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Commentary states: Eye diseases originate superficially; if neglected over a long period, they may transform into internal cataracts (Nei Zhang), and this is not a single condition. The *Longmu Lun* (Dragon Tree Treatise) records that the development of internal cataracts follows a gradual process, typically starting in one eye and subsequently affecting both. This is due to deficiency of Qi in the Liver and Kidney, with Wind pathogen and Heat toxin attacking upward to the eyes, leading to decline of Qi and Blood. Over time, this causes harm. The symptoms usually involve no pain or itching, nor discharge or tearing. Vision appears like light smoke, thin fog, hanging threads, fly wings, or floating mosquitoes. Initially, it may seem negligible, but once the cataract forms, vision becomes severely obscured. The following discusses conditions on the verge of becoming internal cataracts, embodying the principle of "attending to difficulties while they are easy" (preventing complications before they arise).

For treating high que mu (night blindness) caused by Wind, which gradually transforms into internal cataract, Huanjing Wan (Restore Vision Pill) is suitable:
Ren Shen (Ginseng Radix et Rhizoma), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Shi Jue Ming (Haliotidis Concha, washed), Bai Fu Ling (Poria, remove black skin), Zhi Mu (Anemarrhenae Rhizoma, sliced and baked), Xiong (Chuanxiong Rhizome), Mu Xiang (Aucklandiae Radix) [each 1 liang].
The above eight herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take 20 pills per dose, administered orally with clear tea on an empty stomach.

For treating que mu caused by Liver deficiency, fearing transformation into internal cataract, first take Zhuogan Tang (Strengthen Liver Decoction), then follow with Xiefei Yin (Drain Lung Infusion).
Zhuogan Tang Formula:
Da Huang (Rhei Radix et Rhizoma, cut and stir-fried), Che Qian Zi (Plantaginis Semen), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves, each 1 liang), Huang Qin (Scutellariae Radix, remove black heart), Chong Wei Zi (Leonuri Fructus), Xuan Shen (Scrophulariae Radix, each 2 liang).
The above six herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 zhan of water and 37 black soybeans, decoct until 6 fen remains, strain, let cool to warm, and take after meals and before bed.

Xiefei Yin Formula:
Fang Feng (Saposhnikoviae Radix, remove forks), Huang Qin (Scutellariae Radix, remove black heart), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix, cut and stir-fried), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried, each 1 liang).
The above five herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1.5 zhan of water, decoct until 1 zhan remains, add Mang Xiao (Natrii Sulfas, half zi), strain, let cool to warm, and take after meals and before bed.

For treating eye pain and visual floaters, fearing transformation into Green Wind Internal Cataract (Lv Feng Nei Zhang), Lingyangjiao Tang (Antelope Horn Decoction) is used:
Ling Yang Jiao (Saigae Tataricae Cornu, shaved, 2 liang), Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria, remove black skin), Xuan Shen (Scrophulariae Radix), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Huang Qin (Scutellariae Radix, remove black heart), Che Qian Zi (Plantaginis Semen)... [Note: Original text lists fewer than ten items here but states ten].
The above ten herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 zhan of water, decoct until 6 fen remains, strain, let cool to warm, and take after meals and before bed.

For treating dim vision and visual floaters, fearing transformation into Black Wind Internal Cataract (Hei Feng Nei Zhang), Bushen Wan (Tonify Kidney Pill) is used:
Ze Xie (Alismatis Rhizoma, remove seedlings and leaves), Tu Si Zi (Cuscutae Semen, soaked in wine, baked, and separately pounded, each 1 liang), Wu Wei Zi (Schisandrae Fructus, stir-fried), Shu Di Huang (Rehmanniae Radix Praeparata, baked), Chong Wei Zi (Leonuri Fructus, each 2 liang), Shan Yu (Dioscoreae Rhizoma, 1.5 liang), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves, 1 liang).
The above seven herbs, except for Tu Si Zi which is separately pounded, are crushed, sifted into powder, mixed evenly, combined with refined honey, and formed into pills the size of wutong seeds. Take 20 pills per dose, administered orally with salt water on an empty stomach.

