（六方）
镇肝明目羊肝丸
甘菊花 羌活 柏子仁 白术 细辛 官桂 五味子（各半两） 黄连（三分） 羯羊肝（一具新瓦盆中炙干更焙之
若肝大止用一半）
上为末。炼蜜为丸如桐子大。空心食前温水下三四十丸。
又方
菟丝子 车前子 麦门冬 决明子 白茯苓 五味子 枸杞子 茺蔚子 苦葶苈 地肤子（去壳） 蕤仁 泽泻
防风 黄芩 杏仁（大者炒） 华阴细辛 桂心 青葙子（各一两） 熟地黄（一两半） 白羯羊肝（只用子肝一片薄
切新瓦上炙干）
上为细末。炼蜜为丸如桐子大。每服三四十丸。温水下日三服。不拘时候。
张台卿尝苦目暗。京师医者令灸肝 。遂转不见物。因得此方服之遂明。有一男子内障。医治无效，因以余剂遗之。
一夕于灯下语其家人曰。适偶有所见。如隔门缝见火者。及旦视之。眼中翳膜且裂如线。张云此药最灵。勿妄与人。忽
之则无验。子隘之。且欲广其传也。
又方
羌活 川芎 旋复花 防风（各半两） 甘草 楮叶 甘菊花 苍术（米泔浸去皮） 枳实 蝉蜕 木贼 桑叶（八
月授阴干各一两）
上木臼中捣为末。茶清调下二钱。早晚食后临卧各一服。亦治赤眼。忌湿面及酒。楮叶须真无实者。余不堪用。不
尔诸药悉无效。合时不得烙及犯铁器。予观此方。取楮叶必无实者。盖阴阳二物相匹配尔。有实者阳也。无实取叶者阴
也。所以不得其真。诸药悉无效。
菊花散 治肾肝风毒热气上冲。眼痛。
甘菊花 牛蒡子（炒熟各八两） 防风（三两） 白蒺藜（去刺一两） 甘草（一两）
上细末，每服二钱。熟水调下。食后临卧服。
素问云。久视伤血。血主肝。故勤书则伤肝。主目昏。肝伤则自生风热气。上凑于目。其昏亦甚。不可专服补药。
须服益血镇肝明目药。
地黄丸
黄连 决明子（各一两） 没药 甘菊花 防风 羌活 桂心 光明朱砂（各半两） 干熟地黄（一两半）
上为细末。炼蜜为丸如桐子大。每服三十丸。熟水下。食后
日三服。
读书之苦。伤肝损目。诚然。晋范宁尝苦目痛。就张湛求方。湛戏之曰。古方宋阳子少得其术。以授鲁东门伯。次
授左邱明。遂世世相传。以及汉杜子夏。晋左太冲。凡此诸贤并有目疾。俱得此方云。用损读书一。减思虑二。专内视
三。简外观四。旦起晚五。夜早眠六。凡此六物。熬以神火。下以气蓰。蕴于胸中。七日然后纳诸方寸。修之一时。近
能数其目睫。远视尺棰之余。长服不已，动见墙壁之外。非但明目。乃亦延年。审如是而行之。非可谓之嘲戏。亦奇方
也。
治头风冷泪方（庞安常）
甘菊花 决明子（各三分） 白术 羌活 川芎 细辛 白芷 荆芥穗（各半两）
上为细末。温汤调下。食后日三服。
又方（庞安常）
川芎 甘菊 细辛 白术 白芷（各一分）
上为细末。蜡丸如黍米大。夜卧纳一丸目中。一时辰换一丸。
荀牧仲顷年尝谓予曰，有一人视一物为两。医者作肝气有余。故见一为二。令服补肝药皆不效。此何疾也，予曰。
孙真人云。目之系上属于脑。后出于项中。邪中于颈。因逢身之虚其入深。则随目系入于脑。入于脑则转。转则目系急。
急则目眩以转。邪中其睛。所中者不相比则睛散。睛散则歧。故见两物也。令服驱风入脑药则愈。
【六首方剂】
镇肝明目羊肝丸
甘菊花、羌活、柏子仁、白术、细辛、官桂、五味子（各半两），黄连（三分），羯羊肝（一只，置于新瓦盆中炙干后再焙燥；若肝脏较大，仅用一半）。
以上药材研为细末。用炼蜜制成如梧桐子大小的丸剂。空腹、进食前，用温开水送服三四十丸。
又一方
菟丝子、车前子、麦门冬、决明子、白茯苓、五味子、枸杞子、茺蔚子、苦葶苈、地肤子（去壳）、蕤仁、泽泻、防风、黄芩、杏仁（大的需炒制）、华阴细辛、桂心、青葙子（各一两），熟地黄（一两半），白羯羊肝（仅取子肝一片，薄切后置于新瓦上炙干）。
以上药材研为极细末。用炼蜜制成如梧桐子大小的丸剂。每次服用三四十丸。用温开水送服，每日三次。不拘泥于特定时间。
张台卿曾深受目暗（视力模糊）之苦。京城的医生让他灸治肝经穴位，结果反而完全看不见东西。后来得到此方服用，视力随即恢复清明。有一名男子患内障（白内障类眼病），医治无效，于是我将剩余的药剂赠送给他。一天夜里，他在灯下对家人说：“刚才偶然看见了一些东西，就像隔着门缝看火光一样。”等到天亮时观察，发现他眼中的翳膜已经裂开如线状。张氏说此药最为灵验，不要随意给人。如果轻视它，就不会见效。我对此感到狭隘，并且想要广泛传播此方。
