此眼初患之时。朦胧如轻烟薄雾。渐渐失明。还从一眼先患。后乃相牵俱损。不睹人物。犹辨三光。翳如凝脂色，
瞳人端正。状宜令针。金针针之。然后服还睛散、七宝丸立效。
诗曰∶
涩翳聚开随睑迟 阴阳大小亦微微 傍观瞳子凝脂色 先哲留言不要疑
此障拨时根据本法 用针三五不还迟 牢封七日图疮 将息应当莫自欺
还睛散
桔梗 五味子 茺蔚子 黑参 黄芩（各一两） 防风 知母（各二两） 车前子 细茶（各二两半）
上捣罗为末。以水一盏。散一钱。煎至五分。食后去渣温服。
七宝丸
龙脑（一分） 人参（一两） 真珠（五钱） 石决明（二两另捣罗细研） 琥珀 青鱼胆 熊胆（各二两） 茺
蔚子（二两）
上捣罗为末。炼蜜为丸如桐子大。食前茶下十丸。
此眼初患之时。不痒不痛。渐渐失明。还从一眼先患。惟瞳人里有障翳。乍青乍白。不辨人物。犹见三光。此眼宜
令金针拨之。然后宜服还睛散、补肝汤主之效。
诗曰∶
散翳又何为所状 形同酥点烂容仪 随针针了和涎散 未得分明自得知
封裹安存须善巧 莫令患者致狐疑 殷勤遣眼还睛散 再睹三光百日期
忌慎一如传戒行 不须恣意纵贪知 深言向说何为切 记取冥冥黑暗时
还睛散
人参 茯苓 细辛 五味子 桔梗（各一两） 车前子 防风（各二两）
上捣罗为末。以水一盏。散一钱。煎至五分。夜食后。去渣温服。
补肝汤
细辛 防风 茺蔚子（各一两） 五味子 桔梗（各一两） 黑参（一两半）
上捣罗为末。以水一盏。散一钱。煎至五分。空心去渣温服。
**Sè Yì Nèi Zhàng (Opaque Cataract with Slow Onset):**
When this eye disease first occurs, vision is hazy as if covered by light smoke or thin mist. It gradually leads to blindness, typically starting in one eye and then affecting the other. Although characters cannot be distinguished, the patient can still perceive the "Three Lights" (sun, moon, and stars). The opacity resembles the color of congealed fat, and the pupil remains regular in shape. It is suitable for treatment via gold needle cataract extraction (Jīn Zhēn Zhēn Zhī). After performing the needle procedure, administering Huán Jīng Sǎn (Restore Vision Powder) and Qī Bǎo Wán (Seven Treasures Pill) yields immediate efficacy.
Poem:
The onset of opaque cataracts is slow, affecting the eyelids;
Yin and Yang imbalances are slight, yet significant.
Observing the pupil, the color resembles congealed fat;
Do not doubt the words left by ancient sages.
When extracting this opacity, follow these methods strictly;
Using the needle three to five times is not too late.
Securely bandage for seven days to promote healing;
Rest diligently, do not deceive yourself.
**Huán Jīng Sǎn (Restore Vision Powder):**
* Jié Gěng (Platycodonis Radix), Wǔ Wèi Zǐ (Schisandrae Chinensis Fructus), Chōng Wèi Zǐ (Erythrostachyidis Fructus), Hēi Shēn (Adenophorae Radix), Huáng Qín (Scutellariae Radix): each 1 liang.
* Fáng Fēng (Saposhnikoviae Radix), Zhī Mǔ (Anemarrhenae Rhizoma): each 2 liang.
* Chē Qián Zǐ (Plantaginis Semen), Xì Chá (Fine Tea): each 2.5 liang.
Pulverize the above ingredients. Take one qian of the powder, boil in one cup of water until reduced to half a cup. Strain and take warm after meals.
**Qī Bǎo Wán (Seven Treasures Pill):**
* Lóng Nǎo (Borneolum Syntheticum): 1 fen.
* Rén Shēn (Ginseng Radix et Rhizoma): 1 liang.
* Zhēn Zhū (Margarita): 5 qian.
* Shí Jué Míng (Haliotidis Concha): 2 liang (separately pulverized finely).
* Hǔ Pò (Amber), Qīng Yú Dǎn (Cyprini Carassii Vesica Uritiva), Xióng Dǎn (Ursi Fel): each 2 liang.
* Chōng Wèi Zǐ (Erythrostachyidis Fructus): 2 liang.
Pulverize the above ingredients. Mix with refined honey to form pills the size of tung tree seeds. Take ten pills before meals with tea.
**Sàn Yì Nèi Zhàng (Dispersed Opaque Cataract):**
This eye disease begins without itching or pain, leading to gradual blindness. It also starts in one eye first. There is an opacity within the pupil, appearing alternately blue and white. Characters cannot be distinguished, but the "Three Lights" are still visible. This condition is suitable for gold needle cataract extraction. Subsequently, administering Huán Jīng Sǎn (Restore Vision Powder) and Bǔ Gān Tāng (Liver-Nourishing Decoction) is effective.
Poem:
What is the nature of dispersed opacities?
Their shape resembles butter spots ruining the countenance.
After needle extraction, mix with saliva-based paste;
Clarity will return naturally, known only to oneself.
Careful wrapping and preservation require skill;
Do not cause the patient to harbor doubts.
Diligently administer Restore Vision Powder to the eyes;
Within a hundred days, the Three Lights shall be seen again.
Observe dietary restrictions as strictly as religious precepts;
Do not indulge in greed or excess.
These profound words are urgent;
Remember the time of deep darkness.
**Huán Jīng Sǎn (Restore Vision Powder - Variation):**
* Rén Shēn (Ginseng Radix et Rhizoma), Fú Líng (Poria), Xì Xīn (Asari Radix et Rhizoma), Wǔ Wèi Zǐ (Schisandrae Chinensis Fructus), Jié Gěng (Platycodonis Radix): each 1 liang.
* Chē Qián Zǐ (Plantaginis Semen), Fáng Fēng (Saposhnikoviae Radix): each 2 liang.
Pulverize the above ingredients. Take one qian of the powder, boil in one cup of water until reduced to half a cup. Strain and take warm after dinner at night.
**Bǔ Gān Tāng (Liver-Nourishing Decoction):**
* Xì Xīn (Asari Radix et Rhizoma), Fáng Fēng (Saposhnikoviae Radix), Chōng Wèi Zǐ (Erythrostachyidis Fructus): each 1 liang.
* Wǔ Wèi Zǐ (Schisandrae Chinensis Fructus), Jié Gěng (Platycodonis Radix): each 1 liang.
* Hēi Shēn (Adenophorae Radix): 1.5 liang.
Pulverize the above ingredients. Take one qian of the powder, boil in one cup of water until reduced to half a cup. Strain and take warm on an empty stomach.