此眼初患之时。旧无根基。忽然发动。疼痛如锥刺。睑皮亦如火炙。此疾不可忍。且求神祟气风。服药补治脏腑。
不得钩割熨烙针灸。不尔恐生翳障。宜服羚羊角饮子，点秦皮煎效。
诗曰∶
旧没根基忽患生 疼痛如针刺不安 兹如火炙来相近 求他神祟不虚言
痛定须还汤药治 莫教风热更相连 不须熨烙并烧炙 点去秦皮作散煎
羚羊角饮子
羚羊角（二两） 人参 茯苓 大黄 天门冬 黑参 黄芩 车前子（各一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
秦皮煎
秦皮 黄 木香 黄连 黑参（各一两）
上为末。以水一盏。浸药三宿。去渣入蜜四两。煎成膏用之。
此眼初患之时。忽然疼痛。作时由热积壅毒留在肝间。切宜补治。恐损眼也。宜服搜风汤、泻肝饮子。宣肠立效。
诗曰∶
眼前生障翳 尖起似旋螺 治望难依旧 根深更奈何
时时疼痛发 风来未消磨 汤药勤为服 宣通肝脏多
治求丸散解 痛定即从他 是疗不相应 睛高或陷洼
搜风汤
防风 五味子 大黄 天门冬 桔梗 芍药 细辛（各两半） 茺蔚子（二两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温温服之。
泻肝饮子
大黄 细辛 芒硝 车前子 黄芩 桔梗 柴胡 知母（各一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温温服之。
此病在眼睛初发之时，原本没有根基（指无宿疾基础），突然发作。疼痛如同锥子刺入一般，眼睑皮肤也感觉像被火烤灼一样。这种痛苦难以忍受，应当先寻求针对神祟、气滞、风邪的治疗，通过服药来补益和治疗脏腑。
此时不得使用钩割、熨烙或针灸等外治法，否则恐怕会生成翳障（角膜瘢痕或混浊）。适宜服用羚羊角饮子，并用秦皮煎剂点眼，效果显著。
诗曰：
旧日无根基忽然患病生，
疼痛如针刺令人不安宁。
痛势如火炙烤逼近身，
求治神祟之气并非虚言。
痛定之后须还靠汤药治，
莫让风热之邪再次相连。
不必使用熨烙和烧炙法，
点用秦皮制成散剂煎服。
羚羊角饮子
配方：羚羊角（二两）、人参、茯苓、大黄、天门冬、黑参、黄芩、车前子（各一两）。
制法：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。
秦皮煎
配方：秦皮、黄柏、木香、黄连、黑参（各一两）。
制法：将上述药材研为细末。每次取一钱药散，加水一盏，浸泡药物三个夜晚，去渣后加入蜂蜜四两，煎炼成膏状外用。
此病在眼睛初发之时，突然感到疼痛。发作时是因为热毒积聚壅塞，留在肝脏之间。切宜补益治疗，恐怕会损伤眼睛。适宜服用搜风汤、泻肝饮子，宣通肠道即可立见疗效。
诗曰：
眼前生出障翳，
尖端突起好似旋螺。
治疗期望恢复旧观难，
根深蒂固更无可奈何。
时时疼痛发作，
风邪来袭未能消除。
勤服汤药，
多宣通肝脏。
治疗若求丸散解散，
痛定之后便随它去。
若是疗法不相应，
眼球可能高突或陷入洼陷。
搜风汤
配方：防风、五味子、大黄、天门冬、桔梗、芍药、细辛（各一两半）、茺蔚子（二两）。
制法：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，温温服下。
泻肝饮子
配方：大黄、细辛、芒硝、车前子、黄芩、桔梗、柴胡、知母（各一两）。
制法：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，温温服下。
When this eye disease first occurs, there is no prior foundation (no chronic basis), and it suddenly erupts. The pain is like being pierced by an awl, and the eyelid skin feels as if scorched by fire. This suffering is unbearable. One should initially seek treatment targeting divine influences (Shen Sui), Qi stagnation, and Wind pathogens, using herbal medicine to tonify and treat the Zang-Fu organs.
