内障头风五风变，珠白黄绿不光明，头风痛引目无泪，相注如坐暗室中，绿风头旋
连鼻痛，两角相牵引目疼，时或白花红花起，同绿黑花为黑风，乌花不旋渐昏暗，黄风雀
目久金睛，青风微旋不痒痛，青花转转目昏蒙。
【注】内障之病，每因头风五风变成。初病瞳珠渐渐变色，睛里隐隐似翳，或白或黄
或绿，虽与不患之眼相似，然无精彩光明射人。病头风者，发则头痛引目无泪，或左目，
或右目，或先左目，或后右目，相注不定，如坐暗室之中，此头风伤目之渐也。绿风者，头
旋两角连鼻相牵引，目疼痛时，或见起白花、红花，此绿风伤目之渐也。黑风者，证同绿
风，时时见起黑花，此黑风伤目之渐也，乌风者，亦同黑风，但不旋晕而见乌花，渐渐
昏暗，此乌风伤目之渐也。黄风者，久病雀目，瞳睛金色，此黄风伤目之渐也。青风者，
头微旋不痒不痛，但见青花转转，日渐昏蒙，此青风伤目之渐也。
菊花通圣散 洗刀散
暴发火眼通圣菊，外障等证减加方，风盛羌加防麻倍，热盛加连倍硝黄，痛生翳膜
多伤目，洗刀更入细独羌，元参木贼白蒺藜，草决蝉蜕蔓青葙。
【注】菊花通圣散，即防风通圣散加菊花也。洗刀散，即本方更加细辛、羌、独、蔓
荆、青葙子等药也。
Internal cataract-type diseases involving head wind (headache disorder affecting the eyes) can evolve into the "Five Winds" (Qingfeng, Lüfeng, Heifeng, Wufeng, Huangfeng), leading to color changes in the pupil (pupil and internal structures such as the lens) appearing white, yellow, or green, with blurred vision. Head wind pain radiates to the eyes, accompanied by a lack of tears, with tearing alternating between the two eyes, creating a sensation as if sitting in a dark room. "Lüfeng" (Green Wind) presents with dizziness, pain radiating from the temples to the nose, pulling sensations causing eye pain, and occasionally seeing white or red flowers; if these appear together with green or black flowers, it is termed "Heifeng" (Black Wind). "Wufeng" (Black/Dark Wind) does not involve dizziness but leads to gradual dimness of vision. "Huangfeng" (Yellow Wind) manifests as long-standing night blindness (Que Mu) with the pupil taking on a golden hue. "Qingfeng" (Blue/Green Wind) involves slight dizziness without itching or pain, but with rotating blue flowers causing visual haziness.
[Note] Internal cataracts often arise from head wind disorders evolving into the "Five Winds." Initially, the pupil gradually changes color, with a faint opacity visible inside the eye, appearing white, yellow, or green. Although the external appearance resembles an unaffected eye, it lacks luster and brilliance. Patients with head wind experience headaches radiating to the eyes upon onset, with no tears. The condition may affect only the left eye, only the right eye, start in the left then move to the right, or vice versa, alternating unpredictably, feeling like sitting in a dark room; this marks the initial stage of head wind damaging the eyes. "Lüfeng" presents with dizziness, pulling pain from the temples to the nose, and eye pain, sometimes with the appearance of white or red flowers; this marks the initial stage of Lüfeng damaging the eyes. "Heifeng" shares symptoms with Lüfeng but features the frequent appearance of black flowers; this marks the initial stage of Heifeng damaging the eyes. "Wufeng" is similar to Heifeng but without dizziness, presenting only with black flowers and gradual dimness of vision; this marks the initial stage of Wufeng damaging the eyes. "Huangfeng" presents as chronic night blindness with a golden-colored pupil; this marks the initial stage of Huangfeng damaging the eyes. "Qingfeng" presents with slight dizziness, no itching or pain, but with rotating blue flowers causing progressive visual haziness; this marks the initial stage of Qingfeng damaging the eyes.
Ju Hua Tong Sheng San (Chrysanthemum Reaching the Sage Powder), Xi Dao San (Knife-Washing Powder)
For sudden-onset Fire Eye (acute conjunctivitis), use Ju Hua Tong Sheng San. This is a formula for treating external obstructions and related conditions, subject to modification. If wind pathogen is predominant, add Qiang Huo (Notopterygii Rhizoma), Fang Feng (Saposhnikoviae Radix), and Ma Huang (Ephedrae Herba), doubling their dosages. If heat pathogen is predominant, add Lian Qiao (Forsythiae Fructus) [Note: Text says Lian, usually implies Huanglian Coptidis Rhizoma or Lianqiao Forsythiae Fructus depending on context, here likely Huanglian given 'reducing fire', but standard JHTS uses Da Huang/Mang Xiao/Xin Yi etc. The text says 'Jia Lian', implying adding Coptis], doubling Mang Xiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma). If pain is severe and many opacities form damaging the eye, add Xi Xin (Asari Radix), Du Huo (Angelicae Pubescentis Radix), and Qiang Huo (Notopterygii Rhizoma) to Xi Dao San. Other ingredients include Xuan Shen (Scrophulariae Radix), Mu Zei (Equiseti Herba), Bai Ji Li (Tribuli Fructus), Cao Jue Ming (Cassiae Semen), Chan Tui (Bombyx Batryticatus), Man Jing Zi (Vittariae Fructus), and Qing Xiang Zi (Celosiae Semen).
[Note] Ju Hua Tong Sheng San is formed by adding Ju Hua (Chrysanthemi Flos) to Fang Feng Tong Sheng San (Saposhnikovia Reaching the Sage Powder). Xi Dao San is formed by further adding Xi Xin (Asari Radix), Qiang Huo (Notopterygii Rhizoma), Du Huo (Angelicae Pubescentis Radix), Man Jing Zi (Vittariae Fructus), and Qing Xiang Zi (Celosiae Semen) to the base formula.