此眼初患之时。微有头旋眼涩。渐渐昏暗。时时痒痛。脑热有花。黄黑不定。此状宜令针治诸穴脉。然后宜服还睛
散、坠翳丸立效。
诗曰∶
翳中何名是枣花 周回锯齿没诸他 拨时从上轻轻拨 状似流星与落霞
细意辨看瞳子内 莫留断脚作拦遮 依然不断还睛药 百岁光阴睹物华
还睛散
人参 茯苓 车前子 黑参 防风 茺蔚子 知母（各二两） 黄芩（两半去皮）
上为末。以水一盏。散一钱。煎至五分。去渣温服。
坠翳丸 方同偃月翳坠翳丸。
此眼初患之时。肝脏劳热。先从一眼先患。以后相牵俱损。初觉即须急疗。先须凭服汤药丸散。将息谨护。即宜针
刺诸穴脉。后更用金针轻拨。然后服坠翳散即效。
诗曰∶
可怜白翳更黄心 患者商量误且针 来往用针三五拨 不随针落药能沉
还睛方术须通秘 百日如风卷雾阴 期约叮咛须向说 试看奇效值千金
坠翳散
石决明 茺蔚子 防风（各二两）车前子 甘菊花 人参（各三两）
上为末，食后米饮汤调下一钱。
此眼初患之时。不痛不痒。微有头旋眼涩，见花黄黑不定。瞳人微大。翳或青白。宜用金针拨之。然后宜服芦荟丸、
通明散立效。
诗曰∶
黑翳冰结微青色 可怜内障无真容 阴阳开处虽开裹 始觉风 在胆中
须用金针三五拨 药凭芦荟作神功 期程百日叮咛说 玉兔中秋照眼空
芦荟丸
芦荟 甘草（炙各一分） 人参 牛胆（各半两） 柏子仁 细辛（各一两） 羚羊角（一两蜜炙）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
通明散
柏子仁 车前子 桔梗（各二两） 茺蔚子 黑参 茯苓 人参（各一两） 防风（一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
这段文字描述了三种内障眼病的初期症状、治疗原则及方药。
第一种情况：这种眼病在初发时，患者会感到轻微头晕、眼睛干涩，随后视力逐渐昏暗，时常出现瘙痒和疼痛，头部发热，眼前出现花影，颜色黄黑不定。对于这种情况，应当先针刺相关穴位和经脉进行治疗，然后服用还睛散或坠翳丸，能立即见效。
诗曰：
枣花翳内障究竟叫什么？它周围呈锯齿状，遮挡了其他视线。拨治时要从上方轻轻拨开，形状像流星和落霞。仔细辨别瞳孔内部，不要让断开的翳膜残留造成遮挡。只要翳膜依然完整未断，使用还睛药，百岁光阴也能看清万物繁华。
还睛散
配方：人参、茯苓、车前子、黑参、防风、茺蔚子、知母（各二两），黄芩（一两半，去皮）。
制法与用法：将上述药材研为细末。每次取一钱药散，加水一盏，煎煮至五分量，去渣后温服。
第二种情况：这种眼病初发时，肝脏有劳热之邪，先从一只眼睛发病，随后牵连另一只眼睛共同受损。刚察觉时必须紧急治疗。首先应凭服药汤、药丸或药散，谨慎调养护理，接着针刺诸穴脉，之后用金针轻轻拨开，再服用坠翳散即可见效。
诗曰：
可怜那白翳中间带着黄心，患者商量误诊且误针。往来用针拨动三五次，药效随针落下而深沉。还睛的方法必须通晓秘密，百日之内如风卷云雾消散。期限约定务必详细告知，试试这奇效价值千金。
坠翳散
配方：石决明、茺蔚子、防风（各二两），车前子、甘菊花、人参（各三两）。
制法与用法：将上述药材研为细末，饭后用米饮汤调服一钱。
第三种情况：这种眼病初发时，不痛不痒，轻微头晕眼涩，眼前出现黄黑不定的花影，瞳仁微微变大，翳膜或呈青白色。适宜用金针拨治，然后服用芦荟丸或通明散，能立即见效。
诗曰：
黑水凝翳如冰结般微青色，可怜内障失去了真容。阴阳开合之处虽然包裹着，才发觉风邪在胆中。须用金针拨动三五次，药物凭借芦荟发挥神功。期限百日务必叮咛说明，如玉兔中秋照耀眼中空明。
芦荟丸
配方：芦荟、甘草（炙，各一分），人参、牛胆（各半两），柏子仁、细辛（各一两），羚羊角（一两，蜜炙）。
制法与用法：将上述药材研为细末，炼蜜制成梧桐子大小的丸药。空腹时用茶送服十丸。
通明散
配方：柏子仁、车前子、桔梗（各二两），茺蔚子、黑参、茯苓、人参（各一两），防风（一两半）。
制法与用法：将上述药材研为细末。每次取一钱药散，加水一盏，煎煮至五分量，饭后去渣温服。
This text describes the initial symptoms, treatment principles, and prescriptions for three types of internal cataract eye diseases.
