治男女大小，睁光瞎子，以及瞳人散大。
又加生党参一斤，服二剂。如不效，又加焦术一斤，生党参一厅，服二付。仍无效，即用熟益巴戟汤加北五味数剂。见效后，服补中益气汤三四剂收功。如富人家服大补还睛丸更妙。此丸即将前方党参一味换为人参或高丽参一斤便是。
凡女人瞳人放大，多因红崩、白带，血虚之症，宜用北五味一斤，连服二三付或四付。
又用北五味四两，红丹参四两，炒白芍二两，川芎二两，当归二两，水煎服。
如瞳人收复还原，眼仍昏雾不明，必是怒气伤肝。
又用枳壳二两，摈榔一两，香附二两，广郁金二两(打碎)，水煎。另用砂仁一两为末，冲煎药调和服。务忌滞气之物。这服四五付，打屁不止或腹泻是大效。此乃浊气下降，清气上升。用补中益气汤连服三四付或七八付。
服明后，又用生党参一斤，服一付。
又焦术八两，生党参八两，服一付痊愈。
治男女瞳人缩小，羞明畏日，此乃肾虚。
用生地四钱，当归钱半，白芍钱半，川芎钱半，酒炒黄连钱半，酒炒知母三钱，酒炒黄柏三钱，洒炒独活三钱，云苓三钱，草决明三钱，枸杞三钱，寒水石三钱(火煅为末)，青葙子五钱。这服七八付或十余付。
和为丸，每服三钱，白开水运下。
此症是肾热，忌五味子、枣仁、花椒、陕椒。凡有子之药，俱宜打碎。
治男女内障，瞳人散大，乃是三阴亏损，此方并冶外障满眼红丝，羞明畏日。
用泽泻二钱，炒粉丹二钱，北五味四十个，归尾二钱。
内障用归身、柴胡、怀山、枣皮、熟地各二钱，生地三钱，云苓二钱。
水煎服数付。如不效，服熟益巴戟汤。肚内吼，打屁不止，是浊气下降，消气上升也。或肚泻不妨，即服熟益枣皮汤，小腹发热，打屁不止大效。
又用补中益气汤收功。
熟益枣皮汤
熟地四至八钱，益智仁(盐水炒)、枣皮各二至四钱。
治男女内障，瞳人反背，见亮后宜服此方：大熟地二斤，缩砂仁二两(姜汁炒，为末)，入地黄内。
治男女内障，如治到见人物时，宜用此方：寸冬二两(去心)，远志一两(去心，姜汁炒)，建菖蒲三钱。煎服三四付。
后服补中益气汤数付收功。务忌房事百日。
又方用远志一两，党参二两，炙寸冬一两(去心)，建菖蒲三钱(酒炒)，不用引。
治男女大小鸡盲眼，白天明，将晚不明。
用青葙子、草决明、密蒙花，共为末。将公猪肝合此三味药，饭甑上蒸熟服之。
又一方加车前仁。
又加夜明砂二两，共和蒸熟服之。
治男女大小，眼视远明，视近不明，或流冷泪涎粘，此乃气足水亏。
用元熟四两，枣皮二两，水煎服，连服二付。去枣皮加枳壳一两(炒)。
又方去枳壳，加北味三两，连服三四付即愈。
治男女大小内障眼目，乌珠突出，垂下至鼻不收，痛甚。或又大便出血。
先用大发散一剂，即用此方：西羌活二斤，为末，分半，糊丸如梧子大。每服五六十丸，一日三服。用余一半羌活末，每用一两，熬水吞服此丸，不拘时刻。
如眼珠不收，又服，以病好为止。眼珠收上，即用补中益气汤去粉草，连服三四付收功。
又方用西羌活四两，熬水熏洗，但令病人自洗，方知轻重。自将眼珠揉入眶内，后用羌活熬水服。每次—大碗，一日服三次，至眼珠收入始止。
如收安稳，即用补中益气汤去粉草、柴胡，加地榆五钱、党参一两、箭芪一两、焦术一两。服三四付除根。
治男女大小内障，血灌瞳人，甚痛。如不急治，眼必胀破。女人多有此病，然须辨析明白，方可用药。如黑珠内瞳人是红色，正是血灌瞳人。治此症万不可用升提药，盖以瞳人属肾，黑珠属肝，总以平肝肾为主。
用红洋参八钱(米炒)，泡参一两(生用)，玄参一两，苦参一两(酒炒)，黄连五钱，香附三钱（童便炒)。
共为末。每服五钱，白开水送下。此方并治误服丹参药丸子，以成内障症。如血散开，即用第二方。
第二方用元参、天冬、枳壳、羌活、川芎、云风、制首乌各三钱，广木贼三钱(去节)，全归、寸冬各三钱，白蒺藜三钱(去刺)，川牛膝三钱(酒炒)，杏仁霜三钱，生地五钱，夏枯草三钱，水煎服。忌酒色。
如头痛，去生地、首乌，加明天麻五钱，藁本五钱；如痛轻，不必加减，连服三四付。又用四五付为末，炼蛮成丸，兼水药服。
治男女血灌瞳人。
用夜合树叶，焙干为末，猪连贴一条，切作七节，合前一味蒸熟。一日吃一节，吃毕即愈。如不愈，再制一条服必愈。
又一方用归尾五钱，川芎、白菊、广皮、生地各四钱，羌活、白芍、栀子、云苓、蒺藜、甘草各三钱，灯心引。加大便闭结，加酒军。如不愈，又用二方。
第二方羌活藤风汤，又名人参败毒散按症加减，服三付。如不愈，又用三方。
第三方甜杏仁霜、云风、玄参、白蒺藜、香附、全归、牛膝(酒炒)、天冬、制首乌、广木贼、炒枳壳、夏枯草、寸冬(去心)、羌活、川芎各三钱，生地五钱。忌酒色。
用党参、羌话、独活、前胡、柴胡、茯苓、甘草各三钱，枳壳、桔梗、川芎各三钱。
治男女内障眼目，绿水灌珠，或二日或一目，均用此方：元熟三斤，淮枣仁一斤半，务要拣净，用猪心血炒香研末，将熟地置上甑蒸，以熟地合枣仁面服。
或用熟地熬水冲枣仁面服亦可。一日两服，每服熟地八两，枣仁四两。如夜不眠，用炒枣仁，即能安眠。
服完，又服补中益气汤，龙眼引，或用生枳壳二两为引亦可，连服四五服。
此痰多有瞳人散大，眼珠绿色，再用北五味—斤，连服二付。
如未转黑色，定虚气上冲，又用生党参一二斤，熬服，将气补足。或又用焦术一斤，生党参一斤，连服二三付。如见光，即用千金磁朱丸早服、石斛夜光丸晚服。
又方先服补中益气汤二付，后用熟地八两，生枣仁四两研末，地黄熬水冲枣仁服，服至见亮时，用安神九或石斛夜光九，可痊愈。
千金磁朱丸（《干金方》方)
石斛夜光丸（《苏沈良方》方)
石斛、生地、熟地、天冬、麦冬、人参、山药、菟丝子、枸杞子、肉苁蓉、茯苓、甘草、草决明、菊花、白蒺藜、青葙子、防风、羚角、犀角、川芎、川连、牛膝、枳壳、杏仁、北五味。
