羚羊角 防风 知母 人参 茯苓（各一两） 玄参 黄芩 桔梗（各一两） 细辛（三两） 车前子（一两）
上为末，以水一盏，散一钱，煎五分，食后，去渣，温服。
羚羊角汤 治青风内障，劳倦加昏重，头旋脑痛，眼内痛涩者。
羚羊角 人参 玄参 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，食后，去渣，温服。
上四方，皆羚羊角、玄参、细辛、羌活、防风、车前子为君，盖羚羊角厥阴经药也。丹溪云∶羚羊角入
厥阴经甚捷是也。玄参、细辛，行少阴经药也。海藏云∶玄参治空中氤氲之气，无根之火，为圣药也。羌
活、防风、车前子，行太阳经药也。如筋脉枯涩者，诸方中更加夏枯草，能散结气，有补养厥阴血脉之功，
尝试之有验。然此诸方，又当悟邪之所在。若气脱者，必与参膏相半服之。气虚者，必与东垣补胃人参汤、
益气聪明汤之类相半服之。血虚者，必与熟地黄丸之类相兼服之，更能内观静守，不干尘累，使阴气平伏，
方许作效。
芦荟丸 黑水凝翳内障，不痛不痒，微有头旋脉涩者。
芦荟 甘草（各一分） 人参 牛胆（各半两） 柏子仁 细辛（各一两） 羚羊角（二两，蜜炙）
上为末，炼蜜为丸，如桐子大。空心茶下十丸。
坠翳丸 治偃月翳、束花翳等病，微有头旋额痛者。
青羊胆 青鱼胆 鲤鱼胆（各七个） 熊胆（一分） 牛胆（半两） 麝香（少许） 石决明
上为末，面糊丸，如桐子大。空心茶下十丸。
除风汤 治五风变成内障，头旋偏肿痛，瞳人结白者。
羚羊角 车前子 芍药 人参 茯苓 大黄 黄芩 芒硝（各一两）
上为末，水一盏，散一钱，煎至五分，食后，去渣，温服。
磁石丸 治雷风内障，头旋恶心呕吐。
磁石（烧赤，醋淬二次） 五味子 牡丹皮 干姜 玄参（各一两） 附子（炮，半两）
上为末，炼蜜丸，如桐子大。食前茶下十丸。
治目之方用黄连多矣，而羊肝丸尤奇异，用黄连末一两，白羊肝一具，去膜，同于瓷盆内，研令极细，众
手捻为丸，如桐子大，每服以温水下三十丸，连作五剂，但是诸眼目疾，及障翳青盲皆治。忌猪肉冷水。唐崔
承元为官，治一死囚，出活之后数年，以病目致死。一旦崔为内障所苦，丧明，逾年后，半夜独坐自叹，忽闻
阶除 之声，崔问是谁？徐曰∶昔年蒙恩活囚也，今来报恩，遂将此方告讫而没。根据此合服，不数月眼复得明。
又方 治内障。
白羯羊肝（只用子肝一片，薄切，新瓦上焙） 熟地（一两半） 菟丝子 蕤仁 车前子 麦门冬
地肤子（去壳） 泽泻 防风 黄芩 白茯苓 五味子 桂心 杏仁（炒） 细辛 枸杞子 茺蔚子
苦葶苈 青葙子（各一两）
上为细末，炼蜜丸，如桐子大。每服三四十丸，温水下，日三服，不拘时候。张台卿尝苦目暗，京师医者，
令灸肝俞，遂转不见物．因得此方，眼目遂明。一男子，内障，医治无效，因以余剂遗之，一夕灯下，语其
家曰∶适偶有所见，如隔门缝见火者，及旦视之，眼中翳膜俱裂如线，张云∶此药灵勿妄与人，忽之则无验。
予益信之，且欲广其传也。
经云∶肝虚则目KT KT 无所见，耳 无所闻，善恐如人将捕之状。海藏六∶目瞑，肝气不治也。
又 镇肝明目羊肝丸
羯羊肝（一具，新瓦盆中爆了更焙之，肝大止用一半） 甘菊 羌活 柏子仁 细辛 官桂 白术 五味
子（各半两） 黄连（三分）
上为细末，炼蜜丸，如桐子大。空心食前，温水下三四十丸。
〔《千》〕补肝散 治目失明方。
青羊肝（一具去膜薄切之，以新瓦瓶子未用者入肝于中，炭火炙之，为极细末） 蓼子（一合，炒令香）
上为末，食后服方寸匕，日二，加至三匕，不过一二剂。能一岁服，可夜读细书。
治目KT KT 无所见，方用青羊肝一具，细切，以水一斗，铜器中煮，以面饼覆上，上钻两孔，如人眼大，以
目向就熏，不过再熏，即瘥。
〔《济》〕养肝丸 治肝血不足，眼目昏花，或生眵泪。
当归（酒洗） 车前子（酒蒸，焙） 防风（去芦） 白芍药 蕤仁（另研） 熟地（酒蒸，焙） 川芎
枳实（各等分）
上为末，炼蜜丸，如桐子大。每服七十丸，熟水送下，不拘时。
〔《本》〕《素问》云∶久视伤血。血主肝，故勤书则伤，肝主目昏。肝伤则自生风，热气上腾，致目昏。
亦不可专服补药，但服益血镇肝明目药自愈。
熟地黄丸
熟地（一两半） 黄连 决明子（各一两） 没药（半两） 甘菊花（二两） 防风 羌活（各一两）
桂心（五钱） 朱砂（五钱）
上为细末，炼蜜丸，如桐子大。每服三十丸，熟水下，食后，日三服。
〔《千》〕明目，发不白落方。
用牛胆浸槐子，阴干百日，食后，每日吞一枚，十日身轻，三十日白发再黑，百日通神。
胆移热于脑，则辛 鼻渊，传为衄 瞑目。（全文见诊病传变。）
经云∶肾足少阴之脉，是动则病坐而欲起，目KT KT 如无所见。又云∶少阴所谓起则目KT KT
无所见者，阴内夺，故目KT KT 无所见也。此盖房劳目昏也。
治瞳子散大诸方，并见前阴虚睛散大视物花条。
〔东〕益本滋肾丸（必与前阴虚睛散大条相兼服。）
黄柏（去皮，挫碎，酒洗，炒） 知母（去毛，挫碎，酒洗，炒。各等分）
上为极细末，滴水丸，如桐子大。每服百五十丸，热汤送下，空心服，服后以干物压之。
〔《济》〕补肾丸 治肾气不足，眼目昏暗，瞳人不明，渐生内障。
磁石（ ，醋淬七次，水飞过） 菟丝子（酒蒸二次。各二两） 五味子 熟地（酒蒸，焙） 枸杞
子楮实子 覆盆子（酒浸） 肉苁蓉（酒浸，焙） 车前子（酒蒸） 石斛（去根。各一两） 沉香
青盐（二味另研。各半两）
上为末，炼蜜丸，如桐子大。每服七十丸，空心盐汤下。
〔《千》〕神曲丸主明目，百岁可读细书。
神曲（四两） 磁石（ ，醋淬七次，一两） 光明砂（水飞，一两）
上为末，炼蜜丸，如桐子大。每服五丸，米饮下，食前，日三服。常服益眼力，此方神验，不可具述。
〔《外》〕治积年目失明，不识人。决明子二升杵散，食后以粥饮服方寸匕。（本草云∶决明子微寒，
助肝气，益精水。）
〔《千》〕白瓜子七升，绢袋盛，搅沸汤中三遍，暴干，以酢五升，浸一宿。暴干，为末，酒调方寸匕服，
日三，服之至百日，可夜读书。（本草云∶白瓜子平寒。《外台》名补肝散，主五劳七伤。酢，酸入肝。）
运气 目昏有四∶
一曰风热。经六∶少阴司天之政，风热参布，云物沸腾，太阴横流，寒乃时至，往复之作，民病聋瞑。此
风热参布目昏也。
二曰热。经云∶少阴在泉，热淫所胜，病目瞑，治以针寒。此热胜目昏也。
三曰风。又云∶岁水不及，湿乃大行，复则大风暴发，目视KT KT ，此风胜目昏也。
四曰燥。经云∶阳明司天，燥淫所胜，目昧 疡，治以苦热是也。
〔《本》〕读书之苦，伤肝损目，诚然。晋范宁尝苦目痛，就张湛求方，湛戏曰∶古方宋阳子少得其术，以
授鲁东门伯，次授左丘明，遂世世相传，以及汉杜子夏，晋左太冲，凡此诸贤，并有眼目疾，此方用损读书一，
减思虑二，专内视三，简外观四，宜起晚五，宜早眠六。凡六物，熬神火，下以气簇蕴于胸中，七日然后纳诸方
