经云∶诊目痛，赤脉从上下者，太阳病；从下上者，阳明病；从外走内者，少阳病。按此论表里之翳明矣，
用以治症，如鼓应桴也。
凡赤脉翳，初从上而下者，属太阳，以太阳主表，其病必连眉棱骨痛，或脑项痛，或半边头肿痛是也，治
法宜温之散之。温则腊茶、盐川附等分，煎服立愈。戴立斋尝以此证用川附一钱，作一服随愈。散则《简要》
夏枯散、东垣选奇汤之类是也。一方，附子半两，芽茶一大撮，白芷一钱，细辛、川芎、防风、羌活、荆芥
各半钱，煎服神效。
〔《简》〕夏枯草治眉棱痛，目翳从上下者，累效，必与退云丸相兼服。夏枯草方，见目珠痛条。
〔垣〕选奇汤 治眉棱骨痛，目翳从上下者妙。（方见眉痛条。）
羌活除翳汤 治太阳寒水，翳膜遮睛，不能视物。
麻黄根（一分） 羌活（一两半） 防风（一两） 本（七钱） 细辛（少许） 薄荷叶（二钱）
荆芥穗（七钱，煎成药加之） 川芎（三钱） 小椒（五分） 当归根（三钱） 生地（酒一钱） 黄柏
（四钱） 知母（五钱，酒制）
上 咀，每服三钱，水三大盏，煎至一盏半，入荆芥穗再煎至一盏，去渣，稍热服。后忌酒湿面。
〔《本》〕又方
防风（一两） 白蒺藜（一两） 羌活（一两半） 甘菊（二两）
上为细末，每服二钱，入盐少许，百沸汤点服，食后。
赤脉翳，初从下而上者，或从内 出外者，皆属阳明，以阳明主里，其症多热或便实是也。治法宜下之寒之。
下则《局方》流气饮、钱氏泻青丸、《局方》温白丸，加黄连、黄柏之类，累用累验。寒则一味黄连羊肝丸之类也。
〔《局》〕流气饮 治目生翳障。
大黄（炮） 牛蒡子（炒） 川芎 菊花（去枝） 白蒺藜（炒，去梗） 细辛（去苗） 防风（去苗）
玄参（去苗） 山栀（去皮） 黄芩（去芦） 甘草（炙） 蔓荆子 荆芥（去梗） 木贼（去根节各一两）
草决明（一两半） 苍术（二两）
上为末，每服二钱，临卧用冷酒调下。
〔罗〕拨云散 治因眼发，湿热不退，而作翳膜遮睛，昏暗羞明，隐涩难开。
川芎 草龙胆 楮实 薄荷 羌活 荆芥穗 石决明 草决明 苍术 大黄 甘草 木贼 密蒙花 连翘
川椒 甘菊 桔梗 石膏 地骨皮 白芷 白蒺藜 槟榔（各一两） 石燕（一对）
上件，捣罗为细末，每服三钱，温茶清一盏调下。食后。一日三服。忌杂鱼乌诸肉。
〔海藏〕东垣先生治斑后风热毒，翳膜气晕遮睛，以泻青丸子泻之大效，初觉易治。（《保命集》云∶斑后
翳膜，亦能治之，泻青丸减大黄一半用之。）
妻侄女，形肥，笄年时，得目疾，每一月或二月一发，发时红肿，涩痛难开，如此者三年，服除风散热
等剂，及寻常眼药，则左目反有顽翳，从锐 来遮瞳人，右目亦有翳从下而上。经云∶从内外走者，少阳
病；从下上者，阳明病。予谓此少阳、阳明二经有积滞也。脉短滑而实，晨则似短。洁古云∶短为有积滞，
遏抑脏腑，宜下之。遂用温白丸，减川芎、附子三之二，多加龙胆、黄连，如东垣五积法，从二丸每日加
一丸，加至大利，然后减丸。又从二丸加起，忽一日于利中下黑块血若干，如墨大而硬坚，从此渐觉痊而
翳尽去矣。
〔世〕黄连羊肝丸 治目翳从下上者，从内 出外者，神效。（方见内障。）
赤脉翳，初从外 入内者，为少阳，以少阳主半表半里，治法宜和解之，神仙退云丸之类是也。
〔垣〕神仙退云丸 治一切翳晕内外障昏无睛者，累效，妙方也。
川芎 当归（各一两半） 犀角（酒洗） 枳实 川楝 蝉壳 甘菊 薄荷叶（不见火。以上各半两）
栝蒌仁（生者六钱） 蛇蜕 密蒙花 荆芥穗（各二钱，此三味与甘草同焙干，去甘草不用） 地骨皮
（洗） 白蒺藜（微炒，去刺） 羌活 生地（酒洗，焙干各一钱） 川木贼（一两半，去节，童便浸一宿，焙干）
上为细末，炼蜜为丸。每一两分作十丸，米泔汤调服，日进二三丸。食后。妇人当归汤下，有气者木香汤
下。使之在人消息。
〔《本》〕治诸眼患，因热病后，毒瓦斯攻眼，生翳膜遮障，服此药逐旋消退，不犯刀针。
青葙子 防风 枳壳（各一两） 茺蔚子 细辛（各半两） 枸杞子 泽泻 生地黄 石决明（各一两半）
黄连（半两） 车前子 川当归 麦门冬（去心。各二两）
上各如法修事，焙干为末，炼蜜丸，如桐子大。每服三十丸，饭饮吞下。忌一切热毒物。
〔垣〕羌活退翳汤
羌活（二钱） 防风（一钱半） 黄芩（半两，酒炒） 柴胡（三钱） 黄连（二钱） 五味子（二钱）
黄柏（五钱，酒炒） 芍药（五钱） 草龙胆（五钱，酒洗） 黄 （三钱） 甘草 升麻（二钱）
归身（二钱） 石膏（二钱半）
上件，锉如麻豆大，水二盏，分作二服，煎至一盏，入酒少许，去渣，临卧热服。忌言语。
消翳散 一名龙胆饮子
青蛤粉（半两） 羌活 龙胆草 黄芩（炒。各三钱） 蝉蜕（五分，一云蛇蜕） 麻黄（一钱半）
谷精草（半两） 川郁金（半两） 甘草根（炙，五分） 升麻（二钱）
上为细末，每服二钱，食后温茶调下。（以上四方，热多者宜之。）
又方
川芎 羌活 旋复花 防风（各二两） 甘草 苍术（泔浸一夕，去皮，日干不见火） 楮实 楮叶（并八月
采，阴干，以上各一两） 甘菊 枳实 蝉蜕 木贼（各一两）
上木臼中治为末，茶清调下二钱，早食后、临卧各一服。治暴赤眼，忌湿面及酒。楮实须真，无实者取叶，
不尔，诸药无效。合时不得焙，及犯铁器。予观此方，取楮叶必无实者，盖阴阳二合相匹配耳。有实者阳也，
无实取叶者阴也，所以不得真楮实者，悉无效。
〔罗〕五秀重明丸 治眼翳膜遮睛，隐涩昏花，常服清利头目。
甘菊花（开头，五百个） 荆芥（五百穗） 木贼（去节，五百节） 川椒（开口者，五百粒） 楮实（五百枚）
上为细末，炼蜜为丸，如弹子大。每服一丸，细嚼，时时咽下，食后噙化无时，临卧大忌酒面热物。（以上二
方，无热者宜之。）
翳膜者，风热重则有之，或 入眼，此肝气盛而发在表也。翳膜已生，在表明矣，宜发散而去之。若反疏
利，则邪气内搐，为翳益深。邪气未定，谓之热翳而浮。邪气已定，谓之冰翳而沉。邪气牢而深者，谓之陷翳，
当以 发之物使其邪气再动，翳膜乃浮，佐之以退翳之药，而能自去也。病久者，不能速效，宜以岁月除之。
新翳所生，表散方，东垣羌活除翳汤。有热血虚者，退云丸之类是也。
〔《保》〕治冰翳久不去者，羚羊角散。
羚羊角 升麻 细辛（各等分） 甘草（半钱）
上为末，一半炼蜜为丸。每服五七十丸，用一半为散，以泔水煎吞丸子，食后。
发陷翳，亦羚羊角散之类，用之在人消息。若阴虚有热者，兼服神仙退云丸。
〔垣〕补阳汤 治阳不胜其阴，乃阴盛阳虚，则九窍不通，令青白翳见于大 ，乃足太阳、少阴经中
郁遏，足厥阴肝经气不得上通于目，故青白翳内阻也。当于太阳、少阴经中，九原之下，以益肝中阳气，冲
天上行。此当先补其阳，后于足太阳、少阴标中，泻足厥阴肝经阴火，乃次治也。《内经》曰∶阴盛阳虚，
则当先补其阳，后泻其阴。此治法是也。每日清晨，以腹中无宿食，服补阳汤。临卧，服泻阴丸。若天色变，
大寒大风，并大劳役，预日饮食不调，精神不足，或气弱，俱不得服。候体气和平，天气如常，服之先补
其阳，使阳气上升，通于肝经之末，利空窍于眼目矣。
羌活 独活 当归身（去芦头用，梢截，酒洗，焙干） 甘草梢 熟地黄 人参（去芦） 黄 白术（
以上各一两） 泽泻 陈皮（去白。各一两） 生地黄（炒，二钱） 白茯苓（去皮） 知母（炒黄色。各
五钱） 柴胡（去苗，二两） 防风（去芦，半两） 白芍药（半两） 肉桂（去皮，一钱）
上同为粗末，每服半两，水二大盏，煎至一盏，去渣温服，空心，使药力行尽，方许食。
连柏益阴丸
羌活 独活 甘草根（炒） 当归身（根据前制） 防风 五味子（各半两） 黄连（酒洗或拌，锉炒
