清毒散∶治风湿眼痛。大黄、荆芥、牛蒡子、甘草，水煎服。
第三十九问∶目有年深月久赤脉贯睛目，泪出如倾者何也？答曰∶心火未除，肺气相搏
，故亦宜服泻肺散。
泻肺散∶桑白皮，茯苓，黄芩（炒）俱为细末。每服二钱，灯心汤下。
第四十问∶目有 肉攀睛，红障壅上者何也？答曰∶用青龙膏一点，即用手法取之，再
点如痛者，加茶调散。
茶调散∶防风、羌活、柴胡、甘草、当归、黄芩、生地、川芎、天花粉，各等分为细末
，砂糖水调茶汤送下。
第四十一问∶目有乌睛突出而痛者何也？答曰∶心肝二经受邪，以致毒瓦斯上攻。宜服洗
心散（方见五问），后服洗肝散。
洗肝散∶赤芍、细辛、防风、远志、桔梗、甘草、人参、羚羊角、黄芩各等分，水煎服。
第四十二问∶目有太阳穴如针刺痛，服药不愈者何故？答曰∶心经热搏，上攻于脑。宜
用清净膏和鸡子清涂数目，再用手法取之，再点珍珠琥液膏，又外敷赤头散（方见三十四问）
，内服洗心散（方见二问）加川芎，羌活。
清净膏∶南星、薄荷、白芍，各等分为末，用鸡子清调敷眼眶上。
第四十三问∶目有两角烂弦者何也？答曰∶风邪外感，热气内攻。先点推云散（方见十
四
第四十四问∶目有暴发赤肿沙涩难开者何故？答曰∶体虚脾弱，酒色过度。宜点珍珠琥
液膏，宜服人参败毒散以散热。
人参败毒散∶人参、前胡、薄荷、羌活、桔梗、枳壳、陈皮、川当归、川芎、半夏、茯
苓、黄连、黄芩、栀子、生地，水煎服。
第四十五问∶目有枣花形如锯齿者何也？答曰∶乃体浓而多热，或饮酒而多湿，性多躁
急，致肝木受伤被风摇动，肝经有损故也。宜点凤麟膏，服蝉蜕无比散（方见二十二问），
再
黄连败毒散∶黄连、黄柏、黄芩、独活、羌活、防风、当归、连翘、 本、桔梗、人参
、苏木、甘草、黄 ，各等分，水煎服。
第四十六问∶目有临卧而不见物者何也？答曰∶雀盲，含糊模棱，非至理也。宜先服苍
术猪肝散，蛤粉散。
苍术猪肝散∶苍术（米泔浸炒）八两，谷精草一两，共为细末，用猪肝一具煮烂，同前
药
蛤粉散∶蛤粉一两，夜明砂一两，黄蜡化开为丸如枣子大，用猪肝一具，入丸于内，麻
线扎，米泔水煮熟，乘热熏眼至温，吃肝并汁，以愈为度。
第四十七问∶目有太阳穴疼痛，日夜呻吟何也？答曰∶七情之液盛，名曰头风，宜点珍
珠散，服太阳丹（方见十七问），有翳点推云散（方见十四问）。
第四十八问∶目有拳毛倒睫，上皮搭下皮，有翳膜者何故？答曰∶膀胱经热也。宜夹起
上皮，灸一壮，用搐鼻散，服地黄丸。如不用夹，只用粉霜敷上亦好。
搐鼻散∶并治内外障。麻黄一钱，归身一钱，共为粗末，炒黑色，加乳香、麝香少许，
再研细末吹鼻内。
地黄丸∶熟地黄、川芎、人参、当归、白蒺藜，共为细末，蜜丸，食后茶下。
第四十九问∶目有青膜遮瞳、视物不明者何也？答曰∶肾虚也。宜服巴菊枸杞丸。肝经
虚热，下弦白，星水眵障，服明目地黄丸（方见十二问），先点老膜散（方见二十七问），二
三
巴菊枸杞丸∶川巴戟（去心）三两，菊花一两，枸杞六两，肉苁蓉（酒洗）四两，共为
末，
第五十问∶目有斑点者何故？答曰∶肝经邪热也。风气相搏，宜服洗肝散（方见二十四
问
诗曰∶偶然气肿不分明，斑点如珠日夜疼。数粒茱萸无二样，变来真是蟹睛形。乌珠攒
出针钩破，速备珍珠散更明。此是良医无价宝，济人阴德不为轻（金仙作传记）。
第五十一问∶目有小儿出痘、翳膜遮睛者何也？答曰∶浮翳可治，若视之如粉墙白者不
治。若障浓者，点老膜散一二次（方见二十七问），再点推云散（方见十四问），并点蝉蜕无
比
第五十二问∶目有二三岁孩童患之者何也？答曰∶乳毒之故。若红肿流泪者，宜服三黄
丸。
三黄丸∶黄柏，黄芩，黄连，共为末，蜜丸，米汤下。
第五十三问∶目有出痘眼下皮漏脓者何也？答曰∶痘之余毒。用三棱针四周拨破，血出
为度，将金针蘸清净膏点漏处（方见二十四问），宜点珍珠虎液膏，服白薇散。
白薇散∶白薇二两，生地一两，白蒺藜一两五钱，防风一两五钱，羌活一两，石榴皮九
钱，共为末，枸杞汤下。
第五十四问∶目中珠上转如月出东海之状者何也？答曰∶名为扶桑翳。皆因肺被心火所
伤不安，心火炎炎，魄不守舍，肝家元气不安。宜点珍珠散、洗心粉（方见五问），又服补
肾
补肾丸∶菟丝子、枸杞、白朱砂、青盐、熟地、破固脂、石斛、巴戟天、酸枣仁、丹皮
、小茴香、肉苁蓉，共为末，蜜丸梧桐子大，朱砂为衣，盐汤下。
第五十五问∶目有如转辘轳渐生内障者何也？答曰∶心肾虚耗，水火不交故也。宜点珍
珠虎液膏，服加味羊肝丸、返睛丸。
加味羊肝丸∶羊肝（一具去筋膜，瓦焙干）、细辛一两，熟地一两五钱，羌活一两，五
倍
草决
每服五
返睛丸∶川芎一两，白蒺藜五钱，白术（土炒）五钱，木贼五钱，羌活五钱，细辛五钱，
防风二两，熟地二两，独活二两，白芷五钱，荆芥五钱，枸杞五钱，石决明五钱，甘草三钱
，天麻二两，菊花五钱，蕤仁四钱，生地五钱，车前子（炒）一两，青葙子五钱，菟丝子五
钱
