不疼不痛渐昏蒙。薄雾轻烟渐渐浓，或见花飞蝇乱出，或如丝絮在虚空。此般状样因何
得，肝脏停留热与风，大叫大啼惊与恐，脑脂流入黑睛中。初时一眼先昏暗，次第相牵与一
同，苦口何须陈逆耳，只缘肝气不相通。彼时服药宜销定，将息多乖即没功，日久既应全黑
暗，时名内障障双瞳。名字随形分十六，龙师圣者会推穷。灵药千般难得效，金针一拨日当
空，戒慎将息根据前说，如违根据前病复踪。
内障由来十六般，学医济世要细看，分明一一知形状，施针方可得相安。若将针法同圆
翳，误损神光取瘥难，冷热光明虚与实，调和四体待全康。不然气闷违将息，呕逆劳神翳却
翻，咳嗽震惊皆不可，多惊先服镇心丸。若求凉药银膏等，用意临时体候观，老翳细针初复
嫩，针形不可似一般。病虚新产怀娠月，下针才知将息难，不雨不风兼 日，清齐三日
在针前。安心定意行医道，念佛亲姻莫杂喧，患者向明盘膝坐，提撕腰带得心安。针者但行
贤哲路，恻隐之心自可还，有血莫惊须住手，裹封如旧再开看。忽然惊振医重酌，服药三旬
见朗然，七日解封难见日，花生水动莫他言。还睛丸散坚心服，百日分明复旧光。
内障金针针了时，医师言语要深思，绵色黑豆如球子，眼上安排日系之。卧眠头枕须安
稳，仰卧三朝莫厌迟，封后忽然微有痛，脑风牵动莫他疑。或针或烙根据经法，痛极仍将火熨
之，拟吐白梅含咽汁，吐来仰卧却从伊芳。起则恐因遭努损，虽然稀有也须知，七朝豉粥温温
食，震动牙关事不宜。大小便时须缓缓，无令自起与扶持，高声叫唤言多后，惊动睛轮见雪
飞。如此志心三十日，渐行出入认亲知，狂心莫忆阴阳事，夫妇分床百日期。一月不须临洗
面，针痕湿着痛微微，五腥酒面周年断，服药消除病本基。
镇心丸 治心痫惊悸，忧思愁虑伤心，惕然心跳，动振不安，吐舌面赤目瞪等症。
牛黄（一钱，另研） 生地（酒洗，炒） 当归身（酒洗，炒） 远志肉（去心） 茯神（各五钱）
金箔（十五片） 石菖蒲（九节者佳） 川黄连（各二钱半） 辰砂（二钱，另研）
上以前六味，共为细末，后入牛黄、辰砂二末，猪心血为丸，如黍米大，金箔为衣。每
服五六十丸，煮猪心汤送下。
眼睛不痛不痒，逐渐出现视物模糊。眼前如薄雾轻烟般渐渐浓重，有时看见飞花乱舞或蝇虫飞舞，有时感觉有丝絮漂浮在虚空中。这种症状是如何形成的呢？是因为肝脏停留了热邪与风邪，（患者）大声叫喊、啼哭，受到惊吓和恐惧，导致脑脂流入黑睛（瞳孔/晶状体区域）之中。起初是一只眼睛先变得昏暗，随后依次牵连另一只眼睛，最终双眼同时患病。苦口良药何必像陈言逆耳那样难听，只是因为肝气不相通畅的缘故。那时服药应当能够消除病症，如果调养护理多有违背，就会前功尽弃。日子久了若已完全变黑昏暗，当时称为“内障”，遮蔽了双眼的瞳孔。根据形状不同分为十六种，龙师圣者能够推究穷尽其理。千般灵药都难以取得疗效，唯有金针一拨，视力便能如太阳当空般明亮。戒慎小心并依据前述方法进行调养，如果违背，之前的病症便会复发。
内障的由来共有十六种，学医济世之人必须仔细查看，清楚地逐一了解其形状，施针治疗才能使人安宁。如果把针法用于圆翳内障（另一种内障），会误损神光，取效困难。需要辨别冷热、光明、虚证与实证，调和四肢身体等待完全康复。否则会出现气闷、违背调养原则，呕吐逆气、劳神导致翳膜翻转，咳嗽、震惊都不可以，受惊较多者应先服用镇心丸。如果寻求凉性药物如银膏等，需根据临时体质状况观察。老年的翳膜用细针，初复发的嫩翳则不同，针法不可一概而论。病人虚弱、新产后或怀孕月份，下针后才知调养之难。无雨无风且非烈日当头的日子，针刺前三日需清淡饮食斋戒。安心定意行医道，念佛亲近姻亲时不要嘈杂喧闹。患者面向明亮处盘膝而坐，提起腰带使内心安定。医者应行贤哲之路，恻隐之心自然回归。如果有出血情况不要惊慌，须停止操作，包扎封好如同旧时一样，再打开查看。忽然惊恐震颤，医者需重新斟酌，服药三十天可见明朗清晰。七日解封后若难以见光，眼中有花生水动现象，不必多言。坚持服用还睛丸散，百日之后分明恢复旧日光明。
