盆硝 乳香 雄黄 没药（各等分）
上为细末，研以少许，搐鼻中。
治眼风毒发肿，鼻中欲嚏，嚏多鼻损而生疮，宣风散。
川芎 甘菊（各二钱） 乳香 没药（各一饯）
上为末，少许搐鼻中。
〔《本》〕治赤肿眼，以白姜末水调贴脚心。又，以土朱蜜调，纸贴眼上。
〔《山》〕赤眼，用九节黄连、秦皮粗末。加滑石一块，煎汤洗。
又方 用热汤豁洗，或浓煎冬青叶汤，入盐热洗。
〔丹〕治火眼，艾烧细烟，以碗盖之，候烟上成煤取下，以温水调洗之。入黄连尤妙。（《斗门》）
〔垣〕广大重明汤 治两目睑赤烂，热肿疼痛，并稍赤及眼睑痒，及痒极抓至破烂赤肿，眼楞生疮痂，目
多眵，痛，隐涩难开。
草龙胆梢 防风 甘草根 细辛（各等分）
上锉，如麻豆大，内甘草不锉，只作一梃，先以水一大碗半，煎草龙胆一味，干一半，再入余三味，煎至
一小半碗，去渣，用清汁带热洗，以重汤坐令极热，日用五七次，洗毕，少合眼，须臾即去， 肉纵长，及
痒亦减矣。
运气 目赤有三∶
一曰风助火郁于上。经云∶少阴司天之政，二之气，阳气布，风乃行，寒气时至，民病目瞎目赤，气郁于
上而热。又云∶少阳司天之政，初之气，风胜乃淫，候乃大温，其病气怫于上，目赤是也。
二曰火盛。经曰∶火太过曰赫曦，赫曦之纪，其病目赤。又云∶火郁之发，民病目赤心热。又曰∶少阳司
天之政，三之气，炎暑至，目赤。又云∶少阳之胜，目赤是也。
三曰燥邪伤肝。经云∶岁金太过，燥气流行，民病目赤。又云∶阳明司天，燥气下临，肝气上从，胁痛
目赤是也。
《内经》灸刺白眼痛，有四法∶
其一取足太阳。经云∶目痛赤脉从上下者，太阳病，故知取之也。
其二取足阳明。经云∶目痛赤脉从下上者，阳明病，故知取之也。
其三取足少阳。经云∶目痛赤脉从外走内者，少阳病，又手足少阳之脉，所生病者，皆目锐 病，故知取
之也。
其四取跷脉。经云∶邪客足阳跷之脉，令人目痛从内 始，刺外踝之下半寸所，左刺右，右刺左。又云∶
目中赤痛从内 始，取之阴跷也。
灸刺黑珠痛，有三法∶
其一取足太阳，经云∶足太阳有过项入于脑者，正属目本，名曰眼系，头目若痛，取之在项中两筋间是也。
其二取足厥阴。经云∶肝足厥阴之脉，上入颃颡，连目系，故取之也。
其三取少阴。经云∶手少阴之别，名曰通里，属目系，取之掌后一寸也。又足少阳之正阳明之正，皆系目
系，经无取法也。
〔子和〕余尝病目赤，或肿或翳，作止无时。偶至新息帅府，百余日羞明隐涩，肿痛不已。忽眼科姜仲安
云∶宜刺上星至百会，速以 针刺四五十刺。攒竹穴、丝竹空穴上兼眉际二十刺，及鼻两孔内，以草茎弹子出
血如前，约二升许，来日愈大半，三日平复如初。
〔洁〕眼痛睛欲出者，须八关大刺十指间。（出血，须十指缝。）
〔《心》〕眼暴赤肿∶神庭 内庭 囟门 前顶 百会（各出血立愈。）
〔世〕眼眶肿∶二间 行间
〔《摘》〕眼疼不可忍∶风池 合谷（立愈。）
〔《玉》〕眼红肿，羞明怕日，并昏∶睛明（斜飞向鼻，不可直针，忌灸。） 童子 （针入一分，沿
皮内透鱼腰。） 太阳（ 脉上，三棱针出血。）
〔窦〕眼痒痛∶光明 第五（各泻之。） 行间
〔《集》〕羞明怕日∶攒竹 合谷（灸）。小骨空（灸如前。） 二间
〔张〕风眼卒生翳膜疼痛∶中指本节尖上。（灸三壮小麦大，左灸右，右灸左。）
〔《集》〕诸障∶睛明 四白（在珠下一分。） 太阳 百会 商阳 厉兑 光明各出血。合谷 三里 命门
肝 光明各灸之。
〔《撮要》〕眼赤肿疼痛∶阳谷（一分泻之，灸。）至阴
〔《甲》〕内 赤肿，目KT KT 无所见， 痒痛，淫肤白翳，睛明主之。目KT KT 赤痛，天柱主之。
