（附论）
夫障翳之疾。本于风热毒瓦斯。蕴积脏腑。冲发眼目。结搏而成。盖目为五脏精华。肝之
外候
今风邪毒热在于脏腑。不得宣泄。上冲于目。故为障翳。初则隐涩赤痛。渐成翳膜遮障。
久
方
决明散（出圣济总录）治眼目一切远年障翳。 生 肉。赤肿疼痛。
石决明 草决明 青葙子 甘草（炙锉） 黄柏（去粗皮） 黄连（去须） 谷精草 龙
骨白芷
子（炒去角） 蝉蜕
硫黄水温温洗过） 虎
睛（
日
二七日其眼好安然。眼根枯死者不治。活者通翳。如烦恼伤酒色。遇风两眼中泪出疼痛者。
即是活眼。若或者眼无泪。不疼痛者。即为死眼。更不用治。一方有用极明谷精草。忌毒鱼
面蒜猪肉酒色等。
开明丸（出危氏方）治年深日近。翳障青盲。寂无所见。一切眼疾。
熟地黄（一两半酒浸） 菟丝子（酒洗） 车前子 麦门冬（去心） 蕤仁（去皮） 决
明子
地肤
仁
（炒
肝薄切瓦
上焙
熟水下
琥珀散方（出圣惠方）治积年瘀肉障翳。
琥珀 珊瑚 砂（白者） 马牙硝 乌贼鱼骨（各半两先于粗石上磨去其涩用好者一
钱） 真
羌活丸（出圣济总录）
治久患风毒瓦斯攻眼目。昏暗赤涩。瘀肉生疮。翳膜遮障不明。久患偏正头痛。眼目
渐觉细小。及夹脑风痛。多见黑花。
羌活（去芦头） 天南星（炮） 天麻 附子（炮裂去皮脐） 旋复花 芎 半夏（汤
洗十度）
二两） 上捣为细
决明煎（出圣惠方）治眼远年翳障。
马蹄决明（一两半） 芦荟 蕤仁（汤浸去赤皮一两半） 秦皮（捣碎） 黄柏（去粗
皮） 马琦
先煎决明等
五味
勿
琥珀散（出圣惠方）治眼生翳障。粘睛牢固。经年不愈。
琥珀（半两） 真珠（一两） 贝齿（烧灰） 珊瑚 马琦 朱砂 蕤仁（汤浸去皮） 决
明子 龙
石胆散（出圣济总录）治眼生翳障。经年不瘥。
石胆（半两） 琥珀 真珠末 珊瑚 紫贝 马琦 决明子（各一分） 朱砂 蕤仁（汤
浸去赤
补肝散（出龙木论）治三十年失明者。
以蒺藜子七月七日收。阴干捣散。食后。水服方寸匕。
石胆丸 治眼中一切障翳不消。风热毒瓦斯上攻。眼常漠漠不见物者。不计年远翳膜
浓者。此
石胆（细研） 波斯盐绿 细辛 铅丹 石决明（捣碎细研水飞过） 贝齿（烧灰各一
两） 石盐
去赤皮） 防风（去
炼蜜和捣五七百杵。收
度点之。
石胆丸（出圣惠方）治眼生翳障。远年不瘥。风泪出痒烂。及生息肉。
石胆（细研） 砂（细研） 盐绿 干姜（炮裂锉） 龙脑（细研） 波斯盐（细研
各一分） 石决
连（一两去须）
决明子（三分） 上为末。入研了药更研令匀。炼蜜和丸。如麻子大。夜临卧大 头各一丸。
紫金膏 治男子妇人目疾。远年近日。翳膜遮障。攀睛 肉。拳毛倒睫。黑花烂
眩。羞明
炉甘石（好者同火 酥研细无声将黄连当归身挑头童子小便浓煎汤滤净飞淘去沙石焙干
粗者
乳香
一钱） 脑
黄丹。以柳木
篦
再入没药。又下当归。再入轻粉。方下脑子、麝香。根据次第下药。用文武火各熬三两沸。须
急用篦子不住手搅匀。候熬成膏。不粘手为度。每用鸡头大一块。沸汤化开。浸汤半盏以下
。乘热食后熏洗之。
蕤仁散（出圣惠方）治眼障翳。多年不退。
石决明丸（出圣惠方）治眼障翳。经年不消。远视不明。
石决明（半两捣碎细研水飞过） 决明子 酸枣仁（微炒） 葳蕤（汤浸去皮） 蕤仁
（汤浸去赤
余杵。丸如梧桐
点眼金丝膏 治男子妇人目疾。远年近日。翳膜遮障。攀睛 肉。拳毛倒睫。黑花
眩烂。羞明冷泪。及赤眼肿痛。
砂（一钱研） 黄丹（五钱） 晋矾（一钱研） 黄连（一两去毛锉） 青盐（一钱
研） 乳香（好者三钱细研） 片脑（二钱） 当归（半两洗净锉） 上用好蜜四两。除片
脑外。和七味。纳入青 竹筒内。油单纸裹筒口五七重。紧系。再入汤瓶。文武火煮一周时。
取出劈破。新绵
地内。去火毒。候
