局方菊睛丸治肝肾不足眼目昏暗常见黑花多泪
枸杞子(三两) 苁蓉(酒浸炒) 巴戟(去心各一两) 甘菊花(四两)
上为末炼蜜丸如梧子大每五十丸温酒盐汤食远任下
东垣滋阴地黄丸治眼目瞳子散大于黄睛视物无的或卒然见非常之处
熟地黄(一两) 生地黄(一两半) 柴胡(八钱) 天门冬 炙甘草 枳壳(各三钱) 人参
地骨皮(各二钱) 黄连 五味子(各三钱) 黄芩(半两) 当归身(半两酒拌焙)
上件为细末炼蜜为丸如绿豆大每百丸温茶清送下日进二次忌辛辣生冷之物
按此二方足少阴之剂也前方主右肾此方主左肾之药故亦异尔
补阳汤治阳不胜其阴乃阴盛阳虚则九窍不通青白翳见于大 及足太阳少阴经中郁遏足厥
阴肝
经气不得上通于目故青白翳内阻也当于太阳少阴经中九原之下以盖肝中阳气冲天上行此乃先
补其阳后于足太阳太阴标中(标者头也)泻足厥阴肝经火下伏于阳中乃次治也内经云阴盛阳虚
则当先补其阳后泻其阴是也每日清晨服补阳汤临卧服益阴丸若天色变饮食不调俱不得服
羌活 独活 甘草 人参 熟地黄 黄 白术(各一两) 泽泻 陈皮(各半两) 生地
黄
白茯苓 知母(炒各三钱) 柴胡(三两) 防风 白芍(各半两) 肉桂(一钱) 当归身(酒制
三钱)
上同为粗末每服半两水煎空心服之
冲和养胃汤治内障眼得之脾胃元气衰弱心火与三焦俱盛饮食失节形体劳役心不得休息故
上为此疾服之神效
柴胡(七钱) 防风(半两) 羌活 炙甘草 黄 (各一两半) 当归(制) 白术 升麻
人参
葛根(各一两) 白芍(六钱) 白茯苓(三钱) 干姜(一钱) 五味子(二钱) 黄芩 黄连(
各七钱)
上 咀每五六钱水煎食远稍热服
按以上足三阳手足太阴药也
治障翳诸方
龙木论还睛丸治眼内赤涩有花或黑或白或红皆因肝脏积热肺受风邪初患之时宜令针治诸
穴内服此
人参 桔梗 黄芩 熟地黄 防风 茺蔚子 车前子 知母(各二两) 细辛 五味子
(各二两半) 玄参(半两)
上为末炼蜜丸如梧子大空心茶下十丸
按本论治内障诸方与此相类者甚多姑存此法
局方蝉花无比散治大人小儿风毒伤肝或为气攻一切眼目昏暗渐生翳膜及久患头风牵搐两
眼渐渐细小连眶赤烂
茯苓 甘草(炙) 防风(各四两) 石决明(盐水煮研如粉) 川芎 羌活 当归(各三两)
赤芍(十两炒) 蒺藜(炒半斤) 蝉蜕(二两) 苍术(十二两) 蛇蜕(一两)
上为末每三钱食后米泔调茶清亦得
按此足三阳太阴厥阴药也
蝉花散治肝经蕴热毒瓦斯上攻眼目赤肿多泪羞明一切风热昏翳
谷精草 菊花 蝉蜕 羌活 甘草(炙) 白蒺藜(炒) 草决明 防风 山栀 川芎 密
蒙花 木贼 荆芥穗 黄芩 蔓荆子
上为末每二钱食后茶清调下
按此足太阳少阳厥阴手太阴药也
本事方羊肝丸
菟丝子 车前子 麦门冬 决明子 茯苓 五味子 枸杞子 茺蔚子 苦葶苈 蕤仁
地肤
子泽泻 防风 黄芩 杏仁(炒) 细辛 桂心 青葙子(各一两) 熟地黄(一两半) 白羯
羊肝(只用子肝一片薄切新瓦上炒干)
上为细末炼蜜为丸如梧子大每服三四十丸温水下日三次
按此足太阳少阴手太阴少阴药也
秘方拨云退翳丸 皇统年间医官刘昌祖传于世
栝蒌根 枳实 甘草(炙) 蔓荆子(焙) 薄荷(各五钱) 川芎 木贼(浸一宿焙) 密蒙
花
荆芥穗 地骨皮 羌活 白蒺藜 甘菊花(各一两) 蛇蜕 黄连(各三钱) 川椒(七钱半炒
去目) 当归(一两半酒浸焙干) 蝉蜕(三钱)
上为细末炼蜜丸每两作十丸每服一丸食后临卧日进三服翳者米泔水下睛暗当归汤下内障
木香汤下
按此足太阳厥阴手少阴药也然翳膜之疾有气血虚实或夹痰热七情六淫或阴火动湿热致者
