此眼初患之时。皆因疼痛发歇作时。盖是五脏毒风所致，令睛突出。此疾不宜针灸钩割。只宜服退热桔梗饮子、还
睛丸，若要平稳。用针针破。流出青汁。即得平复。
诗曰∶
忽然疼痛便睛高 毒风五脏热相遭 冷冻饮料泻肝令大泄 又吞丸散渐须明
莫要中归平稳处 针出青涎莫要挑 便突更针三五度 睛轮平复似元朝
退热桔梗饮子
桔梗 茺蔚子 大黄 黑参 芍药 防风 黄芩 芒硝（各一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
还睛丸
远志 茺蔚子 防风 人参 干山药 五味子 茯苓 细辛（各一两） 车前子（一两半）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
此眼初患之时。皆因肾脏虚劳。房事不节。脾胃壅毒。夜卧多涎。肝气不足。致使不觉中风。口眼 斜。睑中赤痒。
时时颞之牵动。宜令火针出泪。又针睛明穴。若有 肉。即根据法钩割熨烙。若无 肉。不宜钩割。只服羚羊角饮子。用
摩风膏摩之。
诗曰∶
偏风牵动口斜 泪出还应不奈何 汤饮去除风毒了 摩风膏与且摩涂
若除 肉休钩割 有即应当用亦佳 承泣睛明须是穴 风牵睑动莫针他
羚羊角饮子
羚羊角 知母 人参 五味子 茯苓（各一两） 黄 防风 茺蔚子（各一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
摩风膏
木香 当归 白芷 黑附子 细辛 本 防风 骨碎补（各一两） 乌头 芍药 肉桂（各两半） 猪脂（半斤）
牛酥 鹅脂（各四两）
上为末。以麻油半斤。浸药末一宿一日。以文武火煎如膏为度。
【四十二·突起睛高外障】
当眼睛初次患病时，往往是因为疼痛发作间歇出现。这主要是由于五脏的毒风所致，导致眼球突出。此病不宜采用针灸、钩割等手术疗法。只适宜服用退热桔梗饮子和还睛丸。如果想要病情平稳，可以用针刺破患处，流出青色液体后，即可恢复平复。
诗曰：
忽然感到疼痛且眼球突出，是五脏热邪与毒风相遭遇。
饮用冷冻饮料以泻肝火，使其大量排泄；
又吞服丸药散剂，视力逐渐清晰。
不要急于求成而追求平稳，
针刺出青涎后不要随意挑拨。
如果再次突出，再针刺三到五次，
眼轮即可平复，恢复到原来的状态。
退热桔梗饮子
组成：桔梗、茺蔚子、大黄、黑参、芍药、防风、黄芩、芒硝（各一两）。
制法用法：将上述药材研为细末。每次取一钱药散，加水一盏，煎煮至五分量，饭后去渣温服。
还睛丸
组成：远志、茺蔚子、防风、人参、干山药、五味子、茯苓、细辛（各一两），车前子（一两半）。
制法用法：将上述药材研为细末，用炼蜜制成如梧桐子大小的丸药。空腹时用茶送服十丸。
【四十三·风牵偏外障】
这种眼病初次患病时，多因肾脏虚劳、房事不节制，加上脾胃壅滞有毒，夜间睡觉流口水多，肝气不足，致使不知不觉中风，出现口眼歪斜，眼睑中赤痛瘙痒，时常牵引颞部肌肉跳动。适宜用火针引出眼泪，并针刺睛明穴。如果有胬肉（翼状胬肉），就按照常规方法用钩割和熨烙治疗。如果没有胬肉，就不宜进行钩割，只服用羚羊角饮子，并用摩风膏涂抹按摩。
诗曰：
偏风牵引导致口眼歪斜，流泪不止似乎无可奈何。
服用汤饮去除风毒之后，
再用摩风膏涂抹按摩。
如果除去了胬肉，就不要钩割；
如果有胬肉，应当使用钩割也是很好的。
承泣穴和睛明穴是必须选取的穴位，
对于风牵引起的眼睑跳动，不要针刺其他穴位。
羚羊角饮子
组成：羚羊角、知母、人参、五味子、茯苓（各一两），黄芪、防风、茺蔚子（各一两半）。
制法用法：将上述药材研为细末。每次取一钱药散，加水一盏，煎煮至五分量，饭后去渣温服。
摩风膏
组成：木香、当归、白芷、黑附子、细辛、藁本、防风、骨碎补（各一两），川乌、芍药、肉桂（各两半），猪脂（半斤），牛酥、鹅脂（各四两）。
制法用法：将上述药材研为细末。用麻油半斤浸泡药末一夜加一天时间，用文火武火交替煎煮，直到成为膏状为止。
[Chapter 42: External Obstruction with Protruding Eye]
When the eye is first afflicted, it is often due to intermittent pain attacks. This is primarily caused by toxic wind in the five zang organs, leading to protrusion of the eyeball. This condition should not be treated with acupuncture, hooking, or cutting surgeries. It is only suitable to administer Tui Re Jie Geng Yin Zi (Heat-Relieving Platycodon Decoction) and Huan Jing Wan (Eye-Recovery Pill). If one wishes for a stable recovery, the affected area can be pricked with a needle; once green fluid flows out, the eye will return to its normal state.
