党参 生黄 生于术 归身 陈皮 升麻（蜜炙） 柴胡（蜜炙） 甘草 蔓荆子
钱（左） 湿热停于脾肺，两目睥内鱼子石榴，视物羞明。
当归 石决明 玉竹 茯苓 苍术 甘草 黄柏
又 鱼子石榴已散，红翳未尽。补血六君子去参用玉竹，加石斛。
唐（右） 暮年肝肾阴亏，水火不能既济，以致瞳神淡色，时见火星飞扬，视物模
糊，宜壮水固精，交通心肾。
熟地 归身 炙草 枸杞子 菟丝子 五味子 桑椹子 女贞子 丹参 龟胶 莲肉
罗（左） 体素阴亏，精血不足，左目为物所伤，气血复亏，以致瞳神散大，眼皮
垂下，启睫无力，视物不明，竭力拟治，少或有效，再可商也。
熟地 归身 炙草 枸杞子 菟丝子 五味子 楮实子 覆盆子 人参 麦冬 黄 （
酒炒） 虫 洋虫
又 眼皮稍能睁视，瞳神略小，惟视物尚觉不明。贞元饮合五子加人参、黄 、
红花、 虫。
又 生脉散合五子加熟地、归身、阿胶。
孔（左） 视白为黄，视红为紫，视正为横，睁目头晕，此阴极阳飞之症。
生地 熟地 山药 萸肉 丹皮 茯苓 泽泻 肉桂 菟丝子 丹参
又 《金匮》肾气丸（以丸作汤）合生脉散加丹参。
又 十全大补汤。
姚（左） 精血素亏，湿邪复传肺肾，以致两目白睛黄膜，瞳神昏暗，夜视不明，
雀盲之症。
生地 熟地 天冬 麦冬 茵陈 黄芩 枳壳 石斛 甘草 枇杷叶 旱莲草 女贞子
丹参
又 人参固本合二至，加丹参、茵陈、黄芩。
又 夜视得明，湿热已退大半，惟内热尚未尽除。二地六味去萸肉合二至，加牛
膝、车前子、丹参、野马料豆。
徐（左） 暮年肝肾阴亏，三阴三阳脉息歇止。又兼脾胃衰弱，不能健运，以致两
目眼皮红赤翻出，视物不清。
熟地 人参 黄 （蜜炙） 制于术 茯神 制远志 枣仁 归身 煨木香 龙眼肉 炙
草龟胶 鹿角胶 枸杞子 炮姜
杨（幼） 脾胃湿火，左目下睥生菌。
苏木 红花 生地 当归 川芎炭 赤芍 苍术 浓朴 陈皮 甘草 芦根
又 眼菌已消，红翳未尽。照前方去苏木、红花，石斛、黑山栀。
Codonopsis Radix (Dangshen), raw Astragali Radix (Sheng Huang), prepared Atractylodis Macrocephalae Rhizoma (Sheng Baizhu), Angelicae Sinensis Radix (Guishen), Tangerine Peel (Chenpi), honey-fried Cimicifugae Rhizoma (Shengma), honey-fried Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Gancao), Vitex Fructus (Manjingzi), each 1 qian (Left patient). Damp-heat stagnates in the Spleen and Lung, causing both eyes to develop protrusions resembling fish roe or pomegranate seeds within the eyelids, accompanied by photophobia.
Angelicae Sinensis Radix (Danggui), Halitum Conchae (Shijueming), Polygonati Odorati Rhizoma (Yuzhu), Poria (Fuling), Atractylodis Rhizoma (Cangzhu), Glycyrrhizae Radix et Rhizoma (Gancao), Phellodendri Cortex (Huangbai).
Re-examination: The fish-rope-like protrusions have dissipated, but the red nebula (red翳) has not yet fully cleared. Use Bu Xue Liu Jun Zi Tang (Blood-Nourishing Six Gentlemen Decoction), remove Codonopsis Radix (Renshen), add Polygonati Odorati Rhizoma (Yuzhu).
Mr. Tang (Right patient). In his later years, he suffers from a deficiency of Liver and Kidney Yin, leading to an inability of Water and Fire to interact harmoniously (Heart-Kidney non-interaction). This results in a pale appearance of the pupil, frequent visual hallucinations of flying sparks, and blurred vision. It is appropriate to employ methods to strengthen Water to control Fire, secure essence, and facilitate communication between the Heart and Kidney.
Prepared Rehmanniae Radix (Shudi), Angelicae Sinensis Radix (Guishen), honey-fried Glycyrrhizae Radix et Rhizoma (Zhicao), Lycii Fructus (Gouqizi), Cuscutae Semen (Tusizi), Schisandrae Fructus (Wuweizi), Morus Fructus (Sangshenzi), Ligustri Lucidi Fructus (Nvzhenzi), Salviae Miltiorrhizae Radix et Rhizoma (Danshen), Testudinis Carapax et Plastrum (Guijiao), Lotus Seed (Lianrou).
Mr. Luo (Left patient). His constitution is inherently deficient in Yin, with insufficient Essence and Blood. His left eye was injured by an external object, causing further depletion of Qi and Blood. This leads to a dilated pupil, ptosis (drooping eyelids), weakness in opening the eyelids, and unclear vision. I strive to formulate a treatment plan; there may be slight efficacy, and other matters can be discussed subsequently.
