论曰目生肤翳者，以脏腑气血虚实不调，加以风邪痰饮，郁于膈上，熏蒸既久，冲发于
目，乃生肤翳，其睛上及瞳仁，有物如蝇翅状，是为肤翳也。
治久患肤翳，遮复瞳子，决明子丸方
决明子（炒） 蕤仁（去皮） 地肤子 白茯苓（去黑皮） 防风（去叉） 泽泻 麦
门冬（去
心焙） 茺蔚
（酒浸
别捣末各三
浸去皮尖
双仁炒各一
上一十八味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，食后以米饮下，临卧再服，
九月服此药，加兔肝一两一分，至二月停，甚妙。
治眼热生晕，翳复瞳仁，黄连丸方
黄连（去须一两） 车前子 地骨皮（去土） 黄芩（去黑心） 沙参 人参（各一两
半） 蕤
仁（去皮二两） 茯神（去木一两半） 秦皮（去粗皮一两） 决明子（微炒一两半） 泽
泻瞿麦
（各一两） 甘草（微炙一两半）
上一十三味，并 咀焙过，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，食后以温熟
水下，临卧再服。
治眼生肤翳，遮复瞳仁，宜服决明汤方
决明子（微炒） 地骨皮 玄参 黄连（去须） 桔梗（炒） 柴胡（去苗） 茯神（去
木各三
分） 山栀子仁（半两） 羚羊角（屑一两）
上九味，粗捣筛，每服五钱匕，以水一盏半，入净洗淡竹叶十片，煎至七分，去滓放温
，食后服，临卧再服。
治眼生肤翳，葳蕤汤方
葳蕤（去皮） 地骨皮（去土） 赤芍药（各一两半） 犀角屑 黄芩（去黑心） 茯
神（去木）
甘草（炙锉） 升麻（各一两）
上八味，粗捣筛，每服五钱匕，以水一盏半，煎至一盏，去滓放温，食后临卧再服。
治眼热赤痛，及生肤翳，芦荟丸方
芦荟（半两研） 鲤鱼胆（七枚取汁） 熊胆（研一分） 牛胆（干者半两泾者汁一合）
石决
明（刮削净一两） 麝香（研半分） 车前子（一两）
上七味，除胆外，捣研为细末，后入胆汁同和匀，炼蜜丸如梧桐子大，食后米饮下二十
丸，渐加至三十丸。
治目风热赤生肤翳，点眼贝齿散方
贝齿（七枚烧为末细研） 珍珠（一分捣罗末细研） 龙脑（研半钱）
上三味合研如粉，每点如黍米大，于翳膜上，日三度。
治虚热目赤生肤翳， 痒风泪，兼治白翳，点眼丹砂散方
丹砂（研如粉） 贝齿（烧灰各二两） 干姜（炮半两） 衣内白鱼（四十枚爆令干）
上四味于净乳钵中，研令极细，以熟帛三度罗过，点时仰卧，令人以小指甲，点少许。
治目肤翳，睛及瞳仁上，有物如蝇翅状，令人视物不明，白藓皮汤方
白藓皮 款冬花 柴胡（去苗） 车前子 枳壳（去瓤麸炒） 黄芩（去黑心各一两） 甘
草（炙半两） 百合（二两） 菊花 蔓荆实（炒各一两半）
上一十味，粗捣筛，每服五钱匕，以水一盏半，煎至八分，去滓食后温服，临卧再服。
治脾肺热熏，目赤痒生翳，芦根汤方
芦根 木通（各一两半） 栀子仁 桔梗（炒） 黄芩（去黑心） 甘草（炙各一两）
上六味，锉如麻豆大，分为二剂，每剂以水六盏，煎至三盏，入生地黄汁半盏，再煎
至二盏，去滓空腹，分温三服，食后。
治眼目肤翳，侵及瞳仁，如蝇翅状，菊花散方
菊花 防风（去叉） 木通（锉） 木贼（锉） 仙灵脾（锉） 荆芥（去梗） 甘草
（炙各一两）
上七味，捣罗为散，每服一钱匕，食后用茶半钱匕，同点温服。
论述说：眼睛生出肤翳（覆盖在眼球表面的薄膜状病变），是因为脏腑气血虚实失调，加上风邪和痰饮停滞，郁结在膈肌上方，经过长时间的熏蒸，冲击并发作于眼部，从而产生肤翳。这种翳膜位于黑睛及瞳仁之上，形状像苍蝇翅膀一样，这就是所谓的肤翳。
治疗长期患肤翳，遮蔽瞳孔的决明子丸方：
决明子（炒制）、蕤仁（去皮）、地肤子、白茯苓（去掉黑色外皮）、防风（去除叉枝）、泽泻、麦门冬（去心后焙干）、茺蔚草（酒浸后另捣成末）、车前子（浸后去皮尖）、双仁（指杏仁类，炒制）各一两。以上十八味药，捣碎过筛成细末，用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸，饭后用米汤送服，临睡前再服一次。九月服用此药时，可加兔肝一两一分，到二月停止服用，效果极佳。
治疗眼热生晕，翳膜遮蔽瞳仁的黄连丸方：
