小儿眼生翳者，脾胃实热所致。或者胎中受毒，或因乳母好食热物，皆能令小儿患眼。
量儿之大小，疾之远近轻重，一周半载者，其药须令母吃，或蛤壳灌入小儿吃可也。二三岁
者，此是胎毒也。离母之后患眼者，此是小儿自受之症，与母无预。此药须令小儿吃，忌以
油腻煎炒、糖甜果子之类，不独患眼所忌，不忌多生惊症，变为疳伤，亦能害目，甚至不治之
症，其疳眼别有余条款，此乃小儿生翳症也。黑睛如麻豆，大如萝卜花，与疳眼大不侔矣。一
倍三黄丹，一倍珍珠散点用。
\r小儿眼生翳图\p05-c20a59.bmp\r
加味修肝散
栀子 薄荷 连翘 麻黄 赤芍药 羌活 当归 大黄 黄芩 菊花 木贼 白蒺藜
川芎 甘草
上水煎，食后服。
问曰∶小儿疹痘入眼者何也？答曰∶小儿于母胎中受其毒，必发疹痘，出之时五脏俱有
热相攻，或肝脏受热甚，必有痘生于目内，宜服。
\r痘疹入眼图\p05-c20a60.bmp\r
凉肝散
草决明 天花粉 甘草 赤芍药 绿豆皮 谷精草
上为末。每服六钱，蜜水调下。
问曰∶小儿痘疹伤眼者何也？答曰∶五内虚热上攻也。治法∶经云∶切不可泄，余毒宜
用微凉剂和解。此症初起，睛上红紫涩痛，可用通神散，或车前草擂蜜水，频频与吃，洗去肝
中火邪。若至丧明，睛中有翳，或凹入者，经云∶疹痘之后，毒瓦斯郁结于肝，伤于瞳，素无
通神散 治小儿疹痘，用此能解毒。
白菊花 绿豆皮 谷精草 石决明（ 过）
上各等分为末。每服二钱，干柿一个，米汁水一盏同煎，候水干，不拘时服，能服汤药
，只将本方煎服亦可。
救苦观音散
桔梗 当归 连翘 本 细辛 苍术 龙胆草 羌活 黄连 知母 黄芩 黄柏 川
芎柴胡 防风 升麻 生地黄 红花
上各等分，炼蜜为丸。能吞者每四五十丸服，小者量服之。
通神散
菊花 谷精草 密蒙花 绿豆皮 苍术 石决明 甘草 黄芩 蝉蜕 木贼
上各等分。水煎，食后温服。
小儿眼睛长翳膜，是由脾胃实热引起的。或者是胎儿在母体中受到毒邪侵袭，或者因为乳母喜欢吃辛辣燥热的食物，这些都能导致小儿患眼病。
根据患儿年龄大小、病程长短及病情轻重来决定用药：如果是一岁半以内的婴儿，药物需要让母亲服用，或者将蛤壳粉灌给小儿服用也可以；如果是二至三岁的幼儿，这属于胎毒所致；断奶后患病的小儿，这是小儿自身感受的病症，与母亲无关。这种药必须让小儿直接服用。饮食上要忌食油腻煎炸食品以及糖果甜果等，这不仅对眼病有禁忌，如果不忌口还容易多生惊风症状，演变成疳积损伤，也会伤害眼睛，甚至发展为不治之症。关于疳积引起的眼病另有专门条款论述，这里讲的是小儿生翳的病症。黑睛上的翳膜小如麻豆，大如萝卜花，这与疳眼的程度完全不同。使用一倍量的三黄丹和一倍量的珍珠散点眼治疗。
加味修肝散
栀子、薄荷、连翘、麻黄、赤芍药、羌活、当归、大黄、黄芩、菊花、木贼、白蒺藜、川芎、甘草。
以上药材用水煎煮，饭后服用。
问：为什么小儿疹痘会进入眼睛？答：小儿在母胎中受到毒邪侵袭，必然引发疹痘。出疹痘时五脏都有热邪相互攻冲，如果肝脏受热严重，必然会在眼睛内部生出痘疮，适宜服用凉肝散。
凉肝散
草决明、天花粉、甘草、赤芍药、绿豆皮、谷精草。
以上药材研为细末。每次服用六钱，用蜜水调服。
问：为什么小儿痘疹会损伤眼睛？答：这是由于五脏虚热向上攻冲所致。治疗方法：医经说：切不可使用泻下法，余毒应当使用微凉的方剂来和解。此症初起时，眼球表面红紫、干涩疼痛，可以使用通神散，或者用车前草捣烂后加蜜水，频繁喂服，以洗去肝中的火邪。如果发展到失明，眼球中有翳膜，或者出现凹陷，医经说：疹痘之后，毒气郁结于肝脏，损伤了瞳仁，素无通神散（此处原文似有脱漏或指代不明，结合下文应为推荐方剂）治小儿疹痘，用此方能解毒。
白菊花、绿豆皮、谷精草、石决明（煅过）。
以上各等分研为细末。每次服用二钱，配一个干柿子，加一盏米汁水共同煎煮，待水煎干后，不拘时候服用。如果能喝汤药，只将这个方子煎服也可以。
救苦观音散
桔梗、当归、连翘、本（藁本）、细辛、苍术、龙胆草、羌活、黄连、知母、黄芩、黄柏、川芎、柴胡、防风、升麻、生地黄、红花。
以上各等分，炼蜜制成丸药。能吞咽的每次服用四五十丸，年幼者酌情减量服用。
When children develop corneal opacities (翳, nebula or leukoma) in the eyes, it is caused by excess heat in the Spleen and Stomach. It may also result from toxic pathogens acquired in the womb, or because the wet nurse consumes spicy and hot foods, all of which can cause eye diseases in infants.