第五十六问∶目有患鸡冠蚬肉者何也？答曰∶五脏之热血侵贯，待白露或用刀割。宜点
冰片虎液膏，服返睛丸即愈（返睛丸见五十五问）。
第五十七问∶目有小儿痘疹患目者何也？答曰∶痘乃胎毒。宜服黑豆丸、菟儿丸。
黑豆丸∶黑豆一升，黄芩一两，黄连一两，大黄一两，甘草一两，朴硝一两，密蒙花一
两，用水三碗，药、豆同煎，豆干为度，去药。每服豆三十粒，细嚼米汤下。
菟儿丸∶谷精草（炒）五钱，黄连五钱，人参三钱，栀仁（炒）五钱，当归七钱，薄荷
（炒）
可。
第五十八问∶目有被物损坏其瞳者何也？答曰∶瞳神不破，宜服退血散，又服蕤仁丸。
蕤仁丸∶蕤仁（去皮油）六两，黄连一两，石决明（ ）一两，元精石（ ）二两，共
为末，
丸，重
第五十九问∶目有上、下皮肿而硬者，服药不退，用手法取之不效者何也？答曰∶要用
手法五七次，宜服升麻葛根汤。
升麻葛根汤∶升麻，芍药，甘草，葛根，水煎服。
第六十问∶目有不见黑白一片乌者何故？答曰∶是肝与肾受风邪也。宜点珍珠虎液膏，
服明目地黄丸（方见四十八问）。
第六十一问∶目有紫色 肉堆满眼者何也？答曰∶肝之虚热也。肝木生心火，使血侵于
目，将上下眼胞用法取之，宜点推云散（方见十四问），服泻肝散（方见三问）、补胆散（方
见
第六十二问∶目有白花如絮者何也？答曰∶肺金不能上应也。因于脾胃太弱不能生金，
又兼心火太甚灼乎肺金，气上升散行于目故也。宜服补肺散（方见七问）、点推云散（方见
十
洗心散∶黄 （蜜炙）、甘草、当归、防风、升麻、荆芥、白芷，水煎服。
平胃散∶黑豆沙、泽泻、当归、枸杞、白丑、黄芩、共研细末服。
第六十三回∶目有肉痣者何也？答曰∶用手法微破之，点珍珠散，或在两角可取去血，
点推云散（方见十四问），宜服地黄丸（方见四十八问），服返睛丸（方见五十五问）。
第六十四问∶目有睛上浮翳与黑白不相粘者，何法治之？答曰∶可用手法将铜钩钩起上
皮，系于鬓上，再点珍珠虎液膏，或点水眼药。
第六十五问∶目昏不痛，日出暴泪者何也？答曰∶肾阴虚，并心阳亦虚也。宜点珍珠散
，服益阴肾气丸。
益阴肾气丸∶泽泻、茯神、生地、丹皮、山药、当归、柴胡、熟地、人参、山萸肉、五
味子、远志各各钱，石菖蒲四钱，蜜丸，盐汤下。
第六十六问∶目患花翳白陷者何也？答曰∶肺金被心火克制，金虚不能平制肝木，木反
侮金，肾水又枯，不能制，火更旺而肺金益虚。宜服补肾丸，点水眼药。
补肾丸∶人参、白蒺藜、白术、杏仁、苍术、蛤蚧、玉屑、白石脂、车前子、金樱子、
旋复花、五味子、黄精各等分，共为末。每服二钱，米汤下。
第六十七问∶目有卒然泪出如倾，陡然翳膜花者何也？答曰∶将钱合在上胞居中，用灯
芯火灸钱孔中一壮，将钱埋在灶前地下即愈。
第六十八问∶眼有野外忽然飞丝入目，疼痛不已，何法治之？答曰∶可以服糖煎散，点
玉露霜一二次即愈。或用京墨汁点。如麦、稻芒屑入目内，用大麦煮汁洗之。尘物入目，用
食盐冲水洗之。又天丝入目，用鳝鱼血点入，以灯心卷出即愈。
糖煎散∶防风、大黄、当归、赤芍、荆芥、甘草、川芎、牛蒡子、防己各五钱，胆草四
钱，水煎，入砂糖调服。
第六十九问∶目有顺逆生翳，泪多羞明者何也？答曰∶胃受寒；脾受热，心肾两虚。宜
服补心散（方见六问）、补肾丸（方见十一问）、点推云散（方见十四问）。
第七十问∶目有障如偃月而疼痛者何也？答曰∶肝经不足，肺气太过，为金克木。宜服
汤泡散，又服补肾丸（方见六十六问）。
汤泡散∶当归、赤芍、黄连、蝉蜕、共末，滚水泡。每服二钱，乘热熏眼，温服。
第七十一问∶目有内障一聚一散如云掩者何也？答曰∶乃是五脏余毒风热上攻，有进有
退故也。宜服羊肝丸，点推云散（方见十四问），并点水眼药。
羊肝丸∶羊肝一具（洗去筋膜），黄连三两，当归一两，蕤仁（去油）一两，先将羊肝
入砂
第七十二问∶目有障膜形如垂帘者何也？答曰∶头风引邪不能四散，攻入于目。宜服二
神散，点珍珠虎液膏。
二神散∶车前子、菟丝子（酒煮）、五味子、枳壳、熟地、当归，共为细末，蜜水调下。
之功。
清毒散：治疗风湿引起的眼痛。使用大黄、荆芥、牛蒡子、甘草，加水煎煮后服用。
第三十九问：眼睛有长年累月形成的赤脉贯穿眼球，眼泪流出如倾泻般，这是什么原因？回答说：心火未除，肺气与之相搏结，所以也适宜服用泻肺散。
泻肺散：桑白皮、茯苓、黄芩（炒制）均研磨成细末。每次服用二钱，用灯心草汤送服。
第四十问：眼睛有胬肉攀睛（翼状胬肉），红障壅塞向上生长，这是什么原因？回答说：使用青龙膏点眼，随即用手法治之取除，如果再次点药时感到疼痛，加服茶调散。
茶调散：防风、羌活、柴胡、甘草、当归、黄芩、生地、川芎、天花粉，各等分研磨成细末，用砂糖水调茶汤送下。
第四十一问：眼睛黑睛突出且疼痛，这是什么原因？回答说：心经和肝经受邪，导致毒瓦斯上攻。适宜服用洗心散（方剂见第五问），之后服用洗肝散。