火色，一两） 石决明（烧存性，五钱） 草决明 黄芩 黄柏 知母（各一两）
上为细末，炼蜜丸，如绿豆大。每服五十丸，渐加百丸止，临卧清茶送下。常以助阳汤多服，少服此药，
以此药一则妨饮食，二则力大如升阳汤，不可多服。
升阳泄阴丸
羌活 独活 甘草根 归身 熟地（各一两） 人参 黄 白术（各半两） 泽泻（三钱） 陈皮（三
钱） 白芍药（一两） 白茯苓 防风（各三钱） 肉桂（半钱） 生地（酒洗，炒五钱） 知母（酒炒，三钱，
如大暑加一钱） 楮实（酒拌，半两） 柴胡（去苗，一钱半）
上 咀，每服五钱，水煎热服。另合一料，炼蜜丸，如桐子大。食远茶清送下五十丸，每日与前药各一服，
不可饱服。如天气热甚，加五味子三钱或半两，天门冬去心半两，枳实亦加半两。
上三方，合治一病，空心补阳汤，临卧连柏丸，食远升阳泄阴丸。
滋阴地黄丸 治内障兼右目小 青白翳，瞳子散大。（方见内障。）
〔丹〕丈夫因劳力后，两眼上星，右边独昏，此热伤血。
白术 归身尾 生地 木通 黄连（酒浸） 黄芩（炒） 黄柏（炒。各二两） 甘草（炙，一钱）
分三帖煎服。大热加白芍药。
翳从下而上诸方，泻青之类。（并见表里上条。）翳除尽，至期年月日期复发者，或间一月或二月一发，皆为积。
治如脉滑者，宜温白丸加黄连、草龙胆，如东垣五积法服之。
百点膏 张济民眼翳，以至遮瞳人，视物不明，如觉云气遮障，以此方治之。
黄连（二钱，以水一碗煎至半碗，再入后药） 当归（六分） 甘草根（六分） 防风根（八分） 蕤
仁（去皮尖，三分）
上锉，如麻豆大，蕤仁另研如泥，同熬，滴入水中不散，去渣沫，入好蜜少许，再煎少时为度。极要病患
心净点之，点至目微痛为度。一日点五七次，临卧点尤妙，名曰百点膏，但欲多点，使药力相续。
羌活退翳膏 治足太阳寒水，膜遮左睛，白翳上，视物不明。
椒树（东南根、西北根各二两） 麻黄（去节根，三分） 羌活（七分） 黄连（三分） 归身（六分）
防风（三分） 柴胡（三分） 生甘草（四分） 升麻（三分） 生地黄（三分） 汉防己（二分） 蕤仁（六
个） 本（二分）
上净水一碗，先煎汉防己、黄连、生甘草、当归身、生地黄，煎至一盏，入余药再煎至一盏，去渣，入银
瓷器内，熬稀膏点之，有力为度。
退翳膏子 治黑白翳。
荆芥穗（一钱） 黄连（三钱） 生地黄（一钱半） 甘草（五分） 归身（六分） 连翘（四分） 柴
胡梢（五分） 升麻（三分） 防风（四分） 蕤仁（三分） 青皮（四分） 细辛（一分）
上先用水半盏，浸荆芥一处，次将黄连、生地、甘草三味，用水一大碗，煎至半碗，再下余七味，同煎
至一盏，去渣，更上火熬至半盏，入荆芥水二匙，入蜜少许，再煎令匀，点之神效。
圆明膏 治内障生翳，及瞳子散大，皆劳心过度，饮食失节。
柴胡（去苗，五钱） 麻黄（去芦，五钱） 归身（三钱） 生地（半两） 黄连（去须，五钱）
甘草（二钱） 诃子皮（湿纸裹，煨二钱）
上七味，先以水二碗，熬麻黄至一碗，去沫，外六味各 咀如豆大，筛去沫子秤，入内同煎，滴水中不
散，去渣沫，入蜜少许，再熬点之。
上点方四，皆东垣先生所制，乃随证立法，非如泛常通用之方，如瞳子散大，用诃子收之之类也。
〔《保》〕金丝膏点眼。
生姜（取汁，四两） 白蜜（炼去沫，一斤） 猪胆汁（三钱） 黄连（四两，截碎，用水一斗煎至五升）
上先煎黄连水，后入姜汁，次入蜜，同煎，去沫净，入下项。
脑子 砂 熊胆（各四钱） 麝香 青盐（各三钱） 轻粉（少许） 硼砂（二钱）
上研细，搅匀同煎，合稀膏用之。
〔罗〕金露膏
蕤仁（槌碎） 黄丹（各一两） 黄连（半两） 蜜（六两）
上件，先将黄丹入锅中，炒黄至紫，入蜜搅匀，下长流水四升，以嫩柳枝头七茎，把定搅之，次下蕤仁，
候滚十数沸，又下黄连，用柳枝不住手搅，熬至二升，罩篱内倾药在纸上，慢慢滴之，无令尘污。如有瘀血，
加砂一钱，上火煨开，入前膏子内用。
夜光丸 治赤眼翳目昏花。
宣黄连 诃子（去核。各二两） 当归（一两） 铜绿（一钱）
上 咀，用河水三升，同浸两昼夜，入银瓷器熬取汁，再入文武火熬，槐柳枝搅，滴水成珠为度。
猪胰子（二个，先去脂，以水洗，换水无度，令净，入黄连膏内煮黑色，取出用之） 炉甘石（一两，童便一碗，
《黄帝内经》说：诊察眼睛疼痛，如果赤脉从上方往下延伸的，属于太阳病；从下方往上延伸的，属于阳明病；从外侧走向内侧的，属于少阳病。按照这一理论来辨别表里的翳障，是非常明确的，用于治疗病症，就像鼓槌击鼓一样应验迅速。
凡是赤脉翳，初起从上方往下方发展的，归属于太阳经，因为太阳经主表，其病症必然牵连眉棱骨疼痛，或者脑部和项部疼痛，或者是半边头部肿痛，治疗方法适宜用温散法。温散法可用腊茶、盐川附子各等分，煎服后立即痊愈。戴元礼曾经用这个证候使用一钱川附子，作为一剂服用，随即痊愈。散法如《简要济众方》中的夏枯散、李东垣的选奇汤之类。有一个方子，附子半两，芽茶一大撮，白芷一钱，细辛、川芎、防风、羌活、荆芥各半钱，煎服效果神奇。
〔《简要济众方》〕夏枯草治疗眉棱骨痛，目翳从上往下长的，屡见疗效，必须与退云丸配合服用。夏枯草方，见目珠痛条目。
〔李东垣〕选奇汤 治疗眉棱骨痛，目翳从上往下长的，效果奇妙。（方剂见眉痛条目。）
羌活除翳汤 治疗太阳寒水之气，翳膜遮蔽眼睛，不能视物。
麻黄根（一分） 羌活（一两半） 防风（一两） 藁本（七钱） 细辛（少许） 薄荷叶（二钱）
荆芥穗（七钱，煎成药后加入） 川芎（三钱） 小椒（五分） 当归尾（三钱） 生地黄（酒浸一钱） 黄柏（四钱） 知母（五钱，酒制）
以上药物切碎，每次服用三钱，水三大盏，煎至一盏半，加入荆芥穗再煎至一盏，去渣滓，稍热时服用。之后忌食酒、湿面。
〔《本草衍义》〕又一方
防风（一两） 白蒺藜（一两） 羌活（一两半） 甘菊（二两）
以上研为细末，每次服用二钱，加入少许盐，用滚开水冲服，饭后服用。
赤脉翳，初起从下方往上方发展的，或从内侧向外侧发展的，都归属于阳明经，因为阳明经主里，其症状多表现为热证或大便干结。治疗方法适宜用下法和寒凉法。
下法如《太平惠民和剂局方》的流气饮、钱乙的泻青丸、《太平惠民和剂局方》的温白丸，加上黄连、黄柏之类，屡用屡验。寒凉法如一味黄连羊肝丸之类。
〔《太平惠民和剂局方》〕流气饮 治疗眼睛生翳障。
大黄（炮制） 牛蒡子（炒） 川芎 菊花（去枝） 白蒺藜（炒，去梗） 细辛（去苗） 防风（去苗）
玄参（去苗） 山栀（去皮） 黄芩（去芦） 甘草（炙） 蔓荆子 荆芥（去梗） 木贼（去根节各一两）
草决明（一两半） 苍术（二两）
以上研为末，每次服用二钱，临睡前用冷酒调服。
〔罗天益〕拨云散 治疗因眼发病，湿热不退，从而产生翳膜遮蔽眼睛，昏暗怕光，隐涩难以睁开。
川芎 草龙胆 楮实 薄荷 羌活 荆芥穗 石决明 草决明 苍术 大黄 甘草 木贼 密蒙花 连翘
川椒 甘菊 桔梗 石膏 地骨皮 白芷 白蒺藜 槟榔（各一两） 石燕（一对）
以上捣碎过筛为细末，每次服用三钱，用清茶一盏调服。饭后服用。一日三次。忌食杂鱼、乌肉等。
〔张元素/海藏〕李东垣先生治疗痘斑后风热毒邪，翳膜气晕遮蔽眼睛，用泻青丸泻下，效果极大，初起时容易治疗。（《保命集》说：痘斑后产生的翳膜，也能治疗，泻青丸减去一半的大黄使用。）