内障金针治疗后，医师的话语要深思熟虑。绵色黑豆如球子大小，安排在眼上系住固定。卧眠时头部枕头须安稳，仰卧三天不要嫌慢。封包后忽然轻微疼痛，是脑风牵动，不要怀疑。或者针刺或者烙治，依据经法，疼痛剧烈时仍用火熨之法。想吐时含咽白梅汁，吐完后仰卧听从医嘱。起身恐怕因为用力努责而受损，虽然稀有但也须知晓。七日内吃温温的豆豉粥，震动牙关的事情不宜做。大小便时要缓慢，不要让病人自己起身，需有人扶持。高声叫唤、言语过多后，会惊动睛轮见到雪花飞舞。如此专心致志三十天，逐渐行走出入认得亲人知己。狂躁之心不要回忆阴阳之事，夫妇分床一百天。一个月内不需要洗脸，针痕湿润着会有微微疼痛，五腥（五种荤腥）、酒面一年断绝，服药消除疾病的根本基础。
镇心丸：治疗心痫惊悸，忧思愁虑伤心，惕然心跳，动振不安，吐舌面赤目瞪等症状。
牛黄（一钱，另研） 生地（酒洗，炒） 当归身（酒洗，炒） 远志肉（去心） 茯神（各五钱） 金箔（十五片） 石菖蒲（九节者佳） 川黄连（各二钱半） 辰砂（二钱，另研）
以上前六味药，共研为细末，后加入牛黄、辰砂两味药末，用猪心血作为粘合剂制成丸药，大小如黍米大，用金箔包裹衣层。每次服用五六十丸，用煮猪心的汤送服。
The eyes are neither painful nor itchy, yet vision gradually becomes blurred. The visual field is like a thin mist or light smoke that gradually thickens; sometimes one sees flying flowers or chaotic flies, and sometimes feels like silk floss floating in the void. How does this condition arise? It is due to heat and wind stagnating in the Liver [Liver]. Loud crying, fright, and fear cause "brain fat" [Brain Fat] to flow into the black pupil [Black Pupil]. Initially, only one eye becomes dim, which then sequentially affects the other until both are involved. Why must bitter medicine be endured as if it were unpleasant words? It is simply because the Qi of the Liver [Liver Qi] is not flowing smoothly. At that time, medication should resolve the condition; however, if nursing care is neglected or improper, efforts will be in vain. If the darkness persists for a long time and completely obscures the pupils, it is called "Internal Cataract" [Nei Zhang], blocking the double pupils. Based on their shapes, they are classified into sixteen types, which Master Longshi and the Sages can thoroughly analyze. A thousand miraculous medicines may fail to produce efficacy, but a single拨 (manipulation) with a golden needle can restore vision as bright as the sun in the sky. Exercise caution and follow the aforementioned methods for recuperation; otherwise, the previous disease will recur.