寸，修之一年，近能数其目睫，远视尺 之余，长服不已，洞见墙壁之外，非但明目，乃亦延年。审如是而行，
非可谓嘲戏，亦奇方也。
〔罗〕省郎中张子敬，年六十七岁，病眼目昏暗，微黑色，皮肤不泽，六脉弦细而无力。一日出示治目二
方，问予可服否？予曰∶此药以黄连大苦之药为君，诸风药为使，且人年五十，胆汁减而目不明。《内经》云∶
土位之主，其泻以苦。泻风药亦能泻土，年六十，脾胃虚而皮肉枯，重泻其土，使脾胃虚，而不能营运荣卫之
气，滋养元气，胃气不能上行，膈气吐食，诸病生矣。又况年高衰弱，此药不可服，只宜慎言语，节饮食，惩
忿窒欲，此不治之治也。子敬以为然，明年春，除关西路按察司，三年致仕还，精神清胜，脉遂平和，此不服
寒凉之剂也。《内经》云∶诛伐无过，是谓大惑，解之可也。
〔《灵》〕黄帝曰∶人之哀而涕泣者，何气使然？岐伯曰∶心者，五脏六腑之主也。目者，宗脉之所聚也，
上液之道也。口鼻者，气之门户也。故悲哀愁忧则心动，心动则五脏六腑皆摇。摇则宗脉感，宗脉感则液道开，
液道开故涕泣出焉。液者，所以灌精濡空窍者也。故上液之道开则泣，泣不止则液竭，液竭则精不灌，精不灌
则目无所见矣，故命曰夺精。补天柱经侠颈。（侠颈，谓头中分也。）
针灸内障有四法，此篇是其一也。
其二取肝。经曰∶肝虚则目KT KT 无所见，善恐，取其经厥阴与少阴，取血者是也。
其三取肾。经云∶肾足少阴之脉，是动则病目KT KT 无所见，视寒热虚实取之也。
其四取阳跷。经云∶邪之所在，皆为不足，上气不足，目为之瞑，补足外踝下留之是也。
〔《玉》〕眼久病昏花∶肝俞（一分，沿皮向外一寸半，补三呼。）三里（一寸，泻十吸。）瞳子
〔子和〕戴人女僮至西华，具急暴盲不见物。戴人曰∶此相火也。太阳阳明，气血俱盛，乃刺其鼻中攒竹
穴，与项前五穴，大出血，目立明。
〔《甲》〕青盲，远视不明，承光主之。瞳子痒，远视昏KT KT ，夜无见，目 动，与项口相参引，
口不能言，刺承泣。目瞑，身汗出，承浆主之。
〔《撮要》〕眼无光∶商阳（一分，沿皮向后三分，泻之，灸。）
〔《甲》〕青盲，商阳主之。KT 目，目KT KT ，偏历主之。KT 目，目KT KT ，少气，灸手五里，
左取右，右取左。目瞑，远视KT KT ，目窗主之。青盲KT 目，恶风寒，上关主之。
〔《龙木论》〕内障根源歌∶
不疼不痛渐昏蒙，薄雾轻烟渐渐浓，
或见蝇飞花乱出，或如丝絮在虚空。
此般状样因何得，肝脏停留热与风，
大叫大啼惊与恐，脑脂流入黑睛中。
初时一眼先昏暗，次第相牵与一同，
苦口何须陈逆耳，只缘肝气不相通。
此时服药宜镇定，将息多乖即没功，
日久既应全黑暗，时名内障障双瞳。
名字随形分十六，龙师圣者会推穷，
灵药这回难得效，金针一拨日当空。
强修将息根据前说，莫遣根据前病复踪。
针内障眼法歌∶
内障由来十六般，学医人子审须看，
分明一一知形状，下针方可得安然。
若将针法同圆翳，误损神光取瘥难，
冷热先明虚与实，调和四体待令安。
不然气闷违将息，呕逆劳神翳却翻，
咳嗽震头皆未得，多惊先服镇心丸，
若求凉药银膏等，用意临时体候看。
老翳细针初复嫩，针形不可一般般，
病虚新产怀娠月，下手才知将息难。
不雨不风兼皓月，清斋三日在针前，
安心定意行医道，念佛亲姻莫杂喧。
患者向明盘膝坐，提撕腰带得心安，
针者但行贤哲路，恻隐之情实善缘。
有血莫惊须住手，裹封如旧再开看，
忽然惊振医重卜，服药三旬见朗然。
七日解封难见物，花生水动莫它言，
还睛丸散坚心服，百日分明复旧根。
针内障后法歌∶
内障金针针了时，医师言语要深知，
绵包黑豆如球子，眼上安排日系之。
卧眠头枕须安稳，仰卧三朝莫厌迟，
封后忽然微有痛，脑风牵动莫它疑。
或针或烙根据经法，痛极仍将火熨之，
拟吐白梅含咽汁，吐来仰卧却从伊芳。
起则恐因遭努损，虽然希有也须知，
七朝豉粥温温食，震着牙关事不宜。
大小便时须缓缓，无令自起与扶持，
高声叫唤言多后，惊动睛轮见雪飞，
如此志心三十日，渐行出入认亲知。
狂心莫忆阴阳事，夫妇分床百日期，
一月不须临洗面，针痕湿着痛微微，
五腥酒面周年断，服药平除病本基。
上《龙木谕》金针开内障大法，谨按其法，初患眼内障之时，其眼不痛不涩不痒，头不旋不痛，而翳状
已结成者，宜金针拨去其翳，如拨云见日而光明也。今具其略于后。
开内障图
圆翳（初患时见蝇飞、花发、垂蚁，薄烟轻雾，先患一眼，次第相牵，俱圆翳如油点浮水中，阳看则小，阴
看则大，金针一拨即去。） 滑翳（翳如水银珠，宜金针拨之。） 涩翳（翳如凝脂色，宜针拨之。）浮翳（藏形睛
之深处，细看方见，宜针深拨之。） 横翳（横如剑脊，两边薄中央浓，宜针于中央浓处拨之。以上五翳，皆先
患一目，向后俱损。初患之时，其眼痛涩，头旋额痛，虽有翳状，亦难针拨。独偃月翳、枣花翳、黑水凝翳，微
羚羊角、防风、知母、人参、茯苓（各一两）、玄参、黄芩、桔梗（各一两）、细辛（三两）、车前子（一两）。
将上述药物研为粉末，取水一盏，加入药散一钱，煎煮至五分，饭后去渣，温服。
羚羊角汤：治疗青风内障（一种内障眼病），因劳累倦怠导致视力昏重，头晕脑痛，眼球内部疼痛且干涩者。
羚羊角、人参、玄参、地骨皮、羌活（各一两）、车前子（一两半）。
将上述药物研为粉末，取水一盏，加入药散一钱，煎煮至五分，饭后去渣，温服。
以上四方，均以羚羊角、玄参、细辛、羌活、防风、车前子作为主药（君药）。这是因为羚羊角是入厥阴经的药物。朱丹溪说：“羚羊角进入厥阴经非常迅速。”玄参、细辛，是行于少阴经的药物。张元素（海藏）说：“玄参治疗空中的氤氲之气和无根之火，是圣药。”羌活、防风、车前子，是行于太阳经的药物。如果筋脉枯涩，可以在各方中增加夏枯草，它能散结气，有补养厥阴血脉的功效，尝试使用确有疗效。然而这些方剂，还应当领悟邪气所在的部位。如果是气脱，必须与人参膏各半同服。如果是气虚，必须与东垣的补胃人参汤、益气聪明汤等方剂各半同服。如果是血虚，必须与熟地黄丸等方剂兼服，更能内观静守，不被尘世琐事干扰，使阴气平伏，才允许见效。
芦荟丸：治疗黑水凝翳内障，不痛不痒，轻微头晕、脉涩者。
芦荟、甘草（各一分）、人参、牛胆（各半两）、柏子仁、细辛（各一两）、羚羊角（二两，用蜜炙）。
将上述药物研为粉末，炼蜜为丸，如梧桐子大。空腹时茶送下十丸。
坠翳丸：治疗偃月翳、束花翳等疾病，轻微头晕、额头痛者。
青羊胆、青鱼胆、鲤鱼胆（各七个）、熊胆（一分）、牛胆（半两）、麝香（少许）、石决明。
将上述药物研为粉末，用面糊为丸，如梧桐子大。空腹时茶送下十丸。
除风汤：治疗五风变成内障，头晕偏侧肿痛，瞳孔发白者。
羚羊角、车前子、芍药、人参、茯苓、大黄、黄芩、芒硝（各一两）。
将上述药物研为粉末，取水一盏，加入药散一钱，煎煮至五分，饭后去渣，温服。
磁石丸：治疗雷风内障，头晕恶心呕吐。
磁石（烧红后醋淬两次）、五味子、牡丹皮、干姜、玄参（各一两）、附子（炮制，半两）。