又一方
羌活、川芎、旋复花、防风（各半两），甘草、楮叶、甘菊花、苍术（米泔水浸泡去皮）、枳实、蝉蜕、木贼、桑叶（八月采集，阴干，各一两）。
以上药材在木臼中捣碎研为细末。用茶清调服二钱。早晚饭后及临睡前各服一次。也可治疗赤眼（红眼病）。忌食湿面及饮酒。楮叶必须是未结实的（嫩叶），其余的不可使用。否则所有药物都无效。配制时不得用火烙及接触铁器。我观察此方，选取楮叶必选未结实的。这是因为阴阳二物需要相匹配。有果实的是阳，无果实取叶的是阴。所以如果不选用真正的无实之叶，诸药都会失效。
菊花散 治疗肾肝风毒热气上冲引起的眼痛。
甘菊花、牛蒡子（炒熟，各八两），防风（三两），白蒺藜（去刺，一两），甘草（一两）。
以上研为细末，每次服用二钱。用熟水调服。饭后及临睡前服用。
《素问》说：久视伤血。血由肝所主，所以勤于书写会损伤肝脏，导致目昏。肝受损则自生风热之气，上凑于眼睛，其昏蒙症状也会加重。不能专门服用补药，必须服用益血、镇肝、明目的药物。
地黄丸
黄连、决明子（各一两），没药、甘菊花、防风、羌活、桂心、光明朱砂（各半两），干熟地黄（一两半）。
以上研为细末。用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸。用熟水送服。饭后服用，每日三次。
读书的苦楚，确实会伤肝损目。晋朝范宁曾深受目痛之苦，向张湛求方。张湛开玩笑说：“古方宋阳子少得其术，传授给鲁东门伯，再传给左邱明，于是世代相传，传到汉代的杜子夏、晋代的左太冲。凡是这些贤人都有眼疾，都得到此方。”用法是：一减少读书，二减少思虑，三专注内视，四简化外观（减少外界干扰），五早起晚睡（此处原文可能有误，通常指作息规律，但依文意译为早起晚睡或早晚作息），六夜间早眠。这六件事，以神火煎熬，以气息熏蒸，蕴藏在胸中，七天后纳入方寸（心/脑）。坚持修习一时辰，近能数清睫毛，远视尺棰之余。长期服用不停止，甚至能看见墙壁之外的东西。这不仅明目，还能延年益寿。如果确实这样去做，就不能说是嘲弄戏言，这也是奇方。
治疗头风冷泪方（庞安常）
甘菊花、决明子（各三分），白术、羌活、川芎、细辛、白芷、荆芥穗（各半两）。
以上研为细末。用温水调服。饭后每日三次服用。
又一方（庞安常）
川芎、甘菊、细辛、白术、白芷（各一分）。
以上研为细末，制成蜡丸，大小如黍米。夜间睡觉时将一丸放入眼中。一个时辰更换一丸。
荀牧仲近年曾对我说，有一人视一物为两（复视）。医生认为是肝气有余，所以见一为二，令其服用补肝药，但都不见效。这是什么病呢？我说：“孙真人说：眼的系带向上连接脑部，向后出于项中。邪气中于颈部，恰逢身体虚弱，邪气深入，便随着目系进入脑部。进入脑部则转动，转动则目系紧张。紧张则目眩而旋转。邪气中于睛珠，所中的部位不相配合，则睛珠散乱。睛珠散乱则出现歧视，所以看见两个物体。”令其服用驱风入脑的药物即可痊愈。
[Six Prescriptions]
Zhen Gan Ming Mu Yang Gan Wan (Liver-Calming and Eye-Brightening Mutton Liver Pill)
Chrysanthemi Flos (Ganjuhua), Notopterygii Rhizoma et Radix (Qianghuo), Biota Semen (Baiziren), Atractylodis Macrocephalae Rhizoma (Baizhu), Asari Radix et Rhizoma (Xixin), Cinnamomi Cortex (Guangui), Schisandrae Fructus (Wuweizi) (each 0.5 liang), Coptidis Rhizoma (Huanglian) (0.3 fen), Ovis Hepar (Jieyanggan) (one piece, dried by roasting in a new clay basin and then baked; if the liver is large, use only half).
