若此症此脉，使再投寒凉，必再出而裂。古所谓眼不医不瞎者，正谓此也。兹拟仲景少阴伤寒治法，用麻黄附子细辛
汤，温经散寒，使寒散火降，其目自平，载侯以为然，服二剂而愈。
己丑冬，有德青农人沈姓者，患目不见，已十年余矣。
渠云∶初患时，耳鸣如雷，每闻人语如在头顶之上。又两目闪闪然，见两火如豆大，闭目则目热，而耳鸣更甚。投清利
之剂，所患虽平，而且全不见矣，凡遇医者俱曰∶青盲内障，非针不明，今特访至此，叩请求治。予曰∶内障一症，
六因七情，皆能为害。今切汝脉，脉尚沉弦，汝症初起，良由肝胆湿火盛而上攻，故目生火而耳如雷鸣。凡耳中火攻
甚，则响如雷，如雷之响，中闻人语每自觉在头顶之上。时当用龙胆泻肝汤，泻火开郁，郁开则湿除，湿除则火全灭，
自无内障之患也。乃但投凉剂，而不求其病之原，故脉尚如是。当先投加味逍遥散，去白术十剂，以除积久之郁热，使
不致针后复蒙。服后用金针拨去其障，即睹物如故而愈。
又德青沈凤岐，年五十余，患左目不见已十余年矣。忽一日跌扑后，右目亦全不见物，如是半载，方来就治，予观
其左目，瞳神散大，神水已定，无庸施治。右起内障，可用针拨，拨即如故，此无他障。本患生瞳神之上，因扑击而下
故耳。
或问，目患瞳神散大及黄膜上冲，俱明见于黑珠之内，何故用金针入时，但见瞳神之处，而黑珠内不能明见其针？
若因黑珠不明，则瞳神散大，黄膜上冲，何故又见乎？予曰∶目中之水，状如鱼脑，其色不一。在白珠则绿，黑珠灰
黑，瞳神若漆层层相裹，神水于中，外所包之壳，如指甲之浓，壳中生孔以贯瞳神外见，所以用针入瞳拨时，若针头稍
有向外，针即孔上留住，故知其天然生孔，以贯瞳神见外耳。壳孔之外，复生一翳，如晶之明满包其珠，乃瞳神赖此
以关其水也。若患瞳神散大，因神水逼迫孔外散于明翳之间，黄膜上冲，每取于黑珠下轮，此亦在明翳内，而珠壳外
也。然是患虽但见于黑珠，而其原诚从白珠而来，因白珠与黄膜之色相若，故不明见于外。如值此症速当疏散其肺，更
泻其火，虽不能退此已见之膜，然不致上瞒瞳神，以成痼疾。予治里人孙氏妇，初患左目瞳神细小，右患内障。因障
初成不可用针遂拨，但治其左目，治三月而痊。约半载许，忽左目之珠微疼，视不见物，睡片时，则稍见，未几复不
见，又睡片时复又见之，如是六七日，复请求治，予视其瞳神但有混浊之气，而非复细小也。又视黑珠下轮，起黄膜半
米许。予曰∶瞳神无病，瞳神之外，所带混浊之气，因明翳内有黄膜欲上冲故耳。此患属内火旺而外邪闭郁，郁则气不
外舒，火邪内逼而上，故有是症。盖寐则气归于下，其火邪亦随气而下，则混浊之气稍退，故得见之。悟则其气复升，
因内之火邪复随而上，故复不见。今速宜散其外邪，清其内火，用苏叶、防风、甘菊各一钱，白蒺藜、石决明各三钱，
黄芩二钱，郁金一钱五分，黄连、羚羊角、赤芍药各五分，服二剂，其目渐清。又二剂黄膜忽无，瞳神混浊之气亦
除尽而愈。予告之曰∶黄膜上冲，治但收住其膜，今忽散去，因此膜白中带黄，所起黑珠甚微，其邪尚浅，故得消
除。然黑珠虽无，恐白珠内尚未全去，当再剂以绝病根。
还阴救苦汤
升麻 苍术 草梢 桔梗 柴胡 防风 羌活（各五分） 细辛（二分） 本（四分） 归尾（七分） 黄连 黄
芩黄柏 生地 知母 连翘（各六分） 红花（一分） 胆草（三分）
清水煎服。
钩藤饮子
钩藤（炙，五分） 麻黄 甘草（炙，各三分） 川芎 防风 人参（各七分） 全蝎（炒，去刺，一钱） 天麻
（八分） 僵蚕（炒，一钱二分）
姜三片，水煎不拘时服。
牛黄清心丸
牛黄（一两二钱） 麝香 龙脑（三味另研） 羚羊角（镑，各一两） 当归（酒洗） 防风 黄芩 白术 麦冬
（去心） 白芍（各一两五钱） 柴胡 桔梗 茯苓 杏仁（去皮尖） 川芎 肉桂 大豆黄卷 阿胶（各一两七钱） 蒲
黄人参 神曲（各二两五钱） 雄黄（另研） 甘草（五两） 白蔹（七钱半） 干姜（七钱半） 犀角（镑，二两）
干山药（七钱） 金箔（一千三百片内四百片为衣）
上为末，大枣一百枚，蒸熟去皮核，研成膏，炼蜜与枣膏丸，每两作十丸，用金箔为衣，每服一丸，温水化下。
舒郁全睛丹
