此眼初患之时。皆因失误筑打着头面额角。倒蹙扑下。令小儿肝受惊风。遂使眼目通睛。宜服牛黄丸、犀角饮子、
通顶石南散立效。
诗曰∶
小儿两目患通睛 欲拟看西又看东 振着脑中睛带转 肝家受得内惊风
牛黄犀角频研服 细研石南吹鼻中 乳母牵连须忌口 数朝方得旧时容
牛黄丸
牛黄 白附子 肉桂 干蝎 芎 石膏（各一分） 白芒（二分） 藿香（五钱） 朱砂 麝香（各少许）
上为末。炼蜜为丸如桐子大。临卧薄荷汤下三丸。乳母忌湿热面猪肉等物。小儿化服亦得。
犀角饮子
犀角（一两） 射干 草龙胆（各五钱） 钩藤 黄芩（各五分） 人参（二两） 茯苓 甘草（各一分） 远志
（二分）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
通顶石南散
石南（一两） 藜芦黄（三分） 瓜蒂（五七个）
上为末。每用一粳米许。一日两度。通顶为妙。
此眼初患之时。不论大小。须患斑疮一度。疮子患时。觉入眼中。实时将息慎忌。若不忌口将息，即便疼痛泪出，
赤涩。怕日难开。肿硬。翳如银色。此乃热气在肝。上冲入眼。肝膈壅毒。因成障翳，宜用秦皮汤洗之。后服凉肝丸。
不宜镰洗出血，点药挑拨。恐损眼。得疼痛定。即点退翳药。
诗曰∶
夫为人子一生身 须患斑疮不可论 热气透肝冲上睑 难开肿硬更羞明
眼疼翳出如白银 不要强将两手亲 却恐叫啼伤破后 顺时保护要殷勤
秦皮煎水频频洗 服药应教微有旬 病者若能根据此诀 遗君终老眼分明
秦皮汤
秦皮（二两） 秦艽 细辛 防风（各一两） 甘草（五钱）
上为末。以水一盏。散一钱。煎至三五沸。热淋洗眼立效。
凉肝丸
防风（二两） 黄芩 茺蔚子 黑参 大黄 知母（各一两） 人参 茯苓（各一两五钱）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
第一种情况是“小儿通晴外障”。当眼睛刚发病时，通常是因为失误导致头部、面部或额角受到撞击，或者因跌倒挤压所致。这会导致小儿肝脏受到惊风邪气的侵袭，从而引起双眼向内对视（通睛）。治疗适宜服用牛黄丸、犀角饮子以及通顶石南散，能立即见效。
诗云：
小儿两眼患通睛，想往西看又往东看。
脑中受震动导致眼球转动异常，这是肝脏受到了内部惊风的侵害。
频繁研磨服用牛黄和犀角，将石南细研后吹入鼻中。
乳母必须注意饮食禁忌，经过几天调理才能恢复原来的容貌。
【牛黄丸】
药材包括：牛黄、白附子、肉桂、干蝎、川芎、石膏（各一分）、白芒硝（二分）、藿香（五钱）、朱砂、麝香（各少许）。
以上药物研成粉末，用炼蜜制成如梧桐子大小的药丸。睡前用薄荷汤送服三丸。乳母需忌食湿热、面食、猪肉等食物。小儿也可以化开服用。
【犀角饮子】
药材包括：犀角（一两）、射干、草龙胆（各五钱）、钩藤、黄芩（各五分）、人参（二两）、茯苓、甘草（各一分）、远志（二分）。
以上药物研成粉末。取水一盏，放入药散一钱，煎煮至五分量，饭后去渣温服。
【通顶石南散】
药材包括：石南（一两）、藜芦黄（三分）、瓜蒂（五七个）。
以上药物研成粉末。每次取一小粒米大小的量，每日两次，以药力通达头顶为妙。
第二种情况是“小儿斑疮入眼外障”。这种眼病不分年龄大小，前提是患儿曾患过天花（斑疮）。在出痘期间，如果感觉痘毒侵入眼中，必须立即休息并严格禁忌。如果不忌口且不注意调养，就会立刻出现疼痛、流泪、眼睛红赤干涩、怕光难睁、肿胀坚硬等症状，翳膜呈现银色。这是因为热气在肝脏，向上冲入眼中，导致肝膈壅滞有毒，从而形成障翳。适宜用秦皮汤清洗眼睛，之后服用凉肝丸。不宜用镰刀状工具清洗出血，也不宜点药挑拨，恐怕损伤眼睛。待疼痛停止后，再点退翳药。
诗云：
为人子女一生必患斑疮，这是不可回避的。
热气透入肝脏冲向上眼睑，难以睁开，肿胀坚硬且羞明畏光。
眼睛疼痛，翳膜出现如白银色。不要强行用手触碰，恐怕哭闹导致伤口破裂。顺应时机殷勤保护。
用秦皮煎水频频清洗，服药应让身体微微出汗。患者若能遵循此诀，终身都能拥有明亮的双眼。
【秦皮汤】
药材包括：秦皮（二两）、秦艽、细辛、防风（各一两）、甘草（五钱）。
以上药物研成粉末。取水一盏，放入药散一钱，煎煮至沸腾三五次，趁热淋洗眼睛，立见成效。
【凉肝丸】
药材包括：防风（二两）、黄芩、茺蔚子、黑参、大黄、知母（各一两）、人参、茯苓（各一两五钱）。
以上药物研成粉末，用炼蜜制成如梧桐子大小的药丸。空腹时用茶送服十丸。
This text discusses two types of pediatric eye disorders: strabismus (Tongjing) and measles/chickenpox affecting the eyes.