黄连煎（出圣济总录）治积年风眼。胎赤眼。翳障。膜侵黑睛不见物。
黄连（去须） 曾青（研如粉） 地骨皮（白者各一两） 颗盐（一分） 蜜（一升） 古
钱（十
文）
着地
神仙水照膏（出危氏方）治远年近日。眼目羞明。翳膜遮障。或赤箸缠裹。
肉攀睛。
黄丹（二钱水飞过同水银研） 黄蜡（一两切作片子） 水银（一钱细研如粉） 砂
（一钱
水飞
汁。
次入
用药
至天
人仔
用三
琥珀煎（出圣济总录一名贝齿散）治眼远年障翳不瘥。
七宝散（出圣惠方）治眼翳障年深日久。不能消散。
珊瑚 琥珀 曾青 紫贝 朱砂 鸡子壳（去白膜各半两） 玉屑（半两） 上研令极
细。
每用
龙脑膏（出朱氏集验方）治远年近日。翳膜遮障。攀睛 肉。连眶赤烂。视
物
昏暗。不睹光
炉甘石（不拘多少拣粉红梅花者为妙用坩埚盛火 七次入黄连水淬浸一宿去滓将 甘石
淬
不见
火
一紫
黑
熬
无
秘金散（出圣济总录）治目晕眩。自幼久患。疳风攻眼。生翳。久药不瘥。
但
翳膜遮障。睛
黄连（去须） 沙参 太阴玄精石（研） 决明子（各一两） 上为散。每服半钱。用
羊子肝
一具
分作
朴硝散（出圣惠方）治眼久积顽翳。盖覆瞳仁。
川朴硝（二两） 砂（半分通明者） 白矾（半两） 上相和研为末。将小瓷瓶子。
以慢火
炙令
添火
雪轻
又方（出圣惠方）
真珠（一两） 地榆（二两锉） 上以水二大盏。同煮至水尽。取出真珠。以醋浸五日
后。
用熟
营实散（出圣济总录）治目生翳膜。久不愈者。
营实（以柳木制 子磨之马尾筛筛取黄肉去其黑壳不用每十两可得四两精肉非柳木 子
不
米
丸
治积年失明方。（出龙木论）
以决明子二分。杵为末。食后以粥饮服。
治久患壅毒。风热翳膜。并内外障眼。\x（出本事方）
真黄连（去毛） 秦皮（去皮） 黄柏（小者去皮） 上等分为末。每服一钱。水一盏。
煎五
七沸
(Attached Discussion)
The disease of nebulae (cataracts/ocular opacities) originates from wind-heat toxic qi, which accumulates within the Zang-Fu organs, rushes upward to stimulate the eyes, and condenses to form. Since the eyes are the external manifestation of the essence of the five Zang organs and serve as an external indicator of the Liver, when wind-pathogens and toxic heat remain stagnant in the Zang-Fu without being vented, they rush upward into the eyes, thus causing nebulae. Initially, there is a sensation of grittiness, redness, and pain; gradually, a membrane forms to obstruct vision.
Jueming San (Decoction of Jueming), sourced from *Shengji Zonglu*, treats all kinds of long-standing ocular opacities, neoplasms, redness, swelling, and pain.