妻子的侄女，形体肥胖，及笄之年时，得了眼疾，每隔一月或二月发作一次，发作时红肿，涩痛难开，这样持续了三年，服用除风散热等药剂，以及寻常眼药，反而左眼长出顽固翳障，从外眼角向内遮盖瞳孔，右眼也有翳障从下往上长。经文说：从内外走的，是少阳病；从下往上的，是阳明病。我认为这是少阳、阳明二经有积滞所致。脉象短滑而实，早晨时似乎较短。洁古老人说：短脉表示有积滞，遏制脏腑，适宜用下法。于是使用温白丸，减去三分之二的川芎、附子，多加龙胆、黄连，仿照李东垣的五积法，从两丸开始每天增加一丸，加到腹泻厉害为止，然后减少丸数。又从两丸开始加起，忽然有一天在腹泻中排出若干黑块血，像墨一样大而硬坚，从此逐渐觉得痊愈，翳障全部去除。
〔世传〕黄连羊肝丸 治疗目翳从下往上长的，从内往外出的，效果神奇。（方剂见内障条目。）
赤脉翳，初起从外侧向内侧发展的，属于少阳经，因为少阳经主半表半里，治疗方法适宜和解，神仙退云丸之类就是。
〔李东垣〕神仙退云丸 治疗一切翳晕内外障昏无睛者，屡见疗效，是妙方。
川芎 当归（各一两半） 犀角（酒洗） 枳实 川楝子 蝉蜕 甘菊 薄荷叶（不经过火炒。以上各半两）
瓜蒌仁（生者六钱） 蛇蜕 密蒙花 荆芥穗（各二钱，这三味与甘草同焙干，去掉甘草不用） 地骨皮
（洗） 白蒺藜（微炒，去刺） 羌活 生地黄（酒洗，焙干各一钱） 川木贼（一两半，去节，童便浸泡一夜，焙干）
以上研为细末，炼蜜为丸。每一两分成十丸，米泔水调服，每日进二三丸。饭后服用。妇人用当归汤送下，有气滞的用木香汤送下。让人根据情况斟酌。
〔《本草衍义》〕治疗各种眼患，因热病后，毒瓦斯攻眼，生翳膜遮蔽，服用此药逐渐消退，不需用刀针手术。
青葙子 防风 枳壳（各一两） 茺蔚子 细辛（各半两） 枸杞子 泽泻 生地黄 石决明（各一两半）
黄连（半两） 车前子 川当归 麦门冬（去心。各二两）
以上各按方法处理，焙干为末，炼蜜丸，如梧桐子大。每次服用三十丸，饭饮吞下。忌食一切热毒物。
〔李东垣〕羌活退翳汤
羌活（二钱） 防风（一钱半） 黄芩（半两，酒炒） 柴胡（三钱） 黄连（二钱） 五味子（二钱）
黄柏（五钱，酒炒） 芍药（五钱） 草龙胆（五钱，酒洗） 黄芪（三钱） 甘草 升麻（二钱）
归身（二钱） 石膏（二钱半）
以上切碎如麻豆大，水二盏，分作两次服用，煎至一盏，加入少许酒，去渣，临睡前热服。忌言语。
消翳散 又名龙胆饮子
青蛤粉（半两） 羌活 龙胆草 黄芩（炒。各三钱） 蝉蜕（五分，一说蛇蜕） 麻黄（一钱半）
谷精草（半两） 川郁金（半两） 甘草根（炙，五分） 升麻（二钱）
以上研为细末，每次服用二钱，饭后温茶调服。（以上四方，热盛者适宜。）
又一方
川芎 羌活 旋复花 防风（各二两） 甘草 苍术（泔水浸泡一夜，去皮，日晒不见火） 楮实 楮叶（并八月采集，阴干，以上各一两） 甘菊 枳实 蝉蜕 木贼（各一两）
以上在木臼中捣为末，茶清调下二钱，早饭后、临睡前各服一次。治疗暴赤眼，忌湿面及酒。楮实必须是真的，没有实的取叶子，否则，诸药无效。配制时不得焙干，且不能接触铁器。我观察此方，取楮叶必不用楮实，大概是阴阳二气相匹配的缘故。有实的是阳，无实取叶的是阴，所以如果没有真楮实，全都无效。
〔罗天益〕五秀重明丸 治疗眼翳膜遮蔽眼睛，隐涩昏花，常服可清利头目。
甘菊花（开头，五百个） 荆芥（五百穗） 木贼（去节，五百节） 川椒（开口者，五百粒） 楮实（五百枚）
以上研为细末，炼蜜为丸，如弹子大。每次服用一丸，细细咀嚼，时时咽下，饭后含化不限时间，临睡前大忌酒面热物。（以上二方，无热者适宜。）
翳膜，风热重则会有，或异物入眼，这是肝气盛而发于体表。翳膜已经生成，在表很明显，适宜发散而去掉它。如果反而疏利，则邪气内收，使翳障更深。邪气未定，称为热翳而浮。邪气已定，称为冰翳而沉。邪气牢固而深的，称为陷翳，应当用发散之物使其邪气再次活动，翳膜才浮起，辅助以退翳的药物，翳膜才能自行去除。病程久的，不能速效，适宜以年月慢慢除去。
新产生的翳，表散方，用李东垣羌活除翳汤。有热血虚的，用退云丸之类。
〔《保命集》〕治疗冰翳久不去的，用羚羊角散。
羚羊角 升麻 细辛（各等分） 甘草（半钱）
以上为末，一半炼蜜为丸。每次服用五七十丸，用一半为散，用泔水煎吞丸子，饭后服用。
发陷翳，也用羚羊角散之类，让人根据情况斟酌。如果阴虚有热的，兼服神仙退云丸。
〔李东垣〕补阳汤 治疗阳不胜其阴，即阴盛阳虚，则九窍不通，导致青白翳见于大眦，这是足太阳、少阴经中郁遏，足厥阴肝经气不得上通于目，所以青白翳内阻。应当在太阳、少阴经中，九原之下，以益肝中阳气，冲天上行。这应当先补其阳，后于足太阳、少阴标中，泻足厥阴肝经阴火，这是次要的治疗。《内经》说：阴盛阳虚，则应当先补其阳，后泻其阴。这就是治疗方法。每日清晨，腹中无宿食时，服用补阳汤。临睡前，服用泻阴丸。如果天气变化，大寒大风，以及过度劳累，前一天饮食不调，精神不足，或气弱，都不得服用。等到体质平和，天气正常，再服用先补其阳，使阳气上升，通达肝经末端，利空窍于眼目。
羌活 独活 当归身（去芦头用，梢截，酒洗，焙干） 甘草梢 熟地黄 人参（去芦） 黄芪 白术（以上各一两） 泽泻 陈皮（去白。各一两） 生地黄（炒，二钱） 白茯苓（去皮） 知母（炒黄色。各五钱） 柴胡（去苗，二两） 防风（去芦，半两） 白芍药（半两） 肉桂（去皮，一钱）
以上同为粗末，每次服用半两，水二大盏，煎至一盏，去渣温服，空腹服用，使药力行尽，才允许进食。
连柏益阴丸
羌活 独活 甘草根（炒） 当归身（根据前法制备） 防风 五味子（各半两） 黄连（酒洗或拌，锉炒火色，一两） 石决明（烧存性，五钱） 草决明 黄芩 黄柏 知母（各一两）
以上研为细末，炼蜜丸，如绿豆大。每次服用五十丸，逐渐加到一百丸为止，临睡前清茶送下。常以助阳汤多服，少服此药，因为此药一则妨碍饮食，二则力量大如升阳汤，不可多服。
升阳泄阴丸
羌活 独活 甘草根 归身 熟地（各一两） 人参 黄芪 白术（各半两） 泽泻（三钱） 陈皮（三钱） 白芍药（一两） 白茯苓 防风（各三钱） 肉桂（半钱） 生地（酒洗，炒五钱） 知母（酒炒，三钱，如大暑加一钱） 楮实（酒拌，半两） 柴胡（去苗，一钱半）
以上切碎，每次服用五钱，水煎热服。另配一料，炼蜜丸，如梧桐子大。饭后茶清送下五十丸，每日与前药各服一次，不可饱服。如果天气很热，加五味子三钱或半两，天门冬去心半两，枳实也加半两。
以上三方，合治一种病，空腹补阳汤，临卧连柏丸，食远升阳泄阴丸。
滋阴地黄丸 治疗内障兼右目小眦青白翳，瞳子散大。（方剂见内障条目。）
〔朱丹溪〕丈夫因劳力后，两眼上星，右边独昏，这是热伤血。
白术 归身尾 生地 木通 黄连（酒浸） 黄芩（炒） 黄柏（炒。各二两） 甘草（炙，一钱）
分三帖煎服。大热加白芍药。
翳从下而上诸方，泻青之类。（并见表里上条。）翳除尽，到了预定年月日期复发者，或间隔一月或二月一发，都为积滞。
治疗如脉滑者，适宜温白丸加黄连、草龙胆，仿照李东垣五积法服用。
百点膏 张济民眼翳，以至于遮盖瞳孔，视物不明，如觉云气遮蔽，用此方治疗。
黄连（二钱，以水一碗煎至半碗，再加入后药） 当归（六分） 甘草根（六分） 防风根（八分） 蕤仁（去皮尖，三分）
以上切碎，如麻豆大，蕤仁另研如泥，同熬，滴入水中不散，去渣沫，加入好蜜少许，再煎少许时候为度。极要求病患心净点之，点至目微痛为度。一天点五七次，临睡前点尤其好，名叫百点膏，只要想多点，使药力相续。
羌活退翳膏 治疗足太阳寒水，膜遮左睛，白翳上，视物不明。
椒树（东南根、西北根各二两） 麻黄（去节根，三分） 羌活（七分） 黄连（三分） 归身（六分）
