目有被物损坏其瞳者何也？答曰∶瞳神不破，宜服退血散。又服蕤仁丸。（三十二问退血
散亦未载方，是否二十八问通血散？通退字形原可讹，以此存疑）
蕤仁丸
蕤仁（去皮油，六两） 黄连（一两） 石决明（ ，一两） 元精石（ ，二两）
共为末，用黑羊肝一具，竹刀刮去筋膜，切片瓦上焙干为末，同前药米糊为丸。每服茶送七十丸，重者不过
一月见效。
目有上下皮肿而硬者，服药不退，用手法取之不效者何也？答曰∶要用手法五七次，宜服升麻葛根汤。
升麻葛根汤
升麻 芍药 甘草 葛根
水煎服。
目有不见黑白，一片乌者何故？答曰∶是肝肾受风邪也。宜点珍珠虎液膏，服明目地黄丸（方见四十八问。）
目有紫色 肉，堆满眼者何也？答曰∶肺肝之虚热也。肝木生心火，使血侵于目，将上下眼胞，用法取之。
宜点推云散（方见十四问），服泻肺散（方见三问）、补胆散（方见四问。泻肺散肺字疑肝字之误。）
目有白花如絮者何也？答曰∶肺金不能上应也。因于脾胃太弱，不能生金，又兼心火太甚，灼乎肺金，气上
升散，行于目故也。宜服补肺散（方见七问），点推云散（方见十四问），服平胃散。
洗心散（洗心散法中未见其方，与五问七问之洗心散迥不相同，揣其药味似不应以洗心名之，定有错
误，仍之存疑）
黄 （蜜炙） 甘草 当归 防风 升麻 荆芥 白芷
水煎服。
平胃散
黑豆（炒） 泽泻 当归 枸杞 白丑 黄芩
共为细末服。
眼睛被异物损伤导致瞳孔受损，这是什么原因呢？回答是：如果瞳神（瞳孔及其内部结构）没有破裂，适宜服用退血散。另外再服用蕤仁丸。（第三十二问中未记载退血散的方剂，是否指第二十八问中的通血散？“通”与“退”字形原可能混淆，因此存疑。）
蕤仁丸
蕤仁（去皮取油，六两） 黄连（一两） 石决明（煅，一两） 元精石（煅，二两）
共同研磨成粉末，用一只黑羊肝，用竹刀刮去筋膜，切片后在瓦片上焙干研末，与前药粉混合，用米糊作为粘合剂制成丸剂。每次服用七十丸，以茶送服，病情严重者不超过一个月即可见效。
眼睛上下眼睑肿胀且坚硬，服药后不消退，使用手法治疗无效，这是什么原因呢？回答是：需要反复使用手法五到七次，适宜服用升麻葛根汤。
眼睛看不见黑白颜色，一片漆黑，这是什么缘故？回答是：这是肝肾受到风邪侵袭所致。适宜点涂珍珠虎液膏，服用明目地黄丸（方剂见第四十八问）。
眼睛有紫色息肉，堆满眼眶，这是什么原因呢？回答是：这是肺肝虚热所致。肝木生心火，导致血液侵入眼部，应用手法取出上下眼睑的病变组织。适宜点涂推云散（方剂见第十四问），服用泻肺散（方剂见第三问）、补胆散（方剂见第四问。泻肺散中的“肺”字怀疑是“肝”字的误写。）
眼睛出现如棉絮般的白色花斑，这是什么原因呢？回答是：这是肺金之气不能上应于目的表现。因为脾胃过于虚弱，不能生化肺金，再加上心火过旺，灼烧肺金，导致气机上逆散乱，运行于眼部所致。适宜服用补肺散（方剂见第七问），点涂推云散（方剂见第十四问），服用平胃散。
洗心散（洗心散的方剂方法中未见其具体组成，与第五问、第七问中的洗心散截然不同，推测其药味似乎不应命名为洗心散，必定有误，仍保留原文存疑）
黄芪（蜜炙） 甘草 当归 防风 升麻 荆芥 白芷
加水煎煮后服用。
平胃散
黑豆（炒制） 泽泻 当归 枸杞 白丑 黄芩
共同研磨成细末服用。
What is the cause of damage to the pupil (Tongshen, the pupil and its internal structures) by foreign objects? The answer is: If the Tongshen is not ruptured, it is appropriate to administer Tuixue San (Blood-Removing Powder). Additionally, Ruiren Wan (Prunus Persica Seed Pill) should be taken. (Note: The formula for Tuixue San was not recorded in Question 32; could it refer to Tongxue San from Question 28? The characters "Tong" and "Tui" may have been confused due to similar shapes, so this remains a point of doubt.)
