散翳形散如鳞点，乍青乍白映瞳中，胞内粟生兼烂痛，金针一拨目光通。还睛散用
人参味，桔梗车前苓细风，后用补肝归木贼，防风熟地芍川芎。
【注】散翳，翳从瞳仁内透出，散如鳞点之状，乍青乍白，胞内起粟而烂，瞳仁痛楚。
宜用金针拨其内翳之后，先服还睛散清补，后用补肝散收功。
散翳还睛散方
人参（一钱） 五味子（五分） 桔梗（一钱） 车前子（二钱） 茯苓（一钱） 细辛（五分） 防风（二钱）
上为粗末，以水二盏，煎至一盏，夜食后去渣温服。
散翳补肝散方
当归（二钱） 木贼（一钱） 防风（一钱） 熟地黄（二钱） 白芍药（一钱） 川芎（五分）
上为粗末，以水二盏，煎至一盏，空心去渣温服。
偃月瞳含偃月形，一湾白气向下生，脑风积热下注眼，肝肾俱亏致损明。通明散内
防芩入，人参白茯细辛茺，坠翳丸用石决麝，青鲤青羊牛胆熊。
【注】偃月内障，瞳神内上半边有白气一湾，隐隐似新月之状，覆垂向下。缘脑风积
热注入眼中，致成内障，为肝肾俱劳之证。宜服通明散坠翳丸。
偃月通明散方
防风 黄芩 人参 茯苓（各一钱） 细辛（五分） 茺蔚子（二钱）
上为粗末，水二盏，煎至一盏，夜食后去渣温服。
五胆偃月坠翳丸方
石决明（一两） 麝香（少许） 青鱼胆 鲤鱼胆 青羊胆（各七个） 牛胆（五钱） 熊胆（一分）
上为细末面糊为丸，如桐子大，空心茶清送下五分。
散翳的形态像鳞片斑点一样散开，颜色忽青忽白，映现在瞳孔中间，眼睑内长出粟粒状物并伴有溃烂疼痛，用金针拨动后目光即可通畅。还睛散使用人参、五味子，加上桔梗、车前子、茯苓、细辛和风药（指防风等祛风药）；之后使用补肝散，包含当归、木贼、防风、熟地黄、芍药和川芎。
【注】散翳，是指翳障从瞳仁内部透出，散开如鳞片斑点的形状，颜色忽青忽白，眼睑内起粟粒状物且溃烂，瞳仁处感到疼痛。适宜在使用金针拨除内部翳障之后，先服用还睛散进行清补调理，之后再使用补肝散来巩固疗效。
散翳还睛散方：人参（一钱）、五味子（五分）、桔梗（一钱）、车前子（二钱）、茯苓（一钱）、细辛（五分）、防风（二钱）。
以上药材捣成粗末，用水两盏，煎煮至一盏，晚餐后去渣温服。
散翳补肝散方：当归（二钱）、木贼（一钱）、防风（一钱）、熟地黄（二钱）、白芍药（一钱）、川芎（五分）。
以上药材捣成粗末，用水两盏，煎煮至一盏，空腹时去渣温服。
偃月内障含有偃月的形状，一道弯弧般的白色气雾向下生长，这是脑部的风邪积热下注于眼睛所致，肝肾俱亏导致视力受损。通明散内含有防风、黄芩，以及人参、白茯苓、细辛、茺蔚子；坠翳丸使用石决明、麝香，以及青鱼胆、青羊胆、牛胆、熊胆。
【注】偃月内障，是指瞳神内部上半边有一湾白色的气雾，隐隐约约像新月的形状，覆盖下垂向下。这是因为脑部的风邪积热注入眼中，导致形成内障，属于肝肾均劳损的证候。适宜服用通明散和坠翳丸。
偃月通明散方：防风、黄芩、人参、茯苓（各一钱）、细辛（五分）、茺蔚子（二钱）。
以上药材捣成粗末，用水两盏，煎煮至一盏，晚餐后去渣温服。
五胆偃月坠翳丸方：石决明（一两）、麝香（少许）、青鱼胆、鲤鱼胆、青羊胆（各七个）、牛胆（五钱）、熊胆（一分）。
以上药材研为细末，用面糊制成丸药，大小如梧桐子大，空腹时用茶汁送服五分。
San Yi (Scattered Cataract) presents with a shape scattered like scales or spots, appearing alternately cyan and white within the pupil. The eyelids develop millet-like granules accompanied by ulceration and pain; after being manipulated by a golden needle, vision is restored to clarity. Huan Jing San (Restore Vision Powder) employs Ren Shen (Ginseng Root), Wu Wei Zi (Schisandra Berry), Jie Geng (Platycodon Root), Che Qian Zi (Plantago Seed), Fu Ling (Poria), Xi Xin (Asarum), and wind-dispelling herbs. Subsequently, Bu Gan San (Tonify Liver Powder) is used, containing Dang Gui (Angelica Sinensis Root), Mu Zei (Equisetum Hiemale), Fang Feng (Saposhnikovia Root), Shu Di Huang (Prepared Rehmannia Root), Bai Shao (White Peony Root), and Chuan Xiong (Ligusticum Rhizome).