Grind the above herbs into fine powder. Form pills with refined honey, sized like paulownia seeds. Take 30-40 pills with warm water on an empty stomach before meals.
Another Prescription
Cuscutae Semen (Tusizi), Plantaginis Semen (Cheqianzi), Ophiopogonis Tuber (Mendong), Cassiae Semen (Juemingzi), Poria (Baifuling), Schisandrae Fructus (Wuweizi), Lycii Fructus (Gouqi), Leonuri Herba (Chongwei), Lepidii Fructus (Kutingli), Kochiae Scopariae Herba (Difu zi), Prunus Armeniaca Kernel (Ruiren), Alismatis Rhizoma (Zexie), Saposhnikoviae Radix (Fangfeng), Scutellariae Radix (Huangqin), Armeniacae Amarum Semen (Xingren - large ones stir-fried), Asari Radix et Rhizoma from Huayin (Huayin Xixin), Cinnamomi Ramulus (Guixin), Celosiae Semen (Qingxiangzi) (each 1 liang), Rehmanniae Radix Preparata (Shudihuang) (1.5 liang), White Ovis Hepar (Baijieyanggan) (use only one slice of fetal liver, thinly sliced and dried on a new clay tile).
Grind the above herbs into extremely fine powder. Form pills with refined honey, sized like paulownia seeds. Take 30-40 pills each time with warm water, three times daily. No specific timing required.
Zhang Taiqing once suffered from dim vision (Mu An). Physicians in the capital advised him to moxa the Liver meridian points, which resulted in complete blindness. He then obtained this prescription, took it, and his vision cleared. A man suffering from internal cataracts (Nei Zhang) found medical treatment ineffective, so I gave him the remaining dosage. One night, he told his family by lamplight: "I happened to see something just now, as if seeing fire through a crack in a door." At dawn, upon examination, the opacity membrane in his eye had cracked like a thread. Zhang stated that this medicine is most effective and should not be given away casually. If neglected, it will be ineffective. I felt my understanding was limited and wished to disseminate this formula widely.
Another Prescription
Notopterygii Rhizoma et Radix (Qianghuo), Chuanxiong Rhizoma (Chuanxiong), Inulae Flos (Xuanjinhua), Saposhnikoviae Radix (Fangfeng) (each 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao), Broussonetiae Folium (Zhuye), Chrysanthemi Flos (Ganjuhua), Atractylodis Rhizoma (Cangzhu - soaked in rice wash water and peeled), Aurantii Fructus Immaturus (Zhishi), Bombyx Batryticatus (Chantui), Equiseti Herba (Muzei), Mori Folium (Sangye) (harvested in August, dried in shade, each 1 liang).
Pound the above herbs in a wooden mortar into powder. Mix with clear tea liquor and take 2 qian. Take once after breakfast, once after dinner, and once before bed. Also treats red eye (Chi Yan). Avoid wet noodles and alcohol. Zhuye must be from non-fruiting branches (young leaves); others are unusable. Otherwise, all medicines will be ineffective. During preparation, do not use fire roasting or contact iron vessels. Observing this prescription, the selection of non-fruiting Zhuye is crucial because Yin and Yang must match. Fruit-bearing plants represent Yang, while leaf-picking from non-fruiting plants represents Yin. Therefore, if the true non-fruiting leaves are not used, all medicines will fail.
