（附论）
夫 肉攀睛。淫肤垂睑之类。皆为外障。审其轻重。则有服食点洗之剂。钩割熨烙之法。
以
实皆未定也。有冰涩浮沉枣花偃月之翳。浅深固不一也。亦有清明无翳。若未尝萦疾苦者。
与未患又相似也。是以论内障。每重于医药。必候之岁月。其翳成熟。乃用针拨。或一拨之
而愈。或再三而愈。若披云雾睹青天白日之快方且封闭绵密。以待安宁。而又服药。以攻其
内。所以扫除荡涤。绝其本根。复其自然而已。世之专治者甚多。不可胜举。大抵以龙木为
师法。龙木内障二十有二。可以针者一十有二。皆言针后用某汤某丸。则知内障非针无以取
效。且治眼至于针。诚出于不得已。岂轻用妄投耶。针法具载别叙。今姑以针后用药。次第
列之于下。
方
防风汤 治内障圆翳。针后及涩翳。
防风（去叉） 茺蔚子 五味子 知母（焙） 桔梗（炒） 玄参 车前子 大黄（锉
炒） 细
辛（
温服。食后临卧。日二次。
决明散 治内障浮翳。或如枣花。或若银钉。浮浅透外。
七宝丸 治内障冰翳。如冰冻坚结睛上。以针拨取之。后及散翳。
石决明（捣研二两） 人参 茺蔚子（各一两） 琥珀（捣研三分） 龙脑（研一分） 真
珠
（捣研）
渐
加至二十丸。
七宝汤 治内障横翳。横着瞳仁中心。起如剑脊。针后。
羚羊角（镑） 犀角（镑各一两） 胡黄连 车前子 石决明（刮洗捣研） 甘草（炙
锉各半
两） 丹砂（研一两） 上除丹砂决明外。捣粗筛。每服三钱。以水一盏。煎至七分。去滓。
入
丹砂末半钱。决明末一钱。再煎两沸。食后去滓温服。
人参汤（一名还睛汤）治内障散翳。状如酥点溃烂。以针拨如涎散乱。针后
又
惊振内障眼。
四胆丸 治内障偃月。翳如凝脂。一边浓。一边薄。状如偃月。针后及内障枣花
翳。
象胆（半两） 鲤鱼胆（七枚） 熊胆（一分） 牛胆（半两） 麝香（研一钱） 石
决明（捣研一两）
(Attached Discussion)
Conditions such as pterygium (fleshy growth climbing onto the cornea), excessive skin, and drooping eyelids all belong to external obstructions. Upon carefully assessing their severity, there are preparations for internal administration, eye drops, and washing, as well as methods of hooking, cutting, cauterizing, and branding.
However, these methods are not yet fixed. There are opacities resembling ice cracks, floating or sinking, date-blossom shapes, and crescent moon shapes, varying in depth and firmness. There are also cases where the eyes are clear without opacities, resembling those who have never suffered from disease.
Therefore, when discussing internal obstructions, medical treatment is often emphasized more than for external ones. One must wait for a period until the opacity matures before employing needle manipulation. Some recover after one manipulation, while others require repeated attempts. The joy of clearing clouds and fog to see the bright blue sky and sun is followed by strict protection to await stability, accompanied by oral medication to treat internally. This serves to sweep away and cleanse pathogens, eradicate the root cause, and restore the natural state. There are many specialists treating eye diseases in the world, too numerous to list. Generally, they take the *Longmu Ji* (Collection of Longmu) as their standard. The *Longmu Ji* records twenty-two types of internal obstructions, twelve of which can be treated with needle manipulation. It states that after needle treatment, specific decoctions or pills should be used, indicating that needle manipulation is essential for efficacy in internal obstructions. Moreover, resorting to needles in eye treatment is truly a last resort; would one use them lightly or indiscriminately? Needle techniques are detailed elsewhere. Here, we briefly list the post-needle medications in order below.
Formulas:
Fangfeng Tang (Saposhnikovia Decoction): Treats round opacity of internal obstruction. Used after needle manipulation and for stiff opacities.
Ingredients: Saposhnikoviae Radix (Fangfeng, 防风) [prepared], Agrimoniae Herba (Chongweizi, 茺蔚子), Schisandrae Fructus (Wuweizi, 五味子), Anemarrhenae Rhizoma (Zhimu, 知母) [roasted], Platycodonis Radix (Jiegeng, 桔梗) [stir-fried], Scrophulariae Radix (Xuanshen, 玄参), Plantaginis Semen (Cheqianzi, 车前子), Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄) [cut and stir-fried], Asari Radix (Xixin, 细辛).
Usage: Take warm. After meals and before bedtime, twice daily.
Jieming San (Clear Vision Powder): Treats floating opacity of internal obstruction. Resembling date blossoms or silver nails, floating superficially and penetrating outward.
Qibao Wan (Seven Treasures Pill): Treats ice-like opacity of internal obstruction. Hard and frozen on the eyeball, removed by needle manipulation, and also for scattered opacities.
Ingredients: Haliotidis Concha (Shijueming, 石决明) [crushed and powdered, 2 liang], Ginseng Radix et Rhizoma (Renshen, 人参), Agrimoniae Herba (Chongweizi, 茺蔚子) [each 1 liang], Succinum (Hupo, 琥珀) [crushed and powdered, 3 fen], Borneolum Syntheticum (Longnao, 龙脑) [powdered, 1 fen], Margarita (Zhenzhu, 真珠) [crushed and powdered].
Usage: Gradually increase dosage to twenty pills.
Qibao Tang (Seven Treasures Decoction): Treats horizontal opacity of internal obstruction. Located horizontally in the center of the pupil, raised like a sword ridge, used after needle manipulation.
Ingredients: Antilope cervicapra Cornu (Lingyangjiao, 羚羊角) [shaved], Rhinocerotis Cornu (Xijiao, 犀角) [shaved, each 1 liang], Picrorhizae Rhizoma (Huhuanglian, 胡黄连), Plantaginis Semen (Cheqianzi, 车前子), Haliotidis Concha (Shijueming, 石决明) [scraped, washed, crushed, and powdered], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried and cut, half liang each], Cinnabaris (Dansha, 丹砂) [powdered, 1 liang].
Usage: Except for Cinnabar and Haliotis shell, crush other ingredients coarsely and sieve. Take 3 qian per dose. Add one zhan of water, decoct to 0.7 zhan, remove dregs. Add 0.5 qian of Cinnabar powder and 1 qian of Haliotis powder, boil two more times. Strain and take warm after meals.
Renshen Tang (Ginseng Decoction), also known as Huanjing Tang (Restore Vision Decoction): Treats scattered opacity of internal obstruction. Resembling butter spots or ulceration, appearing scattered like saliva after needle manipulation. Used after needle manipulation.
Also treats: Internal obstruction caused by shock or vibration.
Sidan Wan (Four Gall Pills): Treats crescent-shaped opacity of internal obstruction. The opacity resembles congealed fat, thick on one side and thin on the other, shaped like an inverted moon. Used after needle manipulation and for date-blossom opacities in internal obstruction.
Ingredients: Bos taurus Gallbladder (Xiangdan, 象胆) [half liang], Cyprinus carpio Gallbladder (Liyudan, 鲤鱼胆) [seven pieces], Ursi Fel (Xiongdan, 熊胆) [1 fen], Bos taurus Gallbladder (Niudan, 牛胆) [half liang], Moschus (Shexiang, 麝香) [powdered, 1 qian], Haliotidis Concha (Shijueming, 石决明) [crushed and powdered, 1 liang].