内外障兼病
凡治男女大小，一切内外二障眼目，且能清心明目，散云退翳，服佛桑保眼丸。
方用桑叶，三伏天晒干，为末，去筋；黑芝麻一升，炒香为末，蜂蜜熬，滴水成珠。
上二味，分两并重，合为九。每早晚服一两，开水这下，姜汤亦可，久服必效。
凡男女大小，亡血过多，眼珠肿大，内外二障虚症，白珠淡红，时发时好，多冷泪，头目眩昏，发晕胀痛；或眼毛生干眼屎，黑珠上起坑窝；又有翳如沙涩，女人多有此血虚之症。先用大发散，后用此方：
归身五钱，白芍三钱(炒)，牛膝三钱，焦术、生地各一两，天冬五钱(去心)，川芎、云风各五钱。
连服四五付，老姜一两引。
后又加熟地一两，粉草三钱，连服数付，又用第二方。
第二方治男女大小，一切外障虚症眼病，红肿疼痛，时发时好，头目昏晕，仍多冷泪，生干眼屎，或黑珠上起坑窝，此是阴虚。
先服大发散，将寒散尽，后用六味地黄汤加附片一两，柴胡五钱，升麻五钱，金石斛五钱，炙生姜二两引。
又一方加大红枣十个，连服效剂。用第三方收功。
第三方治内外二障，眼眶疼痛，羞明如沙涩，此是血虚之症。此方肝虚亦能治之。
炼蜜为九。每早吞一两，龙眼二两(去壳)，煎汤送下，或淡盐汤亦可。
治室女及妇人内外二障眼病。如室女十六七岁，经闭不行，眼目生翳，或生气火痒，或五心潮烧，咳嗽，—切等症，名曰闭经障翳。先用此二方以行经和血，如经血行，病乃可治，不然无效。
共末，炼蜜丸，每服一两。
又用二方内加卷柏叶二两，熟地一两，川郁金三钱，焦术五钱，全归三钱，香附子三钱，柴胡三钱，炙白芍三钱，炒云苓三钱，炙草一钱，苏薄荷一钱，粉丹皮三钱，山栀三钱(炒)。
先用此方：羌活、云风、苍术、川芎、黄芩、粉葛各三钱，白芷梢五钱，甘草一钱，北细辛二钱，生姜一块引。服二付用第二方。
第二方用当归、白芍、黄芩、柴胡、党参、川芎、半夏、寸冬、天冬各三钱，熟地五钱，知母三钱(炒)，柏子仁三钱，泽兰叶五钱，内加丹参五钱。忌酸咸。
用生地四钱，天冬三钱，柏子仁三钱，炒知母三钱，丹参—两，泽兰叶一两。
水煎酒冲服，连服数剂即愈。凡服丹参，定要忌酸咸。
治男女大小内外障眼病，视一物如数物，视平正之物反若歪邪，歪邪之物反若平正。
用常山五钱(酒煮)，人参芦三钱，炙草一钱，老姜五片。煎服，吐痰而愈。
又方治头眩晕迷。
用上鹿茸五钱(酥炙，研末)，上寸香（麝香）少许，冲陈酒服，数次即愈。
治男女大小一切外障眼病，又一切内障虚症眼病。不红不肿，或有翳如沙涩，两寸脉弱无力；或黑珠上有小坑窝，乌珠损坏，此乃肝肾两亏。先看舌上有黄白苔，即用大发散，将陈寒散尽，后用此方。如是虚眼，后又服首乌方十余付。
用西羌活、北云风、白芷梢、川独活、净连翘、荆芥穗、广木贼、北细辛、白蒺藜各五钱，车前仁、木通、薄荷、大白、虫蜕各三钱，蔓荆子、白菊花各三钱，生姜一块引。
服二付，去姜用灯心引。凡虚眼先用此方二三付后，又服第二首乌方。
第二首乌方治瞳仁缺陷，此乃大虚症。凡一切外障虚眼，时发时好，黑珠上起有小坑窝，此方肝肾虚亏。或有翳如沙涩，女人老人多染此症；或有血丝白云，此方俱可治。
元参、天冬、寸冬各去心，枳壳(炒)、木贼(去节)、川芎、羌活、蒺藜、全归、香附（炒）、云风、杏仁霜、红牛膝、制首乌各五钱，夏枯草三钱。
连服十付。忌酒，看症加减。如头痛，去首乌、生地，加天麻、藁本各五钱。如有别症，又加别药，服至黑珠上坑窝填满始止。
或将此方以钱作两数，做成九，兼水药服。后用六味地黄汤加减收功。
又一等虚症，不生眼屎，下午疼痛，此乃有火无水，肾家大虚，虚火犯上。女人多有此症，必有白带，头必作昏；或黑珠上有坑窝。此方连服十剂，坑窝填满始止。
治眼病根底要诀
凡男子眼流脓泪，及内障一切眼病之虚症，必有遗精症。先将遗精症治好，然后治眼病。如不然，难以见效。
女人眼病，时发时好，或青膜、白云遮睛，必有白带大症。须先治带症，后治眼病，方能见效，否则难治。
凡治男子遗精，女子白带，均先服大发散一二付，散净陈寒；后用熟益巴戟汤，或熟益枣皮汤、六味地黄汤。三方均要加红杞（枸杞）、芡实各三钱更妙。
眼病禁忌药品及炮制法
凡治眼病，务要忌桂。故遍阅此书各方，无一味用桂也。
凡眼病有绿色，忌黄荆子。
外障眼病，忌补药、凉药、生冷物、风霜湿气并火酒。以外障是寒也。
内障眼病，忌涩气药及滞气等物。
吃生附子，忌房事，猪、羊、鸡、狗、鱼，一切生冷之物，葱蒜尤不可犯，犯则死。
凡用一切有子之药，宜捣碎，蔓荆子宜碾碎。
凡用生姜，连皮捣破，有老姜更妙。
凡用熟地，总要先服大发散，重加麻黄绒，散净陈寒，然后用熟地，以其滞寒故也。
凡用明天麻、僵虫，姜汁炒；全虫、虫蜕（李勘本作蛇蜕），用酒洗；北细辛去净叶；益智仁去壳，盐水炒；巴戟去心，虫蜕去羽足，用酒洗净泥浆；寸冬去心，木贼去节。别药当制要制。(注:蛇蜕用酒洗,虫蜕去羽足)
凡服丹参，忌酸咸。
服地黄，忌莱菔子，并葱蒜、铜铁等物。
愚按眼病应禁忌、炮制之药尚多，原本末列，是在临症者斟酌运用之妙耳。
《眼科奇书》终
附录：治乳百验方
Treatment for men, women, and children of all ages presenting with inability to open the eyes, blindness, and dilated pupils.
Use Mahuang Rong (Ephedrae Herba prepared as floss) 8 liang, Bei Wuwei Zi (Schisandrae Chinensis Fructus) 1 jin, and Lao Sheng Jiang (Zingiberis Rhizoma Recens) 1 jin. Take two doses.
