小儿眼胞赤烂，痛痒难睁，因毒热上攻于目，故有是证。古
法主内服地黄汤（方见眼不开），以清热。外用真金散（如生黄连、黄柏、当归、赤芍、杏仁， 散，浸乳汁一
宿，晒干为极细末），用生地黄汁调，频频点目即愈。
〔真按〕除毒热外，亦有因产时拭洗不净，以致秽恶浸渍两目角而赤烂。至长不瘥者，名烂弦风眼，内以桑
叶、菊花、生地、甘草、灯芯，长流水煎服。外敷之药，如用连药抑遏火邪不能外出，必变眼珠疼痛，久不能愈。
不如用鲜色铜绿三钱，研末，以生蜜浓调，涂粗碗内。以艾叶烧烟，将碗覆艾烟上熏之。须熏至铜绿焦黑为度，取起
冷定，以人乳调匀，饭上蒸过，用鸭翎扫涂患处。并可除根。或用薄荷、文蛤、黄连、防风、荆芥穗、苦参，加铜
绿少许，煎汤乘热洗眼。神效。
小儿目内赤者，心经积热上攻。宜泻丙火从小便而出，治法以导赤散少加黄连，则赤可退。
小儿目内黄者，脾热也。上下眼胞肿者，脾经风热也。治法以石斛、白芍、甘草，少加黑栀仁，煎服，则黄可退。
小儿目连札者，因肝风入目。上下左右如风吹，儿不能任，故连札也。治法以薄荷、石决明、生甘草、灯芯
为引。煎服有效。
小儿久嗽，两眶黑肿，白珠如血，谓之血眼。治法以桔梗、陈皮、桑白皮、地骨皮、炙甘草，煎服。外用大
生地、大黑豆等分，浸水一宿，取起为膏，贴眼皮上。其水自散，血泪既出，肿黑亦消。
小儿眼睑红肿溃烂，疼痛瘙痒难以睁开，是因为毒热之邪上攻于目，所以出现这种证候。古法主要主张内服地黄汤（方剂见“眼不开”章节），用以清热。外用真金散（由生黄连、黄柏、当归、赤芍、杏仁组成，研为散剂，在乳汁中浸泡一夜，晒干后研磨成极细粉末），用新鲜生地黄汁调和，频繁点入眼中即可痊愈。
〔陈守真按语〕除了毒热之外，也有因分娩时擦拭清洗不干净，导致污秽恶浊之物浸渍两眼眼角而引发红肿溃烂。如果长期不愈，称为“烂弦风眼”。内治可用桑叶、菊花、生地、甘草、灯芯草，用长流水煎服。外用药方面，如果使用连药（含黄连等苦寒药物）抑制火邪，会导致火邪无法向外发散，必然引起眼球疼痛，久久不能痊愈。不如使用鲜绿色的铜绿三钱，研成粉末，用浓稠的生蜂蜜调和，涂抹在粗碗内壁。点燃艾叶产生烟雾，将涂有铜绿的碗倒扣在艾烟上进行熏蒸。必须熏至铜绿变成焦黑色为止，取出冷却后，用人乳调匀，放在饭上蒸过，用鸭毛蘸取涂抹患处。这样可以除根。或者使用薄荷、文蛤、黄连、防风、荆芥穗、苦参，加入少量铜绿，煎汤趁热洗眼。效果神奇。
小儿眼睛内部发红，是心经积热上攻所致。应当引导丙火（心火）从小便排出，治疗方法是用导赤散少加黄连，则红色可退去。
小儿眼睛内部发黄，是脾热所致。上下眼睑肿胀的，是脾经风热所致。治疗方法是用石斛、白芍、甘草，少加黑栀子仁，煎服，则黄色可退去。
小儿眼睛频繁眨动，是因为肝风侵入眼部。感觉上下左右像被风吹一样，孩子无法忍受，所以频繁眨眼。治疗方法是用薄荷、石决明、生甘草，以灯芯草为引子，煎服有效。
小儿久咳不止，眼眶发黑肿胀，眼白部分像血一样红，称为“血眼”。治疗方法是用桔梗、陈皮、桑白皮、地骨皮、炙甘草，煎服。外治用大生地、大黑豆各等分，浸泡水过夜，取出熬成膏状，贴在眼皮上。积液自然消散，血泪流出后，肿胀和黑色也会消退。
The infant's eyelids are red, swollen, and ulcerated, with pain and itching making it difficult to open the eyes. This condition arises because toxic heat attacks the eyes from below, hence these symptoms. Ancient methods primarily advocate internal administration of Dihuang Tang (Rehmannia Decoction; see formula under "Eyes Unable to Open") to clear heat. For external use, Zhenjin San (True Gold Powder; composed of Sheng Huanglian [Coptidis Rhizoma], Huangbai [Phellodendri Cortex], Danggui [Angelicae Sinensis Radix], Chishao [Paeoniae Rubra Radix], Xingren [Armeniacae Semen Amarum], processed into powder, soaked in human milk overnight, dried, and ground into an extremely fine powder) is mixed with fresh Sheng Dihuang juice (juice of Rehmanniae Radix Recens) and frequently applied to the eyes until cured.
