帷赤烂。人皆有之。火土燥湿。病有重轻。重则 帷裂而血出。轻则弦赤烂而难舒。以清润而为治。何患
病之不除。
此症专言 之赤烂。目无别病也。若目有别病而赤烂者。乃因别火致伤其 。又非此比。赤胜烂者。多
于劳心忧郁忿悖。无形之火所伤。烂胜赤者。多于恣燥嗜酒。哭泣过多。冒火冲烟。风热蒸熏。有形之火
所伤。病属心络。甚则火盛而生疮于 边也。要分大小二 。相火君火。虚实之症。宜服点洗。
防风通圣散（并治中风。一切风热。大便秘结。小便亦涩。眼目赤痛。或热急生风。舌强口噤。
或鼻生紫赤风刺瘾疹。而为肺风。或成风疠。而世呼大麻风。或肠风为痔漏。或肠郁而为诸热。谵妄惊
狂。并皆治之。）
防风 川芎 大黄 赤芍药 连翘 麻黄（去节） 芒硝 苏薄荷 当归 滑石（飞过） 甘草 炒栀仁 白术 桔
梗石膏（ ） 荆芥穗 黄芩（各等分）
上为粗末。每服四钱。姜三片。水二钟煎。食前温服。
按防风、麻黄。解表药也。风热之在皮肤者。得之出汗而泄。荆芥、薄荷。清上药也。风热之在巅顶者。得之
由鼻而泄。大黄、芒硝。通利药也。风热之在肠胃者。得之由后而泄。滑石、栀子。水道药也。风热之在决渎
者。得之由溺而泄。风淫于膈。肺胃受邪。石膏、桔梗。清肺胃也。而连翘、黄芩。又所以祛诸经之游火。风之
为患。肝木主之。川芎、当归。和肝血也。而甘草、白术。又所以和胃气而健脾。刘守真氏长于治火。此方之
旨。详具悉哉。
如目两睑溃烂。或生风粟。白睛红赤。黑睛生翳障。加菊花、黄连、羌活、白蒺藜。名曰菊花通圣散。人弱。大
便不结燥者。减去硝黄。
东垣碧天丸（治目疾屡服寒凉不愈。两目蒸热。有如火熏。赤而不痛。红丝赤脉。满目贯睛。瞀
闷昏暗。羞明畏日。或上下睑赤烂。或不服风土。而内外锐 皆破。以此洗之。）
瓦粉（炒一两） 铜绿（七分为末） 枯白矾（二分）
上研铜绿、白矾令细。旋旋入瓦粉研匀。热水和之。共为丸。如黄豆大。每用一丸。热汤半盏。浸一二时辰。
洗。至觉微涩为度。少闭眼半个时辰许。临卧更洗之。瞑目就睡。尤为神妙。一丸可洗二三日。可在汤内
炖热。此药治其标。为里热已去矣。里实者不宜用此。当泻其实热。
紫金膏
用水飞过虢丹。蜜多水少。文武火熬。以器盛之。点。
眼睑边缘发生赤烂。这是人人都会有的情况。火与土的燥湿偏盛不同，病情有轻有重。重的则眼睑裂开出血，轻的则眼睑边缘红赤溃烂且难以舒展。以清热滋润为治疗原则，何必担心病不能痊愈。
此症专门论述眼睑边缘的赤烂，眼睛没有其他病症。如果眼睛有其他病症而伴随赤烂，那是因其他火热之邪损伤了眼睑，又不属于这种情况。赤色多于溃烂的，多因劳心、忧郁、愤怒等无形之火所伤；溃烂多于赤色的，多因恣意吃燥热食物、嗜酒、哭泣过多、冒犯烟火、风热蒸熏等有形之火所伤。病位属于心络，严重时火热旺盛会在眼睑边缘生疮。要区分大小两睑。相火与君火，虚证与实证的症状不同，适宜服用并外用点洗药物。
防风通圣散（同时治疗中风，一切风热，大便秘结，小便也不通畅，眼睛红赤疼痛，或者热急生风，舌体僵硬口噤不开，或者鼻部生出紫红色的粉刺瘾疹，从而成为肺风，或者形成风疠，世人称为大麻风，或者肠风导致痔漏，或者肠道郁滞导致各种热证，谵语妄言惊狂，都一并治疗。）
防风、川芎、大黄、赤芍药、连翘、麻黄（去节）、芒硝、苏薄荷、当归、滑石（飞过）、甘草、炒栀子仁、白术、桔梗、石膏、荆芥穗、黄芩（各等分）。
以上药材研成粗末。每次服用四钱，加生姜三片，水二钟煎煮。饭前温服。
按：防风、麻黄是解表药。风热在皮肤里的，靠它们出汗而泄出。荆芥、薄荷是清上焦药。风热在头顶的，靠它们由鼻腔而泄出。大黄、芒硝是通利药。风热在肠胃里的，靠它们由后阴而泄出。滑石、栀子是水道药。风热在三焦决渎之官的，靠它们由小便而泄出。风邪淫溢于膈膜，肺胃受邪，石膏、桔梗能清肺胃。而连翘、黄芩又能祛除各条经络中的游移之火。风的为患，由肝木主司。川芎、当归能调和肝血。而甘草、白术又能调和胃气而健脾。刘守真先生擅长治火，这个方子的宗旨，详尽完备啊。
如果双眼睑溃烂，或者生风粟，白睛红赤，黑睛生翳障，加入菊花、黄连、羌活、白蒺藜。名叫菊花通圣散。身体虚弱，大便不干燥结实的，减去芒硝、大黄。