白芥子（三钱） 栀子 白术 茯苓（三钱） 柴胡 陈皮（一钱） 白芍（五钱） 甘草
清水煎服。
加减八味丸
熟地黄（八两，忌铁、酒煮烂捣膏） 山药 山茱萸（酒洗焙，各四两） 白茯苓 泽泻（酒洗焙干） 牡丹皮（酒
洗烘，各三两） 五味子（火干，两半） 肉桂（去皮忌火，一两）
上除地黄膏另入，余共为细末，炼蜜为丸，如桐子大，每服三钱，空心盐汤送下，忌萝卜。
礞石滚痰丸
青礞石（一两） 沉香（五钱） 黄芩 大黄（酒蒸，八两）
上将礞石打碎，用焰硝一两，同入瓦罐盐泥固济，晒干火 ，石色如金为度。研末，和诸药，水丸。量人虚实服
之，姜汤送下。服后仰卧，令药在胸膈之间，除逐上焦痰滞，不宜饮水行动。
宝鉴沉香天麻丸
沉香 益智 川乌（各二钱） 天麻 防风 半夏 附子（炮，各三钱） 羌活（五钱） 甘草 当归 僵蚕 独
活（各一钱）
每服五钱，生姜三片，水煎去渣，温服食前三剂。
保和丸
山楂（三两，去核） 神曲（炒） 半夏 茯苓（各一两） 陈皮 莱菔子（微炒） 连翘（各五钱）
曲糊丸麦芽汤下。
小胃丹
芫花（醋拌，一两，瓦器内炒黑不可焦） 甘遂（长流水浸半日，煮晒干） 大戟（长流水煮，再用水洗，晒干，
各五分） 大黄（湿纸裹煨，切，酒炒，一两五钱） 黄柏（炒，三两）
上为细末，以白术膏丸如萝卜子大，临卧白汤送下一钱，欲利空心服。
六君子汤
人参 白术 茯苓 甘草 陈皮 半夏各等分
姜三片，枣二枚，水煎服。
益元散
滑石（六两） 甘草（一两） 辰砂（一钱）
上为末，每服二钱或三钱，冷水调下，灯心汤亦可。
二陈汤
半夏（姜制） 陈皮（去白） 茯苓（一钱） 甘草（五分）
加姜煎。
麻黄附子细辛汤
麻黄 细辛 附子
先煮麻黄，去沫，纳诸药煎。
加味逍遥散
柴胡 薄荷 当归 白芍 陈皮 甘草 茯苓 白术 丹皮 山栀
加姜煎。
六味地黄丸、四物汤（一方见头门）
如果这种病症配合这种脉象，再使用寒凉药物，必然会导致（眼部组织）再次破裂。古人所说的“眼睛不治疗反而不会瞎”，正是说的这种情况。现在拟定张仲景治疗少阴伤寒的方法，使用麻黄附子细辛汤，温通经络、驱散寒邪，使寒气消散、虚火下降，眼睛自然恢复平静，沈载侯认为正确，服用两剂后痊愈。
己丑年冬天，有位来自德青的农民姓沈，患眼病看不见东西，已经十多年了。
他说：刚发病时，耳鸣如雷声，每次听到人说话感觉声音在头顶上方。另外双眼闪烁不定，看到两个像豆子大小的火光，闭上眼睛则眼球发热，而耳鸣更加严重。使用清热利湿的药物后，虽然病情暂时平息，但视力完全丧失，凡是遇到的医生都说是“青盲内障”，说不是针灸治不好的，今天特意寻访到这里，叩头请求治疗。我说：内障这一病症，六淫七情都能造成危害。现在切你的脉，脉象仍然沉弦，你刚发病时，确实是因为肝胆湿热之火旺盛而上攻，所以眼睛生火而耳朵如雷鸣。凡是耳中火热攻冲厉害，响声就像打雷；像打雷那样的响声，中间听到人说话，自己总觉得在头顶上方。当时应该用龙胆泻肝汤，泻火解郁，郁结解开则湿气去除，湿气去除则火势全灭，自然就没有内障的祸患了。然而只投用凉药，而不探究疾病的根源，所以脉象还是这样。应当先投用加味逍遥散，去掉白术，连服十剂，以清除积久的郁热，使不至于在针灸后再次蒙蔽。服药后用金针拨除白内障，就能像以前一样看清物体而痊愈。
又有一位德青人沈凤岐，五十多岁，左眼看不见已经十多年了。忽然有一天跌倒后，右眼也完全看不见东西，这样过了半年，才来求治。我观察他的左眼，瞳神散大，神水已经凝固，不需要施治。右眼起内障，可以用针拨除，拨除后即恢复正常，这没有别的障碍。原本病变生在瞳神之上，因为跌扑撞击而下移的缘故。
