（《局方》）
治目不能远视，能近视者（王海藏曰∶目能近视，责其有水；不能远视，责其无火，法
宜
远志 菖蒲（二两） 人参 茯苓（一两。蜜丸，）朱砂为衣。张子和方无菖蒲，加茯
神、
此手少阴药也。人参补心气，菖蒲开心窍，茯苓能交心气于肾，远志能通肾气于心，朱
砂色赤，清肝镇心，心属离火，火旺则光能及远也。
（东垣）
治目能远视不能近视（王海藏曰∶目能远视，责其有火；不能近视，责其无水，法当补
肾
生地黄（焙） 天冬（四两） 枳壳（炒） 甘菊花（去蒂，二两。）蜜丸。茶清或酒
下（用茶者
此足少阴药也。生地凉血生血，天冬润肺滋肾，枳壳宽肠去滞，甘菊降火除风。
治劳役饮食不节，内障目病（内障者，睛里昏暗，与不病之眼无异，唯瞳人内有隐隐青
白者。李东垣曰∶五脏六腑之精气，皆禀受于脾胃，而上贯于目。脾者，诸阴之首也，目
者，血气之宗也，故脾虚则五脏之精气皆失所司，不能归明于目矣。心者，君火也，主神，
宜静而安，相火代行其令；相火者，包络也，主百脉，皆荣于目，既劳役运动，势乃妄行，
及因邪气所并，则损其血脉，故诸病生焉。医者不理脾胃及养血安神，治标不治本，不明至
理也）。
黄 人参（一两） 甘草（炙，八钱） 白芍药（炒） 黄柏（酒炒四次，三钱，）
蔓荆子（
此足太阴、阳明药也。参、 、甘草大补中气，以强脾胃；蔓荆升清阳而通九窍，白芍
入厥阴而和荣血（目得血而能视），黄柏除湿热而滋肾水（肾水足则目明），使精气足而清阳
升，则脏腑和而障翳退矣（楼全善曰∶治目不明，气虚而未脱，可于参 中微加连柏；若气
已脱，连柏等
（出自《太平惠民和剂局方》）
治疗眼睛不能看远处，只能看近处的症状。（王海藏说：眼睛能看近处，责任在于有水；不能看远处，责任在于无火，治疗方法应当……）
远志、石菖蒲（各二两）、人参、茯苓（各一两）。用蜂蜜制成丸药，以朱砂为衣。张子和的方子中没有石菖蒲，加入了茯神。
这是手少阴心经的药物。人参补益心气，石菖蒲开通心窍，茯苓能使心气下交于肾，远志能使肾气上通于心，朱砂颜色赤红，能清肝火并镇安心神。心属离卦之火，火旺则目光能及远方。
（出自李东垣）
治疗眼睛能看远处，但不能看近处的症状。（王海藏说：眼睛能看远处，责任在于有火；不能看近处，责任在于无水，治疗方法应当补肾……）
生地黄（焙干）、天冬（各四两）、枳壳（炒制）、甘菊花（去掉花蒂，二两）。用蜂蜜制成丸药。用茶汁或酒送服（如果用茶的话……）
这是足少阴肾经的药物。生地黄凉血并生血，天冬润肺并滋肾，枳壳宽肠并去除积滞，甘菊降火并祛除风邪。
治疗因过度劳累和饮食不节导致的内障眼病。（所谓内障，是指眼球内部昏暗，与没有患病的眼睛外观无异，只有瞳孔内部隐隐呈现青白色。李东垣说：五脏六腑的精气，都禀受于脾胃，并向上灌注到眼睛。脾是诸阴之首，眼睛是血气的宗主，所以脾虚则五脏六腑的精气都失去主宰，不能使目光清明。心是君火，主司神明，宜静而安，由相火代行其令；相火者，即心包络，主司全身血脉，都荣养于眼睛。既然因为劳累运动，火势便妄行，再加上邪气侵犯，就会损伤血脉，所以各种疾病由此产生。医生如果不调理脾胃及养血安神，只治标不治本，是不明白至深道理的。）
黄芪、人参（各一两）、甘草（炙，八钱）、白芍药（炒制）、黄柏（酒炒四次，三钱）、蔓荆子（……）
这是足太阴脾经、足阳明胃经的药物。人参、黄芪、甘草大补中气，以强健脾胃；蔓荆子升发清阳并通达九窍，白芍入厥阴肝经并调和营血（眼睛得到血液滋养才能视物），黄柏清除湿热并滋补肾水（肾水充足则眼睛明亮），使得精气充足且清阳上升，则脏腑调和而障翳消退。（楼全善说：治疗眼睛不明，如果是气虚但未脱陷，可以在参、芪中加入少量的黄连、黄柏；如果气已脱陷，黄连、黄柏等……）
(From *Taiping Huimin Heji Jufang*)
Treats the symptom of inability to see far, while being able to see near. (Wang Haizang stated: The ability to see near is attributed to the presence of water; the inability to see far is attributed to the absence of fire. The treatment method should...)
