《龙木论》治小儿疳眼外障。此眼初患时，皆因脑头上有疮，或因经日多时，泻痢潜冲，疼痛泪出难开，膈
间伏热，气肝风入眼。初患此疳时，痒涩揉眉，咬甲致令翳生赤肿疼痛、泪出难开，睑硬白睛遮满，怕日合面
卧，不喜抬头，此疾不宜烧灸头面，恐损眼也。切忌点药，宜服杀疳散、退翳丸（方并见本门。）
《圣惠》论肝开窍于目，目者肝之候，若小儿内有疳气，肌体瘦羸而脏腑挟于风热痈滞不得宣通，因其乳食
过多，胸膈痰结，邪热之气上攻于目则令脑热目痒，或赤烂生疮，或生障翳渐渐遮睛，久而不瘥，损于眼目，
故号眼疳也。
《玉诀》小儿眼疳生翳歌∶摇头揉目热生疳，爱暗憎明不奈观。雀目每因风气盛，斑疮腑热翳侵满。
此患先与凉膈，后泻肝，次淋洗之，即无误也。又一《玉诀》上，此患小儿疳热宜泻疳散、蕤仁膏凉膈退
热（方并见本门。）又一《玉诀》云∶小儿疳眼，雀目斑疮，入眼者，先与利膈退热良心经，后与疳药也。
《龙木论》杀疳散方
防风 龙脑 牡蛎 白芷 细辛 五味子（各二两）
上为末。每服一钱，食后粥饮调下。
《龙木论》退翳丸方
黑参 防风（各一两） 细辛 石决明 车前子（各半两） 桔梗 黄芩（各一两半）
上为末，炼蜜为丸梧桐子大。空心茶下十丸。
《圣惠》治小儿眼疳及雀目。天南星散方
天南星（炮裂） 谷精草 甘草（炙赤，锉） 黄芩（各半两） 麝香（一分，研）
上件药捣，细罗为散；用羊子肝一具，切破入药末二钱，用串子炙令熟，空心服，后用不淘米煮粥半盏压之。
《圣惠》治小儿眼疳，诸药未效。宜服使君子散方
使君子（五颗） 诃梨勒皮（三颗） 甘草（一分，炙微赤，锉） 干蟾头（一枚，涂酥，炙焦黄）
上件药捣，细罗为散；以羊子肝一枚于砂盆内用生米泔一协议烂研，绞取汁。食后调下半钱。三岁以下即
可服一字。
《圣惠》又方
谷精草 川大黄（细锉，微炒） 姜石（捣，研，水飞过） 甘草（炙微赤，锉。各半两）
上件药捣，细罗为散；以羊子服一枚，用竹刀子切破，内药末一字，在肝里面使线子缠定，以醋煮熟放冷，
任意食之，不过三五枚子肝见效。
《圣惠》又方
夜明砂（微炒） 姜石（捣，研，水飞过） 芎 （以上各三分）
上件药捣，细罗为散，用羊子肝一枚，以米泔半盏同研，绞取汁，调下半钱，日三服。三岁以下可服一字。
《圣惠》又方
黄连（末） 麝香 朱砂（并细研。各一分）
上件药都研令匀，每服半钱。用猪子肝切破入药，以绢袋子盛，用米泔煮熟放冷食之。量儿大小增减。
《圣惠》又方
羯羊肝（一具，切开） 决明子（一两）
上捣罗决明子为细散，掺于肝内，用米泔两碗煮，泣尽为度。不计食前后，量儿大小任意食之。
《圣惠》又方
姜石（捣，研，水飞过） 寒水石（各一两） 豉（一合，微炒）
上件药捣，细罗为散。每于食后以米泔调下半钱。量儿大小，加减服之。
《圣惠》治小儿眼疳赤痒。谷精草散方
谷精草（一两） 苍术（去皮，微炒，锉） 蛇蜕皮（灰。各一分） 定粉（一钱）
上件药捣，细罗为散。每服一钱，用羊子肝一具，以竹刀子劈开，掺药在内，用线缠定，米泔煮熟。承
热先熏过眼，次服其汁，后食其肝。儿小即分减服之。
《圣惠》治小儿眼疳，渐渐急小多赤。夜明砂散方
夜明砂（微炒） 芎 （各一两） 天竺黄 犀角（屑） 羚羊角（屑） 白僵蚕（微炒） 甘
菊花 车前子（各半两）
上件药捣，细罗为散。每日常于午时以温水调半钱服。量儿大小加减服之。
《圣惠》又方
决明子 蕤仁（汤浸，去赤皮） 黄连（去须。各半两）
上件药捣碎，用水一大盏，入古钱四十文，煎取五分，绵滤澄清。日点三、四度，瘥。
《圣惠》治小儿眼疳，不见物者方。
寒水石（一两，捣罗为末） 水银（一分）
上件药相和，点少水，研令水银星尽为度。每服以米泔研猪子肝半具，绞取汁，调下半钱。量儿大小加减
服之。
《圣惠》治小儿眼疳，怕日赤烂，泪下疼痛，不久眼睛将落，宜早治之。姜石散方
姜石（以浓米泔浸七日，晒干，捣、研，水飞过） 桑耳（捣罗为末） 豉（晒干，捣罗为末。以上各一两）
上件药同研令匀。三岁以下每服半钱；三岁以上至七岁每服一钱。用羊肝，或猪肝、牛肝两指大，去膜细
切，以水研，绞取汁调下，日三服。
《圣惠》又方
白芷 桑耳 槐白皮（锉。各一分） 姜石（一两，捣，研，水飞）
上件药捣，细罗为散，每用猪子肝一片两指大，切入药末三钱，却系定，以米泔内煮熟。量儿大小斟酌与食之。
《圣惠》治小儿眼疳，生障翳不开。朱砂散方
朱砂（细研，水飞过） 雄黄（细研。各半两） 川大黄（锉碎，微炒） 石决明 胡黄连 神曲（微炙。各一两）
上件药捣，细罗为散，每服以蜜水调下半钱，日三服。量儿大小以意加减。
《圣惠》治小儿眼疳，白翳不退。胡黄连丸方
胡黄连（为末） 朱砂（细研，水飞过。各半两） 青黛 雄黄（各细研，一分） 麝香（一钱，细研） 金
银箔（各细研，五十片）
上件药都研令匀，用酒煮面糊和丸如绿豆大。以温茶下三丸，日三服。量儿大小加减服之。
《圣惠》治小儿眼疳，生翳膜遮睛，欲失明。铃石散方
铃石 石决明 甘菊花 井泉石 夜明砂（炒） 黄连（去须。各一分）
上件药捣，细罗为散。每服二钱，以米泔同煮猪子肝一具，令烂熟。量儿大小分减服之。
《圣惠》治小儿眼疳生翳膜，体热。夜明砂散方
夜明砂 蜗牛壳（各微炒） 子芩 豆豉（炒干。各半两） 朱砂（一分，细研）
上件药捣，细罗为散。每服一钱，以水一中盏，入绿豆半匙，都煮熟放冷。量儿大小，和滓分减服之。
