此眼初患之时。皆脾胃壅热上冲入眼睑 之中。致令生肉。初时小如麻米。后三五年间长大。摩隐瞳人。赤涩泪出。
切宜钩割散去瘀血。后乃熨烙。宜服搜胃散、补肝丸。点曾青膏立效。
诗曰∶
小儿眼睑赘虽稀 医者先来也要知 初即小如麻子大 日深渐长豆珠垂
必须割烙流瘀血 斟量汤丸宜三思 若逢高贵娇儿女 点药还须得妙奇
搜胃散
大黄 桔梗 黑参 防风 车前子 细辛 芒硝 黄芩（各等分）
上为末。以水一盏，散一钱。煎至五分，食后去渣温服。
补肝丸
芎 本 细辛 五味子（各一两） 茺蔚子（二两） 羌活 知母（各一两五钱）
上为末，炼蜜为丸如桐子大。空心茶下十丸。
曾青膏
曾青（一两） 龙脑（少许） 朱砂 乳头香 琥珀 珍珠（各一分）
上为末。研如面相似。调酥为膏。每至夜后点眼。
此眼初患之时。皆因脑热。头上有疮。或因雀目多时。泻痢潜冲。疼痛泪出难开。膈间热。肝风入。初患之时。时
时痒涩。 眉咬甲揉鼻。致令翳生。赤肿疼痛，泪出难开。膈硬。白膜遮满。怕日。合面而卧。不喜抬头。此疾不宜烧
炙头面。恐损眼目。尤忌点药。宜服杀疳散、退翳丸立效。
诗曰∶
小儿疳眼自何来 脑热肝风起祸灾 或固泻痢潜中上 雀目多时亦是媒
初患时时闭痒涩 病深生翳肿难开 手 头发兼揉鼻 怕见光明头不抬
计拙便将头面炙 枉遭疼痛实堪哀 庸医不解轻轻点 刺着疮痕疼不谐
欲知痊瘥求何道 服药如风卷雾开
杀疳散
防风 龙脑 牡蛎（各二两） 五味子 白芷 细辛（各一两）
上为细末。每日空心米汤调下一钱。
退翳丸
黑参 防风 人参 茯苓 石决明 细辛 黄芩 桔梗 车前子（各一两）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
这段文字描述了两种小儿眼病。
第一种是“小儿睑中生赘外障”。此病初起时，都是由于脾胃积热上冲至眼睑之中，导致长出肉赘。起初小如麻米，经过三五年时间逐渐长大，甚至摩擦遮挡瞳孔，伴有眼睛红涩、流泪等症状。治疗时必须用钩割法去除瘀血，之后再进行熨烙疗法。内服宜用搜胃散、补肝丸，外用点曾青膏，可立即见效。
诗曰：
小儿眼睑长肉赘虽然少见，医生首先也要知晓。
初起时小如麻子大，日子久了渐渐长大像豆珠下垂。
必须通过割治和烙法治愈并排出瘀血，斟酌使用汤剂和丸剂时应仔细思考。
如果遇到富贵人家娇惯的孩子，点药还需选用奇妙特效的方子。
搜胃散
组成：大黄、桔梗、黑参、防风、车前子、细辛、芒硝、黄芩（各等分）。
制法与用法：以上药物研为细末。取水一盏，加入药散一钱，煎煮至五分量，饭后去渣温服。
补肝丸
组成：川芎、藁本、细辛、五味子（各一两），茺蔚子（二两），羌活、知母（各一两五钱）。
制法与用法：以上药物研为细末，用炼蜜制成梧桐子大小的丸剂。空腹时用茶送服十丸。
曾青膏
组成：曾青（一两），龙脑（少许），朱砂、乳头香、琥珀、珍珠（各一分）。
制法与用法：以上药物研为细末，研磨得像面粉一样细腻，用酥油调制成膏状。每晚睡前点入眼中。
第二种是“小儿疳眼外障”。此病初起时，多因脑部有热，头上生疮，或因雀盲症日久不愈，加之泻痢暗中影响，导致疼痛、流泪、难以睁眼。患者胸膈间有热感，肝风内侵。初患时，时常感到眼痒且涩。患儿会咬眉毛、抓指甲、揉鼻子，导致翳膜生成。表现为眼睛红肿胀痛，流泪难开，胸膈僵硬，白膜遮盖满眼，怕见阳光，只能脸朝下躺着，不喜欢抬头。此病不宜对头面部进行烧炙，恐怕损伤眼目。尤其忌讳随意点药。宜服用杀疳散、退翳丸，可立即见效。
诗曰：
小儿疳眼从何而来？脑热肝风兴起祸灾。
或许是因为泻痢暗中上攻，雀盲症日久也是媒介。
初患时常常闭眼感觉痒涩，病深入则生翳肿胀难开。
手抓头发兼揉鼻子，害怕见到光明而头不抬。
计谋拙劣便对头面施以烧炙，白白遭受疼痛实在可怜哀伤。
庸医不懂病情轻轻点药，刺破疮痕疼痛不适。
想知道痊愈求什么道路？服药后如风吹雾散般清晰。
杀疳散
组成：防风、龙脑、牡蛎（各二两），五味子、白芷、细辛（各一两）。
制法与用法：以上药物研为细末。每日空腹时用米汤调服一钱。
退翳丸
组成：黑参、防风、人参、茯苓、石决明、细辛、黄芩、桔梗、车前子（各一两）。
制法与用法：以上药物研为细末，用炼蜜制成梧桐子大小的丸剂。空腹时用茶送服十丸。
This text describes two types of pediatric eye disorders.