目痛泣出，甚者如脱，前谷主之。眼痛，下廉主之。白膜覆珠子无所见，解溪主之。青盲无所见，远视KT KT ，
目中淫肤，白膜覆瞳子，目窗主之。目痛口僻，戾目不明，四白主之。目痛引 ，少腹偏痛，（“ ”一作“
脊”。）呕，螈 ，视昏嗜卧，照海主之。泻左阴跷，取足左少阴前，先刺阴跷，后刺少阴，气在横骨上。目
中白翳，然谷取之。目视不明，振寒，目翳，瞳子不见，腰两胁痛，脚酸转筋，丘墟主之。目赤目黄，颧 主
之。目眩无所见，偏头痛引目外 张急，颔厌主之。目中痛不能视，上星主之。先取 ，后取天牖、风池。
目痛不明，龈交主之。
〔桑〕眼痛久不愈∶鱼际（灸七壮。）
盆硝、乳香、雄黄、没药（各等分）。
将上述药物研成细末，取少量吹入鼻中。
治疗眼因风毒发作而红肿，鼻中想打喷嚏，喷嚏过多导致鼻腔受损生疮的宣风散方。
川芎、甘菊（各二钱），乳香、没药（各一钱）。
将上述药物研成粉末，取少量吹入鼻中。
〔《本草》〕治疗眼睛红肿胀痛，用白姜末加水调匀敷贴脚心。另外，用土朱粉加蜂蜜调匀，用纸贴在眼睛上。
〔《山》〕治疗赤眼，用九节黄连、秦皮粗末。加入一块滑石，煎汤清洗。
又一方：用热汤冲洗，或用浓煎的冬青叶汤，加盐后趁热清洗。
〔丹〕治疗火眼，将艾草烧出细烟，用碗盖住，待烟熏成煤取下，用温水调匀清洗。加入黄连效果更佳。（出自《斗门方》）
〔垣〕广大重明汤：治疗双眼眼睑红烂、热肿疼痛，以及轻微发红和眼睑发痒，甚至痒极抓挠至破烂红肿，眼角生疮痂，眼屎多，疼痛、异物感强难以睁开的症状。
草龙胆梢、防风、甘草根、细辛（各等分）。
将上述药物锉碎，如麻豆大小，其中甘草不锉，只保留一根整条。先用水一大碗半，单独煎煮草龙胆，煮至剩一半水量时，再加入其余三味药，煎至一小半碗水，去渣，用澄清的药汁带热清洗，通过隔水加热使药液极热，每天使用五到七次，洗完后稍微闭眼片刻，随即睁开，肌肉松弛生长，瘙痒也会减轻。
运气学说认为，目赤有三种情况：
一是风助火势，郁结于上部。经书说：少阴司天之政，二之气阶段，阳气布散，风气盛行，寒气不时到来，百姓发病出现失明、目赤，气机郁结于上部而发热。又说：少阳司天之政，初之气阶段，风邪偏胜而泛滥，气候大温，病机为气机郁滞于上部，表现为目赤。
二是火盛。经书说：火气太过称为赫曦，赫曦之年，其病症为目赤。又说：火郁发作时，百姓发病目赤、心热。又说：少阳司天之政，三之气阶段，炎热暑气到来，出现目赤。又说：少阳之胜，表现为目赤。
三是燥邪伤肝。经书说：岁金太过，燥气流行，百姓发病目赤。又说：阳明司天，燥气下临，肝气上从，表现为胁痛、目赤。
《内经》关于灸刺白眼疼痛，有四种方法：
其一取足太阳经。经书说：眼睛疼痛，赤脉从上向下走的，是太阳病，所以知道取足太阳经。
其二取足阳明经。经书说：眼睛疼痛，赤脉从下向上走的，是阳明病，所以知道取足阳明经。
其三取足少阳经。经书说：眼睛疼痛，赤脉从外向内走的，是少阳病。又手足少阳经脉所生的疾病，都是外眼角病变，所以知道取足少阳经。
其四取跷脉。经书说：邪气客居足阳跷脉，使人眼睛疼痛从内眼角开始，针刺外踝下半寸处，左病刺右，右病刺左。又说：眼睛中赤痛从内眼角开始，取足阴跷脉。
灸刺黑珠（黑睛）疼痛，有三种方法：
其一取足太阳经。经书说：足太阳经有一支从项部进入脑中的，正对目本，名叫眼系，头部和眼睛如果疼痛，取穴在项部两筋之间。
其二取足厥阴经。经书说：足厥阴肝经，上行进入颃颡，连接目系，所以取足厥阴经。
其三取少阴经。经书说：手少阴经的别络，名叫通里，属于目系，取穴在掌后一寸处。又足少阳的正经和阳明的正经，都联系目系，但经文没有记载具体的取法。
