条文：小儿生赘生睑内，初小渐大隐摩瞳，赤涩泪多脾胃热，钩割□洗去瘀红，
清胃散用车前子，膏军柴桔黑芩风。
方剂：清胃散方
车前子 石膏 大黄 柴胡 桔梗 黑参 黄芩 防风各一钱
右为粗末，以水二盏，煎至一盏，食后去渣温服。
【注】[1]小儿生赘之证，生于眼胞之内，初起如麻子，久则渐长如豆，隐摩瞳
人，赤涩泪出，此乃脾、胃热上壅所致。
[2]先用手法或钩割或□洗，散去外瘀；后用清胃散，清其内热。
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条文：小儿青盲胎受风，瞳子端然视物蒙，明目羊肝桂柏味，细菊羌连白术同。
方剂：镇肝明目羊肝丸方
羯羊肝（用新瓦盆焙干，如大只用一半，竹刀切片）一具 官桂 柏子仁
五味子 细辛 菊花 羌活各五钱 黄连（炒）七钱 白术五钱
右为细末，炼蜜为丸，炼蜜为丸，如桐子大，沸汤研调，空心服一钱。
【注】[1]小儿青盲者，因胎受风邪，生后瞳人端好，黑白分明，惟视物不见，
有时夜卧多惊，呕吐痰涎黄汁。
[2]宜用镇肝明目羊肝丸，久服可愈。
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条文：小儿疳眼肝脾病，肿疼涩泪翳遮瞳，咬甲揉鼻合面卧，肥儿神麦荑连同。
方剂：四味肥儿丸方
神麴（炒） 麦芽（炒） 芜荑 黄连（炒）各等分
右为细末，令匀，水糊为丸，桐子大，每服一钱，空心白汤送下。
【注】[1]小儿疳眼者，初因饮食伤脾，久则肝热上冲，肿痛难开，隐涩泪多，
渐生白膜，云翳遮睛，外则挦眉咬甲揉鼻，喜合面而卧，不喜抬头。
[2]宜用四味肥儿丸，久服即效。
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【小儿生赘歌】
条文：小儿眼睑内长出赘生物，起初较小，逐渐增大并摩擦遮挡瞳孔。眼部发红、干涩且流泪多，这是脾胃有热的表现。可用钩割或清洗的方法去除瘀血和红色充血。
方剂：清胃散使用车前子，以及膏大黄、柴胡、桔梗、黑参（玄参）、黄芩、防风。
方剂：清胃散方
药材：车前子、石膏、大黄、柴胡、桔梗、黑参、黄芩、防风，各一钱。
制法与用法：将上述药材捣成粗末，用水两盏煎煮至一盏，饭后去渣温服。
【注】[1] 小儿生赘的病症，生长在眼睑内部，初起时像麻子大小，时间久了逐渐长大像豆子一样，隐蔽地摩擦瞳孔，导致眼睛发红、干涩、流泪，这是由于脾、胃的热气上壅所致。
[2] 先用手法治疗，或者采用钩割或清洗的方法，散去外部的瘀血；然后再服用清胃散，清除内部的积热。
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【小儿青盲歌】
条文：小儿青盲是由于胎中受风邪所致，瞳孔形态端正但视物模糊不清。治疗需用明目羊肝丸，包含肉桂、黄柏、五味子、细辛、菊花、羌活、黄连和白术。
方剂：镇肝明目羊肝丸方
药材：羯羊肝（用新瓦盆焙干，如果只有一半大则只用半个，用竹刀切片）一具；官桂、柏子仁、五味子、细辛、菊花、羌活，各五钱；黄连（炒制）七钱；白术五钱。
制法与用法：将上述药材研成细末，用炼蜜制成丸药，如梧桐子大小。空腹时，用沸水化开调服一钱。
【注】[1] 小儿青盲症，是因为在母胎中接受了风邪，出生后瞳孔看起来端正完好，黑白分明，只是看不见东西，有时夜间睡觉容易惊悸，呕吐痰涎和黄汁。
[2] 适宜使用镇肝明目羊肝丸，长期服用可以痊愈。
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【小儿疳眼歌】
条文：小儿疳眼是肝脾病变引起的，表现为眼部肿胀疼痛、干涩流泪，且有翳膜遮挡瞳孔。患儿有咬指甲、揉鼻子、脸贴地面躺卧的症状。治疗需用肥儿丸，包含神曲、麦芽、芜荑等药物连同使用。
方剂：四味肥儿丸方
药材：神曲（炒制）、麦芽（炒制）、芜荑、黄连（炒制），各等分。
制法与用法：将上述药材研成细末，混合均匀，用水糊制作成丸药，如梧桐子大小。每次服用一钱，空腹时用白开水送服。
【注】[1] 小儿疳眼症，起初是因为饮食损伤了脾胃，时间久了导致肝热上冲，眼睛肿痛难以睁开，隐痛干涩且流泪多，逐渐生出白膜，云翳遮蔽眼睛。外部症状包括拔眉毛、咬指甲、揉鼻子，喜欢脸贴地面躺着，不喜欢抬头。
[2] 适宜使用四味肥儿丸，长期服用即见疗效。
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[Song on Pediatric Eyelid Proliferation]
Clause: The child develops a proliferation within the eyelids. Initially small, it gradually enlarges and obscures the pupil by friction. Redness, dryness, and excessive tearing indicate heat in the Spleen and Stomach. Hooking, cutting, or washing can be used to remove blood stasis and redness.