防风（三分） 柴胡（三分） 生甘草（四分） 升麻（三分） 生地黄（三分） 汉防己（二分） 蕤仁（六个） 藁本（二分）
以上净水一碗，先煎汉防己、黄连、生甘草、当归身、生地黄，煎至一盏，加入余药再煎至一盏，去渣，放入银瓷器内，熬成稀膏点之，有力为度。
退翳膏子 治疗黑白翳。
荆芥穗（一钱） 黄连（三钱） 生地黄（一钱半） 甘草（五分） 归身（六分） 连翘（四分） 柴
胡梢（五分） 升麻（三分） 防风（四分） 蕤仁（三分） 青皮（四分） 细辛（一分）
以上先用水半盏，浸泡荆芥一处，其次将黄连、生地、甘草三味，用水一大碗，煎至半碗，再下余七味，同煎至一盏，去渣，更上火熬至半盏，加入荆芥水二匙，加入蜜少许，再煎令匀，点之神效。
圆明膏 治疗内障生翳，及瞳子散大，都是劳心过度，饮食失节。
柴胡（去苗，五钱） 麻黄（去芦，五钱） 归身（三钱） 生地（半两） 黄连（去须，五钱）
甘草（二钱） 诃子皮（湿纸裹，煨二钱）
以上七味，先以水二碗，熬麻黄至一碗，去沫，外六味各切碎如豆大，筛去沫子秤量，加入同煎，滴水中不散，去渣沫，加入蜜少许，再熬点之。
以上四个点眼方，都是李东垣先生所制，乃是随证立法，不像泛常通用的方子，如瞳子散大，用诃子收敛之类。
〔《保命集》〕金丝膏点眼。
生姜（取汁，四两） 白蜜（炼去沫，一斤） 猪胆汁（三钱） 黄连（四两，截碎，用水一斗煎至五升）
以上先煎黄连水，后入姜汁，次入蜜，同煎，去沫净，加入下列药物。
脑子 砂 熊胆（各四钱） 麝香 青盐（各三钱） 轻粉（少许） 硼砂（二钱）
以上研细，搅匀同煎，合稀膏用之。
〔罗天益〕金露膏
蕤仁（槌碎） 黄丹（各一两） 黄连（半两） 蜜（六两）
以上，先将黄丹入锅中，炒黄至紫，入蜜搅匀，下长流水四升，以嫩柳枝头七茎，把定搅之，次下蕤仁，候滚十数沸，又下黄连，用柳枝不住手搅，熬至二升，罩篱内倾药在纸上，慢慢滴之，无令尘污。如有瘀血，加砂一钱，上火煨开，入前膏子内用。
夜光丸 治疗赤眼翳目昏花。
宣黄连 诃子（去核。各二两） 当归（一两） 铜绿（一钱）
以上切碎，用河水三升，同浸两昼夜，入银瓷器熬取汁，再入文武火熬，槐柳枝搅，滴水成珠为度。
The *Huangdi Neijing* states: When examining eye pain, if the red vessels extend from top to bottom, it is a Taiyang disease; if they extend from bottom to top, it is a Yangming disease; if they move from outside to inside, it is a Shaoyang disease. Based on this theory, distinguishing between superficial and deep nebulae (opacities) is clear. Applying this to treat symptoms is as effective as striking a drum with a drumstick.
For all cases of red vessel nebulae, those initially developing from top to bottom belong to the Taiyang channel. Since the Taiyang channel governs the exterior, the symptoms must involve pain in the supraorbital ridge, or pain in the brain and nape, or swelling and pain in half of the head. The treatment method should be warming and dispersing. For the warming method, use equal parts of aged tea (Lachá) and salted Chuan Fuzi (Prepared Aconite Root), decocted and taken orally for immediate recovery. Dai Yuanli once treated this syndrome using one qian of Chuan Fuzi as a single dose, resulting in immediate recovery. For the dispersing method, formulas such as Xiaku San (Prunella Decoction) from the *Jianyao Jizhong Fang* or Xuanqi Tang (Select Extraordinary Decoction) by Li Dongyuan are suitable. One formula consists of Banliang (half tael) of Fuzi (Aconite Root), a large pinch of sprouted tea, one qian of Baizhi (Angelicae Dahuricae Radix), and half a qian each of Xixin (Asari Radix), Chuanxiong (Chuanxiong Rhizome), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Jingjie (Schizonepetae Herba). Decoct and take orally for miraculous effect.
[From *Jianyao Jizhong Fang*] Xiakucao (Herba Prunellae) treats supraorbital ridge pain and nebulae growing from top to bottom, with repeated efficacy. It must be taken concurrently with Tuiyun Wan (Cloud-Removing Pill). The Xiakucao formula is found under the entry for Eye Ball Pain.
[Li Dongyuan] Xuanqi Tang (Select Extraordinary Decoction) treats supraorbital ridge pain and nebulae growing from top to bottom with excellent results. (Formula see entry for Brow Pain.)
Qianghuo Chu Yi Tang (Notopterygium Nebula-Removing Decoction) treats Sun-Taiyang cold-water qi, where nebulae obscure the eyes, preventing vision.