〔子和〕我曾经患目赤，有时肿胀有时生翳，发作停止没有定时。偶然到新息帅府，一百多天畏光、异物感强，肿痛不止。忽然眼科医生姜仲安说：应该针刺上星穴到百会穴，迅速用针针刺四五十下。攒竹穴、丝竹空穴上方兼眉毛际二十下，以及鼻孔内，用草茎弹拨出血像前面那样，大约两升左右，第二天好大半，三天恢复如初。
〔洁〕眼睛痛眼球欲出的，必须在八关穴十指间进行大刺放血。（出血，必须刺十指缝。）
〔《心》〕眼睛突然红肿胀痛：神庭、内庭、囟门、前顶、百会（各穴出血立即痊愈。）
〔世〕眼眶肿：二间、行间。
〔《摘》〕眼睛疼不可忍受：风池、合谷（立即痊愈。）
〔《玉》〕眼睛红肿，畏光怕日，并伴有视物昏花：睛明（斜向鼻子方向，不可直刺，忌艾灸。）童子髎（针入一分，沿皮内透鱼腰穴。）太阳（太阳脉上，用三棱针出血。）
〔窦〕眼睛痒痛：光明、第五（各穴泻法。）行间。
〔《集》〕畏光怕日：攒竹、合谷（艾灸）。小骨空（艾灸如前法。）二间。
〔张〕风眼突然生翳膜疼痛：中指本节尖上。（艾灸三壮，如小麦大小，左病灸右，右病灸左。）
〔《集》〕各种内障：睛明、四白（在黑珠下一分处）、太阳、百会、商阳、厉兑、光明各穴出血。合谷、三里、命门、肝俞、光明各穴艾灸。
〔《撮要》〕眼睛赤肿疼痛：阳谷（进针一分泻法，艾灸。）至阴。
〔《甲乙经》〕内眦赤肿，视物模糊不清，痒痛，肤表白翳，由睛明穴主治。视物模糊不清且赤痛，由天柱穴主治。眼睛疼痛流泪，严重的像要脱出，由前谷穴主治。眼睛疼痛，由下廉穴主治。白膜覆盖黑珠无法视物，由解溪穴主治。青盲无法视物，远视模糊，目中肤表白翳，白膜覆盖瞳子，由目窗穴主治。眼睛疼痛口眼歪斜，斜视不明，由四白穴主治。眼睛疼痛牵引至缺盆，少腹偏痛（“缺盆”一作“脊”），呕吐，抽搐，视力昏暗嗜睡，由照海穴主治。泻左侧阴跷脉，取足左侧少阴经前方，先刺阴跷，后刺少阴，气在横骨上方。眼中白翳，由然谷穴取治。视物不明，恶寒战栗，目翳，瞳子看不见，腰部两侧胁痛，脚酸转筋，由丘墟穴主治。目赤目黄，由颧髎穴主治。目眩无法视物，偏头痛牵引目外眦紧张急迫，由颔厌穴主治。眼中痛不能视物，由上星穴主治。先取缺盆，后取天牖、风池。眼睛疼痛不明，由龈交穴主治。
〔桑〕眼睛痛久不愈：鱼际（艾灸七壮。）
Poxiao (Natrii Sulfas), Ruxiang (Olibanum, 乳香), Xionghuang (Realgar, 雄黄), Moyao (Myrrha, 没药) (equal parts).
Grind the above substances into a fine powder. Take a small amount and insufflate it into the nose.
Xuanfeng San (Wind-Dispersing Powder): Treats eye swelling caused by wind-toxin eruption, sneezing sensations in the nose, and sores arising from nasal damage due to excessive sneezing.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Ganju (Chrysanthemi Flos) (each 2 qian), Ruxiang (Olibanum, 乳香), Moyao (Myrrha, 没药) (each 1 qian).
