大意
诸脉皆属于目。目得血而能视。又曰。五脏六腑之精。皆会于目而谓之睛。（内经）太过则壅塞发痛。不及则
耗竭失明。（子和）
内因
（表因）风中脑户。湿渍头上。冷灌睛中。或久处烟火。或醉后失枕。或飞冒砂尘。或撞刺扑损。皆伤目之标。（里
因）过食炙爆生冷。五辛酒面。湿热浸渍。或房室损精。劳役伤气。泣涕伤血。极视伤神。郁怒动火。皆伤目之本。（入
门）
外候
目不因火则不痛。如白轮变赤。火乘肺也。肉输赤肿。火乘脾也。黑珠五色花翳。肾虚火也。神光青睛被翳。
肝虚火也。赤脉贯目涩痛。心火自盛也。（子和）肝热则多肿。心热则多眵。火盛则多痛。水化则多泪。血虚则
多酸。气虚则多涩。精竭则眼昏。神竭则眼黑。风胜则痒。热胜则胀。湿胜则烂。（绳墨）
目分五轮
目之五轮。乃脏腑之精华。宗筋之所聚。（子和）其白属肺。曰气轮。乌珠属肝。曰风轮。两 属心。曰血轮。两胞
属脾。曰肉轮。瞳神属肾。曰水轮。（入门）
目分八廓
干为天廓。位两边白睛中间。震为雷廓。位白睛上截小 。兑为泽廓。位白睛下截向大 。坤为地廓。属上
下两胞。离为火廓。位大小 。巽为风廓。位乌珠。艮为白廓。位神光。坎为水廓。位瞳子。（入门）
目分经络
目之内 。太阳经之所起。目之锐 。少阳经也。目之上纲。太阳经也。目之下纲。阳明经也。足厥阴经。连于
目系而已。（子和）
目分阴阳
瞳子黑眼法于阴。白眼赤脉法于阳。故阴阳合德而精明也。（内经）小儿水在上。火在下。故目明。老人火在
上。水在下。故目昏。（子和）
远视近视
能远视不能近视者。属心虚。阳气不足。阴气有余也。能近视不能远视者。属肾虚。阳气有余。阴气不足也。（汇补）
阴虚阳虚
肝血不足。眼昏生花。久视无力。肾水欠盈。神光短少。看一成二。俱属阴虚。当壮水之主。以镇阳光。脾胃不
足。九窍不利。目生白翳。阴火不足。手足麻木。两目紧小。俱属阳虚。宜益火之原。以消阴翳。（汇补）
脉法
寸脉洪数。心火也。关脉弦数。肝实也。尺脉浮数。阴火也。若浮濡无力。为气虚。微细无力。为阳虚。不可作火
治。
治法
在腑为表。当除散风热。在脏为里。当养血安神。暴发者。在表易治。久病者。在里难痊。（机要）
初宜发散
在内汤药。用平寒辛凉以散火。在外点洗。用辛热辛凉以散邪。若泛用苦寒之药以阻逆之。则郁火内攻。
不得散矣。（玉纶）
久忌点洗
点药莫要于冰片。而冰片大辛大温。若久用之。致积热入目而成昏暗障翳。又或妄用凉茶。冷水挹洗。致
令眼瞎。（玉纶）
治分虚热
实火气有余者。散有余之火。在破气。虚火血不足者。降不足之火。在养阴。（入门）
用药
初起宜祛风散热。四物加干葛、防风、甘菊、荆芥、胆草、山栀、芩、连、蒺藜、密蒙、连翘、蔓荆等。随症加减。
久病宜养血滋阴。四物加枸杞、石斛、五味、菟丝子、蒺藜、参、 、山萸、山药、丹皮、麦门冬等。随病施治。又当
以各经报使之药佐之。亦有过服寒凉。以致阳虚。其火转甚。则当温补从治。其火自降。目亦自明。此虽百中一二之
症。然亦宜谛审也。
【附偷针眼】
凡眼内 头。忽结皮 。三五日便生浓汁。俗呼为偷针。此由热气客于 间。搏激津液所成。（巢氏）视其
上。即有细红疮点。以针头破之。即瘥。乃解太阳经之客邪也。（医统）
【附雀目眼】
雀目乃肝虚之候。盖水生于亥。旺于寅。绝于申。至于酉戌之时。木气衰甚。遇亥始生。至日出于卯。木气稍
盛。是以晚暗而晓复明也。宜四物汤补肝肾之不足。否则多变黄胀而死。
一法。用苍术入猪肝内煮食即愈。
【附倒睫拳毛】
睑属脾。脾受风则拳毛倒睫。（医统）两目紧急。皮缩之所致也。（东垣）用手扳出内睑向外。速以三棱针出血。
以左手爪甲迎其针锋立愈。或用石燕子一对。大者一雌一雄。磨水点搽眼内。先以镊子摘去拳毛。次用
点药。眼当以黄连水洗。
目疾选方
清风养血汤 治眼目赤肿疼痛。属外因邪实者。
荆芥 蔓荆 甘菊 防风 川芎 连翘 山栀 当归 黄芩 甘草
益阴肾气丸 治目暗不明。属肝肾虚衰。
即六味丸去泽泻。加当归、白芍、五味、枸杞、柴胡。
冲和养胃汤 治内障。元气虚弱。心火与三焦俱盛。饮食失节。形体劳役。不得休息者。
黄 （一钱半） 人参 炙草 当归（各一两） 白术（五钱） 防风（五钱） 黄连 黄芩 柴胡（各七钱） 干
姜（一钱） 五味（二钱） 白芍（酒炒六钱） 茯苓（三钱） 升麻 葛根（各一两） 羌活（一两五钱）
上锉一两。水煎。
羊肝丸 治内外障翳。青盲肿痛。 肉侵睛。流泪羞明。
黄连（一两） 菊花 当归 川芎 防风 荆芥 羌活 薄荷（各三钱） 生地（五钱） 白乳 羊肝
上为末。用生羊肝丸。每服三十丸。白汤下。
燥脾丸 治两眼弦烂。湿气所淫。
苍术 防风 半夏 羌活 甘草 陈皮 白芷 柴胡 升麻
养肝丸 治肝血不足。
当归 川芎 车前子 枳实 白芍 蕤仁（各等分）
蜜丸。
明目地黄丸
即地黄丸加当归、川芎、石斛、麦冬。
快捷方式法 治眼中云翳。
冬青叶（七个） 五倍子（三钱）
水煎一碗。乘热将舌尖蘸入水中。良久其翳自落。
治两目风湿燥痛弦烂者。用
