条文：近视清明远视昏，阳光不足被阴侵，定志丸用菖蒲远，朱砂人参白茯神。
方剂：定志丸方
菖蒲二两 远志（去心）二两 朱砂（研细另用）三钱 人参一两 白茯
神一两
右为细末，炼蜜为丸，桐子大，以朱砂为衣，每服五十丸，食后米饮汤送
下。
【注】[1]能近怯远者，非生成近视，谓平昔无此证，忽视物斤则明了，远则昏
暗也。
[2]由其人阴偏盛，阳气不足，阳被阴侵，是以光华不能发越于远也。
[3]宜定志丸补心壮神，神足则自能远视矣。
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条文：瞳神散大风轮窄，邪热蒸之风气攻，或因思怒痰寒疟，地黄丸内芍归芎，
防已丹柴知二地，丹参独柏味寒茺。
方剂：地黄丸方一名：羌活退翳丸
白芍药（酒炒）一两三钱 当归身（酒炒）五钱 川芎（酒洗）三钱 防
己（酒制）二钱 牡丹皮（酒洗）三钱 柴胡三钱 知母（盐水炒）三钱
熟地黄（焙）八钱 生地黄八钱 丹参五钱 独活三钱 黄柏（酒制）五
钱 五味子三钱 寒水石三钱 茺蔚子五钱
右为细末，炼蜜为丸，桐子大，每服三钱，空心白滚汤送下。
【注】[1]瞳神散大者，谓瞳神散大，风轮反为窄窄一周，其则一周如线。
[2]乃邪热内蒸，风气上攻所致，亦有因忧思气怒，痰火伤寒，疟疾经产
败血等证而成，宜用地黄丸。
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条文：近视时看近处清晰而看远处昏花，这是由于阳气不足被阴邪侵袭所致。治疗应选用定志丸，方中包含石菖蒲、远志、朱砂和人参、白茯神。
方剂：定志丸方
石菖蒲二两 远志（去除心部）二两 朱砂（研磨成细粉，单独备用）三钱 人参一两 白茯神一两
以上药材研为细末，用炼蜜制成丸药，大小如梧桐子，以朱砂粉末为外衣，每次服用五十丸，饭后用米汤送服。
【注】[1]所谓“能近怯远”，并非先天生成的近视，而是指平时没有这种病症，看近处物体清楚，看远处则昏暗。
[2]这是因为患者体内阴气偏盛，阳气不足，阳气被阴邪侵扰，因此目光的光华不能发散到远处。
[3]适宜使用定志丸来补益心气、壮固神志，神气充足自然就能看清远处了。
条文：瞳神散大导致黑睛（风轮）显得狭窄，这是由邪热熏蒸和风气上攻引起的，也可能因为思虑恼怒、痰饮、寒邪或疟疾所致。治疗应在地黄丸中加入白芍、当归、川芎，以及防己、丹皮、柴胡、知母、生地、熟地、丹参、独活、黄柏、五味子、寒水石、茺蔚子。
方剂：地黄丸方（又名：羌活退翳丸）
白芍药（酒炒）一两三钱 当归身（酒炒）五钱 川芎（酒洗）三钱 防己（酒制）二钱 牡丹皮（酒洗）三钱 柴胡三钱 知母（盐水炒）三钱 熟地黄（焙干）八钱 生地黄八钱 丹参五钱 独活三钱 黄柏（酒制）五钱 五味子三钱 寒水石三钱 茺蔚子五钱
以上药材研为细末，用炼蜜制成丸药，大小如梧桐子，每次服用三钱，空腹时用温开水送服。
【注】[1]所谓“瞳神散大”，是指瞳孔散大，黑睛（风轮）反而显得只有一圈窄窄的轮廓，那一圈细得像线一样。
[2]这是由于邪热在体内熏蒸，风气向上攻冲所致；也有因忧思、气怒、痰火、伤寒、疟疾、产后败血等证候引起的，适宜使用地黄丸治疗。
Line: In myopia (nearsightedness), vision is clear at near distances but blurred at far distances. This condition arises from insufficient Yang Qi being invaded by Yin pathogens. The treatment should employ Dingzhi Wan (Stabilize the Mind Pill), which contains Shichangpu (Rhizoma Acori Tatarinowii), Yuanzhi (Radix Polygalae), Zhusha (Cinnabaris), Renshen (Radix Ginseng), and Baifushen (Poria with Hostwood).