[Note] San Yi refers to cataracts that protrude from within the pupil, scattering like scales or spots, alternating in color between cyan and white, with millet-like granules forming in the eyelids and causing ulceration, along with pain in the pupil. It is appropriate to first administer Huan Jing San for clearing deficiency and tonifying after the internal cataract has been displaced by a golden needle, and then use Bu Gan San to consolidate the therapeutic effect.
Formula for San Yi Huan Jing San: Ren Shen (1 qian), Wu Wei Zi (0.5 qian), Jie Geng (1 qian), Che Qian Zi (2 qian), Fu Ling (1 qian), Xi Xin (0.5 qian), Fang Feng (2 qian).
Grind the above ingredients into a coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after the evening meal.
Formula for San Yi Bu Gan San: Dang Gui (2 qian), Mu Zei (1 qian), Fang Feng (1 qian), Shu Di Huang (2 qian), Bai Shao Yao (1 qian), Chuan Xiong (0.5 qian).
Grind the above ingredients into a coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm on an empty stomach.
Yan Yue (Crescent Moon) cataract contains the shape of a crescent moon; a bay of white mist grows downward. This is caused by brain wind accumulating heat and pouring down into the eyes, while liver and kidney deficiency leads to impaired vision. Tong Ming San (Illuminate Brightness Powder) contains Fang Feng (Saposhnikovia Root) and Huang Qin (Scutellaria Root), along with Ren Shen (Ginseng Root), Bai Fu Ling (White Poria), Xi Xin (Asarum), and Chong Wei Zi (Leonurus Fruit). Zhui Yi Wan (Descend Cataract Pill) uses Shi Jue Ming (Haliotidis Shell), She Xiang (Musk), Qing Yu Dan (Green Carp Gallbladder), Qing Yang Dan (Blue Sheep Gallbladder), Niu Dan (Ox Gallbladder), and Xiong Dan (Bear Gallbladder).
[Note] Yan Yue Neizhang (Internal Obstruction resembling a Crescent Moon) features a bay of white mist in the upper half of the pupil, faintly resembling the shape of a new moon, covering and drooping downward. This arises because brain wind and accumulated heat pour into the eyes, resulting in internal obstruction, which is a syndrome of both liver and kidney exhaustion. It is suitable to administer Tong Ming San and Zhui Yi Wan.
Formula for Yan Yue Tong Ming San: Fang Feng, Huang Qin, Ren Shen, Fu Ling (each 1 qian), Xi Xin (0.5 qian), Chong Wei Zi (2 qian).
Grind the above ingredients into a coarse powder. Add two cups of water, decoct until one cup remains. Strain and take warm after the evening meal.
Formula for Wudan Yan Yue Zhui Yi Wan (Five-Gallbladder Crescent Descending Cataract Pill): Shi Jue Ming (1 liang), She Xiang (a small amount), Qing Yu Dan (7 units), Li Yu Dan (7 units), Qing Yang Dan (7 units), Niu Dan (5 qian), Xiong Dan (1 fen).
Grind the above ingredients into a fine powder and bind with wheat paste to form pills the size of tung tree seeds. Take 0.5 fen with tea infusion on an empty stomach.