烧红，淬尽为度） 黄连（四两，河水浸，去渣，焙干，研细用） 青盐（六两，细研） 蜜（一斤，澄
去查蜡） 梨（十枚，去皮核，绞取汁）
上将梨汁、甘石入膏子内，熬五七沸，次入青盐，用槐柳枝搅褐色，倾入瓷瓮冷水内，拔去火毒，腊月合
为妙，正月十一月次之，余月皆不可。
〔《济》〕蟾光膏 治远年目病，不通道路，去翳膜，须用腊月成开日合。
白沙蜜（四两，色白者，炒。隔年葱一枝，去须皮，短切，与蜜一同熬去白膜，觑葱软熟为度，以绵滤滓，
放定，用纸收取蜡面） 黄丹（三钱，水飞，生用） 密陀僧（三钱，水飞，生用） 炉甘石（
过，五钱，净水飞。以上三味，研极细，倾入前蜜中，用桃柳各一枝搅匀放下） 当归 赤芍药 杏仁
（汤泡，去皮尖。以上三味，各三钱） 黄连（去芦头，净，二两） 川芎（半两） 秦皮 诃子皮 防风 石膏
玄精石 井泉石 无名异 玄参 代赭石 石决明（以上十五味，各三钱， 咀，或雪水或长流河水五升，银瓷器
内熬至三升，滤去渣净，再熬至一升，将十五味药水倾入前放下药蜜，一同慢火熬药紫金色时，再添入后药，
勿令火急） 乳香 没药 琥珀 朱砂（另研） 蕤仁（ 槌，去油用仁）以上五味，各三钱，前四味先研烂，
后入蕤仁，水飞，一同研细澄，有渣再水飞。 清，再水飞。方倾入前紫金药内，一同复熬一二沸，以药滴于
水中不散为度，大抵勿令过与不及。取下土中埋七日，取出置银器中，如法收贮，再添入后细药，倾入药时，亦
用桃柳枝搅匀。
南硼砂 珍珠 龙脑 珊瑚枝（四味各一钱） 麝香（五分）
上件五味，研极细，亦以桃柳枝搅匀，倾入前药中，复搅匀，然后以纸封器盒口，旋取用。如有取不尽药，
用净水斟酌洗碗，却将碗药水熬三五沸，另行收拾，或洗眼，或膏子药稠了时，倾入些少调解。
上用桑柴烧，共计二十九味。
〔《肘》〕疗目热，生肤赤白膜。取雀屎细直者，人乳和敷目上，消烂尽。乌贼骨，主目中一切浮翳，
细研和蜜点之。又骨末治目中热有效。
〔丹〕治眼翳。樗白皮索为绳，日干，烧为灰，研细点之，自渐退妙。又方。猪胆皮去汁，捻为绳，烧
灰点之亦妙。
〔东〕碧云散 治外障搐药。
麻黄根（一两） 归身（一钱） 乳香（少） 麝香（如少加乳香。）
上将当归、麻黄为粗末，炒黑色，入乳、麝，研极细，噙化搐入鼻中。
搐鼻散
薄荷（三钱） 石膏（一钱） 芒硝 川芎（各五分） 细辛（二钱） 蔓荆子（三钱） 青黛（一钱）
上为末，鼻内搐之。
〔丹〕杨生娘患赤眼，生膜似白星。
秦皮 滑石 黄连 荆芥 归头 赤芍药（各三钱）
上分四帖煎洗，仍教其莫洗浴，止可洗脚。
〔《千》〕治法，以鹅翎截之，近黑睛及当白睛嗍之，膜自聚上，以针钩挽之，割去即见物，以绵当眼，着
血断，三日瘥。
〔东垣〕医魏邦彦夫人，目翳暴生，从下而起，其色绿，肿痛不可忍。先师曰∶翳从下而上，病从阳明是
也。绿非五方之正色，殆肺肾合为病邪，乃就画家以墨腻粉合成色谛视之，与翳同色，肺肾为病无疑矣。乃泻
肺肾之邪，而入阳明之药为之使，既效，而他日病复作者三。其所从来之经，与翳色各异，乃以意消息之。曰∶
诸脉皆属于目，脉病则从之，此必经络不调，则目病未已也。问之果然。因视所不调者治之，病遂不作。
针灸外障，并见目赤门。
（将药料烧红，淬入水中直至完全处理完毕为止）黄连（四两，用河水浸泡，去除药渣，焙干后研成细粉使用）青盐（六两，细细研磨）蜂蜜（一斤，澄清去除蜡质）梨（十个，去皮去核，绞取汁液）
先将梨汁、炉甘石放入膏剂中，熬煮五到七沸，接着加入青盐，用槐树枝或柳枝搅拌至褐色，倒入装有冷水的瓷瓮中，以去除火毒。最好在腊月制作，正月和十一月次之，其他月份都不适宜。
〔《济生方》〕蟾光膏：治疗多年的眼病，疏通眼部经络，去除翳膜。必须在腊月的成日或开日制作。