Grind the above substances into powder. Take a small amount and insufflate it into the nose.
[Bencao]: For red and swollen eyes, mix Baijiang (Zingiberis Rhizoma Recens) powder with water and apply to the soles of the feet. Alternatively, mix Tuzhu (Cinnabaris) with honey, apply to paper, and place on the eyes.
[Shan]: For red eyes, use coarse powder of Jiujie Huanglian (Coptidis Rhizoma selected for nine joints) and Qinpi (Fraxini Cortex). Add a piece of Huashi (Talcum), decoct in water, and wash the eyes.
Another prescription: Wash with hot water, or decoct Dongqingye (Ilicis Cornutae Folium) thickly, add salt, and wash while hot.
[Dandan]: For fire-eye, burn Aiye (Artemisiae Argyi Folium) to produce fine smoke, cover with a bowl, wait until the smoke condenses into soot, take it down, mix with warm water, and wash. Adding Huanglian (Coptidis Rhizoma) is especially effective. (From *Doumen Fang*)
[Yuan]: Guangda Zhongming Tang (Great Light Restoring Decoction): Treats redness and ulceration of both eyelids, hot swelling and pain, slight redness and itching of eyelids, severe itching leading to scratching until broken and swollen, sores at the canthus, excessive discharge, pain, foreign body sensation making opening difficult.
Caolongdanshao (Gentianae Radix et Rhizoma tip), Fangfeng (Saposhnikoviae Radix), Gancaogen (Glycyrrhizae Radix), Xixin (Asari Radix et Rhizoma) (equal parts).
Cut the herbs into pieces the size of hemp seeds. Do not cut Gancao (Glycyrrhizae Radix); keep it as one whole stick. First, decoct Caolongdan alone in 1.5 bowls of water until reduced by half. Then add the other three herbs and decoct until reduced to 0.5 bowls. Strain and use the clear liquid while hot to wash. Heat the liquid further by placing the container in hot water until extremely hot. Use 5-7 times daily. After washing, close eyes briefly then open; muscle tension will relax and itching will decrease.
According to Yunqi (Luck and Qi) theory, there are three types of eye redness:
First, wind assists fire, stagnating in the upper jiao. The Classics state: When Shaoyin governs the heaven's policy, during the second qi phase, yang qi spreads, wind prevails, cold qi arrives intermittently, and people suffer from blindness and eye redness due to qi stagnation in the upper jiao causing heat. It also states: When Shaoyang governs the heaven's policy, during the first qi phase, wind excess leads to flooding, the climate becomes very warm, the pathology is qi stagnation in the upper jiao, manifesting as eye redness.
Second, fire excess. The Classics state: Excessive fire is called Hexi. In the Hexi era, the disease is eye redness. It also states: When fire stagnates and erupts, people suffer from eye redness and heart heat. It also states: When Shaoyang governs the heaven's policy, during the third qi phase, intense heat arrives, causing eye redness. It also states: Shaoyang victory manifests as eye redness.
Third, dryness pathogen injuring the Liver. The Classics state: When Metal year is excessive, dryness qi prevails, and people suffer from eye redness. It also states: When Yangming governs the heaven, dryness qi descends, Liver qi rises in response, manifesting as hypochondriac pain and eye redness.
The *Neijing* describes four methods for moxibustion and acupuncture for white eye pain:
One: Select Foot-Taiyang. The Classics state: Eye pain with red vessels running from top to bottom indicates Taiyang disease; hence, select this channel.
Two: Select Foot-Yangming. The Classics state: Eye pain with red vessels running from bottom to top indicates Yangming disease; hence, select this channel.
Three: Select Foot-Shaoyang. The Classics state: Eye pain with red vessels running from outside to inside indicates Shaoyang disease. Also, diseases generated by Hand and Foot-Shaoyang channels all involve the outer canthus; hence, select this channel.
Four: Select Qiao Mai (Vessel Channels). The Classics state: Evil invading Foot-Yangqiao causes eye pain starting from the inner canthus; puncture half a cun below the lateral malleolus, left side punctured right, right side punctured left. It also states: Eye redness and pain starting from the inner canthus should be treated by selecting Yin-Qiao.
There are three methods for moxibustion and acupuncture for black eye (cornea) pain:
One: Select Foot-Taiyang. The Classics state: Foot-Taiyang has a branch entering the brain from the nape, directly connecting to the root of the eye, named Yanxi (Eye System). If head and eye hurt, select points between the two tendons in the nape.