Then add Sheng Dang Shen (Codonopsis Radix) 1 jin, and take two doses. If ineffective, add Jiao Zhu (Atractylodis Macrocephalae Rhizoma stir-fried) 1 jin and Sheng Dang Shen 1 jin, and take two doses. If still ineffective, use Shu Di Yi Ba Ji Tang (Rehmanniae Radix Preparata and Morindae Officinalis Radix Decoction) with additional Bei Wuwei Zi for several doses. After symptoms improve, take Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting the Qi) for three to four doses to consolidate the effect. For wealthy families, taking Dabu Huanjing Wan (Great Tonifying Eye-Recovery Pill) is even better. This pill is made by replacing Dang Shen in the previous formula with Ren Shen (Ginseng Radix) or Gaoli Shen (Korean Ginseng Radix) 1 jin.
In cases where female patients present with dilated pupils, it is often due to Hong Beng (severe menstrual bleeding) or excessive Bai Dai (leukorrhea), indicating a Blood Deficiency syndrome. It is appropriate to use Bei Wuwei Zi 1 jin, taken continuously for two to three or four doses.
Also use Hong Danshen (Salviae Miltiorrhizae Radix et Rhizoma) 0.5 jin and Dang Gui Shen (Angelicae Sinensis Radix body) 0.5 jin, decocted in water and taken orally.
Also use Chao Bai Shao (Paeoniae Radix Alba stir-fried) 4 liang, Danshen 8 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 2 liang, and Quan Dang Gui (Angelicae Sinensis Radix whole) 4 liang, taken for two doses.
Also use Bei Wuwei Zi 4 liang, Hong Danshen 4 liang, Chao Bai Shao 2 liang, Chuan Xiong 2 liang, and Dang Gui 2 liang, decocted in water and taken orally.
If the pupil returns to its normal size but vision remains blurred, it is likely due to anger injuring the Liver.
Also use Zhi Qiao (Aurantii Fructus) 2 liang, Bing Lang (Arecae Semen) 1 liang, Xiang Fu (Cyperii Rhizoma) 2 liang, and Guang Yu Jin (Curcumae Longae Radix) 2 liang (crushed), decocted in water. Separately, use Sha Ren (Amomi Fructus) 1 liang ground into powder, mixed into the decoction before administration. Strictly avoid foods that obstruct Qi movement. After taking four to five doses, continuous flatulence or diarrhea indicates significant efficacy. This signifies turbid Qi descending and clear Qi ascending. Subsequently, administer Buzhong Yiqi Tang continuously for three to seven doses.