有人问：眼睛患病出现瞳神散大及黄膜上冲，都明显见于黑珠（黑睛）之内，为什么用金针进入时，只能看到瞳神的位置，而在黑珠内不能清楚地看见针？如果是因为黑珠不明，那么瞳神散大、黄膜上冲，为什么又能看见呢？我说：眼中的水液，形状像鱼脑，颜色不一。在白珠（巩膜）处呈绿色，在黑珠处呈灰黑色，瞳神像漆一样层层包裹，神水在其中，外面包裹的壳，像指甲那样浓厚，壳上生有孔洞贯穿到瞳神外部可见，所以用针入瞳拨障时，如果针头稍微向外偏，针就会停留在孔上，因此知道这是天然生成的孔洞，用来贯穿瞳神使之外见。壳孔之外，又生成一层翳膜，像水晶一样明亮饱满地包裹着眼珠，这是瞳神依靠它来封闭神水的。如果患瞳神散大，是因为神水逼迫孔外，散于明翳之间；黄膜上冲，往往取于黑珠下轮，这也位于明翳内，而在珠壳外。但是这种病虽然只见于黑珠，其根源确实是从白珠而来，因为白珠与黄膜的颜色相似，所以不明显见于外部。如果遇到这种病症，应当迅速疏散肺经邪气，再泻其火，虽然不能消退已经显现的黄膜，但不至于向上遮蔽瞳神，从而形成顽固疾病。我治疗同乡孙氏妇人，起初患左眼瞳神细小，右眼患内障。因为内障初成不可用针拨除，只治疗左眼，治疗三个月而痊愈。大约半年左右，忽然左眼的眼珠微疼，视物不见，睡一会儿，则稍能看见，不久又看不见，再睡一会儿又看见，如此六七天，再次请求治疗。我看她的瞳神只有浑浊之气，而不是复现细小。再看黑珠下轮，起了半寸许高的黄膜。我说：瞳神没有病，瞳神之外所带的浑浊之气，是因为明翳内有黄膜想要上冲的缘故。这种病属于内火旺盛而外邪闭郁，郁结则气不能向外舒展，火邪内逼而上，所以有这种症状。大概睡觉时气归于下，其火邪也随气而下，则浑浊之气稍微退去，所以能看见。醒来时气复升，因内的火邪也随气而上，所以又看不见。现在应当迅速疏散外邪，清泄内火，用苏叶、防风、甘菊各一钱，白蒺藜、石决明各三钱，黄芩二钱，郁金一钱五分，黄连、羚羊角、赤芍药各五分，服用两剂，眼睛逐渐清晰。又服两剂，黄膜忽然消失，瞳神的浑浊之气也全部清除而痊愈。我告诉她说：黄膜上冲的治疗只是收住黄膜，现在忽然散去，因为此膜白中带黄，生于黑珠的部分很轻微，邪气尚浅，所以得以消除。然而黑珠虽无病，恐怕白珠内尚未完全清除，应当再服几剂以绝病根。
还阴救苦汤
升麻 苍术 草梢 桔梗 柴胡 防风 羌活（各五分） 细辛（二分） 本（四分） 归尾（七分） 黄连 黄芩 黄柏 生地 知母 连翘（各六分） 红花（一分） 胆草（三分）
用清水煎服。
钩藤饮子
钩藤（炙，五分） 麻黄 甘草（炙，各三分） 川芎 防风 人参（各七分） 全蝎（炒，去刺，一钱） 天麻（八分） 僵蚕（炒，一钱二分）
生姜三片，水煎不拘时间服用。
牛黄清心丸
牛黄（一两二钱） 麝香 龙脑（这三味另研） 羚羊角（镑，各一两） 当归（酒洗） 防风 黄芩 白术 麦冬（去心） 白芍（各一两五钱） 柴胡 桔梗 茯苓 杏仁（去皮尖） 川芎 肉桂 大豆黄卷 阿胶（各一两七钱） 蒲黄 人参 神曲（各二两五钱） 雄黄（另研） 甘草（五两） 白蔹（七钱半） 干姜（七钱半） 犀角（镑，二两） 干山药（七钱） 金箔（一千三百片，其中四百片为衣）
以上研为末，大枣一百枚，蒸熟去皮核，研成膏，炼蜜与枣膏和丸，每两作十丸，用金箔为衣，每次服用一丸，温水化开送下。
舒郁全睛丹
白芥子（三钱） 栀子 白术 茯苓（三钱） 柴胡 陈皮（一钱） 白芍（五钱） 甘草
用清水煎服。
加减八味丸
熟地黄（八两，忌铁器、酒煮烂捣膏） 山药 山茱萸（酒洗焙，各四两） 白茯苓 泽泻（酒洗焙干） 牡丹皮（酒洗烘，各三两） 五味子（火干，半两） 肉桂（去皮忌火，一两）
以上除了地黄膏另外加入，其余共为细末，炼蜜为丸，如梧桐子大，每次服用三钱，空腹盐汤送下，忌食萝卜。
礞石滚痰丸
青礞石（一两） 沉香（五钱） 黄芩 大黄（酒蒸，八两）
先将礞石打碎，用焰硝一两，同入瓦罐，用盐泥密封固济，晒干后煅烧，直到石头颜色如金为止。研为末，与其他药混合，用水泛丸。根据人的虚实情况服用，姜汤送下。服药后仰卧，让药停留在胸膈之间，以祛除上焦痰滞，不宜饮水活动。
宝鉴沉香天麻丸
沉香 益智 川乌（各二钱） 天麻 防风 半夏 附子（炮，各三钱） 羌活（五钱） 甘草 当归 僵蚕 独活（各一钱）
每次服用五钱，生姜三片，水煎去渣，温服，饭前服用三剂。
保和丸
山楂（三两，去核） 神曲（炒） 半夏 茯苓（各一两） 陈皮 莱菔子（微炒） 连翘（各五钱）
用曲糊为丸，麦芽汤送下。
小胃丹