洗肝散：赤芍、细辛、防风、远志、桔梗、甘草、人参、羚羊角、黄芩各等分，加水煎煮后服用。
第四十二问：眼睛太阳穴部位像针扎一样刺痛，服药后不愈，是什么原因？回答说：心经热邪搏结，上攻于脑。适宜使用清净膏调和鸡蛋清涂抹眼睑数次，再用手法取治，随后点珍珠琥液膏，外部敷赤头散（方剂见第三十四问），内部服用洗心散（方剂见第二问）并加入川芎、羌活。
清净膏：南星、薄荷、白芍，各等分研磨成末，用鸡蛋清调匀敷在眼眶上。
第四十三问：眼睛内外眼角出现烂弦（睑缘炎），这是什么原因？回答说：风邪外感，热气内攻。先点推云散（方剂见第十四问）。
第四十四问：眼睛突发红肿、沙涩难开，是什么原因？回答说：体质虚弱、脾弱，加上酒色过度。适宜点珍珠琥液膏，适宜服用人参败毒散以散热。
人参败毒散：人参、前胡、薄荷、羌活、桔梗、枳壳、陈皮、川当归、川芎、半夏、茯苓、黄连、黄芩、栀子、生地，加水煎煮后服用。
第四十五问：眼睛出现枣花形如锯齿状的翳障，这是什么原因？回答说：这是体质浓浊而多热，或者饮酒导致湿气重，性格急躁，致使肝木受伤被风摇动，肝经受损的缘故。适宜点凤麟膏，服用蝉蜕无比散（方剂见第二十二问），再……
黄连败毒散：黄连、黄柏、黄芩、独活、羌活、防风、当归、连翘、藁本、桔梗、人参、苏木、甘草、黄药子，各等分，加水煎煮后服用。
第四十六问：眼睛到了晚上就看不见东西，这是什么原因？回答说：这是雀盲（夜盲症），含糊模棱的说法是不正确的。适宜先服用苍术猪肝散、蛤粉散。
苍术猪肝散：苍术（用米泔水浸泡后炒制）八两，谷精草一两，共同研磨成细末，用一头猪肝煮烂，连同上述药末一起食用。
蛤粉散：蛤粉一两，夜明砂一两，黄蜡熔化后制成如枣子大小的丸药，用一头猪肝，将丸药放入肝内，用麻线扎紧，用米泔水煮熟，趁热熏蒸眼睛至温热，吃下猪肝及其汤汁，以痊愈为度。
第四十七问：眼睛太阳穴疼痛，日夜呻吟，这是什么原因？回答说：七情之气过盛，名为头风，适宜点珍珠散，服用太阳丹（方剂见第十七问），如果有翳膜则点推云散（方剂见第十四问）。
第四十八问：眼睛有拳毛倒睫（睫毛向内倒生），上眼皮搭在下眼皮上，有翳膜，是什么原因？回答说：这是膀胱经有热。适宜夹起上眼皮，灸一壮，使用搐鼻散，服用地黄丸。如果不使用夹法，只用粉霜敷在上面也可以。
搐鼻散：同时治疗内障和外障。麻黄一钱，归身一钱，共同研磨成粗末，炒至黑色，加入乳香、麝香少许，再研成细末吹入鼻内。
地黄丸：熟地黄、川芎、人参、当归、白蒺藜，共同研磨成细末，蜜丸，饭后用茶送服。
第四十九问：眼睛有青膜遮盖瞳孔，视物不明，这是什么原因？回答说：这是肾虚。适宜服用巴菊枸杞丸。如果是肝经虚热，下弦白，星水眵障，服用明目地黄丸（方剂见第十二问），先点老膜散（方剂见第二十七问），二三……
巴菊枸杞丸：川巴戟天（去心）三两，菊花一两，枸杞六两，肉苁蓉（酒洗）四两，共同研磨成末。
第五十问：眼睛有斑点，是什么原因？回答说：这是肝经邪热。风气相搏结，适宜服用洗肝散（方剂见第二十四问）。
诗曰：偶然气肿不分明，斑点如珠日夜疼。数粒茱萸无二样，变来真是蟹睛形。乌珠攒出针钩破，速备珍珠散更明。此是良医无价宝，济人阴德不为轻（金仙作传记）。
第五十一问：眼睛有小儿出痘疹、翳膜遮睛的情况，这是什么原因？回答说：浮翳可治，如果看起来像粉墙白色者不可治。如果翳障浓厚，点老膜散一两次（方剂见第二十七问），再点推云散（方剂见第十四问），并点蝉蜕无比……
第五十二问：眼睛有二三岁孩童患上的情况，这是什么原因？回答说：这是乳毒的缘故。如果红肿流泪，适宜服用三黄丸。
第五十三问：眼睛出痘眼下皮漏脓，这是什么原因？回答说：这是痘疹的余毒。用三棱针在四周拨破，以出血为度，将金针蘸清净膏点涂漏处（方剂见第二十四问），适宜点珍珠虎液膏，服用白薇散。
白薇散：白薇二两，生地一两，白蒺藜一两五钱，防风一两五钱，羌活一两，石榴皮九钱，共同研磨成末，用枸杞汤送服。
第五十四问：眼中黑珠上转，如同月亮从东海升起的形状，这是什么原因？回答说：名为扶桑翳。都是因为肺被心火所伤而不安，心火炎炎，魄不守舍，肝家元气不安。适宜点珍珠散、洗心粉（方剂见第五问），又服用补肾丸。
补肾丸：菟丝子、枸杞、白朱砂、青盐、熟地、破故纸（补骨脂）、石斛、巴戟天、酸枣仁、丹皮、小茴香、肉苁蓉，共同研磨成末，蜜丸如梧桐子大，朱砂为衣，盐汤送服。
第五十五问：眼睛有如转辘轳渐生内障的情况，这是什么原因？回答说：这是心肾虚耗，水火不交的缘故。适宜点珍珠虎液膏，服用加味羊肝丸、返睛丸。
加味羊肝丸：羊肝（一头，去除筋膜，瓦焙干）、细辛一两，熟地一两五钱，羌活一两，五倍子……草决明……每服五……
返睛丸：川芎一两，白蒺藜五钱，白术（土炒）五钱，木贼五钱，羌活五钱，细辛五钱，防风二两，熟地二两，独活二两，白芷五钱，荆芥五钱，枸杞五钱，石决明五钱，甘草三钱，天麻二两，菊花五钱，蕤仁四钱，生地五钱，车前子（炒）一两，青葙子五钱，菟丝子五钱。