Ingredients: Shi Jue Ming (Haliotidis Concha, Abalone Shell), Cao Jue Ming (Cassiae Semen, Cassia Seed), Qing Xiang Zi (Celosiae Semen, Celosia Seed), Gan Cao (Glycyrrhizae Radix et Rhizoma, Licorice Root) [stir-fried with honey and crushed], Huang Bo (Phellodendri Cortex, Phellodendron Bark) [coarse skin removed], Huang Lian (Coptidis Rhizoma, Coptis Rhizome) [fibrous roots removed], Gu Jing Cao (Pollen Puerariae, Kudzu Pollen), Long Gu (Fossilia Ossis Mastodi et Scapulae, Fossilized Bones and Shoulder Blades), Bai Zhi (Angelicae Dahuricae Radix, Dahurian Angelica Root), Ji Li (Tribuli Fructus, Tribulus Fruit) [stir-fried and thorns removed], Chan Tui (Cicadae Periostracum, Cicada Slough), Liu Huang (Sulfur) [washed with warm water], Hu Jing (Tiger's Eye) [Sun... two seven-day periods for the eye to recover. If the eye root is withered, it is incurable. If alive, it clears the opacity. If irritated by alcohol or sexual excess, and upon exposure to wind, tears flow from both eyes with pain, this indicates a living eye. If there are no tears and no pain, it is a dead eye; do not treat further. Another prescription uses highly transparent Gu Jing Cao. Avoid toxic fish, noodles, garlic, pork, alcohol, and sexual indulgence.]
Kaiming Wan (Pill of Kaiming), sourced from *Wei Shi Fang*, treats deep-rooted and progressive nebulae and blindness (Qing Mang), where vision is completely lost, as well as all other eye diseases.
Ingredients: Shu Di Huang (Rehmanniae Radix Preparata, Prepared Rehmannia Root) [1 liang 5 qian, soaked in wine], Tu Si Zi (Cuscutae Semen, Dodder Seed) [washed with wine], Che Qian Zi (Plantaginis Semen, Plantago Seed), Mai Men Dong (Ophiopogonis Radix, Ophiopogon Tuber) [heart removed], Rui Ren (Pruni Armeniacae Semen, Apricot Kernel) [skin removed], Jue Ming Zi (Cassiae Fructus, Cassia Fruit), Di Fu Zi (Kochiae Fructus, Kochia Fruit) [stir-fried], Gan [thin slices baked on tiles]... Hu Po San Fang (Formula of Amber Powder), sourced from *Sheng Hui Fang*, treats chronic stasis-related neoplasms and opacities.
Ingredients: Hu Po (Amber), Shan Hu (Corallium Rubrum, Red Coral), Sha (Borax) [white variety], Ma Ya Xiao (Natrii Sulfas, Sodium Sulfate), Ou Zei Yu Gu (Sepiae Endoconcha, Cuttlebone) [each half liang, first ground on a coarse stone to remove roughness, select the best quality, 1 qian], Zhen Qiang Huo Wan (Pill of True Notopterygium), sourced from *Shengji Zonglu*, treats chronic attacks of wind-toxic qi on the eyes, causing dimness, redness, dryness, neoplasms with sores, opaque membranes obscuring vision, chronic lateral or frontal headaches, gradual shrinking of the eyes, brain-clamping wind pain, and frequent seeing of black spots.
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix, Notopterygium Rhizome) [radicle removed], Tian Nan Xing (Arisaematis Rhizoma Preparatum, Prepared Arisaema Rhizome) [processed], Tian Ma (Gastrodiae Rhizoma, Gastrodia Rhizome), Fu Zi (Aconiti Lateralis Radix Preparata, Prepared Lateral Root of Aconite) [cracked by processing, radicle and umbilicus removed], Xuan Fu Hua (Inulae Flos, Inula Flower), Xiong (Ligustici Chuanxiong Rhizoma, Chuanxiong Rhizome), Ban Xia (Pinelliae Rhizoma, Pinellia Tuber) [washed ten times in decoction]... 2 liang. Pound into fine powder... Jueming Jian (Decoction of Jueming), sourced from *Sheng Hui Fang*, treats long-standing ocular opacities.