芫花（醋拌，一两，瓦器内炒黑不可焦） 甘遂（长流水浸半日，煮晒干） 大戟（长流水煮，再用水洗，晒干，各五分） 大黄（湿纸裹煨，切，酒炒，一两五钱） 黄柏（炒，三两）
以上研为细末，用白术膏和丸如萝卜子大，临睡前用白开水送下一钱，想要通便则空腹服用。
六君子汤
人参 白术 茯苓 甘草 陈皮 半夏各等分
生姜三片，大枣二枚，水煎服。
益元散
滑石（六两） 甘草（一两） 辰砂（一钱）
以上研为末，每次服用二钱或三钱，冷水调下，灯心草汤也可以。
二陈汤
半夏（姜制） 陈皮（去白） 茯苓（一钱） 甘草（五分）
加生姜煎服。
麻黄附子细辛汤
麻黄 细辛 附子
先煮麻黄，去掉浮沫，加入其他药物煎煮。
If this syndrome presents with this pulse, administering cold-natured drugs again will inevitably cause further rupture. The ancient saying "eyes not treated do not go blind" precisely refers to this situation. Herein, I propose adopting Zhang Zhongjing's treatment method for Shaoyin Cold Damage (Shaoyin Taiyang Syndrome), using Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction) to warm the meridians and disperse cold, allowing the cold to dissipate and the deficient fire to subside, so that the eyes will naturally return to normal. Shen Zaihou agreed, took two doses, and was cured.
In the winter of the Jichou year, a farmer surnamed Shen from Deqing suffered from blindness for over ten years.
He stated: When the illness first began, he experienced tinnitus like thunder, and whenever he heard people speaking, it felt as if the voices were above his head. Additionally, his eyes flickered, seeing two豆-sized flames; closing his eyes caused heat in the eyeballs and worsened the tinnitus. After administering clearing and draining agents, although the acute symptoms subsided, his vision was completely lost. All doctors he consulted diagnosed him with Qingmang Internal Cataract (Green Blindness/Internal Cataract), stating it could not be cured without acupuncture. He specifically visited here to beg for treatment. I said: Internal cataracts can be harmed by the Six Evils (Six Pathogenic Factors) and Seven