条文：努肉攀睛大眦起，初侵风轮久掩瞳，或痒或疼渐积厚，赤烂多年肺热壅。
初起紫金膏点效，久宜 割熨烙攻，内服除风汤蔚桔，细辛连味大黄风。
方剂：除风汤方
茺蔚子一钱 桔梗一钱 细辛五分 黄连一钱 五味子五分 大黄一钱
防风一钱
右为末 ，以水二盏，煎至一盏，食后，去渣温服。
紫金膏方见卷末
【注】[1]努肉攀睛之证，起于大眦，初则渐浸风轮，久则掩过瞳人，或痒或痛
，渐渐积厚。
[2]此证多因赤烂年久，或肺经风热壅盛所致。
[3]初起可点紫金膏，努瘀自退；久则坚韧难消，必须 割熨烙后，服除
风汤。
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条文：沉翳白隐黑睛内，肝劳脑热下攻瞳，向日细看方见翳，日轻夜重黑睛疼。
羚羊角饮车前子，羚角军防苓黑茺，皂荚丸用蛇蝉术，龙胆元精归菊芎，
参苓木贼连翘芍，猪爪□皮甲谷精。
方剂：沉翳羚羊饮
车前子一钱 羚羊角二钱 大黄一钱 防风二钱 黄芩一钱 黑参一钱
茺蔚子二钱
右为粗末，水二盏，煎至一盏，食后去渣温服。
皂荚丸方
蛇蜕七条 蝉蜕 白术 龙胆草 元石 当归 白菊花各两半 川芎半两
人参一两 茯苓一两半 木贼一两半 连翘一两半 赤芍药一两半
□猪爪三十枝，刺猥皮 穿山甲 壳精草各一两半
共为细末，一半入牙皂十二梃，烧存性，和匀，炼白蜜丸桐子大，每服一
钱五分，空心杏仁汤下；一半入仙灵脾一两，每服三钱，用猪肝三片，批
开夹药煮熟，临卧细嚼，用原汁送下。
【注】[1]沉翳内障，白藏在黑睛之内，向日细看，方见其白，疼痛则昼轻夜重
。
[2]缘肝经劳热，脑中热气流下，宜服苓羊角饮子及皂荚丸以治之。
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【努肉攀睛歌】
胬肉攀睛症，起始于大眼角（内眦），初期侵入黑眼球（风轮），日久则遮蔽瞳孔。症状表现为或痒或痛，逐渐增厚；若伴有红肿溃烂多年不愈，多因肺热壅盛所致。
初起时，使用紫金膏点眼效果显著；病程久者，宜采用手术切割、熨烫或烙法治疗；内服除风汤，药物组成包括茺蔚子、桔梗、细辛、黄连、五味子、大黄和防风。
方剂：除风汤方
茺蔚子一钱，桔梗一钱，细辛五分，黄连一钱，五味子五分，大黄一钱，防风一钱。
以上药材研为粗末，加水两盏，煎煮至一盏，饭后去渣温服。
紫金膏方见本书卷末。
【注】[1] 胬肉攀睛之证，起始于大眼角，初期逐渐浸润黑眼球，日久则遮蔽瞳孔，或痒或痛，逐渐积厚。
[2] 此证多因赤烂（眼睑红肿溃烂）年久，或肺经风热壅盛所致。
[3] 初起可点用紫金膏，胬肉瘀滞自退；日久则坚韧难消，必须经过切割、熨烫、烙治后，再服用除风汤。
【沉翳歌】
沉翳白障隐伏于黑眼球内部，因肝劳脑热下攻瞳孔所致。面向阳光仔细观看方能看见翳障，疼痛特点为白天轻、夜晚重，黑眼球疼痛。
治疗可用羚羊角饮，药物包括车前子、羚羊角、大黄、防风、黄芩、黑参、茺蔚子；或用皂荚丸，药物包括蛇蜕、蝉蜕、白术、龙胆草、元石、当归、白菊花、川芎、人参、茯苓、木贼、连翘、赤芍药、猪爪皮、穿山甲、谷精草。
方剂：沉翳羚羊饮
车前子一钱，羚羊角二钱，大黄一钱，防风二钱，黄芩一钱，黑参一钱，茺蔚子二钱。
以上药材研为粗末，加水两盏，煎煮至一盏，饭后去渣温服。
方剂：皂荚丸方
蛇蜕七条，蝉蜕、白术、龙胆草、元石、当归、白菊花各一两半，川芎半两，人参一两，茯苓一两半，木贼一两半，连翘一两半，赤芍药一两半，猪爪皮、穿山甲、谷精草各一两半。
以上药材共研为细末，取一半加入烧存性的牙皂十二梃，混合均匀，用炼蜜制成梧桐子大小的丸药，每次服用一钱五分，空腹时用杏仁汤送服；另一半加入仙灵脾一两，每次服用三钱，用三片猪肝切开夹入药物煮熟，临睡前细细嚼碎，用药汁原汁送下。
【注】[1] 沉翳内障，白色翳障藏于黑眼球之内，面向阳光仔细观看，才能看见其白色，疼痛特点是白天轻、夜晚重。
[2] 原因在于肝经劳热，脑中热气流向下侵袭，适宜服用苓羊角饮子及皂荚丸来治疗。
[Nu Rou Pan Jing Ge - Song on Pterygium]
Pterygium (Nour flesh climbing the eye) originates at the inner canthus (Da Zi). Initially, it gradually invades the cornea (Feng Lun), and over time, it covers the pupil. Symptoms include itching or pain, with gradual thickening; if accompanied by redness, swelling, and ulceration persisting for years, it is often due to lung heat congestion.