种种不同皆宜求责但以上法不能以尽病情之变学人宜扩充焉
点洗诸方
局方汤泡散治肝经风热上壅眼目赤涩睛疼多泪
赤芍 当归 黄连(等分)
上为末每二钱汤顿调热洗日三五次御药院方加荆芥
三因立胜散治风热攻眼隐涩羞明肿痛
黄连 秦皮 防风 黄芩(等分)
上 咀水煎热用新羊毫笔蘸刷洗眼
金露膏除昏退翳截定疼
蕤仁(槌碎) 黄丹(各一两) 黄连(半两) 蜜(六两)
上先将黄丹炒令紫色入蜜搅匀下长流水四升以嫩柳枝五七茎一把定搅之次下蕤仁候滚十
数沸
又下黄连用柳枝不住手搅疑至升七八合罩蓠内倾药在纸上慢慢滴之勿令尘污如有瘀肉加 砂
末一钱上火上慢开入前膏子内用
龙木论云患伤寒热病后切不可点恐损眼也斯言可以为药禁云
宝鉴春雪膏治风热上攻眼目昏暗痒痛瘾涩难开多眵泪羞明疼痛或生翳膜
黄连(四两锉用童便二升浸一宿去连用淬甘石) 南炉甘石(十二两淬便汁浸) 好黄丹(
六两
水飞) 砂(一钱细研水调在盏内顿干为度) 乳香 乌鱼骨(烧存性) 当归(各三钱) 麝
香轻粉(各少许) 白丁香(半钱)
上各研另贮先用好蜜一斤四两炼去蜡却下甘石末不住手搅次下丹次下诸药末不住手搅至
紫金色不粘手为度搓作铤子每用一粒新水磨化时时点之忌酒湿面荞麦之类
拔萃方 药治偏头疼眼疾
苍耳头 薄荷叶 盆硝 石膏(各一钱乱文者) 乳香 华细辛 贯芎(各半钱)
上为极细末早午夕三时 鼻
宝鉴方无苍耳乳香细辛有荆芥桔梗
蟾光膏治远年病目不通道路退去云膜须用十二月开成日合
白砂蜜(四两用隔年葱一根去须皮切短与蜜同煮去白膜要候葱熟为度以绵滤净纸取蜡面)
黄丹 密陀僧(各水飞三钱生用) 炉甘石(火 五钱水飞)
以上三味研极细倾入前蜜中桃柳无节者各一枝搅匀
当归 赤芍 杏仁(汤泡去皮尖各五钱) 黄连(去芦净二两) 川芎(半两) 秦皮 诃子
皮防风 石膏 玄精石 井泉石 无名异 玄参 代赭石 石决明
以上十味各三钱 咀用雪水或长流水五升于银器内熬至二升滤去滓净再熬至一升倾入前
药蜜内银器内慢火熬紫金色时再下后药勿令过火
乳香 没药 琥珀 朱砂 蕤仁(各三钱)
以上五味先干研极细入蕤仁研细水飞澄清极细才倾入前药一同复熬以箸点药于水中不散
为度
勿令过与不及取下于土中埋七日取出置于银器或瓷器中如法收贮便再添入后细药以桃柳枝搅
匀
南硼砂 珍珠 珊瑚枝 龙脑(各一钱) 麝香(半钱)
上五味研极细入药中封定如有取不尽药用净水斟酌洗渲熬过另放洗眼或膏子稠了倾些小
调解
局方菊睛丸主治肝肾不足导致的眼目昏暗、常出现黑花（眼前飞蚊或黑影）及多泪症状。
配方：枸杞子三两，肉苁蓉（酒浸后炒制），巴戟天（去心，各一两），甘菊花四两。
以上药物研为细末，用炼蜜制成梧桐子大小的药丸。每次服用五十丸，在饭后用温酒或淡盐汤送服。
东垣滋阴地黄丸主治眼瞳散大、黄仁（虹膜）变色、视物模糊不清，或突然看到异常景象的症状。
配方：熟地黄一两，生地黄一两半，柴胡八钱，天门冬，炙甘草，枳壳（各三钱），人参，地骨皮（各二钱），黄连，五味子（各三钱），黄芩半两，当归身半两（用酒拌后焙干）。
以上药物研为细末，用炼蜜制成绿豆大小的药丸。每次服用一百丸，用温茶清送服，每日两次。忌食辛辣和生冷食物。
按语：这两首方剂均属于足少阴肾经的药物。前方主要调理右肾，此方主要调理左肾，因此用药有所区别。