Emotions (Seven Emotional States). Now, palpating your pulse, it remains deep and wiry. Your initial onset was indeed due to excessive damp-heat fire in the Liver and Gallbladder attacking upwards, causing fire in the eyes and thunder-like tinnitus. When fire attacks the ears severely, the sound resembles thunder; amidst such thunderous noise, hearing speech makes one feel it is above the head. At that time, Longdan Xiegan Tang (Gentian Liver-Draining Decoction) should have been used to drain fire and resolve stagnation. Once stagnation is resolved, dampness is removed; once dampness is removed, fire is extinguished, preventing internal cataracts. However, only cooling agents were administered without seeking the root cause, hence the pulse remains as described. One should first administer Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder), removing Baizhu (Atractylodes Macrocephala Rhizome), for ten doses to clear long-standing stagnant heat, preventing re-obscuration after acupuncture. After taking the medicine, use a gold needle to manipulate the cataract, restoring vision to normal.
Another patient, Shen Fengqi from Deqing, aged over fifty, had been blind in the left eye for over ten years. Suddenly, after a fall, the right eye also became completely blind. Half a year later, he sought treatment. Observing his left eye, the pupil was dilated, and the Shen Water (ocular fluid) had solidified; no treatment was needed. The right eye had an internal cataract, which could be manipulated with a needle. Upon manipulation, vision returned to normal, with no other obstructions. The lesion originally formed above the pupil but descended due to the impact of the fall.