皮硝（一两） 铜绿 明矾 甘菊 侧柏（各三钱） 桑白皮（五钱）
水五碗。煎二碗。洗眼及眉棱骨两太阳。涕出即爽。如 肉侵睛。用腊月雄猪胆入马牙硝于内。将风吹干为末。入
脑麝点之。
【大意】
所有的经脉都归属于眼睛。眼睛得到血液的滋养才能看见事物。又说，五脏六腑的精气，都会汇聚于眼睛，称为“睛”。（出自《内经》）精气太过则壅塞导致疼痛，精气不足则耗竭导致失明。（出自刘完素/子和）
【内因】
（表因）风邪侵袭脑户穴，湿气浸渍头部，寒气灌入眼中，或者长时间处于烟火环境中，或者醉酒后枕头不当，或者被飞沙走石灰尘迷眼，或者遭受撞击刺伤跌打损伤，这些都伤害了眼睛的表层（标）。（出自《入门》）
（里因）过量食用烤炸、生冷食物，以及五辛、酒类、面食等，导致湿热浸渍体内；或者房事过度损伤肾精，劳累过度损伤元气，哭泣流泪损伤血液，过度用眼损伤神气，忧郁愤怒引动肝火，这些都伤害了眼睛的根本（本）。（出自《入门》）
【外候】
眼睛不因为火邪就不会疼痛。比如白眼球变红，是火邪侵犯肺脏；肉轮（眼睑）红肿，是火邪侵犯脾脏；黑眼球出现五色花翳，是肾虚火旺；神光（视力）受青睛（黑眼球）上的翳障遮蔽，是肝虚火旺；赤脉贯穿眼球且涩痛，是心火自盛。（出自刘完素/子和）肝热则容易肿胀，心热则分泌物（眵）多，火盛则疼痛多，水液代谢异常则泪多，血虚则酸楚感多，气虚则干涩感多，精竭则视物昏花，神竭则眼前发黑。风胜则瘙痒，热胜则胀满，湿胜则溃烂。（出自《绳墨》）
【目分五轮】
眼睛的五轮，是脏腑精华所在，也是宗筋汇聚之处。（出自刘完素/子和）白色的部分属于肺，称为气轮；黑色的部分（黑眼球）属于肝，称为风轮；两眼角（内眦和外眦）属于心，称为血轮；上下眼睑属于脾，称为肉轮；瞳孔属于肾，称为水轮。（出自《入门》）
【目分八廓】
乾卦为天廓，位于两侧白眼球中间；震卦为雷廓，位于白眼球上截靠近小眼角处；兑卦为泽廓，位于白眼球下截靠近大眼角处；坤卦为地廓，属于上下眼睑；离卦为火廓，位于大小眼角之间；巽卦为风廓，位于黑眼球处；艮卦为白廓，位于神光（瞳孔中心）处；坎卦为水廓，位于瞳子（瞳孔）处。（出自《入门》）
【目分经络】
眼睛的内眼角，是足太阳膀胱经起始的地方；眼睛的外眼角，是足少阳胆经循行之处；眼睛的上眼睑，由足太阳膀胱经主管；眼睛的下眼睑，由足阳明胃经主管；足厥阴肝经，只连接到目系（眼球连系脑部的脉络）而已。（出自刘完素/子和）
【目分阴阳】
瞳孔和黑眼球效法阴，白眼球和赤脉效法阳，所以阴阳和谐配合，眼睛就能精明视物。（出自《内经》）小儿阳气在上，阴气在下，所以眼睛明亮；老人阴气在上，阳气在下，所以眼睛昏花。（出自刘完素/子和）
【远视近视】
能看清远处但不能看清近处的，属于心气虚，阳气不足，阴气有余。能看清近处但不能看清远处的，属于肾气虚，阳气有余，阴气不足。（出自本书汇补）
【阴虚阳虚】
肝血不足，导致眼睛昏花、视物生花，久视无力；肾水亏欠，导致神光短少，看一物成二物，这些都属于阴虚，应当壮水之主（滋补肾阴），以抑制阳光（虚火）。脾胃不足，导致九窍不利，眼睛生白翳；阴火（命门之火/阳气）不足，导致手足麻木，两眼紧缩变小，这些都属于阳虚，应当益火之原（温补阳气），以消除阴翳（寒湿/阴邪）。（出自本书汇补）
【脉法】
寸脉洪数，是心火旺盛；关脉弦数，是肝实热；尺脉浮数，是阴火（虚火）。如果脉象浮濡无力，是气虚；微细无力，是阳虚，不能当作火证来治疗。
【治法】
病在腑属表，应当疏散风热；病在脏属里，应当养血安神。暴发的眼病，在表易治；久病的眼病，在里难愈。（出自《机要》）
【初宜发散】
内服汤药，用平和寒凉、辛散的药物来疏散火邪；外用点洗，用辛热或辛凉的药物来驱散邪气。如果滥用苦寒药物来遏制火势，会导致郁火内攻，无法散发。（出自王肯堂/玉纶）
【久忌点洗】
点眼药没有比冰片更好的，但冰片大辛大温，如果长期使用，会导致积热入眼形成昏暗障翳。又或者妄用凉茶、冷水冲洗眼睛，会导致失明。（出自王肯堂/玉纶）
【治分虚热】
实火且气有余的，疏散有余的火，关键在于破气；虚火且血不足的，降低不足的火的表象，关键在于养阴。（出自《入门》）
【用药】
初起适宜祛风散热，可用四物汤加入干葛、防风、甘菊、荆芥、胆草、山栀、黄芩、黄连、蒺藜、密蒙花、连翘、蔓荆子等，随症状加减。
久病适宜养血滋阴，可用四物汤加入枸杞、石斛、五味子、菟丝子、蒺藜、人参、[缺字，推测为黄芪或类似补气药]、山萸肉、山药、丹皮、麦门冬等，随病情施治。另外应当配合各经的引经药。也有因为过服寒凉药物，导致阳虚，火势反而更盛的，这时应当温补并顺从病势治疗（从治），火势自然下降，眼睛自然明亮。这虽然是百中难遇一二的情况，但也应当仔细审察。
【附：偷针眼】
凡是眼内眦头部突然结成皮疮，三五天后便生出脓汁，俗称偷针。这是由于热气客居在眦间，搏激津液所形成。（出自巢元方）观察其上，就有细小的红疮点，用针头挑破它，立刻痊愈，这是解除了太阳经的客邪。（出自《医统》）
【附：雀目眼】
