分类：补遗
条文：近视昏蒙远视明，阳光有余损阴精，须用地芝丸枳壳，菊花生地共天冬。
方剂：地芝丸方
枳壳（去穣） 菊花各三两 生地黄（焙干） 天门冬（去心）各四两
右为细末，炼蜜为丸，桐子大，每服百丸，食后茶清送下。
【注】[1]能远怯近者，谓视物远则能见，近则昏蒙也。
[2]盖由其人阳气有余，阴精不足，故光华散乱，不能收敛于近也。
[3]宜用地芝丸养阴，久服则目自愈。
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条文：逆顺生翳上下坐，顺则下垂逆上冲，□割后用知母饮，知味军芩车桔茺。
方剂：知母饮子
知母（炒）二钱 五味子五分 大黄一钱 黄芩一钱 车前子二钱 桔梗
一钱 茺蔚子二钱
右为粗末，以水二盏，煎至一盏，食后，去渣温服。
【注】[1]逆顺生翳之证，从上垂下，侵入黑睛为顺，从下冲上，侵入黑睛为逆
。
[2]顺则易安，逆则难治。
[3]并宜手法钩割去其翳膜，后服知母饮子，清其内热。
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条文：钉翳根深睛内生，硬似钉头极痛疼，赤涩羞明时泪出，肝心毒热上冲瞳，
除热饮子知母桔，硝黄茺蔚黑芩风。
方剂：除热饮子
知母二钱 桔梗二钱 芒硝一钱 大黄一钱 茺蔚子一钱 黑参二钱 黄
芩二钱 防风一钱
右为粗末，以水二盏，煎至一盏，食后去渣温服。
【注】[1]钉翳根深者，睛中翳黑，硬如钉子之形，其证疼痛赤涩，泪出羞明。
[2]此乃肝、心毒热，上攻睛瞳。
[3]宜服除热饮子，清泻其毒热也。
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【补遗部分】
条文：近视时视物昏花模糊，远视则清晰明亮，这是由于体内阳气有余而阴精受损所致。治疗必须使用地芝丸，方中包含枳壳、菊花、生地黄和天冬。
方剂：地芝丸方
药材：枳壳（去除瓤）三两，菊花三两，生地黄（焙干）四两，天门冬（去心）四两。
制法与用法：将上述药材研成细末，用炼蜜制成如梧桐子大小的丸药。每次服用一百丸，饭后用清茶送服。
【注】[1]所谓“能远怯近”，是指看远处的物体能看清，看近处的物体则昏花模糊。
[2]这主要是因为患者体内阳气偏盛，阴精不足，导致目之光华散乱，无法收敛聚焦于近处。
[3]适宜使用地芝丸滋养阴精，长期服用则眼睛自愈。
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条文：翳膜生长有逆证和顺证之分，位置有上下之别。顺证表现为翳膜从上向下垂，逆证表现为翳膜从下向上冲。在手术钩割翳膜后，应服用知母饮子，方中包含知母、五味子、大黄、黄芩、车前子、桔梗和茺蔚子。
方剂：知母饮子
药材：知母（炒制）二钱，五味子五分，大黄一钱，黄芩一钱，车前子二钱，桔梗一钱，茺蔚子二钱。
制法与用法：将上述药材捣成粗末，加水两盏，煎煮至一盏，饭后去渣温服。
【注】[1]关于逆证和顺证生翳的情况：翳膜从上方向下方垂落，侵入黑睛（角膜），称为顺证；从下方向上方冲击，侵入黑睛，称为逆证。
[2]顺证容易安定治愈，逆证难以治疗。
[3]均宜先用手法通过钩割去除其翳膜，之后服用知母饮子，以清除体内的内热。
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条文：钉状翳膜根深蒂固生于眼内，质地坚硬似钉头，疼痛剧烈。伴有眼部发红、干涩、畏光及时时流泪的症状，这是肝、心二脏的毒热上冲至瞳孔所致。治疗应服用除热饮子，方中包含知母、桔梗、芒硝、大黄、茺蔚子、黑参、黄芩和防风。
方剂：除热饮子
药材：知母二钱，桔梗二钱，芒硝一钱，大黄一钱，茺蔚子一钱，黑参二钱，黄芩二钱，防风一钱。
制法与用法：将上述药材捣成粗末，加水两盏，煎煮至一盏，饭后去渣温服。
【注】[1]所谓钉状翳膜根深，是指眼中翳膜呈黑色，质地坚硬如同钉子形状，症状表现为疼痛、发红、干涩、流泪和畏光。
[2]此病乃肝、心二脏的毒热之邪，上攻于眼瞳。
[3]适宜服用除热饮子，以清泻其中的毒热。
[Supplementary Material]
Article: Myopia presents with blurred vision for near objects, while hyperopia presents with clear vision for distant objects. This condition arises from an excess of Yang Qi and a deficiency of Yin Essence. The treatment requires the use of Dizhi Wan (Cibotium Pill), which contains Zhiqiao (Bitter Orange Fruit), Juhua (Chrysanthemum Flower), Shengdihuang (Rehmanniae Radix Recens), and Tiandong (Asparagi Rhizoma).
