此眼初患之时。头旋。额角偏痛。眼睑骨疼痛。眼内赤涩。有花或黑或白或红，皆因肝脏积热。肺受风劳。或心烦、
或呕血。大肠秘涩。夜见灯花如蜂飞。初患之时。宜令针治诸穴脉。忌督脉出血过多。恐加昏暗。宜服还睛丸。
诗曰∶
冰翳犹如水炼坚 阴中阳里一般般 傍观瞳子透表白 针下分明岂诳言
来往用针三五拨 志心服药必能痊 若遇庸医强拨下 瞳人清净不能观
还睛丸
防风 茺蔚子 车前子 知母（各二两） 人参（以下各一两） 桔梗 黄芩 干地黄 细辛 五味子（二两半
）黑参（半两）
上捣罗为末。炼蜜为丸桐子大。空心茶下十丸。
此眼初患之时。不痒不痛。先从一眼先患。后乃相牵俱损。端然。渐渐失明。皆因脑脂流下。肝气冲上。瞳人内有
翳如水银珠子。不辨人物。宜令金针拨之。将息后。服补肝汤及石决明丸即瘥。
诗曰∶
滑翳看时心且专 微含黄色白翻翻 才开还大速还小 有似水银珠子旋
针拨虽然随手落 拟抽针出却归源 缩针穿破青涎散 五月金乌照远天
补肝汤
人参 茯苓 黑参 黄芩（各一两） 防风 知母 桔梗 茺蔚子（各二两）
上捣罗为末。以水一盏。散一钱。煎至五分。食后去渣温服。
石决明丸
石决明 车前子 防风 知母（各一两） 茺蔚子 五味子 细辛 人参 茯苓 黄芩 大黄（各一两）
上捣罗为末。炼蜜为丸如桐子大。食前茶汤送下一十丸。
当这种眼病初发时，患者会出现头晕、额角偏侧疼痛、眼睑及眼眶骨骼疼痛、眼睛内部发红且干涩等症状。眼中可能出现白色、黑色或红色的翳障，这都是因为肝脏积热，肺部受风邪侵袭所致。或者伴有心烦意乱、呕血、大肠便秘干燥，夜间看灯火如同蜜蜂飞舞一般。在疾病初起阶段，适宜采用针刺治疗相关穴位和经脉，但要避免督脉出血过多，恐怕会加重视力昏暗的情况。适宜服用还睛丸。
诗曰：
冰翳犹如水炼坚，阴中阳里一般般。
傍观瞳子透表白，针下分明岂诳言。
来往用针三五拨，志心服药必能痊。
若遇庸医强拨下，瞳人清净不能观。
还睛丸
防风、茺蔚子、车前子、知母（各二两），人参（以下各一两），桔梗、黄芩、干地黄、细辛、五味子（二两半）、黑参（半两）。
以上药材捣碎过筛成粉末，用炼蜜制成如梧桐子大小的药丸，空腹时用茶送服十丸。
当这种眼病初发时，不痒也不痛，先从一只眼睛开始患病，随后牵连另一只眼睛共同受损。起初看似正常，逐渐地失明。这都是因为脑脂流下，肝气上冲所致。瞳孔内有翳障，像水银珠子一样，无法辨认人物。适宜用金针进行拨治。治疗后注意调养，服用补肝汤及石决明丸即可痊愈。
诗曰：
滑翳看时心且专，微含黄色白翻翻。
才开还大速还小，有似水银珠子旋。
针拨虽然随手落，拟抽针出却归源。
缩针穿破青涎散，五月金乌照远天。
补肝汤
人参、茯苓、黑参、黄芩（各一两），防风、知母、桔梗、茺蔚子（各二两）。
以上药材捣碎过筛成粉末，取一升水，放入药散一钱，煎煮至五分量，饭后去渣温服。
石决明丸
石决明、车前子、防风、知母（各一两），茺蔚子、五味子、细辛、人参、茯苓、黄芩、大黄（各一两）。
以上药材捣碎过筛成粉末，用炼蜜制成如梧桐子大小的药丸，饭前用茶汤送服十丸。
When this eye disease first occurs, the patient experiences dizziness (Tou Xuan), pain in the lateral forehead, pain in the eyelids and orbital bones, redness and dryness inside the eyes. There may be visual disturbances appearing as white, black, or red spots, all caused by heat accumulation in the Liver (Gan) and wind-labor affecting the Lung (Fei). Alternatively, there may be mental restlessness, hematemesis (Ou Xue), constipation of the Large Intestine (Da Chang), and seeing lights at night like flying bees. At the initial stage of the disease, it is appropriate to treat with acupuncture on various acupoints and meridians. One must avoid excessive bleeding from the Du Meridian (Du Mai), lest it worsen dimness of vision. It is suitable to take Huanjing Wan (Restore Vision Pill).
Poem:
Ice cataract is hard like refined water,
Yin within Yang is uniform.
Looking aside, the pupil shows white transparency,
The needle's clarity is no lie.
Moving the needle up and down three to five times,
With sincere medication, recovery is certain.
If a mediocre doctor forces the manipulation,
The clear pupil will lose its vision.
Huanjing Wan (Restore Vision Pill)
Fangfeng (Saposhnikoviae Radix), Chongweizi (Chervil Seed), Cheqianzi (Plantago Seed), Zhi Mu (Anemarrhenae Rhizoma) (each 2 liang); Renshen (Ginseng Radix et Rhizoma) (1 liang each below); Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix), Sheng Dihuang (Rehmanniae Radix Preparata), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Fructus) (2.5 liang), Heishen (Polygonati Rhizoma Nigrum) (0.5 liang).
Crush and sieve these into powder, mix with refined honey to make pills the size of tung tree seeds. Take ten pills orally on an empty stomach with tea.
When this eye disease first occurs, there is neither itching nor pain. It starts in one eye, then spreads to affect both. Initially appearing normal, vision gradually dims until blindness. This is caused by brain fat flowing downward and Liver Qi rushing upward. Inside the pupil, there is a cataract resembling a mercury bead, making it impossible to distinguish people. It is suitable to use a gold needle for phacodonesis (dialysis of the lens). After treatment, pay attention to recuperation, and take Bogan Tang (Tonify Liver Decoction) and Shijueming Wan (Arcoconcha Pill) for recovery.
Poem:
Focus your mind when observing the slippery cataract,
Slightly yellow with white swirling.
Opening wide then shrinking quickly,
Like a mercury bead spinning.
Although the needle manipulation drops it easily,
Retracting the needle makes it return to its source.
Retract the needle to break through the green turbidity,
Like the golden crow shining in the sky in May.
Bogan Tang (Tonify Liver Decoction)
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Heishen (Polygonati Rhizoma Nigrum), Huangqin (Scutellariae Radix) (each 1 liang); Fangfeng (Saposhnikoviae Radix), Zhi Mu (Anemarrhenae Rhizoma), Jiegeng (Platycodonis Radix), Chongweizi (Chervil Seed) (each 2 liang).
Crush and sieve these into powder. Take one qian of the powder with one sheng of water, decoct until half remains. Strain and take warm after meals.
Shijueming Wan (Arcoconcha Pill)
Shijueming (Concha Argopectis), Cheqianzi (Plantago Seed), Fangfeng (Saposhnikoviae Radix), Zhi Mu (Anemarrhenae Rhizoma) (each 1 liang); Chongweizi (Chervil Seed), Wuweizi (Schisandrae Fructus), Xixin (Asari Radix et Rhizoma), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma) (each 1 liang).
Crush and sieve these into powder, mix with refined honey to make pills the size of tung tree seeds. Take ten pills before meals with tea or water.