此症肝风目暗者，乃是肝肾虚劳，肝气不足，血虚故也。不时疼痛，举发无时，痛则惟
眼珠坠痛，颇有赤涩泪出，看物依稀，眼前多见花发数般，或黄或白或黑，见一物如见两般形
状不清，疗治恐损眼也。此症实有内外相兼病也，非徒治外，而不治内曷济哉！内则白蒺藜
散，补外则阴二阳八丹，调乳汁点二三夜，点一次加片脑少许，洗以黄菊花、赤芍药、侧柏叶
、秦皮、白芷、川芎。更加忌口，五辛诸热物莫吃。
\r肝风目暗疼痛图\p05-c20a65.bmp\r
补肝活血散 虚者宜服。
本 白芷 石决明 天麻 防风 细辛 羌活 黄 菊花 当归 生地黄 黄连
上各等分。水煎服。
补肾丸 治目暗疼痛，恐变成黑风内障，先宜服之。
泽泻（去土） 细辛（去苗） 菟丝子（酒浸焙干） 五味子（炒，各一两） 茺蔚子（焙，二两）
山药（一两五） 熟地黄（焙，二两）
上为末，研匀，炼蜜为丸，如梧桐子大。每服二十丸，空心盐汤下。
白蒺藜散
蒺藜 菊花 蔓荆子 草决明 甘草 连翘 青葙子
上各等分。水煎食后温服。
问曰∶迎风洒泪者何也？曰∶肝之虚也，是亦脑冷，迎风泪遂出，拭却还生，夏月即少，
冬月即多，后若经二三年间，不以冬夏皆有，此疾乃泪通于肝，肝属木，目乃肝之外候，为
肝虚风动则泪流，故迎风泪出，即服补肝散治冷泪。
\r迎风洒泪症图\p05-c20a66.bmp\r
补肝散 治冷泪。
当归 熟地黄 川芎 赤芍药 防风 木贼
上等分。水煎服。
菊花散 治热泪。
菊花 川芎 木贼 香附子 夏枯草 羌活（各一两） 草乌（一钱） 防风 甘草 荆芥 白
芷（各五钱）
上为末。每服三钱，茶下，水煎亦可。
又方 治实泪。
菊花 蒺藜 防风 羌活 川芎 夏枯草 木贼 甘草（各三两）
上每服三钱，汤调下，水煎亦可。
川芎茶调散 治热泪。方在前充风泪出症内。
苍术止泪散
木贼 香附子 白芷 石膏 菊花 荆芥 白蒺藜 薄荷 当归 白芍药 川芎 蝉蜕
夏枯草
上为末。每服三钱，食后茶清下，冬泪，酒下。
这种症状表现为肝风引起的目暗疼痛，其病机在于肝肾虚劳，肝气不足，以及血虚。疼痛不时发作，没有固定时间，发作时眼球坠痛，伴有明显的红涩感和流泪，视物模糊不清，眼前经常看到各种颜色的幻视，如黄色、白色或黑色，看一个物体却像看到两个，形状不清晰，治疗时需担心损伤眼睛。此症实际上是内外兼有的疾病，如果只治外而不治内，怎能奏效呢？内服方剂用白蒺藜散，外用方剂用阴二阳八丹，调和乳汁滴眼，连续点两到三晚，每次点药时加入少许冰片，并用黄菊花、赤芍药、侧柏叶、秦皮、白芷、川芎煎水洗眼。同时要注意忌口，不要吃五辛及各类热性食物。
补肝活血散：适用于虚证患者服用。
药材：白芷、石决明、天麻、防风、细辛、羌活、黄菊花、当归、生地黄、黄连。
以上药材各等分，水煎后服用。
补肾丸：治疗目暗疼痛，防止演变为黑风内障，建议先服用此药。
药材：泽泻（去土）、细辛（去苗）、菟丝子（酒浸焙干）、五味子（炒，各一两）、茺蔚子（焙，二两）、山药（一两五钱）、熟地黄（焙，二两）。
以上药材研成细末，混合均匀，用炼蜜制成梧桐子大小的丸药。每次服用二十丸，空腹时用盐汤送服。
白蒺藜散
药材：蒺藜、菊花、蔓荆子、草决明、甘草、连翘、青葙子。
以上药材各等分，水煎，饭后温服。
问：什么是迎风洒泪症？答：这是肝虚所致，同时也与脑冷有关，遇风则流泪，擦掉后又会产生，夏季较少，冬季较多，若经过两三年间，无论冬夏都如此，这是因为泪液通于肝，肝属木，眼睛是肝之外候，因肝虚风动导致泪流，所以迎风流泪，应服用补肝散治疗冷泪。
补肝散：治疗冷泪。
药材：当归、熟地黄、川芎、赤芍药、防风、木贼。
以上药材等分，水煎服用。
菊花散：治疗热泪。
药材：菊花、川芎、木贼、香附子、夏枯草、羌活（各一两）、草乌（一钱）、防风、甘草、荆芥、白芷（各五钱）。
以上药材研成细末。每次服用三钱，用茶送服，也可以水煎服用。
又一方：治疗实泪。
药材：菊花、蒺藜、防风、羌活、川芎、夏枯草、木贼、甘草（各三两）。
以上药材每次服用三钱，用汤剂调服，也可以水煎服用。
苍术止泪散
药材：木贼、香附子、白芷、石膏、菊花、荆芥、白蒺藜、薄荷、当归、白芍药、川芎、蝉蜕、夏枯草。
以上药材研成细末。每次服用三钱，饭后用茶清送服，若是冬季流泪，可用酒送服。
This syndrome, characterized by dim vision and pain due to Liver Wind, stems from deficiency and exhaustion of the Liver and Kidney, insufficient Qi of the Liver, and Blood deficiency. The pain occurs intermittently without a fixed schedule; during attacks, there is a heavy, dragging pain in the eyeballs, accompanied by significant redness, dryness, and tearing. Vision is blurred, and various visual hallucinations are frequently seen before the eyes, such as yellow, white, or black spots. A single object may appear doubled with unclear shapes. Treatment requires caution to avoid damaging the eyes. This syndrome is actually a combination of internal and external pathology; treating only the exterior without addressing the interior would be ineffective. Internally, employ Bijieli San (Tribulus Powder). Externally, apply Yin Er Yang Ba Dan (Yin-Two-Yang-Eight Elixir), mixed with breast milk for eye drops, applied for two to three nights. Add a small amount of Bingpian (Borneol) each time. Wash the eyes with a decoction of Huang Juhua (Chrysanthemum Flower), Chi Shaoyao (Red Peony Root), Cebaiye (Biota Leaf), Qinpi (Ash Bark), Baizhi (Angelica Dahurica Root), and Chuanxiong (Ligusticum Rhizome). Additionally, observe dietary restrictions: avoid Five Pungent Spices and all hot-natured foods.
