人参补胃汤（《试效友》） 治劳役所伤，饮食不节，内障昏暗。
黄 人参（各一两） 炙甘草（八钱） 蔓荆子（二钱半） 黄柏（酒拌四遍） 白芍药（各三钱）
上 咀，每服三五钱，冰二盏，煎至一盏，去滓，食远稍热服，临卧。三五服后，两
目广大，视物如童时，觉两脚踏地，不知高下，盖冬天多服升阳药故也。病减住服，候
五七日再服。此药春间服，乃时药也。
圆明内障升麻汤（即冲和养胃汤。）
黄芩黄连汤
黄芩（酒洗炒） 生地黄（酒洗） 草龙胆（酒洗炒四次，以上各一两） 黄连（去须，酒洗炒，七钱）
上 咀，每服二钱，水二盏，煎数沸，去滓，再煎至一盏，热服。午后、晚间俱不可
服，唯午饭时服之方效。
复明散 治内障。
黄 （一钱半） 生地黄 柴胡 连翘 甘草（炙。各一钱） 当归（二钱） 苍术 川芎 陈皮
（各五分） 黄柏（三分）
水二大盏，煎至一盏，去渣，稍热服，食后。忌酒、湿面、辛热大料之物。
羌活退翳丸（一名地黄丸） 治内障，右眼小 青白翳，大 微显白翳，脑痛，瞳子散大，
上热恶热，大便涩或时难，小便如常，遇天热暖处，头痛睛胀，能食，日没后、天阴则
昏暗。此证亦可服滋阴地黄丸。
熟地黄（八钱） 生地黄（酒制） 黄柏（酒制） 当归身（酒制） 茺蔚子 丹参（各半两） 黑附子
（炮） 寒水石（生用。各一钱） 芍药（一两三钱） 防己（酒制，二钱） 知母（酒制） 牡丹皮 羌活 川
芎（各三钱） 柴胡（半两或三钱）
上为细末，炼蜜丸，如小豆大。每服五七十丸，空心白汤送下。如消食未尽，候饥
时服之。忌语言，随后以食压之。
东垣《兰室秘藏》方云∶翳在大 ，加葛根、升麻；翳在小 ，加柴胡、羌活，是也。
当归汤（见瞳子散大。）
冲和养胃汤 治内障初起，视觉微昏，空中有黑花，神水变淡绿色，次则视物成二，神
水变淡白色，久则不睹；神水变纯白色。
柴胡（七钱） 人参 当归（酒浸） 炙甘草 白术 升麻 葛根（各一两） 黄 羌活（各一
两半） 白芍药（六钱） 防风（五钱） 白茯苓（三钱） 五味子（二钱） 干生姜（一钱）
上 咀，每服六钱，水三盏，煎至二盏，入黄芩、黄连各一钱，再煎至一盏，去滓，稍
热食后服。
上方因肝木不平，内挟心火，故以柴胡平肝，人参开心，黄连泻心火为君。酒制当
归荣百脉，五味敛百脉之沸，心包络主血，白芍药顺血脉，散恶血为臣。白茯苓泻膀胱之
湿，羌活清利小肠之邪，甘草补三焦，防风升胆之降为佐，阴阳皆总于脾胃，黄 补脾
胃，白术健脾胃，升麻、葛根行脾胃之经，黄芩退壮火，干生姜入壮火为导为使。此方逆
攻从顺，反异正宜俱备。
益气聪明汤 治证同上。并治耳聋、耳鸣。
黄 人参（各一钱二分半） 升麻（七钱半） 葛根（三钱） 蔓荆子（一钱半） 芍药 黄柏（酒炒。
各一钱） 炙甘草（半钱）
每服四钱，水二盏，煎至一盏，去渣，临睡热服，五更再煎服。
上方以黄 、人参之甘温治虚劳为君。甘草之甘平，承接和协，升麻之苦平微寒，行
手阳明、足阳明、足太阴之经为臣。葛根之甘平，蔓荆子之辛温，皆能升发为佐。芍药
之酸微寒，补中焦，顺血脉，黄柏之苦寒，治肾水膀胱之不足为使。酒制又炒者，因热用
也。或有热，可渐加黄柏，春夏加之，盛暑倍加之，加多则不效，脾胃虚者去之。热倍
此者，泻热黄连汤主之。
泻热黄连汤 治内障证同上，有眵泪 臊。
黄芩（酒炒） 黄连（酒洗） 柴胡（酒炒） 生地黄（酒洗。各一两） 龙胆草（三钱） 升麻（五钱）
每服三钱，水二盏，煎至一盏，去滓，午食前热服。午后服之，则阳逆不行，临睡休
服，为反助阴也。
上方治主治客之剂也。治主者，升麻主脾胃，柴胡行肝经为君，生地黄凉血为臣，为
阳明太阴厥阴多血故也。治客者，黄连、黄芩皆疗湿热为佐，龙胆草专除眼中诸疾为使，
为诸湿热俱从外来为客也。
《干金》磁朱丸 治神水宽大渐散，昏如雾露中行，渐睹空中有黑花，渐睹物成二体，
久则光不收，及内障神水淡绿色、淡白色者。
磁石（吸针者） 辰砂 神曲
先以磁石置巨火中 醋淬七次，晒干，另研极细二两，辰砂另研极细一两，生神曲末
三两，与前药和匀，更以神曲末一两，水和作饼，煮浮为度，搜入前药，炼蜜为丸，如
梧桐子大。每服十丸，加至三十丸，空心饭汤下。
上方以磁石辛咸寒，镇坠肾经为君，令神水不外移也。辰砂微甘寒，镇坠心经为臣，
肝其母，此子能令母实也，肝实则目明。神曲辛温甘，化脾胃中宿食为佐。生用者，发
其生气；熟用者，敛其暴气也。服药后，俯视不见，仰视渐睹星月者，此其效也。亦治
心火乘金，水衰反制之病。久病累发者，服之则永不更作。空心服此，午前更以石斛夜
光丸主之。
按∶此方磁石法水入肾，朱砂法火入心，而神曲专入脾胃，乃道家黄婆媒合婴 之理。
倪生释之，为费词矣。或加沉香半两，升降水火尤佳。
石斛夜光丸 治证同上。
天门冬（焙） 人参 茯苓（各二两） 麦门冬 熟地黄 生地黄（各一两） 菟丝子（酒浸） 甘
菊花 草决明 杏仁（去皮尖） 干山药 枸杞子 牛膝（酒浸。各七钱半） 五味子 蒺藜 石
斛苁蓉 川芎 炙甘草 枳壳（麸炒） 青葙子 防风 黄连 乌犀角（镑） 羚羊角（镑。各半两）
为细末，炼蜜丸，如桐子大。每服三五十丸，温酒、盐汤任下。
上方羡补药也。补上治下，利以缓，利以久，不利以速也。故君以天门冬、人参、菟
丝子之通肾安神，强阴填精也。臣以五味子、麦门冬、杏仁、茯苓、枸杞子、牛膝、生熟
地黄之敛气除湿，凉血补血也。佐以甘菊花、蒺藜、石斛、肉苁蓉、川芎、甘草、枳壳、山
药、青葙子之治风疗虚，益气祛毒也。使以防风、黄连、草决明、羚羊角、生乌犀之散
滞泄热，解结明目也。阴弱不能配阳之病，并宜服之，此后则顺之治法也。
益阴肾气丸 治证上同。
熟地黄（酒，三两） 生地黄（酒制炒，四两） 当归尾（酒制） 牡丹皮 五味子 干山药 山茱
萸柴胡（各半两） 茯苓 泽泻（各二钱半）
为末，炼蜜丸，如桐子大，水飞辰砂为衣。每服五七十丸，空心淡盐汤下。
上方壮水之主，以镇阳光，气为怒伤，散而不聚也，气病血亦病也。肝得血而后能视，
又目为心之窍，心主血，故以熟地黄补血衰，当归尾行血，牡丹皮治积血为君。茯苓和中
益真气，泽泻除湿泻邪气，生地黄补肾水真阴为臣。五味子补五脏，干山药平气和胃为
佐。山茱萸强阴益精，通九窍，柴胡引入厥阴经为使。蜜剂者，欲泥膈难下也。辰砂为
衣者，为通于心也。然必兼千金磁朱丸服之，庶易效。
滋阴地黄丸 治证同上，眵多 ，者并治。
黄芩 当归身（酒制） 熟地黄（各半两） 天门冬（焙） 甘草（炙） 枳壳 柴胡 五味子（各三
钱） 人参 地骨皮（各二钱） 黄连（一两） 生地黄（酒制，一两半）
为细末，炼蜜丸，桐子大。每服百丸，食后茶汤下，日三服。
上方治主以缓，缓则治其本也。以黄连、黄芩苦寒，除邪气之盛为君。当归身辛温，生
熟地黄苦甘寒，养血凉血为臣。五味子酸寒，体轻浮上，收神水之散大，人参、甘草、地
骨皮、天门冬、枳壳、苦甘寒，泻热补气为佐。柴胡引用，为使也。亡血过多之病，有
热者，亦宜服。
羚羊角汤 治青风内障，劳倦加昏重，头旋脑痛，眼内痛涩者。
羚羊角 人参 玄参 地骨皮 羌活（各一两） 车前子（一两半。）
上为末，以水一盏，散一钱，煎至五分，食后去滓温服。
娄全善云∶此方并后羚羊角散、补肝散、