第五十六问：眼睛患有鸡冠蚬肉（血翳包睛），这是什么原因？回答说：五脏的热血侵贯所致，等待白露时节或用刀割除。适宜点冰片虎液膏，服用返睛丸即可痊愈（返睛丸见第五十五问）。
第五十七问：眼睛有小儿痘疹患目的情况，这是什么原因？回答说：痘疹乃是胎毒。适宜服用黑豆丸、菟儿丸。
黑豆丸：黑豆一升，黄芩一两，黄连一两，大黄一两，甘草一两，朴硝一两，密蒙花一两，用水三碗，药与豆同煎，直到豆干为度，去掉药渣。每次服用三十粒豆，细嚼后用米汤送服。
菟儿丸：谷精草（炒）五钱，黄连五钱，人参三钱，栀仁（炒）五钱，当归七钱，薄荷（炒）……可。
第五十八问：眼睛被物体损坏瞳孔，这是什么原因？回答说：瞳神未破，适宜服用退血散，又服用蕤仁丸。
蕤仁丸：蕤仁（去皮油）六两，黄连一两，石决明（煅）一两，元精石（煅）二两，共同研磨成末，……丸，重……
第五十九问：眼睛上下眼皮肿胀而硬，服药不退，用手法治之不效，这是什么原因？回答说：要用手法五到七次，适宜服用升麻葛根汤。
第六十问：眼睛看不见黑白，一片乌黑，是什么原因？回答说：这是肝与肾受风邪所致。适宜点珍珠虎液膏，服用明目地黄丸（方剂见第四十八问）。
第六十一问：眼睛有紫色胬肉堆满眼，这是什么原因？回答说：这是肝之虚热。肝木生心火，使血侵于目，将上下眼胞用法取之，适宜点推云散（方剂见第十四问），服用泻肝散（方剂见第三问）、补胆散（方剂见……）。
第六十二问：眼睛有白花如絮状，这是什么原因？回答说：这是肺金不能上应所致。因为脾胃太弱不能生金，又兼心火太甚灼烧肺金，气上升散行于目所致。适宜服用补肺散（方剂见第七问）、点推云散（方剂见第十……）。
洗心散：黄耆（蜜炙）、甘草、当归、防风、升麻、荆芥、白芷，加水煎煮后服用。
平胃散：黑豆沙、泽泻、当归、枸杞、白丑、黄芩，共同研磨成细末服用。
第六十三回：眼睛有肉痣，这是什么原因？回答说：用手法治微破之，点珍珠散，或在两眼角可取去血，点推云散（方剂见第十四问），适宜服用地黄丸（方剂见第四十八问），服用返睛丸（方剂见第五十五问）。
第六十四问：眼睛有睛上浮翳与黑白不相粘着，用什么方法治疗？回答说：可用手法将铜钩钩起上皮，系于鬓角上，再点珍珠虎液膏，或点水眼药。
第六十五问：眼睛昏花不痛，日出时突然流泪，这是什么原因？回答说：这是肾阴虚，并且心阳亦虚。适宜点珍珠散，服用益阴肾气丸。
益阴肾气丸：泽泻、茯神、生地、丹皮、山药、当归、柴胡、熟地、人参、山萸肉、五味子、远志各一钱，石菖蒲四钱，蜜丸，盐汤送服。
第六十六问：眼睛患花翳白陷，这是什么原因？回答说：肺金被心火克制，金虚不能平制肝木，木反侮金，肾水又枯，不能制约，火更旺而肺金益虚。适宜服用补肾丸，点水眼药。
补肾丸：人参、白蒺藜、白术、杏仁、苍术、蛤蚧、玉屑、白石脂、车前子、金樱子、旋复花、五味子、黄精各等分，共同研磨成末。每次服用二钱，米汤送服。
第六十七问：眼睛突然泪出如倾，陡然出现花翳，这是什么原因？回答说：将铜钱合在上眼皮居中位置，用灯芯火灸钱孔中一壮，将铜钱埋在灶前地下即愈。
第六十八问：眼睛在野外忽然飞丝入目，疼痛不已，用什么方法治疗？回答说：可以服用糖煎散，点玉露霜一两次即愈。或者用京墨汁点眼。如果是麦、稻芒屑入目，用大麦煮汁清洗。尘物入目，用食盐冲水洗眼。又是天丝入目，用鳝鱼血点入，以灯心卷出即愈。
糖煎散：防风、大黄、当归、赤芍、荆芥、甘草、川芎、牛蒡子、防己各五钱，胆草四钱，加水煎煮，加入砂糖调服。
第六十九问：眼睛有顺逆生翳，泪多羞明，这是什么原因？回答说：胃受寒；脾受热，心肾两虚。适宜服用补心散（方剂见第六问）、补肾丸（方剂见第十一问）、点推云散（方剂见第十四问）。
第七十问：眼睛有翳障如偃月状且疼痛，这是什么原因？回答说：肝经不足，肺气太过，为金克木。适宜服用汤泡散，又服用补肾丸（方剂见第六十六问）。
汤泡散：当归、赤芍、黄连、蝉蜕，共同研磨成末，用滚水泡。每次服用二钱，趁热熏眼，温服。
第七十一问：眼睛有内障一聚一散如云掩蔽，这是什么原因？回答说：这是五脏余毒风热上攻，有进有退的缘故。适宜服用羊肝丸，点推云散（方剂见第十四问），并点水眼药。
羊肝丸：羊肝一头（洗去筋膜），黄连三两，当归一两，蕤仁（去油）一两，先将羊肝入砂……
Qingdu San (Clear Toxin Powder): Treats eye pain caused by wind-dampness. Use Dahuang (Rhubarb Rhizome), Jingjie (Schizonepeta Spike), Niubangzi (Arctium Fruit), and Gancao (Licorice Root), decoct in water and take orally.