On the following day, use Sheng Dang Shen 1 jin, taken for one dose.
Then use Jiao Zhu 8 liang and Sheng Dang Shen 8 liang, taken for one dose until recovery.
For dilated pupils, avoid Qing Xi Zi (Celosiae Semen), Chu Shi Zi (Broussonetiae Fructus), Chong Wei Zi (Leonuri Fructus), Yi Mu Cao (Leoniti Herba), and Yuan Zhi Rou (Polygalae Radix without heart).
Treatment for men and women with constricted pupils, photophobia, and aversion to sunlight, which is caused by Kidney Deficiency.
Use Sheng Di Huang (Rehmanniae Radix) 4 qian, Dang Gui 1.5 qian, Bai Shao 1.5 qian, Chuan Xiong 1.5 qian, Jiu Chao Huang Lian (Coptidis Rhizoma wine-fried) 1.5 qian, Jiu Chao Zhi Mu (Anemarrhenae Rhizoma wine-fried) 3 qian, Jiu Chao Huang Bo (Phellodendri Cortex wine-fried) 3 qian, Jiu Chao Du Huo (Angelicae Pubescentis Radix wine-fried) 3 qian, Yun Ling (Poria) 3 qian, Cao Jue Ming (Cassiae Semen) 3 qian, Gou Qi Zi (Lycii Fructus) 3 qian, Han Shui Shi (Halloysitum Rubrum) 3 qian (calcined and powdered), and Qing Xi Zi 5 qian. Take seven to eight or more than ten doses.
Mix and form pills. Take 3 qian each time, washed down with plain boiled water.
This condition involves Kidney Heat; avoid Wu Wei Zi, Zao Ren, Hua Jiao, and Shan Jiao. All herbs containing seeds should be crushed.
Treatment for internal cataracts in men and women with dilated pupils, resulting from the deficiency of the Three Yin meridians. This formula also treats external cataracts with red filaments throughout the eye, photophobia, and aversion to sunlight.
Use Ze Xie (Alismatis Rhizoma) 2 qian, Chao Fen Dan Pi (Moutan Cortex stir-fried) 2 qian, Bei Wu Wei Zi 40 berries, and Gui Wei (Angelicae Sinensis Radix tail) 2 qian.
For internal cataracts, use Gui Shen (Angelicae Sinensis Radix body), Chai Hu (Bupleuri Radix), Huai Shan (Dioscoreae Hypoglaucae Rhizoma), Zao Pi (Corni Fructus), and Shu Di Huang (Rehmanniae Radix Preparata) each 2 qian, Sheng Di Huang 3 qian, and Yun Ling 2 qian.
Decoct in water and take for several doses. If ineffective, take Shu Di Yi Ba Ji Tang. Abdominal rumbling and continuous flatulence indicate turbid Qi descending and clear Qi ascending. Diarrhea is not a concern; instead, take Shu Di Zao Pi Tang (Rehmanniae Radix Preparata and Corni Fructus Decoction). Lower abdominal heat and continuous flatulence are highly effective signs.
Subsequently, use Buzhong Yiqi Tang to conclude treatment.
Shu Di Yi Ba Ji Tang
Shu Di Huang 4 to 8 qian, Yi Zhi Ren (Alpiniae Oxyphyllae Fructus salt-stir-fried) and Zao Pi each 2 to 4 qian.
Treatment for internal cataracts in men and women with inverted pupils (upward deviation of the eyeball). This formula should be taken after exposure to light: Da Shu Di Huang (Great Rehmanniae Radix Preparata) 2 jin, Suo Sha Ren (Amomi Fructus) 2 liang (stir-fried with ginger juice and powdered), mixed into the Shu Di Huang.
Separately, decoct Zhi Qiao in water to wash down the Shu Di Huang. Afterward, take Buzhong Yiqi Tang for two doses to tonify Middle Qi.
When treating internal cataracts and the patient can begin to see people, use this formula: Cun Dong (Ophiopogonis Tuber) 2 liang (heart removed), Yuan Zhi 1 liang (heart removed, stir-fried with ginger juice), and Jian Chang Pu (Acori Tatarinowii Rhizoma) 3 qian. Decoct and take for three to four doses.
Thereafter, take Buzhong Yiqi Tang for several doses to conclude treatment. Strictly abstain from sexual activity for one hundred days.
Another formula uses Yuan Zhi 1 liang, Dang Shen 2 liang, Zhi Cun Dong (Ophiopogonis Tuber honey-roasted, heart removed) 1 liang, and Jian Chang Pu 3 qian (wine-fried), without a guiding herb.
These two formulas calm the spirit, stabilize the will, and tonify the Heart.
Treatment for men, women, and children with night blindness (Ji Mang Yan), where vision is clear during the day but unclear at dusk.
Use Qing Xi Zi, Cao Jue Ming, and Mi Meng Hua, ground together into powder. Combine with male pig liver and steam thoroughly on a rice steamer before consumption.
Another formula adds Che Qian Ren (Plantaginis Semen).
Another formula uses Mo Yu Gu (Sepiae Endoconcha) 3 liang, removing the hard outer shell, and grinding into powder. Take 5 qian, followed by steamed liver.
Add Ye Ming Sha (Tylopidae Faeces) 2 liang, mix well, steam, and consume.
