未曾睡着闭双眸。脾经火旺欠清消。正收收后多见此。急宜利水清上焦。
眼闭之症。非熟睡而两目闭。谓未曾睡着。而双目自闭也。其症多见于正收及收后。盖因脾
经之火旺盛未消而然。治宜清上焦之热。兼以利水为急。以泻白散、加木通、薄荷叶、玄参、牛蒡
子、连翘、荆芥治之。火退而目自开矣。或问脾火旺、当用泻黄散。而用泻白散。何也。曰。土为金
之母。实则泻其子。
朱曰 眼闭一证。亦有因多服清凉之剂而然者。盖太阴主开。多服清凉。脾阳受耗。失
太阴主开之效用。
泻白散 治肺热咳嗽。手足心热。
桑白皮（姜汁和白蒸） 地骨皮（去骨各一两） 炙甘草（五钱） 淡竹叶一把。糯米一百粒引。水煎服。加陈
皮、桔梗。亦名加味泻白散。有热。更加知母、黄芩。或问地骨皮乃三焦气分药。而泻白散
用之。何义也。曰、三焦属肾。肾为肺之子。实则泻其子也。
眼多眵涕本属热。脾肺二经火未息。无分初起与收后。清降肝脾火为急。
眼生眵涕者。脾肺火甚故也。见此症者。无分前后。即当清降肝脾之火。以泻白散（见七十五
条）除甘草、加龙胆草治之。
白珠络属手太阴。初热红赤是本经。正收收后仍赤红。肺家风热犹未清。
目之白珠属肺。今麻之发、正合本脏。故初发热之时。未出麻之际。目即赤红。此正候也。如
出现后、及正收、与收后。而白睛仍前赤红者。此乃肺经风热未尽所致。宜清肺泻火为急。以泻白
散（见七十五条）加荆芥、薄荷叶、连翘、元参、牛蒡子治之。赤而肿痛者。风热上壅也。以加味导
赤散（见四十九条）加荆芥治之。
朱曰 凡风热白睛红赤。此二方皆可生效。
眼睛闭合，并非在熟睡状态下，而是指尚未入睡时双眼自动闭合。脾经火气旺盛，未能及时清除消散。这种症状多见于麻疹出疹期及收没期之后。此时急需采用利水并清解上焦热邪的方法治疗。
眼闭这一病症，不是指熟睡时两目紧闭，而是指还没有睡着，但双目却自动闭合。此症常见于正收（出疹高峰期）及收没之后。这是因为脾经的火气旺盛且未消退所致。治疗应当以清解上焦之热为主，兼以利水为急务。使用泻白散，加入木通、薄荷叶、玄参、牛蒡子、连翘、荆芥来治疗。待火气退去，眼睛自然就会睁开。有人问：脾火旺盛，应当使用泻黄散，为何这里使用泻白散？回答说：土（脾）是金（肺）的母亲，根据“实则泻其子”的原则，应通过泻肺（金）来治脾（土）。
朱氏说：眼闭这一证候，也有因为过多服用清凉药物导致的。太阴脾经主司开启功能，过多服用清凉药会耗伤脾阳，导致失去太阴主开的效用。
泻白散用于治疗肺热咳嗽、手足心发热。
组成：桑白皮（用姜汁拌匀后蒸制）、地骨皮（去心），各一两；炙甘草五钱；淡竹叶一把；糯米一百粒作为药引。水煎服。若加入陈皮、桔梗，也称为加味泻白散。若有热象，再加知母、黄芩。有人问：地骨皮是三焦气分的药物，而泻白散中使用它，是何道理？回答说：三焦隶属于肾，肾是肺的儿子，这也是遵循“实则泻其子”的原理。
眼中分泌物多且伴有泪液，本属于热证，这是脾肺二经的火气尚未平息。无论处于发病初期还是收没之后，都应以清降肝脾之火为紧急措施。
眼睛产生眵涕（眼屎和泪水），是因为脾肺火气炽盛所致。见到此症，不分病程前后，都应立即清降肝脾之火。使用泻白散（见第七十五条），去掉甘草，加入龙胆草进行治疗。
白珠（巩膜）归属于手太阴肺经。初期的红赤是本经受邪的表现。若在出疹高峰期及收没之后仍然红赤，说明肺经的风热仍未清除干净。
眼的白珠属肺。如今麻疹发作，正好对应本脏（肺）。所以在初发热、尚未出疹的时候，眼睛就出现红赤，这是正常的征候。如果在出疹后、正收期以及收没后，白睛仍然红赤，这是由于肺经风热未尽所致。宜急用清肺泻火的方法。使用泻白散（见第七十五条），加入荆芥、薄荷叶、连翘、元参、牛蒡子治疗。如果红赤且伴有肿痛，这是风热上壅所致。使用加味导赤散（见第四十九条），加入荆芥治疗。
Eyes closed, not during deep sleep, but refers to the condition where both eyes are automatically closed before falling asleep. The fire in the Spleen Meridian is vigorous and has not been cleared and dissipated. This symptom is mostly seen after the peak of eruption and during the resolution phase. It is urgent to employ methods that promote urination and clear heat from the Upper Jiao (Upper Burner).