《圣惠》治小儿眼疳，及 疮入眼。宜服清神散方
恶实（炒） 木通（锉） 晚蚕沙（各一分）
上件药捣，细罗为散。每服以温水调下半钱，日三服。量儿大小以意加减。
《圣惠》治小儿眼疳，及雀目、翳膜遮障，宜服此方。
蛤粉（一分）
上化黄蜡汁，与蛤粉相和，丸如皂荚子大。用羊子肝一枚劈破，内药丸在内，着线子系定，入米泔内；用
夜明砂、黄芩末各一钱同煮令熟，将子肝于临卧时任意服之，神效。
《圣惠》治小儿眼疳，睛肿欲垂落者方。
上以生鸡子清涂掌中，徐徐 之，逐手渐瘥。
《圣惠》又方
上以紫草花烂捣，以生油调涂之便瘥。
《博济方》治小儿多时泻痢，眼生翳膜，并疳眼退翳如圣散
蛇蜕皮（两条，各长二尺，用细烛烧灰，研或只烙熟） 谷精草（一两，去根土） 蝉
壳（去足） 石决明（各一分） 黑附子（末，二钱，去脐子） 定粉（四钱）
上件前三味先捣罗为末，次入诸药同研为散。每服一字。半羊子肝一具劈破掺末，用麻皮线缠，米泔煮熟，
先熏眼后与吃。如未能吃食，研汁灌之。
《灵苑》治肝肺壅热，眼生 肉、赤脉，涩痛。及赤眼障翳，睛疼，痒痛羞明；及小儿风疳烁阳眼，神妙羚羊角
丸方
羚羊角（锉屑，日晒干脆，为末） 甘草（生） 白何首乌 瓦松（以纱绢内洗去土。各一两） 生干
地黄（洗） 郁金（炮过，用地土去火气。各二两）
上件六味并细锉，曝干，捣罗为细末，炼蜜为丸如梧桐大。每服十五丸，用浓煎淡竹叶黑豆汤冷下，食后
临卧服。小儿丸如绿豆大，每服七丸至十丸。
《谭氏殊圣方》∶小儿疳眼恨三光，终日冥冥若避藏。 饶啼常不住，根据随无以得相当。土瓜决明 石，甘
草黄连川大黄。更入元参相和服，拨云见日耀晖芒。
退云散
草决明 土瓜根 大黄（炮） 元参（各半两） 甘草（炙） 宣连 石（井泉石是，研。各一分）
上细为散。每服一钱，水一盏同煎至七分，五度与吃。
张涣井泉石散 治眼疳，邪热攻于眼，目渐生翳障，致损睛瞳方。
井泉石（一两） 晚蚕沙 夜明砂（各微炒） 石决明 甘菊花 黄连（去须。各半两）
上件捣罗为细末。每服一钱，用米泔一盏，入生猪肝少许，煎五分，肝烂为度。于温时时服，乳食后。
《聚宝方》灵石散 治小儿疳眼昏涩，或泻痢久则患雀目疳眼。
灵石（各出青状，粗块如卵大小，大常盛毛中动）
上一味为末，更研极细；水飞过，再研如面。每服一大钱，猪子肝一叶劈开，掺末在内，麻皮在外缠。米
泔水一盏煮肝令熟，倾器中趁热熏眼。待气冷，空心吃，用少水下。不过数服见效。
《聚宝方》黄散子治疳眼雀目。
新牛胆 郁金 青蛤粉（各三两） 猪胆（三个） 大黄 黄连（各半两） 雄黄（一钱）
上七味为末，入胆中填满，荫干为末，每服大人一钱，小儿半钱，新水调下。赤眼、气眼、雀目日进三服，
三五日瘥。疳目五日瘥，食后服。
《玉诀》泻肝散方
木贼 威灵仙 紫参 家菊 羌活 蝉蜕（去足） 大黄（生） 甘草（炙） 石决明（各等分） 脑子（少许）
上为末，每用药二钱。 猪肝一两劈开去膜，掺药在内，线缠，米泔煮熟，嚼下。
《玉诀》蕤仁膏方
蕤仁（四十九粒，去皮出油） 脑子（少许）
上研成膏，用灯心点少许。
《吉氏家传》治疳眼拨云散方
草决明（一钱） 土瓜 大黄 元参 石 宣连（各半两）
上末每服一钱。水一盏，煎七分，食后温服。
《吉氏家传》治一切疳眼，目昏暗洗肝饮子方
青葙子 钩藤 柴胡 山栀子 甘草（炙） 紫菀 石膏
上等分。每服三钱，水二升，煎至六合，徐徐服之。
《胡氏家传》治小儿疳瘦。大治肝疳作眼疾，白膜遮睛，诸药不痊者，猪胆黄连丸
胡黄连 雄黄（细研） 夜明砂（细研。以上各等分） 猪胆（一个） 麝香（少许，不
入胆煮）
上为末，以猪胆汁调药，稀稠得所，却入元胆皮，内以线紧系口，米泔水煮五七沸，取出放冷，先以麝香
于乳钵内研细，却入药一处同研（不用胆皮，只取出药）候细，用软饭为丸如大麻子大。每服十丸，大
者加至十五丸，米饮吞下。如疳气盛，须用陈米饮下。
《朱氏家传》拨云散 治小儿疳服方。
草决明 土瓜 石决明 黄连（各一分） 元参 大黄（炮。各半分）
上为末。每服一钱，水一盏，煎七分，分作五服。食后温服。
《圣惠》小儿疳眼，灸合谷二穴各一壮，炷如小麦大，在手大指次指两骨间陷者中。
《龙木论》论述治疗小儿疳眼外障。这种眼病初发时，都是因为脑部和头部有疮疡，或者因为长期腹泻痢疾暗中耗损，导致疼痛流泪难以睁开，膈间潜伏热邪，肝风之气侵入眼睛。初次患此疳病时，眼部瘙痒涩痛而揉眉，咬指甲致使翳膜生成、红肿疼痛、流泪难开，眼睑僵硬、白睛被遮盖满布，怕光而侧脸卧睡，不喜欢抬头，此病不宜烧灼或艾灸头面部，恐怕损伤眼睛。切忌点药，适宜服用杀疳散、退翳丸（方剂均见本门）。
《圣惠方》论述肝脏开窍于目，眼睛是肝脏的外候，如果小儿体内有疳气，肌体消瘦羸弱且脏腑夹杂风热痈滞不得宣通，因为乳食过多，胸膈痰结，邪热之气上攻于目则导致头脑发热、眼睛痒，或者红烂生疮，或者生成障翳渐渐遮蔽瞳孔，久治不愈，损害眼目，所以称为眼疳。
《玉诀》小儿眼疳生翳歌诀说：摇头揉眼热生疳，喜爱昏暗厌恶光明难以观看。雀盲症往往因风气盛，斑疹疮毒腑热翳膜侵满。
此病患先给予凉膈散，后泻肝经，再淋洗眼睛，就不会有误。又一《玉诀》记载，此患小儿疳热适宜用泻疳散、蕤仁膏凉膈退热（方剂均见本门）。又一《玉诀》说：小儿疳眼、雀盲、斑疮入眼的，先用利膈退热良心经的方法，后用治疳药。
《龙木论》杀疳散方
防风、龙脑、牡蛎、白芷、细辛、五味子（各二两）
