眯目尘丝入目中，泪涩难开睛痛疼，初宜外治久生翳，酒调散用草归茺，螵蛸赤芍
苍菊桔，翘麻羌活大黄同。
【注】眯目者，或飞尘飞丝风吹入目也。其证泪多隐涩难开，睛珠疼痛，初得时，宜
翻转眼睥，用绵裹钗脚拨出眯物；若日久生云翳者，宜用酒调散治之。
酒调散方
甘草 当归 茺蔚子 桑螵蛸 赤芍药 苍术 菊花 桔梗 连翘 麻黄 羌活 大黄（各一两）
上为细末，每服三钱，酒调下，不拘时服。
近视昏蒙远视明，阳光有余损阴精，须用地芝丸枳壳，菊花生地共天冬。
【注】能远怯近者，谓视物远则能见，近则昏蒙也。盖由其人阳气有余，阴精不足，故
光华散乱，不能收敛于近也。宜用地芝丸养阴，久服则目自愈。
地芝丸方
枳壳（去穣） 菊花（各三两） 生地黄（焙干） 天门冬（去心，各四两）
上为细末，炼蜜为丸，桐子大，每服百丸，食后茶清送下。
近视清明远视昏，阳光不足被阴侵，定志丸用菖蒲远，朱砂人参白茯神。
【注】能近怯远者，非生成近视，谓平昔无此证，忽视物近则明了，远则昏暗也，由
其人阴气偏盛，阳气不足，阳被阴侵，是以光华不能发越于远也。宜定志丸补心壮神，神
足则自能远视矣。
定志丸方
菖蒲（二两） 远志（去心，二两） 朱砂（研细另用，三钱） 人参（一两） 白茯神（一两）
上为细末，炼蜜为丸，桐子大，以朱砂为衣，每服五十丸，食后米饮汤送下。
异物如尘丝进入眼中，导致流泪、干涩难睁、眼球疼痛。初期适宜采用外治法，若日久则可能生成翳障，此时可用酒调散治疗，方中包含甘草、当归、茺蔚子、桑螵蛸、赤芍药、苍术、菊花、桔梗、连翘、麻黄、羌活、大黄。
【注】所谓“眯目”，是指飞尘或飞丝等被风吹入眼中所致。其症状表现为泪多、隐涩难开、眼珠疼痛。初发病时，适宜翻转眼睑，用棉布包裹钗脚拨出异物；若日久生出云翳，则适宜使用酒调散进行治疗。
酒调散方剂组成：
甘草、当归、茺蔚子、桑螵蛸、赤芍药、苍术、菊花、桔梗、连翘、麻黄、羌活、大黄（各一两）。
以上药材研为细末，每次服用三钱，用酒调服，不拘泥于固定时间。
能看清远处却视近处昏蒙，是由于阳气有余而损伤阴精，须使用地芝丸，方中包含枳壳、菊花、生地黄、天门冬。
【注】所谓“能远怯近”，是指看远处物体能见清，看近处物体则昏蒙不清。这是因为其人阳气有余，阴精不足，导致光华散乱，不能收敛于近处。适宜使用地芝丸滋养阴精，久服则眼睛自愈。
地芝丸方剂组成：
枳壳（去瓤）、菊花（各三两），生地黄（焙干）、天门冬（去心，各四两）。
以上药材研为细末，用炼蜜制成丸药，大小如梧桐子，每次服用一百丸，饭后用茶清送服。
近视清明而远视昏蒙，是由于阳气不足被阴气侵袭，适宜使用定志丸，方中包含石菖蒲、远志、朱砂、人参、白茯神。
【注】所谓“能近怯远”，并非先天生成的近视，而是指平素无此病证，突然看近处物体明了，看远处物体昏暗。这是由其人阴气偏盛，阳气不足，阳气被阴气所侵，导致光华不能发散于远处。适宜使用定志丸补益心气、壮固神志，神气充足则自然能看清远处。
定志丸方剂组成：
石菖蒲（二两）、远志（去心，二两）、朱砂（研细另用，三钱）、人参（一两）、白茯神（一两）。
以上药材研为细末，用炼蜜制成丸药，大小如梧桐子，以朱砂为衣，每次服用五十丸，饭后用米饮汤送服。
Foreign bodies such as dust or filaments enter the eye, causing tearing, dryness and difficulty in opening the eyes, and pain in the eyeball. Initially, external treatment is appropriate; if it persists for a long time, nebula (corneal opacity) may develop. In such cases, Jiutiao San (Wine-Adjusted Powder) can be used, which contains Gancao (Licorice Root), Danggui (Angelica Sinensis), Chongweizi (Eclipta Seed), Sangpiaoxiao (Mantis Egg-case), Chishao (Red Peony Root), Cangzhu (Atractylodes Rhizome), Juhua (Chrysanthemum Flower), Jiegeng (Platycodon Root), Lianqiao (Forsythia Fruit), Mahuang (Ephedra Stem), Qianghuo (Notopterygium Rhizome), and Dahuang (Rhubarb Root).
