落，因干硬故气涩之而为翳。金若不旺，则不能生水矣，水不能生，肺自干
燥之故耳。宜点珍珠膏，服补肺散、洗心散。
补肺散∶当归五钱，黄芩一两，桔梗四钱，赤芍五钱，桑皮一两，麻黄四钱，枳壳四钱
，葶苈五钱，地骨皮八钱，甘菊四钱，元参八钱，白芷四钱，生地四钱，甘草四钱，金银花
四钱，共为细末，每服三钱。
第八问∶目有翳而泪多不凝结者何故？答曰∶即是肺托落，肝虚也。宜点珍珠琥珀膏，
服阿胶散、被肺散（方见七问）。
阿胶散∶白茯苓二钱，白术一钱，川芎一钱，阿胶（炒成珠）二钱，当归一钱，姜三片，
枣二枚，水煎，不拘时服。
第九问∶眼有怕日羞明何故？答曰∶脾实也。脾属土，土受湿气传入肺，肺受心经邪火
而传于目。太阳受湿热则胜脾土，土盛肌肉壅塞难开，乃是湿气相传，故怕日羞明。宜点珍
珠膏，服洗脾饮、密蒙丸。
洗脾饮∶治胞肿赤痛。当归、天花粉、赤芍、黄芩、穿山甲（炒）、金银花、羌活、白
芷
密蒙丸∶（此方还有在后，看加减服）密蒙花、菊花、羌活、石决明（盐水浸炒）、青精
石
第十问∶目有视物不真者何故？答曰∶脾虚也。脾属土，肝属木，木克土，青黄相争，
黄不胜青，故视物不真。宜点珍珠膏，服苍术汤，补肾丸（方见十一问）。
苍术汤∶苍术（米泔浸炒）一钱二分， 本一钱，白芷一钱，羌活一钱，川芎一钱，甘
草
第十一问∶目有黑花如飞蝉、蝇者何故？答曰∶肾虚也。肾属水，水若枯，则肾虚。宜
点虎液青龙膏，服猪苓汤、补肾丸。
猪苓汤∶五味子、熟地、猪苓、肉苁蓉（酒洗）、枸杞子、覆盆子，不用引，水煎服。
补肾丸∶车前子（酒浸）一两，石斛一两（去根），青盐、磁石（ ，醋淬七次，水飞）
二钱
空心盐
第十二问∶眼有迎风流泪者何故？答曰∶肾虚也。肝木生风，肾水枯，不能滋木，木乃
肾之子，故见风流泪也！宜点凤麟羊脑玉，服地黄丸。
明目地黄丸∶生地一斤（酒浸），熟地一斤（酒浸，九蒸），防风四两，枳壳（去穣，麸
炒）
五十丸。
第十三问∶眼有赤筋攀睛者何故？答曰∶心火主血，肝木主筋，血浸于筋，肝心同源，
相传于目，故赤血眼多生攀睛。宜服三黄汤，不退再服当归散，点珍珠膏。
三黄汤∶大黄三钱（酒炒），黄芩一钱五分，黄连一钱五分，水煎服。
当归散∶当归、白芷、羌活、甘草、栀子、牛蒡（炒），共为末。滚水调服。
第十四问∶目有白膜遮睛者何故？答曰∶肺金克肝木，风邪在肺，其金旺而木衰，故白
膜遮睛。宜点珍珠膏，或点推云散，服连翘饮，四顺清凉散。
连翘饮∶连翘、甘草、黄芩、栀子、薄荷、大黄（酒炒）、朴硝各等分，上为末，滚水
下
四顺清凉散∶大黄（酒炒）、川芎、山栀、赤芍、归身、枳壳、生地、香附、醋炒。甘
草
推云散∶炉甘石五分，珍珠二分，玛瑙三分，朱砂四分，熊胆一分半，黄连一分半，乳
香六厘，没药六厘，麝香二厘，硼砂三厘，共为细末，点眼。请阅豁然子根据方经手制法。
第十五问∶目有遇风作痒者何故？答曰∶肝经有风邪。肝属木，一见风燥动即痒。宜点
虎液膏，服荆芥散。
荆芥散∶荆芥、甘草、蔓荆子、甘菊、白芍、香附、苍术（炒）、草决明（炒）各等分，
为
第十六问∶目有早晨昏花者何故？答曰∶此为头风注于目。头乃诸阳之首，早晨昏则阳
衰，阳气属木，木旺寅、卯、辰时，故邪胜则生风攻于目也。宜点羊脑玉，服蒺藜散。
蒺藜散∶白蒺藜（炒）、芍药、茯苓、甘草、防风、石决明（盐水炒）、川芎（炒）、羌
活、
第十七问∶目有日中时昏暗者何也？答曰∶胃脑损也。元气即真元也，流传于阴道，不
归阳道，在于午戍之时，寒气渐生，故生脑损，以致早晚目昏。宜点珍珠膏，服宽中汤、太
阳丹、泻肺散，灸风府穴。
宽中汤∶青皮四两，陈皮四两，丁香四两，甘草四两，朴硝四两，细辛五钱，浓朴二两
（姜汁炒），白豆蔻三两，共为末。每服二钱，盐汤送下。
太阳丹∶治太阳穴疼痛，名雷头风。大川乌（炮）一两，石膏（ ）三两，白芷一两，
甘菊
十丸
泻肺散∶治目中不清，视物不见。黑豆、白丑、泽泻、当归、枸杞，苦参各等分，水煎
服。忌酒煎炒发物。
第十八问∶目有昏花，迎风流泪，怕日羞明者何故？答曰∶风热上攻于目也。宜点虎液
膏，服上清丸。
上清丸∶羚羊角镑一两，犀角镑一两，牛黄五钱，琥珀三钱，浓朴（姜汁炒）一两，黄
芩
地七
共为末
第十九问∶目有日夜疼痛者何也？答曰∶阳毒之气盛也。《经》云∶静则血气衰，注于
阳道，寒邪克之，故日夜作疼，宜服拨云散。
拨云散∶白蒺藜（炒去刺）、羌活、独活、防风、荆芥、生地黄、当归、蛇蜕、蝉蜕、
甘
第二十问∶目有日中痛何故？答曰∶阳气盛也。《经》云∶阴静则阳盛，阳火盛则旺于
日中，见阳气则道德，故知阴虚也。宜服洗心散（方见二问、五问）。
第二十一问∶目有浮眵白膜者何也？答曰∶肺金受热也。血盛则热，气盛则寒，肺气盛
则生膜，白乃肺之根也。肺受风邪浮散于目，故有白膜遮之也。宜点虎液膏，服四顺饮。
第二十二问∶目有旋螺突出者何也？答曰∶是积也。积乃脏腑之源，毒攻于外，发于目
，血结于肝，木之积也。宜服蝉蜕无比散，宜点推云散（方见十四问）。
蝉蜕无比散∶蝉蜕（去头足），蛇蜕（微炒）各二两，羌活三两，当归（酒洗）三两，
川芎（
两，苍术（
生冷油面等。
第二十三问∶目有瞳仁倒者何也？答曰∶五脏俱损也。外因五色，内因五
味，精液妄行，
菊花丸∶菊花四两，巴戟一两六钱，五味子二两，肉苁蓉（酒洗）一两，枸杞二两，共
为
第二十四问∶目有青膜遮睛者何也？答曰∶目乃肾水之源，精神之腑，五脏积热，壅滞
气血，冲掌肝木，故青膜遮睛也。宜点青龙琥珀膏，服洗肝散。
洗肝散∶薄荷叶、川芎、当归、大黄、栀子、防风、羌活、甘草各等分为末。每服三钱
，食后服。
第二十五问∶目有瞳人黄者何也？答曰∶黄风内障也。五行应变，升降为先，若血气衰
涩不能应目，故瞳人黄也。宜点珍珠散，服椒红丸。
夜光椒红丸∶川芎一两，白蒺藜（炒）五钱，防风五钱，苍术（炒）二两，熟地三两，
车前
珍珠五
第二十六问∶眼有白星散乱，头昏眼花黑暗者何也？答曰∶气血衰也。气血者周流百脉
，百脉一衰，六阳俱起，头即昏眩，血脉不行，故生白星，昏花黑暗。宜服川乌散，点推云
散（方见十四问）。
川乌散∶川乌（煨）、细辛、川芎、防风、生地、当归、芍药、甘草、人参、各等分为
末
石膏二川丹∶石膏、川乌、川芎、防风、荆芥、川羌活、连翘、升麻、水煎服。
第二十七问∶目有粉青而昏者何也。答曰∶脾家风湿，瘀血滞精，宜服分昧散，点推云
散（方见十四问）。
分昧散∶琥珀一两，防风一两，蔓荆子（炒）一两五钱，元参一两五钱，细辛一两，牛
蒡
一两，
老膜散∶治翳膜极重者。珍珠二分，熊胆一分五厘，辰朱砂一分五厘，密陀僧一分五厘
，蕤仁一分五厘，白丁香一分五厘，荸荠粉二分， 砂（飞过）五分，共为细末点之。请阅
豁
第二十八问∶目有赤脉下垂而昏痛者何也。答曰∶是肝家邪风所致。木生火，火乘风邪