补阳汤主治阳气不胜阴气，即阴盛阳虚导致的九窍不通，白翳出现在黑睛（角膜）上，以及足太阳膀胱经和足少阴肾经中郁遏，导致足厥阴肝经之气不能上通于目，从而引起青白色翳膜内阻。应当在太阳、少阴经的深层部位，以覆盖并升发肝中的阳气，使其冲天上行。这是先补其阳，随后在足太阳、太阴的标部（头部）泻足厥阴肝经潜伏于阳中的火邪，这是次要的治疗步骤。《内经》说：“阴盛阳虚则当先补其阳，后泻其阴”，正是这个意思。每日清晨服用补阳汤，临睡前服用益阴丸。如果天气变化或饮食不调，均不得服用。
配方：羌活、独活、甘草、人参、熟地黄、黄芪、白术（各一两），泽泻、陈皮（各半两），生地黄，白茯苓，知母（炒，各三钱），柴胡三两，防风、白芍（各半两），肉桂一钱，当归身（酒制，三钱）。
以上药物同为粗末，每次服用半两，水煎，空腹服用。
冲和养胃汤主治内障眼病，此病因脾胃元气衰弱，心火与三焦俱盛，加上饮食失节、形体劳役，心无法得到休息所致。服用此方神效。
配方：柴胡七钱，防风半两，羌活、炙甘草、黄芪（各一两半），当归（制）、白术、升麻、人参、葛根（各一两），白芍六钱，白茯苓三钱，干姜一钱，五味子二钱，黄芩、黄连（各七钱）。
以上药物切碎，每次取五六钱，水煎，饭后稍热时服用。
按语：以上药物属于足三阳经和手足太阴经的药。
治疗障翳的各种方剂
龙木论还睛丸主治眼内红涩、有飞花，颜色或黑或白或红。这都是因为肝脏积热、肺受风邪所致。初患之时宜令针灸治疗穴位，内服此药。
配方：人参、桔梗、黄芩、熟地黄、防风、茺蔚子、车前子、知母（各二两），细辛、五味子（各二两半），玄参半两。
以上药物研为细末，用炼蜜制成梧桐子大小的药丸。空腹时茶送十丸。
按语：本论治疗内障的各种方剂与此相似的很多，暂且保留此法。
局方蝉花无比散主治大人小儿因风毒伤肝，或因气攻引起的各种眼目昏暗，逐渐生成翳膜，以及久患头风牵引抽搐，两眼渐渐变小，连眼眶红烂。
配方：茯苓、甘草（炙）、防风（各四两），石决明（盐水煮后研如粉），川芎、羌活、当归（各三两），赤芍十两（炒），蒺藜（炒半斤），蝉蜕二两，苍术十二两，蛇蜕一两。
以上药物研为细末，每次三钱，饭后用米泔水调服，也可用茶清调服。
按语：此方属于足三阳、太阴、厥阴经的药。
蝉花散主治肝经蕴藏热毒，热气上攻导致眼目红肿、多泪、羞明，以及一切风热引起的昏翳。
配方：谷精草、菊花、蝉蜕、羌活、甘草（炙）、白蒺藜（炒）、草决明、防风、山栀、川芎、密蒙花、木贼、荆芥穗、黄芩、蔓荆子。
以上药物研为细末，每次二钱，饭后用茶清调服。
按语：此方属于足太阳、少阳、厥阴经和手太阴经的药。
本事方羊肝丸
配方：菟丝子、车前子、麦门冬、决明子、茯苓、五味子、枸杞子、茺蔚子、苦葶苈、蕤仁、地肤子、泽泻、防风、黄芩、杏仁（炒）、细辛、桂心、青葙子（各一两），熟地黄一两半，白羊肝（只用子肝一片，薄切，放在新瓦上炒干）。
以上药物研为细末，用炼蜜制成梧桐子大小的药丸。每次服用三四十丸，温水送服，每日三次。
按语：此方属于足太阳、少阴、手太阴、少阴经的药。
秘方拨云退翳丸，由皇统年间的医官刘昌祖传于世。
配方：栝蒌根、枳实、甘草（炙）、蔓荆子（焙）、薄荷（各五钱），川芎、木贼（浸泡一夜后焙干）、密蒙花、荆芥穗、地骨皮、羌活、白蒺藜、甘菊花（各一两），蛇蜕、黄连（各三钱），川椒七钱半（炒去目），当归一两半（酒浸焙干），蝉蜕三钱。
以上药物研为细末，用炼蜜制成每两作十丸的药丸。每次服用一丸，饭后临睡前服用，每日三次。有翳者用米泔水送下，眼睛昏暗用当归汤送下，内障用木香汤送下。
按语：此方属于足太阳、厥阴、手少阴经的药。然而，翳膜之疾有气血虚实之分，或夹杂痰热、七情六淫，或因阴火动湿热所致，情况种种不同，都应仔细求责病因。但上述方法不能完全穷尽病情的变化，学习者应当扩充运用。
