此眼初患之时。头旋额角偏痛。连眼睑骨及鼻颊骨时时亦痛。兼眼内痛涩。有黑花来往。先从一眼先患。以后相牵
俱损。亦因肾脏虚劳。房室不节。因为黑风内障。不宜针拨。宜服药将息。针治诸穴脉。宜服羚羊角饮子、补肾丸立效。
诗曰∶
黑暗形候绿风同 脏腑推寻别有踪 黑即肾家来作祸 绿风本是肺相攻
欲知何药能为疗 也要羚羊瘥病宗 将息一针除赤眼 涩即轻轻兼眼中
切忌房劳与嗔怒 恣意之流切莫从 瞳子开张三曜绝 名医拱手谩相逢
羚羊角饮子
羚羊角 羌活 黑参 细辛 桔梗 黄芩 柴胡（各一两） 车前子 茺蔚子（各一两半） 防风（一两）
上为末。炼蜜为丸如桐子大。食后茶下十丸。
补肾丸
人参 茯苓 五味子 细辛 肉桂 桔梗（各一两） 山药 柏子仁（各二两半） 干地黄（一两半）
上捣罗为末。炼蜜为丸如桐子大。空心茶下十丸。
此眼初患之时。微有痛涩。头旋脑痛。或眼先见有花无花。瞳人不开不大。渐渐昏暗。或因劳倦。渐加昏重。宜令
将息。便须服药。恐久结为内障。不宜针拨。皆因五脏虚劳所作。致令然也。宜服羚羊角汤、还睛散即瘥。
诗曰∶
曾无痒痛本源形 一眼先昏后得名 瞳子端然如不患 青风便是此源因
初时微有头旋闷 或见花生又不生 忽因劳倦加昏暗 知者还应自失惊
服药更须将息到 莫遣风劳更发萌 须服羚羊汤与散 还睛坠翳自相应
头摩膏药频频上 免使双眸失却明 患者无知违此法 他时还道是前生
羚羊角汤
羚羊角 人参 黑参 地骨皮 羌活（各一两） 车前子（一两半）
上为末。以水一盏。散一钱。煎至五分。食远服。
还睛散
人参 车前子 地骨皮 茯苓 细辛 防风 芎 羌活（各等分）
上为末。以水一盏，散一钱。煎至五分。食后去渣温服。
[Black Wind Internal Cataract]
At the initial onset of this eye condition, the patient experiences dizziness (Xuanting), pain in the forehead and temporal regions, which radiates to the eyelid bones and nasal cheekbones, causing frequent pain. Concurrently, there is pain and dryness/astringency within the eyes, accompanied by the perception of black spots drifting across the visual field. The disease typically begins in one eye and subsequently affects the other, leading to bilateral impairment. This condition arises from Kidney deficiency and exhaustion due to excessive sexual activity, and is termed Black Wind Internal Cataract (Heifeng Neizhang). It is contraindicated for needle-penetration surgery (Zhenbo); instead, medicinal treatment and recuperation are indicated. Regarding acupuncture points and pulse diagnosis, it is appropriate to administer Lingyangjiao Yinzi or Bushen Wan, which yield immediate efficacy.
Poem:
The manifestations of Black Wind resemble those of Green Wind, yet the internal organ pathology follows a different trajectory. Black Wind originates from disorders of the Kidney; Green Wind stems from the attack of Metal on Wood (Lung affecting Liver).
To know which medicine can cure it, one must follow the principle of using Antelope Horn as the primary agent.
Proper recuperation eliminates red eyes; if astringency occurs, gentle care of the eyes is required.
Strictly avoid sexual exertion and anger; do not follow those who indulge in such excesses.
If the pupil dilates uncontrollably (resembling the three luminaries), even famous physicians will be helpless, meeting only in vain.
Lingyangjiao Yinzi (Antelope Horn Decoction)
Ingredients: Antelope Cornu (Lingyangjiao), Notopterygii Rhizoma et Radix (Qianghuo), Panax Notoginseng Radix (Heishen), Asari Radix (Xixin), Platycodonis Radix (Jiegeng), Scutellariae Radix (Huangqin), Bupleuri Radix (Chaihu) (each 1 liang); Plantaginis Semen (Cheqianzi), Chuanxiong Herba (Chongweizi) (each 1.5 liang); Saposhnikoviae Radix (Fangfeng) (1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take ten pills after meals, washed down with tea water.
Bushen Wan (Kidney-Nourishing Pill)
Ingredients: Ginseng Radix (Renshen), Poria (Fuling), Schisandrae Fructus (Wuweizi), Asari Radix (Xixin), Cinnamomi Cortex (Rougui), Platycodonis Radix (Jiegeng) (each 1 liang); Dioscoreae Rhizoma (Shanyao), Biota Semen (Baiziren) (each 2.5 liang); Rehmanniae Radix Preparata (Gan Dihuang) (1.5 liang).
Preparation and Administration: Pound and sieve the above ingredients into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take ten pills on an empty stomach, washed down with tea water.
[Green Wind Internal Cataract]
At the initial onset of this eye condition, there is slight pain and astringency, dizziness and headache. The patient may initially perceive floating spots or not, while the pupil remains normal in size and shape. Vision gradually dims. Symptoms may worsen and become more severe due to fatigue and overexertion. The patient should be advised to rest and recuperate, and medication must be administered promptly to prevent the formation of internal cataracts. Needle-penetration surgery is also contraindicated here. All these conditions result from deficiency and exhaustion of the Five Zang organs. It is appropriate to administer Lingyangjiao Tang or Huanjing San, which will lead to recovery.
Poem:
Initially, there are no symptoms of itching or pain; the name derives from one eye becoming dim first. The pupil appears normal as if unaffected; Green Wind is the underlying cause.
Early stages involve mild dizziness and stuffiness; sometimes visual spots appear, sometimes they do not. Suddenly, vision darkens due to fatigue and exhaustion; those knowledgeable should be startled.
Medication must be accompanied by proper recuperation; do not allow wind and fatigue to reignite. One must take Lingyangjiao Tang and Huanjing San; restoring vision and clearing opacities will naturally correspond.
Apply head massage ointment frequently to prevent the loss of clarity in both eyes. If patients ignorantly violate this method, they will later blame their past lives.
Lingyangjiao Tang (Antelope Horn Decoction)
Ingredients: Antelope Cornu (Lingyangjiao), Ginseng Radix (Renshen), Panax Notoginseng Radix (Heishen), Lycii Cortex (Digupi), Notopterygii Rhizoma et Radix (Qianghuo) (each 1 liang); Plantaginis Semen (Cheqianzi) (1.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take one qian of the powder with one cup of water, decoct until five fen remains. Administer at a time distant from meals.
Huanjing San (Eye-Recovering Powder)
Ingredients: Ginseng Radix (Renshen), Plantaginis Semen (Cheqianzi), Lycii Cortex (Digupi), Poria (Fuling), Asari Radix (Xixin), Saposhnikoviae Radix (Fangfeng), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Notopterygii Rhizoma et Radix (Qianghuo) (equal parts).
Preparation and Administration: Grind the above ingredients into fine powder. Take one qian of the powder with one cup of water, decoct until five fen remains. Strain and take warm after meals.