沉翳白隐黑睛内，肝劳脑热下攻瞳，向日细看方见翳，日轻夜重黑睛疼。羚羊角饮
车前子，羚角军防芩黑茺，皂荚丸用蛇蝉术，龙胆元精归菊芎，参苓木贼连翘芍，猪爪 皮甲谷精。
【注】沉翳内障，白藏在黑睛之内，向日细看，方见其白，疼痛则昼轻夜重。缘肝经
劳热，脑中热气流下。宜服羚羊角饮子及皂荚丸以治之。
沉翳羚羊饮
车前子（一钱） 羚羊角（二钱） 大黄（一钱） 防风（二钱） 黄芩（一钱） 黑参（一钱） 茺蔚子（二钱）
上为粗末，水二盏，煎至一盏，食后去渣温服。
皂荚丸方
蛇蜕（七条） 蝉蜕 白术 龙胆草 元精石 当归 白菊花（各两半） 川芎（半两） 人参（一两）
茯苓（一两半） 木贼（一两半） 连翘（一两半） 赤芍药（一两半） 猪爪（二十枚） 刺 皮 穿山甲
谷精草（各一两半）
共为细末，一半入牙皂十二梃，烧存性，和匀，炼白蜜丸桐子大，每服一钱五分，空
心杏仁汤下；一半入仙灵脾一两，每服三钱，用猪肝三片，批开夹药煮熟，临卧细嚼，用原汁送下。
横翳横格在瞳心，形如剑脊白如银，内虚风热攻冲脑，胃热肝邪致目昏。还睛决明
车前地，芩防辛味黑人参，七宝车前连炙草，丹砂石决犀羚均。
【注】横翳又名剑脊翳，自瞳仁中映出于外如剑脊，中高边薄，横格于瞳仁中心，色
白如银。缘内虚肝邪胃热，上冲于脑，脑脂下流入眼，致成内障。宜服还睛丸、七宝散。
横翳还睛丸方
石决明（一两） 车前子（一两） 生地黄（二两） 黄芩（一两） 防风（二两） 细辛（五钱）
五味子（半两） 黑参（一两） 人参（一两）
上为细末，炼蜜为丸，如桐子大，空心茶清送下三钱。
七宝散方
车前子 胡黄连 丹砂 石决明 甘草（各五分） 犀角（一钱） 羚羊角（一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
Deep nebula (Shen Yi) appears as a white opacity hidden within the cornea (Hei Jing), caused by liver exhaustion generating heat and hot qi from the brain descending to attack the pupil. It is only visible upon close inspection in sunlight, with pain that is lighter during the day and heavier at night.
Lingyangjiao Yin Decoction:
Contains Qianqianzi (Plantaginis Semen), Lingyangjiao (Antelope Horn), Dahuang (Rhei Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Heishen (Ginseng Radix Rubra), and Chongweizi (Leonuri Fructus).
Zaojiao Wan Pill:
Contains Shetui (Crotali Periostracum), Chantui (Bombyx Disparis Periostracum), Baizhu (Atractylodis Macrocephalae Rhizoma), Longdancao (Gentianae Radix), Yuanjingshi (Natrii Sulfas), Danggui (Angelicae Sinensis Radix), Juhua (Chrysanthemi Flos), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix), Fuling (Poria), Muzei (Equiseti Herba), Lianqiao (Forsythiae Fructus), Chishao (Paeoniae Radix Rubra), Zhu Zhaopi (Porci Cutis Corium), Chanshanjia (Manis Squama), and Gujingcao (Eriocauli Flos).
[Note] Deep nebula belongs to internal cataracts; the white opacity is concealed within the cornea. It can only be seen when carefully examined under sunlight. The pain symptom presents as lighter during the day and heavier at night. This is due to labor-heat in the Liver Meridian and hot qi from the brain flowing downward. It is appropriate to treat with Lingyangjiao Yin Zi and Zaojiao Wan.
Specific Dosage and Administration for Shen Yi Lingyangjiao Yin:
Qianqianzi (1 qian), Lingyangjiao (2 qian), Dahuang (1 qian), Fangfeng (2 qian), Huangqin (1 qian), Heishen (1 qian), Chongweizi (2 qian).
Grind the above herbs into coarse powder. Add two zhan of water, decoct until one zhan remains. Strain and take warm after meals.
Specific Formula and Preparation for Zaojiao Wan:
Shetui (7 strips), Chantui, Baizhu, Longdancao, Yuanjingshi, Danggui, Baijuhua (each 0.5 liang), Chuanxiong (0.5 liang), Renshen (1 liang), Fuling (1.5 liang), Muzei (1.5 liang), Lianqiao (1.5 liang), Chishao (1.5 liang), Zhu Zhao (20 pieces), Cipi, Chanshanjia, Gujingcao (each 1.5 liang).
Grind all herbs into fine powder. Take half of the powder, add twelve stalks of Yazao, burn until the medicinal nature is preserved (cun xing), mix evenly, and form pills using refined white honey, sized like tung tree seeds. Take 1.5 qian per dose, administered on an empty stomach with Apricot Kernel Decoction. For the other half of the powder, add Xianlingpi (1 liang), take 3 qian per dose. Use three slices of pig liver, split open to sandwich the medicine, cook thoroughly, chew finely before bedtime, and swallow with the original broth.
Horizontal nebula (Heng Yi) horizontally obstructs the center of the pupil, shaped like the ridge of a sword, white as silver. It is caused by internal deficiency with wind-heat attacking the brain, and stomach heat combined with liver pathogenic factors leading to blurred vision.
Huanjing Jueming Formula:
Contains Qianqianzi, Dihuang, Huangqin, Fangfeng, Xixin, Wuweizi, Heishen, Renshen.
Qibao San Powder:
Contains Qianqianzi, Huhuanglian, Dansha, Shijueming, Gancao, Xijiao, Lingyangjiao.
[Note] Horizontal nebula is also known as Sword Ridge Nebula. It emerges from the pupil, resembling the ridge of a sword, higher in the middle and thinner at the edges, horizontally obstructing the center of the pupil, white as silver. This results from internal deficiency, liver pathogenic factors, and stomach heat rushing upward to the brain, causing brain fat to flow downward into the eye, forming an internal cataract. It is appropriate to administer Huanjing Wan and Qibao San.
Specific Formula and Administration for Heng Yi Huanjing Wan:
Shijueming (1 liang), Qianqianzi (1 liang), Shengdihuang (2 liang), Huangqin (1 liang), Fangfeng (2 liang), Xixin (5 qian), Wuweizi (0.5 liang), Heishen (1 liang), Renshen (1 liang).
Grind the above herbs into fine powder, form pills with refined honey, sized like tung tree seeds. Take 3 qian on an empty stomach, washed down with clear tea.
Specific Formula and Administration for Qibao San:
Qianqianzi, Huhuanglian, Dansha, Shijueming, Gancao (each 5 fen), Xijiao (1 qian), Lingyangjiao (1 qian).
Grind the above herbs into coarse powder. Add two zhan of water, decoct until one zhan remains. Strain and take warm after meals.