赤膜下垂脑蕴热，珠若痛时有滞血，要求变症不生时，上睥瘀血须开决。
此症初起甚微，次后甚大，大者病急，其患有障，色赤，多赤脉，从白轮贯下也。而黑
珠上边，从白际起障一片，仍有赤丝牵绊，胀大丝粗，赤甚泪涩，珠疼头痛者，病急而有变
丝细少，色微赤，珠不疼，头不痛者，缓而不变。亦有珠虽不疼头不痛者，如无他症，或
只色赤而生薄障，障上仍有细丝牵绊，或于障边丝下，仍起星数点，此星亦是凝脂之微病也
此等皆是火在内滞之患，其病尚轻，治亦当善。盖无形之火，潜入膏内，故作是症，非比
有形血热之重也。若障上有丝，及星生于丝梢，皆是退迟之病，为接得丝脉中生气，故易生
而难退，虽然退迟，亦善退为上，至于甚者，不得已而开导之。大抵白珠上半边，有赤脉生
起，垂下黑珠者，不论多寡，但有疼痛虬赤，便是凶症。纵是丝少赤微，或细粗连断，或贯
瞳神，或翳薄翳浓，皆是恶症。便是可治，亦当耐久。此症系湿热在脑，幽隐之火，深潜在
络，故有此脉之赤，四围虽无瘀血，其深处亦有滞积。故滞深而火赤甚，一旦触发，则患迸
发，疾亦甚矣。内见涩滞，外有此病，轻者消散，重者开导，此一定之治法也。宜服∶
皂角丸 治内外一切障膜，此药能消膜遮翳，治十六般内障，同生熟地黄丸用之，神效
穿山甲（炒） 蝉蜕 白术（土炒） 玄精石（生用） 谷精草 当归（酒洗） 茯苓 木贼草
赤芍药（各一两） 龙蜕（七条，炒） 连翘（一两半） 刺 皮（蛤粉炒） 龙胆草（炒） 菊花（各两半）
人参 真川芎（各五钱） 猪爪（三十枚，蛤粉炒）
上为细末，一半入猪牙皂角二条，烧灰和匀，炼蜜为丸，如桐子大。每服三十丸，空心
杏仁汤送下。一半入仙灵脾一两，为末和匀，每服一钱，用猪肝夹药煮熟，细嚼，及用原汁
汤送下，每日进三服。
洗眼金丝膏 治远年近月，翳膜遮睛，攀睛 肉，昏暗泪多，瞻视不明，或风气攻注，
睑生风粟，或连眶赤烂，怕日羞明，隐涩难开。
黄连（去须，五钱） 雄黄（研飞，二钱） 麝香（另研，五分） 赤芍药 朱砂（另研） 乳香（另
研） 硼砂（另研） 当归尾（各二钱五分）
上为细末，后入研药拌匀，再研，炼蜜为丸，如皂角子大。每用一丸，安净盏内，沸汤
泡开，于无风处洗，药冷，闭目少时，候三两时辰，再煨热，根据前洗，一丸可洗三五次，
勿犯铜铁器内洗，如暴赤眼肿者，不可洗也。
赤膜下垂症，是由于脑部蕴积热邪所致；若黑珠（瞳孔/晶状体区域）疼痛且伴有瘀血阻滞，必须在病情发生变异之前，及时疏通上眼睑的瘀血。
此症初起时症状很轻微，随后逐渐加重变得严重。病情严重的表现为：眼部有障蔽物，颜色发红，布满红色血脉，这些赤脉从眼白部分（白轮）向下贯穿至黑珠上方，形成一片障蔽，仍有红色血丝牵连束缚，血管胀大且变粗，红色深重，流泪涩痛，黑珠疼痛并伴有头痛者，属于病势急迫且有发生变证的风险；若血丝细少，颜色微红，黑珠不疼，头部不痛者，则病势缓和且不易发生变证。也有黑珠虽不疼、头部不痛的情况，如果没有其他症状，或者只是颜色发红并生出薄障，障上仍有细丝牵连，或在障边丝下又生出数点星状物，这种“星”也是凝脂病的轻微表现。这些情况都是由于火邪在体内停滞造成的隐患，病情尚轻，治疗也应当妥善进行。这是因为无形的火邪潜入膏内，所以产生这种病症，不同于有形血热的重症。如果障上有血丝，以及星状物生于丝梢，都是消退缓慢的疾病，因为接引了丝脉中的生气，所以容易生成却难以消退。虽然消退缓慢，但也以顺利消退为上策，至于特别严重的，不得已时才采用开导（手术或强力通络）的方法。大致而言，眼白上半边有赤脉生起，垂下覆盖黑珠的，不论多少，只要有疼痛和虬曲般的深红，就是凶险的病症。即使是血丝少、红色微淡，或者粗细相连中断，或者贯穿瞳神，或者翳薄翳浓，都属于恶症。即便是可以治疗的，也需要持久的时间。此症系湿热在脑，幽隐之火深潜于络脉，所以出现脉络发红。四周虽然没有明显的瘀血，但深处也有停滞积聚。因此滞积深而火邪赤盛，一旦触发，病患就会迸发，疾病也会非常剧烈。内部见涩滞，外部有此病，轻者消散，重者开导，这是一定的治法。适宜服用：
皂角丸：治疗内外一切障膜，此药能消除膜遮翳，治疗十六般内障，与生熟地黄丸同用，效果神奇。
配方：穿山甲（炒）、蝉蜕、白术（土炒）、玄精石（生用）、谷精草、当归（酒洗）、茯苓、木贼草、赤芍药（各一两）、龙蜕（七条，炒）、连翘（一两半）、刺蒺藜皮（蛤粉炒）、龙胆草（炒）、菊花（各两半）、人参、真川芎（各五钱）、猪爪（三十枚，蛤粉炒）。
制法：以上药材研为细末，取一半加入烧成灰的两条猪牙皂角，混合均匀，用炼蜜制成梧桐子大小的丸剂。每次服用三十丸，空腹时用杏仁汤送服。另一半加入一两仙灵脾，研为细末混合均匀，每次服用一钱，用猪肝夹药煮熟，细细咀嚼，并用原汁汤送下，每日进服三次。
洗眼金丝膏：治疗长年累月形成的翳膜遮睛、攀睛胬肉，视物昏暗泪多，瞻视不明，或因风气攻注，眼睑生风粟，或眼眶连片赤烂，怕日羞明，隐涩难开。
配方：黄连（去须，五钱）、雄黄（研飞，二钱）、麝香（另研，五分）、赤芍药、朱砂（另研）、乳香（另研）、硼砂（另研）、当归尾（各二钱五分）。
制法：以上药材研为细末，后加入已单独研磨的药物拌匀，再共同研磨，用炼蜜制成如皂角子大小的丸剂。每次取一丸，放在干净的盏内，用沸水冲泡开，在无风处清洗眼睛，药液变冷后，闭目休息片刻，等候两三时辰，再将药液加热，按照前述方法清洗，一丸可清洗三到五次，切勿在铜铁器中清洗，如果是暴发性赤眼肿胀者，不可使用此法清洗。
**Red Membrane Drooping Syndrome** is caused by the accumulation of heat in the brain; if there is pain in the black pearl (pupil/cornea area) accompanied by blood stasis, one must promptly resolve the blood stasis in the upper eyelid before pathological changes occur.