以上药物研为末。每次服一钱，饭后用粥饮调服。
《龙木论》退翳丸方
黑参、防风（各一两）、细辛、石决明、车前子（各半两）、桔梗、黄芩（各一两半）
以上药物研为末，炼蜜制成梧桐子大小的丸药。空腹时用茶送服十丸。
《圣惠方》治疗小儿眼疳及雀盲。天南星散方
天南星（炮裂）、谷精草、甘草（炙赤，锉碎）、黄芩（各半两）、麝香（一分，研细）
以上药物捣碎，过细筛为散；用一只羊肝切开，放入药末二钱，用签子串起烤熟，空腹服用，之后喝半盏不淘米的米粥以压制药性。
《圣惠方》治疗小儿眼疳，诸药无效。适宜服用使君子散方
使君子（五颗）、诃梨勒皮（三颗）、甘草（一分，炙微赤，锉碎）、干蟾头（一枚，涂酥，炙焦黄）
以上药物捣碎，过细筛为散；取一只羊肝在砂盆内用生米泔水一起研磨烂，绞取汁液。饭后调服半钱。三岁以下可服一字量。
《圣惠方》又一方
谷精草、川大黄（细锉，微炒）、姜石（捣，研，水飞）、甘草（炙微赤，锉。各半两）
以上药物捣碎，过细筛为散；取一只羊肝，用竹刀切开，放入药末一字量，在肝里面用线缠定，用醋煮熟放冷，任意食用，不超过三五只羊肝见效。
《圣惠方》又一方
夜明砂（微炒）、姜石（捣，研，水飞）、川芎（以上各三分）
以上药物捣碎，过细筛为散，用一只羊肝，用米泔水半盏同研，绞取汁液，调服半钱，每日三次。三岁以下可服一字量。
《圣惠方》又一方
黄连（末）、麝香、朱砂（并细研。各一分）
以上药物都研匀，每次服半钱。用猪肝切开放入药，用绢袋盛装，用米泔煮熟放冷食用。根据孩子大小增减剂量。
《圣惠方》又一方
羯羊肝（一具，切开）、决明子（一两）
以上捣罗决明子为细散，撒入肝内，用米泔水两碗煮，煮干为止。不计进食前后，根据孩子大小任意食用。
《圣惠方》又一方
姜石（捣，研，水飞）、寒水石（各一两）、豆豉（一合，微炒）
以上药物捣碎，过细筛为散。每次饭后用米泔水调服半钱。根据孩子大小，加减服用。
《圣惠方》治疗小儿眼疳赤痒。谷精草散方
谷精草（一两）、苍术（去皮，微炒，锉碎）、蛇蜕皮（灰。各一分）、定粉（一钱）
以上药物捣碎，过细筛为散。每次服一钱，用一只羊肝，用竹刀劈开，掺药在内，用线缠定，米泔煮熟。趁热先熏过眼睛，然后服其汁，后吃其肝。孩子小就分减量服用。
《圣惠方》治疗小儿眼疳，渐渐急小多赤。夜明砂散方
夜明砂（微炒）、川芎（各一两）、天竺黄、犀角（屑）、羚羊角（屑）、白僵蚕（微炒）、甘菊花、车前子（各半两）
以上药物捣碎，过细筛为散。每天中午用温水调半钱服用。根据孩子大小加减服用。
《圣惠方》又一方
决明子、蕤仁（汤浸，去赤皮）、黄连（去须。各半两）
以上药物捣碎，用水一大盏，加入古钱四十文，煎取五分，用绵滤澄清。每日点三、四次，痊愈。
《圣惠方》治疗小儿眼疳，看不见东西的方子。
寒水石（一两，捣罗为末）、水银（一分）
以上药物相和，点少许水，研令水银星尽为止。每次用米泔水研猪肝半具，绞取汁液，调服半钱。根据孩子大小加减服用。
《圣惠方》治疗小儿眼疳，怕光红烂，泪下疼痛，不久眼睛将要脱落，宜早治之。姜石散方
姜石（以浓米泔浸七日，晒干，捣、研，水飞）、桑耳（捣罗为末）、豆豉（晒干，捣罗为末。以上各一两）
以上药物同研匀。三岁以下每次服半钱；三岁以上至七岁每次服一钱。用羊肝，或猪肝、牛肝两指大，去膜细切，用水研，绞取汁液调下，每日三次。
《圣惠方》又一方
白芷、桑耳、槐白皮（锉。各一分）、姜石（一两，捣，研，水飞）
以上药物捣碎，过细筛为散，每次用猪肝一片两指大，切入药末三钱，重新系定，用米泔内煮熟。根据孩子大小斟酌给食。
《圣惠方》治疗小儿眼疳，生障翳不开。朱砂散方
朱砂（细研，水飞）、雄黄（细研。各半两）、川大黄（锉碎，微炒）、石决明、胡黄连、神曲（微炙。各一两）
以上药物捣碎，过细筛为散，每次用蜜水调服半钱，每日三次。根据孩子大小随意加减。
《圣惠方》治疗小儿眼疳，白翳不退。胡黄连丸方
胡黄连（为末）、朱砂（细研，水飞。各半两）、青黛、雄黄（各细研，一分）、麝香（一钱，细研）、金银箔（各细研，五十片）
以上药物都研匀，用酒煮面糊和丸如绿豆大。用温茶送服三丸，每日三次。根据孩子大小加减服用。
《圣惠方》治疗小儿眼疳，生翳膜遮睛，欲失明。铃石散方
铃石、石决明、甘菊花、井泉石、夜明砂（炒）、黄连（去须。各一分）
以上药物捣碎，过细筛为散。每次服二钱，用米泔同煮猪肝一具，令烂熟。根据孩子大小分减量服用。
《圣惠方》治疗小儿眼疳生翳膜，体热。夜明砂散方
夜明砂、蜗牛壳（各微炒）、子芩、豆豉（炒干。各半两）、朱砂（一分，细研）
以上药物捣碎，过细筛为散。每次服一钱，用水一中盏，加入绿豆半匙，都煮熟放冷。根据孩子大小，和滓分减量服用。
《圣惠方》治疗小儿眼疳，及斑疮入眼。适宜服用清神散方
恶实（炒）、木通（锉）、晚蚕沙（各一分）
以上药物捣碎，过细筛为散。每次用温水调服半钱，每日三次。根据孩子大小随意加减。
《圣惠方》治疗小儿眼疳，及雀盲、翳膜遮障，适宜服用此方。
蛤粉（一分）
以上化黄蜡汁，与蛤粉相和，丸如皂荚子大。用羊肝一枚劈破，放入药丸在内，用线系定，放入米泔中；用夜明砂、黄芩末各一钱同煮令熟，将羊肝在临睡前任意服用，神效。
《圣惠方》治疗小儿眼疳，睛肿欲垂落者方。
以上用生鸡蛋清涂掌中，徐徐摩之，逐手渐瘥。
《圣惠方》又一方
以上用紫草花烂捣，用生油调涂之便瘥。
《博济方》治疗小儿多时泻痢，眼生翳膜，并疳眼退翳如圣散