Someone asked: In eye diseases presenting with pupil dilation and Yellow Membrane Rushing Upward (Huangmo Shangchong), these are clearly visible within the Black Pearl (Cornea/Iris area). Why, when inserting a gold needle, is only the pupil area seen, while the needle itself is not clearly visible within the black pearl? If the black pearl were unclear, how could pupil dilation and yellow membrane rushing upward be seen? I replied: The water in the eye resembles fish brain, varying in color. In the White Pearl (Sclera), it is green; in the Black Pearl, it is gray-black. The pupil is wrapped in layers like lacquer, with Shen Water inside. The outer shell is thick like a fingernail, with pores penetrating to make the pupil visible externally. Thus, when inserting a needle into the pupil for manipulation, if the needle tip deviates slightly outward, it catches on the pore, proving the existence of natural pores connecting the pupil to the exterior. Outside these pore openings, a membrane forms, bright and full like crystal, wrapping the eye, which the pupil relies on to seal the Shen Water. In cases of pupil dilation, Shen Water is forced out through the pores, scattering between the clear membrane and the pupil. Yellow Membrane Rushing Upward often originates from the lower rim of the black pearl, located within the clear membrane but outside the pearl shell. Although this disease appears only in the black pearl, its origin lies in the white pearl, as their colors are similar, making it less distinct externally. For such cases, one must quickly disperse Lung pathogenic factors and drain fire. Although the existing membrane may not disappear, it prevents upward obscuration of the pupil, avoiding chronic disease. I treated a woman of the Sun family from my hometown who initially had a constricted pupil in the left eye and an internal cataract in the right. Since the cataract was newly formed and unsuitable for needle manipulation, I treated only the left eye, curing her in three months. About half a year later, her left eye suddenly hurt slightly, and she could not see. After sleeping briefly, she could see somewhat, then lost vision again, regaining it after another nap. This cycle continued for six or seven days before she sought treatment again. Her pupil showed turbid qi but was not constricted. The lower rim of the black pearl showed a yellow membrane rising about half a cun. I said: The pupil itself is healthy; the turbid qi around it is due to the yellow membrane within the clear membrane attempting to rush upward. This condition belongs to excessive internal fire closed by external pathogens. Stagnation prevents Qi from dispersing outward, forcing fire inward and upward. During sleep, Qi descends, carrying fire down, so turbid qi recedes, allowing vision. Upon waking, Qi rises, carrying fire up, causing blindness again. Now, one must quickly disperse external pathogens and clear internal fire. Use Su Ye (Perilla Leaf), Fang Feng (Saposhnikovia Root), Gan Ju (Chrysanthemum Flower) each 1 qian; Bai Jili (Tribulus Fruit), Shi Jue Ming (Abalone Shell) each 3 qian; Huang Qin (Scutellaria Root) 2 qian; Yu Jin (Curcuma Aromatica Rhizome) 1.5 qian; Huang Lian (Coptis Rhizome), Ling Yang Jiao (Antelope Horn), Chi Shao Yao (Red Peony Root) each 0.5 qian. Take two doses; vision gradually clears. Take two more doses; the yellow membrane disappears, and turbid qi in the pupil is fully cleared, resulting in cure. I told her: Treatment for Yellow Membrane Rushing Upward usually stabilizes the membrane. Its sudden disappearance indicates the membrane was yellowish-white, arising minimally from the black pearl, meaning the pathogen was shallow, thus easily eliminated. However, though the black pearl is clear, the white pearl may not be fully cleared; take more doses to eradicate the root.
