蝉蜕、蛇退、人退、凤退(各用醋炒) 蚕退(焙干)
以上俱为细末,等分,和匀,又用童便、姜汁炒
之,收贮听用。每大拨云主药一钱,加退末一分。
火批(七分) 风批(三分) 冰片(二分) 朱砂 雄黄
(各半分) 琥珀(半分) 硼砂(半分) 石决明(三分)
共和匀,点一切昏暗等眼如神。
夫疗眼疾,先以内障为主。内障黑白分明,而瞳
人之间则昏。外障有翳膜,凡观翳膜,平见三光者可
治;如疔翳不见三光不治;如滑翳浓膜,点三、四
次,觉翳转色者可治;如专用铜匙掠翳,不可许他
速效。
凡点火眼,只点大、小眼角,不可点在珠上;如
点翳膜,必要点珠。如点风烂弦眼,只点眼皮外;如
点重翳,必须满眼俱点。要久闭,必待药力行尽方开,
若睁不开,再闭良久,清水掠去渣,随即又点。每
日点十余次。觉翳发眼肿,只管攻点,切莫惧怕,只
待翳化无形为则。如翳薄用药少些,只点大、小
角,白珠、黑珠替换点之;如疼只点风批内障药数次,
其疼即止,再用点翳点之;倘翳重用忠字号药,轻则
信字号药。诸字号配法,俱在前后三七;加减,
在人心上以活法调度用。大凡点翳眼,其翳将尽,重
药内加清珠药,以防伤珠,如点浮云,亦用些清珠药
固珠甚美。但重批是木 ,不可久兑;风火批亦
不可多兑,久则药性缓矣。但升打之批,久放无碍,
亦要常晒,恐生潮润。若点内障火眼等症,泪出不能
受药,须仰面点之,若有风粟 子,不可针挑灯草
打洗,须用冬桑叶水洗之,翻转眼皮点之。如点火
眼,先以手按额上,如冷,用葱、姜捣打之冷汗出,
点药更美。如患眼十年者,亦可治。只要瞳人在,
凡事俱在临时机变,看人老少虚实加减用药,内服、
外点夹攻,无有不愈者也。点发眼药,忠、信二号用
扁簪,孝、弟二号用圆簪点之。大凡内外翳瘴膜,看
绿者、蓝者、大者、小者、白者、红黄者、死者,
以三光辨之。如不见三光者,不治之症;但见三光者,
皆可治。
Cicada slough (Chantui), snake slough (Shetui), human slough (Rentui, likely referring to hair or nails in this context), and phoenix slough (Fengtui, likely a substitute material) are each stir-fried with vinegar. Silkworm slough (Canhui, likely silkworm frass or cast skin) is baked until dry.
All the above materials are ground into fine powder, mixed equally, and then stir-fried with child's urine (Tongbian) and ginger juice (Jiangzhi). Store for later use. For each qian (approx. 3-5g) of the main "Da Bo Yun" medicine, add one fen (approx. 0.3-0.5g) of the slough powder.
Huo Pi formula (7 parts), Feng Pi formula (3 parts), Borneol (Bingpian, 2 parts), Cinnabar (Zhusha), Realgar (Xionghuang) (each 0.5 part), Amber (Hupo, 0.5 part), Borax (Pengsha, 0.5 part), and Hematite/Oyster Shell (Shijueming, 3 parts). Grind and mix these uniformly. Apply to the eyes to treat various conditions of dim vision with miraculous effect.
In treating eye diseases, internal cataracts (Neizhang) should be addressed first. Internal cataracts present with clear distinction between the white and black parts of the eye, but vision through the pupil is blurred. External obstructions (Waizhang) involve the presence of nebulae (Yi). When observing the nebula, if the patient can see the "Three Lights" (Sun, Moon, Stars/Lamps) when looking straight ahead, it is treatable; if the Ding nebula prevents seeing the Three Lights, it is untreatable; if there is a slippery nebula with thick membrane, after applying drops three or four times, if the color of the nebula changes, it is treatable; if copper spoons are used specifically to scrape off the nebula, do not expect rapid results.
When treating Fire Eye (Huoyan, acute inflammatory eye disease), apply only to the inner and outer canthi, never directly on the cornea/black eyeball (Zhu); however, when treating nebulae, application must be on the cornea. For Wind-induced ulcerative blepharitis (Feng Lan Xian Yan), apply only to the external eyelid; for heavy/thick nebulae (Zhong Yi), apply throughout the entire eye area. The eyes must remain closed for a long time after application, only opening once the medicinal effect has fully taken hold. If unable to open, keep closed for a long while longer, rinse away residue with clear water, and reapply immediately. Apply more than ten times daily. If the nebula appears to worsen or the eye swells, continue applying without fear, until the nebula dissolves completely. If the nebula is thin, use less medicine, applying only to the canthi, alternating between the sclera/white part and the cornea/black part. If there is pain, apply the Feng Pi internal cataract medicine several times to stop the pain, then proceed to apply nebula-treating drops. If the nebula is severe, use the "Zhong" (Loyal) series medicine; if mild, use the "Xin" (Trustworthy) series medicine. The preparation methods for all series are recorded in the preceding and following "San Qi" formulas. Dosage adjustments depend on the physician's flexible judgment. Generally, when the nebula is nearly resolved, add Qing Zhu (Clear Cornea) medicine to the heavy formula to prevent damage to the cornea; for floating cloud nebulae, using some Qing Zhu medicine to protect the cornea is also excellent. However, the Huo Pi formula contains woody components and should not be stored mixed for long periods; the Feng Huo Pi formula should not be mixed in large quantities either, as prolonged storage will slow its efficacy. Formulas processed by sublimation can be stored for a long time without issue, but should be dried regularly to prevent moisture. For internal cataracts or Fire Eye where excessive tearing prevents tolerance of the drops, apply while the head is tilted back. If there are millet grains (Feng Su Zi, granular hyperplasia inside the eyelid), do not pick with needles or wash with rush grass; instead, wash with winter mulberry leaf water and apply drops after turning the eyelid inside out. To treat Fire Eye, press the forehead with hand first; if cold, apply crushed green onion and ginger to induce cold sweat, which enhances the effect of the drops. Even eye diseases lasting ten years can be treated, provided the pupil remains intact. Treatment requires flexibility based on the patient's age and deficiency/excess patterns, combining internal medication with external drops. There is no case that cannot be cured. For applying drops to cause discharge ("Fa Yan"), use flat applicators for "Zhong" and "Xin" series, and round applicators for "Xiao" and "Di" series. Regarding internal and external nebulae and membranes, observe their color (green, blue, white, red-yellow, or dead/dull) and size, and determine prognosis by the ability to see the Three Lights. Inability to see the Three Lights indicates an untreatable condition; visibility of the Three Lights indicates treatability.