For treating dim eyesight and visual floaters, fearing transformation into Dark Wind Internal Cataract (Wu Feng Nei Zhang), Jueming Wan (Cassia Seed Pill) is used:
Shi Jue Ming (Haliotidis Concha, washed), Chong Wei Zi (Leonuri Fructus), Che Qian Zi (Plantaginis Semen), Fang Feng (Saposhnikoviae Radix, remove forks), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Jie Geng (Platycodonis Radix, cut and stir-fried), Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria, remove black skin), Shan Yu (Dioscoreae Rhizoma, each 1 liang).
The above nine herbs are crushed, sifted into powder, combined with refined honey, and formed into pills the size of wutong seeds. Take 20 pills per dose, administered orally with salt water on an empty stomach.

For treating gradually dimming vision and visual floaters, fearing transformation into Cyan Wind Internal Cataract (Qing Feng Nei Zhang), Lingyangjiao Yin (Antelope Horn Infusion) is used:
Ling Yang Jiao (Saigae Tataricae Cornu, shaved), Di Gu Pi (Lycii Cortex), Ren Shen (Ginseng Radix et Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix, remove rhizome head), Che Qian Zi (Plantaginis Semen), Xuan Shen (Scrophulariae Radix, each 1 liang).
The above six herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 zhan of water, decoct until 7 fen remains, strain, let cool to warm, and take after meals and before bed.

For treating Lei Tou Feng (Thunder Head Wind), fearing formation of internal cataract, first take Xiegan Yin (Drain Liver Infusion), then follow with Cishi Wan (Magnetite Pill).
Xiegan Yin Formula:
Fang Feng (Saposhnikoviae Radix, remove forks, 2 liang), Wu Wei Zi (Schisandrae Fructus, stir-fried), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Huang Qin (Scutellariae Radix, remove black heart), Che Qian Zi (Plantaginis Semen), Chong Wei Zi (Leonuri Fructus), Jie Geng (Platycodonis Radix, cut and stir-fried), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried), Mang Xiao (Natrii Sulfas, ground, each 1 liang).
The above nine herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 zhan of water, decoct until 7 fen remains, strain, let cool to warm, and take after meals and before bed.

Cishi Wan Formula:
Ci Shi (Magnetitum, 2 liang, heated red and quenched in vinegar seven times), Wu Wei Zi (Schisandrae Fructus, stir-fried), Mu Dan Pi (Moutan Cortex), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked, peel and navel removed), Xuan Shen (Scrophulariae Radix, each 1 liang).
The above five herbs are crushed, sifted into powder, combined with refined honey, and formed into pills the size of wutong seeds. Take 30 pills per dose, administered orally with salt water on an empty stomach.

For treating Liver deficiency exhaustion, accompanied by chronic cold accumulation in the Bladder, causing vertigo, visual floaters, and unclear vision, gradually transforming into internal cataract, Huang Qi Wan (Astragalus Pill) is used:
Huang Qi (Astragali Radix, cut), Bai Fu Ling (Poria, remove black skin), Shi Hu (Dendrobii Caulis, remove roots, each 2 liang), Lu Rong (Cervi Cornu Pantotrichum, remove hair, roasted with butter, 1.5 liang), Wu Wei Zi (Schisandrae Fructus, stir-fried, 2 liang), Fang Feng (Saposhnikoviae Radix, remove forks), Mu Dan Pi (Moutan Cortex), Suan Zao Ren (Ziziphi Spinosae Semen), Fu Pen Zi (Rubigen Fructus), Sheng Gan Di Huang (Rehmanniae Radix, baked, each 3 liang).
The above ten herbs are crushed, sifted into powder, combined with refined honey, and formed into pills the size of wutong seeds. Take 20 pills per dose, administered orally with warm wine on an empty stomach, increasing to 30 pills if necessary.

For treating dim vision, gradually transforming into internal cataract, Kong Qing Wan (Azurite Pill) is used:
Kong Qing (Azurite, half liang, separately ground and washed through water), Jue Ming Zi (Cassiae Semen, stir-fried), Tu Si Zi (Cuscutae Semen, soaked in wine and separately pounded into powder, each 2 liang), Chong Wei Zi (Leonuri Fructus), Wu Wei Zi (Schisandrae Fructus, stir-fried), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Man Jing Shi (Viticis Fructus), Bai Zi Ren (Platycladi Semen, separately ground), Fang Feng (Saposhnikoviae Radix, remove forks), Ji Li Zi (Tribuli Fructus, stir-fried and thorns removed), Gou Qi Zi (Lycii Fructus), Shi Long Rui (Batrachospermi Thallus, each 1 liang), Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome head).
The above thirteen herbs are crushed, sifted into fine powder, mixed with Kong Qing, combined with refined honey, and formed into pills the size of wutong seeds. Take 20 pills after meals with Bamboo Leaf Decoction, three times daily.