白沙蜜（四两，选用色白的，炒制。取隔年的葱一根，去掉须和皮，切成短段，与蜜一同熬煮直到白色泡沫消失，观察葱变得软熟为止，用棉布过滤掉药渣，静置沉淀，用纸撇去表面的蜡层）黄丹（三钱，水飞法处理，生用）密陀僧（三钱，水飞法处理，生用）炉甘石（煅过，五钱，用清水水飞法处理。以上三种药材，研磨至极细，倾入前面的蜂蜜中，用桃树枝和柳树枝各一枝搅拌均匀后放下）当归、赤芍药、杏仁（用汤水泡过，去皮去尖。以上三种药材，各三钱）黄连（去掉芦头，洗净，二两）川芎（半两）秦皮、诃子皮、防风、石膏、玄精石、井泉石、无名异、玄参、代赭石、石决明（以上十五味药材，各三钱，捣碎，或用雪水或长流河水五升，在银瓷器内熬煮至三升，过滤去净药渣，再熬煮至一升，将十五味药水倾入前面已放好的蜂蜜中，一同用慢火熬煮至紫金色时，再加入后面的药材，不要让火势过急）乳香、没药、琥珀、朱砂（单独研磨）蕤仁（捣碎，去油只用仁）以上五味药材，各三钱，前四种药材先研磨烂，然后加入蕤仁，用水飞法处理，一同研磨细并澄清，如有残渣再次进行水飞。澄清后，再次水飞。待药液倾入前面的紫金药液中，一同复熬一到两沸，以药滴入水中不散开为度，大体上不要过火也不要火候不足。从土中取出埋藏七日，取出后置于银器中，按规定收贮，再加入后面的细药粉末，倾倒药液时，也要用桃树枝和柳树枝搅拌均匀。
以上五味药材，研磨至极细，也用桃树枝和柳树枝搅拌均匀，倾入前面的药液中，再次搅拌均匀，然后用纸封住器皿盒口，随时取用。如果有取不尽的药，用净水斟酌清洗碗具，然后将碗中的药水再熬煮三到五沸，另行收集保存，或者用来洗眼，或者当膏剂太稠时，加入少许进行调节。
以上共用了桑柴燃烧加热，总计二十九味药材。
〔《肘后备急方》〕治疗目热，生成赤白翳膜。选取细小直挺的麻雀屎，与人乳调和敷于眼睛上，使其消烂殆尽。乌贼骨，主治眼中一切浮翳，细细研磨后用蜜调点患处。另外，乌贼骨末治疗眼中热症也有效。
〔李东垣/丹溪？此处指代不明，暂译作“某医家”〕治疗眼翳。用樗白皮搓成绳子，晒干，烧成灰，研细后点眼，逐渐消退效果奇妙。另一个方子。猪胆皮去掉胆汁，捻成绳状，烧成灰点眼也有效果。
先将当归、麻黄研成粗末，炒至黑色，加入乳香、麝香，研磨至极细，含化后搐入鼻中。
薄荷（三钱）石膏（一钱）芒硝、川芎（各五分）细辛（二钱）蔓荆子（三钱）青黛（一钱）
以上药材研成粉末，搐入鼻内。
以上药材分四帖煎煮后清洗眼部，并嘱咐患者不要洗澡，只可以洗脚。
〔《千金方》〕治疗方法，用鹅毛翎截取一段，靠近黑睛及正对白睛处吸吮，翳膜自然聚集向上，用针钩挽起，割除后即可看见物体，用绵垫在眼睛上，止血，三天痊愈。
〔李东垣〕医治魏邦彦夫人，眼翳突然生成，从下方升起，颜色呈绿色，肿痛难以忍受。先师说：“翳从下而上，病在阳明经。”绿色不是五行方位的正色，大概是肺肾合而为病邪，于是向画家请教，用墨和腻粉合成颜色仔细对比，发现与翳的颜色相同，确认为肺肾致病无疑。于是泻除肺肾之邪，并用入阳明经的药物作为引经药，既见效，但日后病情复发三次。其发病的经络与翳的颜色各异，于是根据情况斟酌判断。说：“诸脉皆属于目，脉有病则随之，这必然是经络不调，所以眼病未止。”询问果然如此。因此调理所不调的经络，病便不再发作。
针灸治疗外障，详见目赤门。
(Heat until red-hot, quench in water until fully processed.) Huanglian (Coptidis Rhizoma, 4 liang, soaked in river water, dregs removed, dried and ground into fine powder for use) Qingyan (Halitum, 6 liang, finely ground) Fengmi (Honey, 1 jin, clarified to remove wax) Li (Pyrus Sinensis Fruit, 10 pieces, peeled, pitted, and juice extracted by pressing).