雀目（夜盲症）是肝虚的表现。盖因木气生于亥时，旺于寅时，绝于申时。到了酉戌之时，木气衰败得很厉害，遇到亥时才重新生长，直到日出卯时，木气稍微旺盛，所以晚上黑暗看不清，早晨天亮后又能看清。适宜用四物汤补益肝肾的不足，否则容易转变为黄胀病而死。
另一种方法，用苍术放入猪肝内煮熟食用，即可痊愈。
【附：倒睫拳毛】
眼睑属于脾，脾受风邪则睫毛卷曲倒向眼球。（出自《医统》）两眼紧急，是由于眼皮收缩所致。（出自李东垣）用手将内眼睑向外扳开，迅速用三棱针刺出血，用左手指甲迎着针锋按压，立刻痊愈。或者使用一对石燕子，大的分为雌雄，磨水点搽眼内。先用镊子摘去卷曲的睫毛，再用点药。眼睛应当用黄连水洗。
【目疾选方】
清风养血汤：治疗眼睛赤肿疼痛，属于外因邪实者。
荆芥、蔓荆子、甘菊、防风、川芎、连翘、山栀、当归、黄芩、甘草。
益阴肾气丸：治疗眼睛昏暗不明，属于肝肾虚衰者。
即六味地黄丸去掉泽泻，加入当归、白芍、五味子、枸杞子、柴胡。
冲和养胃汤：治疗内障，元气虚弱，心火与三焦俱盛，饮食失节，形体劳役，不得休息者。
黄芪（一钱半）、人参、炙甘草、当归（各一两）、白术（五钱）、防风（五钱）、黄连、黄芩、柴胡（各七钱）、干姜（一钱）、五味子（二钱）、白芍（酒炒六钱）、茯苓（三钱）、升麻、葛根（各一两）、羌活（一两五钱）。
以上锉碎为一两，水煎服。
羊肝丸：治疗内外障翳，青盲肿痛，胬肉侵睛，流泪羞明。
黄连（一两）、菊花、当归、川芎、防风、荆芥、羌活、薄荷（各三钱）、生地（五钱）、白乳、羊肝。
以上研为末，用生羊肝制作丸药。每次服用三十丸，白开水送下。
燥脾丸：治疗两眼睑缘溃烂，湿气浸淫所致。
苍术、防风、半夏、羌活、甘草、陈皮、白芷、柴胡、升麻。
养肝丸：治疗肝血不足。
当归、川芎、车前子、枳实、白芍、蕤仁（各等分）。
制成蜜丸。
快捷方式法：治疗眼中云翳。
冬青叶（七个）、五倍子（三钱）。
水煎一碗。趁热将舌尖蘸入水中，良久之后，其翳自落。
治疗两目风湿燥痛、睑弦溃烂者，用：
皮硝（一两）、铜绿、明矾、甘菊、侧柏（各三钱）、桑白皮（五钱）。
水五碗，煎至二碗。洗眼及眉棱骨、两太阳穴，涕出即觉爽快。如果有胬肉侵睛，用腊月里的雄猪胆，装入马牙硝在内，风吹干后研为末，加入冰片、麝香点眼。
[General Principle]
All meridians converge upon the eyes. The eyes are able to see when nourished by blood. It is also said that the essence of the five zang and six fu organs converges in the eyes, referred to as "Jing" (Pupil/Eye Essence). (From *Neijing*) If the essence is excessive, it causes congestion and pain; if insufficient, it leads to exhaustion and blindness. (From Liu Wansu/Zihe)
[Internal Causes]
(Exterior Causes) Wind pathogen invading the Naohu acupoint (B10), dampness soaking the head, cold pouring into the eyes, or long-term exposure to smoke and fire, sleeping improperly after drunkenness, being blinded by flying sand and dust, or suffering from blows, stabs, and falls—all these injure the superficial aspect (Biao) of the eyes. (From *Rumen*)
(Interior Causes) Overconsumption of roasted, fried, raw, and cold foods, as well as the "Five Pungent Spices," alcohol, and wheat products, leading to damp-heat infiltration; or excessive sexual activity damaging kidney essence, overwork damaging qi, crying and weeping damaging blood, excessive visual strain damaging spirit/shen, depression and anger stirring up fire—these all injure the fundamental aspect (Ben) of the eyes. (From *Rumen*)