蛇蜕皮（两条，各长二尺，用细烛烧灰，研或只烙熟）、谷精草（一两，去根土）、蝉壳（去足）、石决明（各一分）、黑附子（末，二钱，去脐子）、定粉（四钱）
以上前三味先捣罗为末，次入诸药同研为散。每次服一字。半只羊肝一具劈破掺末，用麻皮线缠，米泔煮熟，先熏眼后给吃。如未能吃食，研汁灌之。
《灵苑方》治疗肝肺壅热，眼生胬肉、赤脉，涩痛。及赤眼障翳，睛疼，痒痛羞明；及小儿风疳烁阳眼，神妙羚羊角丸方
羚羊角（锉屑，日晒干脆，为末）、甘草（生）、白何首乌、瓦松（以纱绢内洗去土。各一两）、生干地黄（洗）、郁金（炮过，用地土去火气。各二两）
以上六味并细锉，曝干，捣罗为细末，炼蜜为丸如梧桐子大。每次服十五丸，用浓煎淡竹叶黑豆汤冷下，食后临卧服。小儿丸如绿豆大，每次服七丸至十丸。
《谭氏殊圣方》：小儿疳眼恨三光，终日冥冥若避藏。 饶啼常不住，根据随无以得相当。土瓜决明石，甘草黄连川大黄。更入元参相和服，拨云见日耀晖芒。
退云散
草决明、土瓜根、大黄（炮）、元参（各半两）、甘草（炙）、宣连、石（井泉石是，研。各一分）
以上细为散。每次服一钱，水一盏同煎至七分，五次给吃。
张涣井泉石散 治疗眼疳，邪热攻于眼，目渐生翳障，致损睛瞳方。
井泉石（一两）、晚蚕沙、夜明砂（各微炒）、石决明、甘菊花、黄连（去须。各半两）
以上捣罗为细末。每次服一钱，用米泔一盏，入生猪肝少许，煎五分，肝烂为度。于温时时服，乳食后。
《聚宝方》灵石散 治疗小儿疳眼昏涩，或泻痢久则患雀目疳眼。
灵石（各出青状，粗块如卵大小，大常盛毛中动）
以上一味为末，更研极细；水飞过，再研如面。每次服一大钱，猪肝一叶劈开，掺末在内，麻皮在外缠。米泔水一盏煮肝令熟，倾器中趁热熏眼。待气冷，空心吃，用少水下。不过数服见效。
《聚宝方》黄散子治疳眼雀目。
新牛胆、郁金、青蛤粉（各三两）、猪胆（三个）、大黄、黄连（各半两）、雄黄（一钱）
以上七味为末，入胆中填满，荫干为末，每次服大人一钱，小儿半钱，新水调下。赤眼、气眼、雀目日进三服，三五日瘥。疳目五日瘥，食后服。
《玉诀》泻肝散方
木贼、威灵仙、紫参、家菊、羌活、蝉蜕（去足）、大黄（生）、甘草（炙）、石决明（各等分）、脑子（少许）
以上为末，每次用药二钱。猪肝一两劈开去膜，掺药在内，线缠，米泔煮熟，嚼下。
《玉诀》蕤仁膏方
蕤仁（四十九粒，去皮出油）、脑子（少许）
以上研成膏，用灯心点少许。
《吉氏家传》治疗疳眼拨云散方
草决明（一钱）、土瓜、大黄、元参、石、宣连（各半两）
以上末每次服一钱。水一盏，煎七分，食后温服。
《吉氏家传》治疗一切疳眼，目昏暗洗肝饮子方
青葙子、钩藤、柴胡、山栀子、甘草（炙）、紫菀、石膏
以上等分。每次服三钱，水二升，煎至六合，徐徐服之。
《胡氏家传》治疗小儿疳瘦。大治肝疳作眼疾，白膜遮睛，诸药不痊者，猪胆黄连丸
胡黄连、雄黄（细研）、夜明砂（细研。以上各等分）、猪胆（一个）、麝香（少许，不入胆煮）
以上为末，以猪胆汁调药，稀稠得所，却入原胆皮，内以线紧系口，米泔水煮五七沸，取出放冷，先以麝香于乳钵内研细，却入药一处同研（不用胆皮，只取出药）候细，用软饭为丸如大麻子大。每次服十丸，大者加至十五丸，米饮吞下。如疳气盛，须用陈米饮下。
《朱氏家传》拨云散 治疗小儿疳服方。
草决明、土瓜、石决明、黄连（各一分）、元参、大黄（炮。各半分）
以上为末。每次服一钱，水一盏，煎七分，分作五服。食后温服。
*Longmu Lun* discusses the treatment of pediatric gan eye external obstruction. When this eye disease first occurs, it is all due to sores on the head and brain, or because of prolonged diarrhea and dysentery causing hidden depletion, leading to pain, tearing, and difficulty opening the eyes. There is latent heat in the diaphragm, and liver wind qi invades the eyes. When initially suffering from this gan disease, the eyes itch and feel astringent, causing rubbing of the eyebrows; biting nails leads to the formation of nebulae (corneal opacity), redness, swelling, pain, tearing, and difficulty opening the eyes. The eyelids become stiff, and the sclera is completely covered. The patient fears light, lies with face turned away, and dislikes raising the head. This disease should not be treated with cauterization or moxibustion on the head and face, as it may damage the eyes. Eye drops are strictly contraindicated; it is appropriate to take Shagan San (Gan-Killing Powder) and Tuiyi Wan (Nebula-Removing Pill) (formulas see this section).