First, add the pear juice and Lu Ganshi (Calamina) into the ointment base, boil for five to seven times boiling over high heat. Then add Qingyan (Halitum), stir with Huai Liu Zhi (branches of Sophora japonica or Salix alba) until it turns brown. Pour into a porcelain jar containing cold water to remove "fire toxicity". It is best to prepare this in the twelfth lunar month; the first and eleventh months are secondary; other months are unsuitable.
[From *Jisheng Fang*] Chan Guang Gao (Toad Light Ointment): Treats chronic eye diseases, unblocks meridians, removes nebulae. Must be prepared on a "Cheng" or "Kai" day in the twelfth lunar month.
Baisha Mi (White Sand Honey, 4 liang, select white-colored, stir-fried. Take one stalk of green onion from the previous year, remove roots and skin, cut short, and boil together with honey until white foam disappears. Boil until the onion becomes soft and cooked, filter dregs through cotton cloth, let settle, and skim off the wax layer with paper.) Huangdan (Lithargyrum, 3 qian, processed by water levigation, used raw) Miduoseng (Lead Monoxide, 3 qian, processed by water levigation, used raw) Luganshi (Calamina, calcined, 5 qian, purified by water levigation. The above three ingredients are ground extremely fine and poured into the aforementioned honey, stirred evenly with one branch each of peach and willow wood, then set aside.) Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Xingren (Armeniacae Semen Amarum, soaked in decoction, peel and tip removed. The above three ingredients, 3 qian each.) Huanglian (Coptidis Rhizoma, rhizome head removed, cleaned, 2 liang) Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.5 liang) Qinpi (Fraxini Cortex), Hezi Pi (Terminalia Chebula Pericarpium), Fangfeng (Saposhnikoviae Radix), Shigao (Gypsum Fibrosum), Xuanjingshi (Natrii Sulfas Crystallizatus), Jingquanshi (Well Spring Stone), Wumingyi (Haematites), Xuanshen (Scrophulariae Radix), Daizheshi (Ferrum Oxidatum Rubrum), Shijueming (Haliotidis Concha). (The above fifteen ingredients, 3 qian each, crushed. Decoct with either snow water or flowing river water, 5 sheng, in a silver or porcelain vessel until reduced to 3 sheng. Filter clean, then reduce further to 1 sheng. Pour the fifteen-ingredient herbal water into the previously prepared honey mixture. Simmer slowly over low fire until the color turns purple-gold. Then add the following herbs, ensuring the fire is not too intense.) Ruxiang (Olibanum), Moyao (Myrrha), Hupo (Amber), Zhusha (Cinnabar, ground separately), Ruiren (Pruni Armeniacae Semen, pounded, oil removed, kernel used). (The above five ingredients, 3 qian each. The first four are ground into a paste, then Ruiren is added. Process by water levigation, grind together until fine and clear. If there are residues, perform water levigation again. Clarify, then perform water levigation once more.) When pouring into the previous purple-gold medicine, boil together for one or two boils. The standard is that when dropped into water, the medicine does not disperse. Generally, avoid undercooking or overcooking. Bury in soil for seven days, then take out and place in a silver vessel for proper storage. Add the subsequent fine powders. When pouring the medicine, stir evenly with peach and willow branches.