Treatment for men, women, and children who see distant objects clearly but near objects poorly, or experience cold tears and sticky saliva. This indicates sufficient Qi but deficient Water (Kidney Yin Deficiency).
Use Yuan Shu (Prepared Rehmanniae Radix) 4 liang and Zao Pi 2 liang, decocted in water, taken for two consecutive doses. Remove Zao Pi and add Zhi Qiao 1 liang (stir-fried).
Another formula removes Zhi Qiao and adds Bei Wu Wei Zi 3 liang, taken for three to four consecutive doses until cured.
Treatment for internal cataracts in men, women, and children where the black pupil protrudes, hangs down to the nose, cannot retract, and causes severe pain. Or accompanied by hematochezia (blood in stool).
First, use Da Fa San (Major Dispersing Powder) one dose, specifically this formula: Xi Qiang Huo (Notopterygii Rhizoma et Radix) 2 jin, ground into powder, divided in half, formed into pills the size of wutong seeds with paste. Take 50-60 pills each time, three times a day. Use the remaining half of the Qiang Huo powder, 1 liang each time, decocted in water to swallow the pills, at any time.
If the eyeball does not retract, continue taking it until the disease resolves. Once the eyeball retracts, use Buzhong Yiqi Tang removing Fen Cao (Licorice Root), taken for three to four doses to conclude treatment.
Another formula uses Xi Qiang Huo 4 liang, decocted for fumigation and washing. The patient should wash it themselves to gauge intensity. Manually massage the eyeball back into the orbit. Afterwards, drink the Qiang Huo decoction. One large bowl each time, three times a day, until the eyeball is fully retracted.
Once stable, use Buzhong Yiqi Tang removing Fen Cao and Chai Hu, adding Di Yu (Sanguisorbae Radix) 5 qian, Dang Shen 1 liang, Jian Qi (Astragali Radix) 1 liang, and Jiao Zhu 1 liang. Take three to four doses to eradicate the root cause.
Treatment for internal cataracts in men, women, and children with blood flooding the pupil (hyphema or vitreous hemorrhage), causing severe pain. If not treated urgently, the eye will swell and rupture. Women often suffer from this. Differentiation must be precise before medication. If the pupil within the black cornea appears red, it is indeed blood flooding the pupil. Treatment must absolutely avoid lifting herbs, as the pupil belongs to the Kidney and the black cornea to the Liver; the primary approach is to soothe and level the Liver and Kidney.
Use Hong Yang Shen (Red American Ginseng) 8 qian (rice-fried), Pao Shen (Codonopsis Radix) 1 liang (raw), Xuan Shen (Scrophulariae Radix) 1 liang, Ku Shen (Sophorae Flavescentis Radix) 1 liang (wine-fried), Huang Lian (Coptidis Rhizoma) 5 qian, and Xiang Fu 3 qian (fried with child's urine).
Grind into powder. Take 5 qian each time, washed down with plain boiled water. This formula also treats internal cataracts caused by accidental ingestion of Danshen pills. If the blood disperses, use the Second Formula.
Second Formula: Xuan Shen, Tian Dong (Asparagi Radix), Zhi Qiao, Qiang Huo, Chuan Xiong, Fang Feng (Wind-Expelling Herb), Zhi He Shou Wu (Polygoni Multiflori Radix Preparata) each 3 qian, Guang Mu Zei (Equiseti Herba) 3 qian (nodes removed), Quan Dang Gui, Cun Dong each 3 qian, Bai Ji Li (Tribuli Fructus) 3 qian (thorns removed), Chuan Niu Xi (Cyathulae Radix) 3 qian (wine-fried), Xing Ren Shuang (Apricot Seed Paste) 3 qian, Sheng Di Huang 5 qian, Xia Ku Cao (Prunellae Spica) 3 qian. Decoct in water and take. Avoid alcohol and sexual activity.
If headache occurs, remove Sheng Di Huang and He Shou Wu, add Ming Tian Ma (Gastrodiae Rhizoma) 5 qian and Gao Ben (Ligustici Wallichii Rhizoma) 5 qian. If pain is mild, no modification is needed; take for three to four doses. Grind another four to five doses into powder, refine with honey into pills, and take alongside the decoction.
Treatment for blood flooding the pupil in men and women.
Use He Huan Shu Ye (Albiziae Cortex Leaf), dried and ground into powder. Combine with one strip of Zhu Lian Tie (pig eyelid tissue), cut into seven sections, and steam together with the powder. Consume one section per day. Cure upon completion. If not cured, prepare another strip and consume; it will surely cure.
Another formula uses Dang Gui Wei (Angelicae Sinensis Radix tail) 5 qian, Chuan Xiong, Bai Ju (Chrysanthemi Flos), Guang Pi (Citri Reticulatae Pericarpium), and Sheng Di Huang each 4 qian, Qiang Huo, Bai Shao, Zhi Zi (Gardeniae Fructus), Yun Ling, Ji Li, and Gan Cao each 3 qian, with Deng Xin Cao (Junci Medulla) as a guide. If constipation is present, add Jiu Jun (Rhei Radix et Rhizoma processed with wine). If not cured, use the Second Formula.
Second Formula: Qiang Huo Teng Feng Tang (Qiang Huo Wind-Expelling Decoction), also known as Ren Shen Bai Du San (Ginseng Detoxification Decoction), modified according to symptoms, taken for three doses. If not cured, use the Third Formula.