点洗各类方剂
局方汤泡散主治肝经风热上壅导致的眼目红涩、睛疼、多泪。
配方：赤芍、当归、黄连（等分）。
以上药物研为细末，每次二钱，用开水顿调，趁热清洗，每日三至五次。御药院方加荆芥。
三因立胜散主治风热攻眼导致的隐涩、羞明、肿痛。
配方：黄连、秦皮、防风、黄芩（等分）。
以上药物切碎，水煎热用，用新的羊毫笔蘸药液刷洗眼睛。
金露膏除昏退翳，截断定痛。
配方：蕤仁（捣碎）、黄丹（各一两），黄连半两，蜜六两。
先将黄丹炒至紫色，加入蜜搅匀，放入长流水四升，用嫩柳枝五七茎一把固定搅拌。然后放入蕤仁，等候煮沸十余沸。再放入黄连，用柳枝不停手地搅拌。待药液浓缩至七八合时，罩在篱笆内，将药液滴在纸上，慢慢滴入，不要弄脏灰尘。如果有瘀肉，加硇砂末一钱，上火慢开，加入前面的膏子内使用。
《龙木论》说：患伤寒热病后切不可点药，恐怕损伤眼睛。这话可以作为用药禁忌。
宝鉴春雪膏主治风热上攻导致的眼目昏暗、痒痛、隐涩难开、多眵泪、羞明疼痛，或生成翳膜。
配方：黄连四两（锉碎，用童便二升浸泡一夜，去掉黄连，用剩下的汁淬炼炉甘石），南炉甘石十二两（用便汁淬炼浸泡），好黄丹六两（水飞），硇砂一钱（细研，用水调在盏内，炖干为度），乳香、乌鱼骨（烧存性）、当归（各三钱），麝香、轻粉（各少许），白丁香半钱。
以上药物分别研细另存。先用好蜜一斤四两，炼去蜡，然后放入甘石末，不停地搅拌；接着放丹；再放诸药末，不停地搅拌，直到变成紫金色且不粘手为止。搓成锭子，每次用一粒，新水磨化，时时点眼。忌酒、湿面、荞麦之类。
拔萃方药治偏头疼眼疾
配方：苍耳头、薄荷叶、盆硝、石膏（各一钱，纹理乱的），乳香、华细辛、贯芎（各半钱）。
以上药物研为极细末，早、午、晚三个时间嗅鼻。
宝鉴方没有苍耳、乳香、细辛，但有荆芥、桔梗。
蟾光膏主治多年眼病不通，道路（指视力通道）退去云膜。须在十二月开成日配制。
配方：白砂蜜四两（用隔年葱一根，去须皮切短，与蜜同煮，去掉白膜，要等到葱熟为度，用绵滤净，纸吸去蜡面），黄丹、密陀僧（各水飞三钱，生用），炉甘石（火煅五钱，水飞）。
以上三味研极细，倾入前面的蜜中，用无节的桃柳枝各一枝搅匀。
当归、赤芍、杏仁（汤泡去皮尖，各五钱）、黄连（去芦净，二两）、川芎（半两）、秦皮、诃子皮、防风、石膏、玄精石、井泉石、无名异、玄参、代赭石、石决明。
以上十味各三钱，切碎，用雪水或长流水五升，在银器内熬至二升，滤去滓净，再熬至一升，倾入前面的药蜜内，在银器内用慢火熬至紫金色时，再下后面的药，不要让药过火。
乳香、没药、琥珀、朱砂、蕤仁（各三钱）。
以上五味先干研极细，入蕤仁研细，水飞澄清极细，才倾入前面的药中一同复熬，用筷子点药于水中不散为度。
不要让药过火或不及。取下后埋在土中七日，取出置于银器或瓷器中，依法收贮。然后再添入后面的细药，以桃柳枝搅匀。
南硼砂、珍珠、珊瑚枝、龙脑（各一钱），麝香半钱。
以上五味研极细，入药中封好。如有取不尽的药，用净水斟酌洗渲，熬过后另放。洗眼或膏子稠了，倾些小调解。
Ju Jing Wan (Chrysanthemum Eye Pill) from the Bureau of Medical Care treats dim vision due to deficiency of Liver and Kidney, commonly accompanied by floaters (black flowers) and excessive tearing.
