论曰肝心二脏，久积毒热，攻发于目，能生丁翳，状如银丁，盖肝木也，在窍为目，心
火也，于肝为子，今心脏积热，热乘于肝，熏发结聚，故为丁翳。
治阳气炎上，血脉贯冲，目赤肿痛，睑 生疮，暴生丁翳，渐染睛轮，视物羞涩，紧急
难开，退膜丸方
熊胆（半两研） 牛胆汁（一合） 猪胆（五枚取汁） 牵牛子（一两炒） 黄连（去
须一两）
栀子仁（一两） 车前子（半两） 决明子（半两炒） 枸杞（半两） 甘草（一两炙）
上一十味，除牛胆猪胆汁外，八味同为末，用二胆汁和丸，梧桐子大，每服五十丸，食
后荆芥汤下。
治肝心毒热，丁翳入黑睛，青葙子丸方
青葙子 蓝实 枳壳（去瓤麸炒） 大黄（锉炒） 菊花 甘草（炙各二两） 草决明 黄
连
（去须）
茺蔚子 细辛（去苗叶） 麻黄（去根节） 车前子（各一两半） 鲤鱼胆 鸡胆（各一
枚阴干）
羚羊角（镑三两）
上一十五味，捣罗为末，炼蜜丸如梧桐子大，每服二十五丸，食后温水下，日三，兼治
内外障一切眼病。
治内翳风邪丁翳，青葙子汤方
青葙子 蕤仁 白茯苓（去黑皮） 车前子 葳蕤 黄连（去须各一两半） 秦皮（二
分）
山栀子仁 秦艽（去苗土） 甘菊花（择） 黄芩（去黑心） 甘草（炙各一两）
上一十二味，粗捣筛，每服三钱匕，水二盏，煎至八分，去滓食后服。
治白膜晕赤，侵黑睛生翳，横冲瞳仁，久成丁翳，黄芩汤方
黄芩（去黑心） 黄连（去须） 木通（锉） 柴胡（去苗） 赤芍药（各二两） 地
骨皮 山栀
子仁（各一两半） 葳蕤 甘草（炙） 大黄（蒸三度焙各二两半） 石膏（碎六两半） 朴
硝（研
五两）
上一十二味，粗捣筛，每服五钱匕，水二盏，煎至一盏，去滓食后服。
治丁翳毒热，除热饮方
黄芩（去黑心） 玄参 桔梗（去芦头炒） 知母 芒硝 防风（去叉） 茺蔚子 大
黄（各
一两）
上八味，粗捣筛，每服二钱匕，水一盏，煎至七分，去滓空心食后温服。
治心热、生丁翳，镇心丸方
远志（去心） 人参 赤茯苓（去黑皮） 柏子仁 细辛（去苗叶） 茺蔚子 山芋 车
前子
（各一两）
上八味，捣罗为末，炼蜜丸如梧桐子大，每服十丸，空心茶汤下。
治膀胱热，肝膈中风毒，生丁翳，升麻汤方
升麻 黄 （锉） 犀角（镑） 葳蕤 玄参（各一两）
上五味，锉如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓入芒硝半钱匕，竹沥
少许，空心温服。
治丁翳根脚极浓，经久不瘥，点眼决明散方
石决明（捣碎水飞过） 真珠末 琥珀（各三分） 乌贼鱼骨（半两） 龙脑（研一钱）
上五味，同研极细，每以铜箸，取如大豆大，点患处，日三次。
治顽翳丁翳眼，葳蕤丸方
葳蕤 青葙子 黄连（去须） 防风（去叉） 赤芍药（各一两半） 车前子（二两） 地
肤
子干蓝 独活（去芦头） 芎 黄芩（去黑心） 甘草（炙锉各一两）
上一十二味，捣罗为末，炼蜜和丸，如梧桐子大，食后温熟水，下四十丸，日再。
治目赤，并黑睛上生丁翳疼痛，葳蕤汤方
葳蕤 桔梗 黄 （锉各一两半） 羚羊角（镑一两）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至八分。去滓下芒硝末半钱匕，更煎一二
沸，食后温服。
It is discussed that when the Liver and Heart viscera accumulate toxic heat for a long time, it attacks and manifests in the eyes, causing the formation of Ding Yi (a type of corneal opacity resembling a nail). Its appearance resembles a silver nail. This is because the Liver belongs to Wood and opens into the Eyes; the Heart belongs to Fire and is the "child" organ relative to the Liver. Currently, with accumulated heat in the Heart, the heat invades the Liver, steaming and stimulating aggregation, thus forming Ding Yi.
