涩翳微赤凝脂色，瞳仁端正渐失明，时时隐涩疼无泪，或聚或开无定形。还睛散内
车防桔，元味知芩茶叶茺，亦用七宝丸珠珀，决脑茺参熊胆同。
【注】涩翳证，瞳神内微赤如凝脂之色，瞳神端正，渐渐昏朦，时复涩痛而无泪出，其
翳无定，或聚或开。宜先用还睛散，后用七宝丸内消其翳也。
涩翳还睛散方
车前子（一钱半） 防风（一钱） 桔梗（一钱） 元参（一钱） 五味子（五分） 知母（二钱）
黄芩（一钱） 细茶（二钱半） 茺蔚子（一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
涩翳七宝丸方
珍珠（五钱） 琥珀（二两） 石决明（二两） 龙脑（一分） 茺蔚子（一两） 人参（一两） 熊胆（一两）
上为细末，炼蜜为丸，如桐子大，食前茶清送下一钱。
浮翳色白瞳内映，明看细小暗看宽，不痒不疼无血色，脑风冲入脑脂愆。决明石决
人参茯，车细防军茺桔添，坠翳石决知辛味，生地参防及兔肝。
【注】浮翳内障之证，初患之时，不痒不疼，从瞳神内映出白色。暗处看则其翳宽大，
明处看其翳略小，全无血色相混。缘脑风冲入于眼，脑脂流下，致成内障。宜服决明散坠翳丸。
石决明散方
石决胡（一钱） 人参（一钱） 茯苓（一钱） 车前子（一钱） 细辛（五分） 防风（二钱）
大黄（一钱） 茺蔚子（二钱） 桔梗（一钱半）
上为细末，令匀，食后米饮汤调下二钱。
浮翳坠翳丸方
石决明（一两） 知母（一两） 细辛（五钱） 五味子（半两） 生地黄（二两） 人参（二两半）
防风（一两） 兔肝（一具）
上为细末，炼蜜为丸，如桐子大，空心茶清送下三钱。
Shayi (Corneal Opacity with Dryness) presents with a slightly red color resembling congealed fat. The pupil (Tongshen) is correctly positioned, but vision gradually diminishes. There is intermittent dull pain and dryness without tear production. The opacity has no fixed shape, sometimes aggregating and sometimes dispersing. Treatment may employ Huanjing San (Clear Vision Powder), which contains Qianqianzi (Plantaginis Semen), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Xuanshen (Scrophulariae Radix), Wuweizi (Schisandrae Fructus), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix), Xicha (Fine Tea), and Chongweizi (Leonuri Fructus). Alternatively, Qibao Wan (Seven-Treasure Pill) may be used in conjunction with Shijue (Haliotidis Concha), Renshen (Ginseng Radix et Rhizoma), and Xiongdan (Ursi Bile).
[Note] In the syndrome of Shayi, the interior of the pupil appears slightly red, with a color like congealed fat. The pupil remains centered, but vision becomes progressively dim and blurred. Intermittent dryness and pain occur without lacrimation. The opacity lacks a fixed form, varying between aggregation and dispersion. It is appropriate to first administer Huanjing San, followed by Qibao Wan taken internally to resolve the opacity.
Formula for Huanjing San for Shayi:
Qianqianzi (1.5 qian), Fangfeng (1 qian), Jiegeng (1 qian), Xuanshen (1 qian), Wuweizi (0.5 qian), Zhimu (2 qian), Huangqin (1 qian), Xicha (2.5 qian), Chongweizi (1 qian).
Grind these into coarse powder. Decoct two cups of water until reduced to one cup. Strain and take warm after meals.
Formula for Qibao Wan for Shayi:
Zhenzhu (Pearl, 5 qian), Hupo (Amber, 2 liang), Shijueming (Haliotidis Concha, 2 liang), Longnao (Borneolum Syntheticum, 1 fen), Chongweizi (1 liang), Renshen (1 liang), Xiongdan (Ursi Bile, 1 liang).
Grind into fine powder. Form pills using refined honey, sized like paulownia seeds. Take 1 qian before meals, washed down with clear tea infusion.
Fuyi (Superficial Corneal Opacity) appears white, reflecting within the pupil. It looks small in bright light and wide in dim light. It is neither itchy nor painful, and lacks bloodiness. This condition arises from Brain Wind pathogenic factors invading, causing dysfunction of brain lipids. Treatment involves Jieming San or Zhuibi Wan, containing Shijueming (Haliotidis Concha), Shijuehu (Concha Meretricis), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Cheqianzi (Plantaginis Semen), Xixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Chongweizi (Leonuri Fructus), and Jiegeng (Platycodonis Radix). Alternatively, Zhuibi Wan may be used, containing Shijueming (Haliotidis Concha), Zhimu (Anemarrhenae Rhizoma), Xixin (Asari Radix et Rhizoma), Wuweizi (Schisandrae Fructus), Shengdihuang (Rehmanniae Radix), Renshen (Ginseng Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), and Tugan (Leporis Hepat).
[Note] In the syndrome of Fuyi Neizhang (Cataract-like Obstruction), initially there is no itching or pain. A white reflection emerges from within the pupil. In dim light, the opacity appears broad; in bright light, it appears slightly smaller. There is absolutely no mixing of blood color. This is caused by Brain Wind pathogens invading the eye, leading to the downward flow of brain lipids, resulting in internal obstruction. It is suitable to administer Jieming San and Zhuibi Wan.
Formula for Shijueming San:
Shijuehu (1 qian), Renshen (1 qian), Fuling (1 qian), Cheqianzi (1 qian), Xixin (0.5 qian), Fangfeng (2 qian), Dahuang (1 qian), Chongweizi (2 qian), Jiegeng (1.5 qian).
Grind into fine powder and mix evenly. Take 2 qian after meals, mixed with rice water decoction.
Formula for Zhuibi Wan for Fuyi:
Shijueming (1 liang), Zhimu (1 liang), Xixin (5 qian), Wuweizi (0.5 liang), Shengdihuang (2 liang), Renshen (2.5 liang), Fangfeng (1 liang), Tugan (one liver).
Grind into fine powder. Form pills using refined honey, sized like paulownia seeds. Take 3 qian on an empty stomach, washed down with clear tea infusion.