黄连（去须，一两）、车前子、地骨皮（去土）、黄芩（去黑心）、沙参、人参（各一两半）、蕤仁（去皮，二两）、茯神（去木心，一两半）、秦皮（去粗皮，一两）、决明子（微炒，一两半）、泽泻、瞿麦（各一两）、甘草（微炙，一两半）。以上十三味药，切碎焙干后，捣碎过筛成细末，用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸，饭后用温熟水送服，临睡前再服一次。
治疗眼生肤翳，遮蔽瞳仁，宜服用的决明汤方：
决明子（微炒）、地骨皮、玄参、黄连（去须）、桔梗（炒制）、柴胡（去苗）、茯神（去木心，各三分）、山栀子仁（半两）、羚羊角（锉屑，一两）。以上九味药，粗捣筛过。每次取五钱匕药末，用水一盏半，加入洗净的淡竹叶十片，煎煮至七分量，去渣放温，饭后服用，临睡前再服一次。
治疗眼生肤翳的葳蕤汤方：
葳蕤（即玉竹，去皮）、地骨皮（去土）、赤芍药（各一两半）、犀角屑、黄芩（去黑心）、茯神（去木心）、甘草（炙后锉碎）、升麻（各一两）。以上八味药，粗捣筛过。每次取五钱匕药末，用水一盏半，煎煮至一盏量，去渣放温，饭后及临睡前再服。
治疗眼热赤痛，以及生肤翳的芦荟丸方：
芦荟（半两，研细）、鲤鱼胆（七枚，取汁）、熊胆（研细，一分）、牛胆（干的半两，鲜者取汁一合）、石决明（刮削干净，一两）、麝香（研细，半分）、车前子（一两）。以上七味药，除胆汁外，其余捣研成细末，然后加入胆汁混合均匀，用炼蜜制成如梧桐子大小的丸剂。饭后用米汤送服二十丸，逐渐增加至三十丸。
治疗目受风热赤痛生肤翳，用于点眼的贝齿散方：
贝齿（七枚，烧成细末并研细）、珍珠（一分，捣罗成细末）、龙脑（即冰片，研细，半钱）。以上三味药混合研成粉状。每次取如黍米大小的药粉，点在翳膜上，每天三次。
治疗虚热导致目赤生肤翳，伴有瘙痒、迎风流泪，兼治白翳的点眼丹砂散方：
丹砂（研成粉）、贝齿（烧灰，各二两）、干姜（炮制，半两）、衣内白鱼（四十枚，爆干）。以上四味药放入干净的乳钵中，研磨至极细，用熟丝帛过滤三次。点药时仰卧，让人用小指甲蘸取少许药粉点入眼中。
治疗目肤翳，翳膜位于黑睛及瞳仁之上，形状像苍蝇翅膀，使人视物不明，宜服用的白藓皮汤方：
白藓皮、款冬花、柴胡（去苗）、车前子、枳壳（去瓤麸炒）、黄芩（去黑心，各一两）、甘草（炙，半两）、百合（二两）、菊花、蔓荆实（炒，各一两半）。以上十味药，粗捣筛过。每次取五钱匕药末，用水一盏半，煎煮至八分量，去渣，饭后温服，临睡前再服。
治疗脾肺热邪熏蒸，导致目赤痒生翳的芦根汤方：
芦根、木通（各一两半）、栀子仁、桔梗（炒制）、黄芩（去黑心）、甘草（炙，各一两）。以上六味药，锉碎如麻豆大小，分为两剂。每剂用水六盏，煎煮至三盏，加入生地黄汁半盏，再煎煮至二盏，去渣，空腹时分三次温服，饭后亦可服用。
治疗眼目肤翳，侵及瞳仁，形状像苍蝇翅膀的菊花散方：
菊花、防风（去叉枝）、木通（锉碎）、木贼（锉碎）、仙灵脾（即淫羊藿，锉碎）、荆芥（去梗）、甘草（炙，各一两）。以上七味药，捣碎过筛成散剂。每次服用一钱匕，饭后用茶半钱匕调匀，温服。
Discourse states: The emergence of *fuyi* (a membrane-like lesion covering the eyeball) in the eyes is caused by the disharmony of deficiency and excess in the Zang-Fu organs and Qi-Blood, compounded by wind pathogens and phlegm-fluid retention. These pathogenic factors stagnate above the diaphragm, undergo prolonged steaming and steaming effects, and then surge into the eyes, resulting in the formation of *fuyi*. This opacity appears on the cornea (*jing*) and pupil (*tongren*), resembling the shape of a fly's wing; this is termed *fuyi*.
