风动而生热。譬犹烈火焰而必吹。此物类感召。而不能违间者也。因热而召。是为外来。久热不散。感而自
生。是为内发。内外之邪。为病则一。淫热之祸。条例如前。益以风邪。害岂纤止。风加头痛。风加鼻塞。风加肿
胀。风加涕泪。风加脑巅沉重。风加眉骨酸疼。有一于此。羌活胜风汤主之。风加痒。则以杏仁龙胆草泡散
洗之。病者有此数证。或不服药。或误服药。翳必随之而生。翳如云雾。翳如丝缕。翳如秤星。翳如秤星者或
一点。或三四点。而至数十点。翳如螺盖者。为病久不去。治不如法。至于极至。为服寒凉药过多。脾胃受伤。
生意不能上升。渐而至也。然必要明经络。方能应手。凡翳自内 而出。为手太阳足太阳受邪。治在小肠
膀胱经。加蔓荆子、苍术。羌活胜风汤主之。自锐 客主人而入者。为足少阳手少阳手太阳受邪。治在胆
与三焦小肠经。加龙胆草、 本。少加人参。羌活胜风汤主之。自目系而下者。为足厥阴手少阴受邪。治在
肝经心经。加黄连。倍加柴胡。羌活胜风汤主之。自抵过而上者。为手太阳受邪。治在小肠经。加木通、五味
子。羌活胜风汤主之。热甚者兼用治淫热之药。 鼻碧云散。俱治以上之证。大抵如开锅盖法。 之随效。
然力少而锐。宜不时用之。以聚其力。虽然。始者易而久者难。渐复而复。渐复而又复可也。急于复者则不
治。今世医用磨翳药者有之。用手法揭翳者有之。噫。翳犹疮也。奚能即愈乎。庸医用此。非徒无益。增害尤
甚。愚者蒙害。欣然而不悟。可胜叹哉。故置风热不制之病治法。
羌活胜风汤（风胜者服。兼治眵多 。紧涩羞明。赤脉贯睛。头痛鼻塞。肿巅涕泪。脑岩沉
重。眉骨酸疼。外翳如云雾丝缕秤星螺盖。）
柴胡（七分） 黄芩 白术（各六分） 荆芥穗 枳壳 川芎 白芷 川羌活 防风 独活
前胡 苏薄荷（各五分） 桔梗 甘草（各三分）
上锉剂。白水二钟。煎至八分。去滓。食后热服。
上方为风热不制而作也。夫窍不利者。皆脾胃不足之证。故先以枳壳、白术。调治胃气为君。羌活。川芎。
白芷、独活、防风、前胡诸治风药。皆主升发为臣。桔梗除寒热。薄荷、荆芥清利上焦。甘草和百药为佐。柴
胡解热。行少阳厥阴经。黄芩疗上热。主目中赤肿为使。又治伤寒愈后之病。热服者。热性炎上。令在上
散。不令流下也。生翳者。随翳所见经络加药。翳凡自内 而出者加蔓荆子。治太阳经加苍术。去小肠
膀胱之湿。内 者。手太阳足太阳之属也。自锐 而入。客主人斜下者。皆用龙胆草。为胆草味苦。与胆
味合。少加人参。益三焦之气。加 本。乃太阳经风药。锐 客主人者。足少阳手少阳手太阳之属也。凡
自目系而下者。倍加柴胡行肝气。加黄连泻心火。目系者。足厥阴手少阴之属也。自抵过而上者。加木
通。导小肠中热。五味子酸以收敛。抵过者。手太阳之属也。
杏仁龙胆草泡散（治风热上攻。 赤痒。）
滑石（另研取末） 龙胆草 黄连 当归尾 杏仁（去皮尖） 赤芍药（各一钱） 以白沸汤泡
顿蘸洗。冷热任意。不拘时候。
上方以龙胆草、黄连苦寒去热毒为君。当归尾行血。杏仁润燥为佐。滑石甘寒泄气。赤芍药苦酸除痒
为使。惟风痒者可用。
风邪扰动而生热，就像烈火燃烧时必然需要风吹一样。这是事物类别之间相互感召的自然规律，无法违背。因外热而招致风邪，称为“外来”；久热不散，由内感而自生风热，称为“内发”。无论是外来的还是内部的邪气，致病后的表现是一致的。淫热之祸的条例如前所述，若再加上风邪的危害，岂止是轻微的小病？风邪侵袭头部导致头痛，风邪侵袭鼻窍导致鼻塞，风邪侵袭面部导致肿胀，风邪侵袭眼部导致涕泪交加，风邪侵袭头顶导致沉重感，风邪侵袭眉骨导致酸疼。出现上述任何一种症状，均以羌活胜风汤为主治方剂。若风邪侵袭导致眼痒，则用杏仁龙胆草泡散清洗。患者若出现这些证候，或者不服药，或者误服药物，内障翳膜必定随之产生。翳膜形态如同云雾，如同丝缕，如同秤星。所谓“翳如秤星”，可能是一个点，也可能是三四个点，甚至多达数十个点。所谓“翳如螺盖”，是因为病程长久未愈，治疗不得法，发展到极致，往往是由于服用过多寒凉药物，损伤了脾胃，导致生机不能上升，逐渐形成的。然而，必须明确经络归属，才能用药应手见效。凡是翳膜从内部向外生成的，属于手太阳经和足太阳经受邪，治疗应在小肠经和膀胱经，加入蔓荆子、苍术，以羌活胜风汤为主治方剂。凡是翳膜从锐眦（眼角）经过客主人穴（听宫穴附近）进入的，属于足少阳经、手少阳经和手太阳经受邪，治疗应在胆经、三焦经和小肠经，加入龙胆草、藁本，少量加入人参，以羌活胜风汤为主治方剂。凡是翳膜从目系向下延伸的，属于足厥阴经和手少阴经受邪，治疗应在肝经和心经，加入黄连，加倍使用柴胡，以羌活胜风汤为主治方剂。凡是翳膜从内眦向上生长的，属于手太阳经受邪，治疗应在小肠经，加入木通、五味子，以羌活胜风汤为主治方剂。热势严重的，兼用治疗淫热的药物，以及碧云散，均能治疗上述证候。大抵治疗方法如同揭开锅盖一样，随证施治，随即见效。然而药力较小且作用锐利，适宜不时使用，以聚集药力。虽然如此，初期容易治愈，日久难治，应逐渐恢复，反复调理。急于求成反而难以治愈。当今世医中，有用磨翳药的，有用手法揭翳的。唉！翳膜犹如疮疡，怎能立即痊愈呢？庸医使用这些方法，不仅无益，反而增加危害，使愚者受害却欣然不觉悟，真是令人叹息啊。因此，在此放置风热不制之病的治疗方法。
羌活胜风汤（适用于风邪偏盛者，兼治眼屎多、眼睑紧涩羞明、赤脉贯睛、头痛鼻塞、头面肿胀、头顶沉重、眉骨酸疼、外障翳膜如云雾丝缕秤星螺盖。）
柴胡（七分） 黄芩 白术（各六分） 荆芥穗 枳壳 川芎 白芷 川羌活 防风 独活 前胡 苏薄荷（各五分） 桔梗 甘草（各三分）