Ingredients: Ma Ti Jue Ming (Cassiae Semen, Cassia Seed) [1 liang 5 qian], Lu Hui (Aloe) [extract], Rui Ren (Pruni Armeniacae Semen, Apricot Kernel) [soaked in hot water, red skin removed, 1 liang 5 qian], Qin Pi (Fraxini Cortex, Ash Bark) [crushed], Huang Bo (Phellodendri Cortex, Phellodendron Bark) [coarse skin removed], Ma Qi... First boil Jueming and others... Wu Wei... Do not... Hu Po San (Amber Powder), sourced from *Sheng Hui Fang*, treats ocular opacities that adhere firmly to the eyeball and persist for years without healing.
Ingredients: Hu Po (Amber) [half liang], Zhen Zhu (Margarita, Pearl) [1 liang], Bei Chi (Concha Meretricis, Clam Shell) [burned to ash], Shan Hu (Corallium Rubrum, Red Coral), Ma Qi, Zhu Sha (Cinnabar), Rui Ren (Pruni Armeniacae Semen, Apricot Kernel) [soaked in hot water, skin removed], Jue Ming Zi (Cassiae Fructus, Cassia Fruit), Long... Shi Dan San (Powder of Stone Gall), sourced from *Shengji Zonglu*, treats ocular opacities that persist for years without healing.
Ingredients: Shi Dan (Chalcanthitum, Blue Vitriol) [half liang], Hu Po (Amber), Zhen Zhu Mo (Margarita Pulvis, Pearl Powder), Shan Hu (Corallium Rubrum, Red Coral), Zi Bei (Concha Heterodonis, Heterodon Shell), Ma Qi, Jue Ming Zi (Cassiae Fructus, Cassia Fruit) [each 1 fen], Zhu Sha (Cinnabar), Rui Ren (Pruni Armeniacae Semen, Apricot Kernel) [soaked in hot water, red skin removed...] Bu Gan San (Powder to Tonify the Liver), sourced from *Long Mu Lun*, treats thirty-year blindness.
Use Ji Li Zi (Tribuli Fructus, Tribulus Fruit) harvested on the seventh day of the seventh lunar month, dried in the shade, and pounded into powder. Take after meals, washed down with water using a "fang cun bi" measure.
Shi Dan Wan (Pill of Stone Gall) treats all unresolving ocular opacities, where wind-heat toxic qi attacks upward, causing the eyes to be dull and unable to see objects, regardless of how long-standing or thick the membrane is. This...
Ingredients: Shi Dan (Chalcanthitum, Blue Vitriol) [finely ground], Bo Si Yan Lv (Persian Verdigris), Xi Xin (Asari Radix et Rhizoma, Asarum Root), Qian Dan (Minium, Lead Tetroxide), Shi Jue Ming (Haliotidis Concha, Abalone Shell) [crushed, finely ground, and washed with water], Bei Chi (Concha Meretricis, Clam Shell) [burned to ash, each 1 liang], Shi Yan (Rock Salt)... Remove red skin... Fang Feng (Saposhnikoviae Radix, Saposhnikovia Root) [remove... Mix with refined honey and pound 500-700 times, store... Apply drop by drop.
Shi Dan Wan (Stone Gall Pill), sourced from *Sheng Hui Fang*, treats ocular opacities that persist for years without healing, accompanied by wind-tears, itching, ulceration, and polyp formation.
Ingredients: Shi Dan (Chalcanthitum, Blue Vitriol) [finely ground], Sha (Borax) [finely ground], Yan Lv (Verdigris), Gan Jiang (Zingiberis Rhizoma Preparatum, Dried Ginger) [cracked by processing and crushed], Long Nao (Borneolum Syntheticum, Synthetic Borneol) [finely ground], Bo Si Yan (Persian Salt) [finely ground, each 1 fen], Shi Jue Lian (Shi Jue Ming + ?) [1 liang, fibrous roots removed], Jue Ming Zi (Cassiae Fructus, Cassia Fruit) [3 fen]. Pound into powder, mix with already-ground ingredients until uniform, bind with refined honey into pills the size of hemp seeds. At night before bed, take one pill for each eye/head.
Zi Jin Gao (Purple Gold Ointment) treats eye diseases in men and women, whether recent or long-standing, including opaque membranes, pterygium (Pan Jing), neoplasms, trichiasis (Quan Mao Dao Jie), seeing black flowers, ulceration, vertigo, photophobia...
