熟地黄丸 治血弱阴虚，不能养心，致火旺于阴分，瞳子散大。少阴为火，君主无
为，不行其令，相火代之，与心包络之脉出心系，分为三道，少阳相火之体无形，其用
在其中矣。火盛则能令母实，乙木肝旺是也。其心之脉挟目系，肝之脉连目系，况手足少
阳之脉同出耳中，至耳上角斜起，终于目外小 。风热之盛，亦从此道来，上攻头目，致
偏头肿闷，瞳子散大，视物昏花，血虚阴弱故也。法当养血、凉血、益血、收火、散火，
而除风热则愈矣。
熟地黄（一两） 柴胡（去苗，八钱） 生地黄（七钱半，酒浸，焙） 当归身（酒洗） 黄芩（各半两） 天
门冬（去心，焙） 五味子 地骨皮 黄连（各三钱） 人参（去芦） 枳壳（炒） 甘草（炙。各二钱）
上为细末，炼蜜丸，如绿豆大。每服一百丸，茶汤送下，食后，日二服，制之缓也。
大忌辛辣物助火邪，及食寒冷物损其胃气，药不上行也。又一论云∶瞳子黑眼法于阴，由
食辛热之物助火，乘于胸中，其睛故散，睛散则视物亦大也。
《保命集》当归汤 治翳，补益瞳子散大。
黄连 柴胡（各一钱） 当归身 黄芩 芍药（各二钱） 熟地黄 甘草（炙。各三钱）
上水煎，临卧服。
济阴地黄丸 治足三阴亏损，虚火上炎，致目睛散大，视物不的；或昏花涩紧，作痛
畏明；或卒见非常之处等证。其功效与六味、还少丹相似。
五味子 麦门冬 当归 熟地黄 肉苁蓉 山茱萸 干山药 枸杞子 甘菊花 巴
戟肉（各等分）
上为末，炼蜜丸，桐子大。每服七八十
丸，空心白汤下。
Shudihuang Wan (Rehmannia Pill): Treats deficiency of blood and yin, which fails to nourish the Heart, resulting in hyperactive fire within the Yin aspect and dilation of the pupil. The Shaoyin channel belongs to Fire; the Heart is the Sovereign Monarch and remains tranquil and non-actionable, not directly executing its functions, but rather the Ministerial Fire acts on its behalf. The Ministerial Fire connects with the pericardium channel, which emerges from the heart system and divides into three pathways. The physical form of the Shaoyang Ministerial Fire is invisible, yet its function lies within it. Excessive fire causes the mother organ (Liver) to become excess, manifesting as hyperactivity of Wood (Liver). The Heart channel accompanies the eye system, and the Liver channel connects to the eye system. Moreover, both the Hand-Shaoyang and Foot-Shaoyang channels emerge from the ear, ascend to the apex of the ear, slant upwards, and terminate at the outer canthus of the eye. Pathogenic wind-heat also ascends along this pathway to attack the head and eyes, causing swelling and distension in the lateral head, dilation of the pupil, blurred vision, all due to blood deficiency and weak yin. The treatment method should involve nourishing blood, cooling blood, benefiting blood, restraining fire, dispersing fire, and eliminating wind-heat, after which the disease will be cured.
Ingredients and dosages: Shudihuang (Prepared Rehmanniae Radix, 1 liang), Chaihu (Bupleuri Radix, removed sprouts, 8 qian), Shengdihuang (Fresh Rehmanniae Radix, soaked in wine, dried), Dangguishen (Radix Angelicae Sinensis, body part only, washed with wine), Huangqin (Scutellariae Radix, each half liang), Tianmendong (Asparagi Radix, removed heart, dried), Wuweizi (Schisandrae Fructus), Digupi (Lycii Cortex), Huanglian (Coptidis Rhizoma, each 3 qian), Renshen (Ginseng Radix, removed rhizome), Zhike (Aurantii Fructus Pericarpium, stir-fried), Gancao (Licorice Radix et Rhizoma, honey-fried, each 2 qian).
Grind the above ingredients into a fine powder, mix with refined honey, and make pills the size of mung beans. Take 100 pills per dose, swallowed with tea water after meals, twice daily. This preparation method aims to moderate the action of the medicine.
Strictly avoid spicy foods that assist pathogenic fire, and avoid cold foods that damage stomach qi, otherwise the medicinal power will not ascend. Another theory states: The pupil and black eye follow the principle of Yin. If one consumes spicy and hot foods, assisting fire, which then invades the chest, the eyes will dilate. When the eyes dilate, objects appear larger.
Danggui Tang (Angelica Decoction) from *Baoming Ji*: Treats nebula (pterygium/leukocoria) and benefits dilation of the pupil.
Ingredients and dosages: Huanglian (Coptidis Rhizoma), Chaihu (Bupleuri Radix, each 1 qian), Dangguishen (Radix Angelicae Sinensis, body part only), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix Alba or Rubra, each 2 qian), Shudihuang (Prepared Rehmanniae Radix), Gancao (Licorice Radix et Rhizoma, honey-fried, each 3 qian).
Decoct the above ingredients in water and take before retiring.
Jiyin Dihuang Wan (Nourishing Female Kidney Rehmannia Pill): Treats deficiency of the Three Yin channels of the foot, with deficient fire flaming upward, leading to dilation of the eyeball and unclear vision; or blurred vision, dryness, tightness, pain, and photophobia; or sudden perception of abnormal visual phenomena. Its efficacy is similar to Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Huanshao Dan (Return to Youth Pill).
Ingredients and dosages: Wuweizi (Schisandrae Fructus), Maimendong (Ophiopogonis Radix), Danggui (Angelicae Sinensis Radix), Shudihuang (Prepared Rehmanniae Radix), Rousongrong (Cistanches Herba), Shanzhuyu (Corni Fructus), Gansanyao (Dioscoreae Rhizoma, dried), Gouqizi (Lycii Fructus), Ganjuhua (Chrysanthemi Flos), Bajirou (Morindae Officinalis Radix, flesh part, equal parts).
Grind the above ingredients into a powder, mix with refined honey, and make pills the size of paulownia seeds. Take 70–80 pills per dose, swallowed with plain warm water on an empty stomach.