[External Manifestations]
The eyes do not hurt unless caused by Fire pathogen. For instance, redness of the white sclera indicates Fire attacking the Lung; swelling and redness of the eyelids (Meat Wheel) indicate Fire attacking the Spleen; colored nebulae on the black cornea indicate Kidney deficiency with empty fire; vision obscured by nebulae on the green/black pupil indicates Liver deficiency with empty fire; red vessels traversing the eye with astringency and pain indicate Heart Fire flourishing internally. (From Liu Wansu/Zihe) Liver heat causes frequent swelling; Heart heat causes frequent ocular discharge (Chi); Excessive Fire causes frequent pain; Water metabolism issues cause frequent tearing; Blood deficiency causes frequent sourness; Qi deficiency causes frequent dryness/astringency; Essence exhaustion causes blurred vision; Spirit/Shen exhaustion causes darkness before the eyes. Wind excess causes itching; Heat excess causes distension; Dampness excess causes ulceration. (From *Shengmo*)
[The Five Wheels of the Eye]
The Five Wheels of the eye are the gathering place of the essence of the zang-fu organs and the convergence of the sinews. (From Liu Wansu/Zihe) The white part belongs to the Lung, called the Qi Wheel; the black part (cornea/pupil area) belongs to the Liver, called the Wind Wheel; the two canthi belong to the Heart, called the Blood Wheel; the upper and lower eyelids belong to the Spleen, called the Flesh Wheel; the pupil belongs to the Kidney, called the Water Wheel. (From *Rumen*)
[The Eight Palaces of the Eye]
Qian Palace represents Heaven, located in the middle of the white sclera on both sides; Zhen Palace represents Thunder, located in the upper section of the white sclera near the lateral canthus; Dui Palace represents Lake, located in the lower section of the white sclera near the medial canthus; Kun Palace represents Earth, belonging to the upper and lower eyelids; Li Palace represents Fire, located between the medial and lateral canthi; Xun Palace represents Wind, located on the black cornea; Gen Palace represents White, located at the center of the pupil (Shen Guang); Kan Palace represents Water, located at the pupil. (From *Rumen*)
