好石菖蒲（君） 南谷精草（臣） 枸杞子（臣） 菊花（佐） 有
火加小青为使，如无以玄参代之。
水煎，食后服，日二次。观目中云翳浓薄，药剂
大小，量度用之。忌铁，恐伤肝也。药俱宜酒洗，取
上行入目也。内服五、七剂。外用熏洗之剂，开其毛
窍。
石菖蒲 地锦草 菊花 各等分，煎汤。先以热
气熏之，后温而洗之，内外攻之五、七日。通窍之后，
宜补养其精血。夫精血必借胃气生，胃乃五脏六腑之
原，开发神机之本。必先调胃气，宜服杞实粥（方
见《秘诀》）；次补其肝、肾，肾乃瞳神之本，肝乃精光
之原。宜用∶
猪肝脯
猪肝一具，不用水洗，竹刀切片。
南谷精草（二两酒洗） 枸杞子（七钱酒洗）
甘菊花（一两酒洗）
如有红丝加黑参，酌红丝多少加之。如红丝、云
翳不退，用真川椒四十九粒，徐徐添之，众药合一处，
用黑瓷罐一个，一层药一层肝，肝上撒秋石末，如此
三、四层，入黄酒两、三盅，封固，不透气，重汤蒸
熟候冷，去药存肝，日吃三、四次，并汤饮之。秋石
研极细，一钱或二钱，先调入肝内亦可。老年或中年
气血两虚者，加八物汤同煮。
气血两虚，昏朦不识道路，又感弱症，元气不复，
加十全大补汤同煮。
数年不通路，尚见灯火日月者，六味地黄料加枸
杞子、全当归、牛膝、菊花同煎。吃三、五具后不见
光明，是气不能行血，或血虚脾虚，又加十全大补汤
同煎。气障者，加石菖蒲、香附米（醋炒一两），同煮。
老年不加。
血贯者，加石菖蒲、归尾、赤芍、红花、苏木各
三钱，同煮。老年不加。
有云翳，加蝉蜕、木贼、乌鱼骨各五钱，同煮。
目中有翳，其目必痒，或闷，不用手揉擦。宜用∶
选取优质的石菖蒲作为君药，南谷精草和枸杞子作为臣药，菊花作为佐药。如果体内有火邪，加入小青（青皮）作为使药；如果没有小青，则用玄参代替。用水煎煮，饭后服用，每日两次。根据眼中云翳的浓淡程度，调整药剂的大小剂量使用。忌用铁器，因为恐伤肝脏。所有药材都适宜用酒洗过，以取其药性上行入目的作用。内服五到七剂。外用熏洗的药剂，以开通眼部的毛孔窍道。
取石菖蒲、地锦草、菊花各等分，煎煮成汤剂。先用热气熏蒸眼部，待温度适宜后再温洗，内外同治五到七天。在通开窍道之后，应当补养精血。精血的生成必须借助胃气，胃是五脏六腑的根本，也是开发神机的基础。必须先调理胃气，适宜服用杞实粥（方剂见《秘诀》）；其次补益肝、肾，肾是瞳神的根本，肝是精光的源头。适宜使用以下方剂：
猪肝脯：
取猪肝一副，不用水洗，用竹刀切片。
南谷精草（二两，酒洗） 枸杞子（七钱，酒洗）
甘菊花（一两，酒洗）
如果有红丝症状，加入黑参，根据红丝的多少酌情添加。如果红丝和云翳不退去，使用真川椒四十九粒，慢慢加入，将所有药物合在一起，用一个黑瓷罐，一层药一层肝，在肝上撒上秋石末，如此重复三到四层，加入黄酒两到三盅，密封固定，确保不透气，隔水炖熟，冷却后，去掉药渣只留猪肝，每天吃三到四次，并饮用汤汁。秋石需研成极细粉末，一钱或二钱，也可以先调入肝内一起煮。老年人或中年气血两虚者，加入八物汤同煮。
如果是气血两虚，视力昏暗模糊甚至不认识道路，又感染虚弱病症，元气无法恢复，加入十全大补汤同煮。
如果数年不通路，但还能看见灯火日月者，用六味地黄料加上枸杞子、全当归、牛膝、菊花共同煎煮。吃完三到五个猪肝后仍不见光明，这是气不能推动血液运行，或者是血虚脾虚，再加十全大补汤同煎。如果是气障，加入石菖蒲、香附米（醋炒一两），共同煮制。老年人不加。
如果是血贯（眼底出血或血管充盈），加入石菖蒲、归尾、赤芍、红花、苏木各三钱，共同煮制。老年人不加。
如果有云翳，加入蝉蜕、木贼、乌鱼骨各五钱，共同煮制。
眼睛中有翳膜，眼部必然发痒，或者感到闷胀，不要用手揉擦。适宜使用：
Select high-quality *Shichangpu* (Acori Tatarinowii Rhizoma) as the sovereign drug, *Nangujingcao* (Sparganii Herba) and *Gouqizi* (Lycii Fructus) as the minister drugs, and *Juhua* (Chrysanthemi Flos) as the assistant drug. If there is fire pathogen, add *Xiaoqing* (Citri Reticulatae Pericarpium Viride, Green Tangerine Peel) as the guide drug; if unavailable, substitute with *Xuanshen* (Scrophulariae Radix). Decoct in water and take after meals, twice daily. Adjust the dosage according to the density of the nebula (cloudy opacity) in the eyes. Avoid iron vessels, as they are feared to damage the Liver. All herbs should be washed with wine to facilitate their ascending action into the eyes. Take internally for five to seven doses. For external use, employ fumigation and washing agents to open the hair pores and orifices.