Third Formula: Tian Xing Ren Shuang (Sweet Apricot Seed Paste), Fang Feng, Xuan Shen, Bai Ji Li, Xiang Fu, Quan Dang Gui, Niu Xi (wine-fried), Tian Dong, Zhi He Shou Wu, Guang Mu Zei, Chao Zhi Qiao, Xia Ku Cun, Cun Dong (heart removed), Qiang Huo, and Chuan Xiong each 3 qian, Sheng Di Huang 5 qian. Avoid alcohol and sexual activity.
Ren Shen Bai Du San
Use Dang Shen, Qiang Huo, Du Huo, Qian Hu (Peucedani Radix), Chai Hu, Fu Ling, and Gan Cao each 3 qian, Zhi Qiao, Jie Geng (Platycodonis Radix), and Chuan Xiong each 3 qian.
Treatment for internal cataracts in men and women with green fluid flooding the pupil (green glaucoma-like symptoms), affecting either both eyes or one eye over two days. Use this formula: Shu Di Huang 3 jin, Huai Zao Ren (Ziziphi Spinosae Semen) 1.5 jin. Ensure thorough cleaning. Stir-fry with pig heart blood until fragrant and grind into powder. Place Shu Di Huang on top in a steamer to absorb the Zao Ren powder before consumption.
Alternatively, decoct Shu Di Huang in water and mix with Zao Ren powder for consumption. Take twice daily, each time consuming 8 liang of Shu Di Huang and 4 liang of Zao Ren. If insomnia occurs, use stir-fried Zao Ren to ensure sleep.
After finishing this course, take Buzhong Yiqi Tang with Long Yan (Longan Aril) as a guide, or alternatively use raw Zhi Qiao 2 liang as a guide. Take continuously for four to five doses.
This condition often presents with dilated pupils and greenish eyeballs. Use Bei Wu Wei Zi 1 jin, taken for two consecutive doses.
If the color does not return to black, it indicates upward rushing of deficient Qi. Use Sheng Dang Shen 1-2 jin, decocted and consumed to replenish Qi. Alternatively, use Jiao Zhu 1 jin and Sheng Dang Shen 1 jin, taken for two to three consecutive doses. If light perception returns, take Qianjin Ci Zhu Wan (Thousand Golden Magnetite and Cinnabar Pill) in the morning and Shi Hu Ye Guang Wan (Dendrobium Night Vision Pill) in the evening.
Another formula: First take Buzhong Yiqi Tang for two doses. Then use Shu Di Huang 8 liang and raw Zao Ren 4 liang ground into powder, decocted with Di Huang water to mix with Zao Ren powder. When light perception is restored, take An Shen Wan (Spirit-Calming Pill) or Shi Hu Ye Guang Wan for full recovery.
Qianjin Ci Zhu Wan (Formula from *Qianjin Fang*)
Ci Shi (Magnetitum), Zhu Sha (Cinnabaris), Shen Qu (Massa Medicata Fermentata).
Shi Hu Ye Guang Wan (Formula from *Su Shen Liang Fang*)
Shi Hu (Dendrobii Caulis), Sheng Di, Shu Di, Tian Dong, Mai Dong (Ophiopogonis Tuber), Ren Shen, Shan Yao (Dioscoreae Rhizoma), Tu Si Zi (Cuscutae Semen), Gou Qi Zi, Rou Cong Rong (Cistanches Herba), Fu Ling, Gan Cao, Cao Jue Ming, Ju Hua (Chrysanthemi Flos), Bai Ji Li, Qing Xi Zi, Fang Feng, Ling Jiao (Capricornu Saigae Tataricae), Xi Jiao (Hornis Rhinocerotis), Chuan Xiong, Chuan Lian (Coptidis Rhizoma), Niu Xi, Zhi Qiao, Xing Ren, Bei Wu Wei.
An Shen Wan (Formula from *Yi Xue Fa Ming*): Also known as Zhu Sha An Shen Wan
Zhu Sha, Huang Lian, Gan Cao, Sheng Di, Dang Gui.
Combined Internal and External Cataracts
For all internal and external cataracts in men, women, and children, which clears the heart, brightens the eyes, dissipates cloudiness, and removes nebulae, take Fo Sang Bao Yan Wan (Ficus Retusa Eye-Protection Pill).
Formula: Sang Ye (Mori Folium), dried under the sun during the Sanfu (Dog Days) period, ground into powder, veins removed; Hei Zhi Ma (Sesami Fructus Niger) 1 sheng, stir-fried until fragrant and ground into powder. Honey is boiled until it forms beads when dropped in water.
Combine the two ingredients in equal weight to form pills. Take 1 liang morning and evening, washed down with boiled water or ginger soup. Long-term use yields definite results.
For men, women, and children suffering from excessive blood loss, swollen eyeballs, internal and external cataract deficiency syndromes, pale red sclera, intermittent symptoms, excessive cold tears, dizziness and vertigo, distending headache, dry eye discharge, pits on the black cornea, or nebulae feeling like sand/grit. Women often have this Blood Deficiency syndrome. First use Da Fa San, then this formula:
Gui Shen 5 qian, Bai Shao 3 qian (stir-fried), Niu Xi 3 qian, Jiao Zhu and Sheng Di Huang each 1 liang, Tian Dong 5 qian (heart removed), Chuan Xiong and Fang Feng each 5 qian.
Take for four to five doses, with 1 liang of Lao Jiang (Old Ginger) as a guide.
Later, add Shu Di Huang 1 liang and Fen Cao (Licorice Root) 3 qian, take for several doses, then use the Second Formula.
