条文：瞳神缩小如针簪，劳伤精血损肾肝，视不甚昏微隐涩，清肾抑阳黄柏连，
草决芩归生地芍，独活知母枸杞寒。
方剂：清肾抑阳丸方
黄柏（盐水制）二两 黄连（酒炒）二两 草决明（炒）一两 白茯苓二
两 当归（酒洗炒）一两 生地黄二两 白芍药（酒炒）一两 独活八钱
知母（盐水制）二两 枸杞子二两 寒水石（另研）二两
右为细末，炼 蜜为丸，如桐子大，每服三钱，空心白滚汤送下。
【注】[1]瞳神缩小者，谓瞳神渐渐缩小如簪脚，其则如针。
[2]乃淫欲劳伤精血，亏损肾、肝二经所致。
[3]其证视物不甚昏，惟觉羞明隐涩，宜用清肾抑阳丸，壮水以制阳也。
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九针因何而有名，原于天地大数生，始于一而终于九，天地人时音律星，
风野九九八十一，针应其数起黄钟，皮肉筋脉声阴阳，齿气九窍关节通。
【注】[1]『灵枢、九针篇』帝曰：九针焉生，何因有名。
[2]歧伯曰：天地之大数也，始于一终于九。一法天，二法地，三法人，
四法时，五法音，六法律，七法星，八法风，九法野。
[3]九针者，圣人起天地之数，始于一而终于九，九而九之，
九九八十一，以起黄钟之数，针之数应之，而人之身形亦应之。
[4]皮应天，肉应地，血脉应人，筋应时，声应音，阴阳应律，
齿面目应星，气应风，九窍三百六十五络应九野，此天人相通之道也。
[5]故一针皮，二针肉，三针脉，四针筋，五针骨，六针调阴阳，七针益精，
八针除风，九针通九窍，除三百六十五节气，各有所主。
条文：瞳神（瞳孔）缩小得像针管一样，这是由于过度劳累和房事损伤了精血，导致肾和肝两脏受损。视力虽然不是很模糊，但只感到怕光且眼睛隐隐作痛、干涩不适，治疗应当使用清肾抑阳丸来清泻肾火、抑制虚阳。
方剂：清肾抑阳丸方
黄柏（用盐水炮制）二两 黄连（用酒炒制）二两 草决明（炒制）一两 白茯苓二两 当归（用酒洗后炒制）一两 生地黄二两 白芍药（用酒炒制）一两 独活八钱 知母（用盐水炮制）二两 枸杞子二两 寒水石（单独研磨）二两
以上药物研成细末，用炼蜜制成丸药，大小如梧桐子，每次服用三钱，空腹时用温开水送服。
【注】[1]所谓瞳神缩小，是指瞳孔逐渐缩小像簪子的脚那样，严重时如同针尖一般。
[2]这是由于淫欲过度、劳倦损伤精血，导致肾经和肝经亏损所致。
[3]其症状表现为视物并不十分昏花，只是觉得羞明（畏光）且隐痛干涩，适宜使用清肾抑阳丸，通过滋补肾阴（壮水）来制约亢盛的阳气。
九针为何得名，源于天地的大数规律而生，起始于一而终结于九，对应天、地、人、时、音、律、星、风、野等自然现象。
风气与地域分为九九八十一数，针的数量对应这一数理并起自黄钟律吕。
皮、肉、筋、脉、声、阴阳、齿、气、九窍、关节都与人体相通相应。
【注】[1]《灵枢·九针篇》中黄帝问道：九针是如何产生的？因何而得名？
[2]岐伯回答说：这是基于天地的大数规律，起始于一而终结于九。第一针法象天，第二针法象地，第三针法象人，第四针法象四时，第五针法象五音，第六针法象六律，第七针法象七星，第八针法象八风，第九针法象九野。
[3]九针是圣人根据天地之数创立的，从一到九，九乘以九得八十一，以此确立黄钟律吕的基数，针的数量与之相应，人体的身形也与之相应。
[4]皮对应天，肉对应地，血脉对应人，筋对应四时，声音对应五音，阴阳对应六律，齿面目对应七星，气对应八风，九窍和三百六十五络脉对应九野，这就是天人相通的道理。
[5]所以第一针治皮，第二针治肉，第三针治脉，第四针治筋，第五针治骨，第六针调理阴阳，第七针补益精气，第八针祛除风邪，第九针通利九窍，祛除三百六十五节气之邪，每种针各有其主要主治功能。
Translation:
The pupil (Tongshen) shrinks to the size of a needle, caused by exhaustion and injury to essence and blood, damaging the Kidney and Liver. Vision is not significantly blurred, but there is only photophobia (fear of light) and a dull, dry discomfort. Treatment should employ Qing Shen Yi Yang Wan (Clear Kidney and Suppress Yang Pill) to clear Kidney fire and suppress deficient Yang.