，故血妄行。宜服通血散。
通血散∶草决明、防风、荆芥、赤芍、当归、大黄、山栀、羌活、木贼、白蒺藜，甘草
等分，共为细末，每服茶汤调服三钱。
第二十九问∶目有赤肿瞳人痛者何也？答曰∶肾水枯，心火旺，水不胜火。宜服洗心散
（
第三十问∶目有沙涩流泪者何也？答曰∶脾家热也。翻过眼皮，将针拨破红点，铜烙熨
之平复。若热泪睛痛，怕日羞明、胞肿。宜点推云散（方见十四问），服加味洗心散（方见
二
第三十一问∶目有白珠多红者及沙涩难开何也？答曰∶患目之后，多受风寒而气血不通
，九窍闭塞，以致肺气衰弱，心火太旺，故心血欺凌肺金。宜点珍珠虎液膏，服和血补气饮
和血补气饮∶防风一钱，黄芩一钱，蔓荆子一钱，白芷一钱，柴胡一钱，甘草五分，当
归一钱二分，升麻六分，水煎服。
第三十二问∶目有眵泪如脓、赤肿而昏者何也？答曰∶肾虚心虚，名曰龙虎交困。宜服
坎离丸、补肾丸（方见十一问），宜点推云散（方见十四问）。
坎离丸∶白术（土炒）、细辛、川芎、草决明（炒）、人参、羌活、当归、五味、苦参、
防
为末
第三十三问∶目有迎风冷泪多膜而昏痛者何也？答曰∶此肝木生心火，火旺而金衰，故
不得克制肝木，名曰东西合战。宜点推云散（方见十四问），宜服泻肝散、补胆散（方见三
问
人参汤∶人参二钱，黄连五钱，蔓荆子（炒）三钱，甘草二钱，白芍二钱，黄柏（盐水
炒）
第三十四问∶左右目互相赤红何也？答曰∶血邪攻冲也。肝脏不足为风热相争，左右来
往脉有偏盛偏衰，故目互相赤红也。宜敷赤头散，服蚕纸丸、芍药汤。
蚕纸丸∶晚蚕蛾、蝉蜕、菊花、羌活、谷精草、甘草，各等分为细末，蜜丸。每服三十
丸，茶下。
赤头散∶南星二两，赤小豆三两，共末，净水调敷眼眶并太阳二穴，如干，以水润之取
效。
第三十五问∶目有暴生眵障、头面肿痛者何也？答曰∶太阳火热受风邪也。宜点珍珠琥
液膏，服川芎散、洗心散（方见五问）。
第三十六问∶目有纵横赤脉沙涩，眵膜多泪，怕日羞明者何也？答曰∶饮食不节，损伤
[Preface]
The following volume, *Q&A on Seventy-Two Eye Diseases* (Yanke Qishier Zheng Wen Da), according to the Wan Yi Wen Yong Weekly Edition, states: This book was transmitted from Li Gong Fang Zhi Yong Zhou of Zhuolu, who was proficient in medicine and hand-copied it. The "Huoranzi" mentioned in the annotations is Yong Zhou's courtesy name. In the fourth month of summer in the Yihai year of Guangxu (1875), I suffered from a severe eye disease. Mr. Wang Zhentian of Jinling advised that heavy bitter-cold agents should be used, and thus handed me this book for verification. I subsequently took Sanhuang Tang (Three-Yellow Decoction) for seven doses before recovering. Reading the entire book, the content is detailed, prudent, concise, and appropriate; it indeed possesses unique transmission origins. It was first published in the Dingyou year of the Daoguang reign (1837). After the chaos of war, few copies remained, so it was reprinted to broaden its dissemination. Recalling ten years ago, when I suffered from an eye disease in Eastern Guangdong, I received a secret prescription from Master Ye Tianshi, which has also been reprinted. However, that prescription stops at Huanglian (Coptidis Rhizoma), whereas observing this book represents a further advancement. The Way of Medicine is truly difficult! Readers of this book must exercise caution. Recorded by Mei Qizhao of Nanchang at Zhanyuan, Jiangnan Provincial Administration Office, in the fourth month of the Bingzi year of Guangxu (1876).
Question 1: The eyes have two pupils, just as the sky has the sun and moon. What is the cause of sudden blurriness or dimness? Answer: All due to excess in alcohol and sexual activity, excessive worry, thought, sorrow, and crying, or drunkenness and overeating, leading to uneven distribution of blood in the zang organs, depression of the Liver Meridian, thereby causing illness. It is suitable to apply Huye Zhenzhu Gao (Tiger Liquid Pearl Ointment) and take Mingmu Liuqi Yin (Brighten Eyes Qi-Flowing Drink).
