条文：黑翳如珠黑睛上，形如珠子黑而圆，泪出羞涩疼痛甚，大人肝肾虚风愆。
通明补肾丸可服，小儿患此名眼疳，羚羊角饮硝黄细，知母羚防一并煎。
方剂：通明补肾丸方见五风初患不足下
羚羊角饮子
芒硝一钱 大黄一钱 细辛五分 知母一钱 羚羊角（镑）一钱 防风二
钱
右为粗末，以水二盏，煎至一 盏，食远温服。
【注】[1]黑翳如珠之证，黑睛上有黑翳，圆如珠子之形，泪出羞涩难开，疼痛
极甚。
[2]若大人患此证，为肝、肾虚热风邪，宜用通明补肾丸。
[3]小儿患此证，为实热眼疳，宜服羚羊角饮，泄其实热也。
%
条文：伤寒余热过食辛，瞳散黑花涩泪频，红肿痛用生犀饮，羚防芩桔知芩参。
方剂：生犀饮
生犀角二钱 羚羊角一钱 防风一钱 黄芩一钱 桔梗一钱五分 知母一
钱 茯芩一钱 人参一钱
右为粗末，以水二盏，煎至一盏，去渣温服。
【注】[1]伤寒热病后患目者，因余热末清，过食辛热，两热合邪，以致瞳人散
大，时见黑花，隐涩泪多，红肿疼痛。
[2]宜用生犀饮，清解其热也。
%
条文：黑翳如珠（Black翳 like a pearl）出现在黑睛（角膜）上，形状像珠子一样黑而圆，流泪且羞明疼痛严重，这是由于大人的肝肾虚弱导致风邪侵袭。
通明补肾丸可以服用；小儿患此病称为眼疳（Eye Kan），应使用羚羊角饮子配合芒硝、大黄、细辛、知母、羚羊角、防风一起煎煮。
方剂：通明补肾丸方见五风初患不足下
羚羊角饮子
芒硝 一钱
大黄 一钱
细辛 五分
知母 一钱
羚羊角（镑） 一钱
防风 二钱
以上药材研为粗末，用水两盏，煎至一盏，饭后温服。
【注】[1] 黑翳如珠之证，在黑睛上有黑翳，圆形如珠子之形，流泪且羞明难开，疼痛极甚。
[2] 若大人患此证，为肝、肾虚热风邪所致，宜用通明补肾丸。
[3] 小儿患此证，为实热眼疳，宜服羚羊角饮，以泄其实热。
条文：伤寒余热未清又过食辛辣，瞳孔散大，眼前出现黑花，涩痛流泪频繁，红肿疼痛时可用生犀饮，方含羚羊角、防风、黄芩、桔梗、知母、黄芩、人参。
方剂：生犀饮
生犀角 二钱
羚羊角 一钱
防风 一钱
黄芩 一钱
桔梗 一钱五分
知母 一钱
茯苓 一钱
人参 一钱
以上药材研为粗末，用水两盏，煎至一盏，去渣后温服。
【注】[1] 伤寒热病后患目者，因余热未清，过食辛热之物，两热合邪，以致瞳人散大，时常看见黑花，隐涩多泪，红肿疼痛。
[2] 宜用生犀饮，以清解其热。
Line: Black翳 like a pearl appears on the cornea (Heijing), shaped black and round like a bead, accompanied by tearing, photophobia, and severe pain; in adults, this is caused by deficiency of the Liver and Kidney leading to wind pathogen invasion.
Tongming Bushen Wan (Nourishing Kidney Pill for Clarity) may be taken; when children suffer from this condition, it is called Eye Kan (Ophthalmic Malnutrition), and Lingyang Jiao Yin (Antelope Horn Decoction) combined with Mangxiao (Mirabilite), Dahuang (Rhubarb Root and Rhizome), Xixin (Asarum), Zhimu (Anemarrhena Rhizome), Lingyangjiao (Antelope Horn), and Fangfeng (Saposhnikovia Root) should be decocted together.
Formula: Tongming Bushen Wan formula is seen under "Insufficiency in Initial Onset of Five Winds"
Lingyang Jiao Zi (Antelope Horn Drink)
Mangxiao (Mirabilite) - 1 qian
Dahuang (Rhubarb Root and Rhizome) - 1 qian
Xixin (Asarum) - 5 fen
Zhimu (Anemarrhena Rhizome) - 1 qian
Lingyangjiao (Antelope Horn) (powdered) - 1 qian
Fangfeng (Saposhnikovia Root) - 2 qian
Grind the above into coarse powder, add two cups of water, decoct until one cup remains, and take warm after meals.
[Note] [1] The syndrome of Black翳 like a pearl involves a black翳 on the cornea, round like a bead, with tearing, photophobia making opening difficult, and extreme pain.
[2] If adults suffer from this syndrome, it is due to wind-heat pathogen from Liver and Kidney deficiency; Tongming Bushen Wan should be used.
[3] If children suffer from this syndrome, it is real-heat Eye Kan; Lingyang Jiao Yin should be taken to drain the real heat.
Line: After Shanghan (Cold Damage), residual heat persists, and excessive consumption of pungent foods causes pupil dilation, frequent appearance of black spots before the eyes, astringency, frequent tearing, redness, swelling, and pain; Shengxi Yin (Raw Rhinoceros Horn Drink) can be used, containing Lingyangjiao (Antelope Horn), Fangfeng (Saposhnikovia Root), Huangqin (Scutellaria Root), Jiegeng (Platycodon Root), Zhimu (Anemarrhena Rhizome), Huangqin (Scutellaria Root), and Renshen (Ginseng Root).
Formula: Shengxi Yin
Sheng Xijiao (Raw Rhinoceros Horn) - 2 qian
Lingyangjiao (Antelope Horn) - 1 qian
Fangfeng (Saposhnikovia Root) - 1 qian
Huangqin (Scutellaria Root) - 1 qian
Jiegeng (Platycodon Root) - 1.5 qian
Zhimu (Anemarrhena Rhizome) - 1 qian
Fuling (Poria) - 1 qian
Renshen (Ginseng Root) - 1 qian
Grind the above into coarse powder, add two cups of water, decoct until one cup remains, remove dregs, and take warm.
[Note] [1] Ocular disorders following Shanghan febrile diseases occur because residual heat has not cleared, and excessive consumption of pungent-hot foods combines the two heats as pathogens, causing pupil dilation, frequent vision of black spots, astringency with excessive tearing, redness, swelling, and pain.
[2] Shengxi Yin should be used to clear and resolve the heat.