Ingredients: Lu Gan Shi (Calamina, Calamine) [select good quality, calcined with butter until fine and silent; decoct Huang Lian and Dang Gui Shen with urine from uncircumcised boys, filter, wash away sand/stones, bake dry; coarse ones... Ru Xiang (Olibanum, Frankincense) [1 qian], Nao (Borneol)... Huang Dan (Minium, Lead Tetroxide). Use a willow wood comb. Add Mo Yao (Myrrha, Myrrh). Then add Dang Gui. Then add Qing Fen (Calomel). Finally add Nao Zi (Camphor) and She Xiang (Moschus, Musk). Add ingredients in order. Boil over mild and strong fire for three boils. Stir constantly with a comb until ointment forms, non-sticky to touch. Use a piece the size of a chicken head, dissolve in boiling water, soak in half a cup of water. While hot, fumigate and wash after eating.
Rui San (Powder of Rui Ren), sourced from *Sheng Hui Fang*, treats eye opacities that do not recede for many years.
Shi Jue Ming Wan (Pill of Shi Jue Ming), sourced from *Sheng Hui Fang*, treats eye opacities that do not resolve for years, causing blurred distance vision.
Ingredients: Shi Jue Ming (Haliotidis Concha, Abalone Shell) [half liang, crushed, finely ground, and washed with water], Jue Ming Zi (Cassiae Fructus, Cassia Fruit), Suan Zao Ren (Ziziphi Spinosae Semen, Sour Jujube Seed) [lightly stir-fried], Wei Rui (Polygonati Odorati Rhizoma, Odorated Solomon's Seal Rhizome) [soaked in hot water, skin removed], Rui Ren (Pruni Armeniacae Semen, Apricot Kernel) [soaked in hot water, red skin removed, pound remaining... Roll into pills the size of paulownia seeds...]
Dian Yan Jin Si Gao (Eye-Dropping Golden Silk Ointment) treats eye diseases in men and women, whether recent or long-standing, including opaque membranes, pterygium, neoplasms, trichiasis, seeing black flowers, ulceration, vertigo, photophobia with cold tears, and red eyes with swelling and pain.
Ingredients: Sha (Borax) [1 qian, ground], Huang Dan (Minium, Lead Tetroxide) [5 qian], Jin Fan (Alumen, Alum) [1 qian, ground], Huang Lian (Coptidis Rhizoma, Coptis Rhizome) [1 liang, hairs removed and crushed], Qing Yan (Green Salt) [1 qian, ground], Ru Xiang (Olibanum, Frankincense) [good quality, 3 qian, finely ground], Pian Nao (Camphora, Camphor) [2 qian], Dang Gui (Angelicae Sinensis Radix, Chinese Angelica Root) [half liang, washed and crushed]. Use 4 liang of high-quality honey. Except for Pian Nao, mix the seven ingredients. Place inside a green bamboo tube. Wrap the mouth with oil paper and silk paper five to seven layers. Tie tightly. Place again in a water pot. Boil over mild and strong fire for one hour. Take out, split open. Put in new cotton cloth. Remove fire toxicity. Wait...
Huang Lian Jian (Decoction of Huang Lian), sourced from *Shengji Zonglu*, treats chronic wind-eye, congenital red-eye, opacities, membranes invading the black cornea causing blindness.
Ingredients: Huang Lian (Coptidis Rhizoma, Coptis Rhizome) [fibrous roots removed], Zeng Qing (Chalcanthitum, Blue Vitriol) [ground like powder], Di Gu Pi (Lycii Cortex, Lycium Bark) [white part, each 1 liang], Ke Yan (Grain Salt) [1 fen], Mi (Honey) [1 sheng], Gu Qian (Ancient Coins) [10 wen]... Place on the ground...
Shen Xian Shui Zhao Gao (Divine Water Illuminating Ointment), sourced from *Wei Shi Fang*, treats recent and long-standing photophobia, opaque membranes, or red vessels wrapping around, pterygium.