羚羊角引子，皆以羚羊角、玄参、细辛、羌活、防风、车前子为君。盖羚羊角行厥阴经
药也。丹溪云，羚羊角入厥阴经甚捷，是也。玄参、细辛，行少阴经药也。海藏云∶玄参
治空中氤氲之气，无根之火，为圣药也。羌活、防风、车前子行太阳经药也。如筋脉枯
涩者，诸方中更加夏枯草，能散结气，有补养厥阴血脉之功，尝试之有验。然此诸方，又
当悟邪之所在，若气脱者，必与参膏相半服之；气虚者，必与东垣补胃人参汤、益气聪
明汤之类相半服之；血虚者，必与熟地黄丸之类相兼服之。更能内观静守，不干尘累，使
阴气平伏，方许作效。
杏仁方 治肝肾风虚，瞳人带青，眼多黑暗。润泽脏腑，洗垢开光，能驱风明目。
上用杏仁五枚去皮尖，五更初就床端坐，勿言勿呼，息虑澄神。嚼杏仁一粒勿咽，逐
一细嚼五粒，候津液满口，分为三咽，直入肝肾，惟在久而成功。
羚羊角散 治绿风内障，头旋目痛，眼内痛涩者。
羚羊角 防风 知母 人参 茯苓 玄参 黄芩 桔梗 车前子（各一两） 细辛（三两）
上为末，以水一盏，散一钱，煎五分，食后去渣温服。
又羚羊角散 治绿风内障。
白菊花 川乌（炮） 川芎 车前子 防风（各五钱） 羌活 半夏 羚羊角 薄荷（各二钱半） 细辛（二钱）
上生姜煎服；或为末，荆芥汤调服。
白附子散 补肾磁石丸（俱见目昏花。）
还睛散 治眼翳膜，昏涩泪出，瘀血 肉攀睛。
川芎 草龙胆 草决明 石决明 荆芥 枳实 野菊花 野麻子 白茯苓（去皮） 炙
甘草 木贼 白蒺藜 川椒（炒，去子） 仙灵脾 茵陈（各半两）
上为细末，每服二钱，食后茶清调下，日三服。忌杂鱼肉及热面、荞麦等物。一方，有
楮实子，无仙灵脾、茵陈、枳实三味。
芦荟丸 治黑水凝翳内障，不痛不痒，微有头旋，脉涩者。
芦荟 甘草（各二钱半） 人参 牛胆（各半两） 柏子仁 细辛（各一两） 羚羊角（二两，蜜炙）
上为末，炼蜜丸，如桐子大。空心茶清下十丸。
大黄泻肝散 治乌风。
郁李仁、荆芥（各二钱半） 甘草 大黄（各五钱）
上水煎，食后服。
坠翳丸 治偃月内障，及微有头旋额痛。
青羊胆 青鱼胆 鲤鱼胆（各七个） 熊胆（二钱半） 牛胆（半两） 石决明（一两） 麝香（少许）
上为细末，面糊为丸，如桐子大。每服十丸，空心茶清下。
磁石丸 治雷风内障，头旋，恶心呕吐。
磁石（烧赤醋淬二次） 五味子 牡丹皮 干姜 玄参（各一两） 附子（炮，半两）
上为末，炼蜜丸，如桐子大。食前茶下十丸。
补肝散 治肝风内障，不痛不痒，眼见花发黄白黑赤，或一物二形难辨。
羚羊角 防风（各三两） 人参 茯苓（各二两） 细辛 玄参 车前子 黄芩（炒） 羌活（各一两）
上为末，食后米饮调服一钱。
又补肝散 治圆翳内障。
熟地黄 白茯苓 白菊花 细辛 白芍药 柏子仁 甘草 防风 北柴胡
上水煎，食后服。
补肾丸 治圆翳内障。
巴戟 山药 破故纸（炒） 牡丹皮 茴香（各五钱） 肉苁蓉 枸杞子（各一两） 青盐（二钱半）
上为末，炼蜜为丸，如梧桐子大。每服三十丸，空心盐汤下。
羚羊角饮子（《龙木》） 治圆翳内障，不痛不痒。
羚羊角（三两） 细辛 知母 车前子 人
参黄芩（各二两） 防风（二两半）
上为末，每服一钱，以水一盏，煎至五分，食后去滓温服。
皂角丸（见外障。）
生熟地黄丸（《和剂》） 治肝虚目暗，膜入水轮，眼见黑花如豆，累累数十，或见如飞
虫，诸治不瘥。或视物不明，混睛冷泪，翳膜遮障，内外障眼，并皆治之。
石斛 枳壳 防风 牛膝（各六两） 生地黄 熟地黄（各一斤半） 羌活 杏仁（各四两） 菊花（一斤）
上末，炼蜜丸，如桐子大。每服三十丸，以黑豆三升炒令烟尽为度，淬好酒六升，每
用半盏，食前送下，或蒺藜汤下。
通肝散 治冰翳内障。
栀子 蒺藜（炒） 枳壳 荆芥（各四两） 车前子 牛蒡子（炒。各二钱） 甘草（四钱）
上末，每服二钱，苦竹叶汤食后调下。
八味还睛散 治散翳内障。
蒺藜（炒） 防风 甘草（炙） 木贼 栀子（各四两） 草决明（八钱） 青葙子（炒） 蝉蜕（各二钱）
上末，每服二钱，麦门冬汤调，食后服。
空青丸 治沉翳，细看方见其病最深。
空青（一钱，一方用一铢） 细辛 五味子 石决明（另研） 车前子（各一两） 知母 生地黄
防风（各二两）
上为细末，炼蜜丸，如桐子大。每服十丸，空心茶汤下。
凉胆丸 治眼状青色，大小 头涩痛，频频下泪，口苦，少饮食，兼治黑花翳。
黄连（洗，不见火） 黄芩 荆芥 龙胆草（各半两） 芦荟 防风（各一两） 黄柏（去皮） 地肤子
（各二钱半）
人参补胃汤（出自《试效方》）：治疗因过度劳累和饮食不规律导致的内障，视力昏暗。
药材：黄芪、人参（各一两），炙甘草（八钱），蔓荆子（二钱半），黄柏（用酒拌炒四次），白芍药（各三钱）。
制法与用法：将药材切碎，每次服用三至五钱，加水两盏，煎煮至一盏，滤去药渣，在饭后稍热时服用，临睡前再服一次。服用三五剂后，双眼视野开阔，视物清晰如孩童时期，感觉双脚踩地不知高低，这是因为冬季多服用升发阳气的药物所致。病情减轻后停药，等待五到七日后再次服用。此药适合春季服用，属于时令用药。
圆明内障升麻汤（即冲和养胃汤）：
黄芩黄连汤
药材：黄芩（酒洗并炒），生地黄（酒洗），草龙胆（酒洗并炒四次，以上各一两），黄连（去须，酒洗并炒，七钱）。
制法与用法：将药材切碎，每次服用二钱，加水两盏，煮沸数次，滤去药渣，再煎煮至一盏，热服。午后和晚间均不可服用，只有在午饭时服用才有效。
复明散：治疗内障。
药材：黄芪（一钱半），生地黄，柴胡，连翘，炙甘草（各一钱），当归（二钱），苍术，川芎，陈皮（各五分），黄柏（三分）。
制法与用法：加水两大盏，煎煮至一盏，滤去药渣，饭后稍热时服用。忌食酒类、湿面及辛辣燥热的大料食物。
羌活退翳丸（又名地黄丸）：治疗内障，右眼出现小片青白色翳膜，大片微显白翳，头痛，瞳孔散大，头部发热怕热，大便干涩或有时排便困难，小便正常，遇到天气炎热或温暖处所，头痛且眼球胀痛，食欲正常，日落后或阴天则视力昏暗。此证也可服用滋阴地黄丸。
药材：熟地黄（八钱），生地黄（酒制），黄柏（酒制），当归身（酒制），茺蔚子，丹参（各半两），黑附子（炮制），寒水石（生用，各一钱），芍药（一两三钱），防己（酒制，二钱），知母（酒制），牡丹皮，羌活，川芎（各三钱），柴胡（半两或三钱）。
制法与用法：研成细末，用炼蜜制成小豆大小的丸剂。每次服用五七十丸，空腹时用白开水送下。如果消化不良，等到饥饿时服用。服药期间避免说话，随后进食以压住药力。
李东垣《兰室秘藏》方论指出：如果翳膜位于上方，加葛根、升麻；如果翳膜位于下方，加柴胡、羌活，这是正确的。
冲和养胃汤：治疗内障初起，视觉轻微昏暗，眼前有黑花飞舞，神水（房水）变为淡绿色，随后视物重影，神水变为淡白色，日久则完全看不见；神水变为纯白色。
药材：柴胡（七钱），人参，当归（酒浸），炙甘草，白术，升麻，葛根（各一两），黄芪，羌活（各一两半），白芍药（六钱），防风（五钱），白茯苓（三钱），五味子（二钱），干生姜（一钱）。
制法与用法：将药材切碎，每次服用六钱，加水三盏，煎煮至两盏，加入黄芩、黄连各一钱，再煎煮至一盏，滤去药渣，饭后稍热时服用。