Ingredients: Gouqi Zi (Lycii Fructus) 3 liang, Rongcong Rong (Cistanches Herba) soaked in wine and stir-fried, Bajitian (Morinda Officinalis Radix) dehearted (1 liang each), Gan Juhua (Chrysanthemi Flos) 4 liang.
Grind the above into powder, mix with refined honey to make pills the size of wutong seeds. Take 50 pills per dose, administered after meals with warm wine or salt water.
Ziyin Dihuang Wan (Yin-Nourishing Rehmannia Pill) from Dongyuan treats dilated pupils, discoloration of the iris (huangjing), blurred vision, or sudden perception of abnormal visual phenomena.
Ingredients: Shudihuang (Rehmanniae Radix Praeparata) 1 liang, Shengdihuang (Rehmanniae Radix) 1.5 liang, Chaihu (Bupleuri Radix) 8 qian, Tianmendong (Asparagi Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Zhiqiao (Aurantii Fructus) (3 qian each), Renshen (Ginseng Radix), Digupi (Lycii Cortex), Huanglian (Coptidis Rhizoma), Wuweizi (Schisandrae Fructus) (3 qian each), Huangqin (Scutellariae Radix) 0.5 liang, Dangguishen (Angelicae Sinensis Radix) 0.5 liang (stir-fried with wine).
Grind the above ingredients into fine powder, mix with refined honey to make pills the size of mung beans. Take 100 pills per dose, administered with warm clear tea, twice daily. Avoid spicy and raw/cold foods.
Note: These two formulas belong to the Foot Shaoyin Kidney channel. The former primarily treats the Right Kidney, while this one primarily treats the Left Kidney; hence the difference in medication.
Buyang Tang (Yang-Supplementing Decoction) treats conditions where Yang cannot overcome Yin, i.e., Yin excess and Yang deficiency, leading to obstruction of the nine orifices. White nebulas appear on the cornea (qingbai yi), and depression occurs in the Foot Taiyang Bladder and Foot Shaoyin Kidney channels, preventing Qi from the Foot Jueyin Liver channel from ascending to the eyes, thus causing internal obstruction by green-white nebulas. Treatment should focus on the deep levels of the Taiyang and Shaoyin channels to cover and ascend the Yang Qi of the Liver, allowing it to rush upward. This is a method of first tonifying Yang, then clearing Fire from the Foot Jueyin Liver channel that is latent within Yang at the biao (superficial/head) region of the Foot Taiyang and Taiyin channels. This is the secondary treatment step. The *Neijing* states: "When Yin is excess and Yang is deficient, one should first tonify Yang, then drain Yin." This is correct. Take Buyang Tang every morning before dawn, and Yiyin Wan (Yin-Nourishing Pill) before sleep. Do not take these if there are changes in weather or irregular diet.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix), Shudihuang (Rehmanniae Radix Praeparata), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang each), Zexie (Alismatis Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (0.5 liang each), Shengdihuang (Rehmanniae Radix), Baifuling (Poria), Zhimu (Anemarrhenae Rhizoma) stir-fried (3 qian each), Chaihu (Bupleuri Radix) 3 liang, Fangfeng (Saposhnikoviae Radix), Baishao (Paeoniae Radix Alba) (0.5 liang each), Rougui (Cinnamomi Cortex) 1 qian, Dangguishen (Angelicae Sinensis Radix) prepared with wine (3 qian).
Grind the above into coarse powder. Take 0.5 liang per dose, decoct in water, and take on an empty stomach.
Chonghe Yangwei Tang (Harmonizing and Stomach-Nourishing Decoction) treats internal cataracts caused by weakness of Spleen and Stomach Yuan Qi, hyperactivity of Heart Fire and Sanjiao, irregular diet, physical overexertion, and lack of mental rest. Administration yields miraculous effects.