For treating dim vision, gradually transforming into internal cataract, Shi Jue Ming Wan (Haliotis Concha Pill) is suitable:
Shi Jue Ming (Haliotidis Concha, 1 liang), Gui Xin (Cinnamomi Ramulus, half liang), Huai Zi (Sophorae Fructus, 1 liang), Yang Qi Shi (Yangqishizhi, 1 liang, boiled in wine for half a month, finely ground and washed through water), Ci Shi (Magnetitum, 1.5 liang, heated red, quenched in vinegar seven times, finely ground and washed through water), Tu Si Zi (Cuscutae Semen, 1 liang, soaked in wine for three days, dried, and separately pounded into powder), Rou Cong Rong (Cistanches Herba, 1 liang, soaked in wine overnight, scraped, roasted dry), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang).
The above eight herbs are crushed, ground, and sifted into fine powder, combined with refined honey, and pounded 300-200 times. Form into pills the size of wutong seeds. Take 20 pills before meals with salt water, gradually increasing to 30 pills.

For treating dim vision, on the verge of transforming into internal cataract, Bugan Wan (Tonify Liver Pill) is used:
Xing Ren (Armeniacae Semen Amarum, 1 liang), Chong Wei Zi (Leonuri Fructus, 1 liang), Qing Xiang Zi (Celosiae Semen, 1 liang), Gou Qi Zi (Lycii Fructus, 1 liang), Wu Wei Zi (Schisandrae Fructus, 1 liang), Fu Ling (Poria, 1 liang, remove skin), Gan Di Huang (Rehmanniae Radix, 3 liang), Tu Si Zi (Cuscutae Semen, 2 liang), Jue Ming Zi (Cassiae Semen, 1 liang), Shan Yu (Dioscoreae Rhizoma), Che Qian Zi (Plantaginis Semen), Di Gu Pi (Lycii Cortex, baked), Bai Zi Ren (Platycladi Semen), Da Huang (Rhei Radix et Rhizoma), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut), Ren Shen (Ginseng Radix et Rhizoma), Huang Qin (Scutellariae Radix, remove black heart), Huang Lian (Coptidis Rhizoma, remove whiskers), Fang Feng (Saposhnikoviae Radix, remove forks, each 1.5 liang).
The above twenty herbs are crushed, sifted into powder, combined with refined honey, and formed into pills the size of wutong seeds. Take 20 pills after meals with rice drink, and again before bed, increasing to 30 pills if necessary.

For treating dizzy vision, regardless of duration, fearing transformation into internal cataract, Qin Pi San (Eucommia Bark Powder) is used:
Qin Pi (Eucommiae Cortex, remove rough bark, 2 liang), Qu Mai (Dianthi Herba), Sheng Ma (Bupleuri Radix), Zhi Ke (Aurantii Fructus, remove pulp and bran, stir-fried), Huang Lian (Coptidis Rhizoma, remove whiskers), Qian Hu (Peucedani Radix, remove rhizome head), Zhi Zi Ren (Gardeniae Fructus, each 1.5 liang), Xi Zhong Zi (Polygoni Avicularis Fructus), Che Qian Zi (Plantaginis Semen), Da Lan Shi (Isatidis Radix), Fang Feng (Saposhnikoviae Radix, remove forks), Jue Ming Zi (Cassiae Semen, stir-fried, each 2 liang), Xian Shi (Amaranthi Fructus), Ling Yang Jiao (Saigae Tataricae Cornu, shaved), Huang Bo (Phellodendri Cortex, remove rough bark and roast, each 1 liang).
The above fifteen herbs are crushed, sifted into powder, combined with refined honey, and formed into pills the size of wutong seeds. Take 20 pills after meals with rice drink, and again before bed, increasing to 30 pills if necessary.