This condition initially presents with very mild symptoms, which subsequently become severe. In severe cases, there are opacities, redness, and numerous red vessels extending from the white part of the eye (sclera) downwards across the upper edge of the black pearl, forming a patch of opacity still tethered by red filaments. The vessels are distended and thickened, with intense redness, tearing, astringency, pain in the black pearl, and headache; this indicates an acute disease process with the risk of transformation. If the filaments are fine and few, the color is slightly red, the black pearl is not painful, and there is no headache, the course is slow and less likely to transform. There are also cases where the black pearl is not painful and the head does not hurt; if there are no other symptoms, or only slight redness with thin opacity, with fine filaments tethering it, or several "star-like" spots appearing under the filaments at the edge of the opacity, these "stars" are also minor manifestations of **Nourishing Fat Disease** (Corneal Ulcer). These conditions are all due to the stagnation of fire within, representing a relatively mild pathology that should be treated properly. This is because formless fire has secretly penetrated into the essence/gel, causing such symptoms, which differs from the severity of tangible blood-heat. If filaments exist on the opacity, and star-like spots arise at the tips of the filaments, these are diseases that recede slowly because they draw upon the vital energy (Sheng Qi) within the vessel network; thus, they are easy to generate but difficult to resolve. Although recession is slow, successful resolution is the ideal outcome; for severe cases, guidance/dredging (surgical or strong unblocking methods) is employed as a last resort. Generally speaking, if red vessels arise from the upper half of the white part of the eye and droop over the black pearl, regardless of quantity, if there is pain and tortuous deep redness, it is a ominous sign. Even if the filaments are few and redness is slight, or if they are continuous or interrupted, penetrating the pupil, or presenting as thin or dense opacities, these are all malignant signs. Even if treatable, it requires a long duration. This syndrome is caused by damp-heat in the brain and hidden fire lurking deeply in the collaterals, resulting in redness of the vessels. Although there may be no obvious blood stasis around the periphery, there is stagnation and accumulation in the depths. Therefore, deep stagnation and intense fire, once triggered, cause the disease to erupt violently. Internally there is astringency and stagnation, externally this disease manifests; mild cases are dispersed, severe cases are dredged—this is a fixed treatment principle. Suitable to take:
**Zaojiao Wan (Gleditsia Sinensis Pill)**: Treats all internal and external opacities and membranes. This medicine can dissolve membrane obstructions and treat sixteen types of internal cataracts. It is used together with **Sheng Shu Dihuang Wan** (Raw and Cooked Rehmannia Pill) with miraculous effects.
