（附论）
夫 肉攀睛。淫肤垂睑之类。皆为外障。审其轻重。则有服食点洗之剂。钩割熨烙之法。
以
实皆未定也。有冰涩浮沉枣花偃月之翳。浅深固不一也。亦有清明无翳。若未尝萦疾苦者。
与未患又相似也。是以论内障。每重于医药。必候之岁月。其翳成熟。乃用针拨。或一拨之
而愈。或再三而愈。若披云雾睹青天白日之快方且封闭绵密。以待安宁。而又服药。以攻其
内。所以扫除荡涤。绝其本根。复其自然而已。世之专治者甚多。不可胜举。大抵以龙木为
师法。龙木内障二十有二。可以针者一十有二。皆言针后用某汤某丸。则知内障非针无以取
效。且治眼至于针。诚出于不得已。岂轻用妄投耶。针法具载别叙。今姑以针后用药。次第
列之于下。
方
防风汤 治内障圆翳。针后及涩翳。
防风（去叉） 茺蔚子 五味子 知母（焙） 桔梗（炒） 玄参 车前子 大黄（锉
炒） 细
辛（
温服。食后临卧。日二次。
决明散 治内障浮翳。或如枣花。或若银钉。浮浅透外。
七宝丸 治内障冰翳。如冰冻坚结睛上。以针拨取之。后及散翳。
石决明（捣研二两） 人参 茺蔚子（各一两） 琥珀（捣研三分） 龙脑（研一分） 真
珠
（捣研）
渐
加至二十丸。
七宝汤 治内障横翳。横着瞳仁中心。起如剑脊。针后。
羚羊角（镑） 犀角（镑各一两） 胡黄连 车前子 石决明（刮洗捣研） 甘草（炙
锉各半
两） 丹砂（研一两） 上除丹砂决明外。捣粗筛。每服三钱。以水一盏。煎至七分。去滓。
入
丹砂末半钱。决明末一钱。再煎两沸。食后去滓温服。
人参汤（一名还睛汤）治内障散翳。状如酥点溃烂。以针拨如涎散乱。针后
又
惊振内障眼。
四胆丸 治内障偃月。翳如凝脂。一边浓。一边薄。状如偃月。针后及内障枣花
翳。
象胆（半两） 鲤鱼胆（七枚） 熊胆（一分） 牛胆（半两） 麝香（研一钱） 石
决明（捣研一两）
（附论）
所谓肉攀睛、淫肤垂睑等病症，都属于外障。仔细辨别其轻重程度，就有内服、点眼、清洗的药剂，以及钩割、熨烫、烙治的方法。
然而这些方法实际上都尚未确定（指需根据具体情况选择）。有像冰裂纹、浮沉不定、枣花状、偃月形等不同形态的翳障，深浅和坚固程度各不相同。也有眼睛清明没有翳障的，好像未曾遭受疾病痛苦的人一样。
因此，在论述内障时，往往比治疗外障更重视医药调理。必须等待一段时间，待翳障成熟后，才使用针拨法。有的拨一次就好了，有的需要反复多次才能痊愈。那种拨开云雾见到青天白日般的畅快感觉，随即就要严密封闭保护，以等待病情安宁稳定，同时服用药物来攻治内部。以此来扫除涤荡病邪，断绝病根，恢复眼睛的自然状态罢了。世上专门治疗眼疾的人很多，不胜枚举。大体上以《龙木集》为师法标准。《龙木集》中记载内障共有二十二种，可以用针拨治疗的有十二种。都说针后使用某种汤剂或丸剂，由此可知内障不通过针拨就无法取得疗效。而且治疗眼疾用到针法，实在是出于不得已，难道会轻易使用、胡乱投药吗？针法详细记载在其他篇章中，这里暂且将针后用药的内容，按顺序列在下面。
方剂：
防风汤：治疗内障圆翳。用于针后及涩翳。
药材：防风（去叉）、茺蔚子、五味子、知母（焙干）、桔梗（炒制）、玄参、车前子、大黄（锉碎炒制）、细辛。
用法：温服。饭后临睡前服用，每日两次。
决明散：治疗内障浮翳。或者像枣花状，或者像银钉状，浮浅透于外部。
七宝丸：治疗内障冰翳。像冰冻一样坚硬凝结在睛珠上，用针拨取之后，以及治疗散翳。
药材：石决明（捣碎研细二两）、人参、茺蔚子（各一两）、琥珀（捣碎研细三分）、龙脑（研细一分）、真珠（捣碎研细）。
用法：逐渐加量至二十丸。
七宝汤：治疗内障横翳。横着长在瞳仁中心，隆起像剑脊一样，用于针后。
药材：羚羊角（镑片）、犀角（镑片各一两）、胡黄连、车前子、石决明（刮洗捣碎研细）、甘草（炙烤锉碎各半两）、丹砂（研细一两）。
用法：除了丹砂和石决明外，将其他药材捣碎粗筛。每次服用三钱，用水一盏，煎煮至七分，滤去药渣。加入丹砂末半钱、石决明末一钱，再煮沸两次。饭后滤去药渣温服。
人参汤（又名还睛汤）：治疗内障散翳。形状像酥油点滴溃烂，用针拨后像涎液散乱。用于针后。
又治：惊振内障眼。
四胆丸：治疗内障偃月翳。翳障像凝固的油脂，一边厚一边薄，形状像倒扣的月亮。用于针后及内障枣花翳。
药材：象胆（半两）、鲤鱼胆（七个）、熊胆（一分）、牛胆（半两）、麝香（研细一钱）、石决明（捣碎研细一两）。
(Attached Discussion)
Conditions such as pterygium (fleshy growth climbing onto the cornea), excessive skin, and drooping eyelids all belong to external obstructions. Upon carefully assessing their severity, there are preparations for internal administration, eye drops, and washing, as well as methods of hooking, cutting, cauterizing, and branding.