将上述药物研为粉末，炼蜜为丸，如梧桐子大。饭前茶送下十丸。
治疗眼睛的方剂多用黄连，而羊肝丸尤其奇特。用黄连末一两，白羊肝一副，去掉膜，同在瓷盆内研磨至极细，众人用手捻成丸，如梧桐子大。每次服用温水送下三十丸，连续服用五剂。凡是各种眼疾及障翳青盲都能治疗。忌食猪肉和冷水。唐代崔承元做官时，救治了一名死囚，几年后该囚犯因病目失明而死。后来崔承元自己受内障困扰，丧失光明。过了一年多，半夜独自坐着叹息，忽然听到台阶下的声音，崔承元问是谁？那人回答说：“我是昔年蒙您恩惠救活的囚犯，今天来报恩。”于是将此方告知后就消失了。根据此方合服，不到几个月眼睛重新复明。
又一方：治疗内障。
白羯羊肝（只用子肝一片，薄切，在新瓦上焙干）、熟地黄（一两半）、菟丝子、蕤仁、车前子、麦门冬、地肤子（去壳）、泽泻、防风、黄芩、白茯苓、五味子、桂心、杏仁（炒）、细辛、枸杞子、茺蔚子、苦葶苈、青葙子（各一两）。
将上述药物研为细末，炼蜜为丸，如梧桐子大。每次服用三四十丸，温水送下，每日三次，不拘时候。张台卿曾苦于目暗，京城的医生让他灸肝俞穴，结果反而完全看不见东西。因此得到此方，眼睛随即明亮。有一名男子患内障，医生治疗无效，我将此方留给他。一天晚上在灯下，他对家人说：“刚才偶然看见了一点东西，像隔着门缝看火一样。”等到天亮查看，他眼中的翳膜都裂开如线状。张云说：“这药灵验，不要随便给人，轻视它就没有疗效。”我更加相信这一点，并且想要广泛传播它。
《内经》说：“肝虚则目视不明（KT KT指视物模糊），无所见，耳无所闻，善恐，像被人追捕的样子。”张元素（海藏）说：“目瞑（闭眼或视物不清），是肝气失调。”
又 镇肝明目羊肝丸
羯羊肝（一副，在新瓦盆中爆炒后再焙干，肝脏大的只取一半）、甘菊、羌活、柏子仁、细辛、官桂、白术、五味子（各半两）、黄连（三分）。
将上述药物研为细末，炼蜜为丸，如梧桐子大。空腹饭前，温水送下三四十丸。
〔《千金方》〕补肝散：治疗目失明的方剂。
青羊肝（一副去膜薄切，放入未用过的新瓦瓶中，用炭火烤成极细末）、蓼子（一合，炒香）。
将上述药物研为粉末，饭后服用方寸匕，每日两次，加至三匕，不超过一二剂。如果能坚持服用一年，可以夜间阅读细小的书籍。
治疗目视模糊无所见的方剂，用青羊肝一副，细切，用水一斗，在铜器中煮，上面盖上面饼，饼上钻两个孔，大小如人眼，让眼睛对着孔熏蒸，不超过两次熏蒸，即可痊愈。
〔《济生方》〕养肝丸：治疗肝血不足，眼目昏花，或生眵泪（眼屎眼泪）。
当归（酒洗）、车前子（酒蒸，焙干）、防风（去芦头）、白芍药、蕤仁（另研）、熟地黄（酒蒸，焙干）、川芎、枳实（各等分）。
将上述药物研为粉末，炼蜜为丸，如梧桐子大。每次服用七十丸，热水送下，不拘时候。
〔《本草纲目》〕《素问》说：“久视伤血。”血主肝，所以勤于书写会损伤肝，肝主目昏。肝受伤则自生风，热气上腾，导致目昏。也不可专门服用补药，只要服用益血镇肝明目的药物自然痊愈。
熟地黄丸
熟地黄（一两半）、黄连、决明子（各一两）、没药（半两）、甘菊花（二两）、防风、羌活（各一两）、桂心（五钱）、朱砂（五钱）。
将上述药物研为细末，炼蜜为丸，如梧桐子大。每次服用三十丸，热水送下，饭后，每日三次。
〔《千金方》〕明目，防止头发变白脱落方。
用牛胆浸泡槐子，阴干一百天，饭后，每天吞服一枚，十天身体轻健，三十天白发转黑，一百天通神。
胆热移于脑，则鼻辛（鼻塞流涕），发展为鼻渊（鼻窦炎），传变为衄血（鼻出血）和目瞑。（全文见诊病传变章节。）
《内经》说：“肾足少阴之脉，是动则病坐而欲起，目视模糊（KT KT）如无所见。”又说：“少阴所谓起则目视模糊（KT KT）无所见者，阴精内夺，故目视模糊（KT KT）无所见也。”这大概是房劳导致的目昏。
〔李东垣〕益本滋肾丸（必须与前文“阴虚睛散大”条兼服。）
黄柏（去皮，挫碎，酒洗，炒）、知母（去毛，挫碎，酒洗，炒。各等分）。
将上述药物研为极细末，滴水为丸，如梧桐子大。每次服用一百五十丸，热汤送下，空腹服，服后用干食物压住。
〔《济生方》〕补肾丸：治疗肾气不足，眼目昏暗，瞳人不明，渐生内障。
磁石（煅，醋淬七次，水飞）、菟丝子（酒蒸二次。各二两）、五味子、熟地黄（酒蒸，焙干）、枸杞子、楮实子、覆盆子（酒浸）、肉苁蓉（酒浸，焙干）、车前子（酒蒸）、石斛（去根。各一两）、沉香、青盐（这两味另研。各半两）。
将上述药物研为粉末，炼蜜为丸，如梧桐子大。每次服用七十丸，空腹盐汤送下。
〔《千金方》〕神曲丸主治明目，百岁可阅读细小书籍。
神曲（四两）、磁石（煅，醋淬七次，一两）、光明砂（水飞，一两）。
将上述药物研为粉末，炼蜜为丸，如梧桐子大。每次服用五丸，米饮送下，饭前，每日三次。常服有益眼力，此方神验，不可详尽叙述。
〔《外台秘要》〕治疗多年目失明，不识人。决明子二升捣碎成散，饭后以粥饮送下方寸匕。（本草说：决明子微寒，助肝气，益精水。）
〔《千金方》〕白瓜子七升，用绢袋盛，在沸水中搅动三遍，晒干，用醋五升，浸泡一夜。晒干，研为粉末，酒调方寸匕服，每日三次，服用至百日，可夜间读书。（本草说：白瓜子平寒。《外台秘要》名为补肝散，主治五劳七伤。醋，酸入肝。）
运气学说认为目昏有四种情况：
一是风热。经文说：“少阴司天之政，风热参布，云物沸腾，太阴横流，寒乃时至，往复之作，民病聋瞑。”这是风热参布导致的目昏。
二是热。经文说：“少阴在泉，热淫所胜，病目瞑，治以针寒。”这是热胜导致的目昏。
三是风。又说：“岁水不及，湿乃大行，复则大风暴发，目视模糊（KT KT）”，这是风胜导致的目昏。
四是燥。经文说：“阳明司天，燥淫所胜，目昧疡，治以苦热”即是。
〔《本草纲目》〕读书之苦，伤肝损目，确实如此。晋代范宁曾苦于目痛，向张湛求方，张湛开玩笑说：“古方宋阳子少得其术，传授给鲁东门伯，次传授给左丘明，于是世代相传，传到汉代的杜子夏，晋代的左太冲，这些贤人都有眼疾。此方用损读书一，减思虑二，专内视三，简外观四，宜起晚五，宜早眠六。凡六物，熬神火，下以气簇蕴于胸中，七日然后纳诸方寸，修之一年，近能数其目睫，远视尺余，长服不已，洞见墙壁之外，非但明目，乃亦延年。如果真这样实行，并非可以说是嘲戏，也是奇方。”
〔罗谦甫〕省郎中张子敬，六十七岁，病眼目昏暗，微黑色，皮肤不润泽，六脉弦细而无力。一天出示治疗眼睛的两个方子，问我是否可以服用？我说：“这些药以黄连这种大苦的药为主药，各种风药为使药。况且人年五十，胆汁减少而目不明。《内经》说：‘土位之主，其泻以苦。’泻风药也能泻土，年六十，脾胃虚而皮肉枯，再泻其土，使脾胃更虚，而不能营运营卫之气，滋养元气，胃气不能上行，膈气吐食，各种疾病就产生了。何况年高衰弱，这些药不可服用，只应该慎言语，节饮食，惩忿窒欲，这是不治之治。”子敬认为对，第二年春天，被任命为关西路按察司，三年致仕回家，精神清爽胜过以前，脉象平和，这就是不服用寒凉药剂的结果。《内经》说：“诛伐无过，是谓大惑”，解释一下是可以的。