Ruiren Wan
Ru Ren (Shelled and oil-extracted, 6 liang), Huanglian (Coptidis Rhizoma, 1 liang), Shijueming (Haliotidis Concha, calcined, 1 liang), Yuanjingshi (Calcitum, calcined, 2 liang).
Grind all ingredients into powder. Take one black sheep liver, scrape off the fascia with a bamboo knife, slice it, and bake it dry on a tile until powdered. Mix this liver powder with the aforementioned medicinal powders, use rice paste as a binder to form pills. Take 70 pills each time, delivered with tea water. For severe cases, improvement will be seen within no more than one month.
Why do the upper and lower eyelids become swollen and hard, failing to recede with medication, and why does manual therapy fail? The answer is: Manual therapy should be applied five to seven times, and Shengma Gegen Tang (Bupleurum and Kudzu Root Decoction) should be administered.
Shengma Gegen Tang
Shengma (Leonuri Herba), Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Gegen (Puerariae Lobatae Radix).
Decoct in water and take orally.
Why does the eye lose the ability to distinguish black and white, appearing entirely dark? The answer is: This is caused by Wind-Evil invading the Liver and Kidney. It is appropriate to apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) topically and consume Mingmu Dihuang Wan (Liver-Brightening Rehmannia Pill) (Formula see Question 48).
Why are there purple fleshy growths filling the eye socket? The answer is: This is due to Deficient-Heat in the Lung and Liver. Wood of the Liver generates Fire of the Heart, causing Blood to invade the eyes. The pathological tissues in the upper and lower eyelids should be removed using manual techniques. It is appropriate to apply Tuiyun San (Cloud-Pushing Powder) topically (Formula see Question 14), and consume Xiefei San (Lung-Draining Powder) (Formula see Question 3) and Budan San (Gallbladder-Nourishing Powder) (Formula see Question 4. Note: The character "Fei" [Lung] in Xiefei San is suspected to be a typo for "Gan" [Liver].)
Why do white, cotton-like spots appear in the eye? The answer is: This indicates that the Metal energy of the Lung fails to ascend and correspond to the eye. This occurs because the Spleen and Stomach are too weak to generate Lung Metal, compounded by excessive Heart Fire scorching the Lung Metal. This causes Qi to rise and scatter, circulating into the eye. It is appropriate to consume Bufei San (Lung-Supplementing Powder) (Formula see Question 7), apply Tuiyun San topically (Formula see Question 14), and consume Pingwei San (Stomach-Pacifying Powder).
Xixin San (The formula for Xixin San is not found in the methods section; it differs significantly from the Xixin San in Questions 5 and 7. Speculating on the ingredients, it seems inappropriate to name it Xixin San; there must be an error. The original text is retained with doubt.)
Huangqi (Astragali Radix, honey-fried), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Shengma (Leonuri Herba), Jingjie (Schizonepetae Spica), Baizhi (Angelicae Dahuricae Radix).
Decoct in water and take orally.
Pingwei San
Heidou (Sojae Semen Nigrum, stir-fried), Zexie (Alismatis Rhizoma), Danggui (Angelicae Sinensis Radix), Gouqi (Lycii Fructus), Bai Chou (Cantharidis Granulum), Huangqin (Scutellariae Radix).
Grind into fine powder and take orally.