The syndrome of eye closure does not refer to the eyes being tightly shut during sound sleep, but rather that the eyes close automatically while the patient is not yet asleep. This symptom is common during the Zheng Shou (peak eruption period) and after the resolution. This is because the fire in the Spleen Meridian is vigorous and has not subsided. Treatment should focus on clearing heat from the Upper Jiao, with promoting urination as an urgent adjunct. Use Xie Bai San (Pearl White Decoction), adding Mu Tong (Akebiae Caulis), Bo He Ye (Menthae Haplocalycis Folium), Xuan Shen (Scrophulariae Radix), Niu Bang Zi (Arctii Fructus), Lian Qiao (Forsythiae Fructus), and Jing Jie (Schizonepetae Spica) for treatment. Once the fire recedes, the eyes will naturally open. One might ask: Since Spleen Fire is vigorous, Xie Huang San (Yellow Decoction for Draining) should be used; why is Xie Bai San used here? The answer is: Earth (Spleen) is the mother of Metal (Lung). According to the principle "when excess, drain its child," one should drain the Lung (Metal) to treat the Spleen (Earth).
Zhu stated: The syndrome of eye closure can also result from excessive consumption of cooling agents. The Taiyin (Spleen) governs opening. Excessive use of cooling herbs consumes Spleen Yang, causing a loss of the Taiyin's function of opening.
Xie Bai San (Pearl White Decoction) treats Lung Heat cough and heat in the palms and soles.
Ingredients: Sang Bai Pi (Cortex Mori Radicis, steamed with Ginger Juice), Di Gu Pi (Cortex Lycii Radicis, heart removed), each 1 liang; Zhi Gan Cao (Prepared Licorice Root) 5 qian; Dan Zhu Ye (Lophatheri Herba) 1 handful; Nu Mi (Glutinous Rice) 100 grains as a guide. Decoct in water and take orally. If Chen Pi (Citri Reticulatae Pericarpium) and Jie Geng (Platycodonis Radix) are added, it is also called Jia Wei Xie Bai San (Modified Pearl White Decoction). If there is heat, add Zhi Mu (Anemarrhenae Rhizoma) and Huang Qin (Scutellariae Radix). One might ask: Di Gu皮 (Cortex Lycii Radicis) is a herb for the Qi aspect of the Triple Burner; what is the rationale for using it in Xie Bai San? The answer is: The Triple Burner belongs to the Kidney, and the Kidney is the child of the Lung. This also follows the principle "when excess, drain its child."
Excessive eye discharge (discharge and tears) inherently belongs to Heat syndromes, indicating that the fire in the Spleen and Lung meridians has not yet subsided. Regardless of whether it is the initial stage or the resolution phase, it is urgent to clear and descend the fire of the Liver and Spleen.
Eye discharge (discharge and tears) occurs due to severe fire in the Spleen and Lung. Upon observing this symptom, regardless of the disease stage, one must immediately clear and descend the fire of the Liver and Spleen. Use Xie Bai San (see Article 75), remove Gan Cao (Licorice Root), and add Long Dan Cao (Gentianae Radix) for treatment.
The white part of the eye (sclera) is connected to the Hand-Taiyin Lung Meridian. Initial redness and heat belong to this meridian. If redness persists during the peak eruption and after resolution, it indicates that Wind-Heat in the Lung has not yet been cleared.
The white part of the eye belongs to the Lung. Currently, the eruption of measles corresponds precisely to this Zang organ (Lung). Therefore, during the initial fever, before the rash appears, if the eyes become red and hot, this is a normal sign. However, if after the eruption, during the peak phase, and after resolution, the sclera remains red, this is caused by the未尽 (lingering) Wind-Heat in the Lung Meridian. It is urgent to clear the Lung and drain fire. Use Xie Bai San (see Article 75), adding Jing Jie (Schizonepetae Spica), Bo He Ye (Menthae Haplocalycis Folium), Lian Qiao (Forsythiae Fructus), Yuan Shen (Scrophulariae Radix), and Niu Bang Zi (Arctii Fructus) for treatment. If accompanied by swelling and pain due to redness, this is due to Wind-Heat obstructing upwards. Use Jia Wei Dao Chi San (Modified Guide Out Red Decoction) (see Article 49), adding Jing Jie (Schizonepetae Spica) for treatment.
Zhu stated: For any redness and heat of the sclera caused by Wind-Heat, both of these formulas can be effective.