Huanyin Jiuku Tang (Restore Yin and Save from Peril Decoction)
Shengma (Cimicifugae Rhizoma), Cangzhu (Atractylodis Rhizoma), Cao Gao (Licorice Tip), Jiegeng (Platycodon Root), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 5 fen); Xixin (Asari Radix et Rhizoma) (2 fen); Bencao (Ligustici Rhizoma) (4 fen); Guiwei (Angelicae Sinensis Radix End), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Shengdi (Rehmanniae Radix), Zhimu (Anemarrhenae Rhizoma), Lianqiao (Forsythiae Fructus) (each 6 fen); Honghua (Carthami Flos) (1 fen); Dancao (Gentianae Radix) (3 fen).
Decoct in clear water and take orally.
Gouteng Yinzi (Uncaria Infusion)
Gouteng (Uncariae Ramulus cum Uncis, processed with heat, 5 fen); Mahuang (Ephedrae Herba), Gancao (Licorice Root, processed with heat, each 3 fen); Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix) (each 7 fen); Quanxie (Scorpio, stir-fried, thorns removed, 1 qian); Tianma (Gastrodiae Rhizoma) (8 fen); Jiangcan (Bombyx Batryticatus, stir-fried, 1.2 qian).
Add three slices of fresh ginger, decoct in water, and take at any time.
Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill)
Niuhuang (Calculus Bovis, 1 liang 2 qian); Shexiang (Moschus), Nao (Borneolum Syntheticum) (these three separately ground); Lingyangjiao (Saigae Tataricae Cornu, shaved, each 1 liang); Danggui (Angelicae Sinensis Radix, wine-washed), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Maidong (Ophiopogonis Radix, heart removed), Baishao (Paeoniae Radix Alba) (each 1 liang 5 qian); Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), Fuling (Poria), Xingren (Armeniacae Semen Amarum, skin and tip removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Rougui (Cinnamomi Cortex), Dahuang Huangjuan (Sojae Seminum Praeparatum), Ejiao (Colla Corii Asini) (each 1 liang 7 qian); Puhuang (Typhae Pollen), Renshen (Ginseng Radix), Shenqu (Massa Medicata Fermentata) (each 2 liang 5 qian); Xionghuang (Realgar, separately ground); Gancao (Licorice Root, 5 liang); Bailian (Trollii Radix) (7.5 qian); Ganjiang (Zingiberis Rhizoma) (7.5 qian); Xijiao (Rhinocerotis Cornu, shaved, 2 liang); Ganshan Yao (Dioscoreae Hypoglaucae Rhizoma) (7 qian); Jinbo (Folium Aureum) (1300 pieces total, 400 pieces for coating).
Grind all into powder. Steam 100 large dates until cooked, remove skins and pits, grind into paste. Mix with refined honey and date paste to form pills. Each liang makes ten pills. Coat with gold foil. Take one pill per dose, dissolved in warm water.
Shuyu Quanjing Dan (Relieve Stagnation and Restore Vision Pill)
Baijiezi (Sinapis Semen, 3 qian); Zhizi (Gardeniae Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (3 qian); Chaihu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium, 1 qian); Baishao (Paeoniae Radix Alba, 5 qian); Gancao (Licorice Root).
Decoct in clear water and take orally.
Jiajian Bawei Wan (Modified Eight-Ingredient Pill)
Shudihuang (Rehmanniae Radix Preparata, 8 liang; avoid iron pots and alcohol, boil until soft, mash into paste); Shanyao (Dioscoreae Rhizoma); Shanzhuyu (Corni Fructus, washed in wine, dried) (each 4 liang); Baifuling (Poria), Zexie (Alismatis Rhizoma, washed in wine, dried) (each 3 liang); Mudanpi (Moutan Cortex, washed in wine, dried) (3 liang); Wuweizi (Schisandrae Fructus, dried by fire, 0.5 liang); Rougui (Cinnamomi Cortex, bark removed, avoid direct fire, 1 liang).
Except for the Rehmannia paste added separately, grind the rest into fine powder. Mix with refined honey to form pills the size of tung seeds. Take 3 qian per dose, with salted water on an empty stomach. Avoid radishes.
