麻发于心火烊烊。丙子反侮壬癸乡。以致麻后患雀盲。照月夜灵四六汤。
雀目者。每至日暮、而眼不能见物、是也。又名鸡目瞎。又名高风障。经曰。眼得血而能视。肝
脏血。肝血有亏。兼之火邪旺盛。熬于壬癸。津血亏耗。致病雀目。至日暮属阴之时。而目不能视
物矣。治法宜以四物汤（见二十五条）合六味地黄汤。加石决明、夜明砂主之。或以照月饮、决明
夜灵散治之亦可。
六味地黄汤
熟地黄（一钱） 山茱萸（五分） 淮山药（炒五分） 白茯苓（七分五厘） 牡丹皮（去
骨七分五厘） 泽泻（七分五厘） 水煎。空心服。
照月饮 治雀目立效。
真雄黄（研细水飞过） 用活鸡剖开。取热肝捣极烂。入雄黄末五厘。温酒调服。
决明夜灵散 治男妇大小眼目、至暮则昏。夜间虽有灯光月亮。不能视物。（朱曰 此方治雀盲
颇有奇效。惟必多食。）
石决明（炒） 夜明砂（水淘净各二两） 公猪肝（一两、母猪及瘟猪之肝、切不可用、用羯羊肝、更妙。）
右肝勿犯铁器。以竹刀切肝作两片。将药末铺于一片肝上。将第二片肝盖合。用线扎紧。勿
令药末漏出。放入砂罐内。以淘米泔水一大碗。煮肝。煮至米泔仅存小半碗时。去火。于卧
时。以药肝与汁。一齐与服。
前方石决明、镇肾益精。以之为君。夜明砂、升阳主夜。以之为臣。米泔水、主脾胃。以之为
佐。肝与肝合。以类相从。引入肝经。以之为使。
The eruption of measles originates from the blazing fire of the Heart. If the Bing-Zi (Bing Zi) qi counter-attacks Ren-Gui (Ren Gui, referring to Kidney Water), it leads to night blindness (Que Mang, a condition characterized by poor vision in dim light or at dusk) after the measles. Treatment should refer to Zhao Yue Ye Ling Si Liu Tang.
Night blindness refers to the inability to see objects when dusk arrives. It is also known as "Chicken Eye Blindness" or "Gao Feng Zhang." The classics state: "The eyes can see only when nourished by blood." This condition arises from Liver Blood deficiency and insufficiency, compounded by rampant Fire pathogenic factors that consume Kidney Water (Ren-Gui), leading to the depletion of body fluids and blood, thereby causing night blindness. Since dusk belongs to the time when Yin energy increases, vision fails at this time. The treatment method should employ Si Wu Tang (see Article 25) combined with Liu Wei Di Huang Tang, adding Shi Jue Ming (Haliotidis Concha) and Ye Ming Sha (Cacumen Typhonii) as the principal herbs. Alternatively, Zhao Yue Yin or Jue Ming Ye Ling San may be used for treatment.
[Liu Wei Di Huang Tang]
Shu Di Huang (Prepared Rehmanniae Radix, 1 qian) Shan Zhu Yu (Corni Fructus, 5 fen) Huai Shan Yao (Chinese Yam Rhizome, stir-fried, 5 fen) Bai Fu Ling (Poria, 7.5 li) Mu Dan Pi (Moutan Cortex, 7.5 li) Ze Xie (Alismatis Rhizoma, 7.5 li)
Decoct in water. Take on an empty stomach.
[Zhao Yue Yin]
Effective immediately for night blindness.
Zhen Xiong Huang (Real Realgar, finely ground and processed by water flotation)
Cut open a live chicken, take out the hot liver, pound it until extremely fine, add 5 li of Realgar powder, and take with warm wine.
[Jue Ming Ye Ling San]
Treats eye disorders in men, women, adults, and children, where vision becomes blurry at dusk. Even with lamplight or moonlight at night, one cannot see objects. (Mr. Zhu said: This prescription has remarkable effects for treating night blindness, but one must consume plenty of animal liver.)
Shi Jue Ming (Stir-fried Haliotidis Concha) Ye Ming Sha (Typhonii Cacumen, washed clean, each 2 liang) Gong Zhu Gan (Male Pig Liver, 1 liang; note: do not use sow's liver or liver from pigs suffering from plague; using castrated sheep's liver is even better.)
Do not let the liver touch iron vessels. Cut the liver into two slices with a bamboo knife. Spread the herbal powder on one slice, cover with the second slice, tie tightly with thread to prevent leakage of powder. Place in a clay pot, add one large bowl of rice washing water, and boil the liver. When the rice water reduces to slightly less than half a bowl, remove from heat. At bedtime, consume both the medicated liver and the broth together.
In the aforementioned formula, Shi Jue Ming stabilizes the Kidney and benefits Essence, serving as the Sovereign herb; Ye Ming Sha raises Yang and addresses night vision issues, serving as the Minister herb; Rice washing water regulates the Spleen and Stomach, serving as the Assistant herb; The liver matches the nature of the disease/herbs, guiding the action into the Liver Meridian, serving as the Envoy herb.