Mingmu Liuqi Yin: Treats visual obstructions (cataracts/opacities), hidden dryness and difficulty opening the eyes, cold tears due to blood-wind, frequent sudden redness, unclear vision, and black spots in the eyes. Dahuang (Rhubarb Root, processed), Niubangzi (Arctii Fructus, fried), Chuanxiong (Ligusticum Rhizome), Ganju (Chrysanthemi Flos), Baijili (Tribuli Fructus, fried, thorns removed), Xixin (Asari Radix), Fangfeng (Saposhnikoviae Radix), Yuan Shen (Scrophulariae Radix), Zhizi (Gardeniae Fructus, fried), Jingjie (Schizonepetae Spica) each 6 fen, decocted in water.
Question 2: What is the cause of red and swollen eyes? Answer: Heat pathogens from the five zang organs attacking internally, causing sudden flourishing of Heart Fire, all resulting from alcohol consumption. It is suitable to apply Qinglonghu Ye Gao (Green Dragon Tiger Liquid Ointment) and take Xixin San (Clear Heart Powder) and Yanggan Wan (Sheep Liver Pill) (formula see Question 71).
Xixin San: Treats Liver heat transmitting to the Heart Meridian, accumulated heat attacking upwards, eyelid dryness and pain, eyeball pain, excessive heat and wind. Chishao (Red Peony Root), Gancao (Licorice Root), Jingjie (Schizonepetae Spica), Shengdihuang (Rehmanniae Radix), Mutong (Akebiae Caulis), Dahuanglian (Coptidis Rhizoma), Bohe (Menthae Haplocalycis Herba), Danggui (Angelicae Sinensis Radix). Decocted in water, taken after meals.
Question 3: What is the cause of red eyes without pain? Answer: This is Liver Excess. The Liver is the organ storing blood. When the Liver is excess, blood is abundant; abundance leads to blood and qi attacking upwards, penetrating the pupil, hence red but not painful. If pain is severe enough to prevent sitting or lying down, it is suitable to apply Fenglin Yangnao Yu (Phoenix Unicorn Sheep Brain Jade) and take Xiegan San (Drain Liver Powder).
Xiegan San: Dahuang (Rhubarb Root) 5 qian, Jingjie (Schizonepetae Spica) 1 liang, Gancao (Licorice Root) 1 qian, ground into powder together. Take 2 qian each time, delivered with hot water.
Question 4: What is the cause of red eyes with dimness, black clouds rising, and redness at the outer canthus (Da Jiao)? Answer: This is Liver Deficiency. The Liver belongs to Wood, and Wood generates Fire. When the child steals from the mother [Fire draws from Liver/Wood], there is dimness; when Fire flares, Wood declines. If Heart Fire is flourishing, blood is in excess, penetrating the outer canthus and invading the pupil spirit, hence both red and dim. It is suitable to apply Huye Gao (Tiger Liquid Ointment). For Liver Excess, take Xiegan San (see Question 3); for Liver Deficiency, take Budan San (Tonify Gallbladder Powder); for Flourishing Heart Fire, take Xiexin San (Drain Heart Powder).