In the early stage, applying Zijin Ointment (Purple Gold Ointment) is effective. For chronic cases, surgical cutting, cauterization, or moxibustion/ironing therapy is recommended. Internally, Chufeng Decoction (Wind-Expelling Decoction) should be taken, containing Chongweizi (Chenopodium Seed), Jiegeng (Platycodon Root), Xixin (Asarum Root), Huanglian (Coptis Rhizome), Wuweizi (Schisandra Fruit), Dahuang (Rhubarb Root), and Fangfeng (Saposhnikovia Root).
Formula: Chufeng Decoction
Chongweizi (Chenopodium Seed) 1 qian, Jiegeng (Platocodon Root) 1 qian, Xixin (Asarum Root) 5 fen, Huanglian (Coptis Rhizome) 1 qian, Wuweizi (Schisandra Fruit) 5 fen, Dahuang (Rhubarb Root) 1 qian, Fangfeng (Saposhnikovia Root) 1 qian.
Grind the above herbs into coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Zijin Ointment formula is found at the end of this volume.
[Note] [1] Pterygium originates at the inner canthus. Initially, it gradually infiltrates the cornea, and over time, it covers the pupil. It may cause itching or pain and gradually thicken.
[2] This condition is mostly caused by chronic blepharitis (redness and ulceration) or excessive wind-heat in the Lung meridian.
[3] In the early stage, Zijin Ointment can be applied to resolve the pterygium and stasis. If chronic, it becomes tough and difficult to dissolve, requiring cutting, ironing, and cauterization, followed by taking Chufeng Decoction.
[Chen Yi Ge - Song on Deep Opacity]
Deep opacity (Chen Yi) appears as a white haze hidden within the cornea. It is caused by liver fatigue and brain heat attacking downward towards the pupil. The opacity is only visible when looking carefully towards the sunlight. The pain is characterized as mild during the day and severe at night, affecting the cornea.
Treatment involves Lingyangjiao Yin (Antelope Horn Drink) containing Cheqianzi (Plantago Seed), Lingyangjiao (Antelope Horn), Dahuang (Rhubarb Root), Fangfeng (Saposhnikovia Root), Huangqin (Scutellaria Root), Heishen (Black Ginseng), and Chongweizi (Chenopodium Seed); or Zaojiao Wan (Gleditsia Pill) containing Shetui (Snake Skin), Chantui (Cicada Slough), Baizhu (Atractylodes Rhizome), Longdancao (Gentiana Root), Yuanshi (Magnetite), Danggui (Angelica Sinensis), Baijuhua (White Chrysanthemum Flower), Chuanxiong (Ligusticum Rhizome), Renshen (Ginseng Root), Fuling (Poria), Muzei (Equisetum), Lianqiao (Forsythia Fruit), Chishaoyao (Red Peony Root), Zhu Zhaopi (Pig Claw Skin), Chuanshanjia (Pangolin Scales), and Gujingcao (Centipedia Herb).
Formula: Chenyi Lingyang Yin (Deep Opacity Antelope Horn Drink)
Cheqianzi (Plantago Seed) 1 qian, Lingyangjiao (Antelope Horn) 2 qian, Dahuang (Rhubarb Root) 1 qian, Fangfeng (Saposhnikovia Root) 2 qian, Huangqin (Scutellaria Root) 1 qian, Heishen (Black Ginseng) 1 qian, Chongweizi (Chenopodium Seed) 2 qian.
Grind the above herbs into coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Formula: Zaojiao Wan (Gleditsia Pill)
Shetui (Snake Skin) 7 strips, Chantui (Cicada Slough), Baizhu (Atractylodes Rhizome), Longdancao (Gentiana Root), Yuanshi (Magnetite), Danggui (Angelica Sinensis), Baijuhua (White Chrysanthemum Flower) each 1.5 liang, Chuanxiong (Ligusticum Rhizome) 0.5 liang, Renshen (Ginseng Root) 1 liang, Fuling (Poria) 1.5 liang, Muzei (Equisetum) 1.5 liang, Lianqiao (Forsythia Fruit) 1.5 liang, Chishaoyao (Red Peony Root) 1.5 liang, Zhu Zhaopi (Pig Claw Skin), Chuanshanjia (Pangolin Scales), Gujingcao (Centipedia Herb) each 1.5 liang.
Grind all herbs into fine powder. Take half of the powder and add twelve stalks of Ya Zao (Gleditsia Sinensis fruit pod) that have been burned to retain their properties. Mix evenly and form pills with refined honey, sized like wisteria seeds. Take 1.5 qian per dose, administered on an empty stomach with Apricot Kernel Decoction. Take the other half of the powder and add 1 liang of Xianlingpi (Epimedium Herba). Take 3 qian per dose. Slice three pieces of pig liver, sandwich the medicine between them, cook thoroughly, chew finely before bedtime, and swallow with the original cooking liquid.
[Note] [1] Deep cataract (Chen Yi Nei Zhang): The white opacity is hidden within the cornea. It is only visible when looking carefully towards the sunlight. The pain is characterized as mild during the day and severe at night.
[2] The etiology is liver meridian fatigue-heat and heat qi from the brain flowing downward. It is suitable to treat with Lingyangjiao Yin (Antelope Horn Drink) and Zaojiao Wan (Gleditsia Pill).