方解：此方因为肝木之气不平，内挟心火，所以用柴胡平抑肝气，人参开心窍，黄连泻心火作为君药。酒制的当归滋养百脉，五味子收敛百脉的浮越之气，心包络主血，白芍药顺血脉，消散恶血作为臣药。白茯苓泻膀胱之湿，羌活清利小肠之邪，甘草补益三焦，防风提升胆气下降的功能作为佐药。阴阳之气总归于脾胃，黄芪补益脾胃，白术健运脾胃，升麻、葛根通行脾胃之经，黄芩退除壮火，干生姜引导入壮火之中作为使药。此方逆治与从治、反治与正治的方法兼备。
益气聪明汤：主治证候同上。并治疗耳聋、耳鸣。
药材：黄芪，人参（各一钱二分半），升麻（七钱半），葛根（三钱），蔓荆子（一钱半），芍药，黄柏（酒炒，各一钱），炙甘草（半钱）。
制法与用法：每次服用四钱，加水两盏，煎煮至一盏，滤去药渣，临睡前热服，五更天再煎服一次。
方解：此方以黄芪、人参的甘温之性治疗虚劳作为君药。甘草的甘平之性，承接调和，升麻的苦平微寒之性，通行手阳明、足阳明、足太阴经作为臣药。葛根的甘平之性，蔓荆子的辛温之性，都能升发阳气作为佐药。芍药的酸微寒之性，补益中焦，顺血脉，黄柏的苦寒之性，治疗肾水和膀胱的不足作为使药。酒制又炒制，是因为利用其热性。如果有热象，可以逐渐增加黄柏的量，春夏季节加入，盛夏时节加倍加入，加多了则无效，脾胃虚弱者去掉黄柏。热象加倍于此方的，用泻热黄连汤为主治。
泻热黄连汤：治疗内障证候同上，伴有眼屎多、流泪且有臊味。
药材：黄芩（酒炒），黄连（酒洗），柴胡（酒炒），生地黄（酒洗，各一两），龙胆草（三钱），升麻（五钱）。
制法与用法：每次服用三钱，加水两盏，煎煮至一盏，滤去药渣，午饭前热服。午后服用，则阳气逆行不通，临睡前停止服用，以免反而助长阴气。
方解：此方是治疗外感客邪的药剂。治疗主病者，升麻主脾胃，柴胡行肝经作为君药，生地黄凉血作为臣药，因为阳明、太阴、厥阴经多血。治疗客邪者，黄连、黄芩都治疗湿热作为佐药，龙胆草专门清除眼中各种疾病作为使药，因为各种湿热都是从外来侵袭为客邪。
《千金方》磁朱丸：治疗神水宽大逐渐散开，视物昏蒙如在雾露中行走，逐渐看到空中有黑花，逐渐看到物体变成两个，日久则光线无法收敛，以及内障神水呈淡绿色、淡白色的情况。
药材：磁石（能吸铁针的），辰砂，神曲。
制法与用法：先将磁石放在大火中烧红，投入醋中淬炼七次，晒干，另研至极细粉末二两，辰砂另研至极细粉末一两，生神曲粉末三两，与前药混合均匀，再用神曲粉末一两，用水和成饼状，煮至浮起为度，揉入前药，用炼蜜制成梧桐子大小的丸剂。每次服用十丸，加至三十丸，空腹用米汤送下。
方解：此方以磁石的辛咸寒之性，镇坠肾经作为君药，使神水不外移。辰砂微甘寒，镇坠心经作为臣药，肝为肾之母，此为“子能令母实”，肝实则目明。神曲辛温甘，化解脾胃中的宿食作为佐药。生用是为了激发其生气；熟用是为了收敛其暴气。服药后，俯视看不见，仰视逐渐能看到星月，这就是药效。也治疗心火乘金、水衰反制之病。久病反复发作的，服用此药则永不复发。空腹服用此药，午前再以石斛夜光丸为主治。
按语：此方中磁石法水入肾，朱砂法火入心，而神曲专入脾胃，这是道家黄婆媒合婴儿的道理。倪生对此进行解释，显得啰嗦了。或者加入沉香半两，升降水火效果更佳。
石斛夜光丸：主治证候同上。
药材：天门冬（焙干），人参，茯苓（各二两），麦门冬，熟地黄，生地黄（各一两），菟丝子（酒浸），甘菊花，草决明，杏仁（去皮尖），干山药，枸杞子，牛膝（酒浸，各七钱半），五味子，蒺藜，石斛，肉苁蓉，川芎，炙甘草，枳壳（麸炒），青葙子，防风，黄连，乌犀角（镑片），羚羊角（镑片，各半两）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂。每次服用三五十丸，温酒或盐汤送下均可。
方解：此方是羡慕补益药物的方子。补上治下，利以缓，利以久，不利以速。所以以天门冬、人参、菟丝子的通肾安神、强阴填精作为君药。以五味子、麦门冬、杏仁、茯苓、枸杞子、牛膝、生熟地黄的敛气除湿、凉血补血作为臣药。以甘菊花、蒺藜、石斛、肉苁蓉、川芎、甘草、枳壳、山药、青葙子的治风疗虚、益气祛毒作为佐药。以防风、黄连、草决明、羚羊角、生乌犀角的散滞泄热、解结明目作为使药。阴虚不能配阳的病，都适宜服用，这是随后的顺治方法。
益阴肾气丸：主治证候同上。
药材：熟地黄（酒制，三两），生地黄（酒制炒，四两），当归尾（酒制），牡丹皮，五味子，干山药，山茱萸，柴胡（各半两），茯苓，泽泻（各二钱半）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂，用水飞过的辰砂为衣。每次服用五七十丸，空腹用淡盐汤送下。
方解：此方壮水之主，以镇阳光。气被怒伤，散而不聚，气病则血亦病。肝得到血后才能视物，又眼睛是心的窍，心主血，所以以熟地黄补血衰，当归尾行血，牡丹皮治积血作为君药。茯苓和中益真气，泽泻除湿泻邪气，生地黄补肾水真阴作为臣药。五味子补五脏，干山药平气和胃作为佐药。山茱萸强阴益精，通九窍，柴胡引入厥阴经作为使药。蜜剂是为了让药力滞留难下。辰砂为衣是为了通达于心。然而必须兼服千金磁朱丸，才容易见效。
滋阴地黄丸：主治证候同上，眼屎多、流泪者一并治疗。
药材：黄芩，当归身（酒制），熟地黄（各半两），天门冬（焙干），甘草（炙），枳壳，柴胡，五味子（各三钱），人参，地骨皮（各二钱），黄连（一两），生地黄（酒制，一两半）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂。每次服用一百丸，饭后茶汤送下，每日三次。
方解：此方治疗主病以缓，缓则治其本。以黄连、黄芩的苦寒之性，除邪气之盛作为君药。当归身的辛温，生熟地黄的苦甘寒，养血凉血作为臣药。五味子的酸寒，体轻浮上，收摄神水的散大，人参、甘草、地骨皮、天门冬、枳壳的苦甘寒，泻热补气作为佐药。柴胡引经，为使药。失血过多的病，有热象的，也适宜服用。
羚羊角汤：治疗青风内障，劳累倦怠加重昏重，头晕脑痛，眼内痛涩者。
药材：羚羊角，人参，玄参，地骨皮，羌活（各一两），车前子（一两半）。
制法与用法：研成细末，用水一盏，取药散一钱，煎煮至五分，饭后滤去药渣温服。
娄全善说：此方及后面的羚羊角散、补肝散、羚羊角引子，都以羚羊角、玄参、细辛、羌活、防风、车前子为君药。因为羚羊角是通行厥阴经的药物。丹溪说，羚羊角进入厥阴经非常快捷，是正确的。玄参、细辛，是通行少阴经的药物。海藏说：玄参治疗空中氤氲之气、无根之火，是圣药。羌活、防风、车前子是通行太阳经的药物。如果筋脉枯涩，在各方可中加入夏枯草，能散结气，有补养厥阴血脉的功效，尝试过有验证。然而这些方子，又应当领悟邪气所在之处，如果是气脱，必须与人参膏一半配合服用；气虚的，必须与李东垣补胃人参汤、益气聪明汤之类一半配合服用；血虚的，必须与熟地黄丸之类兼服。更能内观静守，不被尘世劳累干扰，使阴气平伏，方才允许见效。
杏仁方：治疗肝肾风虚，瞳仁带青色，眼睛多黑暗。润泽脏腑，洗垢开光，能驱风明目。
用法：取杏仁五枚去皮尖，五更初坐在床边，不说话不呼气，平息杂念澄清心神。咀嚼一粒杏仁不要咽下，逐一细细咀嚼五粒，等到津液满口，分三次咽下，直入肝肾，关键在于长期坚持才能成功。