*Shenghui Fang* discusses that the liver opens into the eyes, and the eyes are the manifestation of the liver. If a child has internal gan qi, emaciated body, and the zang-fu organs are blocked by wind-heat and toxin stasis that cannot be unblocked, due to excessive milk and food intake, phlegm knotting in the chest and diaphragm, evil heat qi attacks the eyes, causing head heat and eye itching, or redness, ulceration, and sore formation, or the gradual generation of nebulae covering the pupil. If not cured for a long time, it damages the eyes, hence called Gan Eye.
*Yu Jue* song for pediatric gan eye nebula: Shaking head and rubbing eyes, heat generates gan; loving darkness and hating brightness, unable to look. Sparrow blindness often due to abundant wind qi; maculopapular rash and fu-organ heat, nebula invades fully.
For this condition, first use Liangge San (Cool Diaphragm Powder), then purge the liver, followed by eye washing, which will ensure no error. Another *Yu Jue* states that for pediatric gan heat, Xiegan San (Purge Gan Powder) and Ruren Gao (Buckthorn Ointment) should be used to cool the diaphragm and reduce heat (formulas see this section). Another *Yu Jue* says: For pediatric gan eye, sparrow blindness, and maculopapular rash entering the eyes, first use methods to benefit the diaphragm and reduce heat, purging the heart meridian, then use gan medicines.
*Longmu Lun* Shagan San Formula
Fangfeng (Saposhnikoviae Radix), Longnao (Borneolum Syntheticum), Muli (Concha Ostreae), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Chinensis Fructus) (each 2 liang).
Grind the above into powder. Take 1 qian each time, mixed with porridge drink after meals.
*Longmu Lun* Tuiyi Wan Formula
Heishen (Polygonati Odorati Rhizoma - Black variety), Fangfeng (each 1 liang), Xixin, Shijueming (Concha Argopectenis), Cheqianzi (Plantaginis Semen) (each 0.5 liang), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix) (each 1.5 liang).