However, these methods are not yet fixed. There are opacities resembling ice cracks, floating or sinking, date-blossom shapes, and crescent moon shapes, varying in depth and firmness. There are also cases where the eyes are clear without opacities, resembling those who have never suffered from disease.
Therefore, when discussing internal obstructions, medical treatment is often emphasized more than for external ones. One must wait for a period until the opacity matures before employing needle manipulation. Some recover after one manipulation, while others require repeated attempts. The joy of clearing clouds and fog to see the bright blue sky and sun is followed by strict protection to await stability, accompanied by oral medication to treat internally. This serves to sweep away and cleanse pathogens, eradicate the root cause, and restore the natural state. There are many specialists treating eye diseases in the world, too numerous to list. Generally, they take the *Longmu Ji* (Collection of Longmu) as their standard. The *Longmu Ji* records twenty-two types of internal obstructions, twelve of which can be treated with needle manipulation. It states that after needle treatment, specific decoctions or pills should be used, indicating that needle manipulation is essential for efficacy in internal obstructions. Moreover, resorting to needles in eye treatment is truly a last resort; would one use them lightly or indiscriminately? Needle techniques are detailed elsewhere. Here, we briefly list the post-needle medications in order below.
Formulas:
Fangfeng Tang (Saposhnikovia Decoction): Treats round opacity of internal obstruction. Used after needle manipulation and for stiff opacities.
Ingredients: Saposhnikoviae Radix (Fangfeng, 防风) [prepared], Agrimoniae Herba (Chongweizi, 茺蔚子), Schisandrae Fructus (Wuweizi, 五味子), Anemarrhenae Rhizoma (Zhimu, 知母) [roasted], Platycodonis Radix (Jiegeng, 桔梗) [stir-fried], Scrophulariae Radix (Xuanshen, 玄参), Plantaginis Semen (Cheqianzi, 车前子), Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄) [cut and stir-fried], Asari Radix (Xixin, 细辛).
Usage: Take warm. After meals and before bedtime, twice daily.
Jieming San (Clear Vision Powder): Treats floating opacity of internal obstruction. Resembling date blossoms or silver nails, floating superficially and penetrating outward.
Qibao Wan (Seven Treasures Pill): Treats ice-like opacity of internal obstruction. Hard and frozen on the eyeball, removed by needle manipulation, and also for scattered opacities.
Ingredients: Haliotidis Concha (Shijueming, 石决明) [crushed and powdered, 2 liang], Ginseng Radix et Rhizoma (Renshen, 人参), Agrimoniae Herba (Chongweizi, 茺蔚子) [each 1 liang], Succinum (Hupo, 琥珀) [crushed and powdered, 3 fen], Borneolum Syntheticum (Longnao, 龙脑) [powdered, 1 fen], Margarita (Zhenzhu, 真珠) [crushed and powdered].
Usage: Gradually increase dosage to twenty pills.
Qibao Tang (Seven Treasures Decoction): Treats horizontal opacity of internal obstruction. Located horizontally in the center of the pupil, raised like a sword ridge, used after needle manipulation.
Ingredients: Antilope cervicapra Cornu (Lingyangjiao, 羚羊角) [shaved], Rhinocerotis Cornu (Xijiao, 犀角) [shaved, each 1 liang], Picrorhizae Rhizoma (Huhuanglian, 胡黄连), Plantaginis Semen (Cheqianzi, 车前子), Haliotidis Concha (Shijueming, 石决明) [scraped, washed, crushed, and powdered], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [honey-fried and cut, half liang each], Cinnabaris (Dansha, 丹砂) [powdered, 1 liang].
Usage: Except for Cinnabar and Haliotis shell, crush other ingredients coarsely and sieve. Take 3 qian per dose. Add one zhan of water, decoct to 0.7 zhan, remove dregs. Add 0.5 qian of Cinnabar powder and 1 qian of Haliotis powder, boil two more times. Strain and take warm after meals.
Renshen Tang (Ginseng Decoction), also known as Huanjing Tang (Restore Vision Decoction): Treats scattered opacity of internal obstruction. Resembling butter spots or ulceration, appearing scattered like saliva after needle manipulation. Used after needle manipulation.
Also treats: Internal obstruction caused by shock or vibration.
Sidan Wan (Four Gall Pills): Treats crescent-shaped opacity of internal obstruction. The opacity resembles congealed fat, thick on one side and thin on the other, shaped like an inverted moon. Used after needle manipulation and for date-blossom opacities in internal obstruction.
Ingredients: Bos taurus Gallbladder (Xiangdan, 象胆) [half liang], Cyprinus carpio Gallbladder (Liyudan, 鲤鱼胆) [seven pieces], Ursi Fel (Xiongdan, 熊胆) [1 fen], Bos taurus Gallbladder (Niudan, 牛胆) [half liang], Moschus (Shexiang, 麝香) [powdered, 1 qian], Haliotidis Concha (Shijueming, 石决明) [crushed and powdered, 1 liang].