惊振内障缘击振，脑脂恶血下伤睛，睛变渐昏成内障，左右相传俱损明。镇肝石决
茺山药，车柏辛防参茯苓，还睛散用人参桔，防细车前茺蔚芎。
【注】惊振内障，或因击振误着头脑，致脑中脑脂恶血流入睛内，日久变成内障，左
右相传，两目俱损。宜服镇肝丸、还睛散。
惊振镇肝丸方
石决明（一两） 茺蔚子（一两） 山药（一两） 车前子（一两） 柏子仁（一两） 细辛（五钱）
防风（一两五钱） 人参（一两） 茯苓（一两）
上为细末，炼蜜为丸，如桐子大，食后茶清送下三钱。
惊振还睛散方
人参（一钱） 桔梗（一钱） 防风（一钱半） 细辛（五分） 车前子（一钱） 茺蔚子（一钱） 芎（一钱）
上为粗末，以水二盏，煎至一盏，食前去渣温服。
瞳仁干缺瞳形缺，左右上下不成圆，色白脑脂流下患，色黑肝胆热虚愆。色白泻肝
芩地骨，麦知芍蔚黑参添；色黑镇肝山药味，参苓石决细车前。
【注】瞳仁干缺内障，初患之时，忽因疼痛难忍，细看瞳仁现出缺形，或左或右，或
上或下，缺而不圆，瞳仁之色，黑白不定。色白乃脑脂流下为患，宜服泻肝汤；色黑则胆
热肝虚，宜服镇肝丸。
瞳缺泻肝汤方
黄芩（一钱） 地骨皮（一钱） 麦门冬（一钱） 知母（一钱） 赤芍药（一钱半） 茺蔚子（一钱半）
黑参（一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
瞳缺镇肝丸方
干山药（二两） 五味子（五钱） 人参 茯苓 石决明（各一两半） 细辛（五钱） 车前子（一两）
上为细末，炼蜜为丸，如桐子大，空心米汤送下二钱。
惊振内障是由于眼部受到撞击或震动所致，脑中的脂液和恶血向下损伤眼睛，眼睛逐渐变得模糊形成内障，左右眼互相影响，视力均受损。治疗可用镇肝丸（平抑肝阳、明目退翳的方剂）和还睛散（恢复视力的方剂）。镇肝丸由石决明、茺蔚子、山药、车前子、柏子仁、细辛、防风、人参、茯苓组成；还睛散由人参、桔梗、防风、细辛、车前子、茺蔚子、川芎组成。
【注】惊振内障，可能是因为头部受到撞击震动，导致脑中的脑脂和恶血流入眼内，日久变成内障，左右眼互相影响，双眼视力都受损。适宜服用镇肝丸、还睛散。
惊振镇肝丸方
石决明（一两） 茺蔚子（一两） 山药（一两） 车前子（一两） 柏子仁（一两） 细辛（五钱）
防风（一两五钱） 人参（一两） 茯苓（一两）
以上药材研成细末，用炼蜜制成丸药，大小如梧桐子，饭后用茶送服三钱。
惊振还睛散方
人参（一钱） 桔梗（一钱） 防风（一钱半） 细辛（五分） 车前子（一钱） 茺蔚子（一钱） 川芎（一钱）
以上药材研成粗末，用水两盏，煎至一盏，饭前去渣温服。
瞳仁干缺是指瞳孔形状缺损，左右上下不成圆形，颜色发白是脑脂流下为患，颜色发黑是肝胆热虚所致。颜色发白时宜用泻肝汤加地骨皮、麦冬、知母、赤芍、茺蔚子、黑参；颜色发黑时宜用镇肝丸加山药、五味子、人参、茯苓、石决明、细辛、车前子。
【注】瞳仁干缺内障，初发病时，忽然因疼痛难忍，仔细看瞳孔出现缺损形状，或左或右，或上或下，缺损而不圆，瞳孔的颜色黑白不定。颜色发白是脑脂流下为患，适宜服用泻肝汤；颜色发黑则是胆热肝虚，适宜服用镇肝丸。
瞳缺泻肝汤方
黄芩（一钱） 地骨皮（一钱） 麦门冬（一钱） 知母（一钱） 赤芍药（一钱半） 茺蔚子（一钱半）
黑参（一钱）
以上药材研成粗末，用水两盏，煎至一盏，饭后去渣温服。
瞳缺镇肝丸方
干山药（二两） 五味子（五钱） 人参 茯苓 石决明（各一两半） 细辛（五钱） 车前子（一两）
以上药材研成细末，用炼蜜制成丸药，大小如梧桐子，空腹时用米汤送服二钱。
Jingzhen Neizhang (Cataract due to Trauma) arises from being struck or shaken. Brain fluid and evil blood descend to damage the eye. The vision gradually becomes blurred, forming a cataract. Both eyes are affected, impairing sight. Treatment involves Zhen Gan Wan (Liver-Calming Pill) and Huan Jing San (Vision-Restoring Powder). Zhen Gan Wan contains Shijueming (Concha Haemitrochae), Chongweizi (Semen Leonuri), Shanyao (Rhizoma Dioscoreae), Cheqianzi (Semen Plantaginis), Baiziren (Semen Platycladi), Xixin (Radix Asari), Fangfeng (Radix Saposhnikoviae), Renshen (Radix Ginseng), Fuling (Poria). Huan Jing San contains Renshen (Radix Ginseng), Jiegeng (Radix Platycodi), Fangfeng (Radix Saposhnikoviae), Xixin (Radix Asari), Cheqianzi (Semen Plantaginis), Chongweizi (Semen Leonuri), Xiong (Rhizoma Chuanxiong).