Question 39: What is the cause of long-standing red vessels penetrating the eyeball with tears flowing like a pour? Answer: The heart fire has not been eliminated, and lung qi is contending with it. Therefore, it is also suitable to take Xiefei San (Drain Lung Powder).
Xiefei San (Drain Lung Powder): Sangbaipi (Mulberry Bark), Fuling (Poria), Huangqin (Scutellaria Root, stir-fried) are all ground into fine powder. Take two qian per dose, taken down with Dengxin Tang (Juncus Decoction).
Question 40: What is the cause of pterygium growing upwards with red obstruction blocking the upper part? Answer: Apply Qinglong Gao (Green Dragon Ointment) to the eye, then use manual techniques to remove it. If pain occurs upon re-application, add Chatiao San (Tea-Regulating Powder).
Chatiao San (Tea-Regulating Powder): Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Chaihu (Bupleurum Root), Gancao (Licorice Root), Danggui (Angelica Sinensis), Huangqin (Scutellaria Root), Shengdi (Rehmannia Root), Chuanxiong (Ligusticum Rhizome), Tianhuafen (Trichosanthes Root) in equal parts, ground into fine powder. Take with tea sweetened with sugar.
Question 41: What is the cause of the black pupil protruding and painful? Answer: The heart and liver meridians are invaded by pathogens, causing toxic vapors to attack upward. It is suitable to take Xixin San (Wash Heart Powder) (see Question 5), followed by Xiogan San (Wash Liver Powder).
Xiogan San (Wash Liver Powder): Chishao (Red Peony Root), Xixin (Asarum), Fangfeng (Saposhnikovia Root), Yuanzhi (Polygala Root), Jiegeng (Platycodon Root), Gancao (Licorice Root), Renshen (Ginseng), Lingyangjiao (Antelope Horn), Huangqin (Scutellaria Root) in equal parts, decoct in water and take orally.
Question 42: What is the reason for stabbing pain in the temple area that does not heal with medication? Answer: Heat from the heart meridian contends and attacks the brain. It is suitable to apply Qingjing Gao (Clear Purity Ointment) mixed with egg white to the eyelids several times, then use manual techniques. Subsequently, apply Zhenzhu Hu Ye Gao (Pearl Amber Liquid Ointment), externally apply Chitou San (Red Head Powder) (see Question 34), and internally take Xixin San (Wash Heart Powder) (see Question 2) added with Chuanxiong (Ligusticum Rhizome) and Qianghuo (Notopterygium Rhizome).
Qingjing Gao (Clear Purity Ointment): Nanxing (Arisaema Rhizome), Bohe (Mint), Baishao (White Peony Root) in equal parts, ground into powder. Mix with egg white and apply to the orbital rim.
Question 43: What is the cause of rotting margins at both corners of the eyes? Answer: External wind pathogen invasion and internal heat attack. First apply Tuiyun San (Push Cloud Powder) (see Question 14).
Question 44: What is the reason for sudden onset of red swelling and gritty difficulty in opening the eyes? Answer: Weak constitution and spleen deficiency, combined with excess alcohol and sexual activity. It is suitable to apply Zhenzhu Hu Ye Gao (Pearl Amber Liquid Ointment) and take Renshen Baidu San (Ginseng Defeating Toxicity Powder) to dissipate heat.
Renshen Baidu San (Ginseng Defeating Toxicity Powder): Renshen (Ginseng), Qianhu (Peucedanum Root), Bohe (Mint), Qianghuo (Notopterygium Rhizome), Jiegeng (Platycodon Root), Zhike (Aurantii Fructus), Chenpi (Tangerine Peel), Chuan Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Rhizome), Banxia (Pinellia Tuber), Fuling (Poria), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Zhizi (Gardenia Fruit), Shengdi (Rehmannia Root), decoct in water and take orally.
Question 45: What is the cause of corneal opacity shaped like a zinnia flower or saw teeth? Answer: This is due to a dense constitution with much heat, or dampness from drinking alcohol, and an irritable temperament, causing injury to liver wood shaken by wind, damaging the liver meridian. It is suitable to apply Fenglin Gao (Phoenix Feather Ointment) and take Chantui Wubi San (Cicada Slough Unparalleled Powder) (see Question 22), then...
Huanglian Baidu San (Coptis Defeating Toxicity Powder): Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Huangqin (Scutellaria Root), Duhuo (Angelica Pubescens), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root), Danggui (Angelica Sinensis), Lianqiao (Forsythia Fruit), Ben Cao (Ligusticum Chuanxiong), Jiegeng (Platycodon Root), Renshen (Ginseng), Sumu (Sappan Wood), Gancao (Licorice Root), Huang Yaozi (Dioscorea Bulbil), in equal parts, decoct in water and take orally.