[Note] "Mi mu" (squinting due to foreign body) refers to wind-blown dust or filaments entering the eye. The symptoms include excessive tearing, a sensation of grittiness and difficulty in opening the eyes, and pain in the eyeball. At the onset, it is appropriate to evert the eyelid and use cotton-wrapped hairpin tips to remove the foreign body. If cloud-like nebula develops after a long period, Jiutiao San should be used for treatment.
Formula: Jiutiao San (Wine-Adjusted Powder)
Ingredients: Gancao (Radix Glycyrrhizae), Danggui (Radix Angelicae Sinensis), Chongweizi (Fructus Ecliptae), Sangpiaoxiao (Ovum Mantidis), Chishao (Radix Paeoniae Rubra), Cangzhu (Rhizoma Atractylodis), Juhua (Flos Chrysanthemi), Jiegeng (Radix Platycodi), Lianqiao (Fructus Forsythiae), Mahuang (Herba Ephedrae), Qianghuo (Rhizoma Notopterygii), Dahuang (Radix et Rhizoma Rhei) (each 1 liang).
Grind all ingredients into fine powder. Take 3 qian per dose, mixed with wine, at any time.
Clear vision at a distance but blurred vision up close indicates excess Yang qi damaging Yin jing (essence). Dizhi Wan (Dizhi Pill) should be used, containing Zhike (Aurantii Fructus), Juhua (Chrysanthemum Flower), Shengdihuang (Rehmanniae Radix), and Tiandong (Asparagi Radix).
[Note] "Neng yuan qie jin" (able to see far but fearful of seeing near) means one can see distant objects clearly but sees nearby objects as blurred. This is due to excess Yang qi and deficiency of Yin jing, causing the visual brilliance (Guanghua) to scatter and fail to converge on near objects. It is appropriate to use Dizhi Wan to nourish Yin jing; long-term administration will heal the eyes.
Formula: Dizhi Wan (Dizhi Pill)
Ingredients: Zhike (pericarp removed), Juhua (each 3 liang); Shengdihuang (baked dry), Tiandong (heart removed, each 4 liang).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Take 100 pills per dose, washed down with clear tea after meals.
Clear vision up close but blurred vision at a distance indicates insufficient Yang qi invaded by Yin qi. Dingzhi Wan (Dingzhi Pill) should be used, containing Shichangpu (Rhizoma Acori Tatarinowii), Yuanzhi (Radix Polygalae), Zhusha (Cinnabar), Renren (Ginseng Radix), and Baifushen (Poria with Hostwood).
[Note] "Neng jin qie yuan" (able to see near but fearful of seeing far) is not congenital myopia. It refers to a condition where, previously asymptomatic, the patient suddenly sees near objects clearly but distant objects dimly. This is caused by excess Yin qi and insufficiency of Yang qi, where Yang is invaded by Yin, preventing the visual brilliance from radiating outward to distant objects. It is appropriate to use Dingzhi Wan to tonify Heart qi and strengthen Shen (spirit); when Shen is sufficient, distant vision will naturally improve.
Formula: Dingzhi Wan (Dingzhi Pill)
Ingredients: Shichangpu (2 liang), Yuanzhi (heart removed, 2 liang), Zhusha (finely ground, set aside, 3 qian), Renren (Ginseng Radix, 1 liang), Baifushen (Poria with Hostwood, 1 liang).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of tung tree seeds. Coat with Zhusha. Take 50 pills per dose, washed down with rice water after meals.