Mahuang Gen (Radix Ephedrae - Root): 1 fen
Qianghuo (Rhizoma et Radix Notopterygii): 1 liang 5 qian
Fangfeng (Radix Saposhnikoviae): 1 liang
Ben Cao (Rhizoma Ligustici - Ligusticum Rhizome): 7 qian
Xixin (Radix Asari): A small amount
Bohe Ye (Folium Menthae - Mint Leaf): 2 qian
Jingjie Sui (Spica Schizonepetae): 7 qian (add after decoction is prepared)
Chuanxiong (Rhizoma Chuanxiong): 3 qian
Xiao Jiao (Fructus Zanthoxyli - Sichuan Pepper): 5 fen
Danggui Gen (Radix Angelicae Sinensis - Root end): 3 qian
Sheng Di Huang (Radix Rehmanniae Preparata - Prepared Rehmannia Root, soaked in wine): 1 qian
Huangbai (Cortex Phellodendri - Phellodendron Bark): 4 qian
Zhimu (Rhizoma Anemarrhenae - Anemarrhena Rhizome, wine-processed): 5 qian
Crush the above ingredients. Take 3 qian per dose, with 3 large bowls of water, decoct to 1.5 bowls. Add Jingjie Sui and decoct again to 1 bowl. Strain and take slightly warm. Avoid alcohol and damp wheat products afterwards.
[From *Bencao Yan yi*] Another Formula
Fangfeng (Radix Saposhnikoviae): 1 liang
Bajili (Fructus Tribuli - Tribulus Fruit): 1 liang
Qianghuo (Rhizoma et Radix Notopterygii): 1 liang 5 qian
Ganju (Flos Chrysanthemi Indici - Chrysanthemum Flower): 2 liang
Grind into fine powder. Take 2 qian per dose, add a little salt, and take with boiling water after meals.
For red vessel nebulae, those initially developing from bottom to top, or from inside to outside, all belong to the Yangming channel. Since the Yangming channel governs the interior, symptoms often include heat or constipation. The treatment method should involve purging and cooling.
For purging, formulas such as Liuqi Yin (Flowing Qi Decoction) from the *Ju Fang*, Xieqing Wan (Draining Green Pill) by Qian Yi, or Wenbai Wan (Warming White Pill) from the *Ju Fang*, added with Huanglian (Rhizoma Coptidis - Coptis Rhizome) and Huangbai (Phellodendron Bark), have proven effective repeatedly. For cooling, formulas like Huanglian Yanggan Wan (Coptis Pig Liver Pill) are suitable.
[From *Ju Fang*] Liuqi Yin (Flowing Qi Decoction) treats eye nebulae and obstructions.
Dahuang (Radix et Rhizoma Rhei - Rhubarb Root, processed)
Niubangzi (Fructus Arctii - Greater Burdock Fruit, fried)
Chuanxiong (Rhizoma Chuanxiong)
Juhua (Flos Chrysanthemi Morifolii - Chrysanthemum Flower, stems removed)
Bajili (Fructus Tribuli, fried, stems removed)
Xixin (Radix Asari, seedlings removed)
Fangfeng (Radix Saposhnikoviae, seedlings removed)
Xuanshen (Radix Scrophulariae - Figwort Root, seedlings removed)
Shanzhi (Fructus Gardenoliae - Gardenia Fruit, peel removed)
Huangqin (Radix Scutellariae - Scutellaria Root, rhizome removed)
Gancao (Radix Glycyrrhizae - Licorice Root, roasted)
Manjingzi (Fructus Viticis - Vitex Fruit)
Jingjie (Herba Schizonepetae, stems removed)
Muzei (Herba Equiseti - Horsetail Herb, roots and nodes removed, 1 liang each)
Caojueming (Semen Cassiae - Cassia Seed): 1 liang 5 qian
Cangzhu (Rhizoma Atractylodis Lanceae - Atractylodes Rhizome): 2 liang
Grind into powder. Take 2 qian per dose, mix with cold wine before bedtime.
[Luo Tianyi] Boyun San (Cloud-Pushing Powder) treats eye diseases caused by persistent damp-heat, leading to nebulae obscuring vision, dimness, photophobia, and difficulty opening the eyes due to grittiness.
Chuanxiong (Rhizoma Chuanxiong)
Caolongdan (Radix Gentianae Macrophyllae - Largeleaf Gentian Root)
Chushi (Fructus Mori - Mulberry Fruit)
Bohe (Herba Menthae - Mint Herb)
Qianghuo (Rhizoma et Radix Notopterygii)
Jingjie Sui (Spica Schizonepetae)
Shijueming (Concha Arcae - Ark Shell)
Caojueming (Semen Cassiae)
Cangzhu (Rhizoma Atractylodis Lanceae)
Dahuang (Radix et Rhizoma Rhei)
Gancao (Radix Glycyrrhizae)
Muzei (Herba Equiseti)
Mimenghua (Flos Myrtilli - Bilberry Flower)
Lianqiao (Fructus Forsythiae - Forsythia Fruit)
Chuanjiao (Fructus Zanthoxyli - Sichuan Pepper)
Ganju (Flos Chrysanthemi Indici)
Jiegeng (Radix Platycodi - Balloon Flower Root)
Shigao (Gypsum Fibrosum - Gypsum)
Digupi (Cortex Lycii - Lycium Bark)
Baizhi (Radix Angelicae Dahuricae)
Bajili (Fructus Tribuli)
Binglang (Semen Arecae - Areca Seed): 1 liang each
Shiyan (Os Avis - Bird Bone): 1 pair
Pulverize the above ingredients finely. Take 3 qian per dose, mixed with one cup of clear tea. Take after meals. Three times daily. Avoid fish and dark meats.
[Zhang Yuansu/Haizang] Mr. Li Dongyuan treated wind-heat toxins after pox/rashes, where nebulae and qi halos obscured vision, using Xieqing Wan (Draining Green Pill) for great effect; it is easy to treat when first noticed. (*Baoming Ji* states: Pox-induced nebulae can also be treated; use half the amount of Dahuang in Xieqing Wan.)
The wife's niece was obese. At the age of fifteen, she developed an eye disease, recurring every month or two. During attacks, her eyes were red, swollen, gritty, and painful to open. This persisted for three years. After taking wind-dispelling and heat-clearing agents, and common eye drops, a stubborn nebula formed in the left eye, spreading from the outer canthus to cover the pupil. The right eye also had a nebula growing from bottom to top. The classic states: Moving from inside/outside is Shaoyang disease; moving from bottom to top is Yangming disease. I believed this indicated stagnation in the Shaoyang and Yangming channels. The pulse was short, slippery, and solid, appearing shorter in the morning. Jiegu Lao said: A short pulse indicates stagnation suppressing the zang-fu organs; purging is appropriate. Thus, I used Wenbai Wan (Warming White Pill), reducing Chuanxiong and Fuzi by two-thirds, and adding more Longdan (Gentian Root) and Huanglian (Coptis Rhizome), following Li Dongyuan's "Five Accumulations" method. Starting from two pills, I increased by one pill daily until severe diarrhea occurred, then reduced the dosage. Restarting from two pills, suddenly one day, black clots of blood, hard and ink-like, were passed during diarrhea. From then on, gradual recovery occurred, and the nebula completely disappeared.
[Popular] Huanglian Yanggan Wan (Coptis Pig Liver Pill) treats nebulae growing from bottom to top or inside to outside with miraculous effects. (Formula see Internal Obstruction entry.)
For red vessel nebulae initially developing from outside to inside, it belongs to the Shaoyang channel. Since Shaoyang governs the half-exterior and half-interior, the treatment method should be harmonizing, such as with Shenxian Tuiyun Wan (Immortal Cloud-Removing Pill).
[Li Dongyuan] Shenxian Tuiyun Wan (Immortal Cloud-Removing Pill) treats all types of nebulae, halos, internal/external obstructions, and dimness without clarity, with repeated efficacy. It is a wonderful formula.
Chuanxiong (Rhizoma Chuanxiong): 1 liang 5 qian
Danggui (Radix Angelicae Sinensis): 1 liang 5 qian
Xijiao (Cornu Rhinocerotis - Rhino Horn, washed with wine)
Zhishi (Fructus Aurantii Immaturus - Bitter Orange)
Chuanlian (Fructus Toosendan - Toosendan Fruit)
Chanqiao (Periostracum Cicadae - Cicada Slough)
Ganju (Flos Chrysanthemi Indici)
Bohe Ye (Folium Menthae - Mint Leaf, not heated): 0.5 liang each above
Gualou Ren (Semen Benincasae - Wax Gourd Seed, raw): 6 qian
Shetui (Corium Serpentis - Snake Skin)
Mimenghua (Flos Myrtilli - Bilberry Flower)
Jingjie Sui (Spica Schizonepetae): 2 qian each (these three herbs are baked together with Gancao, then remove Gancao)
Digupi (Cortex Lycii - Lycium Bark, washed)
Bajili (Fructus Tribuli - Tribulus Fruit, lightly fried, thorns removed)
Qianghuo (Rhizoma et Radix Notopterygii)
Shengdi Huang (Radix Rehmanniae Preparata - Prepared Rehmannia Root, wine-washed, baked): 1 qian each
Chuan Muzei (Herba Equiseti - Horsetail Herb, 1 liang 5 qian, nodes removed, soaked in child's urine overnight, baked)
Grind into fine powder. Make pills with refined honey. Divide one liang into ten pills. Take with rice wash water, 2-3 pills daily. Take after meals. Women take with Danggui Tang (Angelica Decoction); those with qi stagnation take with Muxiang Tang (Costus Decoction). Adjust according to individual circumstances.