Mengshi Gun Tan Wan (Calamine Rolling Phlegm Pill)
Qingmengshi (Calaminaris Lapis, 1 liang); Chenxiang (Aquilariae Lignum Resinatum, 5 qian); Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma, steamed with wine, 8 liang).
Crush Qingmengshi. Mix with 1 liang of Yanxiao (Saltpeter) in a clay pot, seal with salt mud, dry, and calcine until the stone turns golden. Grind into powder. Mix with other herbs. Form water pills. Dosage depends on deficiency or excess. Take with ginger decoction. After ingestion, lie supine to keep the medicine in the chest and diaphragm, targeting upper jiao phlegm stagnation. Avoid drinking water or moving.
Baojian Chenxiang Tianma Wan (Precious Mirror Aquilaria Gastrodia Pill)
Chenxiang (Aquilariae Lignum Resinatum), Yizhi (Alpiniae Oxyphyllae Fructus), Chuanwu (Aconiti Radix Preparata) (each 2 qian); Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Banxia (Pinelliae Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata, processed) (each 3 qian); Qianghuo (Notopterygii Rhizoma et Radix, 5 qian); Gancao (Licorice Root), Danggui (Angelicae Sinensis Radix), Jiangcan (Bombyx Batryticatus), Duhuo (Angelicae Pubescentis Radix) (each 1 qian).
Take 5 qian per dose. Add three slices of fresh ginger. Decoct in water, strain, and take warm. Take three doses before meals.
Baohe Wan (Harmony Preservation Pill)
Shanzha (Crataegi Fructus, 3 liang, pitted); Shenqu (Massa Medicata Fermentata, stir-fried); Banxia (Pinelliae Rhizoma); Fuling (Poria) (each 1 liang); Chenpi (Citri Reticulatae Pericarpium); Laifuzi (Raphani Semen, lightly stir-fried); Lianqiao (Forsythiae Fructus) (each 5 qian).
Form pills with malt paste dough. Take with malt decoction.
Xiao Wei Dan (Minor Stomach Pill)
Yuanhua (Kadsurae Flos, mixed with vinegar, 1 liang, stir-fried in earthenware until black but not burnt); Kansui (Euphorbiae Kansui Radix, soaked in running water for half a day, boiled, dried); Daji (Euphorbiae Pekinensis Radix, boiled in running water, washed again, dried) (each 5 fen); Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper, baked, sliced, stir-fried with wine, 1.5 liang); Huangbai (Phellodendri Cortex, stir-fried, 3 liang).
Grind into fine powder. Form pills the size of radish seeds using Baizhu paste. Take 1 qian with plain water before bed. For purgative effect, take on an empty stomach.
Liujunzi Tang (Six Gentlemen Decoction)
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Licorice Root), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma) in equal parts.
Add three slices of fresh ginger and two dates. Decoct in water and take orally.
Yiyuan San (Benefit Origin Powder)
Huashi (Talcum, 6 liang); Gancao (Licorice Root, 1 liang); Chensha (Cinnabaris, 1 qian).
Grind into powder. Take 2 or 3 qian per dose, mixed with cold water. Dengxin Tang (Juncus Decoction) is also acceptable.
Erchen Tang (Two-Aged Decoction)
Banxia (Pinelliae Rhizoma, processed with ginger); Chenpi (Citri Reticulatae Pericarpium, white pith removed); Fuling (Poria, 1 qian); Gancao (Licorice Root, 0.5 qian).
Add ginger and decoct.
Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction)
Mahuang (Ephedrae Herba), Xixin (Asari Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata).
Boil Mahuang first, remove foam, then add other herbs and decoct.
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder)
Chaihu (Bupleuri Radix), Bohe (Menthae Haplocalycis Herba), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), Gancao (Licorice Root), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Danpi (Moutan Cortex), Shanzhi (Gardeniae Fructus).
Add ginger and decoct.
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Siwu Tang (Four Substance Decoction) (See Head Section for formula details)