以上药材切碎为剂，用水二钟，煎至八分，去渣，饭后热服。
上方是针对风热不制而设立的方剂。凡孔窍不利者，都是脾胃不足的证候，所以先用枳壳、白术调治胃气作为君药。羌活、川芎、白芷、独活、防风、前胡等祛风药，都主升发，作为臣药。桔梗除寒热，薄荷、荆芥清利上焦，甘草调和诸药作为佐药。柴胡解热，运行于少阳、厥阴经；黄芩治疗上焦热，主治目中赤肿，作为使药。又用于治疗伤寒痊愈后的余病。热服的原因在于，热性炎上，能使药力在上部发散，而不流注于下部。生成翳膜的，根据翳膜所在的经络加入相应药物。凡是翳膜从内眦向外生成的，加入蔓荆子；治疗太阳经加入苍术，去除小肠、膀胱之湿。内眦属于手太阳、足太阳经范畴。从锐眦进入，经过客主人穴斜下方者，都用龙胆草，因为龙胆草味苦，与胆味相合，少量加入人参，补益三焦之气，加入藁本，这是太阳经的风药。锐眦和客主人穴属于足少阳、手少阳、手太阳经范畴。凡是自目系向下延伸的，加倍使用柴胡以行肝气，加入黄连以泻心火。目系属于足厥阴、手少阴经范畴。自内眦向上生长的，加入木通，引导小肠中的热邪，五味子酸味以收敛。内眦属于手太阳经范畴。
杏仁龙胆草泡散（治疗风热上攻，目赤眼痒。）
滑石（另研取末） 龙胆草 黄连 当归尾 杏仁（去皮尖） 赤芍药（各一钱） 用白沸汤浸泡，顿蘸洗眼，冷热随意，不拘时候。
上方以龙胆草、黄连的苦寒之性去除热毒作为君药，当归尾活血，杏仁润燥作为佐药，滑石甘寒泄气，赤芍药苦酸除痒作为使药。只有风痒证才可使用此方。
Wind stirring generates heat. It is like a fierce flame that must be blown by wind. This is the mutual induction among categories of things, which cannot be violated. Attracted by external heat, it is called "external origin"; prolonged heat not dissipating, generating wind-heat from internal sensation, is called "internal origin". Whether the pathogenic factors are external or internal, the resulting disease manifestations are identical. The disasters of excessive heat have been detailed previously; adding the harm of wind pathogens, how could it be merely minor ailments? Wind causing headache, wind causing nasal congestion, wind causing swelling, wind causing tearing and runny nose, wind causing heaviness in the crown of the head, wind causing soreness and pain in the brow bones. If any of these occur, Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind) is the primary prescription. If wind causes itching, wash with Xingren Longdancao Paosan (Almond and Gentian Soaking Powder). If patients have these syndromes but do not take medicine or take incorrect medicine, nebulae (cataracts/opacities) will inevitably follow. Nebulae may appear like clouds and mist, like silk threads, or like star scales. "Nebulae like star scales" may be one spot, three or four spots, or even dozens of spots. "Nebulae like snail covers" result from long-standing illness without resolution, improper treatment reaching its extreme, often due to excessive consumption of cold-natured medicines damaging the Spleen and Stomach, preventing the rising of vital energy, gradually forming. However, one must clearly understand the meridians to achieve