[From *Bencao Yan yi*] Treats various eye conditions caused by heat illness, where toxic vapors attack the eyes, generating nebulae. This medicine gradually eliminates them without needing surgical knives.
Qingxiangzi (Semen Celosiae - Celosia Seed)
Fangfeng (Radix Saposhnikoviae)
Zhike (Fructus Aurantii - Bitter Orange): 1 liang each
Chongweizi (Semen Viticis Negundo - Vitex Negundo Seed)
Xixin (Radix Asari): 0.5 liang each
Gouqizi (Fructus Lycii - Goji Berry)
Zexie (Rhizoma Alismatis - Water Plantain Rhizome)
Sheng Di Huang (Radix Rehmanniae Preparata - Prepared Rehmannia Root)
Shijueming (Concha Arcae - Ark Shell): 1 liang 5 qian each
Huanglian (Rhizoma Coptidis - Coptis Rhizome): 0.5 liang
Cheqianzi (Semen Plantaginis - Plantago Seed)
Chuan Danggui (Radix Angelicae Sinensis - Angelica Root)
Maimendong (Radix Ophiopogonis - Ophiopogon Root, heart removed): 2 liang each
Process each ingredient according to standard methods, bake dry, grind into powder. Make pills with refined honey, size of Torreya seeds. Take 30 pills per dose, swallowed with rice drink. Avoid all heat-toxic foods.
[Li Dongyuan] Qianghuo Tuiyi Tang (Notopterygium Nebula-Removing Decoction)
Qianghuo (Rhizoma et Radix Notopterygii): 2 qian
Fangfeng (Radix Saposhnikoviae): 1.5 qian
Huangqin (Radix Scutellariae - Scutellaria Root, wine-fried): 0.5 liang
Chaihu (Radix Bupleuri - Bupleurum Root): 3 qian
Huanglian (Rhizoma Coptidis - Coptis Rhizome): 2 qian
Wuweizi (Fructus Schisandrae - Schisandra Fruit): 2 qian
Huangbai (Cortex Phellodendri - Phellodendron Bark, wine-fried): 5 qian
Shaoyao (Radix Paeoniae Alba - White Peony Root): 5 qian
Caolongdan (Radix Gentianae Macrophyllae - Largeleaf Gentian Root, wine-washed): 5 qian
Huangqi (Radix Astragali - Astragalus Root): 3 qian
Gancao (Radix Glycyrrhizae - Licorice Root)
Shengma (Rhizoma Cimicifugae - Black Cohosh Rhizome): 2 qian
Guishen (Radix Angelicae Sinensis - Root tip): 2 qian
Shigao (Gypsum Fibrosum - Gypsum): 2.5 qian
Cut into hemp-seed sized pieces. Use 2 bowls of water, divide into two doses. Decoct to 1 bowl. Add a little wine. Strain and take hot before bed. Avoid speaking.
Xiaoyi San (Nebula-Removing Powder), also known as Longdan Yinzi (Gentian Drink)
Qinggefen (Calamina - Calamine Powder): 0.5 liang
Qianghuo (Rhizoma et Radix Notopterygii)
Longdancao (Radix Gentianae - Gentian Root)
Huangqin (Radix Scutellariae - Scutellaria Root, fried): 3 qian each
Chantui (Periostracum Cicadae - Cicada Slough): 5 fen (some say Shetui/Snake Skin)
Mahuang (Herba Ephedrae - Ephedra Herb): 1.5 qian
Gujingcao (Flores Evodiae Fructus - Evodia Fruit Flower/Gu Jing Cao): 0.5 liang
Chuan Yujin (Rhizoma Curcumae - Turmeric Rhizome): 0.5 liang
Gancao Gen (Radix Glycyrrhizae - Licorice Root, roasted): 5 fen
Shengma (Rhizoma Cimicifugae - Black Cohosh Rhizome): 2 qian
Grind into fine powder. Take 2 qian per dose, mixed with warm tea after meals. (The above four formulas are suitable for excess heat.)
Another Formula
Chuanxiong (Rhizoma Chuanxiong)
Qianghuo (Rhizoma et Radix Notopterygii)
Xuanfuhua (Flos Inulae - Inula Flower)
Fangfeng (Radix Saposhnikoviae): 2 liang each
Gancao (Radix Glycyrrhizae - Licorice Root)
Cangzhu (Rhizoma Atractylodis Lanceae - Atractylodes Rhizome, soaked in rice water overnight, peeled, sun-dried avoiding fire)
Chushi (Fructus Mori - Mulberry Fruit)
Chuye (Folium Mori - Mulberry Leaf, harvested in August, shade-dried): 1 liang each above
Ganju (Flos Chrysanthemi Indici - Chrysanthemum Flower)
Zhishi (Fructus Aurantii Immaturus - Bitter Orange)
Chantui (Periostracum Cicadae - Cicada Slough)
Muzei (Herba Equiseti - Horsetail Herb): 1 liang each
Grind in a wooden mortar into powder. Take 2 qian mixed with tea water, once after breakfast and once before bed. Treats sudden red eyes. Avoid damp wheat and alcohol. Chushi must be authentic; if unavailable, use leaves. Otherwise, the other herbs are ineffective. Do not bake during preparation, and avoid iron vessels. I observe that this formula uses Chuye but not Chushi, likely matching yin and yang. Chushi is yang; using leaves (without fruit) is yin. Therefore, without true Chushi, it is ineffective.
[Luo Tianyi] Wuxiu Chongming Wan (Five Fragrances Double Clarity Pill) treats eye nebulae obscuring vision, grittiness, and dimness. Regular use clears and benefits the head and eyes.
Ganjuhua (Flos Chrysanthemi Indici - Chrysanthemum Flower, opened): 500 flowers
Jingjie (Herba Schizonepetae - Schizonepeta Herb): 500 spikes
Muzei (Herba Equiseti - Horsetail Herb, nodes removed): 500 nodes
Chuanjiao (Fructus Zanthoxyli - Sichuan Pepper, opened): 500 grains
Chushi (Fructus Mori - Mulberry Fruit): 500 fruits
Grind into fine powder. Make pills with refined honey, size of a bullet. Take one pill per dose, chew thoroughly, swallow frequently. Can be held in mouth after meals anytime. Strictly avoid alcohol, wheat, and hot foods before bed. (The above two formulas are suitable for those without heat.)
Nebulae occur when wind-heat is heavy, or foreign bodies enter the eye. This is liver qi flourishing and manifesting on the exterior. Once nebulae form, their superficial nature is clear; they should be dispersed and removed. If instead one uses draining/purgative methods, pathogenic qi retreats inward, making the nebula deeper. Pathogenic qi that is unsettled is called "Heat Nebula" and floats. Pathogenic qi that has settled is called "Ice Nebula" and sinks. Pathogenic qi that is firm and deep is called "Sunken Nebula." One should use dispersing agents to agitate the pathogenic qi again so the nebula floats, then assist with nebula-removing drugs to allow it to disappear naturally. Chronic cases cannot be cured quickly; removal requires months or years.
For newly formed nebulae, use surface-dispersing formulas like Li Dongyuan's Qianghuo Chu Yi Tang. For those with hot blood and deficiency, use Tuiyun Wan (Cloud-Removing Pill) type formulas.
[From *Baoming Ji*] For Ice Nebulae persisting long-term, use Lingyangjiao San (Antelope Horn Powder).
Lingyangjiao (Cornu Saigae Tataricae - Saiga Antelope Horn)
Shengma (Rhizoma Cimicifugae - Black Cohosh Rhizome)
Xixin (Radix Asari - Asarum Root): Equal parts
Gancao (Radix Glycyrrhizae - Licorice Root): 0.5 qian
Grind into powder. Half is made into pills with refined honey. Take 50-70 pills per dose. Use the other half as powder, swallow pills with rice water after meals.