Juhua San (Chrysanthemum Powder) Treats eye pain caused by wind-toxic heat rising from the Kidney and Liver.
Chrysanthemi Flos (Ganjuhua), Arctii Fructus (Niubangzi - stir-fried until ripe, each 8 liang), Saposhnikoviae Radix (Fangfeng) (3 liang), Tribuli Fructus (Bajili - thorns removed, 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (1 liang).
Grind into fine powder. Take 2 qian each time, mixed with boiled water. Take after meals and before bed.
The *Suwen* states: Prolonged viewing damages Blood. Blood is governed by the Liver. Thus, diligent writing damages the Liver, leading to blurred vision. When the Liver is damaged, it generates internal wind-heat, which rises to the eyes, worsening the blurriness. One cannot solely rely on tonifying medicines; instead, one must use medicines that nourish blood, calm the Liver, and brighten the eyes.
Dihuang Wan (Rehmannia Pill)
Coptidis Rhizoma (Huanglian), Cassiae Semen (Juemingzi) (each 1 liang), Myrrha (Moyao), Chrysanthemi Flos (Ganjuhua), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Cinnamomi Ramulus (Guixin), Guangming Cinnabar (Guangming Zhusha) (each 0.5 liang), Dried Prepared Rehmanniae Radix (Ganshudihuang) (1.5 liang).
Grind into fine powder. Form pills with refined honey, sized like paulownia seeds. Take 30 pills each time with boiled water. Take after meals, three times daily.
The hardship of reading indeed damages the Liver and eyes. Fan Ning of the Jin Dynasty suffered from severe eye pain and sought a prescription from Zhang Zhan. Zhang Zhan joked: "In ancient times, Song Yangzi Shao acquired this technique and taught it to Lu Dongmen Bo, who passed it to Zuo Qiuming, and it was transmitted generation to generation, reaching Du Zixia of the Han Dynasty and Zuo Taichong of the Jin Dynasty. All these sages suffered from eye diseases and received this prescription." The usage involves: 1. Reducing reading, 2. Reducing mental exertion, 3. Focusing on inner vision, 4. Simplifying external observation, 5. Rising early and sleeping late (referring to regular作息), 6. Sleeping early at night. These six practices are 'cooked' by divine fire and steamed by qi, stored in the chest, and after seven days, applied to the 'square inch' (heart/mind). Practicing for a shichen (two hours) allows one to count eyelashes up close and see beyond a chi stick from afar. Long-term continuous use enables seeing beyond walls. This not only brightens the eyes but also prolongs life. If practiced sincerely, it is not mockery but a miraculous prescription.
Treatment for Head Wind and Cold Tears (by Pang Anchang)
Chrysanthemi Flos (Ganjuhua), Cassiae Semen (Juemingzi) (each 0.3 fen), Atractylodis Macrocephalae Rhizoma (Baizhu), Notopterygii Rhizoma et Radix (Qianghuo), Chuanxiong Rhizoma (Chuanxiong), Asari Radix et Rhizoma (Xixin), Angelicae Dahuricae Radix (Baizhi), Schizonepetae Spica (Jingshe Sui) (each 0.5 liang).
Grind into fine powder. Mix with warm water and take. Take after meals, three times daily.
Another Prescription (by Pang Anchang)
Chuanxiong Rhizoma (Chuanxiong), Chrysanthemi Flos (Ganju), Asari Radix et Rhizoma (Xixin), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Dahuricae Radix (Baizhi) (each 0.1 fen).
Grind into fine powder. Form wax pills sized like millet grains. Insert one pill into the eye before sleep. Replace with a new pill every shichen (two hours).
Xun Muzhong recently told me: There was a patient who saw one object as two (diplopia). Physicians attributed it to excess Liver Qi causing double vision and prescribed Liver-tonifying medicines, but they were ineffective. What disease is this? I said: Sun Simiao stated: The optic nerve connects upward to the brain and exits posteriorly from the neck. Pathogenic factors strike the neck. If the body is deficient, the pathogen penetrates deeply, following the optic nerve into the brain. Once in the brain, it causes rotation, leading to tension in the optic nerve. Tension causes vertigo and dizziness. If pathogens strike the eyeball directly, misalignment occurs, causing the eyeball to scatter. Scattering leads to diplopia, hence seeing two objects. Prescribe medicines that expel wind and enter the brain, and the condition will heal.