〔《灵枢》〕黄帝说：“人悲哀哭泣，是什么气使之然？”岐伯说：“心是五脏六腑的主宰。目是宗脉聚集的地方，是上液之道。口鼻是气的门户。所以悲哀愁忧则心动，心动则五脏六腑皆摇。摇则宗脉感，宗脉感则液道开，液道开故涕泣出焉。液，是用来灌注精气、濡润空窍的。所以上液之道开则泣，泣不止则液竭，液竭则精不灌，精不灌则目无所见矣，所以命曰夺精。补天柱经侠颈。（侠颈，谓头中分也。）”
针灸治疗内障有四法，本篇是第一法。
第二法取肝。经文说：“肝虚则目视模糊（KT KT）无所见，善恐，取其经厥阴与少阴，取血者是也。”
第三法取肾。经文说：“肾足少阴之脉，是动则病目视模糊（KT KT）无所见，视寒热虚实取之也。”
第四法取阳跷。经文说：“邪之所在，皆为不足，上气不足，目为之瞑，补足外踝下留之是也。”
〔《玉机微义》〕眼久病昏花：肝俞（一分，沿皮向外一寸半，补三呼。）三里（一寸，泻十吸。）瞳子
〔戴元礼〕戴人的女儿婢女到西华，突发暴盲不见物。戴人说：“这是相火。太阳阳明，气血俱盛，于是刺其鼻中攒竹穴，与项前五穴，大出血，眼睛立刻明亮。”
〔《甲乙经》〕青盲，远视不明，承光主之。瞳子痒，远视昏模糊（KT KT），夜无见，目动，与项口相参引，口不能言，刺承泣。目瞑，身汗出，承浆主之。
〔《甲乙经》〕青盲，商阳主之。KT目（眯眼），目视模糊（KT KT），偏历主之。KT目，目视模糊（KT KT），少气，灸手五里，左取右，右取左。目瞑，远视模糊（KT KT），目窗主之。青盲KT目，恶风寒，上关主之。
〔《龙木论》〕内障根源歌：
不疼不痛渐昏蒙，薄雾轻烟渐渐浓，
或见蝇飞花乱出，或如丝絮在虚空。
此般状样因何得，肝脏停留热与风，
大叫大啼惊与恐，脑脂流入黑睛中。
初时一眼先昏暗，次第相牵与一同，
苦口何须陈逆耳，只缘肝气不相通。
此时服药宜镇定，将息多乖即没功，
日久既应全黑暗，时名内障障双瞳。
名字随形分十六，龙师圣者会推穷，
灵药这回难得效，金针一拨日当空。
强修将息根据前说，莫遣根据前病复踪。
针内障眼法歌：
内障由来十六般，学医人子审须看，
分明一一知形状，下针方可得安然。
若将针法同圆翳，误损神光取瘥难，
冷热先明虚与实，调和四体待令安。
不然气闷违将息，呕逆劳神翳却翻，
咳嗽震头皆未得，多惊先服镇心丸，
若求凉药银膏等，用意临时体候看。
老翳细针初复嫩，针形不可一般般，
病虚新产怀娠月，下手才知将息难。
不雨不风兼皓月，清斋三日在针前，
安心定意行医道，念佛亲姻莫杂喧。
患者向明盘膝坐，提撕腰带得心安，
针者但行贤哲路，恻隐之情实善缘。
有血莫惊须住手，裹封如旧再开看，
忽然惊振医重卜，服药三旬见朗然。
七日解封难见物，花生水动莫它言，
还睛丸散坚心服，百日分明复旧根。
针内障后法歌：
内障金针针了时，医师言语要深知，
绵包黑豆如球子，眼上安排日系之。
卧眠头枕须安稳，仰卧三朝莫厌迟，
封后忽然微有痛，脑风牵动莫它疑。
或针或烙根据经法，痛极仍将火熨之，
拟吐白梅含咽汁，吐来仰卧却从伊芳。
起则恐因遭努损，虽然希有也须知，
七朝豉粥温温食，震着牙关事不宜。
大小便时须缓缓，无令自起与扶持，
高声叫唤言多后，惊动睛轮见雪飞，
如此志心三十日，渐行出入认亲知。
狂心莫忆阴阳事，夫妇分床百日期，
一月不须临洗面，针痕湿着痛微微，
五腥酒面周年断，服药平除病本基。
上《龙木谕》金针开内障大法，谨按其法，初患眼内障之时，其眼不痛不涩不痒，头不旋不痛，而翳状已结成者，宜金针拨去其翳，如拨云见日而光明也。今具其略于后。
开内障图
圆翳（初患时见蝇飞、花发、垂蚁，薄烟轻雾，先患一眼，次第相牵，俱圆翳如油点浮水中，阳看则小，阴看则大，金针一拨即去。） 滑翳（翳如水银珠，宜金针拨之。） 涩翳（翳如凝脂色，宜针拨之。）浮翳（藏形睛之深处，细看方见，宜针深拨之。） 横翳（横如剑脊，两边薄中央浓，宜针于中央浓处拨之。以上五翳，皆先患一目，向后俱损。初患之时，其眼痛涩，头旋额痛，虽有翳状，亦难针拨。独偃月翳、枣花翳、黑水凝翳，微
Antelope Horn (Lingyangjiao), Saposhnikovia Root (Fangfeng), Anemarrhena Rhizome (Zhimu), Ginseng Radix (Renshen), Poria (Fuling) (each 1 liang), Scrophularia Root (Xuanshen), Scutellaria Root (Huangqin), Platycodon Root (Jiegeng) (each 1 liang), Asarum (Xixin) (3 liang), Plantago Seed (Cheqianzi) (1 liang).
Grind the above herbs into powder. Take one cup of water, add one qian of the powder, and decoct until reduced to five fen. Strain the dregs after meals and take warm.
Antelope Horn Decoction (Lingyangjiao Tang): Treats Qingfeng internal cataract (a type of internal eye disease), where fatigue and overwork cause visual dimness and heaviness, dizziness and brain pain, and pain and astringency inside the eyes.
Antelope Horn (Lingyangjiao), Ginseng Radix (Renshen), Scrophularia Root (Xuanshen), Groundcherry Root Bark (Digupi), Notopterygium Rhizome (Qianghuo) (each 1 liang), Plantago Seed (Cheqianzi) (1.5 liang).
Grind the above herbs into powder. Take one cup of water, add one qian of the powder, and decoct until reduced to five fen. Strain the dregs after meals and take warm.