There are sixteen origins of internal cataracts; those who study medicine to benefit the world must examine them carefully. Clearly understanding each shape allows for safe acupuncture treatment. Applying the same needling method used for Round Opacity Cataract [Yuan Yi] would damage the Divine Light [Shen Guang] and make recovery difficult. One must differentiate between cold and heat, brightness, deficiency and excess, and harmonize the four limbs while waiting for full recovery. Otherwise, symptoms such as chest oppression, violation of dietary restrictions, vomiting, mental fatigue leading to opacity reversal, coughing, and shock may occur. For cases with significant fright, administer Zhenxin Wan [Calming the Heart Pill] first. If seeking cooling medicines such as Yin Gao [Silver Paste], observe the patient's constitution at the time. Old opacities require fine needles, while fresh recurrences differ; the needling technique cannot be uniform. For patients who are deficient, recently postpartum, or pregnant, one realizes after needling how difficult recuperation is. Needling should be performed on days without rain or wind, avoiding strong sunlight. Three days prior to needling, maintain a pure diet [Qing Qi]. Practice medicine with a calm and focused mind; avoid noise when chanting Buddha's name or interacting with relatives. The patient should sit cross-legged facing a bright area, tightening the belt to feel secure. The physician should walk the path of virtue and wisdom, guided by compassion. If bleeding occurs, do not panic; stop immediately, bandage as before, and inspect later. If sudden tremors or fright occur, the physician must reconsider. After thirty days of medication, clarity may return. If vision remains poor seven days after removing the bandage, and there is fluid movement resembling peanuts in the eye, do not speak further. Persistently take Huanjing Wan/San [Restore Vision Pill/Powder]; within one hundred days, clear vision will be restored.
After treating internal cataracts with golden needles, physicians must deeply consider their instructions. Use cotton-colored black beans, sized like small balls, placed on the eye and tied securely. When sleeping, ensure the head pillow is stable. Lie supine for three days without rushing. If slight pain occurs after bandaging, it is due to brain wind [Brain Wind] pulling; do not doubt this. Treatment may involve needling or cauterization according to classics. If pain is severe, apply hot compresses. To induce vomiting, hold and swallow juice from dried plums; lie supine afterward as instructed. Rising too soon risks injury from straining; though rare, this must be known. For seven days, consume warm soybean porridge. Avoid clenching teeth. Urinate and defecate slowly; do not stand up alone, but seek assistance. Loud shouting or excessive talking may disturb the eye wheel, causing snow-like floaters. Maintain this devotion for thirty days, gradually moving about and recognizing familiar people. Suppress frantic thoughts regarding yin-yang matters; sleep separately from spouses for one hundred days. Do not wash the face for one month; if the needle wound gets wet, slight pain may occur. Avoid five pungent meats [Wu Xing], alcohol, and wheat products for one year. Take medicine to eliminate the root of the disease.
Zhenxin Wan [Calming the Heart Pill]: Treats heart epilepsy, palpitations, anxiety, worry, sadness damaging the heart, sudden heart palpitations, restlessness, tongue protrusion, red face, and staring eyes.
Niuhuang [Rhus Bovis Calculus] (1 qian, ground separately), Shengdi Huang [Rehmanniae Radix] (washed in wine, stir-fried), Danggui Shen [Angelicae Sinensis Radix] (washed in wine, stir-fried), Yuanzhi Rou [Polygalae Radix Cortex] (heart removed), Fushen [Poria Cum Radix], Jinbo [Lamina Aurichalcea] (15 pieces), Shichangpu [Acori Tatarinowii Rhizoma] (nine-joint type is best), Chuanhuanglian [Coptidis Rhizoma] (each 2.5 qian), Chen Sha [Cinnabaris] (2 qian, ground separately).
Grind the first six herbs into fine powder. Mix in Niuhuang and Chen Sha powders. Form pills using pig heart blood, size of millet seeds. Coat with Jinbo [Lamina Aurichalcea]. Take 50-60 pills per dose, washed down with decoction of boiled pig heart.