Budansan: Treats internal and external opacities of black and white parts and Gallbladder Deficiency. The Liver and Gallbladder are tonified by draining. Danggui (Angelicae Sinensis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Jili (Tribuli Fructus), Chantui (Cicadae Periostracum), Jingjie (Schizonepetae Spica), Gancao (Licorice Root) each 2 qian, ground into powder together. Take 2 qian each time, delivered with rice soup.
Xiexin San: Treats red and painful eyes due to Heart Fire Excess. Gancao (Licorice Root) 2 qian, Zexie (Alismatis Rhizoma) 5 qian, Huanglian (Coptidis Rhizoma) 3 qian, ground into powder together. Take 2 qian each time, delivered with Dengxin Tang (Junci Medulla Decoction).
Question 5: What is the cause of red and painful outer canthus? Answer: This is Heart Excess. The outer canthus belongs to the Heart, representing the Fire position of the South. When Heart Fire flourishes, the outer canthus becomes red and painful. It is suitable to apply Qinglong Gao (Green Dragon Ointment) and take Xixin San (Clear Heart Powder) and Sanhuang Tang (Three-Yellow Decoction).
Xixin San: Shengdi (Rehmanniae Radix Preparata), Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Shanzhi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Beichaihu (Bupleuri Radix), Shigao (Gypsum Fibrosum), Gancao (Licorice Root), Chuanxiong (Ligusticum Rhizome), Juhua (Chrysanthemi Flos), Longdancao (Gentianae Radix), Danzhuyeh (Phyllostachys Viridis Folium) each equal parts, ground into powder, taken three times daily.
Sanhuang Tang: Used for pouring out hot tears, gritty and painful eyes, photophobia, and swollen eyelids. Use Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix) each equal parts, all fried, decocted in water and taken.
Question 6: What is the cause of redness at the inner canthus? Answer: This is Heart Deficiency. The Heart belongs to Fire, and Fire generates Earth, so Fire is the mother of Earth. When Earth is excess, Fire is deficient, like a fat child and a thin mother. It is suitable to apply Huye Zhenzhu Hupo Gao (Tiger Liquid Pearl Amber Ointment) and take Buxin San (Tonify Heart Powder).
Buxin San: Treats unceasing pain. Danggui (Angelicae Sinensis Radix) 1.5 liang, Chuanxiong (Ligusticum Rhizome) 1 liang, Shengdi (Rehmanniae Radix Preparata) 1.5 liang, Fencacao (Licorice Root), Yuanzhi (Polygalae Radix, heart removed)... [Text incomplete here regarding specific herbs and dosages].
Question 7: What is the cause of many white opacities in the eyes? Answer: The Lung belongs to Metal, and Metal generates Water. If Water is flourishing, facial wind membranes form, blocking the essence of the Lung orifices, relying only on Lung support, becoming hard and causing qi stagnation leading to opacity. If Metal is not flourishing, it cannot generate Water; if Water cannot be generated, the Lung itself becomes dry. It is suitable to apply Zhenzhu Gao (Pearl Ointment) and take Bufei San (Tonify Lung Powder) and Xixin San (Clear Heart Powder).
Bufei San: Danggui (Angelicae Sinensis Radix) 5 qian, Huangqin (Scutellariae Radix) 1 liang, Jiegeng (Platycodonis Radix) 4 qian, Chishao (Red Peony Root) 5 qian, Sangpi (Mori Cortex) 1 liang, Mahuang (Ephedrae Herba) 4 qian, Zhiqiao (Aurantii Fructus) 4 qian, Tingli (Descurainiae Semen seu Lepidii Semen) 5 qian, Digupi (Lycii Cortex) 8 qian, Ganju (Chrysanthemi Flos) 4 qian, Yuan Shen (Scrophulariae Radix) 8 qian, Baizhi (Angelicae Dahuricae Radix) 4 qian, Shengdi (Rehmanniae Radix Preparata) 4 qian, Gancao (Licorice Root) 4 qian, Jinyinhua (Lonicerae Japonicae Flos) 4 qian, ground into fine powder, take 3 qian each time.
Question 8: What is the cause of opacities with excessive non-coagulating tears? Answer: This is Lung collapse and Liver Deficiency. It is suitable to apply Zhenzhu Hupo Gao (Pearl Amber Ointment) and take Ejiao San (Donkey-Hide Gelatin Powder) and Feifei San (Nourish Lung Powder) (see Question 7).
Ejiao San: Bai Fuling (Poria) 2 qian, Baizhu (Atractylodis Macrocephalae Rhizoma) 1 qian, Chuanxiong (Ligusticum Rhizome) 1 qian, Ejiao (Colla Corii Asini, fried into pearls) 2 qian, Danggui (Angelicae Sinensis Radix) 1 qian, Ginger 3 slices, Jujube 2 pieces, decocted in water, taken at any time.
Question 9: What is the cause of photophobia and aversion to bright light? Answer: This is Spleen Excess. The Spleen belongs to Earth; Earth receives dampness and transmits it to the Lung; the Lung receives evil fire from the Heart Meridian and transmits it to the eyes. When the Taiyang meridian receives damp-heat, it overcomes Spleen Earth; Earth excess causes muscle congestion and difficulty opening, due to the transmission of dampness, hence photophobia. It is suitable to apply Zhenzhu Gao (Pearl Ointment) and take Xipi Yin (Wash Spleen Drink) and Mimeng Wan (Mimeng Pill).
