瞳神散大风轮窄，邪热蒸之风气攻，或因思怒痰寒疟，地黄丸内芍归芎，防己丹柴
知二地，丹参独柏味寒茺。
【注】瞳神散大者，谓瞳神散大，风轮反为窄窄一周，甚则一周如线。乃邪热内蒸，风
气上攻所致，亦有因忧思气怒，痰火伤寒，疟疾经产败血等证而成。宜用地黄丸。
地黄丸方（一名∶羌活退翳丸）
白芍药（酒炒，一两三钱） 当归身（酒炒，五钱） 川芎（酒洗，三钱） 防己（酒制，二钱） 牡丹皮
（酒洗，三钱） 柴胡（三钱） 知母（盐水炒，三钱） 熟地黄（焙，八钱） 生地黄（八钱） 丹参（五钱）
独活（三钱） 黄柏（酒制，五钱） 五味子（三钱） 寒水石（三钱） 茺蔚子（五钱）
上为细末，炼蜜为丸，桐子大，每服三钱，空心白滚汤送下。
瞳神缩小如针簪，劳伤精血损肾肝，视不甚昏微隐涩，清肾抑阳黄柏连，草决苓归生地芍，独活知母枸杞寒。
【注】瞳神缩小者，谓瞳神渐渐缩小如簪脚，甚则如针。乃淫欲劳伤精血，亏损肾肝
二经所致。其证视物不甚昏，惟觉羞明隐涩。宜用清肾抑阳丸，壮水以制阳也。
清肾抑阳丸方
黄柏（盐水制，二两） 黄连（酒炒，二两） 草决明（炒，一两） 白茯苓（二两） 当归（酒洗，
炒，一两） 生地黄（二两） 白芍药（酒炒，一两） 独活（八钱） 知母（盐水制，二两） 枸杞子（二两）
寒水石（另研，二两）
上为细末，炼蜜为丸，如桐子大，每服三钱，空心白滚汤送下。
瞳神散大歌：瞳神散大时，黑睛（风轮）显得狭窄，这是由邪热熏蒸和风气上攻引起的。也可能因为思虑、愤怒、痰饮、寒邪或疟疾所致。治疗宜用含有白芍药、当归身、川芎、防己、牡丹皮、柴胡、知母、熟地黄、生地黄、丹参、独活、黄柏、五味子、寒水石、茺蔚子的方剂（即地黄丸/羌活退翳丸）。
【注】所谓瞳神散大，是指瞳孔散大，黑睛（风轮）反而显得只有一圈狭窄，严重时甚至细如一线。这是由于邪热在内熏蒸，风气向上攻冲所致；也有因忧思气怒、痰火、伤寒、疟疾以及产后败血等证候而形成的。适宜使用地黄丸。
地黄丸方（又名：羌活退翳丸）
白芍药（酒炒，一两三钱）、当归身（酒炒，五钱）、川芎（酒洗，三钱）、防己（酒制，二钱）、牡丹皮（酒洗，三钱）、柴胡（三钱）、知母（盐水炒，三钱）、熟地黄（焙干，八钱）、生地黄（八钱）、丹参（五钱）、独活（三钱）、黄柏（酒制，五钱）、五味子（三钱）、寒水石（三钱）、茺蔚子（五钱）。
以上药物研成细末，用炼蜜制成梧桐子大小的丸药，每次服用三钱，空腹时用白开水送服。
瞳神缩小歌：瞳神缩小如针尖，多因劳倦损伤精血，导致肾肝亏损。视力虽不十分昏花，但感觉羞明且隐涩不适。治疗宜用清肾抑阳丸，主要成分包括黄柏、黄连、草决明、茯苓、当归、生地黄、白芍药、独活、知母、枸杞子和寒水石，以壮水制阳。
【注】所谓瞳神缩小，是指瞳孔逐渐缩小如簪脚，严重时如同针尖。这是由于房劳过度损伤精血，导致肾经和肝经亏损所致。其症状表现为视物并不十分昏花，只觉得怕光且眼部隐涩不适。适宜使用清肾抑阳丸，通过滋补肾阴（壮水）来制约亢盛的阳气。
清肾抑阳丸方
黄柏（盐水制，二两）、黄连（酒炒，二两）、草决明（炒，一两）、白茯苓（二两）、当归（酒洗，炒，一两）、生地黄（二两）、白芍药（酒炒，一两）、独活（八钱）、知母（盐水制，二两）、枸杞子（二两）、寒水石（另研，二两）。
以上药物研成细末，用炼蜜制成梧桐子大小的丸药，每次服用三钱，空腹时用白开水送服。
Song on Dilated Pupil (Tongshen Sanda): When the pupil is dilated, the cornea (Fenglun) appears narrow. This is caused by pathogenic heat steaming internally and wind qi attacking upwards. It may also result from excessive thinking, anger, phlegm, cold pathogens, or malaria. The treatment should employ a formula containing Baishao Yao (Radix Paeoniae Alba), Danggui Shen (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Fangji (Radix Stephaniae Tetrandrae), Mudan Pi (Cortex Moutan), Chaihu (Radix Bupleuri), Zhi Mu (Rhizoma Anemarrhenae), Shudihuang (Radix Rehmanniae Preparata), Shengdihuang (Radix Rehmanniae Recens), Danshen (Radix Salviae Miltiorrhizae), Duhuo (Radix Angelicae Pubescentis), Huangbai (Cortex Phellodendri), Wuweizi (Fructus Schisandrae), Hanshuishi (Halloysitum Rubrum), and Chongweizi (Fructus Viticis).
