小 赤脉传睛者，心之虚也，与大 不同，治法分二症治之。五脏之主，六腑之宗，且
属南方，候阳象德之君。火生土，火乃土之母，脾土实则心火虚矣。治先泻其脾土之实，后
补其心之虚。多因夜近灯火，劳伤心经，致使心虚气弱，血运不行，积在小 之间，故引此
二者，以为后之学人识。然此症宜吃药，不必挑剪。
\r小 赤脉传睛图\p05-c20a4.bmp\r
泻肝散
桔梗 黄芩 大黄 芒硝 栀子 车前子
九仙散
黄芩 荆芥 甘草 赤芍药 菊花 川芎 当归 木通 白芷
上等分，为末，每服三钱，用水煎，食后服。
驻景丸 治心肾俱虚，血气不足，下元衰惫，服。
楮实（微炒） 枸杞子 五味子 人参（各一两） 熟地（酒浸，焙干，二两） 乳香（一两，制过）
肉苁蓉（酒浸，焙干，四两） 川椒（去目炒干，一两） 菟丝子（淘净去沙土，酒浸三宿，蒸过
焙干，四两） 一方加当归
上为末，炼蜜为丸，梧桐子大，每服三十丸，空心盐汤下。
补劳人参丸 治心神恍惚。
人参 白茯苓 白附子 续断 远志 菊花 甘草
上为末，炼蜜为丸，弹子大，每服一丸，细嚼，食后桔梗汤下，日三次。
补虚人参丸
茯苓 人参 续断 远志（各一两） 白附子（三钱） 甘草 白僵蚕（各五钱）
上为末，炼蜜为丸，如弹子大，每服一丸，细嚼，桔梗汤送下。
小赤脉传睛，是心气虚弱所致，与大赤脉传睛不同，治疗需分为两种证型分别施治。心为五脏之主，六腑之宗，归属于南方，象征阳德之君。火生土，火乃土之母，若脾土实证过盛，则会导致心火相对虚弱。治疗时，应先泻除脾土的实邪，随后补益心的虚损。此病多因夜间靠近灯火，劳伤心经，致使心气虚弱、气血运行不畅，瘀积于内眦之间，因此列举这两种情况，供后世学者辨识。然而此症适宜服药治疗，不必采用挑刺剪除的方法。
九仙散
组成：黄芩、荆芥、甘草、赤芍药、菊花、川芎、当归、木通、白芷。
用法：以上药物等分研为细末，每次服用三钱，用水煎煮，饭后服用。
驻景丸
主治：心肾俱虚，血气不足，下元衰惫者服用。
组成：楮实（微炒）、枸杞子、五味子、人参（各一两）、熟地黄（酒浸，焙干，二两）、乳香（一两，制过）、肉苁蓉（酒浸，焙干，四两）、川椒（去目，炒干，一两）、菟丝子（淘净去沙土，酒浸三宿，蒸过后焙干，四两）。另一配方加当归。
用法：以上药物研为细末，用炼蜜制成梧桐子大小的丸剂，每次服用三十丸，空腹时用盐汤送服。
补劳人参丸
主治：心神恍惚。
组成：人参、白茯苓、白附子、续断、远志、菊花、甘草。
用法：以上药物研为细末，用炼蜜制成弹子大小的丸剂，每次服用一丸，细细咀嚼，饭后用桔梗汤送服，每日三次。
补虚人参丸
组成：茯苓、人参、续断、远志（各一两）、白附子（三钱）、甘草、白僵蚕（各五钱）。
用法：以上药物研为细末，用炼蜜制成如弹子大小的丸剂，每次服用一丸，细细咀嚼，用桔梗汤送服。
Xiao Chi Mai Chuan Jing (Small Red Veins Transmitting to the Eye Canthus) is caused by deficiency of Heart Qi. It differs from Da Chi Mai Chuan Jing (Large Red Veins Transmitting to the Eye Canthus); treatment requires distinguishing between two syndromes for separate management. The Heart is the master of the Five Zang organs and the ancestor of the Six Fu organs, belonging to the South, symbolizing the ruler of Yang virtue. Fire generates Earth; Fire is the mother of Earth. If Spleen Earth excess becomes prominent, it leads to relative deficiency of Heart Fire. Treatment should first drain the excess of Spleen Earth, followed by tonifying the deficiency of the Heart. This condition often arises from staying near lamps at night, overworking the Heart Meridian, resulting in weak Heart Qi and impaired blood circulation, with stasis accumulating in the inner canthus. These two conditions are described here for future students to recognize. However, this syndrome is suitable for herbal medicine treatment and does not require needling or cutting procedures.