Formula: Qingwei San (Clear the Stomach Decoction) utilizes Cheqianzi (Plantago Seed), along with Shigao (Gypsum Fibrosum), Dahuang (Rhubarb Radix et Rhizoma), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), Heishen (Scrophulariae Radix, here referred to as Black Shen), Huangqin (Scutellariae Radix), and Fangfeng (Saposhnikoviae Radix).
Formula: Qingwei San (Clear the Stomach Decoction)
Herbs: Cheqianzi (Plantaginis Semen), Shigao (Gypsum Fibrosum), Dahuang (Rhei Radix et Rhizoma), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), Heishen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix), each 1 qian.
Preparation and Administration: Grind the above herbs into a coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Annotation [1]: The condition of pediatric eyelid proliferation occurs inside the eyelids. It begins like a hemp seed and gradually grows to the size of a bean over time, hidingly rubbing against the pupil, causing redness, dryness, and tearing. This is caused by the upward congestion of heat from the Spleen and Stomach.
Annotation [2]: First, use manual techniques, such as hooking, cutting, or washing, to disperse external blood stasis; then administer Qingwei San (Clear the Stomach Decoction) to clear internal heat.
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[Song on Pediatric Congenital Blindness]
Clause: Pediatric congenital blindness (Qingmang) results from wind pathogen acquisition during gestation. The pupil appears normal, but vision is blurred. Treatment requires Mingmu Yanggan Wan (Liver-Soothing and Vision-Clarifying Mutton Liver Pill), containing Rougui (Cinnamon Bark), Baiboren (Biota Seed), Wuweizi (Schisandrae Fructus), Xixin (Asari Radix et Rhizoma), Juhua (Chrysanthemi Flos), Qianghuo (Notopterygii Rhizoma et Radix), Huanglian (Coptidis Rhizoma), and Baizhu (Atractylodis Macrocephalae Rhizoma).
Formula: Zhen Gan Mingmu Yanggan Wan (Liver-Calming and Vision-Clarifying Mutton Liver Pill)
Herbs: One mutton liver (from a castrated ram, baked dry in a new clay pot; if smaller, use half; slice with a bamboo knife); Guanrougui (Cinnamomi Cortex), Baiboren (Biota Semen), Wuweizi (Schisandrae Fructus), Xixin (Asari Radix et Rhizoma), Juhua (Chrysanthemi Flos), Qianghuo (Notopterygii Rhizoma et Radix), each 5 qian; Huanglian (Coptidis Rhizoma, stir-fried) 7 qian; Baizhu (Atractylodis Macrocephalae Rhizoma) 5 qian.
Preparation and Administration: Grind the above herbs into a fine powder. Use refined honey to form pills the size of tung tree seeds. Take 1 qian on an empty stomach, dissolved in boiling water.
Annotation [1]: Pediatric Qingmang (congenital blindness) is due to wind pathogen acquired in utero. After birth, the pupil looks normal with clear black and white parts, but the child cannot see. There may be frequent night terrors and vomiting of phlegm-saliva and yellow fluid.
Annotation [2]: Zhen Gan Mingmu Yanggan Wan (Liver-Calming and Vision-Clarifying Mutton Liver Pill) is suitable; long-term administration leads to recovery.
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[Song on Pediatric Gan Eye Disease]
Clause: Pediatric Gan eye disease arises from Liver and Spleen pathology, presenting with swelling, pain, dryness, tearing, and nebula covering the pupil. Symptoms include nail-biting, nose-rubbing, and lying face-down. Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill) contains Shenqu (Medicated Leaven), Maiya (Hordei Fructus Germinatus), Wuyi (Descurainiae Semen), and others.
Formula: Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill)
Herbs: Shenqu (Medicated Leaven, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried), Wuyi (Descurainiae Semen), Huanglian (Coptidis Rhizoma, stir-fried), equal parts.
Preparation and Administration: Grind the above herbs into a fine powder and mix evenly. Form pills using rice paste, sized like tung tree seeds. Take 1 qian per dose, administered with plain boiled water on an empty stomach.
Annotation [1]: Pediatric Gan eye disease initially stems from dietary injury to the Spleen. Over time, Liver heat rushes upward, causing severe swelling and pain that makes opening the eyes difficult, along with hidden discomfort, dryness, and excessive tearing. A white membrane gradually forms, with nebula obscuring the vision. External signs include plucking eyebrows, biting nails, rubbing the nose, preferring to lie face-down, and avoiding lifting the head.
Annotation [2]: Siwei Fei'er Wan (Four-Ingredient Child-Nourishing Pill) is suitable; long-term administration yields efficacy.
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