东垣碧天丸（治疗眼疾多次服用寒凉药不愈，两眼蒸热，像火熏一样，红而不痛，红丝赤脉布满眼球，视物模糊头晕昏暗，怕光畏日，或者上下眼睑赤烂，或者不服水土，内外眼角都破溃，用此药清洗。）
以上将铜绿、白矾研细，慢慢加入瓦粉研匀。热水调和，共做成丸药，如黄豆大。每次用一丸，半盏热汤，浸泡一二个时辰。清洗。直到感觉微微涩为止，稍闭眼半个时辰左右，临睡前再洗一次，闭目睡觉，尤其神妙。一丸可以洗二三天，可以在汤里炖热。此药治其标，因为里热已去。里实者不宜用此，应当泻其实热。
用水飞法处理的铅丹，蜂蜜多水少，用文武火熬制。用器皿盛装。点眼。
The eyelid margins suffer from redness and ulceration. This condition is common to all individuals. Due to the varying degrees of dryness and dampness associated with Fire and Earth, the severity of the illness differs. In severe cases, the eyelids crack and bleed; in mild cases, the eyelid margins are red and ulcerated, making it difficult to open or relax them. Treatment should focus on clearing heat and moistening; there is no need to worry about the failure to cure the disease.
This section specifically discusses redness and ulceration of the eyelid margins, assuming no other eye diseases are present. If redness and ulceration occur alongside other eye diseases, it is due to injury caused by other pathogenic fire factors, which is a different scenario. When redness predominates over ulceration, it is often caused by "formless fire" resulting from mental exertion, depression, anger, and frustration. When ulceration predominates over redness, it is often caused by "material fire" resulting from excessive consumption of dry/hot foods, alcohol, excessive crying, exposure to smoke and fire, and steaming by wind-heat. The pathology belongs to the Heart collaterals. In severe cases, excessive fire may generate sores on the eyelid margins. One must distinguish between the upper and lower eyelids. The patterns involve Ministerial Fire and Sovereign Fire, as well as deficiency and excess syndromes. It is appropriate to take internal medicine and use external washing/dropping therapies.