To treat Sunken Nebulae, also use Lingyangjiao San type formulas, adjusting as needed. For yin deficiency with heat, concurrently take Shenxian Tuiyun Wan (Immortal Cloud-Removing Pill).
[Li Dongyuan] Buyang Tang (Tonify Yang Decoction) treats Yang failing to overcome Yin, i.e., Yin excess and Yang deficiency, leading to blockage of the nine orifices. Qing-white nebulae appear at the outer canthus. This is depression/stagnation in the Foot-Taiyang and Foot-Shaoyin channels, preventing Foot-Jueyin Liver channel qi from ascending to the eyes, thus causing internal obstruction of Qing-white nebulae. One should benefit Liver Yang qi from below the Nine Origins in the Taiyang and Shaoyin channels, allowing it to rush upward to Heaven. First tonify Yang, then drain Yin-fire of the Foot-Jueyin Liver channel at the Biao points of Foot-Taiyang and Foot-Shaoyin. This is the secondary treatment. *Neijing* states: For Yin excess and Yang deficiency, first tonify Yang, then drain Yin. This is the correct method. Take Buyang Tang daily in the early morning on an empty stomach. Take Xiayin Wan (Drain Yin Pill) before bed. Do not take if weather changes, severe cold/wind, overwork, previous day's dietary irregularity, mental fatigue, or weak qi. Wait for physical balance and normal weather. Then take to tonify Yang, allowing Yang qi to ascend, reach the extremities of the Liver channel, and clear the orifices of the eyes.
Qianghuo (Rhizoma et Radix Notopterygii)
Duhuo (Radix Angelicae Pubescentis - Angelica Pubescens Root)
Dangguishen (Radix Angelicae Sinensis - Angelica Root body, remove rhizome, cut tips, wine-wash, bake dry)
Gancao Shao (Radix Glycyrrhizae - Licorice Root tip)
Shu Dihuang (Radix Rehmanniae Preparata - Prepared Rehmannia Root)
Renshen (Radix Ginseng - Ginseng Root, remove rhizome)
Huangqi (Radix Astragali - Astragalus Root)
Baizhu (Rhizoma Atractylodis Macrocephalae - Atractylodes Macrocephala Rhizome): 1 liang each above
Zexie (Rhizoma Alismatis - Water Plantain Rhizome)
Chenpi (Pericarpium Citri Reticulatae - Tangerine Peel, white pith removed): 1 liang each
Sheng Di Huang (Radix Rehmanniae Preparata - Prepared Rehmannia Root, fried): 2 qian
Baifuling (Poria - Poria Cocos, peel removed)
Zhimu (Rhizoma Anemarrhenae - Anemarrhena Rhizome, fried yellow): 5 qian each
Chaihu (Radix Bupleuri - Bupleurum Root, seedlings removed): 2 liang
Fangfeng (Radix Saposhnikoviae - Saposhnikovia Root, rhizome removed): 0.5 liang
Baishaoyao (Radix Paeoniae Alba - White Peony Root): 0.5 liang
Rougui (Cortex Cinnamomi - Cinnamon Bark, peel removed): 1 qian
Grind all into coarse powder. Take 0.5 liang per dose, with 2 large bowls of water, decoct to 1 bowl. Strain and take warm. Take on an empty stomach. Allow the medicinal force to fully act before eating.
Lianbai Yiyin Wan (Coptis and Phellodendron Nourishing Yin Pill)
Qianghuo (Rhizoma et Radix Notopterygii)
Duhuo (Radix Angelicae Pubescentis - Angelica Pubescens Root)
Gancao Gen (Radix Glycyrrhizae - Licorice Root, fried)
Dangguishen (Radix Angelicae Sinensis - Angelica Root body, process as before)
Fangfeng (Radix Saposhnikoviae - Saposhnikovia Root)
Wuweizi (Fructus Schisandrae - Schisandra Fruit): 0.5 liang each
Huanglian (Rhizoma Coptidis - Coptis Rhizome, wine-wash or mix, cut and fry to fire color): 1 liang
Shijueming (Concha Arcae - Ark Shell, burned to retain properties): 5 qian
Caojueming (Semen Cassiae - Cassia Seed)
Huangqin (Radix Scutellariae - Scutellaria Root)
Huangbai (Cortex Phellodendri - Phellodendron Bark)
Zhimu (Rhizoma Anemarrhenae - Anemarrhena Rhizome): 1 liang each
Grind into fine powder. Make pills with refined honey, size of mung beans. Take 50 pills per dose, gradually increase to 100 pills. Take with clear tea before bed. Usually take more of the Zuyang Tang (Tonify Yang Decoction) and less of this medicine, because this medicine hinders digestion and its power is strong like Shengyang Tang; do not take too much.
Shengyang Xiayin Wan (Raise Yang Drain Yin Pill)
Qianghuo (Rhizoma et Radix Notopterygii)
Duhuo (Radix Angelicae Pubescentis - Angelica Pubescens Root)
Gancao Gen (Radix Glycyrrhizae - Licorice Root)
Guishen (Radix Angelicae Sinensis - Angelica Root tip)
Shudi (Radix Rehmanniae Preparata - Prepared Rehmannia Root): 1 liang each
Renshen (Radix Ginseng - Ginseng Root)
Huangqi (Radix Astragali - Astragalus Root)
Baizhu (Rhizoma Atractylodis Macrocephalae - Atractylodes Macrocephala Rhizome): 0.5 liang each
Zexie (Rhizoma Alismatis - Water Plantain Rhizome): 3 qian
Chenpi (Pericarpium Citri Reticulatae - Tangerine Peel): 3 qian
Baishaoyao (Radix Paeoniae Alba - White Peony Root): 1 liang
Baifuling (Poria - Poria Cocos)
Fangfeng (Radix Saposhnikoviae - Saposhnikovia Root): 3 qian each
Rougui (Cortex Cinnamomi - Cinnamon Bark, peel removed): 0.5 qian
Shengdi (Radix Rehmanniae Preparata - Prepared Rehmannia Root, wine-wash, fried): 5 qian
Zhimu (Rhizoma Anemarrhenae - Anemarrhena Rhizome, wine-fried): 3 qian (add 1 qian in severe summer heat)
Chushi (Fructus Mori - Mulberry Fruit, wine-mixed): 0.5 liang
Chaihu (Radix Bupleuri - Bupleurum Root, seedlings removed): 1.5 qian
Cut into pieces. Take 5 qian per dose, decoct in water and take hot. Prepare another batch separately, make pills with refined honey, size of Torreya seeds. Take 50 pills with tea water far after meals. Take one dose daily along with the previous medicines. Do not take when full. If weather is very hot, add Wuweizi (Schisandra Fruit) 3 qian or 0.5 liang, Tianmendong (Radix Ophiopogonis - Ophiopogon Root, heart removed) 0.5 liang, Zhishi (Fructus Aurantii Immaturus - Bitter Orange) add 0.5 liang.
The above three formulas treat one disease together: Empty stomach Buyang Tang, Before bed Lianbai Wan, Far after meal Shengyang Xiayin Wan.
Ziyin Dihuang Wan (Nourish Yin Rehmannia Pill) treats internal obstruction with Qing-white nebulae at the small canthus of the right eye, and dilated pupils. (Formula see Internal Obstruction entry.)
[Zhu Danxi] A husband, after labor exertion, had stars in both eyes, with only the right side dim. This is heat injuring blood.
Baizhu (Rhizoma Atractylodis Macrocephalae - Atractylodes Macrocephala Rhizome)
Guishenwei (Radix Angelicae Sinensis - Angelica Root tips/tails)
Shengdi (Radix Rehmanniae Preparata - Prepared Rehmannia Root)
Mutong (Caulis Akebiae - Akebia Stem)
Huanglian (Rhizoma Coptidis - Coptis Rhizome, wine-soaked)
Huangqin (Radix Scutellariae - Scutellaria Root, fried)
Huangbai (Cortex Phellodendri - Phellodendron Bark, fried): 2 liang each
Gancao (Radix Glycyrrhizae - Licorice Root, roasted): 1 qian
Divide into three doses for decoction. Add Baishaoyao (White Peony Root) for severe heat.
Formulas for nebulae growing from bottom to top are similar to Xieqing (Draining Green) type. (See Upper Entry for Exterior/Interior.) If nebulae are completely removed but recur on specific dates/months, or recur every month or two, it is due to accumulation/stagnation.