Second Formula: Treats all external cataract deficiency eye diseases in men, women, and children, characterized by redness, swelling, pain, intermittent symptoms, dizziness, cold tears, dry eye discharge, or pits on the black cornea, indicating Yin Deficiency.
First take Da Fa San to disperse cold completely, then use Liu Wei Di Huang Tang (Six-Ingredient Rehmannia Decoction) added with Fu Pian (Aconiti Lateralis Radix Preparata) 1 liang, Chai Hu 5 qian, Sheng Ma (Cimicifugae Rhizoma) 5 qian, Jin Shi Hu (Dendrobii Caulis) 5 qian, and Zhi Sheng Jiang (Zingiberis Rhizoma Recens roasted) 2 liang as a guide.
Another formula adds Da Hong Zao (Jujubae Fructus) 10 pieces. Take for several doses until effective. Use the Third Formula to conclude treatment.
Third Formula: Treats internal and external cataracts with orbital pain, photophobia resembling grit, indicating Blood Deficiency. This formula also treats Liver Deficiency.
Da Shu Di Huang 8 liang, Xuan Shen 4 liang, Sheng Di Huang 4 liang, Jin Shi Hu 4 liang.
Refine with honey to make pills. Swallow 1 liang every morning, accompanied by 2 liang of Long Yan (Longan Aril, peeled) decocted in soup, or light salt water.
Treatment for virgins and women with internal and external cataracts. For virgins aged 16-17 with amenorrhea, eye nebulae, anger-induced itching/heat, five-palm tidal fever, cough, etc., named "Amenorrhea Nebula." First use these two formulas to regulate menstruation and harmonize blood. If menstruation resumes, the disease can be treated; otherwise, it is ineffective.
Ze Lan Ye (Lycopus Herba) 2 liang, Chuan Xu Duan (Dipsaci Radix) 2 liang, Chuan Niu Xi 1 liang.
Grind into powder, refine with honey into pills. Take 1 liang each time.
Another formula adds Juan Bai Ye (Selaginellae Herba) 2 liang, Shu Di Huang 1 liang, Chuan Yu Jin (Curcumae Radix) 3 qian, Jiao Zhu 5 qian, Quan Dang Gui 3 qian, Xiang Fu Zi 3 qian, Chai Hu 3 qian, Zhi Bai Shao 3 qian, Chao Fu Ling 3 qian, Zhi Gan Cao 1 qian, Su Bo He (Menthae Haplocalycis Herba) 1 qian, Fen Dan Pi 3 qian, Shan Zhi 3 qian (stir-fried).
Decoct in water and swallow the previous pills. Continue until menstruation flows freely. For other symptoms, use different medicines.
Treatment for virgins aged 15-16 with amenorrhea, bluish-yellow complexion, leading to eye nebulae and pterygium.
First use this formula: Qiang Huo, Fang Feng, Cang Zhu (Atractylodis Rhizoma), Chuan Xiong, Huang Qin (Scutellariae Radix), Fen Ge (Puerariae Lobatae Radix) each 3 qian, Bai Zhi Shao (Angelicae Dahuricae Radix tip) 5 qian, Gan Cao 1 qian, Bei Xi Xin (Asari Radix et Rhizoma) 2 qian, and a piece of Sheng Jiang as a guide. Take two doses, then use the Second Formula.
Second Formula: Dang Gui, Bai Shao, Huang Qin, Chai Hu, Dang Shen, Chuan Xiong, Ban Xia (Pinelliae Rhizoma), Cun Dong, Tian Dong each 3 qian, Shu Di Huang 5 qian, Zhi Mu 3 qian (stir-fried), Bai Zi Ren (Biota Seed) 3 qian, Ze Lan Ye 5 qian, plus Danshen 5 qian. Avoid sour and salty flavors.
Treatment for virgins aged 15-16 with amenorrhea, bluish-yellow complexion, leading to eye nebulae.
Use Sheng Di Huang 4 qian, Tian Dong 3 qian, Bai Zi Ren 3 qian, Chao Zhi Mu 3 qian, Danshen 1 liang, Ze Lan Ye 1 liang.
Decoct in water, take with wine rinsing. Take for several doses until cured. When taking Danshen, strictly avoid sour and salty flavors.
Treatment for men, women, and children with internal and external cataracts, seeing one object as multiple, straight objects appearing crooked, and crooked objects appearing straight.
Use Chang Shan (Dichroae Radix) 5 qian (wine-boiled), Ren Shen Lu (Ginseng Radix Stolon) 3 qian, Zhi Gan Cao 1 qian, Lao Jiang 5 slices. Decoct and take. Recovery follows expectoration of phlegm.
Another formula treats dizziness and vertigo.
Use Shang Lu Rong (Deer Antler) 5 qian (roasted with butter, powdered), Shang Cun Xiang (Musk) a small amount, mixed with aged wine for consumption. Recovery occurs after several doses.
Treatment for all external cataracts and internal cataract deficiency eye diseases in men, women, and children. No redness or swelling, or nebulae feeling like sand/grit, weak and powerless radial pulses (cun position); or small pits on the black cornea, damage to the black cornea, indicating Liver and Kidney Double Deficiency. First check for yellow-white coating on the tongue. Use Da Fa San to disperse old cold completely, then use this formula. For deficiency eyes, subsequently take the He Shou Wu Formula for more than ten doses.