Fangfeng Tongsheng San (Windproof Unblocking Powder) [Formula] (Also treats stroke, all types of wind-heat, constipation, dysuria, red and painful eyes, or acute heat generating wind, stiff tongue and locked jaw, purple-red acne-like rashes on the nose leading to Lung Wind, or Fengli [wind leprosy], commonly known as leprosy, intestinal wind causing hemorrhoids and fistulas, intestinal stagnation causing various heat syndromes, delirium, mania, and convulsions.)
Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Dahuang (Rhei Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), Lianqiao (Forsythiae Fructus), Mahuang (Ephedrae Herba - nodes removed), Mangxiao (Natrii Sulfas), Subohetie (Menthae Haplocalycis Herba), Danggui (Angelicae Sinensis Radix), Huashi (Talcum - washed), Gancao (Glycyrrhizae Radix et Rhizoma), Chao Zhiren (Gardeniae Semen - fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Jiegeng (Platycodonis Radix), Shigao (Gypsum Fibrosum), Jingjie Sui (Schizonepetae Spica), Huangqin (Scutellariae Radix) (all in equal proportions).
Grind the above into a coarse powder. For each dose, take 4 qian, add 3 slices of ginger, and decoct in 2 zhong of water. Take warm before meals.
Note: Fangfeng and Mahuang are exterior-releasing herbs. For wind-heat located in the skin, they induce sweating to expel the pathogen. Jingjie and Bohetie are superior-clearing herbs. For wind-heat located at the vertex, they expel the pathogen via the nasal cavity. Dahuang and Mangxiao are purgative/laxative herbs. For wind-heat located in the stomach and intestines, they expel the pathogen via the posterior orifice. Huashi and Zhizi are diuretic/herbs affecting the water passages. For wind-heat located in the Sanjiao (Triple Burner), they expel the pathogen via urination. When wind pathogens overflow the diaphragm, affecting the Lung and Stomach, Shigao and Jiegeng clear the Lung and Stomach. Meanwhile, Lianqiao and Huangqin dispel wandering fire from the meridians. Pathologies of wind are governed by Liver Wood. Chuanxiong and Danggui harmonize Liver blood. Gancao and Baizhu harmonize Stomach Qi and strengthen the Spleen. Liu Shouzhen was skilled in treating fire; the intent of this formula is thoroughly detailed here.
If both eyelids are ulcerated or develop millet-like bumps, the sclera is red, and the cornea has opacities, add Juhua (Chrysanthemi Flos), Huanglian (Coptidis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), and Baijili (Tribuli Fructus). This is named Juhua Tongsheng San (Chrysanthemum Unblocking Powder). For patients who are weak or have non-dry stools, reduce or omit Mangxiao and Dahuang.
Dongyuan Bitian Wan (East Garden Blue Sky Pill) [Formula] (Treats eye diseases that do not improve after repeated use of cold/cooling herbs, characterized by a steaming heat sensation in both eyes like being smoked by fire, redness without pain, red vessels filling the eyeballs, blurred vision and dizziness, photophobia, redness and ulceration of upper and lower eyelids, or intolerance to local climate causing erosion of the inner and outer canthi. Wash with this preparation.)
Wafen (Tile Powder - stir-fried, 1 liang), Tonglv (Malachite - ground to powder, 7 fen), Kubai Fan (Calcined Alum - 2 fen).
Grind Tonglv and Kubai Fan finely. Gradually mix in Wafen until uniform. Blend with hot water to form pills the size of soybeans. Use one pill per application. Soak in half a cup of hot water for 1-2 shichen (2-4 hours). Wash the eyes. Stop when a slight astringent sensation is felt. Close the eyes for about half an hour. Wash again before sleep. Closing the eyes to sleep afterwards is particularly miraculous. One pill can be used for 2-3 days; it can be warmed in the water bath. This medicine treats the branch (symptoms), indicating that the interior heat has been cleared. It is not suitable for interior excess conditions; instead, purge the excess heat.
Zijin Gao (Purple Gold Ointment) [Formula]
Use Guadan (Lead Oxide - processed by water flotation). Use more honey and less water. Simmer using moderate and strong heat. Store in a vessel. Apply to the eyes.