[Note] Jingzhen Neizhang (Cataract due to Trauma) may result from a blow or shake to the head, causing brain fluid and evil blood to flow into the eye. Over time, this transforms into a cataract, affecting both eyes mutually and impairing vision. It is appropriate to take Zhen Gan Wan (Liver-Calming Pill) and Huan Jing San (Vision-Restoring Powder).
Formula for Jingzhen Zhen Gan Wan (Liver-Calming Pill for Traumatic Cataract)
Shijueming (Concha Haemitrochae) (1 liang), Chongweizi (Semen Leonuri) (1 liang), Shanyao (Rhizoma Dioscoreae) (1 liang), Cheqianzi (Semen Plantaginis) (1 liang), Baiziren (Semen Platycladi) (1 liang), Xixin (Radix Asari) (5 qian), Fangfeng (Radix Saposhnikoviae) (1.5 liang), Renshen (Radix Ginseng) (1 liang), Fuling (Poria) (1 liang).
Grind all ingredients into a fine powder. Mix with refined honey to make pills the size of tung tree seeds. Take 3 qian after meals, washed down with tea.
Formula for Jingzhen Huan Jing San (Vision-Restoring Powder for Traumatic Cataract)
Renshen (Radix Ginseng) (1 qian), Jiegeng (Radix Platycodi) (1 qian), Fangfeng (Radix Saposhnikoviae) (1.5 qian), Xixin (Radix Asari) (5 fen), Cheqianzi (Semen Plantaginis) (1 qian), Chongweizi (Semen Leonuri) (1 qian), Xiong (Rhizoma Chuanxiong) (1 qian).
Grind all ingredients into a coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm before meals.
Tongren Ganque refers to an irregular shape of the pupil, not round on any side. A white color indicates pathology from descending brain fluid; a black color indicates deficiency-heat in the Liver and Gallbladder. For white color, use Xiegan Tang (Liver-Draining Decoction) modified with Digupi (Cortex Lycii), Maidong (Rhizoma Ophiopogonis), Zhimu (Rhizoma Anemarrhenae), Chi Shaoyao (Radix Paeoniae Rubra), Chongweizi (Semen Leonuri), Heishen (Polygonatum Rhizoma processed with soy sauce). For black color, use Zhen Gan Wan (Liver-Calming Pill) modified with Shanyao (Rhizoma Dioscoreae), Wuweizi (Fructus Schisandrae), Renshen (Radix Ginseng), Fuling (Poria), Shijueming (Concha Haemitrochae), Xixin (Radix Asari), Cheqianzi (Semen Plantaginis).
[Note] Tongren Ganque Neizhang (Cataract with Irregular Pupil) initially presents with unbearable pain. Upon close inspection, the pupil appears irregular, either left, right, upper, or lower, lacking circularity. The pupil's color varies between white and black. A white color signifies pathology from descending brain fluid; it is appropriate to take Xiegan Tang (Liver-Draining Decoction). A black color signifies Gallbladder heat and Liver deficiency; it is appropriate to take Zhen Gan Wan (Liver-Calming Pill).
Formula for Tongque Xiegan Tang (Liver-Draining Decoction for Irregular Pupil)
Huangqin (Scutellariae Radix) (1 qian), Digupi (Cortex Lycii) (1 qian), Maimendong (Ophiopogonis Tuber) (1 qian), Zhimu (Anemarrhenae Rhizoma) (1 qian), Chi Shaoyao (Paeoniae Radix Rubra) (1.5 qian), Chongweizi (Leonuri Semen) (1.5 qian), Heishen (Polygonati Rhizoma Praeparatum) (1 qian).
Grind all ingredients into a coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Formula for Tongque Zhen Gan Wan (Liver-Calming Pill for Irregular Pupil)
Gan Shanyao (Dioscoreae Rhizoma) (2 liang), Wuweizi (Schisandrae Fructus) (5 qian), Renshen (Ginseng Radix), Fuling (Poria), Shijueming (Haemitrochae Concha) (each 1.5 liang), Xixin (Asari Radix) (5 qian), Cheqianzi (Plantaginis Semen) (1 liang).
Grind all ingredients into a fine powder. Mix with refined honey to make pills the size of tung tree seeds. Take 2 qian on an empty stomach, washed down with rice soup.