女子逆经血灌瞳，满眼如朱 肉生，总因血热经阻逆，通经苏木大黄红，芩连羌薄栀香附，生地归
芍贼草芎。
【注】女子逆经之证，乃血逆上行，冲灌瞳仁，以致满眼赤涩，或生 肉，总由血热
经阻不行，因而上逆也，宜用通经散，破血通经，其血翳自退。
通经散方
苏木（一两） 大黄（五钱） 红花（一两） 黄芩（二两） 黄连 羌活 薄荷 黑栀子 香附 生
地黄 当归 赤芍药 木贼 甘草 川芎（各一两）
上为粗末，令匀，每服五钱，以水一盏
半，煎至七分，食后去渣温服。
女子行经目涩疼，眩晕头疼云翳生，去血过多肝脏损，当归补血薄羌茺，柴胡蒺藜
菊防草，生地当归白芍芎。
【注】行经目痛者，女子遇经行之际，眼目涩痛，头疼眩晕，肿涩难开，生翳于黑睛
上，或如粟米，或花翳白陷。此因经行去血过多，肝经虚损故也。宜用当归补血汤治之。
当归补血汤方
薄荷（五分） 羌活（五分） 茺蔚子（一钱） 柴胡（八分） 蒺藜（一钱） 菊花（八分） 防风
（八分） 甘草（四分） 生地黄（二钱） 当归（一钱五分） 白芍药（一钱） 川芎（八分）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
妊娠目病有余证，须辨气分血分医，气分旋螺瞳散大，天冬饮用茯苓知，羌活防风
参五味，血分瘀血并凝脂，保胎芩芥归芍草，连翘芎地缩陈皮。
【注】妊娠目病者，为有余之证，有气分、血分之别。属气分者，多见旋螺瞳仁散大，乃
气分之热，宜天门冬饮；属血分者，多生瘀血，凝脂翳障，乃血分之热，宜用保胎清火汤以治之。
天门冬饮
天门冬（一钱五分） 茯苓（一钱） 知母（一钱五分） 羌活（五分） 防风（五分） 人参（五分）
五味子（五分）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
保胎清火汤方
黄芩（一钱二分） 荆芥穗 当归身 白芍药（各一钱） 甘草（炙，三分） 连翘（一钱） 川芎（八分）
生地黄 缩砂仁 陈皮（各一钱）
上为粗末，以水二盏，煎至一盏，食远去渣温服。
女子倒经，血液上涌灌入瞳仁，满眼通红如朱砂，眼睑肉膜增生，总因血热导致经血阻滞逆乱，治疗宜用通经散，以苏木、大黄等红色药材活血通经，方中配伍黄芩、黄连、羌活、薄荷、栀子、香附、生地黄、当归、赤芍药、木贼草、川芎。
【注】女子倒经之证，是血液逆行向上，冲灌瞳仁，以致满眼红赤干涩，或生翳膜，总由血热经血阻滞不行，因而上逆所致，适宜使用通经散，破血通经，其血翳自然消退。
通经散方剂组成：
苏木（一两） 大黄（五钱） 红花（一两） 黄芩（二两） 黄连 羌活 薄荷 黑栀子 香附 生地黄 当归 赤芍药 木贼 甘草 川芎（各一两）
将上述药材捣成粗末，混合均匀，每次服用五钱，用水一盏半，煎煮至七分量，饭后去渣温服。
女子行经期间眼睛干涩疼痛，伴有眩晕头疼及云翳生成，因经期失血过多导致肝脏受损，治疗宜用当归补血汤加减，药物包括当归、补血之品、薄荷、羌活、茺蔚子，以及柴胡、蒺藜、菊花、防风、甘草，另加生地黄、当归、白芍、川芎。
【注】行经目痛者，指女子在月经来潮之际，眼目干涩疼痛，头疼眩晕，眼睑肿胀干涩难以睁开，黑睛上生翳，或如粟米状，或呈花翳白陷之态。此因经期失血过多，肝经虚损所致。适宜使用当归补血汤治疗。
当归补血汤方剂组成：
薄荷（五分） 羌活（五分） 茺蔚子（一钱） 柴胡（八分） 蒺藜（一钱） 菊花（八分） 防风（八分） 甘草（四分） 生地黄（二钱） 当归（一钱五分） 白芍药（一钱） 川芎（八分）
将上述药材捣成粗末，用水二盏，煎煮至一盏量，饭后去渣温服。
妊娠期间眼部疾病若属有余之证，必须辨别是气分还是血分进行医治。属气分者，多见旋螺瞳仁散大，宜用天门冬饮，方含茯苓、知母，配伍羌活、防风、人参、五味子；属血分者，多为瘀血并凝脂翳障，宜用保胎清火汤，方含黄芩、荆芥、当归、白芍、甘草，配伍连翘、川芎、生地黄、缩砂仁、陈皮。
【注】妊娠目病者，属于有余之证，分为气分和血分两种情况。属气分者，多见旋螺瞳仁散大，乃气分之热所致，适宜天门冬饮；属血分者，多生瘀血，形成凝脂翳障，乃血分之热所致，适宜使用保胎清火汤治疗。
天门冬饮方剂组成：
天门冬（一钱五分） 茯苓（一钱） 知母（一钱五分） 羌活（五分） 防风（五分） 人参（五分） 五味子（五分）
将上述药材捣成粗末，用水二盏，煎煮至一盏量，饭后去渣温服。
保胎清火汤方剂组成：
黄芩（一钱二分） 荆芥穗 当归身 白芍药（各一钱） 甘草（炙，三分） 连翘（一钱） 川芎（八分） 生地黄 缩砂仁 陈皮（各一钱）
将上述药材捣成粗末，用水二盏，煎煮至一盏量，饭后去渣温服。
Women's retrograde menstruation involves blood flooding the pupil, with the entire eye appearing red like cinnabar and fleshy membranes growing. This is generally due to blood heat causing menstrual obstruction and retrogression. Treatment should employ Tongjing San (Unblocking Menstruation Powder) using red herbs such as Suetamum (Sutum, 苏木) and Rhubarb (Dahuang, 大黄) to invigorate blood and unblock menstruation, combined with Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Menthae Haplocalycis Herba (Bohe, 薄荷), Gardeniae Fructus (Zhizi, 栀子), Cyperi Rhizoma (Xiangfu, 香附), Rehmanniae Radix (Shengdihuang, 生地黄), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Rubra (Chishao, 赤芍药), Equisetum Hiemale (Zeicao, 贼草), and Chuanxiong Rhizoma (Chuanxiong, 川芎).
