未曾睡着闭双眸。脾经火旺欠清消。正收收后多见此。急宜利水清上焦。
眼闭之症。非熟睡而两目闭。谓未曾睡着。而双目自闭也。其症多见于正收及收后。盖因脾
经之火旺盛未消而然。治宜清上焦之热。兼以利水为急。以泻白散、加木通、薄荷叶、玄参、牛蒡
子、连翘、荆芥治之。火退而目自开矣。或问脾火旺、当用泻黄散。而用泻白散。何也。曰。土为金
之母。实则泻其子。
朱曰 眼闭一证。亦有因多服清凉之剂而然者。盖太阴主开。多服清凉。脾阳受耗。失
太阴主开之效用。
泻白散 治肺热咳嗽。手足心热。
桑白皮（姜汁和白蒸） 地骨皮（去骨各一两） 炙甘草（五钱） 淡竹叶一把。糯米一百粒引。水煎服。加陈
皮、桔梗。亦名加味泻白散。有热。更加知母、黄芩。或问地骨皮乃三焦气分药。而泻白散
用之。何义也。曰、三焦属肾。肾为肺之子。实则泻其子也。
眼多眵涕本属热。脾肺二经火未息。无分初起与收后。清降肝脾火为急。
眼生眵涕者。脾肺火甚故也。见此症者。无分前后。即当清降肝脾之火。以泻白散（见七十五
条）除甘草、加龙胆草治之。
白珠络属手太阴。初热红赤是本经。正收收后仍赤红。肺家风热犹未清。
目之白珠属肺。今麻之发、正合本脏。故初发热之时。未出麻之际。目即赤红。此正候也。如
出现后、及正收、与收后。而白睛仍前赤红者。此乃肺经风热未尽所致。宜清肺泻火为急。以泻白
散（见七十五条）加荆芥、薄荷叶、连翘、元参、牛蒡子治之。赤而肿痛者。风热上壅也。以加味导
赤散（见四十九条）加荆芥治之。
朱曰 凡风热白睛红赤。此二方皆可生效。
Eyes closed, not during deep sleep, but refers to the condition where both eyes are automatically closed before falling asleep. The fire in the Spleen Meridian is vigorous and has not been cleared and dissipated. This symptom is mostly seen after the peak of eruption and during the resolution phase. It is urgent to employ methods that promote urination and clear heat from the Upper Jiao (Upper Burner).
The syndrome of eye closure does not refer to the eyes being tightly shut during sound sleep, but rather that the eyes close automatically while the patient is not yet asleep. This symptom is common during the Zheng Shou (peak eruption period) and after the resolution. This is because the fire in the Spleen Meridian is vigorous and has not subsided. Treatment should focus on clearing heat from the Upper Jiao, with promoting urination as an urgent adjunct. Use Xie Bai San (Pearl White Decoction), adding Mu Tong (Akebiae Caulis), Bo He Ye (Menthae Haplocalycis Folium), Xuan Shen (Scrophulariae Radix), Niu Bang Zi (Arctii Fructus), Lian Qiao (Forsythiae Fructus), and Jing Jie (Schizonepetae Spica) for treatment. Once the fire recedes, the eyes will naturally open. One might ask: Since Spleen Fire is vigorous, Xie Huang San (Yellow Decoction for Draining) should be used; why is Xie Bai San used here? The answer is: Earth (Spleen) is the mother of Metal (Lung). According to the principle "when excess, drain its child," one should drain the Lung (Metal) to treat the Spleen (Earth).
Zhu stated: The syndrome of eye closure can also result from excessive consumption of cooling agents. The Taiyin (Spleen) governs opening. Excessive use of cooling herbs consumes Spleen Yang, causing a loss of the Taiyin's function of opening.
Xie Bai San (Pearl White Decoction) treats Lung Heat cough and heat in the palms and soles.
Ingredients: Sang Bai Pi (Cortex Mori Radicis, steamed with Ginger Juice), Di Gu Pi (Cortex Lycii Radicis, heart removed), each 1 liang; Zhi Gan Cao (Prepared Licorice Root) 5 qian; Dan Zhu Ye (Lophatheri Herba) 1 handful; Nu Mi (Glutinous Rice) 100 grains as a guide. Decoct in water and take orally. If Chen Pi (Citri Reticulatae Pericarpium) and Jie Geng (Platycodonis Radix) are added, it is also called Jia Wei Xie Bai San (Modified Pearl White Decoction). If there is heat, add Zhi Mu (Anemarrhenae Rhizoma) and Huang Qin (Scutellariae Radix). One might ask: Di Gu皮 (Cortex Lycii Radicis) is a herb for the Qi aspect of the Triple Burner; what is the rationale for using it in Xie Bai San? The answer is: The Triple Burner belongs to the Kidney, and the Kidney is the child of the Lung. This also follows the principle "when excess, drain its child."
Excessive eye discharge (discharge and tears) inherently belongs to Heat syndromes, indicating that the fire in the Spleen and Lung meridians has not yet subsided. Regardless of whether it is the initial stage or the resolution phase, it is urgent to clear and descend the fire of the Liver and Spleen.
Eye discharge (discharge and tears) occurs due to severe fire in the Spleen and Lung. Upon observing this symptom, regardless of the disease stage, one must immediately clear and descend the fire of the Liver and Spleen. Use Xie Bai San (see Article 75), remove Gan Cao (Licorice Root), and add Long Dan Cao (Gentianae Radix) for treatment.
The white part of the eye (sclera) is connected to the Hand-Taiyin Lung Meridian. Initial redness and heat belong to this meridian. If redness persists during the peak eruption and after resolution, it indicates that Wind-Heat in the Lung has not yet been cleared.
The white part of the eye belongs to the Lung. Currently, the eruption of measles corresponds precisely to this Zang organ (Lung). Therefore, during the initial fever, before the rash appears, if the eyes become red and hot, this is a normal sign. However, if after the eruption, during the peak phase, and after resolution, the sclera remains red, this is caused by the未尽 (lingering) Wind-Heat in the Lung Meridian. It is urgent to clear the Lung and drain fire. Use Xie Bai San (see Article 75), adding Jing Jie (Schizonepetae Spica), Bo He Ye (Menthae Haplocalycis Folium), Lian Qiao (Forsythiae Fructus), Yuan Shen (Scrophulariae Radix), and Niu Bang Zi (Arctii Fructus) for treatment. If accompanied by swelling and pain due to redness, this is due to Wind-Heat obstructing upwards. Use Jia Wei Dao Chi San (Modified Guide Out Red Decoction) (see Article 49), adding Jing Jie (Schizonepetae Spica) for treatment.
Zhu stated: For any redness and heat of the sclera caused by Wind-Heat, both of these formulas can be effective.