Ingredients: Chaihu (Bupleuri Radix) 7 qian, Fangfeng (Saposhnikoviae Radix) 0.5 liang, Qianghuo (Notopterygii Rhizoma et Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Huangqi (Astragali Radix) (1.5 liang each), Danggui (Angelicae Sinensis Radix) prepared, Baizhu (Atractylodis Macrocephalae Rhizoma), Shengma ( Cimicifugae Rhizoma), Renshen (Ginseng Radix), Gegen (Puerariae Lobatae Radix) (1 liang each), Baishao (Paeoniae Radix Alba) 6 qian, Baifuling (Poria) 3 qian, Jiangjiang (Zingiberis Rhizoma) 1 qian, Wuweizi (Schisandrae Fructus) 2 qian, Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (7 qian each).
Cut the above ingredients. Take 5-6 qian per dose, decoct in water, and take slightly warm after meals.
Note: The above drugs belong to the Foot Three Yang channels and Hand/Foot Taiyin channels.
Various Formulas for Treating Nebulas (Zhangyi)
Longmu Lun Huanjing Wan (Dragon Tree Treatise Eye-Rejuvenating Pill) treats redness and dryness inside the eye, with floaters that may be black, white, or red. These are caused by accumulated heat in the Liver and wind pathogen affecting the Lung. At the initial stage, acupuncture points should be treated, and this pill taken internally.
Ingredients: Renshen (Ginseng Radix), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix), Shudihuang (Rehmanniae Radix Praeparata), Fangfeng (Saposhnikoviae Radix), Chongweizi (Leonuri Fructus), Cheqianzi (Plantaginis Semen), Zhimu (Anemarrhenae Rhizoma) (2 liang each), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Fructus) (2.5 liang each), Xuanshen (Scrophulariae Radix) 0.5 liang.
Grind into powder, mix with refined honey to make pills the size of wutong seeds. Take 10 pills on an empty stomach with tea.
Note: There are many similar formulas in this treatise for treating internal cataracts; this method is preserved here for reference.
Ju Fang Chanhua Wubi San (Chanhua Wubi Powder from the Bureau) treats adults and children suffering from liver injury by wind-toxin, or qi attack causing various degrees of dim vision, gradual formation of nebulas, chronic headache with牵引 (pulling/twitching), eyes gradually becoming smaller, and redness/ulceration of the eye sockets.
Ingredients: Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma) prepared, Fangfeng (Saposhnikoviae Radix) (4 liang each), Shijueming (Arconis Concha) boiled in salt water and ground to powder, Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix) (3 liang each), Chishao (Paeoniae Radix Rubra) 10 liang (stir-fried), Jili (Tribuli Fructus) stir-fried (0.5 jin), Chantui (Cicadae Periostracum) 2 liang, Cangzhu (Atractylodis Rhizoma) 12 liang, Shetui (Bovis Cornu Colla / Snake Skin) 1 liang.
Grind into powder. Take 3 qian per dose after meals, mixed with rice wash water, or alternatively with tea.
Note: This formula belongs to the Foot Three Yang, Taiyin, and Jueyin channels.
Chanhua San (Chanhua Powder) treats heat and toxin accumulation in the Liver channel attacking upwards, causing redness and swelling of the eyes, excessive tearing, photophobia, and all types of wind-heat induced blurry vision and nebulas.
Ingredients: Gujingcao (Caryopsidis Flos), Juhua (Chrysanthemi Flos), Chantui (Cicadae Periostracum), Qianghuo (Notopterygii Rhizoma et Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Baijili (Tribuli Fructus) stir-fried, Caojueming (Casareae Semen), Fangfeng (Saposhnikoviae Radix), Shanzhi (Gardeniae Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Mimenghua (Descurainiae Semen Lepidii et Lepidii Semen), Muzei (Equiseti Herba), Jingjiesui (Perillae Folium), Huangqin (Scutellariae Radix), Manjingzi (Viticis Semen).
Grind into powder. Take 2 qian per dose after meals, mixed with tea.
Note: This formula belongs to the Foot Taiyang, Shaoyang, Jueyin channels and Hand Taiyin channel.
Ben Shi Fang Yanggan Wan (Sheep Liver Pill from Essential Prescriptions)
Ingredients: Tusizi (Cuscutae Semen), Cheqianzi (Plantaginis Semen), Maimendong (Ophiopogonis Radix), Juemingzi (Cassiae Semen), Fuling (Poria), Wuweizi (Schisandrae Fructus), Gouqi Zi (Lycii Fructus), Chongweizi (Leonuri Fructus), Kutingli (Descurainiae Semen Lepidii et Lepidii Semen), Ruiren (Pruni Semen), Difuzi (Kochiae Scopariae Herba), Zexie (Alismatis Rhizoma), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Xingren (Armeniacae Semen Amarum) stir-fried, Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Qingxiangzi (Celosiae Semen) (1 liang each), Shudihuang (Rehmanniae Radix Praeparata) 1.5 liang, Baijieyanggan (White Sheep Liver) - use only the sub-hepatic gallbladder lobe, slice thinly, and dry on a new tile.