Xipi Yin: Treats swollen and red painful eyelids. Danggui (Angelicae Sinensis Radix), Tianhuafen (Trichosanthis Radix), Chishao (Red Peony Root), Huangqin (Scutellariae Radix), Chuanshanjia (Manis Squama, fried), Jinyinhua (Lonicerae Japonicae Flos), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix)... [Text incomplete].
Mimeng Wan: (This formula appears later, adjust dosage accordingly.) Mimenghua (Buddlejae Flos), Juhua (Chrysanthemi Flos), Qianghuo (Notopterygii Rhizoma et Radix), Shijueming (Haliotidis Concha, soaked in salt water and fried), Qingjingshi (Pyromorphite)... [Text incomplete].
Question 10: What is the cause of unclear vision? Answer: This is Spleen Deficiency. The Spleen belongs to Earth, the Liver belongs to Wood; Wood overcomes Earth. Green and Yellow contend, but Yellow cannot overcome Green, hence unclear vision. It is suitable to apply Zhenzhu Gao (Pearl Ointment) and take Cangzhu Tang (Atractylodis Rhizoma Decoction) and Bushen Wan (Tonify Kidney Pill) (see Question 11).
Cangzhu Tang: Cangzhu (Atractylodis Rhizoma, soaked in rice water and fried) 1.2 qian, Gaoben (Ligustici Chuanxiong Rhizoma) 1 qian, Baizhi (Angelicae Dahuricae Radix) 1 qian, Qianghuo (Notopterygii Rhizoma et Radix) 1 qian, Chuanxiong (Ligusticum Rhizome) 1 qian, Gancao (Licorice Root)... [Text incomplete].
Question 11: What is the cause of black spots like flying cicadas or flies? Answer: This is Kidney Deficiency. The Kidney belongs to Water; if Water is dried up, then Kidney Deficiency exists. It is suitable to apply Huye Qinglong Gao (Tiger Liquid Green Dragon Ointment) and take Zhuling Tang (Polypori Decoction) and Bushen Wan (Tonify Kidney Pill).
Zhuling Tang: Wuweizi (Schisandrae Chinensis Fructus), Shudi (Rehmanniae Radix Preparata), Zhuling (Polyporus), Roucongrong (Cynomorii Herba, washed in wine), Gouqizi (Lycii Fructus), Fupenzi (Rubiae Fructus), no guiding agent, decocted in water and taken.
Bushen Wan: Cheqianzi (Plantaginis Semen, soaked in wine) 1 liang, Shihu (Dendrobii Caulis, roots removed) 1 liang, Qingyan (Halitum), Cishi (Magnetitum, calcined, quenched in vinegar seven times, water-ground) 2 qian... [Text incomplete, empty stomach with salt water].
Question 12: What is the cause of tearing upon exposure to wind? Answer: This is Kidney Deficiency. Liver Wood generates Wind; Kidney Water is dried up and cannot nourish Wood; Wood is the child of Kidney, hence tearing upon seeing wind! It is suitable to apply Fenglin Yangnao Yu (Phoenix Unicorn Sheep Brain Jade) and take Dihuang Wan (Rehmannia Pill).
Mingmu Dihuang Wan: Shengdi (Rehmanniae Radix) 1 jin (soaked in wine), Shudi (Rehmanniae Radix Preparata) 1 jin (soaked in wine, nine steamed), Fangfeng (Saposhnikoviae Radix) 4 liang, Zhiqiao (Aurantii Fructus, pith removed, bran-fried)... [Text incomplete, fifty pills].
Question 13: What is the cause of red tendons climbing the cornea (Pterygium)? Answer: Heart Fire governs Blood, Liver Wood governs Tendons; Blood soaks the tendons; Liver and Heart share the same source, transmitting to the eyes, hence red blood eyes often develop pterygium. It is suitable to take Sanhuang Tang (Three-Yellow Decoction); if it does not recede, take Danggui San (Angelica Powder) again, and apply Zhenzhu Gao (Pearl Ointment).
Sanhuang Tang: Dahuang (Rhubarb Root, wine-fried) 3 qian, Huangqin (Scutellariae Radix) 1.5 qian, Huanglian (Coptidis Rhizoma) 1.5 qian, decocted in water and taken.
Danggui San: Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Licorice Root), Zhizi (Gardeniae Fructus), Niubangzi (Arctii Fructus, fried), ground into powder together. Mixed with boiling water and taken.
Question 14: What is the cause of a white membrane covering the pupil? Answer: Lung Metal overcomes Liver Wood; wind pathogen is in the Lung; Metal is flourishing and Wood is declining, hence a white membrane covers the pupil. It is suitable to apply Zhenzhu Gao (Pearl Ointment), or apply Tuiyun San (Push Cloud Powder), take Lianqiao Yin (Forsythia Drink), and Sishun Qingliang San (Four-Obey Clear-Cooling Powder).
Lianqiao Yin: Lianqiao (Forsythiae Fructus), Gancao (Licorice Root), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Dahuang (Rhubarb Root, wine-fried), Poxiao (Natrii Sulfas) each equal parts, ground into powder, taken with boiling water.
Sishun Qingliang San: Dahuang (Rhubarb Root, wine-fried), Chuanxiong (Ligusticum Rhizome), Shanzhi (Gardeniae Fructus), Chishao (Red Peony Root), Guishen (Angelicae Sinensis Radix tip), Zhiqiao (Aurantii Fructus), Shengdi (Rehmanniae Radix Preparata), Xiangfu (Cyperi Rhizoma), vinegar-fried, Gancao (Licorice Root)... [Text incomplete].