For treating rising Yang Qi, blood vessels penetrating and rushing, redness and swelling pain of the eyes, sores on the eyelids, sudden onset of Ding Yi, gradual erosion of the cornea (Hei Jing), blurred vision, tightness making it difficult to open the eyes, use the Tuimo Wan (Membrane-Removing Pill) formula:
Xiong Dan (Bear Bile, half liang, ground) Niu Dan Zhi (Ox Bile Juice, one he) Zhu Dan Zhi (Pig Bile Juice, from five pigs) Qian Niu Zi (Pharbitidis Semen, one liang, stir-fried) Huang Lian (Coptidis Rhizoma, one liang, remove stamens)
Zhi Zi Ren (Gardeniae Fructus, one liang) Che Qian Zi (Plantaginis Semen, half liang) Jue Ming Zi (Cassiae Semen, half liang, stir-fried) Gou Qi (Lycii Fructus, half liang) Gan Cao (Licorice Root, one liang, honey-fried)
Take the above ten ingredients. Excluding the ox and pig bile juices, grind the remaining eight ingredients into fine powder. Mix with the two bile juices to form pills the size of Sophora japonica seeds. Take fifty pills per dose, administered after meals with Jingjie Decoction (Schizonepeta Decoction).
For treating toxic heat in the Liver and Heart, with Ding Yi invading the cornea, use the Qingxiangzi Wan (Celosiae Seed Pill) formula:
Qing Xiang Zi (Celosiae Semen) Lan Shi (Isatidis Folium/Fructus context dependent, here likely Isatis leaf/fruit derivative) Zhi Ke (Aurantii Fructus, remove albedo, bran-fried) Da Huang (Rhei Radix et Rhizoma, cut and stir-fried) Ju Hua (Chrysanthemi Flos) Gan Cao (Licorice Root, honey-fried, each two liang) Cao Jue Ming (Cassiae Semen) Huang Lian (Coptidis Rhizoma, remove stamens)
Chong Wei Zi (Leonuri Fructus) Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves) Ma Huang (Ephedrae Herba, remove roots and joints) Che Qian Zi (Plantaginis Semen, each one and a half liang) Li Yu Dan (Carp Bile) Ji Dan (Chicken Gallbladder, each one piece, dried in shade)
Ling Yang Jiao (Saiga Antelope Horn, shaved, three liang)
Grind the above fifteen ingredients into fine powder using a mortar and sieve. Mix with refined honey to form pills the size of Sophora japonica seeds. Take twenty-five pills per dose, administered after meals with warm water, three times daily. It also treats all types of internal and external eye obstructions.
For treating internal opacities caused by wind pathogen leading to Ding Yi, use the Qingxiangzi Tang (Celosiae Seed Decoction) formula:
Qing Xiang Zi (Celosiae Semen) Rui Ren (Pruni Semen) Bai Fu Ling (Poria, remove black skin) Che Qian Zi (Plantaginis Semen) Wei Ru (Polygonati Rhizoma) Huang Lian (Coptidis Rhizoma, remove stamens, each one and a half liang) Qin Pi (Fraxini Cortex, two fen)
Shan Zhi Zi Ren (Gardeniae Fructus) Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings and soil) Gan Ju Hua (Chrysanthemi Flos, selected) Huang Qin (Scutellariae Radix, remove black heart) Gan Cao (Licorice Root, honey-fried, each one liang)
Coarsely crush and sieve the above twelve ingredients. Take three qian bi (measurements) per dose, add two zhan (measurements) of water, decoct until eight parts remain, remove dregs, and take after meals.
For treating white membrane with晕赤 (halo redness), eroding the cornea to form opacity, horizontally obstructing the pupil, eventually becoming Ding Yi, use the Huang Qin Tang (Scutellaria Decoction) formula:
Huang Qin (Scutellariae Radix, remove black heart) Huang Lian (Coptidis Rhizoma, remove stamens) Mu Tong (Akebiae Caulis, cut) Chai Hu (Bupleuri Radix, remove seedlings) Chi Shao Yao (Paeoniae Radix Rubra, each two liang) Di Gu Pi (Lycii Cortex) Shan Zhi Zi Ren (Gardeniae Fructus, each one and a half liang) Wei Ru (Polygonati Rhizoma) Gan Cao (Licorice Root, honey-fried) Da Huang (Rhei Radix et Rhizoma, steamed three times and baked, each two and a half liang) Shi Gao (Gypsum Fibrosum, crushed, six and a half liang) Pu Xiao (Natrii Sulfas, ground, five liang)
Coarsely crush and sieve the above twelve ingredients. Take five qian bi per dose, add two zhan of water, decoct until one zhan remains, remove dregs, and take after meals.