羚羊角散：治疗绿风内障，头晕目痛，眼内痛涩者。
药材：羚羊角，防风，知母，人参，茯苓，玄参，黄芩，桔梗，车前子（各一两），细辛（三两）。
制法与用法：研成细末，用水一盏，取药散一钱，煎煮至五分，饭后滤去药渣温服。
又羚羊角散：治疗绿风内障。
药材：白菊花，川乌（炮制），川芎，车前子，防风（各五钱），羌活，半夏，羚羊角，薄荷（各二钱半），细辛（二钱）。
制法与用法：用生姜煎服；或者研成细末，用荆芥汤调服。
还睛散：治疗眼翳膜，昏涩流泪，瘀血胬肉攀睛。
药材：川芎，草龙胆，草决明，石决明，荆芥，枳实，野菊花，野麻子，白茯苓（去皮），炙甘草，木贼，白蒺藜，川椒（炒，去籽），仙灵脾，茵陈（各半两）。
制法与用法：研成细末，每次服用二钱，饭后茶清调下，每日三次。忌食杂鱼肉及热面、荞麦等物。一方中有楮实子，无仙灵脾、茵陈、枳实三味。
芦荟丸：治疗黑水凝翳内障，不痛不痒，轻微头晕，脉涩者。
药材：芦荟，甘草（各二钱半），人参，牛胆（各半两），柏子仁，细辛（各一两），羚羊角（二两，蜜炙）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂。空腹茶清送下十丸。
大黄泻肝散：治疗乌风。
药材：郁李仁、荆芥（各二钱半），甘草，大黄（各五钱）。
制法与用法：水煎，饭后服用。
坠翳丸：治疗偃月内障，及轻微头晕额痛。
药材：青羊胆，青鱼胆，鲤鱼胆（各七个），熊胆（二钱半），牛胆（半两），石决明（一两），麝香（少许）。
制法与用法：研成细末，用面糊制成梧桐子大小的丸剂。每次服用十丸，空腹茶清送下。
磁石丸：治疗雷风内障，头晕，恶心呕吐。
药材：磁石（烧赤醋淬两次），五味子，牡丹皮，干姜，玄参（各一两），附子（炮制，半两）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂。饭前茶送下十丸。
补肝散：治疗肝风内障，不痛不痒，眼前见花发黄白黑赤，或一物看成两个难以分辨。
药材：羚羊角，防风（各三两），人参，茯苓（各二两），细辛，玄参，车前子，黄芩（炒），羌活（各一两）。
制法与用法：研成细末，饭后米饮调服一钱。
又补肝散：治疗圆翳内障。
药材：熟地黄，白茯苓，白菊花，细辛，白芍药，柏子仁，甘草，防风，北柴胡。
制法与用法：水煎，饭后服用。
补肾丸：治疗圆翳内障。
药材：巴戟，山药，破故纸（炒），牡丹皮，茴香（各五钱），肉苁蓉，枸杞子（各一两），青盐（二钱半）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂。每次服用三十丸，空腹盐汤送下。
羚羊角饮子（出自《龙木论》）：治疗圆翳内障，不痛不痒。
药材：羚羊角（三两），细辛，知母，车前子，人参，黄芩（各二两），防风（二两半）。
制法与用法：研成细末，每次服用一钱，用水一盏，煎煮至五分，饭后滤去药渣温服。
皂角丸（见“外障”条下）。
生熟地黄丸（出自《和剂局方》）：治疗肝虚目暗，膜入水轮，眼前见黑花如豆，累累数十，或见如飞虫，各种治疗无效。或视物不明，混睛冷泪，翳膜遮障，内外障眼，都进行治疗。
药材：石斛，枳壳，防风，牛膝（各六两），生地黄，熟地黄（各一斤半），羌活，杏仁（各四两），菊花（一斤）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂。每次服用三十丸，用黑豆三升炒至烟尽，淬入好酒六升，每次用半盏，饭前送下，或用蒺藜汤送下。
通肝散：治疗冰翳内障。
药材：栀子，蒺藜（炒），枳壳，荆芥（各四两），车前子，牛蒡子（炒，各二钱），甘草（四钱）。
制法与用法：研成细末，每次服用二钱，苦竹叶汤饭后调下。
八味还睛散：治疗散翳内障。
药材：蒺藜（炒），防风，甘草（炙），木贼，栀子（各四两），草决明（八钱），青葙子（炒），蝉蜕（各二钱）。
制法与用法：研成细末，每次服用二钱，麦门冬汤调，饭后服用。
空青丸：治疗沉翳，仔细看才能发现病情最深。
药材：空青（一钱，一方用一铢），细辛，五味子，石决明（另研），车前子（各一两），知母，生地黄，防风（各二两）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸剂。每次服用十丸，空腹茶汤送下。
凉胆丸：治疗眼状青色，大小眦头涩痛，频频流泪，口苦，饮食减少，兼治黑花翳。
药材：黄连（洗，不见火），黄芩，荆芥，龙胆草（各半两），芦荟，防风（各一两），黄柏（去皮），地肤子（各二钱半）。
Renshen Buwei Tang (Ginseng Decoction for Tonifying the Stomach) [from *Shixiao Fang*]: Treats internal cataracts and dim vision caused by overexertion and irregular diet.
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix) (each 1 liang), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (8 qian), Manjingzi (Viticis Fructus) (2.5 qian), Huangbai (Phellodendri Cortex) (mixed with wine and stir-fried four times), Baishao (Paeoniae Radix Alba) (each 3 qian).
Preparation and Administration: Cut the herbs into small pieces. Take 3–5 qian per dose, add two zhan of water, decoct until one zhan remains, strain, and take warm after meals and before bedtime. After taking three to five doses, the visual field of both eyes becomes wide, and vision is as clear as in childhood; one may feel as if stepping on the ground without knowing height or depth. This is because yang-ascending herbs are taken frequently in winter. Stop taking the medicine when symptoms improve, and resume after five to seven days. This medicine is suitable for spring use and is considered a seasonal remedy.
