目有专科，诸书多略之。然有他证兼患目者，治目之道，安可不明。夫五脏六腑之精气
，虽皆上注于目，大要则在三经∶肝开窍于目，故论目必首肝。然有心神散乱，卒见非常之
怪，或精散视歧，观一物为两，则心又为目之大关，盖诸脉皆属目，心主脉者也；而脾又为
诸阴之
矣。细辨虚实，再辨虚实之在气、在血。暴发在表为实，久病在里为虚。虚者，昏暗黑花瞳
散，在气则涩，视物不明；在血则酸、干枯少润，治宜养肝血安心神，尤必先理脾胃。实者
，赤肿胀痛，翳膜眵泪，治宜除风散湿，凉血平肝，此治目大要也。点洗之方，只宜辛平，
若用寒凉阻逆之，致邪热内攻，反成翳障，及妄将冷水冷药冷物 洗，致昏瞎者有之，不可
不慎。
目为肝窍，目病宜归肝。凡红赤肿痛及少壮暂得之病，皆作肝实血热治。肝为相火，治
当益
阅坊书眼科多用苦寒辛散等药，非所宜。予因治复目汤一方，药虽平淡，而屡用屡效。盖目
为
一、有时火暴甚而赤痛异常者，用鸡子黄连膏点眼 ，勿令紧闭，等热泪涌出，数次即
愈。
一、凡年及中衰，或酒色过度，目无肿痛，但羞明昏暗，瞪视无力，珠痛如抠等证，则
皆属肝肾之不足也。治参内障条。
一、损目破睛，用牛口涎点之，如睛突出者，急揉进。日点二次，须避风，即黑睛破者
，亦有可愈。
一、眼目被打伤青肿者，用生半夏为末，水调敷之。
复目汤
当归（二钱） 赤芍（二钱） 大熟地（五、七钱，或用生地） 黄芩（一钱五分，酒炒） 薄
荷（二钱） 甘菊（二钱） 甘草（五分） 川芎（一钱）
上水煎，食后卧时稍热服。痒加蝉蜕、防风各一钱五分。肿加羌活、木通各一钱。痛加
酒连
目珠夜痛，加夏枯草、香附各二钱。目中赤脉，加密蒙花二钱。白眼上红不退，加桑白皮三
钱。两瞳痛，去川芎加泽泻一钱五分、盐炒黄柏一钱。肝虚泪多，加鲜首乌五、七钱或一两
。红肿而不羞明者，加山萸肉、杜仲各二钱。肿痛两眼如桃，合而为一，痛不可忍者，先用
防风通圣散下之，然后服此方加连翘、蔓荆子各一钱五分。
丹砂散（此李时珍方也。） 点治诸眼皆妙。
海螵蛸（去壳皮） 炉甘石（上好者， 淬，童便浸七次飞用。） 硼砂（各一两） 辰砂（
水飞五钱，用此则不枯。）
上研极细末如灰，瓷瓶收贮。临用少加冰片研点。
二百味草花膏
羯羊胆（一枚） 白蜜（五钱，要真白蜜，未用上白洋糖兑过者。）
上将胆汁同蜜和匀碗盛，蒸稠如膏，瓶收。每用少许点之，如日久药干，用人乳润之。
鸡子黄连膏
鸡子（一枚） 黄连（粗末一钱）
上将鸡子开一小窍，取鸡子清，以瓷碗将黄连末子掺于鸡子清上，用箸彻底速搅打数百
，使成浮沫，约得半碗许，倾出清汁，用点眼 ，勿得紧闭眼胞挤出其药，待热泪涌出，数
次即愈。内加冰片少许尤妙。（按此方治火眼，暴赤疼痛热在肤腠，浅而易解者，点数次可
愈。如热由内发，火在阴分者，不宜用此寒凉，非惟不能去内热，而且闭其火邪也。）
眼睛有专门的学科，许多医书对此论述较少。然而，当其他病症兼见眼部症状时，治疗眼病的道理，怎么可以不明白呢？五脏六腑的精气，虽然都上注于眼睛，但大要则在于三条经脉：肝开窍于目（肝经的经络通向眼睛），所以讨论眼病必须首先从肝论治。然而，如果心神散乱，突然看到不寻常的怪异景象，或者精气涣散导致视物重影，看一个物体变成两个，那么心又是眼病的关键所在，因为所有的脉络都归属于眼睛，而心主血脉；同时脾又是诸阴经汇聚的地方。仔细辨别虚证和实证，再进一步辨别虚实是在气分还是在血分。发病急骤且在表位的属于实证，病程长久且在里位的属于虚证。虚证表现为视物昏花、眼前黑花飞舞、瞳孔散大，在气分则感觉干涩，视物不清；在血分则感觉酸楚、干枯少润泽，治疗应当滋养肝血、安心神，尤其必须先调理脾胃。实证表现为眼睛红赤肿胀疼痛，有翳膜、眼屎和流泪，治疗应当祛风散湿、凉血平肝，这是治疗眼病的大要。点眼和外洗的方药，只适宜用辛平性质的药物，如果使用寒凉且性质凝滞的药物，会导致邪热内攻，反而形成翳障，以及胡乱用冷水、冷药、冷物清洗眼睛，导致失明的情况也有发生，不可不谨慎。
眼睛是肝的窍道，眼病应当归责于肝。凡是红赤肿痛以及青壮年暂时患上的眼病，都按照肝实血热来治疗。肝相火（指肝脏中寄寓的命门之火）……（原文此处似有缺漏或排版错误，结合上下文意译为：治疗应当……）。翻阅坊间书籍，眼科多用苦寒、辛散等药物，这并不适宜。我因此制定了复目汤一方，药物虽然平淡，但屡用屡效。盖因眼睛为……（原文此处似有缺漏）。
一、有时火势暴盛而红痛异常者，使用鸡子黄连膏点眼，不要令患者紧闭双眼，等待热泪涌出，数次即可痊愈。
一、凡是年龄到了中年衰退，或者酒色过度，眼睛没有肿痛，只是羞明昏暗，瞪视无力，眼球疼痛如被抠挖等症状，都属于肝肾不足。治疗参考内障条目的方法。
一、损伤眼睛导致黑睛破损，用牛口涎点入眼中，如果眼球突出，急忙将其揉回原位。每天点两次，必须避风，即使是黑睛破损的情况，也有治愈的可能。
一、眼睛被打伤出现青肿者，用生半夏研为粉末，用水调匀后敷贴患处。
复目汤
当归（二钱） 赤芍（二钱） 大熟地（五、七钱，或用生地） 黄芩（一钱五分，酒炒） 薄荷（二钱） 甘菊（二钱） 甘草（五分） 川芎（一钱）
以上药材加水煎煮，饭后及睡前稍温热服用。发痒加蝉蜕、防风各一钱五分。肿胀加羌活、木通各一钱。疼痛加酒炒黄连。
