目有瞳仁倒者何也？答曰∶五脏俱损也。外因五色，内因五味，精液妄行，以致肾水枯竭而伤肺肝，知五脏
损也。宜点珍珠虎液膏，服菊花丸。
菊花丸
菊花（四两） 巴戟（一两六钱） 五味子（二两）
肉苁蓉（酒洗，一两） 枸杞（二两）
共为末，蜜丸梧桐子大，每服用盐汤送下三十丸。
目有青膜遮睛者何也？答曰∶目乃肾水之源，精神之腑。五脏积热，壅滞气血，冲击肝木，故青膜遮睛也。
宜点青龙琥珀膏，服洗肝散。
洗肝散
薄荷叶 川芎 大黄 当归 栀子 防风 羌活 甘草（以上各等分）
共为末，每服三钱，食后服。
目有瞳仁黄者何也？答曰∶黄风内障也。五行应变，升降为先。若血气衰涩，不能应目，故瞳仁黄也。宜
点珍珠散，服椒红丸。
夜光椒红丸
川芎（一两） 白蒺藜（炒，三钱） 防风（五钱） 苍术（炒，二两五钱） 熟地（三两） 车前子（炒，
三钱） 元精石（五钱） 羌活（一两） 当归（一两） 川乌（一两） 陈皮（一两） 黄连（一两）
珍珠（五钱） 人参（五钱） 川椒（五钱）
共为末蜜丸，梧桐子大，每服四十五丸，木香汤下。
目有白星散乱，头昏眼花黑暗者何也？答曰∶气血衰也。气血者，周流百脉，百脉一衰，六阳俱起，头即昏
眩，血脉不行，故生白星，昏花黑暗。宜服川乌散，点推云散。（方见十四问）
川乌散
川乌（煨） 细辛 川芎 防风 生地 当归 芍药 甘草 人参（以上各等分）
共为末，每服二钱，酒送下。
石膏二川汤 （石膏二川汤法中未见，疑漏载）
石膏 川乌 川芎 防风 荆芥 羌活
连翘 升麻
水煎服。
What is the reason for the inversion (abnormality) of the pupil? The answer is: It indicates damage to all five Zang organs. Externally, it is caused by the five colors [visual stimuli or pathogenic factors associated with colors]; internally, it is caused by the five flavors [dietary preferences]. This leads to the reckless flow of essence and fluids, resulting in the depletion of Kidney Water, which subsequently damages the Lung and Liver. Thus, one knows that the five Zang organs are damaged. It is appropriate to apply Zhenzhu Hu Ye Gao (Pearl Tiger Liquid Ointment) and take Juhua Wan (Chrysanthemum Pill).
Juhua Wan (Chrysanthemum Pill)
Ju Hua (Chrysanthemi Flos, 4 liang) Ba Ji Tian (Morindae Officinalis Radix, 1 liang 6 qian) Wu Wei Zi (Schisandrae Chinensis Fructus, 2 liang)
Rou Cong Rong (Cistanches Herba, wine-washed, 1 liang) Gou Qi Zi (Lycii Fructus, 2 liang)
Grind all ingredients into fine powder, mix with honey to form pills the size of paulownia seeds. Take 30 pills per dose, washed down with salt water.
What is the reason for a green membrane obscuring the eye? The answer is: The eyes are the source of Kidney Water and the residence of spirit and consciousness. Accumulated heat in the five Zang organs causes stagnation of Qi and Blood, which impacts the Liver Wood [Liver system], resulting in a green membrane obscuring vision. It is appropriate to apply Qinglong Hupo Gao (Azure Dragon Amber Ointment) and take Xigan San (Liver-Washing Powder).
Xigan San (Liver-Washing Powder)
Bo He Ye (Menthae Haplocalycis Folium) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Da Huang (Rhei Radix et Rhizoma) Dang Gui (Angelicae Sinensis Radix) Zhi Zi (Gardeniae Fructus) Fang Feng (Saposhnikoviae Radix) Qiang Huo (Notopterygii Rhizoma et Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma) [All in equal proportions]
Grind all ingredients into fine powder. Take 3 qian per dose after meals.
What is the reason for the yellowing of the pupil? The answer is: This is Huang Feng Nei Zhang (Yellow Wind Internal Obstruction). In the changes of the Five Elements, ascending and descending movements are primary. If Qi and Blood are weak and stagnant, they cannot nourish the eyes, causing the pupil to appear yellow. It is appropriate to apply Zhenzhu San (Pearl Powder) and take Jiaohong Wan (Pepper Red Pill).
Yeguang Jiaohong Wan (Night-Luminous Pepper Red Pill)
Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 liang) Bai Ji Li (Tribuli Fructus, stir-fried, 3 qian) Fang Feng (Saposhnikoviae Radix, 5 qian) Cang Zhu (Atractylodis Rhizoma, stir-fried, 2 liang 5 qian) Shu Di Huang (Rehmanniae Radix Praeparata, 3 liang) Che Qian Zi (Plantaginis Semen, stir-fried, 3 qian) Yuan Jing Shi (Yuanjing Stone, 5 qian) Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang) Dang Gui (Angelicae Sinensis Radix, 1 liang) Chuan Wu (Aconiti Radix, 1 liang) Chen Pi (Citri Reticulatae Pericarpium, 1 liang) Huang Lian (Coptidis Rhizoma, 1 liang)
Zhen Zhu (Margarita, 5 qian) Ren Shen (Ginseng Radix et Rhizoma, 5 qian) Chuan Jiao (Zanthoxyli Pericarpium, 5 qian)
Grind all ingredients into fine powder, mix with honey to form pills the size of paulownia seeds. Take 45 pills per dose, washed down with Muxiang Tang (Costus Root Decoction).
What is the reason for scattered white stars in the eyes, accompanied by dizziness, blurred vision, and darkness? The answer is: This is due to the decline of Qi and Blood. Qi and Blood circulate through the hundred vessels; when the hundred vessels decline, the Qi of the Six Yang channels rises upward, causing dizziness in the head. When blood vessels do not flow smoothly, white stars are generated, leading to blurred and dark vision. It is appropriate to take Chuanwu San (Chuanwu Powder) and apply Tuiyun San (Cloud-Pushing Powder). (Formula see Question 14)
Chuanwu San (Chuanwu Powder)
Chuan Wu (Aconiti Radix, baked) Xi Xin (Asari Radix et Rhizoma) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Fang Feng (Saposhnikoviae Radix) Sheng Di Huang (Rehmanniae Radix) Dang Gui (Angelicae Sinensis Radix) Shao Yao (Paeoniae Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma) Ren Shen (Ginseng Radix et Rhizoma) [All in equal proportions]
Grind all ingredients into fine powder. Take 2 qian per dose, washed down with wine.
Shigao Er Chuan Tang (Gypsum and Two Chuan Decoction) [Note: This formula is not found in the methods for Shigao Er Chuan Tang; it is suspected to be missing from the record.]
Shi Gao (Gypsum Fibrosum) Chuan Wu (Aconiti Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Fang Feng (Saposhnikoviae Radix) Jing Jie (Schizonepetae Spica) Qiang Huo (Notopterygii Rhizoma et Radix)
Lian Qiao (Forsythiae Fructus) Sheng Ma (Cimicifugae Rhizoma)
Decoct in water and take orally.