条文：肝虚积热频发歇，起初红肿痛羞明，年深生翳渐昏暗，青箱丸用菟丝茺，
生地青箱防五味，黑柴泽泻细车芩。
方剂：青箱丸方
菟丝子一两 茺蔚子一两 生地黄二两 青箱子二两 防风一两 五味子
三钱 黑参一两 柴胡一两 泽泻一两 细辛三钱 车前子一两 茯苓一
两
右为细末，炼蜜为丸，桐子大，空心茶清送下三钱。
【注】[1]肝虚积热之证，时发时歇，初则红肿疼痛，涩泪难开，久则渐重，遂
生翳膜，视物昏暗，宜用青箱子丸治之。
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条文：赤膜下垂覆睛瞳，赤膜从气下垂风，此属肝肺热冲眼，泪流痛愈如朱红，
羚羊知母黄芩黑，桔梗柴胡栀子茺。
方剂：羚羊饮
羚羊角（镑）一钱五分 知母 黄芩 黑参 桔梗 柴胡 栀子（炒）各
一钱 茺蔚子二钱
右为粗末，以水二盏，煎至一盏，食后，去渣温服。
【注】[1]赤膜下垂，初患之时，气轮上边起赤膜一片，垂至风轮，下覆瞳人。
[2]缘肝、肺之热，冲于眼内，致生赤膜，泪流痛痒，宜服羚羊饮。
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条文：眦赤病属心经火，大眦多实小眦虚，实者洗心散归芍，麻黄连芥大黄栀，
虚者九仙芩芥芍，菊芎归草芷通宜。
方剂：七宝洗心散方
当归一钱 赤芍药一钱 麻黄八分 黄连一钱 荆芥八分 大黄一钱 栀
子一钱
右为粗末，以水二盏，煎至一盏，食后，去渣温服。
九仙散方
黄芩 荆芥 赤芍药 菊花 川芎 当归 甘草 白芷 木通谷一钱
右为粗末，以水二盏，煎至一盏，食后服。
【注】[1]眦赤之证，赤脉起于大眦者，心经之实火也；赤脉起于小眦者，心经
之虚热也。
[2]实者用洗心散，两解其实邪；虚者宜九仙散，清降其虚热也。
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【肝虚积热歌】
条文：肝虚导致积热，病情时发时止；起初眼部红肿疼痛，畏光羞明；日久生成翳膜，视力逐渐昏暗。治疗宜用青箱丸，方中包含菟丝子、茺蔚子，
以及生地黄、青箱子、防风、五味子，还有黑参、柴胡、泽泻、细辛、车前子和黄芩。
方剂：青箱丸方
菟丝子一两 茺蔚子一两 生地黄二两 青箱子二两 防风一两 五味子三钱
黑参一两 柴胡一两 泽泻一两 细辛三钱 车前子一两 茯苓一两
以上药材研为细末，用炼蜜制成丸药，大小如梧桐子，空腹时用茶汁送服三钱。
【注】[1] 肝虚积热的证候，发作有时且间歇进行，初起时眼部红肿疼痛，涩滞流泪难以睁开，久病则症状加重，进而产生翳膜，视物昏暗，适宜使用青箱子丸进行治疗。
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条文：赤膜下垂覆盖瞳孔，赤膜从气轮（白睛）向下垂至风轮（黑睛），此病属于肝肺热邪上冲于眼，流泪疼痛加剧，眼球红赤如朱砂色，
治疗宜用羚羊角、知母、黄芩、黑参、桔梗、柴胡、栀子和茺蔚子。
方剂：羚羊饮
羚羊角（镑成薄片）一钱五分 知母 黄芩 黑参 桔梗 柴胡 栀子（炒）各一钱 茺蔚子二钱
以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
【注】[1] 赤膜下垂，初患之时，在气轮上方出现一片赤膜，向下垂至风轮，下方覆盖瞳孔。
[2] 原因是肝、肺的热邪，冲犯于眼内，导致生成赤膜，伴有流泪、疼痛和瘙痒，适宜服用羚羊饮。
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条文：眼角发红之病归属于心经火盛，大眼角（内眦）多属实证，小眼角（外眦）多属虚证。实证者用洗心散，含当归、芍药、麻黄、连翘（原文作“连”，结合语境及方名推测为黄连或连翘，此处依方剂组成保留黄连）、荆芥、大黄、栀子；
虚证者用九仙散，含黄芩、荆芥、芍药、菊花、川芎、当归、甘草、白芷、木通等为宜。
方剂：七宝洗心散方
当归一钱 赤芍药一钱 麻黄八分 黄连一钱 荆芥八分 大黄一钱 栀子一钱
以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
九仙散方
黄芩 荆芥 赤芍药 菊花 川芎 当归 甘草 白芷 木通 谷一钱（注：原文“谷”字疑为衍文或特定剂量单位误植，通常指代某药一钱，此处依原文列出）
以上药材研为粗末，用水两盏，煎煮至一盏，饭后服用。
【注】[1] 眼角发红的证候，赤脉起于大眼角者，是心经的实火；赤脉起于小眼角者，是心经的虚热。
[2] 实证者使用洗心散，以双解其实邪；虚证者适宜用九仙散，以清降其虚热。
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[Liver Deficiency with Accumulated Heat Song]