The above four formulas all use Antelope Horn (Lingyangjiao), Scrophularia Root (Xuanshen), Asarum (Xixin), Notopterygium Rhizome (Qianghuo), Saposhnikovia Root (Fangfeng), and Plantago Seed (Cheqianzi) as the sovereign drugs (Jun Yao). This is because Antelope Horn enters the Jueyin Meridian. Danxi said: "Antelope Horn enters the Jueyin Meridian very swiftly." Scrophularia Root (Xuanshen) and Asarum (Xixin) are herbs that act on the Shaoyin Meridian. Haicang said: "Scrophularia Root treats the misty qi in the air and rootless fire; it is a holy medicine." Notopterygium Rhizome (Qianghuo), Saposhnikovia Root (Fangfeng), and Plantago Seed (Cheqianzi) are herbs that act on the Taiyang Meridian. If the sinews and vessels are withered and astringent, add Prunella Spike (Xiakucao) to the various formulas. It can dissipate nodulated qi and has the effect of nourishing the Jueyin blood vessels. Attempts have proven effective. However, for these formulas, one must understand the location of the pathogenic factor. If there is Qi collapse, it must be taken half with Ginseng Paste (Shen Gao). If there is Qi deficiency, it must be taken half with Dongyuan's Stomach-Nourishing Ginseng Decoction (Buweirenshen Tang) or Qi-Boosting and Brightening Decoction (Yiqi Congming Tang), etc. If there is Blood deficiency, it must be taken concurrently with Rehmannia Pill (Shudihuang Wan), etc. Furthermore, one should practice inner observation and stillness, not being disturbed by worldly affairs, so that Yin Qi becomes calm and level, only then can efficacy be expected.
Aloe Pill (Luhui Wan): Treats Heishui Ningyi internal cataract (black water coagulating film internal cataract), without pain or itching, with slight dizziness and a choppy pulse.
Aloe (Luhui), Licorice Root (Gancao) (each 1 fen), Ginseng Radix (Renshen), Ox Bile (Niudan) (each 0.5 liang), Biota Seed (Baiziren), Asarum (Xixin) (each 1 liang), Antelope Horn (Lingyangjiao) (2 liang, honey-fried).
Grind the above herbs into powder, refine honey to make pills, sized like tung tree seeds. Take ten pills with tea on an empty stomach.
Fallen Film Pill (Zhuayi Wan): Treats Crescent Moon Film (Yanyue Yi), Bundled Flower Film (Shuhua Yi), and other diseases, with slight dizziness and forehead pain.
Blue Sheep Gallbladder (Qingyangdan), Blue Fish Gallbladder (Qingyudan), Carp Gallbladder (Liyudan) (each seven), Bear Gallbladder (Xiongdan) (1 fen), Ox Bile (Niudan) (0.5 liang), Musk (Shexiang) (a little), Abalone Shell (Shijueming).
Grind the above herbs into powder, use flour paste to make pills, sized like tung tree seeds. Take ten pills with tea on an empty stomach.
Wind-Expelling Decoction (Chufeng Tang): Treats Five Winds transforming into internal cataract, with dizziness, unilateral swelling and pain, and whitening of the pupil.
