此眼初患之时。忽然赤涩。泪下痛痒。摩隐瞳人。黑睛渐生翳障。赤膜下垂。直覆眼睛。有此障闭。如云霞之色。
最宜镰洗出血。熨烙前后。点清凉煎。服羚羊角饮子即瘥。
诗曰∶
黑睛从上直来遮 脏腑原知受客邪 热气上攻肝内壅 睛轮被覆似云霞
上睑还令瘀血尽 饮子宣除效不差 消停又点清凉药 诸药临时任减加
清凉煎
龙脑 腻粉 马牙硝 秦皮（各一两） 防风 黄连（各三分）
上为末。研极细。以水二碗浸药二日后。煎取二大盏。滤去渣。更煎三五沸。以束用瓷盒子盛之。别入龙脑。搅匀
密封，勿令尘入。用之点眼立效。
羚羊角饮子
羚羊角（一两五钱） 黄 （二两） 茺蔚子（二两） 黄芩 天门冬 黑参 知母 桔梗（各一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
此眼初患之时。还从上 渐生赤脉。奔来睛上。皆因三焦聚热冲肝膈壅热使然。治疗稍迟，以后恐损眼目。宜服犀
角饮子。后点摩翳膏即瘥。
诗曰∶
赤脉根深小 中 自然渐渐觉奔冲 三焦聚热为灾患 欲疗先令饮子通
浮大必须钩割烙 频频用药即消融 酸咸热物房中事 谨戒如师受戒同
犀角饮子
犀角 羚羊角 大黄 人参 茯苓 知母 黄芩（各一两） 桔梗 防风（各二两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
摩翳膏
石决明 水晶 朱砂 龙脑 珍珠末（各一分） 琥珀（二分）
上为末。研如粉面。后入酥为膏。每至夜后点服立效。
此病在初发阶段，眼睛突然感到红涩、流泪、疼痛和瘙痒，症状牵连隐白珠（瞳孔周围区域），黑睛逐渐生出翳障，赤膜下垂，直接覆盖住眼球。这种遮蔽如同云霞的颜色。
治疗上最适宜用镰刀清洗并放出瘀血，进行前后的熨烫和烙治，点用清凉煎，服用羚羊角饮子即可痊愈。
诗曰：
黑睛从上方向下遮盖，脏腑原本知道受到了外邪侵袭。热气上攻导致肝气内壅滞，眼珠被覆盖好似云霞。
上眼睑的瘀血需彻底清除，服用方剂宣通排除疗效不差。稍作停歇后再点用清凉药物，其他药物可根据情况临时增减。
清凉煎
龙脑、腻粉、马牙硝、秦皮（各一两）、防风、黄连（各三分）。
以上药材研为细末，研磨至极细。取两碗水浸泡药物两天后，煎取两大盏药液，滤去药渣，再煮沸三五次。装入束口瓷盒中保存，另外加入龙脑，搅拌均匀。
密封，防止灰尘进入。使用时点眼，立即见效。
羚羊角饮子
羚羊角（一两五钱）、黄芪（二两）、茺蔚子（二两）、黄芩、天门冬、黑参、知母、桔梗（各一两）。
以上药材研为细末，每次取一钱药散，加一盏水，煎至五分水量，饭后去渣温服。
此病在初发阶段，还从上方逐渐生出赤脉，奔涌至眼球之上。这都是因为三焦积聚热气，冲击肝膈，导致热壅所致。如果治疗稍微延迟，以后恐怕会损伤眼目。适宜服用犀角饮子，之后点用摩翳膏即可痊愈。
诗曰：
赤脉根深，从小眦（眼角）中自然渐渐感觉奔涌冲撞。三焦聚热成为灾患，想要治疗先令方剂通畅。
浮大之脉必须用钩割和烙法治，频繁用药即可消融。酸咸热物及房事，务必谨慎戒除，如同遵守师训。
犀角饮子
犀角、羚羊角、大黄、人参、茯苓、知母、黄芩（各一两）、桔梗、防风（各二两）。
以上药材研为细末，每次取一钱药散，加一盏水，煎至五分水量，饭后去渣温服。
摩翳膏
石决明、水晶、朱砂、龙脑、珍珠末（各一分）、琥珀（二分）。
以上药材研为细末，研磨如粉面状，随后加入酥油制成膏剂。每晚睡前点眼，立即见效。
This condition, at its initial onset, presents with sudden redness and dryness of the eyes, tearing, pain, and itching. The symptoms extend to the area around the pupil (Yinbai), and the cornea gradually develops nebulae (cloudy opacities). A red membrane droops down, directly covering the eyeball. This obstruction resembles the color of clouds and rosy mist.