Article: Liver deficiency leads to accumulated heat, causing the condition to flare up intermittently. Initially, there is redness and swelling of the eyes with pain and photophobia (sensitivity to light). Over time, nebulae (corneal opacities) form, leading to gradual dimness of vision. The treatment should utilize Qingxiang Wan (Blue Box Pill), which contains Cistanche Seed (Cuscutae Semen), Leonurus Fruit (Leonuri Fructus),
Rehmannia Root (Rehmanniae Radix), Blue Eyebright Seed (Buddlejae Flos/Seed - note: Qingxiang usually refers to Buddlejae Flos or similar, here kept as Qingxiangzi), Wind-Expelling Herb (Saposhnikoviae Radix), Schisandra Berry (Schisandrae Chinensis Fructus), Black Ginseng (Scrophulariae Radix), Bupleurum Root (Bupleuri Radix), Alisma Rhizome (Alismatis Rhizoma), Asarum Root (Asari Radix), Plantago Seed (Plantaginis Semen), and Scutellaria Root (Scutellariae Radix).
Formula: Qingxiang Wan Formula
Cistanche Seed (Cuscutae Semen) 1 liang, Leonurus Fruit (Leonuri Fructus) 1 liang, Rehmannia Root (Rehmanniae Radix) 2 liang, Blue Eyebright Seed (Qingxiangzi) 2 liang, Saposhnikoviae Radix (Fangfeng) 1 liang, Schisandra Berry (Wuweizi) 3 qian,
Scrophulariae Radix (Heishen) 1 liang, Bupleuri Radix (Chaihu) 1 liang, Alismatis Rhizoma (Zexie) 1 liang, Asari Radix (Xixin) 3 qian, Plantaginis Semen (Cheqianzi) 1 liang, Poria (Fuling) 1 liang.
Grind the above herbs into a fine powder, mix with refined honey to make pills, sized like tung tree seeds. Take 3 qian on an empty stomach, washed down with tea infusion.
Annotation [1]: The syndrome of liver deficiency with accumulated heat manifests with intermittent flares. Initially, the eyes are red, swollen, painful, with a gritty sensation, tearing, and difficulty opening. If prolonged, the condition worsens, leading to the formation of nebulae and blurred vision. It is appropriate to treat this with Qingxiang Zi Wan.
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Article: Red membranes droop over the pupil. The red membrane descends from the Qi Wheel (white part of the eye) to cover the Feng Wheel (black part of the eye). This condition belongs to heat rushing to the eyes due to liver and lung heat. There is tearing, increased pain, and the eyes appear bright red like cinnabar.
