条文：高风内障号鸡盲，天晚不明天晓光，夜能上视难见下，损亏肝血肾精伤。
补肝羚细羌苓楮，参黑车斛枯草防；还睛石决人参细，茺蔚知苓芎木香。
方剂：高风补肝散方
羚羊角 细辛 羌活 茯苓 楮实子 人参 元参 车前子 石斛 夏枯
草 防风各一钱右为粗末，以水二盏，煎至一盏，去渣温服。
高风还睛丸方
石决明二两 人参一两 细辛五钱 茺蔚子二两 知母一两 茯苓一两
芎穷一两 木香五钱
右为细末，炼蜜为丸，如桐子大，空心茶清送下三钱。
【注】[1]高风内障之证，两眼至天晚不明，天晓复明。
[2]缘肝有积热，肾经虚损，乃阳微阴盛也。
[3]天晚阴长，则天时之阴，助人身之阴，能视顶上之物，不能下视诸物
，至天晓阳长，则天时之阳，助人身之阳，而眼复明矣，宜用补肝散
还睛丸。
%
分类：补遗
条文：干涩昏花肝肾病，酒色劳瞻思虑伤，四物五子车前子，覆盆枸杞菟丝当，
熟地川芎芍地肤，五胆膏宜外点良。
方剂：四物五子丸方
车前子（酒蒸） 覆盆子 枸杞子 菟丝子（酒煮烂） 当归（酒洗）
熟地黄 川芎 白芍药 地肤子各等分
右为细末，炼蜜为丸，桐子大，每服二钱，不枸时盐汤送下。
五胆膏方见卷末
【注】[1]干涩昏花者，谓目觉干涩不爽，视物昏花也。
[2]此乃肝、肾俱伤之候。
[3]或因嗜酒恣欲，或劳瞻竭视，或思虑太过，皆成此证，宜用四物五子
丸，滋阴养水，略带抑火，以培其本也。
%
Clause: Gao Feng Internal Obstruction is also known as "Night Blindness" (Ji Mang), characterized by blurred vision at night and restored vision at dawn. At night, one can look up but has difficulty looking down; this is caused by the depletion of Liver Blood and damage to Kidney Essence.
Treatment involves Bu Gan San (Tonify the Liver Powder), containing Lingyangjiao (Antelope Horn), Xixin (Asarum), Qianghuo (Notopterygium Rhizome), Fuling (Poria), Chushizi (Broussonetia Fruit), Renshen (Ginseng), Yuanshen (Scrophularia Root), Cheqianzi (Plantago Seed), Shihu (Dendrobium Stem), Xiakucao (Prunella Spike), and Fangfeng (Saposhnikovia Root); or Huan Jing Wan (Restore Vision Pill), containing Shijueming (Concha Arcae), Renshen (Ginseng), Xixin (Asarum), Chongweizi (Chervil Fruit), Zhimu (Anemarrhena Rhizome), Fuling (Poria), Xiongqiong (Ligusticum Chuanxiong Rhizome), and Muxiang (Aucklandiae Radix).
Formula: Gao Feng Bu Gan San Formula
Lingyangjiao (Antelope Horn), Xixin (Asarum), Qianghuo (Notopterygium Rhizome), Fuling (Poria), Chushizi (Broussonetia Fruit), Renshen (Ginseng), Yuanshen (Scrophularia Root), Cheqianzi (Plantago Seed), Shihu (Dendrobium Stem), Xiakucao (Prunella Spike), Fangfeng (Saposhnikovia Root), each 1 qian. Grind the above herbs into a coarse powder. Decoct with two cups of water until reduced to one cup, remove the dregs, and take warm.
Gao Feng Huan Jing Wan Formula
Shijueming (Concha Arcae) 2 liang, Renshen (Ginseng) 1 liang, Xixin (Asarum) 5 qian, Chongweizi (Chervil Fruit) 2 liang, Zhimu (Anemarrhena Rhizome) 1 liang, Fuling (Poria) 1 liang, Xiongqiong (Ligusticum Chuanxiong Rhizome) 1 liang, Muxiang (Aucklandiae Radix) 5 qian. Grind the above herbs into a fine powder, mix with refined honey to make pills the size of tung tree seeds. Take 3 qian on an empty stomach, washed down with tea infusion.
Annotation: [1] The symptom of Gao Feng Internal Obstruction is that both eyes cannot see clearly at night but regain vision at dawn.
[2] This arises from accumulated heat in the Liver and deficiency/damage in the Kidney Meridian, representing a state of weak Yang and flourishing Yin.
[3] At night, Yin grows; the Yin of nature assists the Yin of the body, allowing one to see objects above but not below. At dawn, Yang grows; the Yang of nature assists the Yang of the body, restoring clear vision. It is appropriate to use Bu Gan San and Huan Jing Wan.
Category: Supplementary Material
Clause: Dryness, roughness, and blurred vision are diseases of the Liver and Kidney, caused by excessive alcohol consumption, sexual indulgence, visual fatigue, and overthinking. Treatment may employ Si Wu Wu Zi Wan (Four Substances and Five Seeds Pill), which includes Cheqianzi (Plantago Seed), Fupenzi (Rubus Fruit), Gouqizi (Lycium Fruit), Tusizi (Cuscuta Seed), along with Shudi (Prepared Rehmannia Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishao (White Peony Root), and Difuzi (Kochia Fruit). Additionally, Wudan Gao (Five Gall Ointment) applied externally to the eyes is beneficial.
Formula: Si Wu Wu Zi Wan Formula
Cheqianzi (Plantago Seed, steamed with wine), Fupenzi (Rubus Fruit), Gouqizi (Lycium Fruit), Tusizi (Cuscuta Seed, boiled with wine until soft), Danggui (Angelica Sinensis Root, washed with wine), Shudihuang (Prepared Rehmannia Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishaoyao (White Peony Root), Difuzi (Kochia Fruit), all in equal parts. Grind the above herbs into a fine powder, mix with refined honey to make pills the size of tung tree seeds. Take 2 qian per dose, at any time, washed down with salted water.
Wudan Gao Formula is found at the end of this volume.
Annotation: [1] "Dryness, roughness, and blurred vision" refers to the sensation of dryness and discomfort in the eyes, accompanied by blurred vision.
[2] This is a sign of simultaneous injury to the Liver and Kidney.
[3] It may result from indulgence in alcohol and lust, excessive visual labor, or excessive mental worry, all leading to this condition. It is appropriate to use Si Wu Wu Zi Wan to nourish Yin and tonify Water, with a slight effect of suppressing Fire, thereby cultivating the root.