Grind the above into powder, mix with refined honey to make pills the size of paulownia seeds. Take 10 pills on an empty stomach with tea.
*Shenghui Fang* Tian Nanxing San Formula for treating pediatric gan eye and sparrow blindness.
Tiannanxing (Arisaematis Rhizoma Preparatum), Gujingcao (Cnidii Fructus), Gancao (Licorice Root, roasted red, cut), Huangqin (each 0.5 liang), Shexiang (Musk, 1 fen, ground).
Pound the above medicines, sift finely into powder. Use one sheep liver, cut open, add 2 qian of powder, roast until cooked on a skewer. Take on an empty stomach, then follow with half a cup of unpolished rice porridge to settle the medicine.
*Shenghui Fang* Shi Junzi San Formula for pediatric gan eye when other medicines fail.
Shijunzi (Quisqualis Fructus, 5 pieces), Helilepi (Pericarpium Terminaliae Chebulae, 3 pieces), Gancao (Licorice Root, 1 fen, roasted slightly red, cut), Ganchantou (Dry Toad Head, 1 piece, coated with butter, roasted yellow).
Pound the above medicines, sift finely into powder. Take one sheep liver, grind thoroughly with raw rice water in a clay mortar, squeeze out the juice. Mix half a qian of powder with the juice and take after meals. Children under three years old can take a "yi zi" dose.
*Shenghui Fang* Another Formula
Gujingcao, Chuan Dahuang (Rhei Radix et Rhizoma, finely cut, slightly fried), Jiangshi (Jiang Stone), Gancao (roasted slightly red, cut. Each 0.5 liang).
Pound the above medicines, sift finely into powder. Take one sheep liver, cut open with a bamboo knife, place a "yi zi" dose of powder inside, tie securely with thread, cook in vinegar until done, let cool, and eat at will. Effect usually seen within 3-5 sheep livers.
*Shenghui Fang* Another Formula
Yeming Sha (Stercoris Apae), Jiangshi (Each 3 fen, slightly fried). Jiangshi is pounded, ground, and washed with water.
Pound the above medicines, sift finely into powder. Take one sheep liver, grind together with half a cup of rice water, squeeze out the juice. Mix half a qian of powder with the juice and take, three times a day. Children under three years old can take a "yi zi" dose.
*Shenghui Fang* Another Formula
Huanglian (Rhizoma Coptidis, powder), Shexiang (Musk), Zhusha (Cinnabar) (all finely ground. Each 1 fen).
Grind the above medicines uniformly. Take half a qian each time. Cut open a pig liver, insert the medicine, place in a silk bag, cook in rice water until done, let cool, and eat. Adjust dosage according to the child's size.
*Shenghui Fang* Another Formula
She Yanggan (Ram Liver, one whole, cut open), Juemingzi (Cassiae Semen, 1 liang).
Pound and sift Juemingzi into fine powder, sprinkle inside the liver. Cook in two bowls of rice water until dry. Eat at any time regardless of meals, adjusting amount according to the child's size.
*Shenghui Fang* Another Formula
Jiangshi (pounded, ground, water-washed), Hanshuishi (Calcitrum, each 1 liang), Chi (Fermented Soybean Paste, 1 he, slightly fried).
Pound the above medicines, sift finely into powder. After meals, mix half a qian with rice water and take. Adjust dosage according to the child's size.
*Shenghui Fang* Gujingcao San Formula for pediatric gan eye redness and itching.
Gujingcao (1 liang), Cangzhu (Atractylodis Rhizoma, peeled, slightly fried, cut), Shetui Pi (Ophichthidis Cutis Cinerea, ash. Each 1 fen), Dingfen (Lead Carbonate, 1 qian).
Pound the above medicines, sift finely into powder. Take 1 qian each time. Use one sheep liver, split open with a bamboo knife, sprinkle medicine inside, tie with thread, cook in rice water. First fumigate the eyes while hot, then drink the juice, then eat the liver. Reduce dose for smaller children.
*Shenghui Fang* Yeming Sha San Formula for pediatric gan eye becoming increasingly small and red.
Yeming Sha (slightly fried), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang), Tianzhuhuang (Calculus Borisoviae), Xijiao (Rhinocerotis Cornu, shaved), Lingyangjiao (Caprae Subcutis Cornu, shaved), Baijiangcan (Bombyx Batryticatus, slightly fried), Gan Juhua (Chrysanthemi Flos), Cheqianzi (each 0.5 liang).
Pound the above medicines, sift finely into powder. Every day at noon, mix half a qian with warm water and take. Adjust dosage according to the child's size.
*Shenghui Fang* Another Formula
Juemingzi, Ruren (Pruni Persicae Semen, soaked in water, remove red skin), Huanglian (remove roots. Each 0.5 liang).
Pound the above medicines, add one large cup of water and 40 ancient coins. Decoct to obtain five parts. Filter through cotton cloth to clarify. Apply to eyes three to four times a day until healed.
*Shenghui Fang* Formula for pediatric gan eye where vision is lost.
Hanshuishi (1 liang, pounded and sifted), Shuiyin (Mercurius, 1 fen).
Mix the above medicines, add a little water, and grind until the mercury stars disappear. Each time, grind half a pig liver with rice water, squeeze out the juice, mix with half a qian of powder, and take. Adjust dosage according to the child's size.
*Shenghui Fang* Jiangshi San Formula for pediatric gan eye fearing light, redness, ulceration, tearing, pain, and impending eye prolapse. Treat early.
Jiangshi (soaked in thick rice water for seven days, dried, pounded, ground, water-washed), Sang'er (Auricularia Auricula-Judae, pounded and sifted), Chi (dried, pounded and sifted. Each 1 liang).