The first condition is "Pediatric Strabismus with External Obstruction." When the eye disease initially occurs, it is usually caused by accidental blows to the head, face, or temples, or by falling and being crushed. This causes the child's Liver to be affected by Wind-stroke due to fright, leading to strabismus (eyes turning inward). It is appropriate to administer Niuhuang Wan (Calculus Bovis Pill), Xijiao Yinzi (Rhinoceros Horn Decoction), and Tongding Shinan San (Top-Penetrating Shinan Powder), which yield immediate results.
The poem states:
When a child suffers from strabismus,
They wish to look west but end up looking east.
Vibration in the brain causes the eyeballs to turn abnormally;
This indicates the Liver has been affected by internal Wind-stroke due to fright.
Frequently grind and take Calculus Bovis and Rhinoceros Horn;
Grind Shinan Herb finely and insufflate into the nose.
The nursing mother must observe dietary restrictions;
After several days, the original appearance will be restored.
[Niuhuang Wan / Calculus Bovis Pill]
Ingredients: Calculus Bovis (Niuhuang), Bai Fuzi (Aconitum Kusnezoffii Radix Praeparatum), Rougui (Cinnamon Bark), Ganxie (Dry Scorpion), Chuanxiong (Ligusticum Chuanxiong Rhizome), Shigao (Gypsum Fibrosum) (each 1 fen); Baimangxiao (Natrii Sulfas) (2 fen); Huoxiang (Agastache Rugosa Herba) (5 qian); Zhusha (Cinnabar), Shexiang (Moschus) (each a small amount).
Grind the above ingredients into powder. Mix with refined honey to form pills the size of paulownia seeds. Take three pills before sleep, washed down with Bohe Tang (Mint Decoction). The nursing mother should avoid damp-heat inducing foods, wheat products, and pork. Children may also dissolve and take the powder.
[Xijiao Yinzi / Rhinoceros Horn Decoction]
Ingredients: Xijiao (Rhinoceros Cornu) (1 liang); Shegan (Belamcanda Rhizome), Caolongdan (Gentiana Scabra Root) (each 5 qian); Gouteng (Uncaria Rhynchophylla Ramulus cum Uncis), Huangqin (Scutellaria Baicalensis Root) (each 5 fen); Renshen (Ginseng Radix et Rhizoma) (2 liang); Fuling (Poria), Gancao (Licorice Root) (each 1 fen); Yuanzhi (Polygalae Radix) (2 fen).
Grind the above ingredients into powder. Take one qian of the powder with one cup of water, decoct until reduced to half a cup. Strain and take warm after meals.
[Tongding Shinan San / Top-Penetrating Shinan Powder]
Ingredients: Shinan Ye (Rhododendri Daurici Folium) (1 liang); Lilvhuang (Veratrum Nigrum Rhizome) (3 fen); Gudia (Cucumis Melo Seed) (5-7 pieces).
Grind the above ingredients into powder. Use an amount roughly the size of a rice grain each time, twice daily. The effect is optimal when the medicinal power penetrates to the top of the head.
The second condition is "Measles/Chickenpox Affecting the Eyes with External Obstruction." This eye disorder affects children regardless of age, provided they have previously suffered from measles or chickenpox (Banchuang). During the eruption of the sores, if one feels the pathogen entering the eyes, rest and strict dietary/lifestyle precautions are necessary immediately. If dietary restrictions and care are not observed, pain, tearing, redness, dryness, photophobia (difficulty opening eyes), swelling, and hardness will occur. An opacity resembling silver color may appear. This is due to Heat-Fire residing in the Liver, rushing upward into the eyes, causing stagnation and toxicity in the Liver and Diaphragm, resulting in visual obstruction. It is suitable to wash the eyes with Qinpi Tang (Eucommia Bark Decoction), followed by taking Lianggan Wan (Cool-Liver Pill). One should not use a sickle-like tool to clean out blood, nor apply drops or pick at the eyes, as this may damage the eye. Once the pain subsides, apply opacities-resolving drops.
The poem states:
Every child must inevitably suffer from measles/chickenpox in their lifetime.
Heat-Fire penetrates the Liver and rushes to the upper eyelid;
Difficulty opening eyes, swelling, hardness, and photophobia prevail.
Eye pain and opacities appearing like silver;
Do not forcibly touch with hands, lest crying causes rupture.
Protect diligently according to the timing.
Frequently wash with Eucommia Bark decoction;
Medication should induce slight sweating.
If the patient follows this prescription,
They will enjoy clear vision for life.
[Qinpi Tang / Eucommia Bark Decoction]
Ingredients: Qinpi (Eucommiae Cortex) (2 liang); Qinjiao (Gentiana Macrophylla Radix), Xixin (Asarum Root), Fangfeng (Saposhnikoviae Radix) (each 1 liang); Gancao (Licorice Root) (5 qian).
Grind the above ingredients into powder. Take one qian of the powder with one cup of water, boil for three to five boils. Wash the eyes while hot for immediate effect.
[Lianggan Wan / Cool-Liver Pill]
Ingredients: Fangfeng (Saposhnikoviae Radix) (2 liang); Huangqin (Scutellaria Baicalensis Root), Chongweizi (Leonuri Fructus), Heishen (Polygoni Multiflori Radix Preparata), Dahuang (Rhei Radix et Rhizoma), Zhimu (Anemarrhenae Rhizoma) (each 1 liang); Renshen (Ginseng Radix et Rhizoma), Fuling (Poria) (each 1.5 liang).
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, washed down with tea.