Yuanyuan Neizhang Shengma Tang (Evodia Decoction for Clearing Internal Cataracts) (i.e., Chonghe Yangwei Tang):
Huangqin Huanglian Tang (Scutellaria and Coptis Decoction)
Ingredients: Huangqin (Scutellariae Radix) (washed with wine and stir-fried), Shengdihuang (Rehmanniae Radix Recens) (washed with wine), Caolongdan (Gentianae Macrophytae Radix) (washed with wine and stir-fried four times, each 1 liang above), Huanglian (Coptidis Rhizoma) (mustards removed, washed with wine and stir-fried, 7 qian).
Preparation and Administration: Cut the herbs into small pieces. Take 2 qian per dose, add two zhan of water, boil several times, strain, decoct again until one zhan remains, and take hot. Do not take in the afternoon or evening; it is effective only when taken at noon.
Fuming San (Restoring Vision Powder): Treats internal cataracts.
Ingredients: Huangqi (Astragali Radix) (1.5 qian), Shengdihuang (Rehmanniae Radix Recens), Chaihu (Bupleuri Radix), Lianqiao (Forsythiae Fructus), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 1 qian), Danggui (Angelicae Sinensis Radix) (2 qian), Cangzhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 0.5 qian), Huangbai (Phellodendri Cortex) (0.3 qian).
Preparation and Administration: Add two large zhan of water, decoct until one zhan remains, strain, and take warm after meals. Avoid alcohol, damp noodles, and pungent/spicy/hot spices.
Qianghuo Tuiyi Wan (Notopterygium Pill for Removing Opacities) (also known as Dihuang Wan): Treats internal cataracts, with small blue-white opacities in the right eye, large slightly white opacities, headache, dilated pupils, upper body heat and aversion to heat, dry stool or occasional difficulty in defecation, normal urination, headache and distending pain in the eyes when encountering hot weather or warm places, normal appetite, and dim vision after sunset or on cloudy days. This condition can also be treated with Ziyin Dihuang Wan (Yin-Nourishing Rehmannia Pill).
Ingredients: Shudihuang (Rehmanniae Radix Preparata) (8 qian), Shengdihuang (Rehmanniae Radix Recens) (wine-processed), Huangbai (Phellodendri Cortex) (wine-processed), Dangguishen (Body of Angelicae Sinensis Radix) (wine-processed), Chongweizi (Leonuri Fructus), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (each half liang), Heifuzi (Prepared Aconiti Lateralis Radix) (prepared), Hanshuishi (Halloysitum Rubrum) (raw use, each 1 qian), Shaoyao (Paeoniae Radix) (1 liang 3 qian), Fangji (Stephaniae Tetrandrae Radix) (wine-processed, 2 qian), Zhimu (Anemarrhenae Rhizoma) (wine-processed), Mudanpi (Moutan Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 3 qian), Chaihu (Bupleuri Radix) (half liang or 3 qian).
Preparation and Administration: Grind into fine powder, make pills with refined honey, size of small beans. Take 50–70 pills per dose, swallow with plain water on an empty stomach. If digestion is incomplete, take when hungry. Avoid speaking after taking; follow with food to suppress the medicinal force.
Li Dongyuan's *Lanshi Micang* states: If the opacity is in the upper part, add Gegen (Puerariae Radix) and Shengma (Lygodii Spora); if in the lower part, add Chaihu (Bupleuri Radix) and Qianghuo (Notopterygii Rhizoma et Radix). This is correct.
Danggui Tang (Angelica Decoction) (see "Dilated Pupils").
Chonghe Yangwei Tang (Harmonizing and Stomach-Nourishing Decoction): Treats early-stage internal cataracts, slight dimness of vision, black spots floating in the field of vision, aqueous humor turning pale green, followed by diplopia, aqueous humor turning pale white, and eventually blindness with pure white aqueous humor.
Ingredients: Chaihu (Bupleuri Radix) (7 qian), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix) (soaked in wine), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengma (Lygodii Spora), Gegen (Puerariae Radix) (each 1 liang), Huangqi (Astragali Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 1.5 liang), Baishao (Paeoniae Radix Alba) (6 qian), Fangfeng (Saposhnikoviae Radix) (5 qian), Bai Fuling (Poria) (3 qian), Wuweizi (Schisandrae Chinensis Fructus) (2 qian), Gan Jiang (Zingiberis Rhizoma) (1 qian).
Preparation and Administration: Cut the herbs into small pieces. Take 6 qian per dose, add three zhan of water, decoct until two zhan remain, add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) each 1 qian, decoct again until one zhan remains, strain, and take warm after meals.
Formula Analysis: This formula addresses uneven Liver Wood qi and internal Heart Fire. Chaihu (Bupleuri Radix) soothes the Liver, Renshen (Ginseng Radix) opens the Heart orifices, and Huanglian (Coptidis Rhizoma) drains Heart Fire as the Sovereign drug. Wine-processed Danggui (Angelicae Sinensis Radix) nourishes the hundred vessels; Wuweizi (Schisandrae Chinensis Fructus) astringes the boiling qi of the hundred vessels; the Pericardium governs blood, and Baishao (Paeoniae Radix Alba) smooths the blood vessels and disperses evil blood as the Minister drugs. Bai Fuling (Poria) drains dampness from the Bladder; Qianghuo (Notopterygii Rhizoma et Radix) clears pathogenic factors from the Small Intestine; Gancao (Glycyrrhizae Radix et Rhizoma) tonifies the Triple Burner; Fangfeng (Saposhnikoviae Radix) raises the descending function of the Gallbladder as the Assistant drugs. Yin and Yang are governed by the Spleen and Stomach; Huangqi (Astragali Radix) tonifies the Spleen and Stomach; Baizhu (Atractylodis Macrocephalae Rhizoma) strengthens the Spleen and Stomach; Shengma (Lygodii Spora) and Gegen (Puerariae Radix) circulate through the Spleen and Stomach meridians; Huangqin (Scutellariae Radix) reduces vigorous fire; Gan Jiang (Zingiberis Rhizoma) enters vigorous fire as the Guide drug. This formula combines contrary and compliant treatments, reversal and standard approaches.
Yiqi Congming Tang (Qi-Benefiting and Brightening Decoction): Treats the same conditions as above. Also treats deafness and tinnitus.
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix) (each 1.25 qian), Shengma (Lygodii Spora) (7.5 qian), Gegen (Puerariae Radix) (3 qian), Manjingzi (Viticis Fructus) (1.5 qian), Shaoyao (Paeoniae Radix), Huangbai (Phellodendri Cortex) (wine-fried, each 1 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Preparation and Administration: Take 4 qian per dose, add two zhan of water, decoct until one zhan remains, strain, and take hot before sleep. Decoct again at the fifth watch (early morning) and take.
Formula Analysis: The sweet-warm nature of Huangqi (Astragali Radix) and Renshen (Ginseng Radix) treats deficiency fatigue as the Sovereign drug. The sweet-neutral nature of Gancao (Glycyrrhizae Radix et Rhizoma) connects and harmonizes; the bitter-neutral-slightly-cool nature of Shengma (Lygodii Spora) circulates through the Hand-Yangming, Foot-Yangming, and Foot-Taiyin meridians as the Minister drug. The sweet-neutral nature of Gegen (Puerariae Radix) and the pungent-warm nature of Manjingzi (Viticis Fructus) both promote ascending and emerging as the Assistant drugs. The sour-slightly-cool nature of Shaoyao (Paeoniae Radix) tonifies the Middle Jiao and smooths blood vessels; the bitter-cool nature of Huangbai (Phellodendri Cortex) treats insufficiency of Kidney Water and Bladder as the Guide drug. Wine-processing and frying utilize their heat properties. If heat signs exist, gradually increase Huangbai (Phellodendri Cortex); add in spring and summer, double in intense heat. Too much renders it ineffective; remove for Spleen-Stomach deficiency. For heat doubled this amount, Xiere Huanglian Tang (Heat-Draining Coptis Decoction) is the primary treatment.
Xiere Huanglian Tang (Heat-Draining Coptis Decoction): Treats internal cataracts with the same conditions, accompanied by excessive discharge, tearing, and fishy odor.