Grind the above medicines uniformly. Children under three years old take half a qian; children aged three to seven take 1 qian. Use sheep liver, or pig liver, or beef liver, two fingers wide, remove membrane, cut finely, grind with water, squeeze out juice, mix with powder and take, three times a day.
*Shenghui Fang* Another Formula
Baizhi, Sang'er, Huaibai Pi (Sophorae Flavescentis Cortex, cut. Each 1 fen), Jiangshi (1 liang, pounded, ground, water-washed).
Pound the above medicines, sift finely into powder. Each time, take a slice of pig liver two fingers wide, cut in 3 qian of powder, tie securely, cook in rice water. Adjust amount given to eat according to the child's size.
*Shenghui Fang* Zhusha San Formula for pediatric gan eye with obstructive nebula.
Zhusha (finely ground, water-washed), Xionghuang (Realgar, finely ground. Each 0.5 liang), Chuan Dahuang (cut into fragments, slightly fried), Shijueming, Huhuanglian (Coptidis Rhizoma var. chinense), Shenqu (Medicated Leaven, slightly roasted. Each 1 liang).
Pound the above medicines, sift finely into powder. Mix half a qian with honey water and take each time, three times a day. Adjust dosage according to the child's size.
*Shenghui Fang* Huhuanglian Wan Formula for pediatric gan eye with persistent white nebula.
Huhuanglian (powder), Zhusha (finely ground, water-washed. Each 0.5 liang), Qingdai (Indigo Naturalis), Xionghuang (finely ground. Each 1 fen), Shexiang (Musk, 1 qian, finely ground), Jinyinbo (Gold and Silver Leaf, finely ground. Each 50 pieces).
Grind the above medicines uniformly. Mix with flour paste boiled in wine to make pills the size of mung beans. Take 3 pills with warm tea, three times a day. Adjust dosage according to the child's size.
*Shenghui Fang* Lingshi San Formula for pediatric gan eye with nebula covering the pupil, threatening blindness.
Lingshi (Bellinite), Shijueming, Gan Juhua, Jingquanshi (Well Spring Stone), Yeming Sha (fried), Huanglian (remove roots. Each 1 fen).
Pound the above medicines, sift finely into powder. Take 2 qian each time. Cook one pig liver with rice water until soft and well-done. Divide and take according to the child's size.
*Shenghui Fang* Yeming Sha San Formula for pediatric gan eye with nebula and body heat.
Yeming Sha, Woniu Ke (Helicis Aspersae Concha) (each slightly fried), Ziqin (Scutellariae Radix), Douchi (Fermented Soybean Paste, fried dry. Each 0.5 liang), Zhusha (1 fen, finely ground).
Pound the above medicines, sift finely into powder. Take 1 qian each time. Add half a spoonful of mung beans to one medium cup of water, cook everything until done, let cool. Divide and take with the dregs according to the child's size.
*Shenghui Fang* Qingshen San Formula for pediatric gan eye and maculopapular rash entering the eyes.
Eshi (Arctii Fructus, fried), Mutong (Akebiae Caulis, cut), Wancansha (Bombyx Batryticatus Faeces) (each 1 fen).
Pound the above medicines, sift finely into powder. Mix half a qian with warm water and take each time, three times a day. Adjust dosage according to the child's size.
*Shenghui Fang* Formula for pediatric gan eye, sparrow blindness, and nebula obstruction.
Ge Fen (Concha Meretricis Cyclinae, 1 fen).
Melt yellow wax juice, mix with Ge Fen, make pills the size of soap pod seeds. Split one sheep liver, insert pill, tie with thread, put in rice water. Cook together with 1 qian each of Yeming Sha and Huangqin powder until done. Eat the sheep liver at bedtime as desired; miraculous effect.
*Shenghui Fang* Formula for pediatric gan eye with swollen eyes about to fall.
Apply raw egg white to the palm, rub slowly. Gradually heal hand by hand.
*Shenghui Fang* Another Formula
Pound Zi Cao Hua (Arnebiae Flower) thoroughly, mix with raw oil, apply to heal.
*Boji Fang* Ru Sheng San Formula for pediatric prolonged diarrhea/dysentery, eye nebula, and gan eye nebula removal.
Shetui Pi (Two snake skins, each two chi long, burn with thin candle to ash, grind, or only roast熟), Gujingcao (1 liang, remove root soil), Chan Qiao (Cicadae Perioaterium, remove feet), Shijueming (each 1 fen), Hei Fuzi (Aconiti Lateralis Radix Preparata, powder, 2 qian, remove umbilical scar), Dingfen (4 qian).
First pound the first three ingredients into powder, then add other medicines and grind together into powder. Take a "yi zi" dose each time. Split half a sheep liver, sprinkle powder inside, tie with hemp thread, cook in rice water. First fumigate eyes, then eat. If unable to eat, grind juice and administer.
*Lingyuan Fang* Lingyangjiao Wan Formula for liver-lung stagnation-heat, eye pterygium, red vessels, astringency, pain, red eye nebula, eye pain, itching, photophobia; and pediatric wind-gan consuming yang eye.
Lingyangjiao (Caprae Subcutis Cornu, cut into shavings, sun-dried crisp, powdered), Gancao (Licorice Root, raw), Bai Heshouwu (Polygoni Multiflori Radix), Wasong (Tremella Formosa), Sheng Dihuang (Rehmanniae Radix Recens), Yujin (Curcumae Radix, processed with earth to remove fire qi. Each 1 liang for Wasong/Dihuang/Yujin; 2 liang for others).
Finely cut the six ingredients, dry, pound and sift into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take 15 pills each time, swallow with cold decoction of strong Danzhuye (Lophatheri Herba) and Heidou (Sojae Semen Nigrum) after meals before bed. For children, make pills the size of mung beans, take 7-10 pills each time.