Question 46: What is the cause of inability to see objects at bedtime? Answer: This is night blindness (Que Mang). Vague explanations are incorrect. It is suitable to first take Cangzhu Zhu Gan San (Atractylodes Pig Liver Powder) and Ha Fen San (Clam Shell Powder).
Cangzhu Zhu Gan San (Atractylodes Pig Liver Powder): Cangzhu (Atractylodes Rhizome, soaked in rice water and stir-fried) eight liang, Gujingcao (Euphrasia Herb) one liang, ground together into fine powder. Cook one pig liver until soft, and consume together with the above medicine.
Ha Fen San (Clam Shell Powder): Ha Fen (Clam Shell) one liang, Yeming Sha (Fly Feces) one liang. Melt Huang La (Yellow Beeswax) to make pills the size of dates. Place one pill inside one pig liver, tie tightly with hemp thread, cook thoroughly in rice water. While hot, steam the eyes until warm, then eat the liver and drink the juice. Continue until cured.
Question 47: What is the cause of pain in the temples with groaning day and night? Answer: Excess emotions lead to Qi stagnation, named Tou Feng (Head Wind). It is suitable to apply Zhenzhu San (Pearl Powder), take Taiyang Dan (Taiyang Pill) (see Question 17). If there is opacity, apply Tuiyun San (Push Cloud Powder) (see Question 14).
Question 48: What is the cause of trichiasis (inverted eyelashes), upper eyelid drooping over the lower, with opacity? Answer: This is heat in the bladder meridian. It is suitable to lift the upper eyelid, moxa one Zhuang, use Chubi San (Snuffing Powder), and take Dihuang Wan (Rehmannia Pill). If lifting is not used, applying Fen Shuang (Calomel) on top is also good.
Chubi San (Snuffing Powder): Treats both internal and external opacities. Mahuang (Ephedra Herba) one qian, Guishen (Angelica Root Body) one qian, ground into coarse powder, stir-fried until black. Add Rushi (Olibanum) and Shexiang (Musk) in small amounts, grind into fine powder and insufflate into the nose.
Dihuang Wan (Rehmannia Pill): Shudihuang (Prepared Rehmannia Root), Chuanxiong (Ligusticum Rhizome), Renshen (Ginseng), Danggui (Angelica Sinensis), Baijili (Tribulus Fruit), ground into fine powder, honey pills, taken after meals with tea.
Question 49: What is the cause of blue membrane covering the pupil and unclear vision? Answer: This is kidney deficiency. It is suitable to take Bajiju Gouqi Wan (Morinda, Chrysanthemum, and Lycium Pill). For liver meridian deficiency heat, inferior arc leukoma, star-shaped watery discharge and opacity, take Mingmu Dihuang Wan (Brighten Eyes Rehmannia Pill) (see Question 12), first apply Laomo San (Old Membrane Powder) (see Question 27)...
Bajiju Gouqi Wan (Morinda, Chrysanthemum, and Lycium Pill): Chuan Bajitian (Morinda Officinalis Root, heart removed) three liang, Juhua (Chrysanthemum Flower) one liang, Gouqi (Lycium Fruit) six liang, Roucongrong (Cistanche Stem, wine-washed) four liang, ground into powder.
Question 50: What is the cause of spots in the eyes? Answer: This is evil heat in the liver meridian. Wind and qi contend. It is suitable to take Xiogan San (Wash Liver Powder) (see Question 24).
Poem says: Occasionally Qi swelling makes vision unclear, spots like pearls hurt day and night. A few cornels are no different, transforming truly into crab-eye shape. Black pearl gathers out, needle hook breaks it, quickly prepare Pearl Powder for clearer vision. This is the priceless treasure of good doctors, helping others is not slight virtue (Biography by Jin Xian).
Question 51: What is the cause of children having pox/rash with opacity covering the eyes? Answer: Floating opacity can be treated; if it looks like a white plaster wall, it is untreatable. If the opacity is thick, apply Laomo San (Old Membrane Powder) once or twice (see Question 27), then apply Tuiyun San (Push Cloud Powder) (see Question 14), and apply Chantui Wubi...
Question 52: What is the cause of this affecting children aged two or three? Answer: This is due to milk toxicity. If red, swollen, and tearing, it is suitable to take Sanhuang Wan (Three Yellows Pill).
Sanhuang Wan (Three Yellows Pill): Huangbai (Phellodendron Bark), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), ground into powder, honey pills, taken with rice soup.
Question 53: What is the cause of pus leaking from the skin under the eye after pox? Answer: This is residual toxin from pox. Use a three-edged needle to puncture around the area until blood flows. Dip a gold needle in Qingjing Gao (Clear Purity Ointment) (see Question 24) to dot the leaking spot. It is suitable to apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) and take Baiwei San (Vincetoxicum Powder).
Baiwei San (Vincetoxicum Powder): Baiwei (Vincetoxicum Root) two liang, Shengdi (Rehmannia Root) one liang, Baijili (Tribulus Fruit) one liang five qian, Fangfeng (Saposhnikovia Root) one liang five qian, Qianghuo (Notopterygium Rhizome) one liang, Shiliupi (Pomegranate Peel) nine qian, ground into powder, taken with Goji berry soup.
Question 54: What is the cause of the eyeball turning as if the moon rises from the East Sea? Answer: Named Fusang Yi (Fusang Opacity). All because the lungs are injured by heart fire and uneasy, heart fire is blazing, the soul does not guard its residence, and liver yuan Qi is uneasy. It is suitable to apply Zhenzhu San (Pearl Powder), Xixin Fen (Wash Heart Powder) (see Question 5), and take Bushen Wan (Tonify Kidney Pill).
Bushen Wan (Tonify Kidney Pill): Tusizi (Cuscuta Seed), Gouqi (Lycium Fruit), Bai Zhusha (White Cinnabar), Qingyan (Green Salt), Shudi (Prepared Rehmannia), Poguzhi (Kochia Fruit), Shihu (Dendrobium Stem), Bajitian (Morinda Root), Suanzaoren (Ziziphus Seed), Danpi (Moutan Cortex), Xiaohuixiang (Fennel Fruit), Roucongrong (Cistanche Stem), ground into powder, honey pills the size of paulownia seeds, coated with cinnabar, taken with salt soup.