Ingredients: Huangqin (Scutellariae Radix) (wine-fried), Huanglian (Coptidis Rhizoma) (wine-washed), Chaihu (Bupleuri Radix) (wine-fried), Shengdihuang (Rehmanniae Radix Recens) (wine-washed, each 1 liang), Longdancao (Gentianae Radix) (3 qian), Shengma (Lygodii Spora) (5 qian).
Preparation and Administration: Take 3 qian per dose, add two zhan of water, decoct until one zhan remains, strain, and take hot before noon meal. Taking it in the afternoon causes Yang qi to reverse and stagnate; stop taking before sleep to avoid aiding Yin.
Formula Analysis: This is a formula for treating external pathogenic guests. To treat the host, Shengma (Lygodii Spora) governs the Spleen and Stomach, Chaihu (Bupleuri Radix) circulates through the Liver meridian as the Sovereign drug; Shengdihuang (Rehmanniae Radix Recens) cools blood as the Minister drug, because the Yangming, Taiyin, and Jueyin meridians have abundant blood. To treat the guest, Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix) both treat damp-heat as Assistant drugs; Longdancao (Gentianae Radix) specifically removes various eye diseases as the Guide drug, because all damp-heat comes from outside as a guest.
*Qianjin Fang* Cizhu Wan (Magnetite and Cinnabar Pill): Treats widening and gradual dispersion of the aqueous humor, dim vision as if walking in fog or dew, gradually seeing black spots in the air, gradually seeing objects as double, eventually inability to focus light, and internal cataracts with pale green or pale white aqueous humor.
Ingredients: Cishi (Magnetitum) (attracts iron needles), Zhensha (Cinnabaris), Shenqu (Medicated Leaven).
Preparation and Administration: First, place Cishi (Magnetitum) in a fierce fire until red-hot, quench in vinegar seven times, dry, and grind separately into extremely fine powder (2 liang). Grind Zhensha (Cinnabaris) separately into extremely fine powder (1 liang). Mix with Shenqu (Medicated Leaven) powder (3 liang). Make a paste with 1 liang of Shenqu (Medicated Leaven) powder and water, cook until floating, knead into the previous medicines, and make pills with refined honey, size of paulownia seeds. Take 10 pills initially, increasing to 30 pills, swallow with rice soup on an empty stomach.
Formula Analysis: The pungent-salty-cool nature of Cishi (Magnetitum) anchors the Kidney meridian as the Sovereign drug, preventing the aqueous humor from moving outward. Zhensha (Cinnabaris) is slightly sweet-cool, anchors the Heart meridian as the Minister drug. The Liver is the mother of the Kidney; this follows the principle that "the son can make the mother solid"; when the Liver is solid, vision is bright. Shenqu (Medicated Leaven) is pungent-warm-sweet, resolves old food in the Spleen and Stomach as the Assistant drug. Raw use stimulates its vital energy; cooked use restrains violent energy. After taking the medicine, looking down reveals nothing, while looking up gradually reveals stars and moon; this is the effect. It also treats Heart fire attacking Metal and Water deficiency counter-restricting disease. For chronic recurrent cases, taking this prevents recurrence. Take on an empty stomach; in the forenoon, use Shihu Yeguang Wan (Dendrobium Night-Light Pill) as primary treatment.
Note: In this formula, Cishi (Magnetitum) represents Water entering the Kidney, Zhusha (Cinnabaris) represents Fire entering the Heart, and Shenqu (Medicated Leaven) specializes in entering the Spleen and Stomach, reflecting the Daoist principle of the Yellow Mother mediating between the Infant. Ni Sheng's explanation is verbose. Adding Chenxiang (Aquilariae Lignum Resinatum) half liang improves the regulation of Water and Fire.
Shihu Yeguang Wan (Dendrobium Night-Light Pill): Treats the same conditions as above.
Ingredients: Tianmendong (Asparagi Radix) (roasted), Renshen (Ginseng Radix), Fuling (Poria) (each 2 liang), Maimendong (Ophiopogonis Radix), Shudihuang (Rehmanniae Radix Preparata), Shengdihuang (Rehmanniae Radix Recens) (each 1 liang), Tusizi (Cuscutae Semen) (soaked in wine), Gan Juhua (Chrysanthemi Flos), Caojueming (Cassiae Semen), Xingren (Pruni Semen) (skin and tip removed), Gan Shanyao (Dioscoreae Rhizoma), Gouqizi (Lycii Fructus), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine, each 7.5 qian), Wuweizi (Schisandrae Chinensis Fructus), Jili (Tribuli Fructus), Shihu (Dendrobii Caulis), Rongshong (Cynomorii Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus) (bran-fried), Qingxiangzi (Celosiae Semen), Fangfeng (Saposhnikoviae Radix), Huanglian (Coptidis Rhizoma), Wuxijiao (Rhinocerotis Cornu) (sliced), Lingyangjiao (Saigae Tataricae Cornu) (sliced, each half liang).
Preparation and Administration: Grind into fine powder, make pills with refined honey, size of paulownia seeds. Take 30–50 pills per dose, swallow with warm wine or salted water.
Formula Analysis: This formula excels in tonification. Tonifying the upper and treating the lower, benefiting slowly and long-term, not quickly. Thus, Tianmendong (Asparagi Radix), Renshen (Ginseng Radix), and Tusizi (Cuscutae Semen) unblock the Kidney, calm the Spirit, strengthen Yin, and fill essence as the Sovereign drug. Wuweizi (Schisandrae Chinensis Fructus), Maimendong (Ophiopogonis Radix), Xingren (Pruni Semen), Fuling (Poria), Gouqizi (Lycii Fructus), Niuxi (Achyranthis Bidentatae Radix), and Sheng/Shu Dihuang (Rehmanniae Radix) astringe Qi, drain dampness, cool blood, and nourish blood as the Minister drugs. Gan Juhua (Chrysanthemi Flos), Jili (Tribuli Fructus), Shihu (Dendrobii Caulis), Rongshong (Cynomorii Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus), Shanyao (Dioscoreae Rhizoma), and Qingxiangzi (Celosiae Semen) treat wind, alleviate deficiency, benefit Qi, and dispel toxins as the Assistant drugs. Fangfeng (Saposhnikoviae Radix), Huanglian (Coptidis Rhizoma), Caojueming (Cassiae Semen), Lingyangjiao (Saigae Tataricae Cornu), and raw Wuxijiao (Rhinocerotis Cornu) dissipate stagnation, drain heat, resolve knots, and brighten the eyes as the Guide drugs. Diseases where Yin weakness cannot coordinate with Yang should take this; this is the subsequent compliant treatment method.
Yiyin Shenqi Wan (Yin-Nourishing Kidney-Energy Pill): Treats the same conditions as above.
Ingredients: Shudihuang (Rehmanniae Radix Preparata) (wine-processed, 3 liang), Shengdihuang (Rehmanniae Radix Recens) (wine-processed and fried, 4 liang), Dangguiwei (Tail of Angelicae Sinensis Radix) (wine-processed), Mudanpi (Moutan Cortex), Wuweizi (Schisandrae Chinensis Fructus), Gan Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), Chaihu (Bupleuri Radix) (each half liang), Fuling (Poria), Zexie (Alismatis Rhizoma) (each 2.5 qian).
Preparation and Administration: Grind into powder, make pills with refined honey, size of paulownia seeds, coat with water-pulverized Zhensha (Cinnabaris). Take 50–70 pills per dose, swallow with light salted water on an empty stomach.
Formula Analysis: This formula strengthens the Master of Water to suppress Yang brilliance. Qi is injured by anger, scattering and failing to gather; Qi disease affects Blood. The Liver needs Blood to see. The eyes are the orifice of the Heart, and the Heart governs Blood. Thus, Shudihuang (Rehmanniae Radix Preparata) tonifies Blood deficiency, Dangguiwei (Tail of Angelicae Sinensis Radix) moves Blood, and Mudanpi (Moutan Cortex) treats accumulated Blood as the Sovereign drug. Fuling (Poria) harmonizes the Middle and benefits true Qi; Zexie (Alismatis Rhizoma) drains dampness and expels evil Qi; Shengdihuang (Rehmanniae Radix Recens) tonifies the true Yin of Kidney Water as the Minister drug. Wuweizi (Schisandrae Chinensis Fructus) tonifies the Five Viscera; Gan Shanyao (Dioscoreae Rhizoma) balances Qi and harmonizes the Stomach as the Assistant drug. Shanzhuyu (Corni Fructus) strengthens Yin and benefits essence, opens the nine orifices; Chaihu (Bupleuri Radix) guides into the Jueyin meridian as the Guide drug. Honey preparation aims to retain the medicine in the chest. Zhensha (Cinnabaris) coating aims to connect to the Heart. However, it must be taken with Qianjin Cizhu Wan (Magnetite and Cinnabar Pill) for better efficacy.
