3.内障头风五风变, 珠白黄绿不光明, 头风痛引目无泪, 相注如坐
暗室中, 绿风头旋连鼻痛, 两角相牵引目疼, 时或白花红花起, 同绿
黑花为黑风, 乌花不旋渐昏暗, 黄风雀目久金睛, 青风微旋不痒痛,
青花转转目昏蒙.
【注】内障之病, 每因头风五风变成. 初病瞳珠渐渐变色, 睛里隐隐
似翳, 或白或黄或绿, 虽与不患之眼似, 然无精彩光明射人. 病头风
者,发则头痛引目无泪, 或左目, 或右目, 或先左目, 或后右目, 相
注不定, 如坐暗室之中, 此头风伤目之渐也. 绿风者, 头旋两角连鼻
相牵引, 目疼痛时, 或见起白花, 红花, 此绿风伤目之渐也. 黑风者
,证同绿风, 时时见起黑花, 此黑风伤目之渐也. 乌风者, 亦同黑风
,但不旋晕而见乌花, 渐渐昏暗, 此乌风伤目之渐也. 黄风者, 久病
雀目, 瞳睛金色, 此黄风伤目之渐也. 青风者, 头微旋不痒不痛, 但
见青花转转, 日渐昏蒙, 此青风伤目之渐也.
菊花通圣散 洗刀散
4.暴发火眼通圣菊, 外障等证减加方, 风盛羌加防麻倍, 热盛加连
倍消黄, 痛生翳膜多伤目, 洗刀更入细独羌, 元参木贼白蒺藜, 草决
蝉蜕蔓青葙.
【注】菊花通圣散, 即防风通圣散加菊花也. 洗刀散, 即本方更加细
辛,羌, 独, 蔓荆, 青葙子等药也.
3. 内障疾病由头风引发的“五风”变化所致，表现为黑睛（角膜）或晶状体呈现白色、黄色、绿色，失去光泽。头风疼痛牵引至眼部，导致无泪，双眼交替流泪不止，感觉如同坐在黑暗的房间中。绿风证表现为头晕目眩并牵连鼻部疼痛，两侧太阳穴相互牵引导致眼痛，时而出现白花或红花，若与绿花、黑花同时出现则称为黑风；乌风证不伴有眩晕，但逐渐昏暗；黄风证多见于雀盲（夜盲症）日久，瞳孔呈现金色；青风证仅有轻微眩晕，不痒不痛；青花证表现为眼球转动时视物昏蒙。
【注释】内障疾病，往往因头风引发的五种风邪变化而形成。初起时瞳神（瞳孔及晶状体区域）逐渐变色，眼中隐隐似有翳障，颜色或白、或黄、或绿，虽然外观与未患病的眼睛相似，然而缺乏神采和光明。患有头风病的人，发作时头痛牵引眼部且无泪，可能只左眼受累，或只右眼受累，或先左后右，或先右后左，交替不定，如同坐在暗室之中，这是头风损伤眼睛的初期表现。绿风证，表现为头晕目眩，两侧太阳穴牵连鼻部相互牵引，眼睛疼痛时，有时可见白花、红花升起，这是绿风损伤眼睛的初期表现。黑风证，症状与绿风相同，时时可见黑花升起，这是黑风损伤眼睛的初期表现。乌风证，也同黑风类似，但不伴有眩晕而只见乌色花朵，逐渐变得昏暗，这是乌风损伤眼睛的初期表现。黄风证，多为久患雀盲，瞳孔呈现金色，这是黄风损伤眼睛的初期表现。青风证，头部轻微眩晕，不痒不痛，只见青花旋转，日渐昏蒙，这是青风损伤眼睛的初期表现。
4. 暴发火眼（急性结膜炎等外障眼病）使用菊花通圣散为基础方，根据外障等不同证候进行加减。若风邪盛，加羌活、防风、麻黄，且用量加倍；若热邪盛，加黄连、大黄，且用量加倍。若疼痛剧烈、生翳膜多且严重伤目，则在原方基础上加入细辛、独活、蔓荆子。此外还包含玄参、木贼、白蒺藜、草决明、蝉蜕、青葙子。
3. Internal cataracts arise from the transformation of "Five Winds" caused by head wind (headache disorders), manifesting as the cornea or lens appearing white, yellow, or green, and losing luster. Head wind pain radiates to the eyes, causing a lack of tears, with alternating tearing between eyes, creating a sensation akin to sitting in a dark room. The Green Wind syndrome presents with vertigo牵连ating nasal pain, mutual traction at the temples causing eye pain, occasionally accompanied by the appearance of white or red flowers; if these appear alongside green and black flowers, it is termed Black Wind. The Black Wind syndrome does not involve vertigo but leads to gradual dimness. The Yellow Wind syndrome often follows long-standing night blindness (Nyctalopia), where the pupil takes on a golden hue. The Blue Wind syndrome involves slight vertigo without itching or pain. The Blue Flower syndrome manifests as visual blurring when moving the eyeballs.
