干涩昏花肝肾病，酒色劳瞻思虑伤，四物五子车前子，覆盆枸杞菟丝当，熟地川芎芍地肤，五胆膏宜外点良。
【注】干涩昏花者，谓目觉干涩不爽，视物昏花也。此乃肝肾俱伤之候。或因嗜酒恣欲，或劳瞻竭视，或思虑
太过，皆成此证。宜用四物五子丸，滋阴养水，略带抑火，以培其本也。
四物五子丸方
车前子（酒蒸） 覆盆子 枸杞子 菟丝子（酒煮烂） 当归（酒洗） 熟地黄 川芎 白芍药
地肤子（各等分）
上为细末，炼蜜为丸，桐子大，每服二钱，不拘时盐汤送下。
五胆膏（方见卷末）
白眼痛病不红肿，红丝赤脉沙涩疼，肺脾湿热兼伏火，须辨赤脉三阳经。桑皮汤泽
元芩桔，菊草旋苓桑麦冬。
【注】白眼痛者，俗呼为害白眼。其证不红、不肿，沙涩疼痛，多生红丝赤脉。乃脾
肺络伤湿热，兼气分伏火上冲所致。须看赤脉红丝，以辨三阳∶从上而下者太阳也，羌
活为使；从下而上者阳明也，升麻为使；从外至内者少阳也，柴胡为使。宜桑白皮汤主之。
桑白皮汤方
泽泻（八分） 元参（八分） 黄芩（一钱） 桔梗（七分） 菊花（五分） 甘草（二分半） 旋复花
（一钱） 茯苓（七分） 桑白皮（七分） 麦门冬（去心，一钱）
上为粗末，以水二盏，煎至一盏，去渣温服。
干涩昏花歌：眼睛干涩、视物模糊，病根在于肝和肾。这是由于饮酒过度、纵欲无度、劳累用眼以及思虑过多所导致的损伤。治疗应选用四物五子丸（由四物汤与五种种子类药材组成），方中包含车前子、覆盆子、枸杞子和菟丝子；具体药物包括熟地黄、川芎、白芍药和地肤子。此外，配合使用五胆膏进行外用点眼，效果良好。
【注】所谓“干涩昏花”，是指患者感觉眼部干燥涩滞不爽，视力模糊不清。这是肝肾两脏均受损伤的征候。原因可能是嗜酒且放纵性欲，或者是过度劳累用眼导致视力竭尽，亦或是思虑过度，这些都会形成此证。适宜使用四物五子丸，以滋阴养血、补益肾水，并略微抑制虚火，从而培补根本。
四物五子丸方剂组成：
车前子（用酒蒸制）、覆盆子、枸杞子、菟丝子（用酒煮烂）、当归（用酒洗）、熟地黄、川芎、白芍药、地肤子（以上各等分）。
将上述药材研成细末，用炼蜜制成梧桐子大小的丸剂，每次服用二钱，不限时间，用盐开水送服。
五胆膏（方剂见本书卷末）
白眼痛歌：白眼疼痛但无明显红肿，伴有红血丝、赤色脉络，感觉沙涩疼痛。病因多为肺脾湿热兼有伏火，必须辨别赤脉所在的三阳经脉。用药可选用桑白皮汤，包含泽泻、玄参、黄芩、桔梗，以及菊花、甘草、旋复花、茯苓、桑白皮和麦门冬。
【注】白眼痛，俗称“害白眼”。其症状表现为不红、不肿，但有沙涩感和疼痛，常生有红丝赤脉。这是由于脾肺络脉受损，湿热内蕴，兼之气分中有伏火上冲所致。必须观察赤脉红丝的走向，以辨别所属的三阳经：从上往下的属于太阳经，以羌活为引经药；从下往上的属于阳明经，以升麻为引经药；从外向内的属于少阳经，以柴胡为引经药。适宜使用桑白皮汤为主进行治疗。
桑白皮汤方剂组成：
泽泻（八分）、玄参（八分）、黄芩（一钱）、桔梗（七分）、菊花（五分）、甘草（二分半）、旋复花（一钱）、茯苓（七分）、桑白皮（七分）、麦门冬（去心，一钱）。
将上述药材捣成粗末，用水两盏，煎煮至一盏，滤去药渣，温服。
Song on Dryness, Astringency, Blurred Vision: Dryness and astringency of the eyes with blurred vision stem from disorders of the Liver and Kidney. This is caused by excessive indulgence in alcohol and sexual activity, overexertion of the eyes, and excessive mental worry. The treatment should employ Siwu Wuzi Wan (Four Substances and Five Seeds Pill), which contains Qianqianzi (Plantaginis Semen), Fupenzi (Rubae Fructus), Gouqizi (Lycii Fructus), and Tusizi (Cuscutae Semen). The specific herbs include Shudihuang (Rehmanniae Radix Preparata), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), and Difuzi (Kochiae Spica). Additionally, applying Wudan Gao (Five Gall Ointment) externally to the eyes yields good results.