Ziyin Dihuang Wan (Yin-Nourishing Rehmannia Pill): Treats the same conditions as above, also treating excessive discharge and tearing.
Ingredients: Huangqin (Scutellariae Radix), Dangguishen (Body of Angelicae Sinensis Radix) (wine-processed), Shudihuang (Rehmanniae Radix Preparata) (each half liang), Tianmendong (Asparagi Radix) (roasted), Gancao (Glycyrrhizae Radix et Rhizoma) (fried), Zhike (Aurantii Fructus Immaturus), Chaihu (Bupleuri Radix), Wuweizi (Schisandrae Chinensis Fructus) (each 3 qian), Renshen (Ginseng Radix), Digupi (Lycii Cortex), Tianmendong (Asparagi Radix) (each 2 qian), Huanglian (Coptidis Rhizoma) (1 liang), Shengdihuang (Rehmanniae Radix Recens) (wine-processed, 1.5 liang).
Preparation and Administration: Grind into fine powder, make pills with refined honey, size of paulownia seeds. Take 100 pills per dose, swallow with tea water after meals, three times daily.
Formula Analysis: This formula treats the host slowly; slowness treats the root. The bitter-cool nature of Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix) eliminates excess pathogenic factors as the Sovereign drug. The pungent-warm nature of Dangguishen (Body of Angelicae Sinensis Radix) and the bitter-sweet-cool nature of Sheng/Shu Dihuang (Rehmanniae Radix) nourish and cool blood as the Minister drug. The sour-cool nature of Wuweizi (Schisandrae Chinensis Fructus) is light and floats upward, astringing the dispersion of the aqueous humor; the bitter-sweet-cool nature of Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Digupi (Lycii Cortex), Tianmendong (Asparagi Radix), and Zhike (Aurantii Fructus Immaturus) drains heat and benefits Qi as the Assistant drug. Chaihu (Bupleuri Radix) guides the meridian as the Guide drug. Diseases with excessive blood loss and heat signs should also take this.
Lingyangjiao Tang (Saiga Decoction): Treats Qingfeng Neizhang (Green Wind Internal Cataract), worsening dizziness with fatigue, vertigo, headache, and painful dryness inside the eyes.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu), Renshen (Ginseng Radix), Xuanshen (Scrophulariae Radix), Digupi (Lycii Cortex), Qianghuo (Notopterygii Rhizoma et Radix) (each 1 liang), Cheqianzi (Plantaginis Semen) (1.5 liang).
Preparation and Administration: Grind into powder. Take 1 qian of powder with one zhan of water, decoct until 0.5 zhan remains, strain, and take warm after meals.
Lou Quanshan said: This formula, along with the subsequent Lingyangjiao San (Saiga Powder), Bugan San (Liver-Tonifying Powder), and Lingyangjiao Yinzi (Saiga Beverage), all use Lingyangjiao (Saigae Tataricae Cornu), Xuanshen (Scrophulariae Radix), Xixin (Asari Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), and Cheqianzi (Plantaginis Semen) as Sovereign drugs. Because Lingyangjiao (Saigae Tataricae Cornu) circulates through the Jueyin meridian. Danxi said that Lingyangjiao (Saigae Tataricae Cornu) enters the Jueyin meridian very swiftly, which is correct. Xuanshen (Scrophulariae Radix) and Xixin (Asari Radix et Rhizoma) circulate through the Shaoyin meridian. Haizang said: Xuanshen (Scrophulariae Radix) treats misty qi in the air and rootless fire, being a sacred medicine. Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), and Cheqianzi (Plantaginis Semen) circulate through the Taiyang meridian. If tendons and vessels are withered and dry, add Xiakucao (Prunellae Spica) in various formulas; it can dissipate knotting qi and has the merit of nourishing Jueyin blood vessels. I have tried it with verified results. However, for these formulas, one must understand the location of the pathogen. If Qi collapses, take half with Renshen Gao (Ginseng Paste); if Qi is deficient, take half with Li Dongyuan's Buwei Renshen Tang (Stomach-Tonifying Ginseng Decoction) or Yiqi Congming Tang (Qi-Benefiting and Brightening Decoction); if Blood is deficient, take half with Shudihuang Wan (Rehmannia Pill). Furthermore, practice inner observation and quiet guarding, do not be disturbed by worldly burdens, let Yin qi settle, and only then will efficacy occur.
Xingren Fang (Apricot Kernel Formula): Treats Liver-Kidney wind-deficiency, pupils showing a bluish tint, and dark vision. Moisturizes viscera, cleans dirt, opens brightness, and expels wind to brighten the eyes.
Usage: Take five apricot kernels, remove skin and tips. At the first watch (5–7 AM), sit upright on the bed edge. Do not speak or exhale forcefully. Calm thoughts and clarify the spirit. Chew one kernel without swallowing. Chew five kernels one by one finely. When saliva fills the mouth, swallow in three portions. It goes directly to the Liver and Kidney. Success depends on long-term persistence.
Lingyangjiao San (Saiga Powder): Treats Lv Feng Neizhang (Green Wind Internal Cataract), vertigo, eye pain, and painful dryness inside the eyes.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu), Fangfeng (Saposhnikoviae Radix), Zhimu (Anemarrhenae Rhizoma), Renshen (Ginseng Radix), Fuling (Poria), Xuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Cheqianzi (Plantaginis Semen) (each 1 liang), Xixin (Asari Radix et Rhizoma) (3 liang).
Preparation and Administration: Grind into powder. Take 1 qian of powder with one zhan of water, decoct until 0.5 zhan remains, strain, and take warm after meals.
Another Lingyangjiao San (Saiga Powder): Treats Green Wind Internal Cataract.
Ingredients: Bai Juhua (White Chrysanthemi Flos), Chuanwu (Sichuan Aconiti Radix) (prepared), Chuanxiong (Ligustici Chuanxiong Rhizoma), Cheqianzi (Plantaginis Semen), Fangfeng (Saposhnikoviae Radix) (each 5 qian), Qianghuo (Notopterygii Rhizoma et Radix), Banxia (Pinelliae Rhizoma), Lingyangjiao (Saigae Tataricae Cornu), Bohe (Menthae Haplocalycis Herba) (each 2.5 qian), Xixin (Asari Radix et Rhizoma) (2 qian).
Preparation and Administration: Decoct with fresh ginger; or grind into powder and mix with Jingjie Tang (Schizonepeta Decoction).
Baifu Zi San (Trollius Powder), Bushen Cishi Wan (Kidney-Tonifying Magnetite Pill) (both see "Dim Vision").
Huanjing San (Restore Clarity Powder): Treats eye opacities, dimness, dryness, tearing, pterygium growing over the cornea due to blood stasis.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Caolongdan (Gentianae Macrophytae Radix), Caojueming (Cassiae Semen), Shijueming (Concha Arcae), Jingjie (Schizonepetae Herba), Zhishi (Aurantii Fructus Immaturus), Ye Juhua (Wild Chrysanthemi Flos), Ye Mazi (Wild Cannabis Seed), Bai Fuling (Poria) (peeled), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Muze (Equiseti Herba), Bai Jili (Tribuli Fructus), Chuanjiao (Zanthoxyli Pericarpium) (stir-fried, seeds removed), Xianlingpi (Epimedii Folium), Yichen (Artemisiae Scopariae Herba) (each half liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mix with clear tea after meals, three times daily. Avoid mixed meat/fish and hot noodles/buckwheat. One prescription includes Chushizi (Broussonetiae Fructus) but excludes Xianlingpi (Epimedii Folium), Yichen (Artemisiae Scopariae Herba), and Zhishi (Aurantii Fructus Immaturus).
Luhui Wan (Aloe Pill): Treats Black Water Condensing Opacity Internal Cataract, no pain or itching, slight vertigo, and choppy pulse.
