纯阳之子,始生旬月忽两目俱红,弦烂涩痒成医,此因在胎,为母感受风热,传于
心肝而得,先以百解散加当归散,水、姜、灯心煎服,次导赤散及牛蒡汤加黄连、木贼、蝉
壳,水煎服自效。有热极夹风,则目赤肿痛,昼夜不开,惊啼不已,先用九仙散,水、姜、
葱煎投,次三解散,温米泔水调下,及点以黄连膏。若豆疮之后,眼生翳障,昏涩流泪,
或浮肿不开,此豆疮余毒攻肝,投百解散,少加五和汤,水、姜、灯心煎服,次用牛蒡汤
解之,洗以黄金散,及多投柿煎散。有豆疮后眼中成翳,或大或小,无非余毒使然,亦
用牛蒡汤及甘桔汤,加蝉壳、白蜜,水煎服,次以金波散、黄金散,无时频洗,更详虚实
为治,并羌活散加薄荷、谷精草、白菊花,水、灯心、姜皮煎投,间以糖煎散服。若天行时
证,暴赤肿痛,昼夜苦甚,久则昏蒙,治法先以九仙散解表,次小柴胡汤去半夏加大黄。
薄荷、竹叶、生地黄,水煎服,并投草龙胆散,及点用黄连膏,贴以清凉膏。有孩儿胃
气表虚,脾气实盛眼胞赤肿,羞涩不开,遽投苦寒之剂,以退赤肿,反伤脾胃,不吐则
泻,或四肢微冷,复以温药调治,则目疾转加,宜先用 咀五苓散,水、姜、灯心煎服,
次投泻黄散自愈。有心脾蕴热经久,及肝受邪热,致两目羞明,眼胞浮肿,微有紫色,
大府闭或流利,小便涩或通顺。先以百解散发表,次投明目饮,自然平复,仍忌酒荤三
五日。有小儿薄劣,多致尘埃入目,揩摩成肿,发热作痛,啼哭不已,宜用辟尘膏治之立效。
纯阳之体的小儿,出生仅旬月之间,忽然双眼发红,眼睑糜烂、干涩且瘙痒,这种情况由医生诊治,是因为在胎儿时期,母亲感受了风热邪气,传变于心肝二经而致病。治疗上,先用百解散加入当归散,用水、生姜、灯心草煎服;接着用导赤散以及牛蒡汤加入黄连、木贼、蝉蜕,用水煎服,自然见效。
如果有热邪极盛兼夹风邪,则出现眼睛红赤肿痛,昼夜无法睁开,惊叫啼哭不止。治疗先用九仙散,用水、生姜、葱白煎服;接着用三解散,用温热的米泔水调服,并外用黄连膏点眼。
如果是痘疮(天花或麻疹类疾病)痊愈后,眼中生出翳障,视物昏花干涩流泪,或者眼睑浮肿无法睁开,这是痘疮的余毒攻冲肝脏所致。投予百解散,少量加入五和汤,用水、生姜、灯心草煎服;接着用牛蒡汤来解除余毒,用黄金散清洗眼部,并多服用柿煎散。
若是痘疮之后眼中形成翳障,无论大小,无非是余毒作祟,也使用牛蒡汤及甘桔汤,加入蝉蜕、白蜜,用水煎服;接着用金波散、黄金散,随时频繁清洗眼部,更要详细辨别虚实来进行治疗,并使用羌活散加入薄荷、谷精草、白菊花,用水、灯心草、姜皮煎服,间或服用糖煎散。
如果是天行时气病症(流行性传染病),突然发生眼睛红赤肿痛,昼夜痛苦严重,时间久了会导致视物昏蒙。治法先用九仙散解表,接着用小柴胡汤去掉半夏,加大黄、薄荷、竹叶、生地黄,用水煎服,并投予草龙胆散,以及外用黄连膏点眼,贴敷清凉膏。
有些孩子胃气表虚,脾气实盛,导致眼睑红赤肿胀,畏光羞涩无法睁开。如果急于投用苦寒药物来消退红赤肿胀,反而损伤脾胃,导致不呕吐就腹泻,或者四肢微微发冷。此时若再用温药调理,则眼疾反而加重。适宜先用咀五苓散(注:此处原文可能指五苓散或特定炮制方法,保留原名),用水、生姜、灯心草煎服;接着投予泻黄散即可自愈。
有心脾蕴积热邪经久不愈,以及肝脏受邪热侵袭,导致两目畏光羞明,眼睑浮肿,微带紫色,大便闭结或通畅,小便涩滞或通顺。先用百解散发表,接着投予明目饮,自然平复,期间仍忌食酒肉荤腥三五天。
有些小儿体质薄弱,容易导致尘埃进入眼中,揉搓后造成肿胀,发热疼痛,啼哭不止,适宜用辟尘膏治疗,立见成效。
Pure-yang children, within a month or so after birth, may suddenly present with both eyes red, eyelids eroded, dry, and itchy. This condition is diagnosed by physicians as resulting from the mother contracting wind-heat pathogens during pregnancy, which transmit to the Heart and Liver meridians. Initially, Baijie San (Hundred-Resolving Powder) combined with Danggui San (Angelica Sinensis Powder) should be decocted in water with ginger and Jiedixin (Lysimachiae Herba / Rush Pith) for oral administration. Subsequently, Daochi San (Guide Out Red Powder) and Niubang Tang (Arctii Decoction) added with Huanglian (Coptidis Rhizoma), Muzei (Equiseti Herba), and Chansha (Periostracum Cicadae) should be decocted in water; this will naturally prove effective.