Two: Select Foot-Jueyin. The Classics state: Foot-Jueyin Liver channel ascends to Hangsang, connecting to the Eye System; hence, select this channel.
Three: Select Shaoyin. The Classics state: The Luo-connecting vessel of Hand-Shaoyin, named Tongli, belongs to the Eye System; select one cun posterior to the wrist crease. Also, the Zheng (Regular) channels of Foot-Shaoyang and Yangming both connect to the Eye System, but the Classics do not specify treatment methods for them.
[Zihe]: I once suffered from eye redness, sometimes swelling, sometimes nebula, with unpredictable onset and remission. Upon arriving at the Xinxi Governor's office, I suffered from photophobia and foreign body sensation for over a hundred days, with unceasing pain and swelling. Suddenly, ophthalmologist Jiang Zhongan said: You should puncture from Shangxing to Baihui, rapidly using needles for 40-50 pricks. At Canzhu and Sizhukong acupoints, plus the eyebrow margin, twenty pricks, and inside the nostrils, stimulate bleeding using a straw stem like before, about two sheng total. The next day, mostly healed; within three days, recovered completely.
[Jie]: For eye pain where the eyeball feels like it will protrude, perform major bloodletting at the Baguan points between the ten fingers. (Bleeding must occur from the finger webs.)
[*Xin*]: Sudden acute red and swollen eyes: Shenting, Neiting, Ximen, Qingding, Baihui (bleed each for immediate cure.)
[Shi]: Eyelid swelling: Erjian, Xingjian.
[*Zhai*]: Unbearable eye pain: Fengchi, Hegu (immediate cure.)
[*Yu*]: Red and swollen eyes, photophobia, blurred vision: Jingming (puncture obliquely towards the nose, do not puncture straight, contraindicated for moxibustion.) Tongzi Liao (insert needle 1 fen, subcutaneously penetrating to Yuyao.) Taiyang (on the Taiyang vessel, bleed with a three-edged needle.)
[Dou]: Itchy and painful eyes: Guangming, Diwu (reduce method each.) Xingjian.
[*Ji*]: Photophobia: Canzhu, Hegu (moxibustion.) Xiaogu Kong (moxibustion as before.) Erjian.
[Zhang]: Sudden nebula formation in wind-eyes with pain: Tip of the proximal phalanx of the middle finger. (Moxibustion 3 cones, wheat-sized, left side moxa right, right side moxa left.)
[*Ji*]: Various opacities: Jingming, Sibai (1 fen below the eyeball), Taiyang, Baihui, Shangyang, Lidui, Guangming (bleed each.) Hegu, Zusanli, Mingmen, Ganshu, Guangming (moxibustion each.)
[*Cuoyao*]: Red, swollen, painful eyes: Yanggu (insert 1 fen, reduce method, moxibustion.) Zhiyin.
[*Jia Yi Jing*]: Inner canthus red and swollen, blurred vision, itching and pain, white nebula on the skin: Jingming governs. Blurred vision with red pain: Tianzhu governs. Eye pain with tearing, severe feeling of protrusion: Qian Gu governs. Eye pain: Xia Lian governs. White membrane covering the cornea causing blindness: Jie Xi governs. Blindness (Qingmang) causing inability to see, blurred distance vision, white nebula on the skin, white membrane covering the pupil: Muchuang governs. Eye pain with deviation of mouth, squinting and unclear vision: Sibai governs. Eye pain radiating to the collarbone, unilateral lower abdominal pain ("collarbone" alternatively "spine"), vomiting, convulsions, dim vision and drowsiness: Zhaohai governs. Reduce Left Yin-Qiao, select anterior to Left Foot-Shaoyin, puncture Yin-Qiao first, then Shaoyin, qi located above Henggu. White nebula in the eye: Ran Gu treats it. Unclear vision, chills, eye nebula, pupil invisible, bilateral flank pain, leg soreness and tendon contraction: Qiuxu governs. Red and yellow eyes: Quanliao governs. Dizziness with blindness, unilateral headache radiating to the outer canbus with tension: Hanyan governs. Eye pain preventing vision: Shangxing governs. First select Collarbone, then Tianyou, Fengchi. Eye pain and unclear vision: Yinjiao governs.
[Sang]: Chronic eye pain not healing: Yuji (moxibustion 7 cones.)