Question 55: What is the cause of internal opacity appearing gradually like a rolling wheel? Answer: This is consumption of heart and kidney Yin, failure of water and fire to interact. It is suitable to apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment), take Jiawei Yanggan Wan (Modified Sheep Liver Pill) and Fanjing Wan (Return Pupil Pill).
Jiawei Yanggan Wan (Modified Sheep Liver Pill): One sheep liver (remove fascia, dry-roast on tile), Xixin (Asarum) one liang, Shudi (Prepared Rehmannia) one liang five qian, Qianghuo (Notopterygium Rhizome) one liang, Wubeizi (Chinese Gall)... Jueming Zi (Euphorbia Seed)... Take five...
Fanjing Wan (Return Pupil Pill): Chuanxiong (Ligusticum Rhizome) one liang, Baijili (Tribulus Fruit) five qian, Baizhu (Atractylodes Rhizome, earth-fried) five qian, Muzei (Equisetum Herb) five qian, Qianghuo (Notopterygium Rhizome) five qian, Xixin (Asarum) five qian, Fangfeng (Saposhnikovia Root) two liang, Shudi (Prepared Rehmannia) two liang, Duhuo (Angelica Pubescens) two liang, Baizhi (Angelica Dahurica) five qian, Jingjie (Schizonepeta Spike) five qian, Gouqi (Lycium Fruit) five qian, Shijueming (Concha Haliotidis) five qian, Gancao (Licorice Root) three qian, Tianma (Gastrodia Rhizome) two liang, Juhua (Chrysanthemum Flower) five qian, Ruiren (Buckthorn Seed) four qian, Shengdi (Rehmannia Root) five qian, Cheqianzi (Plantago Seed, stir-fried) one liang, Qingxiangzi (Celosia Seed) five qian, Tusizi (Cuscuta Seed) five qian.
Question 56: What is the cause of chicken-comb clam flesh (blood opacity covering the cornea)? Answer: Invasion of hot blood from the five zang organs. Wait for White Dew season or cut with a knife. It is suitable to apply Bingpian Hu Ye Gao (Camphor Tiger Liquid Ointment) and take Fanjing Wan (Return Pupil Pill) for cure (see Question 55).
Question 57: What is the cause of children's pox/rash affecting the eyes? Answer: Pox is fetal toxin. It is suitable to take Heidou Wan (Black Bean Pill) and Tu'er Wan (Baby Rabbit Pill).
Heidou Wan (Black Bean Pill): Heidou (Black Soybean) one sheng, Huangqin (Scutellaria Root) one liang, Huanglian (Coptis Rhizome) one liang, Dahuang (Rhubarb Rhizome) one liang, Gancao (Licorice Root) one liang, Pomiao (Mirabilite) one liang, Mimenghua (Myrtifolia Myrtle Flower) one liang. Use three bowls of water, decoct medicine and beans together until beans are dry, remove medicine. Take thirty beans per dose, chew finely and swallow with rice soup.
Tu'er Wan (Baby Rabbit Pill): Gujingcao (Euphrasia Herb, stir-fried) five qian, Huanglian (Coptis Rhizome) five qian, Renshen (Ginseng) three qian, Zhiren (Gardenia Seed, stir-fried) five qian, Danggui (Angelica Sinensis) seven qian, Bohe (Mint, stir-fried)... Good.
Question 58: What is the cause of the pupil being damaged by an object? Answer: If the pupil spirit is not broken, it is suitable to take Tuixue San (Retract Blood Powder) and take Ruiren Wan (Buckthorn Seed Pill).
Ruiren Wan (Buckthorn Seed Pill): Ruiren (Buckthorn Seed, peeled and oil removed) six liang, Huanglian (Coptis Rhizome) one liang, Shijueming (Concha Haliotidis, calcined) one liang, Yuanjingshi (Yuanjing Stone, calcined) two liang, ground into powder... Pill, heavy...
Question 59: What is the cause of hard swelling of upper and lower eyelids that does not recede with medication and fails with manual treatment? Answer: Manual treatment should be performed five to seven times. It is suitable to take Shengma Gegen Tang (Kudzu and Cimicifuga Decoction).
Shengma Gegen Tang (Kudzu and Cimicifuga Decoction): Shengma (Cimicifuga Rhizome), Shaoyao (Peony Root), Gancao (Licorice Root), Gegen (Pueraria Root), decoct in water and take orally.
Question 60: What is the reason for seeing nothing but a black blur? Answer: This is wind pathogen invading the liver and kidneys. It is suitable to apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) and take Mingmu Dihuang Wan (Brighten Eyes Rehmannia Pill) (see Question 48).
Question 61: What is the cause of purple fleshy growth filling the eye? Answer: This is deficiency heat of the liver. Liver wood generates heart fire, causing blood to invade the eyes. Use manual techniques to treat the upper and lower eyelids. It is suitable to apply Tuiyun San (Push Cloud Powder) (see Question 14), take Xiegan San (Drain Liver Powder) (see Question 3), and Budan San (Tonify Gallbladder Powder) (see...).
Question 62: What is the cause of white flowers like cotton wool? Answer: This is failure of lung metal to correspond upwards. Due to too weak spleen and stomach failing to generate metal, combined with excessive heart fire scorching lung metal, Qi rises and scatters into the eyes. It is suitable to take Bufei San (Tonify Lung Powder) (see Question 7) and apply Tuiyun San (Push Cloud Powder) (see Question 10...).
Xixin San (Wash Heart Powder): Huangqi (Astragalus Root, honey-fried), Gancao (Licorice Root), Danggui (Angelica Sinensis), Fangfeng (Saposhnikovia Root), Shengma (Cimicifuga Rhizome), Jingjie (Schizonepeta Spike), Baizhi (Angelica Dahurica), decoct in water and take orally.