Formula: Dizhi Wan (Cibotium Pill)
Ingredients: Zhiqiao (Bitter Orange Fruit, pulp removed) 3 liang, Juhua (Chrysanthemum Flower) 3 liang, Shengdihuang (Rehmanniae Radix Recens, baked dry) 4 liang, Tiandong (Asparagi Rhizoma, heart removed) 4 liang.
Preparation and Administration: Grind the above ingredients into fine powder. Form pills using refined honey, sized like Sophora japonica seeds. Take 100 pills per dose, administered after meals with clear tea water.
Annotation [1]: "Able to see far but fearful of seeing near" refers to the ability to see distant objects clearly while experiencing blurriness when viewing near objects.
Annotation [2]: This is primarily due to an excess of Yang Qi and insufficient Yin Essence in the body, causing the visual brilliance to scatter and fail to converge on near objects.
Annotation [3]: It is appropriate to use Dizhi Wan to nourish Yin. Long-term administration will result in the natural recovery of the eyes.
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Article: The growth of corneal opacities (Yi) is categorized as either favorable (Shun) or unfavorable (Ni), with positions varying above or below. Favorable cases present with opacities drooping from top to bottom; unfavorable cases present with opacities surging from bottom to top. After surgical removal of the opacity via hooking or cutting, Zhimu Yinzi (Anemarrhenae Decoction) should be administered, containing Zhimu (Anemarrhenae Rhizoma), Wuweizi (Schisandrae Fructus), Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Cheqianzi (Plantaginis Semen), Jiegeng (Platycodonis Radix), and Chongweizi (Leonuri Fructus).
Formula: Zhimu Yinzi (Anemarrhenae Decoction)
Ingredients: Zhimu (Anemarrhenae Rhizoma, stir-fried) 2 qian, Wuweizi (Schisandrae Fructus) 5 fen, Dahuang (Rhei Radix et Rhizoma) 1 qian, Huangqin (Scutellariae Radix) 1 qian, Cheqianzi (Plantaginis Semen) 2 qian, Jiegeng (Platycodonis Radix) 1 qian, Chongweizi (Leonuri Fructus) 2 qian.
Preparation and Administration: Coarsely grind the above ingredients. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Annotation [1]: Regarding favorable and unfavorable corneal opacities: Opacities dropping from the upper direction to the lower direction, invading the black eye (cornea), are termed favorable; those surging from the lower direction to the upper direction, invading the black eye, are termed unfavorable.
Annotation [2]: Favorable cases are easy to stabilize and treat; unfavorable cases are difficult to treat.
Annotation [3]: Both types are suitable for initial surgical removal of the opacity membrane via hooking or cutting techniques, followed by the administration of Zhimu Yinzi to clear internal heat.
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Article: Deep-rooted nail-like opacities form within the eye, hard like a nail head, causing extreme pain. Symptoms include redness, dryness, photophobia, and frequent tearing. This results from toxic heat in the Liver and Heart organs surging upward to the pupil. Treatment involves administering Chure Yinzi (Heat-Removing Decoction), which contains Zhimu (Anemarrhenae Rhizoma), Jiegeng (Platycodonis Radix), Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Chongweizi (Leonuri Fructus), Heishen (Ginseng Radix Rubra), Huangqin (Scutellariae Radix), and Fangfeng (Saposhnikoviae Radix).
Formula: Chure Yinzi (Heat-Removing Decoction)
Ingredients: Zhimu (Anemarrhenae Rhizoma) 2 qian, Jiegeng (Platycodonis Radix) 2 qian, Mangxiao (Natrii Sulfas) 1 qian, Dahuang (Rhei Radix et Rhizoma) 1 qian, Chongweizi (Leonuri Fructus) 1 qian, Heishen (Ginseng Radix Rubra) 2 qian, Huangqin (Scutellariae Radix) 2 qian, Fangfeng (Saposhnikoviae Radix) 1 qian.
Preparation and Administration: Coarsely grind the above ingredients. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Annotation [1]: "Deep-rooted nail-like opacity" refers to a dark, hard opacity in the eye resembling a nail shape, presenting with symptoms of pain, redness, dryness, tearing, and photophobia.
Annotation [2]: This condition is caused by toxic heat in the Liver and Heart organs attacking the eye pupil.
Annotation [3]: It is appropriate to administer Chure Yinzi to clear and purge the toxic heat.