Antelope Horn (Lingyangjiao), Plantago Seed (Cheqianzi), Peony Root (Shaoyao), Ginseng Radix (Renshen), Poria (Fuling), Rhubarb (Dahuang), Scutellaria Root (Huangqin), Mirabilite (Mangxiao) (each 1 liang).
Grind the above herbs into powder. Take one cup of water, add one qian of the powder, and decoct until reduced to five fen. Strain the dregs after meals and take warm.
Magnetite Pill (Cishi Wan): Treats Thunder Wind Internal Cataract, with dizziness, nausea, and vomiting.
Magnetite (Cishi) (heated red, quenched in vinegar twice), Schisandra Berry (Wuweizi), Moutan Cortex (Mudanpi), Dried Ginger (Ganjiang), Scrophularia Root (Xuanshen) (each 1 liang), Aconite Root (Fuzi) (processed, 0.5 liang).
Grind the above herbs into powder, refine honey to make pills, sized like tung tree seeds. Take ten pills with tea before meals.
Many formulas for treating the eyes use Coptis Rhizome (Huanglian), but Sheep Liver Pill (Yanggan Wan) is particularly remarkable. Use one liang of Coptis Rhizome powder and one whole white sheep liver. Remove the membrane, grind together in a porcelain basin until extremely fine, and form into pills sized like tung tree seeds by hand. Take thirty pills with warm water each time. Complete five courses consecutively. It treats all kinds of eye diseases, including films, cataracts, and blindness. Avoid pork and cold water. In the Tang Dynasty, Cui Chengyuan was an official who saved a death row prisoner. Years later, the prisoner died from an eye disease. One day, Cui was troubled by internal cataracts and lost his sight. Over a year later, sitting alone at midnight sighing, he suddenly heard a sound on the steps. Cui asked who it was. The voice replied: "I am the prisoner you spared years ago, here to repay your kindness." He then revealed this formula and disappeared. Following this prescription, within a few months, his eyesight recovered.
Another Formula: Treats internal cataract.
White Ram Liver (Baijie Yanggan) (use only one slice of the sub-liver, thinly sliced, baked on new tile), Prepared Rehmannia Root (Shudihuang) (1.5 liang), Dodder Seed (Tusizi), Bleeding Heart Seed (Ruiren), Plantago Seed (Cheqianzi), Ophiopogon Tuber (Mendong), Kochia Fruit (Difuzi) (dehusked), Alisma Rhizome (Zexie), Saposhnikovia Root (Fangfeng), Scutellaria Root (Huangqin), White Poria (Baifuling), Schisandra Berry (Wuweizi), Cinnamon Twig (Guixin), Apricot Kernel (Xingren) (stir-fried), Asarum (Xixin), Goji Berry (Gouqizi), Leech Grass Seed (Chongweizi), Thladiantha Fruit (Kutingli), Celosia Seed (Qingxiangzi) (each 1 liang).
Grind the above herbs into fine powder, refine honey to make pills, sized like tung tree seeds. Take thirty to forty pills each time with warm water, three times a day, at any time. Zhang Taiqing suffered from dark vision. Doctors in the capital advised him to moxa the Ganshu acupoint, which resulted in total blindness. He obtained this formula, and his eyesight cleared. A man suffered from internal cataract; medical treatment was ineffective. I left this formula for him. One night by lamplight, he told his family: "I just happened to see something, like seeing fire through a door crack." At dawn, upon examination, the film in his eyes had cracked like threads. Zhang Yun said: "This medicine is potent; do not give it casually. If disregarded, it will be ineffective." I believe this even more and wish to spread it widely.
The Classics state: "Liver deficiency leads to blurred vision (KT KT) and inability to see, inability to hear, fearfulness as if being chased." Haicang said: "Closed eyes or blurred vision (Mingmian) is due to Liver Qi dysfunction."
Another: Liver-Calming and Eye-Brightening Sheep Liver Pill (Zhen Gan Mingmu Yanggan Wan)
Ram Liver (Jieyanggan) (one whole, stir-fried in a new tile pot then baked; if large, use only half), Chrysanthemum Flower (Ganju), Notopterygium Rhizome (Qianghuo), Biota Seed (Baiziren), Asarum (Xixin), Official Cinnamon (Guangui), Atractylodes Macrocephala Rhizome (Baizhu), Schisandra Berry (Wuweizi) (each 0.5 liang), Coptis Rhizome (Huanglian) (3 fen).
Grind the above herbs into fine powder, refine honey to make pills, sized like tung tree seeds. Take thirty to forty pills with warm water on an empty stomach before meals.
[Qianjin Fang] Liver-Nourishing Powder (Bugan San): Formula for treating blindness.
Blue Sheep Liver (Qingyanggan) (one whole, remove membrane, slice thinly, place in unused new clay bottle, roast over charcoal into extremely fine powder), Smartweed Seed (Liaozi) (one he, stir-fry until fragrant).
Grind into powder. Take one fangcun bi after meals, twice daily, increasing to three bi. Not exceeding one or two courses. If taken for one year, one can read small print at night.
Formula for treating blurred vision and inability to see: Use one blue sheep liver, finely chopped, boil in ten dou of water in a copper vessel. Cover with a rice cake, drill two holes in the cake the size of human eyes, and steam the eyes over the holes. No more than two steamings, and it will heal.
[Jisheng Fang] Liver-Nourishing Pill (Yanggan Wan): Treats Liver Blood deficiency, causing blurred vision, or production of eye discharge and tears.
Angelica Sinensis Root (Danggui) (wine-washed), Plantago Seed (Cheqianzi) (wine-steamed, baked), Saposhnikovia Root (Fangfeng) (remove rhizome), White Peony Root (Baishaoyao), Bleeding Heart Seed (Ruiren) (separately ground), Prepared Rehmannia Root (Shudihuang) (wine-steamed, baked), Ligusticum Rhizome (Chuanxiong), Immature Tangerine Peel (Zhishi) (equal parts).
Grind into powder, refine honey to make pills, sized like tung tree seeds. Take seventy pills with hot water, at any time.
[Bencao Gangmu] Suwen states: "Prolonged viewing damages Blood." Blood governs the Liver, so diligent writing injures the Liver. The Liver governs eye dimness. Liver injury generates internal wind, heat rises, causing eye dimness. One should not exclusively take tonifying medicines; simply taking medicines that benefit Blood, calm the Liver, and brighten the eyes will lead to self-healing.
Rehmannia Pill (Shudihuang Wan)
Prepared Rehmannia Root (Shudihuang) (1.5 liang), Coptis Rhizome (Huanglian), Cassia Seed (Juemingzi) (each 1 liang), Myrrh (Moyao) (0.5 liang), Chrysanthemum Flower (Ganjuhua) (2 liang), Saposhnikovia Root (Fangfeng), Notopterygium Rhizome (Qianghuo) (each 1 liang), Cinnamon Twig (Guixin) (5 qian), Cinnabar (Zhusha) (5 qian).
Grind into fine powder, refine honey to make pills, sized like tung tree seeds. Take thirty pills with hot water, after meals, three times a day.
[Qianjin Fang] Formula for brightening eyes and preventing hair whitening/falling.
Soak Sophora Seed (Huai Zi) in Ox Gallbladder, dry in shade for one hundred days. After meals, swallow one pill daily. Ten days: body feels light. Thirty days: white hair turns black again. One hundred days: spiritual clarity achieved.