Grind into fine powder, mix with refined honey to make pills the size of wutong seeds. Take 30-40 pills per dose with warm water, three times daily.
Note: This formula belongs to the Foot Taiyang, Shaoyin, Hand Taiyin, and Shaoyin channels.
Secret Formula Boyun Tuiyi Wan (Cloud-Pushing Cataract-Removing Pill), passed down from Imperial Physician Liu Changzu during the Huangtong era.
Ingredients: Gualougen (Trichosanthis Radix), Zhishi (Aurantii Fructus Immaturus), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Manjingzi (Viticis Semen) roasted, Bohe (Menthae Haplocalycis Herba) (5 qian each), Chuanxiong (Ligustici Chuanxiong Rhizoma), Muzei (Equiseti Herba) soaked overnight and roasted, Mimenghua (Descurainiae Semen Lepidii et Lepidii Semen), Jingjiesui (Perillae Folium), Digupi (Lycii Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Baijili (Tribuli Fructus), Gan Juhua (Chrysanthemi Flos) (1 liang each), Shetui (Snake Skin), Huanglian (Coptidis Rhizoma) (3 qian each), Chuanjiao (Zanthoxyli Pericarpium) 7.5 qian (stir-fried, remove seeds), Danggui (Angelicae Sinensis Radix) 1.5 liang (soaked in wine and dried), Chantui (Cicadae Periostracum) 3 qian.
Grind into fine powder, mix with refined honey to make pills such that 1 liang makes 10 pills. Take 1 pill per dose after meals and before sleep, three times daily. For nebulas, administer with rice wash water; for dim vision, administer with Danggui Decoction; for internal cataracts, administer with Muxiang Decoction.
Note: This formula belongs to the Foot Taiyang, Jueyin, and Hand Shaoyin channels. However, diseases of nebulas vary by Qi/Blood deficiency/excess, phlegm-heat, seven emotions, six pathogens, or yin fire/damp-heat. Causes differ greatly, so etiology must be investigated carefully. The above methods cannot exhaust all variations; students should expand their understanding.
Formulas for Washing and Dripping
Ju Fang Tangpao San (Decoction-Soaking Powder from the Bureau) treats redness, dryness, eye pain, and excessive tearing due to wind-heat congestion in the Liver channel.
Ingredients: Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma) (equal parts).
Grind into powder. Take 2 qian per dose, mix with boiling water, and wash eyes while hot, 3-5 times daily. The Imperial Pharmacy Formula adds Jingjie.
San Yin Lisheng San (Victory-Overcoming Powder from Three Causes) treats wind-heat attacking the eyes, causing hidden dryness, photophobia, swelling, and pain.
Ingredients: Huanglian (Coptidis Rhizoma), Qinpi (Fraxini Cortex), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix) (equal parts).
Cut the ingredients, decoct in water, and apply hot using a new sheep-hair brush to paint/wash the eyes.
Jinlu Gao (Golden Dew Ointment) removes dimness, reduces nebulas, and stops pain.
Ingredients: Ruiren (Pruni Semen) crushed, Huangdan (Lithargyrum) (1 liang each), Huanglian (Coptidis Rhizoma) 0.5 liang, Honey 6 liang.
First stir-fry Huangdan until purple, add honey and stir evenly. Add 4 sheng of running water, fix with 5-7 young willow branches, and stir continuously. Then add Ruiren and boil for more than ten boils. Next add Huanglian and stir constantly with willow branches. When reduced to 7-8 he, pour through a sieve onto paper slowly, avoiding dust. If fleshy growths (caruncles) are present, add 1 qian of Naosha (Sal Ammoniac) powder, heat slowly, and mix into the ointment.
*Longmu Lun* states: After contracting cold damage or febrile disease, do not use eye drops, as it may damage the eyes. This serves as a contraindication.
Baojian Chunxue Gao (Spring Snow Ointment from Treasure Mirror) treats wind-heat attacking upwards causing dim vision, itching, pain, difficulty opening eyes, excessive discharge/tearing, photophobia, pain, or formation of nebulas.