At this stage, hook cutting, cauterization, or acupuncture must not be used; otherwise, nebulae (corneal opacities) may develop. It is suitable to take Lingyangjiao Yinzi (Antelope Horn Decoction) and apply Qinpi Jian (Qin Bark Decoction) as eye drops for effective results.
Poem:
Suddenly arising without prior foundation,
Pain like needle pricks brings no peace.
Heat burns like fire approaching close,
Seeking remedies for Shen Sui Qi is not in vain.
Once pain subsides, decoctions are needed for cure,
Lest Wind-Heat pathogens link together again.
No need for cauterization or burning treatments,
Apply Qinpi prepared as powder and decoction.
Lingyangjiao Yinzi (Antelope Horn Decoction)
Ingredients: Antelope Cornu (Lingyang Jiao, 2 liang), Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Rheum Palmatum Radix et Rhizoma (Dahuang), Asparagi Radix (Tianmendong), Polygoni Multiflori Radix Preparata (Heishen), Scutellariae Radix (Huangqin), Plantaginis Semen (Cheqianzi) (each 1 liang).
Preparation: Grind the above ingredients into fine powder. Take one qian of powder with one cup of water, decoct until reduced to half a cup. Strain and take warm after meals.
Qinpi Jian (Qin Bark Decoction)
Ingredients: Fraxini Cortex (Qinpi), Phellodendri Cortex (Huangbai), Costi Radix (Muxiang), Coptidis Rhizoma (Huanglian), Polygoni Multiflori Radix Preparata (Heishen) (each 1 liang).
Preparation: Grind the above ingredients into fine powder. Soak one qian of powder in one cup of water for three nights. Strain, add four liang of honey, and decoct into a paste for external use.
When this eye disease first occurs, sudden pain arises. The onset is due to heat accumulation and toxicity stagnating within the Liver. Tonification and treatment are essential to prevent damage to the eyes. It is suitable to take Soufeng Tang (Wind-Searching Decoction) and Xiegan Yinzi (Liver-Purging Decoction); unblocking the intestines will yield immediate effects.
Poem:
Nebulae appear before the eyes,
The tip rises like a spiral shell.
Restoring vision to its former state is difficult,
Rooted deeply, what can be done?
Pain erupts from time to time,
Wind arrives and remains unconsumed.
Diligently take herbal decoctions,
Much can be achieved by unblocking the Liver.
If treatment seeks pills and powders to resolve,
Once pain settles, let it be.
If the therapy is inappropriate,
The eyeball may protrude high or sink into a depression.
Soufeng Tang (Wind-Searching Decoction)
Ingredients: Saposhnikoviae Radix (Fangfeng), Schisandrae Fructus (Wuweizi), Rheum Palmatum Radix et Rhizoma (Dahuang), Asparagi Radix (Tianmendong), Platycodonis Radix (Jiegeng), Paeoniae Radix (Shaoyao), Asari Radix et Rhizoma (Xixin) (each 1.5 liang), Leonuri Fructus (Chongweizi) (2 liang).
Preparation: Grind the above ingredients into fine powder. Take one qian of powder with one cup of water, decoct until reduced to half a cup. Strain and take warm after meals.
Xiegan Yinzi (Liver-Purging Decoction)
Ingredients: Rheum Palmatum Radix et Rhizoma (Dahuang), Asari Radix et Rhizoma (Xixin), Mirabilite (Mangxiao), Plantaginis Semen (Cheqianzi), Scutellariae Radix (Huangqin), Platycodonis Radix (Jiegeng), Bupleuri Radix (Chaihu), Anemarrhenae Rhizoma (Zhimu) (each 1 liang).
Preparation: Grind the above ingredients into fine powder. Take one qian of powder with one cup of water, decoct until reduced to half a cup. Strain and take warm after meals.