*Zhiyuan* (*Polygalae Radix*), *Shichangpu* (*Acori Tatarinowii Rhizoma*) (2 liang each), *Renshen* (*Ginseng Radix et Rhizoma*), *Fuling* (*Poria*). Honey-pilled, coated with *Zhusha* (Cinnabar). Zhang Zihe's formula omits *Shichangpu* and adds *Fushen* (Poria with Hostwood).
This is a prescription for the Hand-Shaoyin Heart Meridian. *Renshen* tonifies Heart Qi, *Shichangpu* opens the heart orifices, *Fuling* facilitates the communication of Heart Qi to the Kidney, *Zhiyuan* facilitates the communication of Kidney Qi to the Heart. *Zhusha* is red in color, clearing Liver heat and calming the Heart Spirit. The Heart belongs to the Li Fire trigram; when Fire is vigorous, vision can reach far distances.
(Li Dongyuan)
Treats the symptom of ability to see far, but inability to see near. (Wang Haizang stated: The ability to see far is attributed to the presence of fire; the inability to see near is attributed to the absence of water. The treatment method should tonify the Kidney...)
*Shengdihuang* (*Rehmanniae Radix Praeparata*, baked), *Tian dong* (*Asparagi Radix*) (4 liang each), *Zhike* (*Aurantii Fructus*, stir-baked), *Ganjuhua* (*Chrysanthemi Flos*, calyx removed) (2 liang). Honey-pilled. Taken with tea infusion or wine (if using tea...).
This is a prescription for the Foot-Shaoyin Kidney Meridian. *Shengdihuang* cools blood and generates blood, *Tian dong* moistens the Lung and nourishes the Kidney, *Zhike* expands the intestines and removes stagnation, *Ganjuhua* descends fire and dispels wind.
Treats internal cataract eye disease caused by overwork and irregular diet. (Internal cataract refers to dimness within the eyeball, appearing no different from a healthy eye externally, except for a faint bluish-white hue inside the pupil. Li Dongyuan stated: The essence and qi of the five zang and six fu organs are all derived from the Spleen and Stomach, and ascend to the eyes. The Spleen is the head of all yin meridians; the eyes are the congregation of blood and qi. Therefore, when Spleen deficiency occurs, the essence and qi of the five zang and six fu organs lose their control and cannot illuminate the eyes. The Heart is the Ministerial Fire, governing the Spirit, requiring stillness and peace, while the Assistant Fire performs its functions on its behalf. The Assistant Fire is the Pericardium, governing all vessels, which nourish the eyes. Due to overwork and movement, the fire acts recklessly; combined with pathogenic invasion, it damages the vessels, giving rise to various diseases. Physicians who fail to regulate the Spleen and Stomach and nourish blood to calm the spirit, treating only symptoms and not the root, do not understand the profound principles.)
*Huangqi* (*Astragali Radix*), *Renshen* (*Ginseng Radix et Rhizoma*) (1 liang each), *Gancao* (*Glycyrrhizae Radix et Rhizoma*, honey-fried) (8 qian), *Baishaoyao* (*Paeoniae Radix Alba*, stir-baked), *Huangbai* (*Phellodendri Cortex*, wine-fried four times) (3 qian), *Manjingzi* (*Viticis Fructus*) (...)
This is a prescription for the Foot-Taiyin Spleen Meridian and Foot-Yangming Stomach Meridian. *Renshen*, *Huangqi*, and *Gancao* greatly tonify Middle Qi to strengthen the Spleen and Stomach; *Manjingzi* raises clear Yang and unblocks the nine orifices; *Baishaoyao* enters the Foot-Jueyin Liver Meridian and harmonizes Ying Blood (the eyes can see when nourished by blood); *Huangbai* clears damp-heat and nourishes Kidney Water (when Kidney Water is sufficient, vision is bright). This ensures sufficient essence and qi, ascending clear Yang, thereby harmonizing the zang-fu organs and resolving opacities. (Lou Quanshan stated: To treat unclear vision due to Qi deficiency without collapse, a small amount of *Lianmu* (*Coptidis Rhizoma*) and *Huangbai* may be added to *Renshen* and *Huangqi*; if Qi has collapsed, *Lianmu* and *Huangbai*...)