[Meridians of the Eye]
The medial canthus of the eye is where the Foot-Taiyang Bladder Meridian originates; the lateral canthus is where the Foot-Shaoyang Gallbladder Meridian runs; the upper eyelid is governed by the Foot-Taiyang Bladder Meridian; the lower eyelid is governed by the Foot-Yangming Stomach Meridian; the Foot-Jueyin Liver Meridian only connects to the Eye System (Mai Xi). (From Liu Wansu/Zihe)
[Yin and Yang of the Eye]
The pupil and black cornea emulate Yin; the white sclera and red vessels emulate Yang. Thus, when Yin and Yang harmonize, vision becomes clear. (From *Neijing*) In children, Yang is above and Yin is below, so vision is bright; in the elderly, Yin is above and Yang is below, so vision is dim. (From Liu Wansu/Zihe)
[Long-sightedness and Short-sightedness]
Those who can see far but not near belong to Heart Qi deficiency, with insufficient Yang and excess Yin. Those who can see near but not far belong to Kidney Qi deficiency, with excess Yang and insufficient Yin. (From *Huibu*)
[Yin Deficiency and Yang Deficiency]
Insufficient Liver Blood causes blurred vision and seeing spots, with weakness after prolonged viewing; insufficient Kidney Water causes short-lived Shen Guang (visual spirit) and diplopia (seeing one object as two). Both belong to Yin Deficiency; one should strengthen the Master of Water (nourish Kidney Yin) to suppress the Sunlight (empty fire). Insufficient Spleen and Stomach function leads to dysfunction of the nine orifices and white nebulae in the eyes; insufficient Yin Fire (Mingmen Fire/Yang Qi) leads to numbness in hands and feet and tight, small eyes. These all belong to Yang Deficiency; one should benefit the Source of Fire (warm Yang) to eliminate Yin Nebulae (cold-damp/yin pathogens). (From *Huibu*)
[Pulse Diagnosis]
