此眼初患之时，或痒或疼。发歇不定。作时赤脉泪出。眵漫，致令黑睛上横立似青眼。多少不定。久后为患。全损
眼目。此疾不可挑拨。莫去钩割。宜服茺蔚子散，除热人参汤，点退翳清凉散立瘥。
诗曰∶
黑睛横竖点青瑕 似翳沉沉少与多 医者细看如此状 根沉入黑莫挑摩
老忧久后添为患 除热除风药最嘉 出入不妨须谨慎 志心医疗别无他
茺蔚子散
茺蔚子 防风（各二两） 黑参 细辛 大黄 枳壳 知母 芒硝（各一两） 芍药（一两半）
上为末。以水一盏。散一钱。煎至五分，食后去渣温服。
人参汤
人参 茯苓 五味子 桔梗 大黄 黑参 黄芩 车前子（各一两） 黄芩 知母（各两半）
上为细末。以水一盏，散一钱。煎至五分，食后去渣温服。
清凉散
马牙硝 白矾 曾青（各一两半） 龙脑 青黛（各一分）
上捣为细末。研令匀细为妙。每至临卧时。用散干点半字在眼内。
此眼初患之时。或时疼痛。皆是毒风上冲入脑。积热在于肝隔之间。致令眼内有翳如玉色相似。遮满瞳人。如此疾
不宜针割熨烙。宜服退翳散立效。
诗曰∶
黑上浮云如玉色 还因疮 后留根 在施磨翳膏和散 拱手神医无妙门
服药治风兼去热 还睛丸散是其因 烧香供养龙树主 觅取来生清净根
退翳散
石决明 大黄 细辛 黄芩 车前子（各一两） 防风（二两） 芍药（一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
This text describes the symptoms, contraindications, and treatment methods for two types of external eye disorders.
First Condition: When this eye disease first occurs, the eyes may itch or hurt intermittently without a fixed pattern. During episodes, the eyes become red with visible blood vessels, tear profusely, and have excessive discharge (eye boogers), causing corneal opacities (cloudy patches) resembling cyanosis to appear horizontally or vertically on the black pupil (cornea). The number of these opacities varies. If left untreated for a long time, it causes severe damage, potentially leading to total loss of vision. This condition should not be treated with needle pricking or hook cutting. It is suitable to take Chongweizi San (Chenopodium Seed Powder), Chu Re Renshen Tang (Ginseng Decoction for Removing Heat), and apply Tuanyi Qingliang San (Clearing Heat and Dissolving Opacity Cool Powder) topically for immediate recovery.
Poem says:
Cyan blemishes appear horizontally and vertically on the cornea,
Like dense opacities, varying in quantity.
Physicians examine such appearances carefully,
When the root sinks deep into the cornea, do not prick or rub.
Worry that old age will bring further ailments,
Medicines that clear heat and wind are best.
Daily activities are fine, but treatment must be cautious,
Devote yourself to medical therapy, there is no other way.
Chongweizi San (Chenopodium Seed Powder)
Ingredients: Chenpi Zi (Herba Leonuri, 茺蔚子), Fangfeng (Radix Saposhnikoviae, 防风) (each 2 liang); Heishen (Radix Panacis Japonensis Rubra, 黑参), Xixin (Radix Asari, 细辛), Dahuang (Radix et Rhizoma Rhei, 大黄), Zhike (Fructus Aurantii, 枳壳), Zhimu (Rhizoma Anemarrhenae, 知母), Mangxiao (Natrii Sulfas, 芒硝) (each 1 liang); Shaoyao (Radix Paeoniae Alba, 芍药) (1.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take one qian of powder, add one zhan of water, boil until reduced to half volume, strain while warm, and take after meals.
Chu Re Renshen Tang (Ginseng Decoction for Removing Heat)
Ingredients: Renshen (Radix Ginseng, 人参), Fuling (Poria, 茯苓), Wuweizi (Fructus Schisandrae Chinensis, 五味子), Jiegeng (Radix Platycodonis, 桔梗), Dahuang (Radix et Rhizoma Rhei, 大黄), Heishen (Radix Panacis Japonensis Rubra, 黑参), Huangqin (Radix Scutellariae, 黄芩), Cheqianzi (Semen Plantaginis, 车前子) (each 1 liang); Huangqin (Radix Scutellariae, 黄芩), Zhimu (Rhizoma Anemarrhenae, 知母) (each 2.5 liang). *Note: Huangqin appears twice in the source text with different dosages; listed as per original.*
Preparation and Administration: Grind the above ingredients into fine powder. Take one qian of powder, add one zhan of water, boil until reduced to half volume, strain while warm, and take after meals.
Qingliang San (Cooling Powder for Dissolving Opacities)
Ingredients: Mayaxiao (Natrii Sulfas Crystallinus, 马牙硝), Baifan (Alumen, 白矾), Zengqing (Azurite, 曾青) (each 1.5 liang); Longnao (Borneolum Syntheticum, 龙脑), Qingdai (Indigo Naturalis, 青黛) (each 1 fen).
Preparation and Administration: Pound and grind the above ingredients into a fine, uniform powder. At bedtime, apply a small amount (half-zhi size) of dry powder directly into the eye.
Second Condition: When this eye disease first occurs, there is occasional pain. This is caused by toxic wind rushing upward into the brain and accumulated heat residing between the liver and diaphragm. This results in jade-colored opacities forming in the eye, completely covering the pupil. Such conditions are not suitable for acupuncture, cutting, moxibustion, or cauterization. It is suitable to take Tuiyi San (Opacity-Dissolving Powder) for immediate effect.
Poem says:
Jade-colored clouds float above the cornea,
Remaining roots linger after ulceration.
Apply ointments and powders to polish away opacities,
Bow to divine physicians seeking miraculous cures.
Take medicine to treat wind and remove heat,
Huajing Wan and San are the key remedies.
Burn incense to honor Bodhisattva Nagarjuna,
Seek pure roots for the next life.
Tuiyi San (Opacity-Dissolving Powder)
Ingredients: Shijueming (Concha Haliotidis, 石决明), Dahuang (Radix et Rhizoma Rhei, 大黄), Xixin (Radix Asari, 细辛), Huangqin (Radix Scutellariae, 黄芩), Cheqianzi (Semen Plantaginis, 车前子) (each 1 liang); Fangfeng (Radix Saposhnikoviae, 防风) (2 liang); Shaoyao (Radix Paeoniae Alba, 芍药) (1.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take one qian of powder, add one zhan of water, boil until reduced to half volume, strain while warm, and take after meals.