Buchgan Huoxue San (Liver-Nourishing and Blood-Invigorating Powder): Suitable for patients with deficiency patterns.
Ingredients: Baizhi (Angelicae Dahuricae Radix), Shijueming (Haliotidis Concha), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Huang Juhua (Chrysanthemi Flos), Danggui (Angelicae Sinensis Radix), Sheng Dihuang (Rehmanniae Radix), Huanglian (Coptidis Rhizoma).
All ingredients in equal parts. Decoct in water and take orally.
Bushen Wan (Kidney-Nourishing Pill): Treats dim vision and pain, preventing progression into Heifeng Neizhang (Black Wind Internal Cataract). It is recommended to take this first.
Ingredients: Zexie (Alismatis Rhizoma, cleaned of soil), Xixin (Asari Radix et Rhizoma, cleaned of seedlings), Tusizi (Cuscutae Semen, soaked in wine and baked dry), Wuweizi (Schisandrae Fructus, stir-fried, 1 liang each), Chongweizi (Leonuri Fructus, baked, 2 liang), Shanyao (Dioscoreae Rhizoma, 1.5 liang), Shu Dihuang (Rehmanniae Radix Praeparata, baked, 2 liang).
Grind all ingredients into fine powder, mix evenly, and form pills with refined honey, sized like paulownia seeds. Take 20 pills per dose, on an empty stomach, washed down with salted water.
Bijieli San (Tribulus Powder)
Ingredients: Jili (Tribuli Fructus), Juhua (Chrysanthemi Flos), Manjingzi (Viticis Fructus), Caojueming (Cassiae Semen), Gancao (Glycyrrhizae Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Qingxiangzi (Pharbitidis Semen).
All ingredients in equal parts. Decoct in water and take warm after meals.
Question: What is Yingfeng Salivation Syndrome? Answer: It is caused by Liver deficiency and is also related to Cold in the Brain. Tears flow upon exposure to wind; wiping them away causes them to reappear. There are fewer tears in summer and more in winter. If this persists for two to three years regardless of season, it indicates that tears connect to the Liver. The Liver belongs to Wood, and the eyes are the external manifestation of the Liver. Due to Liver deficiency and stirring of Wind, tears flow, causing wind-induced tearing. Therefore, treat cold tears with Buchgan San (Liver-Nourishing Powder).
Buchgan San (Liver-Nourishing Powder): Treats cold tears.
Ingredients: Danggui (Angelicae Sinensis Radix), Shu Dihuang (Rehmanniae Radix Praeparata), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chi Shaoyao (Paeoniae Radix Rubra), Fangfeng (Saposhnikoviae Radix), Muzei (Equiseti Herba).
Equal parts. Decoct in water and take orally.
Juhua San (Chrysanthemum Powder): Treats hot tears.
Ingredients: Juhua (Chrysanthemi Flos), Chuanxiong (Ligustici Chuanxiong Rhizoma), Muzei (Equiseti Herba), Xiangfuzi (Cyperi Rhizoma), Xiakucao (Prunellae Spica), Qianghuo (Notopterygii Rhizoma et Radix, 1 liang each), Caowu (Aconiti Kusnezoffii Radix, 1 qian), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Jingjie (Schizonepetae Herba), Baizhi (Angelicae Dahuricae Radix, 5 qian each).
Grind into fine powder. Take 3 qian per dose, washed down with tea. Decocting in water is also acceptable.
Another Prescription: Treats solid tears.
Ingredients: Juhua (Chrysanthemi Flos), Jili (Tribuli Fructus), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiakucao (Prunellae Spica), Muzei (Equiseti Herba), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang each).
Take 3 qian per dose, mixed with liquid medicine. Decocting in water is also acceptable.
Chuanxiong Chatiao San (Ligusticum Tea-Pausing Powder): Treats hot tears. See the formula in the previous section on "Wind-Stimulated Tearing Syndrome."
Cangzhi Zhilei San (Atractylodes Tear-Stop Powder)
Ingredients: Muzei (Equiseti Herba), Xiangfuzi (Cyperi Rhizoma), Baizhi (Angelicae Dahuricae Radix), Shigao (Gypsum Fibrosum), Juhua (Chrysanthemi Flos), Jingjie (Schizonepetae Herba), Baijili (Tribuli Fructus), Bohe (Menthae Haplocalycis Herba), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chantui (Cicadae Periostracum), Xiakucao (Prunellae Spica).
Grind into fine powder. Take 3 qian per dose, washed down with clear tea after meals. For winter tears, wash down with wine.