Formula for Jue Ming Zi Wan (Cassia Seed Pill) to treat chronic *fuyi* obscuring the pupil:
Jue Ming Zi (Fried Cassiae Semen), Rui Ren (Peach Kernel or Prunus Armeniaca Kernel, peeled), Di Fu Zi (Kochiae Fructus), Bai Fu Ling (Poria with Black Skin Removed), Fang Feng (Saposhnikoviae Radix, de-branching), Ze Xie (Alismatis Rhizoma), Mai Men Dong (Ophiopogonis Tuber, heart removed and dried), Chong Wei Cao (Leonuri Herba, soaked in wine and separately pounded into powder), Che Qian Zi (Plantaginis Semen, soaked, peeled, and de-spiked), Shuang Ren (Bitter Apricot Kernels, fried) each 1 liang. The above eighteen ingredients are crushed, sifted into fine powder, and mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose after meals with rice water, and another dose before bedtime. In September, add 1 liang 1 fen of rabbit liver to this prescription; discontinue in February. This method is highly effective.
Formula for Huang Lian Wan (Coptis Pill) to treat eye heat causing dizziness and opacities obscuring the pupil:
Huang Lian (Coptidis Rhizoma, mustards removed, 1 liang), Che Qian Zi (Plantaginis Semen), Di Gu Pi (Lycii Cortex), Huang Qin (Scutellariae Radix, black heart removed), Sha Shen (Glehniae or Adenophorae Radix), Ren Shen (Ginseng Radix et Rhizoma) each 1.5 liang, Rui Ren (Prunus Armeniaca Kernel, peeled, 2 liang), Fu Shen (Poria with Pine Root, wood removed, 1.5 liang), Qin Pi (Fraxini Cortex, rough bark removed, 1 liang), Jue Ming Zi (Fried Cassiae Semen, lightly stir-fried, 1.5 liang), Ze Xie (Alismatis Rhizoma), Qu Mai (Persicariae Herba) each 1 liang, Gan Cao (Licorice Radix et Rhizoma, lightly roasted, 1.5 liang). The above thirteen ingredients are chopped, dried, crushed, and sifted into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose after meals with warm boiled water, and another dose before bedtime.
Decoction for Jue Ming Tang (Cassia Decoction) suitable for treating eye *fuyi* obscuring the pupil:
Jue Ming Zi (Fried Cassiae Semen, lightly stir-fried), Di Gu Pi (Lycii Cortex), Xuan Shen (Scrophulariae Radix), Huang Lian (Coptidis Rhizoma, mustards removed), Jie Geng (Platycodonis Radix, fried), Chai Hu (Bupleuri Radix, seedlings removed), Fu Shen (Poria with Pine Root, wood removed) each 3 fen, Shan Zhi Zi Ren (Gardeniae Semen, half liang), Ling Yang Jiao (Saiga Antelope Horn, shaved) 1 liang. The above nine ingredients are coarsely crushed and sieved. For each dose, take 5 qian bi (approx. 5 grams) of the coarse powder, add 1.5 zhan of water and 10 pieces of clean washed Dan Zhu Ye (Lophatheri Herba), decoct until 0.7 zhan remains. Strain, let cool to warm temperature, take after meals, and repeat before bedtime.
Decoction for Wei Rui Tang (Polygonatum Decoction) to treat eye *fuyi*:
Wei Rui (Polygonati Odorati Rhizoma, peeled), Di Gu Pi (Lycii Cortex, soil removed), Chi Shao Yao (Red Peony Root) each 1.5 liang, Xi Jiao Xie (Rhinoceros Horn Shavings - *Note: Substitute with Buffalo Horn in modern practice*), Huang Qin (Scutellariae Radix, black heart removed), Fu Shen (Poria with Pine Root, wood removed), Gan Cao (Licorice Radix et Rhizoma, roasted and chopped), Sheng Ma (Cimicifugae Rhizoma) each 1 liang. The above eight ingredients are coarsely crushed and sieved. For each dose, take 5 qian bi of the coarse powder, add 1.5 zhan of water, decoct until 1 zhan remains. Strain, let cool to warm temperature, take after meals and before bedtime.
