菊花（君） 菖蒲（臣） 白矾（使生用） 三味煎汤，浸真青
绢搽之。
若云翳自根而退，必待目中神光外射，方退云翳，
久闭覆神光，必引而方出。宜用∶
谷精草（君） 石菖蒲（君） 枸杞（臣） 草决明（佐） 黑参（臣）
菊花（臣） 蝉蜕（使） 木贼（使） 共享河水煎汤，瓷罐内封固，
重汤煮粘为度，入好金墨末、白矾末，调匀晒干，再
研广胶水些须作锭。用人乳磨点，一日三、四次，或
五、七次。大约墨一锭，生白矾一分，生用。
若目内云翳退时，必有热气目眵，宜外引。
生白矾（三分） 悉尼（一枚去皮核）
先将矾研细末，入梨片内共研，绢滤过成汁，加
净蜜些须，搅匀，封固，重汤煮过，待冷，扫眼
皮内外，日五、七次。
原方尽此。神而明之，存乎其人。在高明者，变
通善用之可也。不宜执泥，亦不可妄作聪明。欲用此
法，必先回避生客，戒言语，绝嗜欲，清淡口味，闭
目静养，庶几成功。不然，通窍之后，激动邪火，沸
腾于上，将虚灵之孔阻滞，是求明而反暗也。慎诸！
（马化龙注）
治老年眼症，宜滋补之药。此方下手不用滋
补，先用开窍引者，何也？
夫人之眼病日久，邪热、痰涎，瘀滞于肝、肺二
经，渐渐将通明孔窍闭塞，经络壅滞，气血不能升降
流行，以滋于目，则诸病生焉。先用开窍之药，将道
路通利，使无阻碍。虚者还其虚，灵者还其灵，一用
滋补之剂，即可直入肾经，助出光明。是以开窍为先，
盖窍通而补养流行之药始能入也。若窍不开，遽用补
益之药，反助邪火上行，其病更甚。
大约开窍引与真人吹冲之法，殊途同归。往往用
补不效者，皆关窍不开之故耳！如外无云翳、赤丝，
内无邪气障蔽，只昏花视物不真者，纯虚之症也。此
通灵之孔窍毫无阻滞，服地黄、枸杞、参、 之类，
便可直入肾经，转暗为明，不必用开窍之药。
【菊花煎】
菊花（君药） 石菖蒲（臣药） 白矾（使药，生用） 将这三味药煎煮成汤剂，浸泡真青绢后擦拭眼部。
如果云翳（角膜混浊）从根部开始消退，必须等到眼中神光（视力/眼神）向外发散，云翳才会完全退去；若长期闭目导致神光内敛，必须引导其重新发出。适宜使用以下方剂：
谷精草（君药） 石菖蒲（君药） 枸杞子（臣药） 草决明（佐药） 黑参（臣药） 菊花（臣药） 蝉蜕（使药） 木贼（使药） 共同用河水煎煮成汤剂，装入瓷罐内密封固定，隔水加热熬煮至粘稠状，加入优质金墨粉、白矾粉，搅拌均匀后晒干，再加入少许广胶水制成锭剂。用人乳研磨后点眼，每日三到四次，或五到七次。大约一锭墨配一分生白矾，均生用。
生白矾（三分） 梨（一枚，去皮核）
先将白矾研成细末，放入梨片中共同研磨，用绢布过滤取汁，加入少许纯净蜂蜜，搅拌均匀，密封固定，隔水加热煮沸，待冷却后，涂抹于眼皮内外，每日五到七次。
原方到此结束。能否运用得神妙通达，关键在于使用者本人。在医术高明的人手中，可以变通并善于使用它。不应拘泥固执，也不可妄自尊大、自作聪明。想要使用此法，必须先回避生人，戒除言语，断绝嗜欲，饮食清淡，闭目静养，这样才可能成功。否则，在通窍之后，会激动邪火，沸腾于上部，将虚灵的眼窍阻滞，这是追求光明反而导致黑暗啊。务必谨慎！
（马化龙注）
治疗老年眼病，适宜使用滋补类药物。此方下手不用滋补药，而先用开窍引导药，为什么呢？
人的眼病日久，邪热、痰涎、瘀血停滞在肝、肺二经，渐渐将通明的孔窍闭塞，经络壅滞，气血不能升降流行以滋养眼睛，从而产生各种疾病。先用开窍的药物，将道路疏通利达，使其没有阻碍。虚弱的恢复其虚弱状态（指正气恢复），灵动的恢复其灵动功能，一旦使用滋补的药剂，就可以直接进入肾经，帮助发出光明。所以开窍为先导，因为窍道通畅后，补养和流行气血的药物才能进入。如果窍道不开，仓促使用补益药物，反而助长邪火上炎，病情会更加严重。
大致来说，开窍引与真人吹冲之法，途径不同但结果相同。往往使用补法无效的情况，都是关窍未开的缘故！如果外部没有云翳、赤脉血丝，内部没有邪气障蔽，只是视物昏花模糊的，属于纯虚证。此时通灵的孔窍毫无阻滞，服用地黄、枸杞、人参等药，便可直接进入肾经，转暗为明，不必使用开窍的药物。
[Juhua Decoction]
Chrysanthemi Flos (Monarch herb) Acori Tatarinowii Rhizoma (Minister herb) Alumen (Assistant herb, used raw) Decoct these three herbs into a liquid, soak real green silk in it, and apply to the eyes by wiping.