First condition: When this eye disease first occurs, patients experience slight dizziness and dry eyes, followed by gradually dimming vision, frequent itching and pain, heat in the head, and visual floaters with indeterminate yellow or black colors. For this condition, acupuncture should be performed on relevant acupoints and meridians first, followed by the administration of Huanjing San (Restore Vision Powder) or Zhuibi Wan (Fallen Opacity Pill), which yields immediate results.
Poem says:
What is the name of the Jujube Flower Cataract? Its perimeter is serrated, obscuring other views. During manipulation, gently lift from above; its shape resembles a meteor or falling clouds. Carefully examine inside the pupil, do not leave broken edges to obstruct vision. As long as the opacity remains intact, using Huanjing medicine allows one to see the beauty of all things even at a hundred years old.
Huanjing San (Restore Vision Powder)
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Cheqianzi (Plantaginis Semen), Heishen (Black Ginseng), Fangfeng (Saposhnikoviae Radix), Chongweizi (Chorisae Fructus), Zhimu (Anemarrhenae Rhizoma) (each 2 liang), Huangqin (Scutellariae Radix) (1.5 liang, peeled).
Preparation and Administration: Grind the above herbs into fine powder. Take 1 qian of powder, add 1 zhan of water, decoct until reduced to 0.5 zhan, remove dregs, and take warm.
Zhuibi Wan (Fallen Opacity Pill)
The formula is identical to Yanyueyi Zhuibi Wan (Crescent Moon Opacity Fallen Opacity Pill).
Second condition: When this eye disease first occurs, there is labor-heat in the Liver channel. It starts in one eye and subsequently affects both. Immediate treatment is required upon initial detection. First, administer herbal decoctions, pills, or powders, and maintain careful nursing care. Then, perform acupuncture on various acupoints, followed by gentle manipulation with a gold needle, and finally take Zhuibi San (Fallen Opacity Powder) for effectiveness.
Poem says:
Pity the white opacity with a yellow center; patients discuss misdiagnosis and mistaken needling. After three to five manipulations with the needle, the medicinal efficacy sinks deep. The methods of restoring vision must be kept secret; within a hundred days, it is like wind rolling away foggy clouds. The timeline must be clearly explained; try this miraculous effect worth a thousand gold.
Zhuibi San (Fallen Opacity Powder)
Ingredients: Shijueming (Haliotidis Concha), Chongweizi (Chorisae Fructus), Fangfeng (Saposhnikoviae Radix) (each 2 liang), Cheqianzi (Plantaginis Semen), Ganjuhua (Chrysanthemi Flos), Renshen (Ginseng Radix et Rhizoma) (each 3 liang).
Preparation and Administration: Grind the above herbs into fine powder. Take 1 qian after meals, mixed with rice water.
Third condition: When this eye disease first occurs, there is no pain or itching, only slight dizziness and dry eyes, with visual floaters of indeterminate yellow or black colors. The pupil may be slightly enlarged, and the opacity may appear cyan or white. It is suitable for manipulation with a gold needle, followed by the administration of Lushui Wan (Aloe Pill) or Tongming San (Clear Vision Powder), which yields immediate results.
Poem says:
The black opacity freezes like ice with a slight cyan hue; pity the internal cataract losing its true appearance. Although wrapped where Yin and Yang open, one realizes the wind pathogen is in the Gallbladder. Must use the gold needle for three to five manipulations; rely on Aloe for divine efficacy. The period of a hundred days must be strictly observed; like the Jade Rabbit shining in the autumn moon, clearing the eye's emptiness.
Lushui Wan (Aloe Pill)
Ingredients: Lushui (Aloe), Gancao (Licorice Root, honey-fried) (each 1 fen), Renshen (Ginseng Radix et Rhizoma), Niudan (Bovis Vesica Bile) (each 0.5 liang), Baiziren (Platycladi Semen), Xixin (Asari Radix et Rhizoma) (each 1 liang), Lingyangjiao (Saigae Tataricae Cornu) (1 liang, honey-fried).
Preparation and Administration: Grind the above herbs into fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 10 pills on an empty stomach with tea.
Tongming San (Clear Vision Powder)
Ingredients: Baiziren (Platycladi Semen), Cheqianzi (Plantaginis Semen), Jiegeng (Platycodonis Radix) (each 2 liang), Chongweizi (Chorisae Fructus), Heishen (Black Ginseng), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma) (each 1 liang), Fangfeng (Saposhnikoviae Radix) (1.5 liang).
Preparation and Administration: Grind the above herbs into fine powder. Take 1 qian, add 1 zhan of water, decoct until reduced to 0.5 zhan, remove dregs, and take warm after meals.