effective results. Any nebula originating from the inner canthus outward indicates pathogenic invasion of the Hand-Taiyang and Foot-Taiyang meridians; treatment should focus on the Small Intestine and Bladder meridians, adding Vitex Fruit (Man Jing Zi) and Atractylodes Rhizome (Cang Zhu), primarily using Qianghuo Shengfeng Tang. Any nebula entering from the outer canthus through the Kezhuren acupoint indicates pathogenic invasion of the Foot-Shaoyang, Hand-Shaoyang, and Hand-Taiyang meridians; treatment should focus on the Gallbladder, Sanjiao, and Small Intestine meridians, adding Gentian Root (Long Dan Cao) and Ligusticum Rhizome (Gao Ben), with a small amount of Ginseng Radix et Rhizoma (Ren Shen), primarily using Qianghuo Shengfeng Tang. Any nebula extending downward from the eye connection (Mu Xi) indicates pathogenic invasion of the Foot-Jueyin and Hand-Shaoyin meridians; treatment should focus on the Liver and Heart meridians, adding Coptis Rhizome (Huang Lian), doubling the dosage of Bupleurum Root (Chai Hu), primarily using Qianghuo Shengfeng Tang. Any nebula growing upward from the inner canthus indicates pathogenic invasion of the Hand-Taiyang meridian; treatment should focus on the Small Intestine meridian, adding Akebia Caulis (Mu Tong) and Schisandra Berry (Wu Wei Zi), primarily using Qianghuo Shengfeng Tang. In cases of severe heat, combine with medicines treating excessive heat, as well as Biyun San (Green Cloud Powder), both capable of treating the above syndromes. Generally, the treatment method is like lifting a pot lid; apply according to symptoms for immediate effect. However, the medicinal force is mild yet sharp, suitable for intermittent use to accumulate efficacy. Although so, initial stages are easy to treat while chronic stages are difficult; gradual recovery and repeated regulation are appropriate. Rushing recovery leads to non-healing. Some modern physicians use corneal abrasion methods, others use manual techniques to remove opacities. Alas! Opacities are like ulcers; how can they heal immediately? Quack doctors using these methods bring no benefit but increase harm, causing fools to suffer without realizing it, truly lamentable. Therefore, the treatment methods for diseases of uncontrolled wind-heat are placed here.