The most suitable treatment is to use a sickle to wash out and release blood, followed by moxibustion and cauterization before and after, applying Qingliang Jian (Cooling Decoction) as eye drops, and administering Lingyangjiao Yinzi (Antelope Horn Decoction), which will lead to recovery.
The poem states:
The cornea is covered from above downwards; it is known that the Zang-Fu organs have been invaded by pathogenic factors. Heat qi attacks upward, causing stagnation within the Liver; the eyeball is covered like clouds and rosy mist.
Stasis in the upper eyelid must be completely removed; the efficacy of the decoction in promoting circulation is not inferior. After a brief pause, apply cooling medicines again; other herbs may be added or subtracted according to circumstances.
Qingliang Jian (Cooling Decoction)
Nao (Borneol), Ni Fen (Calomel), Ma Ya Xiao (Sodium Nitrate), Qin Pi (Cortex Fraxini) (each 1 liang), Fang Feng (Radix Saposhnikoviae), Huang Lian (Rhizoma Coptidis) (each 3 qian).
Grind the above ingredients into powder and refine them to an extremely fine consistency. Soak the herbs in two bowls of water for two days, then decoct to obtain two large cups of liquid. Filter out the dregs, boil for three to five more boils, and store in a lidded porcelain container. Add Borneol separately and mix well.
Seal tightly to prevent dust entry. Apply to the eyes when used, with immediate effect.
Lingyangjiao Yinzi (Antelope Horn Decoction)
Ling Yang Jiao (Cornu Saigae Tataricae) (1 liang 5 qian), Huang Qi (Radix Astragali) (2 liang), Chong Wei Zi (Fructus Viticis Exaltatae) (2 liang), Huang Qin (Radix Scutellariae), Tian Men Dong (Radix Asparagi), Hei Shen (Radix Panacis Nigrifoliae), Zhi Mu (Rhizoma Anemarrhenae), Jie Geng (Radix Platycodonis) (each 1 liang).
Grind the above ingredients into powder. Take one qian of the powder with one cup of water, decoct until half a cup remains, remove the dregs, and take warm after meals.
At the initial stage of this condition, red vessels gradually appear from the upper region and rush onto the eyeball. This is caused by heat accumulation in the San Jiao (Triple Burner) attacking the Liver and Diaphragm, leading to heat stagnation. If treatment is delayed even slightly, it may damage the eyes later. It is appropriate to administer Xijiao Yinzi (Rhinoceros Horn Decoction), followed by applying Moyi Gao (Nebula-Rubbing Ointment), which will lead to recovery.
The poem states:
With deep-rooted red vessels, one naturally feels a gradual rushing sensation from the inner canthus. Heat accumulation in the San Jiao becomes a disaster; to treat it, first ensure the decoction promotes flow.
For floating and large pulses, hook-cutting and cauterization are necessary; frequent medication application will resolve it. Avoid sour, salty, and hot foods, and abstain from sexual intercourse; be cautious as if following a master's precepts.
Xijiao Yinzi (Rhinoceros Horn Decoction)
Xi Jiao (Horn Rhinocerotis), Ling Yang Jiao (Cornu Saigae Tataricae), Da Huang (Radix et Rhizoma Rhei), Ren Shen (Radix Ginseng), Fu Ling (Poria), Zhi Mu (Rhizoma Anemarrhenae), Huang Qin (Radix Scutellariae) (each 1 liang), Jie Geng (Radix Platycodonis), Fang Feng (Radix Saposhnikoviae) (each 2 liang).
Grind the above ingredients into powder. Take one qian of the powder with one cup of water, decoct until half a cup remains, remove the dregs, and take warm after meals.
Moyi Gao (Nebula-Rubbing Ointment)
Shi Jue Ming (Concha Haliotidis), Shui Jing (Quartz), Zhu Sha (Cinnabar), Nao (Borneol), Zhen Zhu Mo (Margarita Pulvis) (each 1 fen), Hu Po (Amber) (2 fen).
Grind the above ingredients into powder, refining them to a flour-like consistency. Then add Su You (Butyrum) to form an ointment. Apply to the eyes every night after dark, with immediate effect.