Cun pulse surging and rapid indicates Heart Fire; Guan pulse wiry and rapid indicates Liver Excess Heat; Chi pulse floating and rapid indicates Yin Fire (Deficiency Fire). If the pulse is floating, soft, and forceless, it is Qi Deficiency; if fine and weak, it is Yang Deficiency, which should not be treated as a Fire syndrome.
[Therapeutic Principles]
Disease in the Fu organs is exterior; disperse Wind-Heat. Disease in the Zang organs is interior; nourish Blood and calm the Spirit. Acute onset diseases are exterior and easy to treat; chronic diseases are interior and difficult to cure. (From *Jiyao*)
[Initial Treatment: Dispersal]
For internal decoctions, use mild, cool, and acrid-dispersing herbs to scatter Fire. For external washing/dropping, use acrid-warm or acrid-cool herbs to disperse pathogens. If bitter-cold herbs are indiscriminately used to suppress the fire, it will lead to constrained Fire attacking inward, preventing dispersion. (From Wang Kentang/Yulun)
[Long-term Contraindication for External Drops/Washes]
No herb is better for eye drops than Borneolum Syntheticum (Bingpian), but it is extremely acrid and warm. Long-term use causes accumulated heat to enter the eye, forming dark nebulae. Alternatively, reckless use of cooling teas or cold water washing can cause blindness. (From Wang Kentang/Yulun)
[Distinguishing Deficiency-Heat]
For Excess Fire with Qi surplus, scatter the excess Fire, focusing on breaking Qi stagnation. For Deficiency Fire with Blood insufficiency, descend the apparent lack of Fire, focusing on nourishing Yin. (From *Rumen*)
[Medication Usage]
In the initial stage, dispel Wind and scatter Heat. Use Siwu Tang (Four Substances Decoction) added with Puerariae Radix (Gegen), Saposhnikoviae Radix (Fangfeng), Chrysanthemi Flos (Ganju), Schizonepetae Herba (Jingjie), Gentianae Radix (Dancao), Gardeniae Fructus (Shanzhi), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Hlian), Tribuli Fructus (Jili), Dicentrae Rhizoma (Mimeng), Forsythiae Fructus (Lianqiao), Viticis Fructus (Manjing), etc., modified according to symptoms.