[Image: Xiao Chi Mai Chuan Jing Diagram]
Xie Gan San (Liver-Draining Powder)
Ingredients: Jie Geng (Platycodonis Radix), Huang Qin (Scutellariae Radix), Da Huang (Rhei Radix et Rhizoma), Mang Xiao (Natrii Sulfas), Zhi Zi (Gardeniae Fructus), Che Qian Zi (Plantaginis Semen).
Jiu Xian San (Nine-Immortal Powder)
Ingredients: Huang Qin (Scutellariae Radix), Jing Jie (Schizonepetae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Ju Hua (Chrysanthemi Flos), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Mu Tong (Akebiae Caulis), Bai Zhi (Angelicae Dahuricae Radix).
Usage: Equal parts of the above herbs are ground into powder. Take three qian per dose, decocted in water, taken after meals.
Zhu Jing Wan (Staying-Scenery Pill)
Indications: For use in cases of simultaneous deficiency of the Heart and Kidney, insufficiency of Blood and Qi, and decline of the Lower Yuan.
Ingredients: Chu Shi (Celastrus Semen), Gou Qi Zi (Lycii Fructus), Wu Wei Zi (Schisandrae Fructus), Ren Shen (Ginseng Radix) (each 1 liang), Shu Di (Rehmanniae Radix Praeparata) (soaked in wine, dried by baking, 2 liang), Ru Xiang (Olibanum) (1 liang, processed), Rou Cong Rong (Cistanches Herba) (soaked in wine, dried by baking, 4 liang), Chuan Jiao (Zanthoxyli Pericarpium) (remove eyes, stir-fry until dry, 1 liang), Tu Si Zi (Cuscutae Semen) (washed clean of sand, soaked in wine for three nights, steamed, then dried by baking, 4 liang). An alternative formula adds Dang Gui (Angelicae Sinensis Radix).
Usage: The above herbs are ground into powder and made into pills with refined honey, sized like paulownia seeds. Take thirty pills per dose, on an empty stomach, with salt water.
Bu Lao Ren Shen Wan (Tonifying-Labor Ginseng Pill)
Indications: For mental restlessness and absent-mindedness (Shen Hun Huang Hu).
Ingredients: Ren Shen (Ginseng Radix), Bai Fu Ling (Poria), Bai Fu Zi (Typhonii Rhizoma), Xu Duan (Dipsaci Radix), Yuan Zhi (Polygalae Radix), Ju Hua (Chrysanthemi Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Usage: The above herbs are ground into powder and made into pills with refined honey, sized like a bullet. Take one pill per dose, chew thoroughly, and swallow with Jie Geng Decoction after meals, three times daily.
Bu Xu Ren Shen Wan (Tonifying-Deficiency Ginseng Pill)
Ingredients: Fu Ling (Poria), Ren Shen (Ginseng Radix), Xu Duan (Dipsaci Radix), Yuan Zhi (Polygalae Radix) (each 1 liang), Bai Fu Zi (Typhonii Rhizoma) (3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Jiang Can (Bombyx Batryticatus) (each 5 qian).
Usage: The above herbs are ground into powder and made into pills with refined honey, sized like a bullet. Take one pill per dose, chew thoroughly, and swallow with Jie Geng Decoction.