Treatment involves using Antelope Horn (Lingyangjiao), Anemarrhena Rhizome (Zhimu), Scutellaria Root (Huangqin), Scrophularia Root (Heishen), Platycodon Root (Jiegeng), Bupleurum Root (Chaihu), Gardenia Fruit (Zhizi), and Leonurus Fruit (Chongwei).
Formula: Lingyang Yin (Antelope Decoction)
Antelope Horn (Lingyangjiao, sliced) 1.5 qian, Anemarrhena Rhizome (Zhimu), Scutellaria Root (Huangqin), Scrophularia Root (Heishen), Platycodon Root (Jiegeng), Bupleurum Root (Chaihu), Gardenia Fruit (Zhizi, stir-fried) each 1 qian, Leonurus Fruit (Chongwei) 2 qian.
Grind the above herbs into a coarse powder. Add two zhan of water, decoct until one zhan remains. Strain and take warm after meals.
Annotation [1]: In the case of drooping red membranes, at the onset, a patch of red membrane appears on the upper part of the Qi Wheel, drooping down to the Feng Wheel, covering the pupil below.
[2]: The cause is heat from the liver and lungs rushing into the eyes, resulting in the generation of red membranes, accompanied by tearing, pain, and itching. It is suitable to take Lingyang Yin.
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Article: Redness at the canthus (eye corner) is attributed to fire in the Heart Meridian. Redness at the inner canthus (large canthus) is mostly excess syndrome, while redness at the outer canthus (small canthus) is mostly deficiency syndrome. For excess syndrome, use Xixin San (Heart-Washing Powder), containing Angelica Root (Danggui), Peony Root (Shaoyao), Ephedra Stem (Mahuang), Coptis Rhizome (Huanglian), Schizonepeta Spike (Jingjie), Rhubarb Root (Dahuang), and Gardenia Fruit (Zhizi);
For deficiency syndrome, use Jiuxian San (Nine Immortals Powder), containing Scutellaria Root (Huangqin), Schizonepeta Spike (Jingjie), Peony Root (Shaoyao), Chrysanthemum Flower (Juhua), Ligusticum Rhizome (Chuanxiong), Angelica Root (Danggui), Licorice Root (Gancao), Angelica Dahurica Root (Baizhi), and Akebia Stem (Mutong) are suitable.
Formula: Qibao Xixin San Formula (Seven Treasures Heart-Washing Powder)
Angelica Root (Danggui) 1 qian, Red Peony Root (Chishaoyao) 1 qian, Ephedra Stem (Mahuang) 8 fen, Coptis Rhizome (Huanglian) 1 qian, Schizonepeta Spike (Jingjie) 8 fen, Rhubarb Root (Dahuang) 1 qian, Gardenia Fruit (Zhizi) 1 qian.
Grind the above herbs into a coarse powder. Add two zhan of water, decoct until one zhan remains. Strain and take warm after meals.
Jiuxian San Formula (Nine Immortals Powder)
Scutellaria Root (Huangqin), Schizonepeta Spike (Jingjie), Red Peony Root (Chishaoyao), Chrysanthemum Flower (Juhua), Ligusticum Rhizome (Chuanxiong), Angelica Root (Danggui), Licorice Root (Gancao), Angelica Dahurica Root (Baizhi), Akebia Stem (Mutong), Gu 1 qian.
Grind the above herbs into a coarse powder. Add two zhan of water, decoct until one zhan remains. Take after meals.
Annotation [1]: In the syndrome of red canthi, if the red vessels originate from the inner canthus, it is excess fire of the Heart Meridian; if they originate from the outer canthus, it is deficient heat of the Heart Meridian.
[2]: For excess cases, use Xixin San to resolve the excess pathogenic factors; for deficiency cases, Jiuxian San is suitable to clear and descend the deficient heat.
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