Prepared Rehmanniae Radix (Shudi), Angelicae Sinensis Radix (Guishen), honey-fried Glycyrrhizae Radix et Rhizoma (Zhicao), Lycii Fructus (Gouqizi), Cuscutae Semen (Tusizi), Schisandrae Fructus (Wuweizi), Broussonetiae Fructus (Chushizi), Rubi Fructus (Fupenzi), Ginseng Radix (Renshen), Ophiopogonis Tuber (Maidong), wine-fried Astragali Radix (Huangqi), Aspongopus (Jiu Xiang Chong), African Bug (Yang Chong).
Re-examination: The eyelids can now open slightly for vision, and the pupil has shrunk slightly, but vision remains unclear. Use Zhen Yuan Yin combined with Wu Zi Yan Zong Wan (Five Seeds Decoction), add Ginseng Radix (Renshen), Astragali Radix (Huangqi), Carthami Flos (Honghua), and Aspongopus (Jiu Xiang Chong).
Re-examination: Use Sheng Mai San combined with Wu Zi Yan Zong Wan (Five Seeds Decoction), add Prepared Rehmanniae Radix (Shudi), Angelicae Sinensis Radix (Guishen), and Eglantia Gelatin (Ejiao).
Mr. Kong (Left patient). White objects appear yellow, red objects appear purple, straight lines appear crooked, and opening the eyes causes dizziness. This is a syndrome of "Extreme Yin with Flying Yang."
Raw Rehmanniae Radix (Shengdi), Prepared Rehmanniae Radix (Shudi), Dioscoreae Rhizoma (Shanyao), Corni Fructus (Yurou), Moutan Cortex (Danpi), Poria (Fuling), Alisma Rhizoma (Zexie), Cinnamomi Cortex (Rougui), Cuscutae Semen (Tusizi), Salviae Miltiorrhizae Radix et Rhizoma (Danshen).
Re-examination: Shen Qi Wan from *Jin Gui Yao Lue* (Kidney Qi Pill, administered as a decoction) combined with Sheng Mai San, add Salviae Miltiorrhizae Radix et Rhizoma (Danshen).
Re-examination: Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction).
Mr. Yao (Left patient). Essence and Blood are chronically deficient, and dampness has transmitted to the Lung and Kidney. This causes a yellow membrane on the sclera of both eyes, dim pupils, poor night vision, and nyctalopia (night blindness).
Raw Rehmanniae Radix (Shengdi), Prepared Rehmanniae Radix (Shudi), Asparagi Tuber (Tiantong), Ophiopogonis Tuber (Maidong), Imperatae Rhizoma (Yinchen), Scutellariae Radix (Huangqin), Aurantii Fructus (Zhiqiao), Dendrobii Caulis (Shihu), Glycyrrhizae Radix et Rhizoma (Gancao), Loquat Leaf (Pipaye), Ecliptae Herba (Hanliancao), Ligustri Lucidi Fructus (Nvzhenzi), Salviae Miltiorrhizae Radix et Rhizoma (Danshen).
Re-examination: Renshen Guben Wan combined with Er Zhi Wan, add Salviae Miltiorrhizae Radix et Rhizoma (Danshen), Imperatae Rhizoma (Yinchen), and Scutellariae Radix (Huangqin).
Re-examination: Night vision has improved, and damp-heat has largely subsided, but internal heat remains. Use Raw Rehmanniae Radix (Shengdi), Prepared Rehmanniae Radix (Shudi), and Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) without Corni Fructus (Yurou), combined with Er Zhi Wan, add Achyranthis Bidentatae Radix (Niuxi), Plantaginis Semen (Cheqianzi), Salviae Miltiorrhizae Radix et Rhizoma (Danshen), and Vicia Faba Wild Type (Yema Liaodou).
Mr. Xu (Left patient). In his later years, he suffers from a deficiency of Liver and Kidney Yin, with intermittent pulse stops in the three Yin and three Yang meridians. Additionally, his Spleen and Stomach are weak and unable to transport effectively, causing both eyelids to become red and everted, with unclear vision.
Prepared Rehmanniae Radix (Shudi), Ginseng Radix (Renshen), honey-fried Astragali Radix (Huangqi), processed Atractylodis Macrocephalae Rhizoma (Zhi Baizhu), Poria with Hostwood (Fushen), processed Polygalae Radix (Zhi Yuanzhi), Ziziphus Jujubae Seed (Zaoren), Angelicae Sinensis Radix (Guishen), roasted Aucklandiae Radix (Wei Muxiang), Longan Aril (Longyanrou), honey-fried Glycyrrhizae Radix et Rhizoma (Zhicao), Testudinis Carapax et Plastrum (Guijiao), Cervi Cornu Degelatinatum (Lujiaojiao), Lycii Fructus (Gouqizi), processed Zingiberis Rhizoma (Paojiang).
Young Mr. Yang (Pediatric patient). Damp-fire in the Spleen and Stomach has caused a polypoid growth (eye fungus) on the lower eyelid of the left eye.
Sappan Lignum (Sumu), Carthami Flos (Honghua), Raw Rehmanniae Radix (Shengdi), Angelicae Sinensis Radix (Danggui), Charred Ligustici Chuanxiong Rhizoma (Chuanxiong Tan), Red Peony Root (Chishao), Atractylodis Rhizoma (Cangzhu), Magnoliae Officinalis Bark (N Houpu), Tangerine Peel (Chenpi), Glycyrrhizae Radix et Rhizoma (Gancao), Reed Rhizome (Lugen).
Re-examination: The ocular polyp has disappeared, but the red nebula has not yet fully cleared. Follow the previous prescription, remove Sappan Lignum (Sumu) and Carthami Flos (Honghua), add Dendrobii Caulis (Shihu) and Gardeniae Fructus (Hei Shanzhi).