The first is "External Obstruction with Proliferation in the Eyelid of Children" (Xiao'er Jianzhong Shengzhui Waizhang). At the initial stage, this condition arises from heat accumulation and stagnation in the Spleen and Stomach rising to the eyelids, causing fleshy growths. Initially small as hemp seeds, over three to five years they grow larger, eventually rubbing against and obscuring the pupil, accompanied by redness, dryness, and tearing. Treatment requires hooking and cutting to remove blood stasis, followed by moxibustion or cautery. Internally, it is appropriate to take Souwei San (Stomach-Searching Powder) and Bugan Wan (Liver-Nourishing Pill), and externally apply Zengqing Gao (Azurite Ointment), which yields immediate results.
Poem:
Though proliferations in children's eyelids are rare, physicians must know them first.
Initially small as a hemp seed, day by day it grows longer, hanging down like a bean or pearl.
Cutting and cauterizing are necessary to drain blood stasis; one must carefully consider the decoctions and pills.
If encountering noble and delicate children, applying medicine requires miraculous and unique prescriptions.
Souwei San (Stomach-Searching Powder)
Ingredients: Dahuang (Rhei Radix et Rhizoma), Jiegeng (Platycodonis Radix), Heishen (Ginseng Radix Rubra), Fangfeng (Saposhnikoviae Radix), Cheqianzi (Plantaginis Semen), Xixin (Asari Radix et Rhizoma), Mangxiao (Natrii Sulfas), Huangqin (Scutellariae Radix) (equal parts).
Preparation and Administration: Grind the above ingredients into powder. Take one qian of the powder with one cup of water, boil until reduced to half a cup, strain, and take warm after meals.
Bugan Wan (Liver-Nourishing Pill)
Ingredients: Xiong (Ligustici Chuanxiong Rhizoma), Ben (Ligustici Rhizoma et Radix), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Chinensis Fructus) (each 1 liang), Chongweizi (Leonuri Fructus) (2 liang), Qianghuo (Notopterygii Rhizoma et Radix), Zhimu (Anemarrhenae Rhizoma) (each 1.5 liang).
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. Take ten pills on an empty stomach with tea.
Zengqing Gao (Azurite Ointment)
Ingredients: Zengqing (Azurite) (1 liang), Longnao (Borneolum Syntheticum) (a small amount), Zhusha (Cinnabaris), Runtouxiang (Olibanum), Hupo (Electrum), Zhenzhu (Margarita) (each 1 fen).
Preparation and Administration: Grind the above ingredients into a fine powder, as smooth as flour. Mix with butter/ghee to form an ointment. Apply to the eyes every night after dark.
The second type is "External Obstruction due to Malnutrition Eye Disease in Children" (Xiao'er Gan Yan Waizhang). At the onset, this is often caused by heat in the brain, sores on the head, prolonged duration of Nyctalopia (Que Mu), or hidden effects from diarrhea and dysentery. Symptoms include pain, tearing, difficulty opening the eyes, heat in the chest/diaphragm area, and invasion of Liver Wind. Initially, there is intermittent itching and dryness. The child may bite eyebrows, scratch nails, and rub the nose, leading to the formation of corneal opacities (Yi). Manifestations include redness, swelling, pain, tearing, difficulty opening eyes, stiffness in the diaphragm, white membranes covering the entire eye, photophobia, lying face down, and reluctance to lift the head. This disease should not be treated with cauterization on the head and face, as it may damage the eyes. It is especially contraindicated to arbitrarily apply eye drops. It is appropriate to take Shagan San (Malnutrition-Eliminating Powder) and Tuiyi Wan (Opacity-Removing Pill), which yield immediate results.
Poem:
Where does childhood malnutrition eye disease come from? Brain heat and Liver wind bring disaster.
Perhaps due to diarrhea and dysentery secretly affecting the upper body, or prolonged nyctalopia acting as a medium.
Initially, frequent closing of eyes with itching and dryness; deep illness brings opacities, swelling, and difficulty opening.
Hands scratching hair and rubbing the nose, afraid of light, head not lifted.
Inept measures lead to cauterization of the head and face, suffering pain in vain, truly lamentable.
Quacks do not understand, lightly applying drops, piercing wound scars causes discomfort.
Want to know the path to recovery? Medication clears it like wind rolling away fog.
Shagan San (Malnutrition-Eliminating Powder)
Ingredients: Fangfeng (Saposhnikoviae Radix), Longnao (Borneolum Syntheticum), Muli (Concha Ostreae) (each 2 liang), Wuweizi (Schisandrae Chinensis Fructus), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma) (each 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Each morning on an empty stomach, take one qian mixed with rice soup.
Tuiyi Wan (Opacity-Removing Pill)
Ingredients: Heishen (Ginseng Radix Rubra), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix), Fuling (Poria), Shijueming (Concha Arcae), Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Cheqianzi (Plantaginis Semen) (each 1 liang).
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. Take ten pills on an empty stomach with tea.