Nan Pengsha (Borax), Zhenzhu (Margarita), Longnao (Borneolum Syntheticum), Shanhu Zhi (Corallium Rubrum). (These four ingredients, 1 qian each.) Shexiang (Moschus, 5 fen).
The above five ingredients are ground extremely fine, stirred evenly with peach and willow branches, poured into the previous medicinal liquid, and stirred uniformly again. Then seal the container mouth with paper and store for immediate use. If any medicine remains unused, wash the bowl with clean water, then boil the wash water for three to five boils to collect it separately. This can be used for washing eyes or, if the ointment is too thick, added in small amounts to adjust consistency.
The above process uses mulberry wood charcoal for heating, totaling twenty-nine ingredients.
[From *Zhouhou Beiji Fang*] Treats eye heat, generating red and white nebulae. Select fine, straight sparrow droppings, mix with human milk, apply to the eyes, and allow them to dissolve completely. Wuzhegu (Sepiae Endoconcha) treats all types of floating nebulae in the eyes; grind finely and mix with honey for application. Additionally, Wuzhegu powder is effective for treating heat in the eyes.
[Danjie] Treats eye nebulae. Make ropes from Chubai Pi (Celastrorum Cortex), dry in the sun, burn to ash, grind fine, and apply to the eyes; gradual regression is excellent. Another prescription: Remove bile from Zhu Dan Pi (Porcine Gallbladder Membrane), twist into rope shape, burn to ash, and apply to the eyes; also effective.
[Dongyuan] Bi Yun San (Green Cloud Powder): A nasal insufflation powder for external eye obstructions.
Mahuang Gen (Ephedrae Radix et Rhizoma, 1 liang) Guishen (Angelicae Sinensis Radix, 1 qian) Ruxiang (Olibanum, small amount) Shexiang (Moschus, add small amount of Olibanum if needed).
Crush Danggui and Mahuang into coarse powder, stir-fry until black. Add Ruxiang and Shexiang, grind extremely fine. Hold in mouth to melt and insufflate into the nose.
Chubi San (Nasal Insufflation Powder)
Bohe (Menthae Haplocalycis Herba, 3 qian) Shigao (Gypsum Fibrosum, 1 qian) Mangxiao (Natrii Sulfas), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 fen each) Xixin (Asari Radix et Rhizoma, 2 qian) Manjingzi (Vittariae Fructus, 3 qian) Qingdai (Indigo Naturalis, 1 qian).
Grind into powder and insufflate into the nose.
[Dongyuan] Yang Sheng's mother suffered from red eye, with nebulae forming like white stars.
Qinpi (Fraxini Cortex), Huashi (Hirudo), Huanglian (Coptidis Rhizoma), Jingjie (Schizonepetae Spica), Guitou (Angelicae Sinensis Radix head), Chishao (Paeoniae Radix Rubra). (Each 3 qian).
Divide into four doses, decoct and wash the eyes. Instruct the patient to avoid bathing, only washing feet is permitted.
[From *Qianjin Fang*] Treatment method: Cut a section of goose feather quill. Use it to suction near the cornea and directly opposite the sclera. The nebula will naturally gather upwards. Hook and pull it with a needle, cut it off, and vision will be restored. Place cotton over the eye to stop bleeding. Recovery in three days.
[Dongyuan] Treated Madam Wei Bangyan. She suddenly developed an eye nebula rising from below, green in color, with unbearable swelling and pain. My teacher said: "A nebula rising from below indicates disease in the Yangming meridian." Green is not one of the five primary colors of the directions; it likely indicates combined pathology of the Lung and Kidney. I consulted painters, mixing ink and lead white to match the color closely, confirming it matched the nebula. Thus, Lung and Kidney pathology was confirmed without doubt. We drained the pathogens from the Lung and Kidney, using herbs entering the Yangming meridian as guides. It was effective, but the disease recurred three times later. The originating meridians and nebula colors varied, so I adjusted based on observation. I stated: "All meridians connect to the eyes; if the meridians are diseased, the pathology follows. This must be due to irregular meridian flow, hence the persistent eye disease." Inquiry confirmed this. Therefore, treating the irregular meridians stopped the disease from recurring.
Acupuncture and moxibustion for external eye obstructions are detailed in the chapter on Red Eyes.