The poem states:
Suddenly pain arises and the eye protrudes,
As heat from the five zang organs encounters toxic wind.
Drinking cold beverages purges the liver qi, causing massive discharge;
Swallowing pills and powders gradually restores clarity of vision.
Do not rush to seek stability;
After pricking out green saliva, do not pick at it.
If the protrusion recurs, prick three to five more times,
And the eye wheel will flatten, resembling its original state.
Tui Re Jie Geng Yin Zi (Heat-Relieving Platycodon Decoction)
Ingredients: Jie Geng (Platycodonis Radix), Chong Wei Zi (Achyranthis Bidentatae Semen), Da Huang (Rhei Radix et Rhizoma), Hei Shen (Adenophorae Radix), Shao Yao (Paeoniae Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Mang Xiao (Natrii Sulfas) (each 1 liang).
Preparation and Administration: Grind the above herbs into powder. Take 1 qian of the powder, add 1 cup of water, and decoct until reduced to 0.5 cup. Strain and take warm after meals.
Huan Jing Wan (Eye-Recovery Pill)
Ingredients: Yuan Zhi (Polygalae Radix), Chong Wei Zi (Achyranthis Bidentatae Semen), Fang Feng (Saposhnikoviae Radix), Ren Shen (Ginseng Radix), Gan Shan Yao (Dioscoreae Rhizoma), Wu Wei Zi (Schisandrae Chinensis Fructus), Fu Ling (Poria), Xi Xin (Asari Radix et Rhizoma) (each 1 liang); Che Qian Zi (Plantaginis Semen) (1.5 liang).
Preparation and Administration: Grind the above herbs into powder. Mix with refined honey to form pills the size of tung tree seeds. Take 10 pills on an empty stomach with tea.
[Chapter 43: External Obstruction with Wind-Pulled Deviation]
When this eye disease first occurs, it is often due to kidney deficiency and exhaustion, immoderate sexual activity, stagnation and toxicity in the spleen and stomach, excessive salivation during sleep, and insufficiency of liver qi. This leads to unnoticed stroke, resulting in deviation of the mouth and eye, redness and itching in the eyelids, and frequent pulling sensations in the temporal region. It is appropriate to use fire needles to induce tearing and to puncture the Jingming (BL1) acupoint. If there is pterygium (Nu Rou), follow standard procedures for hooking and cauterization. If there is no pterygium, hooking and cutting are not suitable; instead, only administer Ling Yang Jiao Yin Zi (Antelope Horn Decoction) and massage with Mo Feng Gao (Wind-Moving Ointment).
The poem states:
Wind-pulled deviation causes the mouth and eye to skew,
Tears flow endlessly, seemingly helpless.
After the decoction removes wind-toxicity,
Apply and massage with Wind-Moving Ointment.
If the pterygium is removed, do not hook or cut;
If present, using hooking and cutting is also excellent.
Chengqi (ST1) and Jingming (BL1) must be the selected acupoints;
For wind-pulled eyelid twitching, do not needle other points.
Ling Yang Jiao Yin Zi (Antelope Horn Decoction)
Ingredients: Ling Yang Jiao (Saiga Tataricae Cornu), Zhi Mu (Anemarrhenae Rhizoma), Ren Shen (Ginseng Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Fu Ling (Poria) (each 1 liang); Huang Qi (Astragali Radix), Fang Feng (Saposhnikoviae Radix), Chong Wei Zi (Achyranthis Bidentatae Semen) (each 1.5 liang).
Preparation and Administration: Grind the above herbs into powder. Take 1 qian of the powder, add 1 cup of water, and decoct until reduced to 0.5 cup. Strain and take warm after meals.
Mo Feng Gao (Wind-Moving Ointment)
Ingredients: Mu Xiang (Aucklandiae Radix), Dang Gui (Angelicae Sinensis Radix), Bai Zhi (Angelicae Dahuricae Radix), Hei Fu Zi (Aconiti Lateralis Radix Praeparata), Xi Xin (Asari Radix et Rhizoma), Ben Cao (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix), Gu Sui Bu (Drynariae Rhizoma) (each 1 liang); Chuan Wu (Aconiti Kusnezoffii Radix), Shao Yao (Paeoniae Radix), Rou Gui (Cinnamomi Cortex) (each 1.5 liang); Zhu Zhi (Porcine Adipose Tissue) (0.5 jin); Niu Su (Bovine Marrow/Butter) and E Zhi (Anseris Adipose Tissue) (each 4 liang).
Preparation and Administration: Grind the above herbs into powder. Soak the herb powder in 0.5 jin of Sesame Oil (Ma You) for one night and one day. Decoct over alternating mild and strong heat until it becomes an ointment consistency.