For treating dim vision, gradually transforming into internal cataract, Ju Hua Wan (Chrysanthemi Flos Pill) is used:
Ju Hua (Chrysanthemi Flos, 2 liang), Huang Lian (Coptidis Rhizoma, remove whiskers, 1.5 liang), Huai Zi (Sophorae Fructus, 1.5 liang), Che Qian Zi (Plantaginis Semen), Chong Wei Zi (Leonuri Fructus), Qing Xiang Zi (Celosiae Semen), Di Fu Zi (Kochiae Caulis et Folium), Jue Ming Zi (Cassiae Semen, lightly stir-fried), Xi Zhong Zi (Polygoni Avicularis Fructus), Ku Shen (Sophorae Flavescentis Radix), Fang Feng (Saposhnikoviae Radix, remove forks), Huang Qin (Scutellariae Radix, remove black heart), Rui Ren (Pruni Armeniacae Semen, each 1 liang).
The above thirteen herbs are crushed, sifted into powder, combined with refined honey, and formed into pills the size of wutong seeds. Take 20 pills after meals with rice drink, and again before bed.

For treating eye neoplasm membranes obscuring the pupil, as well as internal cataract and amblyopia, Che Qian San (Plantago Seed Powder) is used:
Che Qian Zi (Plantaginis Semen), Ju Hua (Chrysanthemi Flos), She Tui (Bombyx Batryticatus, burnt to ash), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and cut), Jing San Leng (Sparganii Rhizoma, processed and cut), Shi Jue Ming (Haliotidis Concha, ground), Cao Jue Ming (Cassiae Semen, stir-fried, each 1 liang), Jing Quan Shi (Well Spring Stone, ground, 2 liang), Zhi Shi (Aurantii Fructus Immaturus, bran-roasted, 1 fen).
The above nine herbs are all crushed, sifted into powder. Take 1.5 qian bi per dose, mix with boiled water after meals, at any time.

For treating internal cataract, amblyopia, neoplasm haze, temporary dimness, and all eye diseases, Hua Jiu Wan (Flower Dove Pill) is used:
Hua Jiu (Hua Jiu, one bird, remove feathers, intestines, beak, and feet, roast until cooked), Yang Gan (Ovis/Capis Hepaticum, one piece, slice and stir-fry), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Fang Feng (Saposhnikoviae Radix, remove forks), Gui (Cinnamomi Ramulus, remove rough bark), Huang Lian (Coptidis Rhizoma, remove whiskers), Mu Li (Ostrea Concha, roasted), Gan Ju Hua (Chrysanthemi Flos), Ji Li Zi (Tribuli Fructus, stir-fried and thorns removed, each 5 liang), Bai Fu Ling (Poria, remove black heart), Qu Mai (Dianthi Herba, each 4 liang), Qiang Huo (Notopterygii Rhizoma et Radix, remove rhizome head, 3 liang), Man Jing Zi (Viticis Fructus, 2 sheng, steamed three times), Rui Ren (Pruni Armeniacae Semen, half jin), Jue Ming Zi (Cassiae Semen, 2 he).
The above fifteen herbs are crushed, ground into powder, combined with refined honey, and formed into pills the size of wutong seeds. Take 20-30 pills per dose, on an empty stomach, at noon, and before bed, with tea or wine as desired. Effectiveness is seen within half a month.

For treating internal and external eye obstructions, Rui Ren Wan (Pruni Armeniacae Semen Pill) is used:
Rui Ren (Pruni Armeniacae Semen, 3 liang), Huang Lian (Coptidis Rhizoma, remove whiskers), Che Qian Zi (Plantaginis Semen, each 2 liang), Ren Shen (Ginseng Radix et Rhizoma), Mai Men Dong (Ophiopogonis Radix, remove heart and bake, each 3 qian), Qing Xiang Zi (Celosiae Semen, soaked in water, baked dry), Fang Feng (Saposhnikoviae Radix, remove forks), Huang Qin (Scutellariae Radix, remove black heart), Sheng Gan Di Huang (Rehmanniae Radix, baked), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Ling Yang Jiao Mo (Saigae Tataricae Cornu Powder, each 1 liang)... [Note: Text implies more ingredients totaling 22].
The above twenty-two herbs are crushed, mixed evenly, combined with refined honey, and formed into pills the size of wutong seeds. After meals, take 20 pills with Lily Bulb Decoction, increasing to 30 pills. As long as the pupil remains, both internal and external obstructions can be treated.