[Note] The syndrome of women's retrograde menstruation refers to blood reversing upwards, flooding the pupil, resulting in a red and dry sensation throughout the eye or the growth of pterygium-like membranes. It is fundamentally caused by blood heat obstructing the menstrual flow, leading to upward reversal. It is appropriate to use Tongjing San (Unblocking Menstruation Powder) to break blood stasis and unblock menstruation, after which the blood-induced corneal opacity will naturally recede.
Formula for Tongjing San (Unblocking Menstruation Powder):
Suetamum (Sutum, 苏木) (1 liang), Rheum Palmatum Rootstock (Dahuang, 大黄) (5 qian), Carthami Flos (Honghua, 红花) (1 liang), Scutellariae Radix (Huangqin, 黄芩) (2 liang), Coptidis Rhizoma (Huanglian, 黄连), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Menthae Haplocalycis Herba (Bohe, 薄荷), Gardeniae Fructus (Zhizi, 栀子), Cyperi Rhizoma (Xiangfu, 香附), Rehmanniae Radix (Shengdihuang, 生地黄), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Rubra (Chishao, 赤芍药), Equisetum Hiemale (Zeicao, 贼草), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Chuanxiong Rhizoma (Chuanxiong, 川芎) (each 1 liang).
Grind the above ingredients into a coarse powder, mix evenly. Take 5 qian per dose, decoct with 1.5 cups of water until reduced to 0.7 cups, remove dregs, and take warm after meals.
During menstruation, women may experience dry and painful eyes, vertigo, headache, and the formation of nebulae. This results from excessive blood loss during menstruation damaging the Liver. Treatment should employ Danggui Buxue Tang (Angelica Tonifying Blood Decoction) modified with Angelicae Sinensis Radix (Danggui, 当归) to tonify blood, along with Menthae Haplocalycis Herba (Bohe, 薄荷), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Leonuri Fructus (Chongweizi, 茺蔚子), Bupleuri Radix (Chaihu, 柴胡), Tribuli Fructus (Jili, 蒺藜), Chrysanthemi Flos (Juhua, 菊花), Saposhnikoviae Radix (Fangfeng, 防风), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Rehmanniae Radix (Shengdihuang, 生地黄), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Alba (Baishao, 白芍), and Chuanxiong Rhizoma (Chuanxiong, 川芎).