Qianghuo Shengfeng Tang (For those with dominant wind pathogens, also treats excessive eye discharge, tight and light-sensitive eyelids, red vessels crossing the pupil, headache, nasal congestion, facial swelling, heaviness in the crown, soreness in brow bones, external opacities like clouds, silk, stars, or snail shells.)
Chai Hu (7 fen) Huang Qin Bai Zhu (each 6 fen) Jing Jie Sui Zhi Ke Chuan Xiong Bai Zhi Chuan Qiang Huo Fang Feng Du Huo Qian Hu Su Bo He (each 5 fen) Jie Geng Gan Cao (each 3 fen)
Crush the ingredients into a decoction packet. Add two zhong of water, boil until reduced to eight fen, remove dregs, and take hot after meals.
The above formula was established for conditions caused by uncontrolled wind-heat. Obstruction of orifices is generally a syndrome of Spleen and Stomach deficiency. Thus, Zhi Ke and Bai Zhu are used first to regulate Stomach Qi as the Sovereign drug. Qiang Huo, Chuan Xiong, Bai Zhi, Du Huo, Fang Feng, Qian Hu, and other wind-dispelling drugs act as Ministers, primarily promoting ascending and dispersing actions. Jie Geng removes cold and heat; Bo He and Jing Jie clear and benefit the Upper Jiao; Gan Cao harmonizes all drugs as an Assistant. Chai Hu resolves heat and circulates through the Shaoyang and Jueyin meridians; Huang Qin treats upper heat and main redness and swelling of the eyes as an Envoy. It also treats residual illnesses after recovery from Shanghan (Cold Damage). Taking it hot is because heat nature rises, allowing the medicinal power to disperse in the upper body rather than flowing downward. For generated opacities, add herbs according to the involved meridians. Opacities originating from the inner canthus outward: add Man Jing Zi. Treating Taiyang meridians: add Cang Zhu to remove dampness from the Small Intestine and Bladder. The inner canthus belongs to the Hand-Taiyang and Foot-Taiyang categories. Entering from the outer canthus through Kezhuren obliquely downward: use Long Dan Cao, as its bitter taste matches the Gallbladder flavor. Add a little Ren Shen to boost Qi of the Sanjiao. Add Gao Ben, a wind-drug of the Taiyang meridian. The outer canthus and Kezhuren belong to the Foot-Shaoyang, Hand-Shaoyang, and Hand-Taiyang categories. Extending downward from the eye connection: double Chai Hu to move Liver Qi, add Huang Lian to drain Heart Fire. The eye connection belongs to the Foot-Jueyin and Hand-Shaoyin categories. Growing upward from the inner canthus: add Mu Tong to guide heat from the Small Intestine, Wu Wei Zi uses sourness to astringe. The inner canthus belongs to the Hand-Taiyang category.
Xingren Longdancao Paosan (Treats wind-heat attacking upward, redness and itching of the eyes.)
Hua Shi (separately ground to powder) Long Dan Cao Huang Lian Dang Gui Wei Xing Ren (peeled and core removed) Chi Shao Yao (each 1 qian) Soak in boiling white water, dip and wash as desired, temperature flexible, time unrestricted.
In this formula, Long Dan Cao and Huang Lian use their bitter-cold nature to remove heat toxins as the Sovereign drug. Dang Gui Wei moves blood, Xing Ren moistens dryness as Assistants. Hua Shi is sweet-cold and drains Qi; Chi Shao Yao is bitter-sour and relieves itching as an Envoy. This is only applicable for wind-itch syndromes.