Formula for Lu Hui Wan (Aloe Pill) to treat eye heat, redness, pain, and *fuyi*:
Lu Hui (Aloes Wood, half liang, ground), Li Yu Dan (Carps' Gallbladder juice from 7 fish), Xiong Dan (Bear Bile, ground, 1 fen), Niu Dan (Ox Gallbladder, dry half liang or fresh juice 1 he), Shi Jue Ming (Haliotidis Shell, scraped clean, 1 liang), She Xiang (Musk, ground, half fen), Che Qian Zi (Plantaginis Semen, 1 liang). Except for the gallbladders, crush and grind the other ingredients into fine powder. Then mix with the gallbladder juices evenly. Form pills with refined honey the size of Sophora seeds. Take 20 pills after meals with rice water, gradually increasing to 30 pills.
Powder for Bei Chi San (Conch Tooth Powder) for topical application to treat wind-heat redness and *fuyi* in the eyes:
Bei Chi (Concha Meretricis, 7 shells, burned to ash and finely ground), Zhen Zhu (Pearl, 1 fen, crushed and finely ground), Long Nao (Borneol, ground, half qian). Mix the above three ingredients into a fine powder. Apply an amount the size of a millet grain onto the opacity three times daily.
Powder for Dan Sha San (Cinnabar Powder) for topical application to treat deficiency-heat redness, *fuyi*, itching, and wind-tearing, also for white opacities:
Dan Sha (Cinnabar, ground to powder), Bei Chi (Concha Meretricis, burned to ash) each 2 liang, Gan Jiang (Dried Ginger, processed, half liang), Yi Nei Bai Yu (White Fish found in clothing, 40 specimens, dried by frying). Place the above four ingredients in a clean mortar, grind extremely finely, and sieve through cooked silk fabric three times. When applying, lie supine; have someone use their fingernail to apply a small amount.
Decoction for Bai Xian Pi Tang (Dictamni Cortex Decoction) to treat eye *fuyi* on the cornea and pupil, resembling a fly's wing, causing blurred vision:
Bai Xian Pi (Dictamni Cortex), Kuan Dong Hua (Farfarae Flos), Chai Hu (Bupleuri Radix, seedlings removed), Che Qian Zi (Plantaginis Semen), Zhi Ke (Aurantii Fructus, pulp removed, bran-fried), Huang Qin (Scutellariae Radix, black heart removed) each 1 liang, Gan Cao (Licorice Radix et Rhizoma, roasted, half liang), Bai He (Lilii Bulbus, 2 liang), Ju Hua (Chrysanthemi Flos), Man Jing Zi (Viticis Fructus, fried) each 1.5 liang. The above ten ingredients are coarsely crushed and sieved. For each dose, take 5 qian bi of the coarse powder, add 1.5 zhan of water, decoct until 0.8 zhan remains. Strain, take warm after meals, and repeat before bedtime.
Decoction for Lu Gen Tang (Reed Rhizome Decoction) to treat redness, itching, and opacity caused by heat steaming from the Spleen and Lung:
Lu Gen (Reynoutriae Rhizoma), Mu Tong (Akebiae Caulis) each 1.5 liang, Zhi Zi Ren (Gardeniae Semen), Jie Geng (Platycodonis Radix, fried), Huang Qin (Scutellariae Radix, black heart removed), Gan Cao (Licorice Radix et Rhizoma, roasted) each 1 liang. Chop the above six ingredients to the size of hemp seeds. Divide into two doses. For each dose, add 6 zhan of water, decoct until 3 zhan remains. Add 0.5 zhan of fresh Di Huang Zhi (Rehmanniae Juice), decoct again until 2 zhan remains. Strain. Take warm in three divided doses on an empty stomach, or after meals.
Powder for Ju Hua San (Chrysanthemum Powder) to treat eye *fuyi* invading the pupil, resembling a fly's wing:
Ju Hua (Chrysanthemi Flos), Fang Feng (Saposhnikoviae Radix, de-branching), Mu Tong (Akebiae Caulis, chopped), Mu Zei (Equiseti Herba, chopped), Xian Ling Pi (Epimedii Folium, chopped), Jing Jie (Schizonepetae Spica, stems removed), Gan Cao (Licorice Radix et Rhizoma, roasted) each 1 liang. Crush and sift the above seven ingredients into a powder. Take 1 qian bi per dose. After meals, mix with half a qian bi of tea, and take warm.