For chronic disease, nourish Blood and yin. Use Siwu Tang added with Lycii Fructus (Gouqi), Dendrobii Caulis (Shihu), Schisandrae Fructus (Wuweizi), Cuscutae Semen (Tusizi), Tribuli Fructus (Jili), Ginseng Radix et Rhizoma (Renshen), [Missing Character, likely Astragali Radix], Corni Fructus (Shanyuzhu), Dioscoreae Rhizoma (Shanyao), Moutan Cortex (Danpi), Ophiopogonis Tuber (Maidendong), etc., treated according to the condition. Additionally, guide herbs for specific meridians should be added. There are cases where excessive use of cold/clearing herbs leads to Yang Deficiency, causing the Fire to intensify; in such cases, warming and tonifying following the disease trend (Congzhi) is required, after which the Fire naturally subsides and vision clears. Although rare, this must be carefully examined.
[Appendix: Hordeolum/Stye]
When a skin lesion suddenly forms at the medial canthus, producing pus within three to five days, it is commonly called "Stealing Needle." This is caused by Heat pathogen lodging in the canthus, agitating body fluids. (From Chao Yuanfang) Observe the area for small red pustules; puncture with a needle tip, and it heals immediately, resolving the exogenous pathogen of the Taiyang Meridian. (From *Yitong*)
[Appendix: Night Blindness]
Night blindness (Que Mu) is a sign of Liver Deficiency. Wood energy is born in Hai hour, prosperous in Yin hour, and extinct in Shen hour. By You and Xu hours, Wood energy is very weak, only regenerating in Hai hour, and slightly strengthening by Mao hour at sunrise. Hence, vision is poor at night but recovers at dawn. Treat with Siwu Tang (Four Substances Decoction) to tonify Liver and Kidney deficiencies; otherwise, it may transform into Yellow Distension disease and death.
Alternative method: Cook Atractylodis Rhizoma (Cangzhu) inside a pig liver and eat it to cure.
[Appendix: Trichiasis/Rolling Eyelid]
Eyelids belong to the Spleen; Spleen affected by Wind causes curled lashes rolling inward. (From *Yitong*) Tightness of the eyes is caused by skin contraction. (From Li Dongyuan) Manually pull the inner eyelid outward, quickly prick with a Three-edged Needle to bleed, and press immediately with the left thumb nail against the needle tip for instant relief. Alternatively, use a pair of Swallow Stones (Shiyanzi), one large male and female, grind with water, and apply to the eye. First remove curled lashes with tweezers, then apply drops. Wash eyes with Coptidis Rhizoma (Hlian) decoction.
[Selected Formulas for Eye Diseases]
Qingfeng Yangxue Tang (Clear Wind and Nourish Blood Decoction): Treats red, swollen, painful eyes due to exterior Excess pathogens.
Schizonepetae Herba (Jingjie), Viticis Fructus (Manjing), Chrysanthemi Flos (Ganju), Saposhnikoviae Radix (Fangfeng), Ligustici Chuanxiong Rhizoma (Chuanxiong), Forsythiae Fructus (Lianqiao), Gardeniae Fructus (Shanzhi), Angelicae Sinensis Radix (Danggui), Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao).
Yiyin Shenqi Wan (Benefit Yin and Kidney Qi Pill): Treats dim vision due to Liver and Kidney deficiency.
Six Flavor Rehmannia Pill (Liujunzi Wan) minus Alisma Rhizoma (Zexie), plus Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Schisandrae Fructus (Wuweizi), Lycii Fructus (Gouqi), Bupleuri Radix (Chaihu).