Ingredients: Huanglian (Coptidis Rhizoma) 4 liang (chopped, soaked overnight in 2 sheng of child's urine, remove Huanglian, use the liquid to quench Ganshi), Nanlvganshi (Calamina) 12 liang (quenched and soaked in urine juice), Hao Huangdan (Lithargyrum) 6 liang (water-classified), Naosha (Sal Ammoniac) 1 qian (finely ground, mixed with water in a cup and dried), Ruxiang (Boswelliae Resina), Wuyu Gu (Sepiae Endoconcha) calcined to retain nature, Danggui (Angelicae Sinensis Radix) (3 qian each), Shexiang (Moschus), Qingfen (Calomelas) (small amounts each), Baidingxiang (Excrementum Felis) 0.5 qian.
Grind each ingredient separately and store. First, refine 1 jin 4 liang of good honey to remove wax, then add Ganshi powder and stir constantly. Add Huangdan, then other powders, stirring constantly until it becomes golden-purple and non-sticky. Roll into sticks. Use one grain per application, grind in fresh water, and drip frequently. Avoid alcohol, damp noodles, and buckwheat.
Bacui Fang Yao Zhi Pian Tou Teng Yan Ji (Medicine from Extraction Extract for Hemiplegic Headache and Eye Disease)
Ingredients: Cang'er Tou (Xanthii Fructus Caput), Bohe Ye (Menthae Haplocalycis Herba), Penxiao (Mirabilite), Shigao (Gypsum Fibrosum) (1 qian each, preferably with chaotic texture), Ruxiang (Boswelliae Resina), Hua Xixin (Asari Radix et Rhizoma), Guanxiong (Ligustici Chuanxiong Rhizoma) (0.5 qian each).
Grind into extremely fine powder. Sniff at morning, noon, and evening.
The Baojian Formula lacks Cang'er, Ruxiang, and Xixin but includes Jingjie and Jiegeng.
Changuang Gao (Toad Light Ointment) treats long-standing eye diseases obstructing vision and removing cloud-like membranes. Must be compounded on the day of the Full Moon in the twelfth lunar month.
Ingredients: Baisha Mi (White Sand Honey) 4 liang (boil with one old scallion root, cut short, remove white membrane, wait until scallion is cooked, filter through cotton, absorb wax with paper), Huangdan (Lithargyrum), Mituoseng (Lead Monoxide) (3 qian each, water-classified, raw), Lvganshi (Calamina) calcined 5 qian (water-classified).
Grind the above three ingredients extremely finely and pour into the previous honey mixture. Stir evenly with one branch each of jointless peach and willow wood.
Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Xingren (Armeniacae Semen Amarum) peeled and core removed (5 qian each), Huanglian (Coptidis Rhizoma) de-rhizome cleaned (2 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (0.5 liang), Qinpi (Fraxini Cortex), Hezipi (Terminaliae Pericarpium), Fangfeng (Saposhnikoviae Radix), Shigao (Gypsum Fibrosum), Xuanjingshi (Natron), Jingquanshi (Well Spring Stone), Wumingyi (Haematitum), Xuanshen (Scrophulariae Radix), Daizheshi (Hematitum), Shijueming (Arconis Concha).
Grind the above ten ingredients (3 qian each) into pieces. Decoct in 5 sheng of snow water or running water in a silver vessel until reduced to 2 sheng. Filter residue, then reduce further to 1 sheng. Pour into the previous honey-medication mixture. Simmer slowly in a silver vessel until golden-purple. Then add the following medicines, ensuring they are not overheated.
Ruxiang (Boswelliae Resina), Moyao (Myrrhae Resina), Hupo (Electrum), Zhusha (Cinnabaris), Ruiren (Pruni Semen) (3 qian each).
Grind the above five ingredients extremely finely separately, then grind with Ruiren until fine. Water-classify until extremely clear. Pour into the previous medicine and re-simmer. Test by dropping medicine into water; if it does not disperse, it is ready.
Do not overcook or undercook. Bury the finished product in soil for seven days, then take out and store in a silver or porcelain vessel according to protocol. Then add the following fine powders and stir evenly with peach/willow branches.
Nanpengsha (Borax), Zhenzhu (Margarita), Shanhu Zhi (Corallis Ramulus), Longnao (Borneolum Syntheticum) (1 qian each), Shexiang (Moschus) 0.5 qian.
Grind the above five ingredients extremely finely and incorporate into the medicine. Seal tightly. If any remains unused, rinse with clean water, simmer separately, and set aside. For eye washing or if the ointment is too thick, dilute with a small amount of water.