此眼初患之时。爱多痒或涩，发歇。时时暗也。后极重之时。惟昏黄不见。惟视直下之物。宜服洗肝汤、泻肝汤即
瘥。
诗曰∶
雀目虽轻不可欺 小儿患者作疳翳 大人肝脏虚劳事 更被风来助本基
花发眼前随自见 不忧后患即无知 年深自必亡双目 欲观三光后世稀
洗肝汤
大黄 车前子 黑参 黄芩 细辛 茺蔚子（各二两）
上捣罗为末。以水一盏。散五分。入黑豆三七粒。煎至五分。去黑豆。空心下一服。临卧一服。
泻肝汤
黄芩 防风（各二两） 芍药 桔梗 芒硝 大黄（各二两）
上捣罗为末。以水一盏。散半钱。煎至五分。食前去渣温服。
此眼初患之时。肝有积热冲。肾脏虚劳。亦兼患后风冲。肝气不足。致患此疾。与前状不同。见物有别。惟见顶上
之物。然后为青盲。宜服补肝散、还睛丸即瘥。
诗曰∶
雀目前篇已辨根 此篇何要再三论 直缘病状同中异 为是高风要别陈
一种黄昏无所见 若观天象总难分 多年瞳子如金色 欲识高风只是真
两目初医何药妙 卓肝入口火燃薪 风劳更若除根本 永保千秋共万春
补肝散
人参 茯苓 车前子 川大黄 黄芩（各一两） 五味子 防风（各二两） 黑参（二两半）
上为末。以水一盏。散一钱。煎至五分。去渣温服。
还睛丸
人参 细辛 茯苓 木香 知母 芎 （各一两） 石决明 茺蔚子（各二两）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
This eye disease, in its initial stage, is characterized by frequent itching or astringency, with symptoms appearing intermittently and vision becoming frequently dim. When the condition becomes extremely severe, only a dim yellowish hue is visible, and objects cannot be seen clearly; the patient can only see objects directly below. It is appropriate to administer Xi Gan Tang (Liver-Washing Decoction) and Xie Gan Tang (Liver-Draining Decoction), which will lead to recovery.
The poem states:
Although Night Blindness (Que Mu) seems mild, it should not be underestimated. In children, it may develop into Gan Yi (Gan cataract/clouding); in adults, it results from Liver deficiency and exhaustion, further aggravated by Wind pathogen attacking the root cause.
Flower-like shadows appear before the eyes as one looks around. If one does not worry about subsequent complications, ignorance persists. Over many years, both eyes will inevitably lose sight, making it rare to see the sun, moon, and stars again in later life.
Xi Gan Tang (Liver-Washing Decoction)
Da Huang (Rhei Radix et Rhizoma), Che Qian Zi (Plantaginis Semen), Hei Shen (Black Ginseng/Scrophulariae Radix variant contextually), Huang Qin (Scutellariae Radix), Xi Xin (Asari Radix et Rhizoma), Chong Wei Zi (Chuanxiong Herba Seed - *Note: Traditionally Chong Wei Zi refers to Leonuri Fructus*, Leonuri Fructus) (each 2 liang).
Crush and sieve the above herbs into powder. Take one zhan of water, add 5 fen of the powder, put in 37 black beans, decoct until 5 fen remains. Remove the black beans. Take one dose on an empty stomach, and one dose before going to bed.
Xie Gan Tang (Liver-Draining Decoction)
Huang Qin (Scutellariae Radix), Fang Feng (Saposhnikoviae Radix) (each 2 liang), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma) (each 2 liang).
Crush and sieve the above herbs into powder. Take one zhan of water, add half a qian of the powder, decoct until 5 fen remains. Strain and take warm before meals.
In the initial stage of this eye disease, there is accumulated heat in the Liver rushing upward, deficiency and exhaustion of the Kidney, and concurrent attack by Wind pathogen. The Qi of the Liver is insufficient, leading to this ailment. This differs from the previous condition, and visual perception is distinct; the patient can only see objects above the head, which then progresses to Qing Mang (blindness/field loss). It is appropriate to administer Bu Gan San (Liver-Nourishing Powder) and Huan Jing Wan (Eye-Recovering Pill), which will lead to recovery.
The poem states:
The previous chapter on Night Blindness has already identified the root cause. Why discuss this chapter repeatedly? Only because the symptoms are similar yet different, necessitating a separate exposition for Gao Feng Que Mu (High-Wind Night Blindness).
One type involves seeing nothing at dusk; observing celestial phenomena is always difficult to distinguish. After many years, the pupils turn golden. To truly identify High-Wind Night Blindness requires accurate recognition.
What medicine is excellent for the initial treatment of both eyes? Entering the mouth like fire burning kindling. If the root of Wind and Exhaustion is removed, health can be preserved for thousands of autumns and ten thousand springs.
Bu Gan San (Liver-Nourishing Powder)
Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Che Qian Zi (Plantaginis Semen), Chuan Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix) (each 1 liang), Wu Wei Zi (Schisandrae Chinensis Fructus), Fang Feng (Saposhnikoviae Radix) (each 2 liang), Hei Shen (Black Ginseng) (2.5 liang).
Grind the above herbs into powder. Take one zhan of water, add 1 qian of the powder, decoct until 5 fen remains. Strain and take warm.
Huan Jing Wan (Eye-Recovering Pill)
Ren Shen (Ginseng Radix et Rhizoma), Xi Xin (Asari Radix et Rhizoma), Fu Ling (Poria), Mu Xiang (Aucklandiae Radix), Zhi Mu (Anemarrhenae Rhizoma), Xiong Duan (Ligustici Chuanxiong Rhizoma) (each 1 liang), Shi Jue Ming (Haliotidis Concha), Chong Wei Zi (Leonuri Fructus) (each 2 liang).
Grind the above herbs into powder. Make pills using refined honey, sized like tung tree seeds. Take ten pills with tea on an empty stomach.