If the corneal opacity (cloudy film) begins to recede from its root, one must wait until the divine light of the eye (visual acuity/spirit) radiates outward before the opacity fully subsides; if prolonged closure of the eyes causes the divine light to retreat inward, it must be guided to emerge again. It is suitable to use the following prescription:
Valerianae Flos (Gujingcao) (Monarch herb) Acori Tatarinowii Rhizoma (Monarch herb) Lycii Fructus (Minister herb) Cassiae Semen (Zuojinming) (Adjuvant herb) Heishen (Minister herb) Chrysanthemi Flos (Minister herb) Bombyx Batryticatus (Assistant herb) Equiseti Herba (Assistant herb) Decoct them together with river water into a liquid, seal tightly in a porcelain jar, and simmer over water until viscous. Add fine gold ink powder and alumen powder, mix evenly, dry in the sun, then add a small amount of Guangjiao (glue made from donkey hide) to form lozenges. Grind with human milk and instill into the eyes, three to four times a day, or five to seven times. Approximately one lozenge of ink matches one fen of raw alumen, both used raw.
When the intraocular opacity recedes, accompanied by heat sensation and increased ocular discharge, an external guiding method is suitable.
Raw Alumen (3 fen) Pear (one fruit, peeled and pitted)
First grind the alumen into a fine powder, place it within slices of pear, and grind them together. Filter through silk to obtain the juice, add a little pure honey, mix evenly, seal tightly, and boil over water. After cooling, sweep (apply) to the inside and outside of the eyelids, five to seven times daily.
The original prescription ends here. Whether it can be applied with spiritual clarity depends on the practitioner. Those with high medical skill may adapt and utilize it effectively. One should not be rigidly attached to the text, nor should one act arrogantly or presumptuously. To use this method, one must first avoid strangers, refrain from speaking, cut off desires, maintain a bland diet, close the eyes, and rest quietly, so that success may be achieved. Otherwise, after opening the orifices, evil fire will be stirred up and surge upward, obstructing the hollow and spiritual orifices of the eye; this is seeking brightness but resulting in darkness. Be cautious!
(Ma Hualong’s Commentary)
For treating elderly eye conditions, tonifying medicines are generally suitable. Why does this prescription begin without tonics but instead uses orifice-opening and guiding agents?
In chronic eye diseases, evil heat, phlegm-fluids, and blood stasis stagnate in the Liver and Lung meridians, gradually blocking the clear orifices. The meridians become congested, and Qi and Blood cannot ascend, descend, circulate, and flow to nourish the eyes, thereby generating various pathologies. First, use orifice-opening drugs to unblock and facilitate the pathways, removing obstructions. Restore deficiency to its proper state, and restore agility to its agile function. Once tonifying agents are administered, they can directly enter the Kidney meridian and assist in emitting brightness. Therefore, opening the orifices takes precedence; only when the orifices are patent can tonifying and circulating agents enter. If the orifices are not opened, hastily using tonifying drugs will instead aid the ascent of evil fire, worsening the condition.
Generally speaking, the orifice-opening guide and the Zhenren Chuichong method differ in approach but converge in result. Cases where tonification fails are often due to unopened orifices! If there is no external corneal opacity or red vascular filaments, and no internal obstruction by evil qi, but only blurred vision, it is a pure deficiency syndrome. In such cases, the spiritual orifices are unobstructed; taking Rehmanniae Radix, Lycii Fructus, Ginseng Radix et Rhizoma, etc., allows direct entry into the Kidney meridian, transforming darkness into brightness, without the need for orifice-opening drugs.