Use Xi Qiang Huo, Bei Fang Feng (Wind-Expelling Herb), Bai Zhi Shao, Chuan Du Huo, Jing Lian Qiao (Forsythiae Fructus), Jing Jie Sui (Schizonepetae Spica), Guang Mu Zei, Bei Xi Xin, Bai Ji Li each 5 qian, Che Qian Ren, Mu Tong (Akebiae Caulis), Bo He (Menthae Haplocalycis Herba), Da Bai (likely Bai Shao or specific variant), Chong Tui (Snake Slough) each 3 qian, Man Jing Zi (Vittariae Semen), Bai Ju Hua each 3 qian, and a piece of Sheng Jiang as a guide.
Take two doses, then remove ginger and use Deng Xin Cao as a guide. For deficiency eyes, first take this formula for two to three doses, then take the Second He Shou Wu Formula.
Second He Shou Wu Formula: Treats pupillary defects, a major deficiency syndrome. For all external cataract deficiency eyes with intermittent symptoms and pits on the black cornea, this formula addresses Liver and Kidney Deficiency. It also treats nebulae feeling like sand/grit, common in women and the elderly; or blood vessels with white clouds. This formula treats all such conditions.
Xuan Shen, Tian Dong, Cun Dong (hearts removed), Zhi Qiao (stir-fried), Mu Zei (nodes removed), Chuan Xiong, Qiang Huo, Ji Li, Quan Dang Gui, Xiang Fu (stir-fried), Fang Feng, Xing Ren Shuang, Hong Niu Xi, Zhi He Shou Wu each 5 qian, Xia Ku Cao 3 qian.
Take for ten consecutive doses. Avoid alcohol; modify based on symptoms. If headache occurs, remove He Shou Wu and Sheng Di Huang, add Tian Ma and Gao Ben each 5 qian. For other symptoms, add corresponding herbs. Continue until pits on the black cornea are filled.
Alternatively, convert the dosage from qian to liang, form into pills, and take alongside the decoction. Subsequently, use Liu Wei Di Huang Tang modified to conclude treatment.
Another type of deficiency syndrome: no eye discharge, afternoon pain, indicating Fire without Water, severe Kidney Deficiency, with deficient Fire attacking upward. Women often have this symptom, accompanied by leukorrhea and dizziness; or pits on the black cornea. Take this formula for ten doses until pits are filled.
Key Principles for Treating the Root of Eye Diseases
For men with purulent tearing and all internal cataract deficiency eye diseases, there is invariably spermatorrhea. Treat the spermatorrhea first, then treat the eye disease. Otherwise, effectiveness is difficult to achieve.
For women with eye diseases that come and go, or blue membranes/clouds obscuring the vision, there is invariably severe leukorrhea. Treat the leukorrhea first, then treat the eye disease, for effectiveness. Otherwise, it is difficult to cure.
For treating male spermatorrhea and female leukorrhea, first take Da Fa San for one to two doses to disperse old cold completely. Then use Shu Di Yi Ba Ji Tang, or Shu Di Zao Pi Tang, or Liu Wei Di Huang Tang. All three formulas should additionally include Hong Qi (Goji Berry) and Qian Shi (Euryales Semen) each 3 qian for better results.
Contraindicated Medications and Processing Methods for Eye Diseases
When treating eye diseases, Gui (Cinnamon Twig) must be strictly avoided. Reviewing all formulas in this book reveals no use of Gui.
For eye diseases with green discoloration, avoid Huang Jing Zi (Vitex Negundo Fruit).
For dilated pupils, avoid Chu Shi Zi, Qing Xi Zi, Chong Wei Zi, Yi Mu Cao, and Yuan Zhi Rou.
For constricted pupils, avoid Bei Wu Wei Zi, Zao Ren, Hua Jiao, Shan Jiao, Hu Jiao (Black Pepper), and Huo Cao Jiao.
For external cataracts, avoid tonics, cooling herbs, raw/cold foods, wind/cold/dampness, and strong liquor. External cataracts are Cold patterns.
For internal cataracts, avoid astringent Qi herbs and Qi-stagnating substances.
When eating raw Fu Zi (Aconite), avoid sexual activity, pork, mutton, chicken, dog, fish, and all raw/cold foods. Scallions and garlic must especially be avoided; violation leads to death.
When eating Tian Xiong (Aconite Lateralis Radix Preparata) up to 1 liang, take it cold. Taking it hot may cause deficient Fire to attack upward, resulting in throat swelling and pain.
All herbs containing seeds should be crushed; Man Jing Zi should be ground.
When using Sheng Jiang, crush it with the skin; Old Ginger is preferable.
When using Shu Di Huang, always first take Da Fa San with heavy Mahuang Rong to disperse old cold completely, then use Shu Di Huang, as it tends to stagnate cold.
When using Ming Tian Ma and Jiang Can (Bombyx Batryticatus), stir-fry with ginger juice; Quan Chong (Whole Scorpion) and Chong Tui (Snake Slough), wash with wine; Bei Xi Xin, remove leaves completely; Yi Zhi Ren, remove shell and stir-fry with salt water; Ba Ji (Morinda Officinalis), remove heart; Chong Tui, remove wings/legs and wash mud off with wine; Cun Dong, remove heart; Mu Zei, remove nodes. Other herbs should be processed as required. (Note: Snake slough washed with wine, insect slough wings/legs removed).
When taking Danshen, avoid sour and salty flavors.
When taking Di Huang, avoid Lai Fu Zi (Radish Seed), scallions, garlic, copper, and iron.
My commentary: There are many more contraindicated and processed herbs for eye diseases not listed in the original text. Their application depends on the practitioner's discretion in clinical practice.
End of *Eye Disease Miraculous Book*
Appendix: Hundred Proven Formulas for Breast Diseases