眼珠夜间疼痛，加夏枯草、香附各二钱。目中红丝增多，加密蒙花二钱。白眼上红不退，加桑白皮三钱。两瞳仁疼痛，去掉川芎，加泽泻一钱五分、盐炒黄柏一钱。肝虚泪多，加鲜首乌五、七钱或一两。红肿但不羞明的，加山萸肉、杜仲各二钱。两眼肿痛如桃，合而为一，疼痛难忍的，先用防风通圣散攻下，然后服用此方加连翘、蔓荆子各一钱五分。
丹砂散（这是李时珍的方子。）点治各种眼病都很奇妙。
海螵蛸（去壳皮） 炉甘石（上好者，煅淬，童便浸七次后飞研使用。） 硼砂（各一两） 辰砂（水飞五钱，用此法则药性不枯燥。）
以上研成极细粉末如灰状，用瓷瓶收贮。临用时少加冰片研匀后点眼。
二百味草花膏
羯羊胆（一枚） 白蜜（五钱，要真白蜜，未用上白洋糖兑过者。）
上将胆汁同蜜和匀，置于碗中，蒸至稠厚如膏状，用瓶收贮。每次用少许点眼，如果日久药干，用人乳润之。
鸡子黄连膏
鸡子（一枚） 黄连（粗末一钱）
上将鸡蛋开一小孔，取出蛋清，用瓷碗将黄连末掺入蛋清中，用筷子彻底快速搅拌数百下，使其成为浮沫，约得半碗许，滤出清汁，用来点眼，不得紧闭眼睑挤出药液，待热泪涌出，数次即可痊愈。内加少许冰片尤其妙。（按：此方治疗火眼，暴赤疼痛热在肤腠，浅而易解者，点数次可愈。如热由内发，火在阴分者，不宜用此寒凉之法，非但不能去除内热，而且会闭阻火邪。）
Eyes have a specialized discipline, and many medical texts discuss it briefly. However, when eye symptoms occur concurrently with other diseases, how can the principles of treating eye diseases be ignored? The essence of the five zang organs and six fu organs all ascend to nourish the eyes, but the general principle lies in three meridians: the Liver opens into the eyes (the liver meridian connects to the eyes), so discussions on eye diseases must begin with the Liver. However, if the Heart spirit is scattered, causing sudden perception of bizarre phenomena, or if essence scatters leading to diplopia (seeing one object as two), then the Heart becomes a critical factor for eye diseases, because all vessels belong to the eyes, and the Heart governs the vessels; meanwhile, the Spleen is the convergence point of all yin meridians. Carefully differentiate between deficiency (Xu) and excess (Shi), and further distinguish whether the pathology resides in Qi or Blood. Acute onset at the exterior level indicates an Excess pattern, while chronic illness at the interior level indicates a Deficiency pattern. In Deficiency patterns, symptoms include blurred vision, floating black spots, and dilated pupils; if in Qi, there is dryness and unclear vision; if in Blood, there is soreness, dryness, and lack of moisture. Treatment should nourish Liver Blood and calm the Heart Spirit, prioritizing the regulation of the Spleen and Stomach. In Excess patterns, symptoms include redness, swelling, pain, epiblepharon (eyelid margin inflammation), discharge, and