Treatment: If pulse is slippery, use Wenbai Wan (Warming White Pill) added with Huanglian (Coptis Rhizome) and Caolongdan (Largeleaf Gentian Root), taken following Li Dongyuan's Five Accumulations method.
Baidian Gao (Hundred Drops Ointment) Zhang Jimin had eye nebulae covering the pupil, unclear vision, feeling like clouds obstructing. Treat with this formula.
Huanglian (Rhizoma Coptidis - Coptis Rhizome): 2 qian (decoct in one bowl of water to half a bowl, then add subsequent herbs)
Danggui (Radix Angelicae Sinensis - Angelica Root): 6 fen
Gancao Gen (Radix Glycyrrhizae - Licorice Root): 6 fen
Fangfeng Gen (Radix Saposhnikoviae - Saposhnikovia Root): 8 fen
Riren (Semen Pruni Armeniacae Amarae - Apricot Seed, peel and tip removed): 3 fen
Cut into hemp-seed sized pieces. Grind Riren separately into paste. Simmer together until drops do not disperse in water. Remove dregs and foam. Add a little good honey. Simmer briefly. The patient must have a pure mind when applying. Apply until slight eye pain occurs. Apply 5-7 times daily. Applying before bed is especially good. Named Baidian Gao. Apply more to maintain continuous medicinal force.
Qianghuo Tuiyi Gao (Notopterygium Nebula-Removing Ointment) Treats Foot-Taiyang cold-water, membrane covering left eye, white nebula, unclear vision.
Jiaoshu (Cortex Zanthoxyli - Zanthoxylum Bark, Southeast root, Northwest root): 2 liang each
Mahuang (Herba Ephedrae - Ephedra Herb, nodes and roots removed): 3 fen
Qianghuo (Rhizoma et Radix Notopterygii - Notopterygium Rhizome): 7 fen
Huanglian (Rhizoma Coptidis - Coptis Rhizome): 3 fen
Guishen (Radix Angelicae Sinensis - Angelica Root tip): 6 fen
Fangfeng (Radix Saposhnikoviae - Saposhnikovia Root): 3 fen
Chaihu (Radix Bupleuri - Bupleurum Root): 3 fen
Sheng Gancao (Radix Glycyrrhizae - Licorice Root, raw): 4 fen
Shengma (Rhizoma Cimicifugae - Black Cohosh Rhizome): 3 fen
Sheng Di Huang (Radix Rehmanniae Preparata - Prepared Rehmannia Root): 3 fen
Hanfangji (Radix Stephaniae Tetrandrae - Stephania Root): 2 fen
Riren (Semen Pruni Armeniacae Amarae - Apricot Seed): 6 pieces
Bencao (Rhizoma Ligustici - Ligusticum Rhizome): 2 fen
Use one bowl of clean water. First decoct Hanfangji, Huanglian, Sheng Gancao, Guishen, Sheng Di Huang to one bowl. Add remaining herbs and decoct again to one bowl. Strain. Put into silver porcelain container. Boil into thin ointment for application. Strength is sufficient when potent.
Tuiyi Gaozi (Nebula-Removing Ointment) Treats black and white nebulae.
Jingjie Sui (Spica Schizonepetae - Schizonepeta Spike): 1 qian
Huanglian (Rhizoma Coptidis - Coptis Rhizome): 3 qian
Sheng Di Huang (Radix Rehmanniae Preparata - Prepared Rehmannia Root): 1.5 qian
Gancao (Radix Glycyrrhizae - Licorice Root): 5 fen
Guishen (Radix Angelicae Sinensis - Angelica Root tip): 6 fen
Lianqiao (Fructus Forsythiae - Forsythia Fruit): 4 fen
Chaihu Shao (Radix Bupleuri - Bupleurum Root tip): 5 fen
Shengma (Rhizoma Cimicifugae - Black Cohosh Rhizome): 3 fen
Fangfeng (Radix Saposhnikoviae - Saposhnikovia Root): 4 fen
Riren (Semen Pruni Armeniacae Amarae - Apricot Seed): 3 fen
Qingpi (Pericarpium Citri Reticulatae Viride - Green Tangerine Peel): 4 fen
Xixin (Radix Asari - Asarum Root): 1 fen
First soak Jingjie in half a bowl of water. Then decoct Huanglian, Shengdi, Gancao in one large bowl of water to half a bowl. Add remaining seven herbs. Decoct together to one bowl. Strain. Boil again over fire to half a bowl. Add two spoons of Jingjie water. Add a little honey. Simmer until uniform. Apply for miraculous effect.
Yuanyuan Gao (Perfect Circle Ointment) Treats internal obstruction nebulae and dilated pupils, caused by excessive mental labor and irregular diet.
Chaihu (Radix Bupleuri - Bupleurum Root, seedlings removed): 5 qian
Mahuang (Herba Ephedrae - Ephedra Herb, rhizome removed): 5 qian
Guishen (Radix Angelicae Sinensis - Angelica Root tip): 3 qian
Shengdi (Radix Rehmanniae Preparata - Prepared Rehmannia Root): 0.5 liang
Huanglian (Rhizoma Coptidis - Coptis Rhizome, whiskers removed): 5 qian
Gancao (Radix Glycyrrhizae - Licorice Root): 2 qian
Hezi Pi (Pericarpium Chebulae - Terminalia Fruit Peel, wrapped in wet paper, roasted): 2 qian
Take the seven herbs. First decoct Mahuang in two bowls of water to one bowl. Remove foam. Cut the other six herbs into bean-sized pieces. Sieve to remove foam, weigh, and add to the decoction. Simmer until drops do not disperse in water. Remove dregs and foam. Add a little honey. Simmer further for application.
The above four application formulas were all created by Mr. Li Dongyuan. They follow specific patterns based on syndromes, unlike general universal formulas. For example, for dilated pupils, use Hezi (Terminalia Fruit) to astringe.
[From *Baoming Ji*] Jinsian Gao (Golden Thread Ointment) for eye application.
Shengjiang (Rhizoma Zingiberis Recens - Fresh Ginger Juice): 4 liang
Baimi (Mel - Honey, refined to remove foam): 1 jin
Zhudanhuang (Bile Porci - Pig Gallbladder): 3 qian
Huanglian (Rhizoma Coptidis - Coptis Rhizome): 4 liang (cut into pieces, decoct in one dou of water to five sheng)
First decoct Huanglian water. Then add ginger juice. Next add honey. Simmer together. Remove foam cleanly. Add the following items.
Naobao (Borneolum Syntheticum - Borneol)
Shasha (Sal - Rock Salt)
Xiongdan (Bile Ursi - Bear Gallbladder): 4 qian each
Shexiang (Moschus - Musk)
Qingyan (Sal - Green Salt): 3 qian each
Qingfen (Calomelas - Calomel): A small amount
Pengsha (Borax - Borax): 2 qian
Grind finely. Mix well. Simmer together. Combine into thin ointment for use.
[Luo Tianyi] Jinlu Gao (Golden Dew Ointment)
Riren (Semen Pruni Armeniacae Amarae - Apricot Seed, crushed)
Huandan (Lithargyrum - Litharge): 1 liang each
Huanglian (Rhizoma Coptidis - Coptis Rhizome): 0.5 liang
Mi (Mel - Honey): 6 liang
Take the above. First put Huandan in the pot. Fry until yellow turns purple. Add honey and mix well. Add four sheng of running water. Hold seven tender willow branches firmly and stir. Then add Riren. When boiling for ten-plus boils, add Huanglian. Stir continuously with willow branch. Decoct to two sheng. Pour the medicine onto paper inside a bamboo sieve. Drop slowly. Prevent dust contamination. If there is blood stasis, add 1 qian of Shasha (Rock Salt). Heat gently until melted. Add to the previous ointment for use.
Yeguang Wan (Night Light Pill) Treats red eyes, nebulae, dim vision.
Xuan Huanglian (Rhizoma Coptidis - Coptis Rhizome, from Xuan region)
Hezi (Fructus Chebulae - Terminalia Fruit, pits removed): 2 liang each
Danggui (Radix Angelicae Sinensis - Angelica Root): 1 liang
Tonglv (Viriditas Cupri - Copper Green): 1 qian
Cut into pieces. Soak in three sheng of river water for two days and nights. Decoct in silver porcelain container to extract juice. Decoct again with mild/heavy fire. Stir with locust and willow branches. Stop when drops form pearls in water.
Zhu Yizi (Pancreas Porci - Pig Pancreas): 2 pieces (first remove fat, wash with water, change water repeatedly until clean. Boil in Huanglian ointment until black. Remove and use.)
Luganshi (Calamina - Calamine Stone): 1 liang, one bowl of child's urine,