Formula: Qing Shen Yi Yang Wan (Clear Kidney and Suppress Yang Pill)
Huangbai (Phellodendri Cortex, processed with salt water), 2 liang; Huanglian (Coptidis Rhizoma, stir-fried with wine), 2 liang; Caojueming (Cassiae Semen, stir-fried), 1 liang; Baifuling (Poria, white), 2 liang; Danggui (Angelicae Sinensis Radix, washed with wine and stir-fried), 1 liang; Shengdihuang (Rehmanniae Radix Recens), 2 liang; Baishaoyao (Paeoniae Radix Alba, stir-fried with wine), 1 liang; Duhuo (Angelicae Pubescentis Radix), 8 qian; Zhimu (Anemarrhenae Rhizoma, processed with salt water), 2 liang; Gouqizi (Lycii Fructus), 2 liang; Hanshuishi (Calcitum, ground separately), 2 liang.
Grind the above herbs into fine powder, mix with refined honey to make pills, sized like tung tree seeds. Take 3 qian per dose, administered on an empty stomach with warm boiled water.
[Note] [1] "Shrinking pupil" refers to the gradual shrinking of the pupil to the size of a hairpin tip, or even as small as a needle point in severe cases.
[2] This condition results from excessive sexual activity and fatigue injuring essence and blood, leading to deficiency in the Kidney and Liver meridians.
[3] The symptoms include vision that is not severely blurred, but rather photophobia and a sensation of dull pain and dryness. It is appropriate to use Qing Shen Yi Yang Wan (Clear Kidney and Suppress Yang Pill) to nourish Yin (strengthen water) to control hyperactive Yang.
Why are the Nine Needles named so? Their origin lies in the great numbers of Heaven and Earth, starting from one and ending at nine, corresponding to Heaven, Earth, Man, Time, Sound, Law, Stars, Wind, and Fields.
Wind and fields comprise eighty-one divisions (9x9); the number of needles corresponds to this count, originating from the Huangzhong pitch pipe.
Skin, flesh, sinews, vessels, voice, Yin-Yang, teeth, Qi, nine orifices, and joints are all interconnected.
[Note] [1] In the *Ling Shu: Jiu Zhen* chapter, the Yellow Emperor asked: How were the Nine Needles created? What is their origin and name?
[2] Qibo replied: They are based on the great numbers of Heaven and Earth, starting from one and ending at nine. The first needle models Heaven, the second models Earth, the third models Man, the fourth models the Seasons, the fifth models the Five Tones, the sixth models the Six Laws (pitch pipes), the seventh models the Seven Stars, the eighth models the Eight Winds, and the ninth models the Nine Fields.
[3] The Nine Needles were established by sages according to the numbers of Heaven and Earth, from one to nine. Nine times nine equals eighty-one, establishing the base number for Huangzhong. The number of needles corresponds to this, and the human body also corresponds to it.
[4] Skin corresponds to Heaven, flesh to Earth, blood vessels to Man, sinews to the Seasons, voice to the Five Tones, Yin-Yang to the Six Laws, teeth and facial features to the Seven Stars, Qi to the Eight Winds, and the nine orifices and three hundred sixty-five collaterals to the Nine Fields. This is the way Heaven and Man are connected.
[5] Therefore, the first needle treats the skin, the second treats the flesh, the third treats the vessels, the fourth treats the sinews, the fifth treats the bones, the sixth regulates Yin and Yang, the seventh benefits essence, the eighth dispels wind, and the ninth opens the nine orifices and removes pathogenic factors of the three hundred sixty-five solar terms. Each needle has its specific primary indications.