[Chen Shouzhen's Note] Besides toxic heat, there are cases caused by inadequate cleaning during delivery, leading to filth and foulness soaking into the corners of both eyes, resulting in redness and ulceration. If this persists for a long time without healing, it is named Lanxian Fengyan (Rotten Margins Wind Eye). Internally, treat with Sangye (Mori Folium), Juhua (Chrysanthemi Flos), Shengdi (Rehmanniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Dengxincao (Junci Medulla), decocted in running water. Regarding external medications, if Lian Yao (medicines containing Coptidis Rhizoma) are used to suppress fire pathogens, the fire cannot disperse outward, inevitably causing eyeball pain and chronic non-healing. It is better to use 3 qian of fresh green Tonglu (Verdigris), grind it into powder, mix thickly with raw honey, and coat the inside of a coarse bowl. Burn Aiye (Artemisiae Argyi Folium) to produce smoke, cover the bowl over the smoke, and fumigate until the verdigris turns scorched black. Remove, cool down, blend evenly with human milk, steam over rice, and apply to the affected area using a duck feather. This can eradicate the root cause. Alternatively, use Bohe (Menthae Haplocalycis Herba), Wen Ge (Veneris Concha), Huanglian (Coptidis Rhizoma), Fangfeng (Saposhnikoviae Radix), Jingjie Sui (Schizonepetae Spica), Kushen (Sophorae Flavescentis Radix), add a small amount of Tonglu, decoct in water, and wash the eyes while hot. The effect is miraculous.
Redness inside the infant's eyes indicates accumulated heat in the Heart Meridian attacking upwards. The treatment should guide Bing Huo (Fire of the Bing Stem, referring to Heart Fire) out through urination. The method involves using Daochi San (Guiding Out Red Powder) with a small addition of Huanglian (Coptidis Rhizoma), so the redness will subside.
Yellow color inside the infant's eyes indicates Spleen Heat. Swelling of the upper and lower eyelids indicates Wind-Heat in the Spleen Meridian. The treatment uses Shihu (Dendrobii Caulis), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), with a small addition of Hei Zhiren (Gardeniae Fructus Carbonized), decocted and taken orally, so the yellow color will subside.
Frequent blinking of the infant's eyes is due to Liver Wind entering the eyes. The sensation feels like wind blowing from all directions, which the child cannot endure, hence the frequent blinking. The treatment uses Bohe (Menthae Haplocalycis Herba), Shijueming (Haliotidis Squama), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), with Dengxincao (Junci Medulla) as a guiding herb. Decoct and take orally for effectiveness.
Infants suffering from prolonged coughing, with dark and swollen eye sockets and white sclera appearing blood-red, are diagnosed with Xueyan (Blood Eye). The treatment uses Jiegeng (Platycodonis Radix), Chenpi (Citri Reticulatae Pericarpium), Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), and Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), decocted and taken orally. Externally, use equal parts of large Shengdi (Rehmanniae Radix Recens) and Daheidou (Sojae Semen Nigrum), soak in water overnight, extract, and make into a paste. Apply to the eyelids. The fluid will naturally dissipate, and after bloody tears flow, the swelling and darkness will also disappear.