两睑粘睛眵痒疼，脾胃风湿热甚成，菊花通圣硝黄桔，芍草荆归膏薄芎，麻芩栀滑
翘防术，外加羌细菊蔓荆。
【注】两睑粘睛之证，睑内生疮，眵泪痒痛，胞睑粘合难开，此乃脾胃中风湿热盛，合
邪上攻。宜用防风通圣散加羌活、菊花、细辛、蔓荆子，外散风邪，内清邪热。
菊花通圣散方
芒硝（五分） 大黄（酒蒸，五分） 桔梗（一钱） 白芍药（炒，五分） 甘草（生，一钱五分）
荆芥穗（五分） 当归（五分） 石膏（一钱） 薄荷（五分） 川芎（五分） 麻黄（五分） 黄芩（一钱）
栀子（炒黑，一钱） 滑石（二钱） 连翘（五分） 防风（五分） 白术（炒，五分）
外加羌活、细辛、菊花、蔓荆子各五分。
上为粗末，以水二盏，煎至一盏，食后去渣温服。
玉翳浮满时或疼，风热冲脑盖瞳睛，洗刀通圣羌独细，蒺元贼决蜕蔓青。
【注】玉翳浮满之证，初起时，或疼痛，黑睛上翳如玉色，遮盖瞳仁，皆缘肝经热极，
风热冲脑所致。宜用洗刀散，除风热而消翳膜也。
洗刀散方
即防风通圣散加羌活、独活、细辛、蒺藜、元参、木贼、草决明、蝉蜕、蔓荆子、青
葙子各一钱。
膜入水轮睛疮后，疮愈坐翳侵水轮。肺肝虚热大肠燥，日久失治伤瞳神。退热饮军
茺蔚黑，辛防五味桔黄芩。
【注】膜入水轮者，因黑白睛上生疮而起，愈后疮痕不没，渐生翳膜，侵入水轮，此乃
肝经积热，大肠燥滞，邪热上逆所致。宜用退热饮子，清降其热。
退热饮子
大黄（一钱） 茺蔚子（二钱） 黑参（一钱） 细辛（一钱） 防风（二钱） 五味子（五分）
桔梗（二钱） 黄芩（二钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
两睑粘睛歌：上下眼睑粘连于黑睛，伴有眼屎多、瘙痒和疼痛，这是由于脾胃中风湿热邪气过盛所致。方用菊花通圣散（由芒硝、大黄、桔梗、白芍药、甘草、荆芥穗、当归、石膏、薄荷、川芎、麻黄、黄芩、栀子、滑石、连翘、防风、白术组成），并外加羌活、细辛、菊花、蔓荆子。
【注】两睑粘睛这一病症，表现为眼睑内部生疮，眼屎流泪、瘙痒疼痛，胞睑粘合难以睁开，这是因为脾胃中风湿热邪气亢盛，合而为病向上攻冲所致。适宜使用防风通圣散加羌活、菊花、细辛、蔓荆子，以在外部疏散风邪，在内部清除邪热。
菊花通圣散方剂组成：
芒硝（五分） 大黄（酒蒸，五分） 桔梗（一钱） 白芍药（炒，五分） 甘草（生用，一钱五分）
荆芥穗（五分） 当归（五分） 石膏（一钱） 薄荷（五分） 川芎（五分） 麻黄（五分） 黄芩（一钱）
栀子（炒黑，一钱） 滑石（二钱） 连翘（五分） 防风（五分） 白术（炒，五分）
外加羌活、细辛、菊花、蔓荆子各五分。
以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
玉翳浮满歌：玉翳浮满之证时常伴有疼痛，风热之邪上冲脑部遮蔽瞳神，治疗宜用洗刀通圣散加羌活、独活、细辛、蒺藜、元参、木贼、草决明、蝉蜕、蔓荆子、青葙子。
【注】玉翳浮满这一病症，初起时，有时会出现疼痛，黑睛上出现如玉色的翳膜，遮盖瞳仁，这都是因为肝经热极，风热之邪上冲脑部所致。适宜使用洗刀散，以祛除风热并消除翳膜。
洗刀散方剂组成：
即防风通圣散加羌活、独活、细辛、蒺藜、元参、木贼、草决明、蝉蜕、蔓荆子、青葙子各一钱。
膜入水轮歌：翳膜侵入水轮（黑睛/瞳孔区域）多在睛疮痊愈之后，疮痕愈合后遗留的翳膜逐渐侵入水轮。此乃肺肝虚热及大肠燥结所致，若日久失治则会损伤瞳神。治疗宜用退热饮子，由大黄、茺蔚子、黑参、细辛、防风、五味子、桔梗、黄芩组成。
【注】膜入水轮者，是因为黑白睛上生疮而起，疮愈后疮痕未消，逐渐生出翳膜，侵入水轮，这是肝经积热，大肠燥滞，邪热上逆所致。适宜使用退热饮子，以清降其热。
退热饮子方剂组成：
大黄（一钱） 茺蔚子（二钱） 黑参（一钱） 细辛（一钱） 防风（二钱） 五味子（五分）
桔梗（二钱） 黄芩（二钱）
以上药材研为粗末，用水两盏，煎煮至一盏，饭后去渣温服。
Song on Adhesion of Eyelids to the Cornea: The upper and lower eyelids adhere to the cornea, accompanied by excessive discharge, itching, and pain. This condition arises from an excess of wind-damp-heat pathogens in the Spleen and Stomach. The formula used is Juhua Tongsheng San (Chrysanthemum Purging-Decoction), composed of Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Jiegeng (Platycodonis Radix), Baishaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Jingjie Sui (Schizonepetae Spica), Danggui (Angelicae Sinensis Radix), Shigao (Gypsum Fibrosum), Bohe (Menthae Haplocalycis Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Mahuang (Ephedrae Herba), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Huashi (Talcum), Lianqiao (Forsythiae Fructus), Fangfeng (Saposhnikoviae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), with additional Qianghuo (Notopterygii Rhizoma et Radix), Xixin (Asari Radix et Rhizoma), Juhua (Chrysanthemi Flos), and Manjingzi (Viticis Fructus).