[Note] "Dryness and astringency with blurred vision" refers to the sensation of dryness and astringency in the eyes, accompanied by blurred vision. This is a sign of damage to both the Liver and Kidney. Causes may include嗜酒 (indulgence in alcohol) and恣欲 (unrestrained sexual desire), or exhausting vision through overuse, or excessive mental speculation, all of which lead to this syndrome. It is appropriate to use Siwu Wuzi Wan to nourish Yin, tonify Water (Kidney essence), slightly suppress fire, and thereby cultivate the root.
Formula for Siwu Wuzi Wan:
Qianqianzi (steamed with wine), Fupenzi, Gouqizi, Tusizi (boiled in wine until soft), Danggui (washed with wine), Shudihuang, Chuanxiong, Baishao, Difuzi (all in equal proportions).
Grind the above into a fine powder, make pills using refined honey, sized like sophora seeds. Take two qian per dose, at any time, swallowed with salt water.
Wudan Gao (see formula at the end of the volume).
Song on White Eye Pain: Pain in the white part of the eye without obvious redness or swelling, accompanied by red filaments and crimson vessels, feeling gritty and painful. The etiology involves damp-heat in the Lung and Spleen combined with latent fire. One must distinguish the red vessels according to the three Yang meridians. Use Sangpi Tang (Morus Bark Decoction) containing Zexie (Alismatis Rhizoma), Xuanyuan (Scrophulariae Radix), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Juhua (Chrysanthemi Flos), Gancao (Glycyrrhizae Radix et Rhizoma), Xuanfuhua (Inulae Flos), Fuling (Poria), Sangbaipi (Mori Cortex), and Maimendong (Ophiopogonis Radix).
[Note] "White eye pain," commonly called "harmful white eye," presents with symptoms of no redness, no swelling, but with a gritty, painful sensation, often generating red filaments and crimson vessels. This is caused by damage to the collaterals of the Spleen and Lung, with damp-heat accumulation and latent fire in the Qi level rushing upward. One must observe the direction of the red filaments to distinguish the three Yang meridians: those descending from top to bottom belong to the Taiyang (Greater Yang) meridian, with Qianghuo (Notopterygii Rhizoma et Radix) as the guiding herb; those ascending from bottom to top belong to the Yangming (Yang Brightness) meridian, with Shengma (Cimicifugae Rhizoma) as the guiding herb; those moving from outside to inside belong to the Shaoyang (Lesser Yang) meridian, with Chaihu (Bupleuri Radix) as the guiding herb. It is appropriate to treat primarily with Sangbaipi Tang.
Formula for Sangbaipi Tang:
Zexie (8 fen), Xuanshen (Scrophulariae Radix, 8 fen), Huangqin (8 fen), Jiegeng (7 fen), Juhua (5 fen), Gancao (2.5 fen), Xuanfuhua (1 qian), Fuling (7 fen), Sangbaipi (7 fen), Maimendong (decored, 1 qian).
Grind the above into a coarse powder. Add two cups of water, decoct until one cup remains, remove the dregs, and take warm.