If Gallbladder Heat transfers to the Brain, it causes nasal congestion (Xin), progressing to Nasal Sinusitis (Bi Yuan), transmitting to Epistaxis (Nv) and closed/blurred eyes (Mingmu). (Full text see Diagnosis and Transmission of Diseases.)
The Classics state: "The Foot-Shaoyin Kidney Meridian, when moved, causes illness such as wanting to rise from sitting, and blurred vision (KT KT) as if unable to see." It also says: "What Shaoyin calls rising and experiencing blurred vision (KT KT) and inability to see is due to internal depletion of Yin Essence, hence blurred vision (KT KT) and inability to see." This is likely eye dimness caused by sexual exhaustion.
Formulas for treating dilated pupils are found in the previous section "Yin Deficiency with Dilated Pupils and Blurred Vision."
[Li Dongyuan] Yiben Zishen Pill (Must be taken concurrently with the previous "Yin Deficiency with Dilated Pupils" section.)
Phellodendron Bark (Huangbai) (remove bark, crush, wine-wash, stir-fry), Anemarrhena Rhizome (Zhimu) (remove hairs, crush, wine-wash, stir-fry. Equal parts).
Grind into extremely fine powder, drop water to make pills, sized like tung tree seeds. Take one hundred fifty pills with hot water, on an empty stomach. Press down with dry food after taking.
[Jisheng Fang] Kidney-Tonifying Pill (Bushen Wan): Treats Kidney Qi deficiency, causing dim vision, unclear pupils, and gradual onset of internal cataract.
Magnetite (Cishi) (calcined, quenched in vinegar seven times, water-flown), Dodder Seed (Tusizi) (wine-steamed twice. Each 2 liang), Schisandra Berry (Wuweizi), Prepared Rehmannia Root (Shudihuang) (wine-steamed, baked), Goji Berry (Gouqizi), Chinese Wolfberry Fruit (Chushizi), Raspberry (Fupenzi) (wine-soaked), Cistanche Stem (Roucongrou) (wine-soaked, baked), Plantago Seed (Cheqianzi) (wine-steamed), Dendrobium Stem (Shihu) (remove roots. Each 1 liang), Agarwood (Chenxiang), Green Salt (Qingyan) (these two separately ground. Each 0.5 liang).
Grind into powder, refine honey to make pills, sized like tung tree seeds. Take seventy pills with salt water on an empty stomach.
[Qianjin Fang] Shenqu Pill mainly brightens eyes; one can read small print at age one hundred.
Medicated Leaven (Shenqu) (4 liang), Magnetite (Cishi) (calcined, quenched in vinegar seven times, 1 liang), Guangming Sand (Shuifei, 1 liang).
Grind into powder, refine honey to make pills, sized like tung tree seeds. Take five pills with rice drink, before meals, three times a day. Regular use benefits eyesight. This formula is miraculous and cannot be fully described.
[Waitai Mi Yao] Treats years-long blindness, inability to recognize people. Cassia Seed (Juemingzi) two sheng, pounded into powder. Take one fangcun bi with porridge drink after meals. (Compendium says: Cassia Seed is slightly cold, assists Liver Qi, benefits Jing Water.)
[Qianjin Fang] White Melon Seeds (Baiguazi) seven sheng, placed in silk bag, boiled in water three times, dried. Soaked in five sheng of vinegar overnight. Dried, pounded into powder. Take one fangcun bi mixed with wine, three times a day. After one hundred days, one can read at night. (Compendium says: White Melon Seed is neutral-cold. Waitai Mi Yao names it Liver-Nourishing Powder, treating Five Labors and Seven Injuries. Vinegar, sour, enters the Liver.)
In the theory of Six Qi, there are four types of eye dimness:
First is Wind-Heat. The Classics say: "When Shaoyin governs Heaven, Wind and Heat are distributed together, clouds and things boil, Taiyang flows horizontally, Cold arrives, cycles repeat, the people suffer deafness and blindness (Mingmian)." This is eye dimness caused by Wind-Heat distribution.
Second is Heat. The Classics say: "When Shaoyin is in Earth, Heat dominates excessively, causing closed/blurred eyes (Mingmian), treat with acupuncture cooling." This is eye dimness caused by excessive Heat.
Third is Wind. It also says: "When Year Water is insufficient, Dampness spreads greatly, returning brings great wind storms, vision becomes blurred (KT KT)." This is eye dimness caused by excessive Wind.
Fourth is Dryness. The Classics say: "When Yangming governs Heaven, Dryness dominates excessively, causing dim/obscured eyes and ulcers, treat with bitter-hot [methods]." This is it.
[Bencao Gangmu] The hardship of reading indeed damages the Liver and eyes. Fan Ning of the Jin Dynasty suffered from eye pain and sought a formula from Zhang Zhan. Zhang joked: "Anciently, Song Yangzi learned this art, taught it to Lu Dongmen Bo, then to Zuo Qiuming, passed down generations to Han Du Zixia and Jin Zuo Taichong. All these sages had eye diseases. This formula uses: reduce reading by one, reduce thinking by two, focus inward by three, simplify outward observation by four, wake up late by five, sleep early by six. These six items, refined by divine fire, stored in the chest with Qi accumulation for seven days, then taken in fangcun doses. Practice for one year, near vision can count eyelashes, far vision can see beyond one chi. Long-term use allows seeing through walls, not just brightening eyes but extending life. If practiced thus, it is not mockery, but a miraculous formula."
[Luo Qianfu] Vice Minister Zhang Zijing, aged sixty-seven, suffered from dim vision, slight black discoloration, lusterless skin, and string-taut, thin, weak pulses. One day he showed me two eye formulas, asking if they were suitable. I said: "These medicines use Huanglian, a very bitter drug, as sovereign, and various wind-expelling drugs as ministers. Moreover, at age fifty, gallbladder bile decreases and vision dims. Neijing says: 'For the ruler of Earth position, purge with bitter.' Purging wind drugs also purges Earth. At age sixty, Spleen and Stomach are deficient, skin and flesh wither. Further purging Earth makes Spleen and Stomach deficient, unable to circulate Ying and Wei Qi, nourish Yuan Qi. Stomach Qi cannot ascend, Diaphragm Qi causes vomiting, various diseases arise. Especially since he is old and weak, these medicines are unsuitable. He should only guard speech, regulate diet, curb anger, and restrain desires. This is the treatment of non-treatment." Zijing agreed. The following spring, he was appointed Inspector of Guanxi Road. Three years later, he retired and returned, his spirit refreshed, pulse peaceful. This was due to not taking cold-cooling agents. Neijing says: "Punishing the innocent is called great confusion," which can be explained.
[Lingshu] Yellow Emperor said: "Why do people weep when grieving? What Qi causes this?" Qibo said: "The Heart is the master of the Five Viscera and Six Bowels. The Eyes are the gathering place of Zong Mai (Grand Vessels) and the upper pathway of fluids. The Mouth and Nose are the gates of Qi. Thus, grief and sorrow move the Heart; moving the Heart shakes all Five Viscera and Six Bowels. Shaking affects Zong Mai; affecting Zong Mai opens the fluid pathways. When fluid pathways open, tears flow. Fluids are used to irrigate essence and moisten orifices. Thus, when upper fluid pathways open, one cries. If crying does not stop, fluids deplete. If fluids deplete, essence is not irrigated. If essence is not irrigated, the eyes cannot see. Hence it is called 'Depriving Essence' (Duojing). Tonify Tianzhu Jing along the neck. (Along the neck refers to the midline of the head.)"
