内障头风五风变，珠白黄绿不光明，头风痛引目无泪，相注如坐暗室中，绿风头旋
连鼻痛，两角相牵引目疼，时或白花红花起，同绿黑花为黑风，乌花不旋渐昏暗，黄风雀
目久金睛，青风微旋不痒痛，青花转转目昏蒙。
【注】内障之病，每因头风五风变成。初病瞳珠渐渐变色，睛里隐隐似翳，或白或黄
或绿，虽与不患之眼相似，然无精彩光明射人。病头风者，发则头痛引目无泪，或左目，
或右目，或先左目，或后右目，相注不定，如坐暗室之中，此头风伤目之渐也。绿风者，头
旋两角连鼻相牵引，目疼痛时，或见起白花、红花，此绿风伤目之渐也。黑风者，证同绿
风，时时见起黑花，此黑风伤目之渐也，乌风者，亦同黑风，但不旋晕而见乌花，渐渐
昏暗，此乌风伤目之渐也。黄风者，久病雀目，瞳睛金色，此黄风伤目之渐也。青风者，
头微旋不痒不痛，但见青花转转，日渐昏蒙，此青风伤目之渐也。
菊花通圣散 洗刀散
暴发火眼通圣菊，外障等证减加方，风盛羌加防麻倍，热盛加连倍硝黄，痛生翳膜
多伤目，洗刀更入细独羌，元参木贼白蒺藜，草决蝉蜕蔓青葙。
【注】菊花通圣散，即防风通圣散加菊花也。洗刀散，即本方更加细辛、羌、独、蔓
荆、青葙子等药也。
内障类疾病中的头风病可演变为“五风”（青风、绿风、黑风、乌风、黄风），导致瞳神（瞳孔及晶状体等内部结构）出现白色、黄色或绿色改变，视力模糊不清。头风疼痛牵引至眼部，无泪液分泌，两眼交替流泪不止，感觉如同坐在昏暗的房间里。“绿风”表现为头晕目眩，牵连鼻部疼痛，颞侧（头部两侧）相互牵引导致眼痛，时而出现白花或红花；若与绿花、黑花同时出现，则称为“黑风”。“乌风”不伴有眩晕，但逐渐视物昏暗；“黄风”表现为长期的雀目（夜盲症），瞳孔呈现金色；“青风”仅有轻微眩晕，无瘙痒和疼痛，但见青花旋转，导致眼睛昏蒙。
【注】内障疾病，多因头风病演变为“五风”所致。初起时，瞳珠逐渐变色，眼球内部隐隐似有翳障，颜色或白、或黄、或绿，虽然外观与未患病之眼相似，但缺乏光彩，不能明亮射人。患有头风病的人，发作时头痛牵引眼部，无泪，可能只左眼受累，或只右眼受累，或先左后右，或先右后左，交替不定，感觉如同坐在暗室之中，这是头风损伤眼睛的初期表现。“绿风”表现为头晕，牵连两角及鼻部相互牵引，眼睛疼痛时，有时可见白花、红花升起，这是绿风损伤眼睛的初期表现。“黑风”的症状同绿风，时时见到黑花升起，这是黑风损伤眼睛的初期表现。“乌风”也同黑风相似，但不眩晕而只见黑花，逐渐视物昏暗，这是乌风损伤眼睛的初期表现。“黄风”表现为久患雀目，瞳孔呈现金色，这是黄风损伤眼睛的初期表现。“青风”表现为头部轻微眩晕，不痒不痛，只见青花旋转，日渐昏蒙，这是青风损伤眼睛的初期表现。
菊花通圣散、洗刀散
治疗暴发火眼（急性结膜炎）用菊花通圣散，这是针对外障等病症加减变化的方剂。若风邪盛，加羌活、防风、麻黄并加倍用量；若热邪盛，加黄连并加倍芒硝、大黄；若疼痛严重且生翳膜多伤目，洗刀散中再加入细辛、独活、羌活。此外还有玄参、木贼、白蒺藜、草决明、蝉蜕、蔓荆子、青葙子。
【注】菊花通圣散，即在防风通圣散基础上加入菊花而成。洗刀散，即在本方（指菊花通圣散或相关基础方）中更加入细辛、羌活、独活、蔓荆子、青葙子等药物。
Internal cataract-type diseases involving head wind (headache disorder affecting the eyes) can evolve into the "Five Winds" (Qingfeng, Lüfeng, Heifeng, Wufeng, Huangfeng), leading to color changes in the pupil (pupil and internal structures such as the lens) appearing white, yellow, or green, with blurred vision. Head wind pain radiates to the eyes, accompanied by a lack of tears, with tearing alternating between the two eyes, creating a sensation as if sitting in a dark room. "Lüfeng" (Green Wind) presents with dizziness, pain radiating from the temples to the nose, pulling sensations causing eye pain, and occasionally seeing white or red flowers; if these appear together with green or black flowers, it is termed "Heifeng" (Black Wind). "Wufeng" (Black/Dark Wind) does not involve dizziness but leads to gradual dimness of vision. "Huangfeng" (Yellow Wind) manifests as long-standing night blindness (Que Mu) with the pupil taking on a golden hue. "Qingfeng" (Blue/Green Wind) involves slight dizziness without itching or pain, but with rotating blue flowers causing visual haziness.