Medication should be determined based on the child's age, duration of illness, and severity. For infants aged one and a half years or less, the medicine should be taken by the mother, or clam shell powder (Ge Qiao, 蛤壳) can be administered to the infant. For children aged two to three years, this is attributed to fetal toxins. If eye disease occurs after weaning, it is a condition contracted by the child themselves, unrelated to the mother. In such cases, the medicine must be taken directly by the child. Dietary restrictions include avoiding greasy, fried foods, as well as sweets and sugary fruits. These restrictions are not only for eye health; failure to observe them may lead to frequent convulsions (惊症), progression to malnutrition syndromes (Gan syndrome, 疳证), and further damage to the eyes, potentially resulting in incurable conditions. Specific treatments for Gan-eye are detailed elsewhere; this section addresses general pediatric corneal opacity. The opacity on the black pupil may be as small as hemp seeds or beans, or as large as radish flowers, which differs significantly from Gan-eye. Apply Sanhuang Dan (Three-Yellow Pill, 三黄丹) and Zhenzhu San (Pearl Powder, 珍珠散) in equal proportions to the eyes.
Jiawei Xiugan San (Modified Liver-Cultivating Powder, 加味修肝散)
Gardenia Fruit (Zhizi, 栀子), Mint Herb (Bohe, 薄荷), Forsythia Fruit (Lianqiao, 连翘), Ephedra Stem (Mahuang, 麻黄), Red Peony Root (Chishaoyao, 赤芍药), Notopterygium Rhizome (Qianghuo, 羌活), Angelica Root (Danggui, 当归), Rhubarb Root (Dahuang, 大黄), Scutellaria Root (Huangqin, 黄芩), Chrysanthemum Flower (Juhua, 菊花), Equisetum Stem (Muzei, 木贼), Tribulus Fruit (Bajili, 白蒺藜), Ligusticum Rhizome (Chuanxiong, 川芎), Licorice Root (Gancao, 甘草).
Decoct with water and take after meals.
