此眼初患之时。忽然疼痛难忍。泪出不开。有翳如黑珠子在黑眼上。如是大人患者。肝肾俱劳。毒风入眼。如此疾
状。不宜针灸触发。即服补肾丸。如小儿患者，即是实热急疳。宜服羚羊角饮子即瘥。
诗曰∶
黑翳珠排黑水间 医工会者始知难 如神药点翻为极 药用汤丸即得安
不用强看将手擘 恐因手重出青涎 庸医挑发并烧香 要见三光路更难
羚羊角饮子
羚羊角 五味子 细辛 大黄 知母 芒硝（各一两） 防风（二两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温温服之。
此眼初患之时。发歇忽然疼痛泪出。立时遽生翳白，如珠枣花陷砌鱼鳞相似。此为肝肺积热。壅实上冲入脑。致生
此疾。切宜服药治疗。不得失时。恐损眼也。宜用摩顶膏摩于顶内。然后服知母饮子。兼服山药丸立瘥。
诗曰∶
忽生白翳簇瞳人 点点如花陷砌鳞 肝肺伏藏多壅实 上冲入脑病为根
膏摩顶上除风热 汤饮除肝服要频 酒面休餐诸毒药 莫因小事发贪嗔
摩顶膏
子鹅脂 牛酥 木香（各一两） 盐花（一两半） 朱砂 龙脑（各一分）
上捣罗为末，和成膏。每日两度摩之顶上立效。
知母饮子
知母 茺蔚子（各一两） 防风 细辛（各一两半） 桔梗 大黄 茯苓 芒硝（各一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服之。
山药丸
干山药（二两） 人参 茯苓 五味子 细辛（各一两） 干地黄 防风（各一两半）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
When the eye first becomes afflicted, there is sudden, unbearable pain, tearing, and an inability to open the eye. A nebula (corneal opacity) resembling a black pearl appears on the black eye (pupil/cornea). If this condition occurs in adults, it is due to exhaustion of the Liver and Kidney, with toxic wind entering the eye. For such symptoms, acupuncture and moxibustion stimulation should not be used; instead, Bushen Wan (Kidney-Nourishing Pill) should be administered. If this condition occurs in children, it is due to excess heat and acute malnutrition syndrome (Ji Gan), and Lingyangjiao Yinzi (Antelope Horn Decoction) should be taken for recovery.
The poem states:
Black nebulae like pearls are arranged amidst the black water (aqueous humor); only skilled physicians know the difficulty of treatment.
Using divine eye drops can reverse the condition rapidly; taking decoctions or pills brings peace.
Do not force your gaze or pry open the eyelids with hands,
For fear that heavy pressure will cause green fluid (ocular discharge) to leak out.
Mediocre doctors who pierce the nebula and use cauterization make the path to seeing the three lights (sun, moon, stars, symbolizing clear vision) even more difficult.
Lingyangjiao Yinzi (Antelope Horn Decoction)
Ingredients: Antelope Horn (Lingyangjiao), Schisandra Fruit (Wuweizi), Asarum (Xixin), Rhubarb (Dahuang), Anemarrhena Root (Zhimu), Mirabilite (Mangxiao) (each 1 liang), Saposhnikovia Root (Fangfeng) (2 liang).
Preparation and Administration: Grind the above ingredients into powder. Take one qian of the powder with one cup of water, boil until reduced to five fen. Strain the dregs after meals and take warm.
When the eye first becomes afflicted, the onset is sudden with severe pain and tearing. White nebulae appear immediately, resembling pearls, jujube flowers, or fish scales sunken into steps. This is caused by accumulated heat in the Liver and Lung, where stagnation and excess rise upward to invade the brain, leading to this disease. It is crucial to take medicine for treatment without delay, lest the eye be damaged. It is advisable to apply Moding Gao (Head-Massaging Ointment) to the top of the head, then take Zhimu Yinzi (Anemarrhena Decoction), and concurrently take Shanyao Wan (Chinese Yam Pill) for immediate recovery.
The poem states:
White nebulae suddenly cluster around the pupil, dotting like flowers sunken into step-like scales.
The Liver and Lung harbor excessive stagnation and excess, rising to invade the brain as the root of the disease.
Massaging ointment on the head dispels wind and heat;
Decoctions remove Liver heat and must be taken frequently.
Refrain from alcohol, wheat products, and all toxic drugs;
Do not let trivial matters incite greed and anger.
Moding Gao (Head-Massaging Ointment)
Ingredients: Goose Fat (Zhi E Shi), Beef Tallow/Suet (Niu Su), Costus Root (Muxiang) (each 1 liang), Salt Flower (Yanhua) (1.5 liang), Cinnabar (Zhusha), Borneol (Longnao) (each 1 fen).
Preparation and Administration: Pound and sieve the above ingredients into powder, mix to form an ointment. Massage onto the top of the head twice daily for immediate effect.
Zhimu Yinzi (Anemarrhena Decoction)
Ingredients: Anemarrhena Root (Zhimu), Eyebright Seed (Chongweizi) (each 1 liang), Saposhnikovia Root (Fangfeng), Asarum (Xixin) (each 1.5 liang), Platycodon Root (Jiegeng), Rhubarb (Dahuang), Poria (Fuling), Mirabilite (Mangxiao) (each 1.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take one qian of the powder with one cup of water, boil until reduced to five fen. Strain the dregs after meals and take warm.
Shanyao Wan (Chinese Yam Pill)
Ingredients: Dried Chinese Yam (Gan Shanyao) (2 liang), Ginseng (Renshen), Poria (Fuling), Schisandra Fruit (Wuweizi), Asarum (Xixin) (each 1 liang), Dried Rehmannia Root (Gan Dihuang), Saposhnikovia Root (Fangfeng) (each 1.5 liang).
Preparation and Administration: Grind the above ingredients into powder, bind with refined honey to make pills the size of paulownia seeds. Take ten pills on an empty stomach with tea.