[Note] Internal cataracts often arise from head wind disorders evolving into the "Five Winds." Initially, the pupil gradually changes color, with a faint opacity visible inside the eye, appearing white, yellow, or green. Although the external appearance resembles an unaffected eye, it lacks luster and brilliance. Patients with head wind experience headaches radiating to the eyes upon onset, with no tears. The condition may affect only the left eye, only the right eye, start in the left then move to the right, or vice versa, alternating unpredictably, feeling like sitting in a dark room; this marks the initial stage of head wind damaging the eyes. "Lüfeng" presents with dizziness, pulling pain from the temples to the nose, and eye pain, sometimes with the appearance of white or red flowers; this marks the initial stage of Lüfeng damaging the eyes. "Heifeng" shares symptoms with Lüfeng but features the frequent appearance of black flowers; this marks the initial stage of Heifeng damaging the eyes. "Wufeng" is similar to Heifeng but without dizziness, presenting only with black flowers and gradual dimness of vision; this marks the initial stage of Wufeng damaging the eyes. "Huangfeng" presents as chronic night blindness with a golden-colored pupil; this marks the initial stage of Huangfeng damaging the eyes. "Qingfeng" presents with slight dizziness, no itching or pain, but with rotating blue flowers causing progressive visual haziness; this marks the initial stage of Qingfeng damaging the eyes.
Ju Hua Tong Sheng San (Chrysanthemum Reaching the Sage Powder), Xi Dao San (Knife-Washing Powder)
For sudden-onset Fire Eye (acute conjunctivitis), use Ju Hua Tong Sheng San. This is a formula for treating external obstructions and related conditions, subject to modification. If wind pathogen is predominant, add Qiang Huo (Notopterygii Rhizoma), Fang Feng (Saposhnikoviae Radix), and Ma Huang (Ephedrae Herba), doubling their dosages. If heat pathogen is predominant, add Lian Qiao (Forsythiae Fructus) [Note: Text says Lian, usually implies Huanglian Coptidis Rhizoma or Lianqiao Forsythiae Fructus depending on context, here likely Huanglian given 'reducing fire', but standard JHTS uses Da Huang/Mang Xiao/Xin Yi etc. The text says 'Jia Lian', implying adding Coptis], doubling Mang Xiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma). If pain is severe and many opacities form damaging the eye, add Xi Xin (Asari Radix), Du Huo (Angelicae Pubescentis Radix), and Qiang Huo (Notopterygii Rhizoma) to Xi Dao San. Other ingredients include Xuan Shen (Scrophulariae Radix), Mu Zei (Equiseti Herba), Bai Ji Li (Tribuli Fructus), Cao Jue Ming (Cassiae Semen), Chan Tui (Bombyx Batryticatus), Man Jing Zi (Vittariae Fructus), and Qing Xiang Zi (Celosiae Semen).
[Note] Ju Hua Tong Sheng San is formed by adding Ju Hua (Chrysanthemi Flos) to Fang Feng Tong Sheng San (Saposhnikovia Reaching the Sage Powder). Xi Dao San is formed by further adding Xi Xin (Asari Radix), Qiang Huo (Notopterygii Rhizoma), Du Huo (Angelicae Pubescentis Radix), Man Jing Zi (Vittariae Fructus), and Qing Xiang Zi (Celosiae Semen) to the base formula.