There are four methods of acupuncture for internal cataracts; this chapter is the first.
The second method targets the Liver. The Classics say: "Liver deficiency leads to blurred vision (KT KT) and inability to see, fearfulness. Take the Jueyin and Shaoyin meridians; extracting blood is correct."
The third method targets the Kidney. The Classics say: "Foot-Shaoyin Kidney Meridian, when moved, causes blurred vision (KT KT) and inability to see. Treat according to Cold, Heat, Excess, and Deficiency."
The fourth method targets Yang Qiao. The Classics say: "Where pathogens reside, there is deficiency. Upper Qi deficiency causes closed/blurred eyes (Mingmian). Tonify below the outer ankle and retain."
[Yuji Weiyi] Eyes long diseased with blurred vision: Ganshu (1 fen, along skin outward 1.5 cun, tonify three exhales). Zusanli (1 cun, drain ten inhales). Tongziliao.
[Dai Ren] Dai Ren's daughter's maid went to Xihua and suddenly went blind. Dai Ren said: "This is Minister Fire. Taiyang and Yangming, Qi and Blood are abundant. Therefore, puncture the Zanzhu acupoint in the nose and five acupoints on the neck, causing heavy bleeding, and the eyes immediately brightened."
[Jiayingjing] Qingmang (blindness), distant vision unclear, Chengguang governs it. Pupil itching, distant vision blurred (KT KT), no vision at night, eye twitching, pulling to neck and mouth, inability to speak, puncture Chengqi. Closed/blurred eyes (Mingmian), sweating, Chengjiang governs it.
[Cuoyao] Eyes without light: Shangyang (1 fen, along skin backward 3 fen, drain, moxa).
[Jiayingjing] Qingmang (blindness), Shangyang governs it. Squinting eyes (KT Mu), blurred vision (KT KT), Pianli governs it. Squinting eyes (KT Mu), blurred vision (KT KT), shortness of Qi, moxa Shouwuli, left take right, right take left. Closed/blurred eyes (Mingmian), distant blurred vision (KT KT), Muchuang governs it. Qingmang squinting eyes (KT Mu), aversion to wind and cold, Shangguan governs it.
[Longmu Lun] Song of the Root Cause of Internal Cataracts:
No pain, no itch, gradually dimming, like thin fog and light smoke thickening,
Sometimes seeing flies flying or flowers scattering, sometimes like silk cotton in the void.
How did this condition arise? Heat and Wind lingering in the Liver,
Screaming, crying, startling, and fearing, brain fat flows into the black pupil.
Initially one eye dims first, sequentially affecting the other,
Why need bitter words against contrary ears? Only because Liver Qi does not communicate.
At this time, medication should stabilize, improper care renders it useless,
After long days, total darkness ensues, commonly named Internal Cataract obscuring both pupils.
Names divided into sixteen based on shape, Dragon Master and Sages deduce deeply,
Miraculous drugs rarely show effect now, Golden Needle拨 (拨 means to push aside/dial) clears the sky like the sun.
Strengthen care according to previous sayings, do not let previous illnesses retrace their steps.
Song of Acupuncture Method for Internal Cataracts:
Internal Cataracts originate in sixteen types, students of medicine must examine carefully,
Clearly knowing each shape one by one, only then can needle insertion be safe.
If needle method is confused with Round Opacity, damaging Divine Light makes recovery difficult,
Clarify Cold and Heat, Deficiency and Excess first, harmonize four limbs waiting for peace.
Otherwise, Qi stagnation violates care, vomiting and distress cause opacity to flip,
Coughing and shaking head are not permitted, if much startled, first take Calming Heart Pill,
If seeking cooling medicines like Silver Paste, pay attention to temporary conditions.
Old opacity needs fine needle, initially restoring tenderness, needle shape cannot be uniform,
Patient deficiency, postpartum, or pregnancy months, handling reveals difficulty in care.
No rain, no wind, plus bright moon, pure fast for three days before needling,
Settle mind and intent practicing medicine way, chanting Buddha, relatives do not mix noise.
Patient sits cross-legged facing brightness, tightening belt brings peace of mind,
Needler walks the path of sages, compassion is truly a good karma.
If blood appears, do not panic, stop hand, wrap seal as before, open again to look,
Suddenly startled/shaken, doctor re-evaluates, taking medicine for thirty days sees clarity.
Seven days unseal, hard to see, peanut water moves, do not speak otherwise,
Return Eye Pill/Powder, firm heart takes, one hundred days clearly restores old root.
Song of Post-Needling Method for Internal Cataracts:
When Internal Cataract Golden Needle is done, physician's words must be deeply understood,
Cotton wrapped black beans like balls, arranged on eye tied daily.
Sleeping pillow must be stable, lying supine three days do not dislike delay,
After sealing suddenly slight pain, Brain Wind pulling do not doubt otherwise.
Either needle or cauterize according to Classic method, extreme pain still use fire ironing,
Intending vomit, hold white plum, swallow juice, vomiting comes lie supine follow it.
Rising fears suffering strain damage, although rare must know,
Seven days soy porridge warm eat, clenching jaw matters not suitable.
Urination and defecation must be slow, do not let self-rise and support,
High voice calling speaking much later, startling eye wheel seeing snow fly,
Such sincere heart thirty days, gradually walking in/out recognizing relatives/knowing.
Wild mind do not recall Yin-Yang matters, husband wife separate beds one hundred days period,
One month do not need face washing, needle mark wet touching pain slightly,
Five pungents, wine, noodles one year cut off, taking medicine calmly removes disease root base.
Above is the Great Method of Golden Needle Opening Internal Cataract from *Longmu Yu*. Carefully following its method: when initially suffering eye internal cataract, the eye is not painful, astringent, or itchy, head does not spin or hurt, but the opacity has formed. It is appropriate to use golden needle to dial away the opacity, like parting clouds to see the sun and gaining brightness. Now presenting its outline below.
Diagram of Opening Internal Cataract
Round Opacity (Yuan Yi) (At initial onset, seeing flies flying, flowers appearing, hanging ants, thin smoke light fog, first affecting one eye, sequentially affecting both, all round opacities like oil drops floating in water, appear smaller in sunlight, larger in shade, golden needle one dial removes them.) Slippery Opacity (Hua Yi) (Opacity like mercury beads, suitable for golden needle dialing.) Rough Opacity (Se Yi) (Opacity like congealed fat color, suitable for needle dialing.) Floating Opacity (Fu Yi) (Hides deep in the eye, visible only with careful looking, suitable for deep needle dialing.) Horizontal Opacity (Heng Yi) (Horizontal like sword ridge, thin sides thick center, suitable for needle dialing at the thick center. Above five opacities all affect one eye first, subsequently both damaged. At initial onset, eye painful/astringent, head spinning/forehead hurting, even if opacity exists, hard to needle dial. Only Crescent Moon Opacity, Date Flower Opacity, Black Water Coagulating Opacity, slight...