Ingredients: *Scales Pangolin* (Chuan Shan Jia, stir-fried), *Cicada Slough* (Chan Tui), *Atractylodes Macrocephala Rhizome* (Bai Zhu, stir-fried in soil), *Xuanjing Stone* (used raw), *Valerian Flower Head* (Gu Jing Cao), *Angelica Sinensis Root* (Dang Gui, washed in wine), *Poria Cocos* (Fu Ling), *Equisetum Hiemale Herb* (Mu Zei Cao), *Red Peony Root* (Chi Shao Yao) (each 1 liang), *Dragon Slough* (Long Tui, 7 strips, stir-fried), *Forsythia Fruit* (Lian Qiao) (1.5 liang), *Tribulus Terrestris Pericarpium* (Ci Ji Li Pi, stir-fried with clam powder), *Gentiana Scabra Root* (Long Dan Cao, stir-fried), *Chrysanthemum Morifolium Flower* (Ju Hua) (each 2.5 liang), *Ginseng Radix et Rhizoma* (Ren Shen), *Ligusticum Chuanxiong Rhizome* (Zhen Chuan Xiong) (each 5 qian), *Porcinus Pes* (Zhu Zhao, 30 pieces, stir-fried with clam powder).
Preparation: Grind the above ingredients into a fine powder. Take half of the powder and mix it evenly with the ash of two strips of *Gleditsia Sinensis Fruit* (Zhu Ya Zao Jiao) burned to ash. Form pills using refined honey, sized like paulownia seeds. Take 30 pills each time, administered on an empty stomach with Apricot Kernel Decoction. Take the remaining half of the powder and mix it evenly with 1 liang of *Epimedium Leaf* (Xian Ling Pi) ground into powder. Take 1 qian each time. Wrap the medicine in pig liver, cook until done, chew thoroughly, and swallow with the original cooking broth. Administer three times daily.
**Xiyan Jin Si Gao (Eye-Washing Golden Silk Ointment)**: Treats long-standing opacities obscuring the vision, pterygium (fleshy growth), dim vision with excessive tearing, unclear gaze, or attacks by wind-pathogens causing wind-millet bumps on the eyelids, redness and ulceration of the orbital rim, photophobia, astringency, and difficulty opening the eyes.
Ingredients: *Coptis Chinensis Rhizome* (Huang Lian, remove stamens, 5 qian), *Realgar* (Xiong Huang, finely ground and floated, 2 qian), *Musk* (She Xiang, separately ground, 5 fen), *Red Peony Root* (Chi Shao Yao), *Cinnabar* (Zhu Sha, separately ground), *Frankincense* (Ru Xiang, separately ground), *Borax* (Peng Sha, separately ground), *Angelica Sinensis Tail* (Dang Gui Wei) (each 2.5 qian).
Preparation: Grind the above ingredients into a fine powder. Then add the separately ground medicines, mix well, and grind again. Form pills using refined honey, sized like soap bean pods. Use one pill each time. Place it in a clean cup, brew with boiling water. Wash the eyes in a draft-free place. When the medicine cools, close the eyes for a short while. Wait for two to three shichen (4–6 hours), then re-warm the solution. Wash according to the previous method. One pill can be used for three to five washes. Do not wash in copper or iron vessels. This method is contraindicated for acute red and swollen eyes.