Tuiyun San: Luganshi (Calamina), Zhenzhu (Margarita), Manao (Agate), Zhusha (Cinnabar), Xiongdan (Ursi Bile), Huanglian (Coptidis Rhizoma), Ruxiang (Olibanum), Moyao (Myrrha), Muxiang (Moschus), Pengsha (Borax) ground into fine powder together, apply to eyes. Please refer to Huoranzi's manual preparation method based on the classic formulas.
Question 15: What is the cause of itching upon exposure to wind? Answer: There is wind pathogen in the Liver Meridian. The Liver belongs to Wood; once exposed to wind and dryness, movement causes itching. It is suitable to apply Huye Gao (Tiger Liquid Ointment) and take Jingjie San (Schizonepeta Powder).
Jingjie San: Jingjie (Schizonepetae Spica), Gancao (Licorice Root), Manjingzi (Viticis Fructus), Ganju (Chrysanthemi Flos), Baishao (Paeoniae Radix Alba), Xiangfu (Cyperi Rhizoma), Cangzhu (Atractylodis Rhizoma, fried), Caojueming (Semen Cassiae, fried) each equal parts, ground into... [Text incomplete].
Question 16: What is the cause of morning blurriness? Answer: This is Head Wind attacking the eyes. The head is the summit of all Yang meridians; morning dimness indicates Yang decline. Yang energy belongs to Wood; Wood flourishes during Yin, Mao, and Chen hours; thus, when evil prevails, it generates wind attacking the eyes. It is suitable to apply Yangnao Yu (Sheep Brain Jade) and take Jili San (Tribulus Powder).
Jili San: Baijili (Tribuli Fructus, fried), Shaoyao (Paeoniae Radix), Fuling (Poria), Gancao (Licorice Root), Fangfeng (Saposhnikoviae Radix), Shijueming (Haliotidis Concha, salt-water fried), Chuanxiong (Ligusticum Rhizome, fried), Qianghuo (Notopterygii Rhizoma et Radix)... [Text incomplete].
Question 17: What is the cause of midday dimness? Answer: Stomach and Brain damage. Yuanqi (Primal Qi) is Zhenyuan (True Origin); it circulates in the Yin pathways but does not return to the Yang pathways. During Wu and Xu hours, cold qi gradually arises, causing brain damage, leading to dimness morning and night. It is suitable to apply Zhenzhu Gao (Pearl Ointment), take Kuanzhong Tang (Broad Middle Decoction), Taiyang Dan (Taiyang Pill), Xiefei San (Drain Lung Powder), and moxibustion at Fengfu (GV16).
Kuanzhong Tang: Qingpi (Citri Reticulatae Pericarpium Viride) 4 liang, Chenpi (Citri Reticulatae Pericarpium) 4 liang, Dingxiang (Caryophylli Flos) 4 liang, Gancao (Licorice Root) 4 liang, Poxiao (Natrii Sulfas) 4 liang, Xixin (Asari Radix) 5 qian, Houpo (Magnoliae Officinalis Cortex, ginger juice-fried) 2 liang, Baidoukou (Amomi Fructus Rotundus) 3 liang, ground into powder together. Take 2 qian each time, delivered with salt water.
Taiyang Dan: Treats pain at the Taiyang acupoint, named Leitou Feng (Thunderhead Wind). Da Chuanwu (Aconiti Radix Preparata, processed) 1 liang, Shigao (Gypsum Fibrosum, calcined) 3 liang, Baizhi (Angelicae Dahuricae Radix) 1 liang, Ganju (Chrysanthemi Flos)... [Text incomplete, ten pills].
Xiefei San: Treats unclear vision and inability to see. Heidou (Sojae Semen Nigrum), Bai Chou (Semen Lepidii seu Descurainiae), Zexie (Alismatis Rhizoma), Danggui (Angelicae Sinensis Radix), Gouqi (Lycii Fructus), Kushen (Sophorae Flavescentis Radix) each equal parts, decocted in water and taken. Avoid alcohol, frying, and stimulating foods.
Question 18: What is the cause of blurriness, tearing upon wind exposure, and photophobia? Answer: Wind-Heat attacking upwards to the eyes. It is suitable to apply Huye Gao (Tiger Liquid Ointment) and take Shangqing Wan (Upper-Clearing Pill).
Shangqing Wan: Lingyangjiao (Saigae Tataricae Cornu, shaved) 1 liang, Xijiao (Rhinocerotis Cornu, shaved) 1 liang, Niuhuang (Bovis Calculus) 5 qian, Hupo (Electrum) 3 qian, Houpo (Magnoliae Officinalis Cortex, ginger juice-fried) 1 liang, Huangqin (Scutellariae Radix)... [Text incomplete, Di Qi... ground into powder].
Question 19: What is the cause of day and night pain? Answer: Abundance of Yang Toxin Qi. The Classics state: Stillness leads to decline of blood and qi, which flow into the Yang pathways; Cold Evil overcomes them, hence pain day and night. It is suitable to take Boyun San (Part Cloud Powder).
Boyun San: Baijili (Tribuli Fructus, fried, thorns removed), Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Shetui (Serpentis Shed Skin), Chantui (Cicadae Periostracum), Gan... [Text incomplete].
Question 20: What is the cause of midday pain? Answer: Abundance of Yang Qi. The Classics state: Yin stillness leads to Yang excess; Yang Fire excess flourishes at midday; encountering Yang Qi reveals virtue/moral integrity, thus indicating Yin Deficiency. It is suitable to take Xixin San (Clear Heart Powder) (see Questions 2 and 5).