[Note] The syndrome of eyelids adhering to the cornea presents with sores inside the eyelids, discharge, tearing, itching, and pain, causing the eyelids to stick together and making it difficult to open them. This is due to the exuberance of wind-damp-heat pathogens in the Spleen and Stomach, combining to attack upwards. It is appropriate to use Fangfeng Tongsheng San (Wind-Protection Universal-Preserving Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix), Juhua (Chrysanthemi Flos), Xixin (Asari Radix et Rhizoma), and Manjingzi (Viticis Fructus) to disperse wind-pathogens externally and clear pathogenic heat internally.
Formula for Juhua Tongsheng San (Chrysanthemum Purging-Decoction):
Mangxiao (Natrii Sulfas) (5 fen) Dahuang (Rhei Radix et Rhizoma) (steamed with wine, 5 fen) Jiegeng (Platycodonis Radix) (1 qian) Baishaoyao (Paeoniae Radix Alba) (stir-fried, 5 fen) Gancao (Glycyrrhizae Radix et Rhizoma) (raw, 1.5 qian)
Jingjie Sui (Schizonepetae Spica) (5 fen) Danggui (Angelicae Sinensis Radix) (5 fen) Shigao (Gypsum Fibrosum) (1 qian) Bohe (Menthae Haplocalycis Herba) (5 fen) Chuanxiong (Ligustici Chuanxiong Rhizoma) (5 fen) Mahuang (Ephedrae Herba) (5 fen) Huangqin (Scutellariae Radix) (1 qian)
Zhizi (Gardeniae Fructus) (stir-fried until black, 1 qian) Huashi (Talcum) (2 qian) Lianqiao (Forsythiae Fructus) (5 fen) Fangfeng (Saposhnikoviae Radix) (5 fen) Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried, 5 fen)
Additionally: Qianghuo (Notopterygii Rhizoma et Radix), Xixin (Asari Radix et Rhizoma), Juhua (Chrysanthemi Flos), Manjingzi (Viticis Fructus), each 5 fen.
Grind the above into a coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Song on Floating Jade Nebula Covering the Pupil: The syndrome of floating jade nebula covering the pupil is sometimes painful; wind-heat rushes to the brain, obscuring the pupil. Treatment should employ Xidao Tongsheng San (Knife-Washing Universal-Preserving Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Jili (Tribuli Fructus), Yuan Shen (Scrophulariae Radix), Mu Zei (Equiseti Hiemalis Herba), Cao Jueming (Cassiae Semen), Chan Tui (Cicadae Periostracum), Manjingzi (Viticis Fructus), and Qingxiangzi (Vernoniae Semen).
[Note] In the syndrome of floating jade nebula covering the pupil, at the onset, there may be pain. A jade-colored nebula appears on the cornea, covering the pupil. This is caused by extreme heat in the Liver channel, with wind-heat rushing to the brain. It is appropriate to use Xidao San (Knife-Washing Powder) to dispel wind-heat and eliminate the nebula.
Formula for Xidao San (Knife-Washing Powder):
This is Fangfeng Tongsheng San (Wind-Protection Universal-Preserving Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Jili (Tribuli Fructus), Yuan Shen (Scrophulariae Radix), Mu Zei (Equiseti Hiemalis Herba), Cao Jueming (Cassiae Semen), Chan Tui (Cicadae Periostracum), Manjingzi (Viticis Fructus), and Qingxiangzi (Vernoniae Semen), each 1 qian.
Song on Membrane Entering the Water Wheel (Cornea/Pupil): After the healing of eye sores, a membrane enters the water wheel (cornea/pupil area). The scar from the sore does not disappear, and a nebula gradually forms and invades the water wheel. This is due to deficiency-heat in the Lung and Liver, combined with dryness in the Large Intestine. If left untreated for a long time, it will damage the pupil spirit. Treatment should employ Retie Yin (Heat-Retreating Decoction), composed of Dahuang (Rhei Radix et Rhizoma), Chongwei Zi (Leonuri Fructus), Heishen (Polygonati Odorati Rhizoma or Scrophulariae Radix variant), Xixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Wuweizi (Schisandrae Chinensis Fructus), Jiegeng (Platycodonis Radix), and Huangqin (Scutellariae Radix).
[Note] "Membrane entering the water wheel" originates from sores on the white and black parts of the eye. After healing, the scar remains, and a nebula gradually forms, invading the water wheel. This is caused by accumulated heat in the Liver channel, dryness and stagnation in the Large Intestine, and rebellious pathogenic heat rising upwards. It is appropriate to use Retie Yin Zi (Heat-Retreating Decoction) to clear and descend the heat.
Formula for Retie Yin Zi (Heat-Retreating Decoction):
Dahuang (Rhei Radix et Rhizoma) (1 qian) Chongwei Zi (Leonuri Fructus) (2 qian) Heishen (Black Ginseng/Scrophularia) (1 qian) Xixin (Asari Radix et Rhizoma) (1 qian) Fangfeng (Saposhnikoviae Radix) (2 qian) Wuweizi (Schisandrae Chinensis Fructus) (5 fen)
Jiegeng (Platycodonis Radix) (2 qian) Huangqin (Scutellariae Radix) (2 qian)
Grind the above into a coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.