For treating toxic heat of Ding Yi, use the Chu Re Yin (Clear Heat Drink) formula:
Huang Qin (Scutellariae Radix, remove black heart) Xuan Shen (Scrophulariae Radix) Jie Geng (Platycodonis Radix, remove rhizome head, stir-fried) Zhi Mu (Anemarrhenae Rhizoma) Mang Xiao (Natrii Sulfas) Fang Feng (Saposhnikoviae Radix, remove forks) Chong Wei Zi (Leonuri Fructus) Da Huang (Rhei Radix et Rhizoma, each one liang)
Coarsely crush and sieve the above eight ingredients. Take two qian bi per dose, add one zhan of water, decoct until seven parts remain, remove dregs, and take warm on an empty stomach and after meals.
For treating Heart heat and generation of Ding Yi, use the Zhen Xin Wan (Calming the Heart Pill) formula:
Yuan Zhi (Polygalae Radix, remove heart) Ren Shen (Ginseng Radix) Chi Fu Ling (Poria with Red Sandalwood, remove black skin) Bai Zi Ren (Biota Seed) Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves) Chong Wei Zi (Leonuri Fructus) Shan Yu (Dioscoreae Rhizoma) Che Qian Zi (Plantaginis Semen, each one liang)
Grind the above eight ingredients into fine powder using a mortar and sieve. Mix with refined honey to form pills the size of Sophora japonica seeds. Take ten pills per dose, administered on an empty stomach with tea water.
For treating Bladder heat, wind-toxin in the Liver and Diaphragm, generating Ding Yi, use the Sheng Ma Tang (Cimicifugae Decoction) formula:
Sheng Ma (Cimicifugae Rhizoma) Huang Qin (Scutellariae Radix, cut) Xi Jiao (Rhinocerotis Cornu, shaved - *Note: Modern substitute often used*) Wei Ru (Polygonati Rhizoma) Xuan Shen (Scrophulariae Radix, each one liang)
Cut the above five ingredients into pieces the size of hemp seeds. Take five qian bi per dose, add one and a half zhan of water, decoct until eight parts remain. Remove dregs, add half a qian bi of Mang Xiao (Natrii Sulfas) and a small amount of Zhu Li (Bambusa Sap), and take warm on an empty stomach.
For treating Ding Yi with extremely purulent base, persisting for a long time without healing, use the Jue Ming San (Cassia Powder for Eye Dripping) formula:
Shi Jue Ming (Haliotidis Concha, crushed and processed by water levigation) Zhen Zhu Mo (Pearl Powder) Hu Po (Amber, each three fen) Wu Zei Gu (Sepiae Endoconcha, half liang) Long Nao (Borneolum Syntheticum, ground, one qian)
Grind the above five ingredients together to an extremely fine powder. Using copper tweezers, take an amount the size of a soybean and apply to the affected area, three times daily.
For treating stubborn opacities and Ding Yi in the eyes, use the Wei Ru Wan (Polygonatum Pill) formula:
Wei Ru (Polygonati Rhizoma) Qing Xiang Zi (Celosiae Semen) Huang Lian (Coptidis Rhizoma, remove stamens) Fang Feng (Saposhnikoviae Radix, remove forks) Chi Shao Yao (Paeoniae Radix Rubra, each one and a half liang) Che Qian Zi (Plantaginis Semen, two liang) Di Fu Zi (Kochiae Fructus) Gan Lan (Indigo Naturalis/Dried Indigo) Du Huo (Angelicae Pubescentis Radix, remove rhizome head) Xiong (Ligustici Chuanxiong Rhizoma) Huang Qin (Scutellariae Radix, remove black heart) Gan Cao (Licorice Root, honey-fried and cut, each one liang)
Grind the above twelve ingredients into fine powder using a mortar and sieve. Mix with refined honey to form pills the size of Sophora japonica seeds. Take forty pills after meals with warm cooked water, twice daily.
For treating red eyes and pain from Ding Yi on the cornea, use the Wei Ru Tang (Polygonatum Decoction) formula:
Wei Ru (Polygonati Rhizoma) Jie Geng (Platycodonis Radix) Huang Qin (Scutellariae Radix, cut, each one and a half liang) Ling Yang Jiao (Saiga Antelope Horn, shaved, one liang)
Coarsely crush and sieve the above four ingredients. Take five qian bi per dose, add one and a half zhan of water, decoct until eight parts remain. Remove dregs, add half a qian bi of Mang Xiao (Natrii Sulfas) powder, boil for one or two more boils, and take warm after meals.