Question 21: What is the cause of floating discharge and white membrane? Answer: Lung Metal receiving heat. Blood excess leads to heat; Qi excess leads to cold; Lung Qi excess generates membrane; White is the root of the Lung. The Lung receives wind pathogen floating and scattering to the eyes, hence a white membrane covers it. It is suitable to apply Huye Gao (Tiger Liquid Ointment) and take Sishun Yin (Four-Obey Drink).
Question 22: What is the cause of protruding spiral-shaped mass? Answer: This is an Accumulation (Ji). Accumulations are the source of zang-fu organs; toxins attack externally, manifesting in the eyes; blood knots in the Liver, an accumulation of Wood. It is suitable to take Chantui Wubi San (Cicada Five-Uncountable Powder) and apply Tuiyun San (Push Cloud Powder) (see Question 14).
Chantui Wubi San: Chantui (Cicadae Periostracum, head and feet removed), Shetui (Serpentis Shed Skin, lightly fried) each 2 liang, Qianghuo (Notopterygii Rhizoma et Radix) 3 liang, Danggui (Angelicae Sinensis Radix, wine-washed) 3 liang, Chuanxiong (Ligusticum Rhizome)... [Text incomplete, liang, Cangzhu... raw cold, oil, noodles, etc.].
Question 23: What is the cause of inverted pupil? Answer: Damage to all five zang organs. External causes are the five colors; internal causes are the five flavors; essence and fluid move recklessly... [Text incomplete].
Juhua Wan: Juhua (Chrysanthemi Flos) 4 liang, Bajitian (Morindae Officinalis Radix) 1.6 liang, Wuweizi (Schisandrae Chinensis Fructus) 2 liang, Roucongrong (Cynomorii Herba, wine-washed) 1 liang, Gouqi (Lycii Fructus) 2 liang, ground into... [Text incomplete].
Question 24: What is the cause of blue-green membrane covering the pupil? Answer: The eyes are the source of Kidney Water and the mansion of Spirit. Accumulated heat in the five zang organs obstructs blood and qi, rushing to control Liver Wood, hence a blue-green membrane covers the pupil. It is suitable to apply Qinglong Hupo Gao (Green Dragon Amber Ointment) and take Xigan San (Wash Liver Powder).
Xigan San: Boheye (Menthae Haplocalycis Folium), Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Dahuang (Rhubarb Root), Zhizi (Gardeniae Fructus), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Licorice Root) each equal parts, ground into powder. Take 3 qian each time, after meals.
Question 25: What is the cause of yellow pupil? Answer: Yellow Wind Internal Obstruction. The five elements respond to change, with ascending and descending as primary; if blood and qi decline and become stagnant, they cannot respond to the eyes, hence the pupil is yellow. It is suitable to apply Zhenzhu San (Pearl Powder) and take Jiaohong Wan (Pepper Red Pill).
Yeguang Jiaohong Wan: Chuanxiong (Ligusticum Rhizome) 1 liang, Baijili (Tribuli Fructus, fried) 5 qian, Fangfeng (Saposhnikoviae Radix) 5 qian, Cangzhu (Atractylodis Rhizoma, fried) 2 liang, Shudi (Rehmanniae Radix Preparata) 3 liang, Cheqian... [Text incomplete, Zhenzhu Wu...].
Question 26: What is the cause of scattered white stars, dizziness, blurred vision, and darkness? Answer: Decline of blood and qi. Blood and qi circulate through the hundred vessels; when the hundred vessels decline, the six Yang meridians rise together, causing dizziness; blood vessels do not flow, hence white stars appear, leading to blurriness and darkness. It is suitable to take Chuanwu San (Aconite Powder) and apply Tuiyun San (Push Cloud Powder) (see Question 14).
Chuanwu San: Chuanwu (Aconiti Radix, baked), Xixin (Asari Radix), Chuanxiong (Ligusticum Rhizome), Fangfeng (Saposhnikoviae Radix), Shengdi (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Gancao (Licorice Root), Renshen (Ginseng Radix) each equal parts, ground into powder... [Text incomplete].
Shigao Er Chuan Dan: Shigao (Gypsum Fibrosum), Chuanwu (Aconiti Radix), Chuanxiong (Ligusticum Rhizome), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Lianqiao (Forsythiae Fructus), Shengma (Cimicifugae Rhizoma), decocted in water and taken.
Question 27: What is the cause of powdery cyan and dimness? Answer: Damp-Wind in the Spleen house, stasis of blood and stagnation of essence. It is suitable to take Fenmei San (Divide Obscurity Powder) and apply Tuiyun San (Push Cloud Powder) (see Question 14).
Fenmei San: Hupo (Electrum) 1 liang, Fangfeng (Saposhnikoviae Radix) 1 liang, Manjingzi (Viticis Fructus, fried) 1.5 liang, Yuan Shen (Scrophulariae Radix) 1.5 liang, Xixin (Asari Radix) 1 liang, Niubang... [Text incomplete, 1 liang, Laomo San...].
Laomo San: Treats extremely severe opacities. Zhenzhu (Margarita) 2 fen, Xiongdan (Ursi Bile) 1.5 li, Chen Zhusha (Cinnabar) 1.5 li, Mituoseng (Lithargyri) 1.5 li, Ruiren (Pruni Armeniaci Semen) 1.5 li, Baixiangding (Streptopeliae Glandula) 1.5 li, Qifen (Dioscoreae Bulbillum Powder) 2 fen, Naosha (Sal Ammoniacum, flown over) 5 fen, ground into fine powder together, apply. Please refer to Huo... [Text incomplete].