Ingredients: Huang Dan (Minium, Lead Tetroxide) [2 qian, washed with water and ground together with Shui Yin], Huang La (Beeswax) [1 liang, cut into slices], Shui Yin (Mercurius, Mercury) [1 qian, finely ground like powder], Sha (Borax) [1 qian... Washed with water... Juice... Next add... Use medicine... To Heaven... Human child... Use three...
Hu Po Jian (Decoction of Amber), sourced from *Shengji Zonglu* (also known as Bei Chi San), treats long-standing ocular opacities that do not heal.
Qi Bao San (Seven Treasures Powder), sourced from *Sheng Hui Fang*, treats eye opacities that have persisted for years and cannot dissipate.
Ingredients: Shan Hu (Corallium Rubrum, Red Coral), Hu Po (Amber), Zeng Qing (Chalcanthitum, Blue Vitriol), Zi Bei (Concha Heterodonis, Heterodon Shell), Zhu Sha (Cinnabar), Ji Zi Ke (Eggshell) [remove white membrane, each half liang], Yu Xu (Jade Dust) [half liang]. Grind extremely fine. Use each time...
Long Nao Gao (Borneol Ointment), sourced from *Zhu Shi Ji Yan Fang*, treats recent and long-standing opaque membranes, pterygium, neoplasms, continuous redness and ulceration of the orbit, dim vision, inability to see light...
Ingredients: Lu Gan Shi (Calamina, Calamine) [any amount, select pink plum-blossom shape as best. Use crucible, heat seven times, quench in Huang Lian water, soak overnight, remove dregs. Quench Lu Gan Shi... See no... Fire... One purple... Black... Boil... No...
Mi Jin San (Secret Gold Powder), sourced from *Shengji Zonglu*, treats eye vertigo, chronic since childhood, malnutrition-wind attacking the eyes, generating opacities, long-term medication failing to heal, only opaque membranes obscuring vision...
Ingredients: Huang Lian (Coptidis Rhizoma, Coptis Rhizome) [fibrous roots removed], Sha Shen (Glehniae Radix, Glehnia Root), Tai Yin Xuan Jing Shi (Taiyin Xuanjing Stone) [ground], Jue Ming Zi (Cassiae Fructus, Cassia Fruit) [each 1 liang]. Make into powder. Take half qian per dose. Use Sheep Liver (Yang Zi Gan) one piece... Divide into...
Piao Xiao San (Powder of Piao Xiao), sourced from *Sheng Hui Fang*, treats long-standing stubborn opacities covering the pupil.
Ingredients: Chuan Piao Xiao (Natrii Sulfas, Sodium Sulfate) [2 liang], Sha (Borax) [half fen, transparent], Bai Fan (Alumen, Alum) [half liang]. Mix and grind into powder. Put in a small porcelain bottle. Over slow fire... Roast until... Add fire... Snow Light...
Another Formula (from *Sheng Hui Fang*)
Ingredients: Zhen Zhu (Margarita, Pearl) [1 liang], Di Yu (Sanguisorbae Radix, Sanguisorba Root) [2 liang, crushed]. Boil with two large bowls of water until water is exhausted. Take out the pearl. Soak in vinegar for five days. After... Use cooked...
Ying Shi San (Powder of Ying Shi), sourced from *Shengji Zonglu*, treats eye neoplasms/membranes that do not heal for a long time.
Ingredients: Ying Shi (Rosae Chinensis Fructus, Chinese Rose Fruit) [process with willow wood, grind with a millstone, sieve with horsehair sieve to take yellow flesh, discard black shell. From 10 liang, obtain 4 liang of fine flesh. Must use willow wood... Rice... Pill...]
Formula for Treating Chronic Blindness (from *Long Mu Lun*)
Take 2 fen of Jue Ming Zi (Cassiae Fructus, Cassia Seed), pound into powder. Take after meals with porridge drink.
Formula for Treating Chronic Accumulated Toxicity, Wind-Heat Opacities, and Internal/External Nebulae (from *Ben Shi Fang*)
Ingredients: Zhen Huang Lian (Coptidis Rhizoma, Coptis Rhizome) [remove hairs], Qin Pi (Fraxini Cortex, Ash Bark) [remove skin], Huang Bo (Phellodendri Cortex, Phellodendron Bark) [small ones, remove skin]. Equal parts, make into powder. Take 1 qian per dose. With 1 bowl of water, boil for five to seven boils.