Question: Why do chickenpox/rash lesions enter the eyes of children? Answer: Children acquire toxic pathogens in the womb, inevitably leading to rashes and pustules. During the eruption, heat pathogens attack all five Zang organs. If the Liver receives excessive heat, pustules will necessarily form inside the eyes. It is appropriate to use Lianggansan (Cooling Liver Powder, 凉肝散).
Lianggansan (Cooling Liver Powder, 凉肝散)
Aster Seed (Caoguoming, 草决明), Trichosanthes Root (Tianhuafen, 天花粉), Licorice Root (Gancao, 甘草), Red Peony Root (Chishaoyao, 赤芍药), Mung Bean Skin (Lvdoupi, 绿豆皮), Eyebright Herb (Gujingcao, 谷精草).
Grind into fine powder. Take 6 qian per dose, mixed with honey water.
Question: Why do chickenpox/rash lesions damage the eyes of children? Answer: This is due to deficiency-heat rising from the five internal organs. Treatment method: The classics state, "Do not use purgatives under any circumstances." Residual toxins should be resolved using mildly cooling formulas. At the onset, the eyeball appears red-purple, dry, and painful. Tongshensan (Divine Communication Powder, 通神散) can be used, or fresh Plantago Leaf (Cheqiancao, 车前草) can be mashed with honey water and frequently administered to clear fire pathogens from the Liver. If the condition progresses to blindness, with opacities or depressions in the pupil, the classics state that after chickenpox/rash, toxic qi stagnates in the Liver and damages the pupil. Tongshensan is indicated for treating pediatric chickenpox/rash affecting the eyes, capable of resolving toxicity.
Chrysanthemum Flower (Bai Juhua, 白菊花), Mung Bean Skin (Lv dou pi, 绿豆皮), Eyebright Herb (Gu jing cao, 谷精草), Aster Seed (Shijueming, 石决明 - calcined).
Grind equal parts into powder. Take 2 qian per dose, decocted with one dried persimmon and one cup of rice juice until the liquid evaporates. Take at any time. Alternatively, if decoction is feasible, simply decoct this formula and take it.
Jiuku Guanyin San (Savior-Kuanyin Powder, 救苦观音散)
Platycodon Root (Jiegeng, 桔梗), Angelica Root (Danggui, 当归), Forsythia Fruit (Lianqiao, 连翘), Koko Rhizome (Ben, 本 - likely Gaoben/Ligusticum sinense), Asarum Root (Xixin, 细辛), Atractylodes Rhizome (Cangzhu, 苍术), Gentian Root (Longdancao, 龙胆草), Notopterygium Rhizome (Qianghuo, 羌活), Coptis Rhizome (Huanglian, 黄连), Anemarrhena Rhizome (Zhimu, 知母), Scutellaria Root (Huangqin, 黄芩), Phellodendron Bark (Huangbai, 黄柏), Ligusticum Rhizome (Chuanxiong, 川芎), Bupleurum Root (Chaihu, 柴胡), Saposhnikovia Root (Fangfeng, 防风), Cimicifuga Rhizome (Shengma, 升麻), Rehmannia Root (Shengdihuang, 生地黄), Safflower (Honghua, 红花).
Grind equal parts into powder, mix with refined honey to make pills. Swallowers should take 40-50 pills per dose; younger children should take adjusted doses.
Tongshensan (Divine Communication Powder, 通神散)
Chrysanthemum Flower (Juhua, 菊花), Eyebright Herb (Gu jing cao, 谷精草), Buddleja Flower (Mimenghua, 密蒙花), Mung Bean Skin (Lv dou pi, 绿豆皮), Atractylodes Rhizome (Cangzhu, 苍术), Aster Seed (Shijueming, 石决明), Licorice Root (Gancao, 甘草), Scutellaria Root (Huangqin, 黄芩), Cicada Slough (Chantui, 蝉蜕), Equisetum Stem (Muzei, 木贼).
Grind equal parts. Decoct with water and take warm after meals.