[Note] "Dilated pupil" refers to the dilation of the pupil, where the cornea (Fenglun) appears as only a narrow ring, and in severe cases, even as thin as a thread. This condition is caused by internal steaming of pathogenic heat and upward attack of wind qi. It can also arise from conditions such as worry, excessive thinking, anger, phlegm-fire, cold damage, malaria, or residual blood after childbirth. The appropriate treatment is Dihuang Wan (Rehmannia Pill).
Formula for Dihuang Wan (also known as: Qianghuo Tuiyi Wan / Notopterygium Decoction for Removing Nebula)
Baishao Yao (Stir-fried with wine, 1 liang 3 qian), Danggui Shen (Stir-fried with wine, 5 qian), Chuanxiong (Rinsed with wine, 3 qian), Fangji (Processed with wine, 2 qian), Mudan Pi (Rinsed with wine, 3 qian), Chaihu (3 qian), Zhi Mu (Stir-fried with salt water, 3 qian), Shudihuang (Baked, 8 qian), Shengdihuang (8 qian), Danshen (5 qian), Duhuo (3 qian), Huangbai (Processed with wine, 5 qian), Wuweizi (3 qian), Hanshuishi (3 qian), Chongweizi (5 qian).
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 3 qian per dose, administered orally with plain boiled water on an empty stomach.
Song on Constricted Pupil (Tongshen Suoxiao): The pupil constricts like a needle point, resulting from laborious injury to essence and blood, damaging the Kidney and Liver. Vision is not significantly blurred, but there is a sensation of photophobia and slight dryness/irritation. The treatment should employ Qing Shen Yi Yang Wan (Clear Kidney and Suppress Yang Pill), utilizing Huangbai (Cortex Phellodendri), Lianlian (Rhizoma Coptidis), Caojueming (Semen Cassiae), Fuling (Poria), Danggui (Radix Angelicae Sinensis), Shengdihuang (Radix Rehmanniae Recens), Baishao Yao (Radix Paeoniae Alba), Duhuo (Radix Angelicae Pubescentis), Zhi Mu (Rhizoma Anemarrhenae), Gouqizi (Fructus Lycii), and Hanshuishi (Halloysitum Rubrum), to nourish Yin (strengthen water) to control Yang.
[Note] "Constricted pupil" refers to the gradual constriction of the pupil resembling the foot of a hairpin, and in severe cases, like a needle. This is caused by sexual excess and labor injuring essence and blood, leading to deficiency in the Kidney and Liver meridians. The symptoms present as vision that is not very blurred, but accompanied by photophobia and a sense of ocular dryness and irritation. The appropriate treatment is Qing Shen Yi Yang Wan, which works by nourishing Yin (Zhuang Shui) to restrain hyperactive Yang.
Formula for Qing Shen Yi Yang Wan (Clear Kidney and Suppress Yang Pill)
Huangbai (Processed with salt water, 2 liang), Lianlian (Stir-fried with wine, 2 liang), Caojueming (Stir-fried, 1 liang), Fuling (2 liang), Danggui (Rinsed with wine, stir-fried, 1 liang), Shengdihuang (2 liang), Baishao Yao (Stir-fried with wine, 1 liang), Duhuo (8 qian), Zhi Mu (Processed with salt water, 2 liang), Gouqizi (2 liang), Hanshuishi (Separately ground, 2 liang).
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 3 qian per dose, administered orally with plain boiled water on an empty stomach.