Formula: Dingzhi Wan (Stabilize the Mind Pill)
Shichangpu (Rhizoma Acori Tatarinowii) 2 liang, Yuanzhi (Radix Polygalae) [remove heart] 2 liang, Zhusha (Cinnabaris) [finely ground, set aside] 3 qian, Renshen (Radix Ginseng) 1 liang, Baifushen (Poria with Hostwood) 1 liang.
Grind the above ingredients into a fine powder. Form pills using refined honey, sized like wutong seeds. Coat the pills with Zhusha (Cinnabaris) powder. Take 50 pills per dose, administered after meals with rice water decoction.
Annotation: [1] "Neng jin qie yuan" (seeing near but fearing far) does not refer to congenital myopia. It describes a condition where one previously had no such symptoms; objects viewed at close range are clear, while those at a distance appear dim.
[2] This occurs because the patient has an excess of Yin and insufficiency of Yang. When Yang is invaded by Yin, its luminous energy cannot extend outward to distant objects.
[3] It is appropriate to use Dingzhi Wan (Stabilize the Mind Pill) to tonify the Heart and strengthen the Shen (Spirit). Once the Shen is sufficient, distant vision will naturally improve.
Line: Dilated pupil (tong shen) causes the cornea (Feng Lun/Wind Wheel) to appear narrow. This is caused by pathogenic heat steaming internally and Wind Qi attacking upwards. It may also result from excessive thinking, anger, phlegm, cold pathogens, or malaria. The treatment involves Dihuang Wan (Rehmannia Pill) added with Baishao (Radix Paeoniae Alba), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Fangji (Radix Stephaniae Tetrandrae), Mudanpi (Cortex Moutan), Chaihu (Radix Bupleuri), Zhimu (Rhizoma Anemarrhenae), Shengdihuang (Radix Rehmanniae Preparata), Shudihuang (Radix Rehmanniae Preparata), Danshen (Radix Salviae Miltiorrhizae), Duhuo (Radix Angelicae Pubescentis), Huangbai (Cortex Phellodendri), Wuweizi (Fructus Schisandrae), Hanshuishi (Halloysitum Rubrum), and Chongweizi (Fructus Viticis).
Formula: Dihuang Wan (Rehmannia Pill), also known as Qianghuo Tuiyi Wan (Notopterygium Decortication Pill)
Baishao (Radix Paeoniae Alba) [stir-fried with wine] 1 liang 3 qian, Danggui (Radix Angelicae Sinensis) [stir-fried with wine] 5 qian, Chuanxiong (Rhizoma Chuanxiong) [washed with wine] 3 qian, Fangji (Radix Stephaniae Tetrandrae) [prepared with wine] 2 qian, Mudanpi (Cortex Moutan) [washed with wine] 3 qian, Chaihu (Radix Bupleuri) 3 qian, Zhimu (Rhizoma Anemarrhenae) [stir-fried with salt water] 3 qian, Shudihuang (Radix Rehmanniae Preparata) [baked] 8 qian, Shengdihuang (Radix Rehmanniae Preparata) 8 qian, Danshen (Radix Salviae Miltiorrhizae) 5 qian, Duhuo (Radix Angelicae Pubescentis) 3 qian, Huangbai (Cortex Phellodendri) [prepared with wine] 5 qian, Wuweizi (Fructus Schisandrae) 3 qian, Hanshuishi (Halloysitum Rubrum) 3 qian, Chongweizi (Fructus Viticis) 5 qian.
Grind the above ingredients into a fine powder. Form pills using refined honey, sized like wutong seeds. Take 3 qian per dose, administered on an empty stomach with warm boiled water.
Annotation: [1] "Tong shen san da" (dilated pupil) refers to the dilation of the pupil, causing the cornea (Feng Lun/Wind Wheel) to appear as only a narrow ring, thin as a thread.
[2] This condition is caused by internal steaming of pathogenic heat and upward attack of Wind Qi. It can also be caused by conditions such as worry, anger, phlegm-fire, wind-cold, malaria, or postpartum blood stasis. It is appropriate to treat with Dihuang Wan (Rehmannia Pill).