[Note] Internal cataract diseases often result from transformations induced by five types of wind pathogens originating from head wind. Initially, the pupil area gradually changes color, with a faint opacity visible within the eye, appearing either white, yellow, or green. Although it may resemble an unaffected eye visually, it lacks vitality and brightness. Patients suffering from head wind experience headaches radiating to the eyes without tears upon onset. Affection may occur in the left eye only, the right eye only, starting with the left then moving to the right, or vice versa, alternating unpredictably, resembling sitting in a dark room; this marks the initial stage of head wind damaging the eyes. In Green Wind syndrome, vertigo is associated with traction-like pain connecting the temples and nose, and during eye pain, white or red spots may appear, marking the early stage of Green Wind damaging the eyes. Black Wind syndrome shares symptoms with Green Wind, characterized by the frequent appearance of black spots, marking the early stage of Black Wind damaging the eyes. Black Wind (Wu Feng) is similar to Black Wind but lacks vertigo, presenting instead with dark spots and gradual dimming, marking the early stage of Wu Wind damaging the eyes. Yellow Wind syndrome typically follows chronic night blindness, with the pupil turning golden, marking the early stage of Yellow Wind damaging the eyes. Blue Wind syndrome involves mild vertigo without itching or pain, with rotating blue spots leading to progressive visual obscuration, marking the early stage of Blue Wind damaging the eyes.
Juhua Tongsheng San (Chrysanthemum Unimpeded Powder), Xidao San (Knife-Washing Powder).
4. For sudden-onset Fire Eye (acute conjunctivitis and other external ocular disorders), Juhua Tongsheng San serves as the base formula, modified according to specific external disorder patterns. If Wind pathogen is predominant, add Qianghuo (Notopterygii Rhizoma), Fangfeng (Saposhnikoviae Radix), and Mahuang (Ephedrae Herba), doubling their dosages. If Heat pathogen is predominant, add Lianhua (Coptidis Rhizoma) and Dahuang (Rhei Radix et Rhizoma), doubling their dosages. If pain is severe, with excessive membrane formation causing significant ocular damage, add Xixin (Asari Radix et Rhizoma), Duhuo (Angelicae Pubescentis Radix), and Manjingzi (Viticis Fructus) to the formula. Additional ingredients include Xuanshen (Scrophulariae Radix), Muzei (Equiseti Herba), Baijili (Tribuli Fructus), Juemingzi (Cassiae Semen), Chantui (Cicadae Periostracum), and Qingxiangzi (Celosiae Semen).
[Note] Juhua Tongsheng San is formed by adding Juhua (Chrysanthemi Flos) to Fangfeng Tongsheng San (Saposhnikovia Unimpeded Powder). Xidao San is created by further adding Xixin (Asari Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma), Duhuo (Angelicae Pubescentis Radix), Manjingzi (Viticis Fructus), and Qingxiangzi (Celosiae Semen) to the aforementioned formula.