If heat is extreme and complicated by wind, the eyes become red, swollen, and painful, remaining closed day and night, accompanied by incessant startled crying. Initially, Jiuxian San (Nine-Immortal Powder) should be administered, decocted in water with ginger and scallion white. Subsequently, Sandajie San (Three-Resolving Powder) should be taken with warm rice-washing water, and Huanglian Gao (Coptis Ointment) applied to the eyes.
After the eruption of douchuang (smallpox/measles), if nebulae form in the eyes, causing blurred vision, dryness, tearing, or eyelid edema preventing opening, this is due to residual toxins from the pox attacking the Liver. Administer Baijie San (Hundred-Resolving Powder) with a small amount of Wuhe Tang (Five-Harmonizing Decoction), decocted in water with ginger and Jiedixin (Lysimachiae Herba / Rush Pith). Next, use Niubang Tang (Arctii Decoction) to resolve the pathogen, wash the eyes with Huangjin San (Gold-Metal Powder), and frequently administer Shijian San (Persimmon Decoction Powder).
If nebulae form in the eyes after the pox, regardless of size, it is invariably caused by residual toxins. Use Niubang Tang (Arctii Decoction) and Ganjie Tang (Licorice and Platycodon Decoction) added with Chansha (Periostracum Cicadae) and Baimi (White Honey), decocted in water. Subsequently, wash the eyes frequently at any time with Jinbo San (Golden-Wave Powder) and Huangjin San (Gold-Metal Powder). Treatment must further detail the deficiency and excess patterns. Additionally, use Qianghuo San (Notopterygii Powder) added with Bohe (Menthae Haplocalycis Herba), Gujingcao (Gigantochloae Caulis / Valerian Root - *Note: Contextually likely Gujingcao*), and Baijuhua (Chrysanthemi Flos), decocted in water with Jiedixin (Lysimachiae Herba / Rush Pith) and Jiangpi (Zingiberis Pericarpium). Intermittently administer Tangjian San (Sugar-Decoction Powder).
If epidemic seasonal pathogens cause sudden redness, swelling, and pain in the eyes, suffering severely day and night, leading to long-term visual obscurity, the treatment method is first to use Jiuxian San (Nine-Immortal Powder) to release the exterior, followed by Xiaochaihu Tang (Minor Bupleurum Decoction) with Banxia (Pinelliae Rhizoma) removed, plus Bohe (Menthae Haplocalycis Herba), Zhuye (Bambusae Folium), and Shengdihuang (Rehmanniae Radix Recens), decocted in water. Also administer Caolongdan San (Dragon Grass Gentian Powder) and apply Huanglian Gao (Coptis Ointment), along with applying Qingliang Gao (Cooling Ointment).
In children with deficient Wei Qi (Defensive Qi) on the exterior and excessive Pi Qi (Spleen Qi), the eyelids may become red and swollen, shy, and unable to open. If bitter-cold agents are hastily administered to reduce redness and swelling, they will damage the Spleen and Stomach, leading to vomiting or diarrhea, or slight coldness of the four limbs. If warm medicines are then used to regulate, the eye disease will worsen. It is appropriate to first use Zujwuling San (Crushed Five-Ingredient Poria Powder - *Note: Likely Wuling San*), decocted in water with ginger and Jiedixin (Lysimachiae Herba / Rush Pith); subsequently, administering Xiehuang San (Draining Yellow Powder) will lead to self-healing.
If Heat accumulates in the Heart and Spleen over a long period, and the Liver is affected by pathogenic Heat, the two eyes may become photophobic, with swollen eyelids and a slight purple hue. Bowel movements may be constipated or smooth, and urination may be difficult or free-flowing. First, use Baijie San (Hundred-Resolving Powder) to release the exterior, then administer Mingmu Yin (Bright-Eye Drink) for natural recovery. Alcohol and meat should still be avoided for three to five days.
Children with weak constitutions often allow dust to enter the eyes; rubbing causes swelling, fever, pain, and incessant crying. Bi Chen Gao (Dust-Repellent Ointment) should be used for immediate effect.