Chonghe Yangwei Tang (Harmonize and Stomach-Nourishing Decoction): Treats internal cataracts, weak Yuan Qi, flourishing Heart Fire and Sanjiao, irregular diet, physical overwork, and lack of rest.
Astragali Radix (Huangqi - 1.5 qian), Ginseng Radix et Rhizoma (Renshen), Prepared Glycyrrhizae Radix et Rhizoma (Zhigancao), Angelicae Sinensis Radix (Danggui - each 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu - 5 qian), Saposhnikoviae Radix (Fangfeng - 5 qian), Coptidis Rhizoma (Hlian), Scutellariae Radix (Huangqin), Bupleuri Radix (Chaihu - each 7 qian), Zingiberis Rhizoma Recens (Ganjiang - 1 qian), Schisandrae Fructus (Wuweizi - 2 qian), Paeoniae Radix Alba (Baishao - wine-fried 6 qian), Poria (Fuling - 3 qian), Cimicifugae Rhizoma (Shengma), Puerariae Radix (Gegen - each 1 liang), Notopterygii Rhizoma et Radix (Qianghuo - 1.5 liang).
Decoct 1 liang in water.
Yanggan Wan (Sheep Liver Pill): Treats internal and external nebulae, blind spot with pain/swelling, pterygium invading the cornea, tearing, and photophobia.
Coptidis Rhizoma (Hlian - 1 liang), Chrysanthemi Flos (Juhua), Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Saposhnikoviae Radix (Fangfeng), Schizonepetae Herba (Jingjie), Notopterygii Rhizoma et Radix (Qianghuo), Menthae Haplocalycis Herba (Bohe - each 3 qian), Rehmanniae Radix Preparata (Shengdi - 5 qian), Bai Ru (White Milk/Cream), Sheep Liver.
Grind to powder, make pills with raw sheep liver. Take 30 pills per dose with warm water.
Zaopi Wan (Dry Spleen Pill): Treats ulceration of both eyelid margins due to Dampness invasion.
Atractylodis Rhizoma (Cangzhu), Saposhnikoviae Radix (Fangfeng), Pinelliae Rhizoma (Banxia), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Angelicae Dahuricae Radix (Baizhi), Bupleuri Radix (Chaihu), Cimicifugae Rhizoma (Shengma).
Yanggan Wan (Nourish Liver Pill): Treats Liver Blood deficiency.
Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Plantaginis Semen (Cheqianzi), Aurantii Fructus Immaturus (Zhishi), Paeoniae Radix Alba (Baishao), Pruni Semen Persicae (Ruiren - equal parts).
Make honey pills.
Mingmu Dihuang Wan (Brighten Eyes Rehmannia Pill):
Rehmannia Pill plus Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Dendrobii Caulis (Shihu), Ophiopogonis Tuber ( Maidong).
Quick Method: Treats cloud-like nebulae in the eye.
Ilex Aquifolium Leaf (Dongqing Ye - 7 leaves), Chinese Gall (Wubeizi - 3 qian).
Decoct in water to make one bowl. Dip the tip of the tongue into the hot liquid for a while; the nebula will fall off spontaneously.
For rheumatic-dry pain and eyelid margin ulceration of both eyes, use:
Mirabilite (Piaoxiao - 1 liang), Verdigris (Tonglv), Alum (Mingfan), Chrysanthemi Flos (Ganju), Platycladi Cacumen (Ce Bai Ye - each 3 qian), Morus Alba Cortex (Sangbaipi - 5 qian).
Decoct 5 bowls of water to 2 bowls. Wash eyes, eyebrow ridge, and bilateral Taiyang acupoints. Relief comes with nasal discharge. For pterygium invading the cornea, use a male pig gallbladder from the twelfth lunar month, insert Ma Ya Xiao (Marine Glauber Salt) inside, air-dry, grind to powder, add Borneolum Syntheticum (Bingpian) and Moschus (Shexiang), and apply to the eye.