tearing. Treatment should dispel Wind, scatter Dampness, cool the Blood, and soothe the Liver. This constitutes the general principles of treating eye diseases. For eye drops and washing formulas, only acrid-ping (neutral) herbs are suitable. If cold-cooling and obstructive herbs are used, it may cause pathogenic heat to attack inward, resulting in corneal opacity (Yi Zhang). Furthermore, recklessly washing the eyes with cold water, cold medicines, or cold objects can lead to blindness; this must not be neglected.
The eyes are the orifice of the Liver, so eye diseases should be attributed to the Liver. Any conditions involving redness, swelling, pain, or those occurring temporarily in young adults, should be treated as Liver Excess with Blood Heat. The Liver contains Ministerial Fire... [Text gap inferred]. Reviewing popular ophthalmology books, they often use bitter-cold and acrid-dispersing herbs, which is inappropriate. Therefore, I formulated Fumu Tang (Restore Vision Decoction). Although the herbs are mild, it has proven effective repeatedly. Because the eyes are... [Text gap inferred].
1. When fire flares up severely causing extreme redness and pain, apply Jizi Huanglian Gao (Chicken Egg Coptis Ointment) to the eyes. Do not allow the patient to close their eyes tightly; wait for hot tears to flow out. It will heal after several applications.
2. For individuals whose vitality declines with age, or due to excessive alcohol and sexual indulgence, presenting with no swelling or pain but rather photophobia (fear of light), dim vision, inability to stare steadily, and eyeball pain as if being dug out, these belong to Kidney and Liver Deficiency. Refer to the treatment guidelines for Internal Obstruction (Nei Zhang).
3. For injured eyes with corneal perforation, apply saliva from a cow's mouth. If the eyeball protrudes, gently massage it back into place. Apply twice daily, avoiding wind exposure. Even with corneal perforation, recovery is possible.
4. For contusions and bruising around the eyes caused by blows, prepare a powder of raw Banxia (Pinelliae Rhizoma), mix with water, and apply externally.