[Note] Ophthalmalgia during menstruation refers to dryness and pain in the eyes, headache, vertigo, swelling and dryness making it difficult to open the eyes, and the formation of opacities on the cornea (black pupil area), resembling millet grains or presenting as flower-shaped white depressions. This is due to excessive blood loss during menstruation causing deficiency and damage to the Liver Meridian. It is appropriate to treat with Danggui Buxue Tang (Angelica Tonifying Blood Decoction).
Formula for Danggui Buxue Tang (Angelica Tonifying Blood Decoction):
Menthae Haplocalycis Herba (Bohe, 薄荷) (5 fen), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (5 fen), Leonuri Fructus (Chongweizi, 茺蔚子) (1 qian), Bupleuri Radix (Chaihu, 柴胡) (8 fen), Tribuli Fructus (Jili, 蒺藜) (1 qian), Chrysanthemi Flos (Juhua, 菊花) (8 fen), Saposhnikoviae Radix (Fangfeng, 防风) (8 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (4 fen), Rehmanniae Radix (Shengdihuang, 生地黄) (2 qian), Angelicae Sinensis Radix (Danggui, 当归) (1.5 qian), Paeoniae Radix Alba (Baishao, 白芍药) (1 qian), Chuanxiong Rhizoma (Chuanxiong, 川芎) (8 fen).
Grind the above ingredients into a coarse powder. Decoct with 2 cups of water until reduced to 1 cup, remove dregs, and take warm after meals.
Ocular diseases during pregnancy that present with excess syndromes must be differentiated between Qi level and Blood level for treatment. At the Qi level, symptoms often include dilation of the corneal pupil (spiral screw appearance); this is treated with Tiandong Yin (Asparagus Decoction) containing Polygonati Odorati Rhizoma (Tianmaodong, 天冬), Poria (Fuling, 茯苓), Anemarrhenae Rhizoma (Zhimu, 知母), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Saposhnikoviae Radix (Fangfeng, 防风), Ginseng Radix (Renshen, 人参), and Schisandrae Fructus (Wuweizi, 五味子). At the Blood level, symptoms involve blood stasis and lipid keratitis; this is treated with Baotai Qinghuo Tang (Fetus-Protecting Fire-Clearing Decoction) containing Scutellariae Radix (Huangqin, 黄芩), Schizonepetae Spica (Jingjie, 荆芥), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Alba (Baishao, 白芍), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Forsythiae Fructus (Lianqiao, 连翘), Chuanxiong Rhizoma (Chuanxiong, 川芎), Rehmanniae Radix (Shengdihuang, 生地黄), Amomi Fructus Rotundus (Suosharen, 缩砂仁), and Citri Reticulatae Pericarpium (Chenpi, 陈皮).
[Note] Ocular diseases during pregnancy are considered excess syndromes, distinguished into Qi level and Blood level. Cases at the Qi level often manifest as dilation of the corneal pupil, caused by heat in the Qi level, and are suitable for Tiandong Yin (Asparagus Decoction). Cases at the Blood level often involve blood stasis and lipid keratitis, caused by heat in the Blood level, and are suitable for Baotai Qinghuo Tang (Fetus-Protecting Fire-Clearing Decoction).
Formula for Tiandong Yin (Asparagus Decoction):
Polygonati Odorati Rhizoma (Tianmaodong, 天冬) (1.5 qian), Poria (Fuling, 茯苓) (1 qian), Anemarrhenae Rhizoma (Zhimu, 知母) (1.5 qian), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (5 fen), Saposhnikoviae Radix (Fangfeng, 防风) (5 fen), Ginseng Radix (Renshen, 人参) (5 fen), Schisandrae Fructus (Wuweizi, 五味子) (5 fen).
Grind the above ingredients into a coarse powder. Decoct with 2 cups of water until reduced to 1 cup, remove dregs, and take warm after meals.
Formula for Baotai Qinghuo Tang (Fetus-Protecting Fire-Clearing Decoction):
Scutellariae Radix (Huangqin, 黄芩) (1.2 qian), Schizonepetae Spica (Jingjie, 荆芥穗), Angelicae Sinensis Radix (Danggui, 当归身), Paeoniae Radix Alba (Baishao, 白芍药) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (roasted, 3 fen), Forsythiae Fructus (Lianqiao, 连翘) (1 qian), Chuanxiong Rhizoma (Chuanxiong, 川芎) (8 fen), Rehmanniae Radix (Shengdihuang, 生地黄), Amomi Fructus Rotundus (Suosharen, 缩砂仁), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (each 1 qian).
Grind the above ingredients into a coarse powder. Decoct with 2 cups of water until reduced to 1 cup, remove dregs, and take warm after meals.