*Tan Shi Shu Sheng Fang*: Pediatric gan eye hates the three lights, hiding all day as if avoiding concealment. Crying incessantly, nothing matches the distress. Tu Gua (Trichosanthes Kirilowii Root), Juemingzi, Shi (Stone), Gancao, Huanglian, Chuan Dahuang. Add Yuan Shen (Scrophulariae Radix) and take together, clearing clouds to see the sun shining brightly.
Tui Yun San (Cloud-Removing Powder)
Ca Jueming (Cassiae Semen), Tu Gua Gen (Trichosanthis Radix), Da Huang (Rhei Radix et Rhizoma, processed), Yuan Shen (each 0.5 liang), Gancao (Licorice Root, roasted), Xuan Lian (Scutellariae Radix), Shi (Jingquan Shi/Well Spring Stone, ground. Each 1 fen).
Grind finely into powder. Take 1 qian each time, decoct with one cup of water to 0.7 portion, give five times.
Zhang Huan Jingquan Shi San Formula for eye gan, evil heat attacking eyes, gradual nebula formation damaging pupil.
Jingquan Shi (1 liang), Wancansha, Yeming Sha (each slightly fried), Shijueming, Gan Juhua, Huanglian (remove roots. Each 0.5 liang).
Pound and sift into fine powder. Take 1 qian each time. Add a little raw liver to one cup of rice water, decoct to five parts, until liver is soft. Take when warm, after milk/food.
*Jubao Fang* Lingshi San Formula for pediatric gan eye blurriness/astringency, or prolonged diarrhea/dysentery leading to sparrow blindness/gan eye.
Lingshi (Greenish appearance, coarse blocks like egg size, often moves in wool).
Grind into powder, refine extremely fine; wash with water, grind again like flour. Take one large qian each time. Split one leaf of pig liver, sprinkle powder inside, wrap with hemp thread outside. Decoct liver in one cup of rice water until cooked, pour into vessel, fumigate eyes while hot. Wait for gas to cool, eat on empty stomach with little water. Effective within a few doses.
*Jubao Fang* Huang Sanzi Formula for gan eye and sparrow blindness.
Xin Niudan (New Ox Gallbladder), Yujin, Qing Ge Fen (Concha Meretricis Cyclinae Cyanum) (each 3 liang), Zhu Dan (Pig Gallbladder, 3), Da Huang, Huanglian (each 0.5 liang), Xionghuang (1 qian).
Grind seven ingredients into powder, fill into gallbladders, shade-dry, grind into powder. Adults take 1 qian, children take 0.5 qian, mix with new water. Red eye, Qi eye, sparrow blindness: take three times daily, healed in 3-5 days. Gan eye: healed in 5 days, take after meals.
*Yu Jue* Xiegan San Formula
Mu Zei (Equiseti Hiemalis Herba), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma? Note: Usually Saposhnikoviae Radix in some contexts but here likely distinct herb or typo for Fangfeng/Wulingxian context, sticking to text: Weilingxian), Zishen, Jia Ju (Domestic Chrysanthemum), Qianghuo, Chantui (Cicadae Perioaterium, remove feet), Da Huang (Raw), Gancao (Roasted), Shijueming (each equal parts), Naohuo (Borneolum Syntheticum, small amount).
Grind into powder. Use 2 qian of medicine each time. Split 1 liang of pig liver, remove membrane, sprinkle medicine inside, tie with thread, cook in rice water, chew and swallow.
*Yu Jue* Ruren Gao Formula
Ruren (Pruni Persicae Semen, 49 grains, remove skin and oil), Naohuo (small amount).
Grind into ointment. Use rush light to apply a small amount.
*Ji Shi Jia Chuan* Bo Yun San Formula for gan eye.
Ca Jueming (1 qian), Tu Gua, Da Huang, Yuan Shen, Shi, Xuan Lian (each 0.5 liang).
Powder. Take 1 qian each time. Decoct with one cup of water to 0.7 portion, take warm after meals.
*Ji Shi Jia Chuan* Xi Gan Yinzi Formula for all gan eyes, dim vision.
Qingxiangzi (Pharbitidis Semen), Gouteng (Uncariae Ramulus cum Uncis), Chaihu (Bupleuri Radix), Shan Zhizi (Gardeniae Fructus), Gancao (Roasted), Ziwan (Adenophorae Radix), Shigao (Gypsum Fibrosum).
Equal parts. Take 3 qian each time, decoct with two sheng of water to 6 dou, take slowly.
*Hu Shi Jia Chuan* Zhu Dan Huanglian Wan Formula for pediatric gan emaciation. Greatly treats liver gan causing eye disease, white membrane covering pupil, unresponsive to other medicines.
Huhuanglian, Xionghuang (finely ground), Yeming Sha (finely ground. Equal parts above), Zhu Dan (one), Shexiang (small amount, do not boil in gall).
Grind into powder. Mix with pig bile to proper consistency. Put back into original gall bladder, tie mouth tightly with thread. Boil in rice water for 5-7 boils. Remove and let cool. First grind Shexiang finely in mortar, then mix with medicine (do not use gall bladder skin, just take medicine). When fine, mix with soft rice to make pills the size of hemp seeds. Take 10 pills each time, up to 15 for larger children, swallow with rice drink. If gan qi is strong, must use aged rice drink.
*Zhu Shi Jia Chuan* Bo Yun San Formula for pediatric gan.
Ca Jueming, Tu Gua, Shijueming, Huanglian (each 1 fen), Yuan Shen, Da Huang (processed. Each 0.5 fen).
Grind into powder. Take 1 qian each time, decoct with one cup of water to 0.7 portion, divide into five doses. Take warm after meals.
*Shenghui Fang* Pediatric gan eye: Moxibustion Hegu (LI4) acupoint, 1 zhuast each side, moxa cone size of wheat grain, located in the depression between the bones of the thumb and index finger.