Fumu Tang (Restore Vision Decoction)
Danggui (Angelicae Sinensis Radix, 2 qian)
Chishao (Paeoniae Radix Rubra, 2 qian)
Da Shudi (Rehmanniae Radix Praeparata, 5-7 qian, or Shengdi/Sheng Di Huang/Rehmanniae Radix Recens)
Huangqin (Scutellariae Radix, 1.5 qian, stir-fried with wine)
Bohe (Menthae Haplocalycis Herba, 2 qian)
Ganju (Chrysanthemi Indici Flos, 2 qian)
Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian)
Decoct with water. Take slightly warm after meals and before sleep. For itching, add Chan Tui (Cicadae Periostracum) and Fang Feng (Saposhnikoviae Radix), each 1.5 qian. For swelling, add Qiang Huo (Notopterygii Rhizoma et Radix) and Mu Tong (Akebiae Caulis), each 1 qian. For pain, add Jiu Lian (Stir-fried Coptidis Rhizoma). For night pain in the eyeballs, add Xiaku Cao (Prunellae Spica) and Xiang Fu (Cyperi Rhizoma), each 2 qian. For red vessels in the eyes, add Mi Meng Hua (Buddlejae Flos), 2 qian. For persistent redness on the sclera, add Sang Bai Pi (Mori Cortex), 3 qian. For pain in both pupils, remove Chuanxiong and add Ze Xie (Alismatis Rhizoma), 1.5 qian, and Yan Chao Huang Bo (Salt-fried Phellodendri Cortex), 1 qian. For Liver deficiency with excessive tearing, add Xian Shou Wu (Polygoni Multiflori Caulis Recens), 5-7 qian or 1 liang. For redness and swelling without photophobia, add Shan Yu Rou (Corni Fructus) and Du Zhong (Eucommiae Cortex), each 2 qian. For severe bilateral swelling and pain resembling peaches, merging into one, unbearable pain, first administer Fangfeng Tongsheng San (Wind-Barrier Universal Rescue Powder) to purge, then take this formula with added Lian Qiao (Forsythiae Fructus) and Man Jing Zi (Vittadiniae Fructus), each 1.5 qian.
Dansha San (Cinnabar Powder) (This is a formula by Li Shizhen.) It is excellent for treating various eye diseases via application.
Haipiaoxiao (Sepiae Endoconcha, shell and skin removed)
Luganshi (Calamina, superior quality, calcined and quenched, soaked in children's urine seven times, then levigated)
Pengsha (Borax, each 1 liang)
Chensha (Cinnabaris, levigated with water, 5 qian; this method prevents dryness)
Grind into an extremely fine powder like ash. Store in a porcelain bottle. Before use, add a small amount of Bing Pian (Borneolum Syntheticum), grind together, and apply to the eyes.
Er Bai Wei Cao Hua Gao (Two Hundred Herb Flower Ointment)
Jie Yang Dan (Ovis Aries Ovis Biliary Calculus/Gallbladder, one unit)
Bai Mi (White Honey, 5 qian; must be genuine white honey, not mixed with refined sugar)
Mix bile and honey evenly, place in a bowl, steam until thick like paste. Store in a bottle. Use a small amount for eye drops. If the medicine dries over time, moisten with human milk.
Jizi Huanglian Gao (Chicken Egg Coptis Ointment)
Jizi (Chicken Egg, one unit)
Huanglian (Coptidis Rhizoma, coarse powder, 1 qian)
Make a small hole in the egg, extract the egg white. Place the Huanglian powder on top of the egg white in a porcelain bowl. Stir vigorously and rapidly with chopsticks hundreds of times until it forms foam, yielding about half a bowl. Strain the clear liquid and apply to the eyes. Do not squeeze the eyelids tightly to expel the medicine; wait for hot tears to flow out. It heals after several applications. Adding a small amount of Bing Pian (Borneolum Syntheticum) is especially beneficial. (Note: This formula treats "Fire Eye" (acute conjunctivitis), characterized by sudden redness, pain, and heat in the skin and muscles, which is superficial and easy to resolve. Several applications can cure it. However, if heat originates internally and fire resides in the Yin aspect, this cold-cooling method is unsuitable. It cannot remove internal heat and may instead trap the pathogenic fire.)