条文：倒睫卷毛内刺睛，皮松弦紧痒兼疼，碜涩难开胞睑烂，肝风脾热两壅，细
辛汤用知茺黑，军细防风桔梗羚。
方剂：细辛汤方
知母二钱 茺蔚子二钱 黑参一钱 大黄一钱 细辛一钱 防风二钱 桔
梗一钱 羚羊角（镑）一钱
右为粗末，以水二盏，煎至一盏，食后，去渣温服。
【注】[1]倒睫拳毛之证，由皮松弦紧，故拳毛倒入，内刺睛珠，碜涩难开，眼
胞赤烂，痒而兼疼。
[2]此乃脾热肝风，合邪上壅所致。
[3]宜用细辛汤，内清邪热，外散风邪也。
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条文：浮翳色白瞳内映，明看细小暗看宽，不痒不疼无血色，脑风冲入脑脂愆。
决明石决人参茯，车细防军茺桔添，坠翳石决知辛味，生地参防及兔肝。
方剂：石决明散方
石决明一钱 人参一钱 茯苓一钱 车前子一钱 细辛五分 防风二钱
大黄一钱 茺蔚子二钱 桔梗一钱半
右为细末，令匀，食后米饮汤调下二钱。
浮翳坠丸方
石决明一两 知母一两 细辛五钱 五味子半两 生地黄二两 人参二两
半 防风一两 兔肝一具
右为细末，炼密为丸，如桐子大，空心茶清送下三钱。
【注】[1]浮翳内障之证，初患之时，不痒不疼，从瞳神内映出白色，暗处看则
其宽大，明处看其翳略小，全无血色相混，缘脑冲入于眼，脑脂流下
，致成内障，宜服决明散坠翳丸。
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Translation: The condition of inverted eyelashes and curled hairs involves the lashes turning inward to pierce the eyeball. The skin of the eyelids is loose, while the orbital area feels tight, accompanied by itching and pain. There is a gritty sensation making it difficult to open the eyes, and the eyelids are red and ulcerated. This is caused by the simultaneous stagnation of Liver Wind and Spleen Heat. The treatment utilizes Xixin Tang (Asarum Decoction), which contains Zhi Mu (Rhizoma Anemarrhenae), Chong Wei Zi (Fructus Echinospermi), Hei Shen (Radix Scrophulariae, also known as Xuan Shen), Jun Zi (Radix et Rhizoma Rhei), Xi Xin (Herba Asari), Fang Feng (Radix Saposhnikoviae), Jie Geng (Radix Platycodonis), and Ling Yang Jiao (Cornu Saigae Tataricae).
Formula: Xixin Tang (Asarum Decoction)
Zhi Mu (Rhizoma Anemarrhenae) 2 qian, Chong Wei Zi (Fructus Echinospermi) 2 qian, Hei Shen (Radix Scrophulariae) 1 qian, Jun Zi (Radix et Rhizoma Rhei) 1 qian, Xi Xin (Herba Asari) 1 qian, Fang Feng (Radix Saposhnikoviae) 2 qian, Jie Geng (Radix Platycodonis) 1 qian, Ling Yang Jiao (Cornu Saigae Tataricae, sliced) 1 qian.
Grind the above herbs into coarse powder. Add two cups of water and decoct until one cup remains. Strain and take warm after meals.
Annotation [1]: The condition of inverted eyelashes and curled hairs occurs because the eyelid skin is loose and the orbital area is tight, causing the lashes to turn inward and pierce the eyeball. This results in a gritty sensation, difficulty opening the eyes, redness and ulceration of the eyelids, and symptoms of both itching and pain.
Annotation [2]: This is caused by the combination of Spleen Heat and Liver Wind, which ascend and stagnate together.
Annotation [3]: It is appropriate to use Xixin Tang (Asarum Decoction) to clear pathogenic heat internally and disperse wind externally.
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Translation: Floating nebula (cataract) appears white, reflecting from within the pupil. In bright light, it appears small; in dim light, it appears wide. There is no itching or pain, and no blood color mixed in. This is due to Brain Wind invading and causing abnormalities in Brain Fat. For treatment, Shijueming San (Arconcha Powder) includes Shi Jue Ming (Concha Haliotidis), Jue Ming Zi (Semen Cassiae), Ren Shen (Radix Ginseng), Fu Ling (Poria), Che Qian Zi (Semen Plantaginis), Xi Xin (Herba Asari), Fang Feng (Radix Saposhnikoviae), Jun Zi (Radix et Rhizoma Rhei), Chong Wei Zi (Fructus Echinospermi), and Jie Geng (Radix Platycodonis). For Zhu Yi Wan (Nebula-Dropping Pills), the ingredients include Shi Jue Ming (Concha Haliotidis), Zhi Mu (Rhizoma Anemarrhenae), Xi Xin (Herba Asari), Wu Wei Zi (Fructus Schisandrae), Sheng Di Huang (Radix Rehmanniae Preparata), Ren Shen (Radix Ginseng), Fang Feng (Radix Saposhnikoviae), and Tu Gan (Hepar Leporis).
Formula: Shijueming San (Arconcha Powder)
Shi Jue Ming (Concha Haliotidis) 1 qian, Ren Shen (Radix Ginseng) 1 qian, Fu Ling (Poria) 1 qian, Che Qian Zi (Semen Plantaginis) 1 qian, Xi Xin (Herba Asari) 5 fen, Fang Feng (Radix Saposhnikoviae) 2 qian, Jun Zi (Radix et Rhizoma Rhei) 1 qian, Chong Wei Zi (Fructus Echinospermi) 2 qian, Jie Geng (Radix Platycodonis) 1.5 qian.
Grind the above herbs into fine powder and mix evenly. Take 2 qian after meals, mixed with rice soup.
Floating Nebula Dropping Pill Formula (Zhu Yi Wan)
Shi Jue Ming (Concha Haliotidis) 1 liang, Zhi Mu (Rhizoma Anemarrhenae) 1 liang, Xi Xin (Herba Asari) 5 qian, Wu Wei Zi (Fructus Schisandrae) 0.5 liang, Sheng Di Huang (Radix Rehmanniae Preparata) 2 liang, Ren Shen (Radix Ginseng) 2.5 liang, Fang Feng (Radix Saposhnikoviae) 1 liang, Tu Gan (Hepar Leporis) 1 piece.
Grind the above herbs into fine powder. Use refined honey to make pills, sized like tung tree seeds. Take 3 qian on an empty stomach, washed down with clear tea.
Annotation [1]: The condition of floating nebula (cataract) initially presents without itching or pain. A white opacity reflects from within the pupil. In dim light, it appears wide; in bright light, the nebula appears slightly smaller. There is absolutely no mixing of blood color. The cause is brain qi rushing into the eye, causing brain fat to flow downward, resulting in internal cataracts. It is appropriate to take Shijueming San (Arconcha Powder) and Zhu Yi Wan (Nebula-Dropping Pills).
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