Question 28: What is the cause of downward-hanging red veins with dimness and pain? Answer: Caused by evil wind in the Liver house. Wood generates Fire; Fire follows wind pathogen, hence blood moves recklessly. It is suitable to take Tongxue San (Unblock Blood Powder).
Tongxue San: Caojueming (Semen Cassiae), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Chishao (Red Peony Root), Danggui (Angelicae Sinensis Radix), Dahuang (Rhubarb Root), Shanzhi (Gardeniae Fructus), Qianghuo (Notopterygii Rhizoma et Radix), Muzei (Equiseti Herba), Baijili (Tribuli Fructus), Gancao (Licorice Root) equal parts, ground into fine powder together, take 3 qian each time mixed with tea water.
Question 29: What is the cause of red swelling and painful pupil? Answer: Kidney Water dried up, Heart Fire flourishing, Water cannot overcome Fire. It is suitable to take Xixin San (Clear Heart Powder)... [Text incomplete].
Question 30: What is the cause of gritty sensation and tearing? Answer: Heat in the Spleen house. Flip the eyelid, pierce the red spot with a needle, smooth it with copper cautery. If hot tears, eyeball pain, photophobia, and swollen eyelids occur, it is suitable to apply Tuiyun San (Push Cloud Powder) (see Question 14) and take Jiawei Xixin San (Modified Clear Heart Powder) (see Question 2...).
Question 31: What is the cause of many red whites of the eyes and gritty difficulty opening? Answer: After contracting eye disease, often suffering from wind-cold leading to blocked blood and qi, closure of the nine orifices, causing Lung Qi decline and excessive Heart Fire, hence Heart Blood bullying Lung Metal. It is suitable to apply Zhenzhu Huye Gao (Pearl Tiger Liquid Ointment) and take He Xue Buqi Yin (Harmonize Blood Tonify Qi Drink).
He Xue Buqi Yin: Fangfeng (Saposhnikoviae Radix) 1 qian, Huangqin (Scutellariae Radix) 1 qian, Manjingzi (Viticis Fructus) 1 qian, Baizhi (Angelicae Dahuricae Radix) 1 qian, Chaihu (Bupleuri Radix) 1 qian, Gancao (Licorice Root) 5 fen, Danggui (Angelicae Sinensis Radix) 1.2 qian, Shengma (Cimicifugae Rhizoma) 6 fen, decocted in water and taken.
Question 32: What is the cause of discharge like pus, red swelling, and dimness? Answer: Kidney and Heart Deficiency, named Long Hu Jiao Kun (Dragon and Tiger Entangled Difficulty). It is suitable to take Kanli Wan (Kan-Li Pill) and Bushen Wan (Tonify Kidney Pill) (see Question 11), and apply Tuiyun San (Push Cloud Powder) (see Question 14).
Kanli Wan: Baizhu (Atractylodis Macrocephalae Rhizoma, earth-fried), Xixin (Asari Radix), Chuanxiong (Ligusticum Rhizome), Caojueming (Semen Cassiae, fried), Renshen (Ginseng Radix), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Wuwei (Schisandrae Chinensis Fructus), Kushen (Sophorae Flavescentis Radix), Fang... [Text incomplete, wei mo...].
Question 33: What is the cause of cold tears upon wind exposure, multiple membranes, dimness, and pain? Answer: Liver Wood generates Heart Fire; Fire flourishes and Metal declines, hence unable to control Liver Wood, named Dong Xi He Zhan (East-West Battle). It is suitable to apply Tuiyun San (Push Cloud Powder) (see Question 14) and take Xiegan San (Drain Liver Powder) and Budan San (Tonify Gallbladder Powder) (see Question 3...).
Renshen Tang: Renshen (Ginseng Radix) 2 qian, Huanglian (Coptidis Rhizoma) 5 qian, Manjingzi (Viticis Fructus, fried) 3 qian, Gancao (Licorice Root) 2 qian, Baishao (Paeoniae Radix Alba) 2 qian, Huangbai (Phellodendri Cortex, salt-water fried)... [Text incomplete].
Question 34: What is the cause of mutual redness of left and right eyes? Answer: Blood Evil attacking and rushing. Liver deficiency leads to contention between Wind and Heat; pulses coming and going show partial excess and partial decline, hence eyes mutually turn red. It is suitable to apply Chitou San (Red Head Powder) and take Canzhi Wan (Silkworm Paper Pill) and Shaoyao Tang (Peony Decoction).
Canzhi Wan: Wan Can'e (Bombyx Batryticatus), Chantui (Cicadae Periostracum), Juhua (Chrysanthemi Flos), Qianghuo (Notopterygii Rhizoma et Radix), Gujingcao (Evodiae Fructus), Gancao (Licorice Root) each equal parts, ground into fine powder, honey pills. Take 30 pills each time, with tea.
Chitou San: Nanxing (Arisaematis Rhizoma) 2 liang, Chixiaodou (Phaseoli Semen Rubrum) 3 liang, ground together, mixed with clean water and applied to eye sockets and Taiyang acupoints; if dry, moisten with water to achieve effect.
Question 35: What is the cause of sudden discharge obstruction, head and face swelling and pain? Answer: Taiyang Fire-Heat receiving wind pathogen. It is suitable to apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) and take Chuanxiong San (Ligusticum Powder) and Xixin San (Clear Heart Powder) (see Question 5).
Question 36: What is the cause of vertical and horizontal red veins, gritty sensation, excessive discharge and membranes, tearing, and photophobia? Answer: Irregular diet, damaging... [Text incomplete].