Pingwei San (Peace Stomach Powder): Heidou Sha (Black Bean Paste), Zexie (Alisma Rhizome), Danggui (Angelica Sinensis), Gouqi (Lycium Fruit), Bai Chou (Morning Glory Seed), Huangqin (Scutellaria Root), ground into fine powder and taken.
Question 63: What is the cause of fleshy moles in the eye? Answer: Use manual technique to slightly break it, apply Zhenzhu San (Pearl Powder), or extract blood from the two corners. Apply Tuiyun San (Push Cloud Powder) (see Question 14). It is suitable to take Dihuang Wan (Rehmannia Pill) (see Question 48) and Fanjing Wan (Return Pupil Pill) (see Question 55).
Question 64: How to treat floating opacity on the eyeball not adhering to the black and white parts? Answer: Use manual technique to hook up the upper eyelid with a copper hook, tie it to the temple, then apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) or water eye drops.
Question 65: What is the cause of dim vision without pain and sudden tearing at sunrise? Answer: This is kidney Yin deficiency and heart Yang deficiency. It is suitable to apply Zhenzhu San (Pearl Powder) and take Yiyin Shenqi Wan (Nourish Yin Kidney Qi Pill).
Yiyin Shenqi Wan (Nourish Yin Kidney Qi Pill): Zexie (Alisma Rhizome), Fushen (Poria with Hostwood), Shengdi (Rehmannia Root), Danpi (Moutan Cortex), Shanyao (Dioscorea Rhizome), Danggui (Angelica Sinensis), Chaihu (Bupleurum Root), Shudi (Prepared Rehmannia), Renshen (Ginseng), Shanzhuyu (Cornus Fruit), Wuweizi (Schisandra Fruit), Yuanzhi (Polygala Root) each one qian, Shichangpu (Acorus Rhizome) four qian, honey pills, taken with salt soup.
Question 66: What is the cause of floral opacity with white depression? Answer: Lung metal is controlled by heart fire. Metal deficiency cannot control liver wood, wood insults metal. Kidney water is dried up and cannot control, fire becomes stronger and lung metal becomes more deficient. It is suitable to take Bushen Wan (Tonify Kidney Pill) and apply water eye drops.
Bushen Wan (Tonify Kidney Pill): Renshen (Ginseng), Baijili (Tribulus Fruit), Baizhu (Atractylodes Rhizome), Xingren (Apricot Seed), Cangzhu (Atractylodes Rhizome), Gejie (Gecko), Yuxie (Jade Dust), Baishizhi (Kaolinite), Cheqianzi (Plantago Seed), Jinyingzi (Cherokee Rose Hip), Xuanjufang (Inula Flower), Wuweizi (Schisandra Fruit), Huangjing (Polygonatum Rhizome) in equal parts, ground into powder. Take two qian per dose, with rice soup.
Question 67: What is the cause of sudden pouring tears and sudden appearance of floral opacity? Answer: Place a copper coin centered on the upper eyelid, moxa one Zhuang through the coin hole with a rush light. Bury the coin underground in front of the stove to cure.
Question 68: What is the treatment for sudden entry of flying silk into the eye causing unbearable pain? Answer: Take Tangjian San (Sugar Decoction Powder), apply Yulu Shuang (Jade Dew Frost) once or twice to cure. Or use Beijing ink juice. If wheat or rice awns enter the eye, wash with barley decoction. If dust enters, wash with salt water solution. If heavenly silk enters, apply leech blood and roll out with rush light to cure.
Tangjian San (Sugar Decoction Powder): Fangfeng (Saposhnikovia Root), Dahuang (Rhubarb Rhizome), Danggui (Angelica Sinensis), Chishao (Red Peony Root), Jingjie (Schizonepeta Spike), Gancao (Licorice Root), Chuanxiong (Ligusticum Rhizome), Niubangzi (Arctium Fruit), Fangji (Stephania Root) each five qian, Danshen (Gentian Root) four qian. Decoct in water, mix with sugar and take.
Question 69: What is the cause of regular/irregular opacity formation, excessive tearing and photophobia? Answer: Stomach receives cold; spleen receives heat, heart and kidney are both deficient. It is suitable to take Buxin San (Tonify Heart Powder) (see Question 6), Bushen Wan (Tonify Kidney Pill) (see Question 11), and apply Tuiyun San (Push Cloud Powder) (see Question 14).
Question 70: What is the cause of crescent-shaped opacity with pain? Answer: Liver meridian insufficiency, lung Qi excessive, metal controls wood. It is suitable to take Tangpao San (Soup Soak Powder) and take Bushen Wan (Tonify Kidney Pill) (see Question 66).
Tangpao San (Soup Soak Powder): Danggui (Angelica Sinensis), Chishao (Red Peony Root), Huanglian (Coptis Rhizome), Chantui (Cicada Slough), ground into powder. Steep in boiling water. Take two qian per dose, steam eyes while hot, take warm.
Question 71: What is the cause of internal opacity gathering and scattering like clouds covering? Answer: This is residual toxins of the five zang organs and wind-heat attacking upward, advancing and retreating. It is suitable to take Yanggan Wan (Sheep Liver Pill), apply Tuiyun San (Push Cloud Powder) (see Question 14), and apply water eye drops.
Yanggan Wan (Sheep Liver Pill): One sheep liver (wash and remove fascia), Huanglian (Coptis Rhizome) three liang, Danggui (Angelica Sinensis) one liang, Ruiren (Buckthorn Seed, oil removed) one liang. First put sheep liver in clay pot...
Question 72: What is the cause of curtain-like opacity? Answer: Head wind draws pathogens unable to scatter in four directions, attacking into the eyes. It is suitable to take Ershen San (Two Spirits Powder) and apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment).
Ershen San (Two Spirits Powder): Cheqianzi (Plantago Seed), Tusizi (Cuscuta Seed, wine-boiled), Wuweizi (Schisandra Fruit), Zhike (Aurantii Fructus), Shudi (Prepared Rehmannia), Danggui (Angelica Sinensis), ground into fine powder, taken with honey water. Merit.