Ingredients: Luhui (Aloes), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2.5 qian), Renshen (Ginseng Radix), Niu Dan (Bovis Fel) (each half liang), Baiziren (Platycladi Semen), Xixin (Asari Radix et Rhizoma) (each 1 liang), Lingyangjiao (Saigae Tataricae Cornu) (2 liang, honey-fried).
Preparation and Administration: Grind into powder, make pills with refined honey, size of paulownia seeds. Take 10 pills on an empty stomach with clear tea.
Dahuang Xiegan San (Rhubarb Liver-Draining Powder): Treats Wu Feng (Black Wind).
Ingredients: Yuliren (Prunus Turbinatae Semen), Jingjie (Schizonepetae Herba) (each 2.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 5 qian).
Preparation and Administration: Decoct in water, take after meals.
Zhuiyi Wan (Fall Opacity Pill): Treats Yan Yue Neizhang (Crescent Moon Internal Cataract) and slight vertigo/forehead pain.
Ingredients: Qingyang Dan (Sheep Gall), Qingyu Dan (Green Fish Gall), Liyu Dan (Carp Gall) (each seven), Xiong Dan (Ursi Fel), Niu Dan (Bovis Fel) (half liang), Shijueming (Concha Arcae) (1 liang), Shexiang (Moschus) (small amount).
Preparation and Administration: Grind into fine powder, make pills with flour paste, size of paulownia seeds. Take 10 pills on an empty stomach with clear tea.
Cishi Wan (Magnetite Pill): Treats Lei Feng Neizhang (Thunder Wind Internal Cataract), vertigo, nausea, and vomiting.
Ingredients: Cishi (Magnetitum) (red-hot, quenched in vinegar twice), Wuweizi (Schisandrae Chinensis Fructus), Mudanpi (Moutan Cortex), Gan Jiang (Zingiberis Rhizoma), Xuanshen (Scrophulariae Radix) (each 1 liang), Fuzi (Aconiti Lateralis Radix Preparata) (prepared, half liang).
Preparation and Administration: Grind into powder, make pills with refined honey, size of paulownia seeds. Take 10 pills before meals with tea.
Bugan San (Liver-Tonifying Powder): Treats Liver Wind Internal Cataract, no pain or itching, seeing flowers yellow/white/black/red, or monocular diplopia difficult to distinguish.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu), Fangfeng (Saposhnikoviae Radix) (each 3 liang), Renshen (Ginseng Radix), Fuling (Poria) (each 2 liang), Xixin (Asari Radix et Rhizoma), Xuanshen (Scrophulariae Radix), Cheqianzi (Plantaginis Semen), Huangqin (Scutellariae Radix) (fried), Qianghuo (Notopterygii Rhizoma et Radix) (each 1 liang).
Preparation and Administration: Grind into powder. Take 1 qian after meals mixed with rice drink.
Another Bugan San (Liver-Tonifying Powder): Treats Yuan Yi Neizhang (Round Opacity Internal Cataract).
Ingredients: Shudihuang (Rehmanniae Radix Preparata), Bai Fuling (Poria), Bai Juhua (White Chrysanthemi Flos), Xixin (Asari Radix et Rhizoma), Baishao (Paeoniae Radix Alba), Baiziren (Platycladi Semen), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Bei Chaihu (Northern Bupleuri Radix).
Preparation and Administration: Decoct in water, take after meals.
Bushen Wan (Kidney-Tonifying Pill): Treats Yuan Yi Neizhang (Round Opacity Internal Cataract).
Ingredients: Bajitian (Morinda Officinalis Radix), Shanyao (Dioscoreae Rhizoma), Pogu Zhi (Dewevrei Dodder Seed) (fried), Mudanpi (Moutan Cortex), Huixiang (Foeniculi Fructus) (each 5 qian), Rongshong (Cynomorii Herba), Gouqizi (Lycii Fructus) (each 1 liang), Qingyan (Rock Salt) (2.5 qian).
Preparation and Administration: Grind into powder, make pills with refined honey, size of paulownia seeds. Take 30 pills on an empty stomach with salted water.
Lingyangjiao Yinzi (Saiga Beverage) [from *Longmu Jing*]: Treats Yuan Yi Neizhang (Round Opacity Internal Cataract), no pain or itching.
Ingredients: Lingyangjiao (Saigae Tataricae Cornu) (3 liang), Xixin (Asari Radix et Rhizoma), Zhimu (Anemarrhenae Rhizoma), Cheqianzi (Plantaginis Semen), Renshen (Ginseng Radix), Huangqin (Scutellariae Radix) (each 2 liang), Fangfeng (Saposhnikoviae Radix) (2.5 liang).
Preparation and Administration: Grind into powder. Take 1 qian per dose, add one zhan of water, decoct until 0.5 zhan remains, strain, and take warm after meals.
Zaojiao Wan (Soap Pod Pill) (see "External Obstruction").
Sheng Shu Dihuang Wan (Raw and Prepared Rehmannia Pill) [from *Heji Ju Fang*]: Treats Liver deficiency causing dim vision, membrane entering the water wheel (pupil), seeing black spots like beans, dozens in number, or like flying insects, unresponsive to various treatments. Or unclear vision, cold tears, opacity blocking vision, internal and external eye obstructions, all treated.
Ingredients: Shihu (Dendrobii Caulis), Zhike (Aurantii Fructus Immaturus), Fangfeng (Saposhnikoviae Radix), Niuxi (Achyranthis Bidentatae Radix) (each 6 liang), Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Rehmanniae Radix Preparata) (each 1.5 jin), Qianghuo (Notopterygii Rhizoma et Radix), Xingren (Pruni Semen) (each 4 liang), Juhua (Chrysanthemi Flos) (1 jin).
Preparation and Administration: Grind into powder, make pills with refined honey, size of paulownia seeds. Take 30 pills per dose. Stir-fry three sheng of black beans until smoke ceases, quench in six sheng of good wine. Use half a zhan to send down the pills before meals, or with Jili Tang (Tribulus Decoction).
Tonggan San (Liver-Unblocking Powder): Treats Bing Yi Neizhang (Ice Opacity Internal Cataract).
Ingredients: Zhizi (Gardeniae Fructus), Jili (Tribuli Fructus) (fried), Zhike (Aurantii Fructus Immaturus), Jingjie (Schizonepetae Herba) (each 4 liang), Cheqianzi (Plantaginis Semen), Niubangzi (Arctii Fructus) (fried, each 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (4 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mix with bitter bamboo leaf tea after meals.
Bawei Huanjing San (Eight-Ingredient Restore Clarity Powder): Treats San Yi Neizhang (Scattered Opacity Internal Cataract).
Ingredients: Jili (Tribuli Fructus) (fried), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (fried), Muze (Equiseti Herba), Zhizi (Gardeniae Fructus) (each 4 liang), Caojueming (Cassiae Semen) (8 qian), Qingxiangzi (Celosiae Semen) (fried), Chantui (Cicadae Periostracum) (each 2 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mix with Ophiopogon Decoction, take after meals.
Kongqing Wan (Azurite Pill): Treats Chen Yi (Sunken Opacity), visible only upon close inspection, indicating deep pathology.
Ingredients: Kongqing (Azurite) (1 qian, one prescription uses 1 zhu), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Chinensis Fructus), Shijueming (Concha Arcae) (grind separately), Cheqianzi (Plantaginis Semen) (each 1 liang), Zhimu (Anemarrhenae Rhizoma), Shengdihuang (Rehmanniae Radix Recens), Fangfeng (Saposhnikoviae Radix) (each 2 liang).
Preparation and Administration: Grind into fine powder, make pills with refined honey, size of paulownia seeds. Take 10 pills on an empty stomach with tea/water.
Liangdan Wan (Cool Gallbladder Pill): Treats eyes appearing cyan, soreness/pain in inner and outer canthi, frequent tearing, bitter taste in mouth, reduced appetite, and also treats black flower opacities.
Ingredients: Huanglian (Coptidis Rhizoma) (washed, not exposed to fire), Huangqin (Scutellariae Radix), Jingjie (Schizonepetae Herba), Longdancao (Gentianae Radix) (each half liang), Luhui (Aloes), Fangfeng (Saposhnikoviae Radix) (each 1 liang), Huangbai (Phellodendri Cortex) (peeled), Difuzi (Kochiae Fructus) (each 2.5 qian).