Take equal parts of *Shichangpu*, *Dijincao* (Euphorbiae Humifusae Herba), and *Juhua*. Decoct to make a soup. First, fumigate the eyes with the hot steam, then wash with the warm liquid. Treat both internally and externally for five to seven days. After the orifices are unblocked, it is appropriate to nourish the essence and blood. The generation of essence and blood relies on Stomach Qi; the Stomach is the source of the five zang organs and six fu organs, and the root of developing the divine mechanism. One must first regulate Stomach Qi, preferably by consuming *Qishi Zhou* (Goji Berry Porridge; see *Mijue*); subsequently, tonify the Liver and Kidney. The Kidney is the root of the pupil, and the Liver is the origin of visual clarity. It is suitable to use the following preparation:
Pork Liver Preserves:
Take one whole pork liver, do not wash with water, and slice it using a bamboo knife.
*Nangujingcao* (2 liang, washed with wine), *Gouqizi* (7 qian, washed with wine),
*Gan Juhua* (1 liang, washed with wine).
If red filaments (blood vessels) are present, add *Heishen* (Polygonati Odorati Rhizoma, though often referring to specific processed forms or potentially *Shenqu* contextually, here likely *Heshouwu* or similar dark-toned herb, strictly translated as Black Ginseng/Herb based on text "Heishen", but standard WHO term for Polygonatum odoratum is *Rhizoma Polygonati Odorati*; however "Heishen" in ophthalmology contexts often refers to *He Shou Wu* or similar. Given the ambiguity and strict extraction, I will use the literal translation or standard equivalent if clear. "Heishen" usually implies *Polygonati Odorati Rhizoma* in some local texts or *Rehmanniae Radix Praeparata*? Actually, in this specific historical text, "Heishen" often refers to *Polygonati Odorati Rhizoma* or sometimes *Shu Di Huang*. Let's stick to the text's implication or generic "Black Herb". However, looking at standard TCM, "Heishen" is not a standard single herb name. It might be a typo for "Heishouwu" or refer to *Shenqu*. Let's assume it refers to a dark-colored tonic herb. For accuracy, I will translate as "Heishen (Black Herb)" or check if it's *Polygonati*. In many old texts, Heishen = *Polygonati Odorati Rhizoma*. I will use *Rhizoma Polygonati Odorati*.) according to the degree of red filaments. If red filaments and nebula do not recede, add 49 grains of genuine *Chuanjiao* (Zanthoxyli Pericarpium), adding them gradually. Combine all medicines in one black porcelain jar, layering medicine and liver, sprinkling *Qiushi* powder (Processed Urine Salt) on the liver. Repeat this three to four times. Add two to three cups of yellow wine, seal tightly to prevent air leakage, and steam over water until cooked. After cooling, remove the herbs and retain only the liver. Eat three to four times a day, and drink the broth. *Qiushi* should be ground into an extremely fine powder (one or two qian); it can also be mixed into the liver before cooking. For elderly or middle-aged individuals with deficiency of both qi and blood, add *Bawu Tang* (Eight-Substance Decoction) to cook together.
For deficiency of both qi and blood, dim vision, inability to recognize roads, accompanied by weak conditions and unrecovered yuan qi, add *Shiquan Dabu Tang* (Ten-Ingredient Great Tonifying Decoction) to cook together.
For those who have been blind for years but can still see lamps, sun, and moon, decoct *Liujun Dihuang Wan* material with *Gouqizi*, *Quandanggui* (Whole Angelica Sinensis Root), *Niuxi* (Achyranthis Bidentatae Radix), and *Juhua*. After consuming three to five livers, if light is still not perceived, it indicates that qi cannot move blood, or there is blood deficiency and spleen deficiency; add *Shiquan Dabu Tang* to decoct together. For cases of qi obstruction, add *Shichangpu* and *Xiangfumi* (Cyperi Rhizoma, stir-fried with vinegar, 1 liang), and cook together. Do not add for the elderly.
For cases of blood penetration (hemorrhage/congestion), add *Shichangpu*, *Guiwei* (Angelica Sinensis Root Tail), *Chishao* (Paeoniae Radix Rubra), *Honghua* (Carthami Flos), and *Sumu* (Calami Lignum), each 3 qian, and cook together. Do not add for the elderly.
For cases with nebula, add *Chantui* (Cicadae Periostracum), *Muzei* (Equiseti Herba), and *Wuyu Gu* (Sepia Ecria), each 5 qian, and cook together.
When there is nebula in the eye, the eye must be itchy or feel stuffy; do not rub or wipe with hands. It is suitable to use: