此眼初患之时。忽然疼痛难忍。泪出不开。有翳如黑珠子在黑眼上。如是大人患者。肝肾俱劳。毒风入眼。如此疾
状。不宜针灸触发。即服补肾丸。如小儿患者，即是实热急疳。宜服羚羊角饮子即瘥。
诗曰∶
黑翳珠排黑水间 医工会者始知难 如神药点翻为极 药用汤丸即得安
不用强看将手擘 恐因手重出青涎 庸医挑发并烧香 要见三光路更难
羚羊角饮子
羚羊角 五味子 细辛 大黄 知母 芒硝（各一两） 防风（二两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温温服之。
此眼初患之时。发歇忽然疼痛泪出。立时遽生翳白，如珠枣花陷砌鱼鳞相似。此为肝肺积热。壅实上冲入脑。致生
此疾。切宜服药治疗。不得失时。恐损眼也。宜用摩顶膏摩于顶内。然后服知母饮子。兼服山药丸立瘥。
诗曰∶
忽生白翳簇瞳人 点点如花陷砌鳞 肝肺伏藏多壅实 上冲入脑病为根
膏摩顶上除风热 汤饮除肝服要频 酒面休餐诸毒药 莫因小事发贪嗔
摩顶膏
子鹅脂 牛酥 木香（各一两） 盐花（一两半） 朱砂 龙脑（各一分）
上捣罗为末，和成膏。每日两度摩之顶上立效。
知母饮子
知母 茺蔚子（各一两） 防风 细辛（各一两半） 桔梗 大黄 茯苓 芒硝（各一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服之。
山药丸
干山药（二两） 人参 茯苓 五味子 细辛（各一两） 干地黄 防风（各一两半）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
当眼睛初次发病时，突然感到难以忍受的疼痛，流泪且无法睁眼，黑眼球上出现像黑珠子一样的翳障。如果是成年人患病，是由于肝肾过度劳累，毒风侵入眼部所致。对于这种病情，不宜采用针灸刺激诱发，应当服用补肾丸。如果是小儿患病，则属于实热急疳，适宜服用羚羊角饮子即可痊愈。
诗曰：
黑翳如珠排列在黑水（神水）之间，医生技艺高超者才知道治疗之难。使用如神的眼药点敷能迅速见效，服用汤剂或丸剂也能使病情安定。
不要强行观看或用手指掰开眼睑，恐怕因为手部用力导致青涎（眼部分泌物）流出。庸医挑破翳障并使用烧灼疗法，想要恢复视力看清三光（日、月、星，指代清晰视觉）的道路将更加艰难。
羚羊角饮子
配方：羚羊角、五味子、细辛、大黄、知母、芒硝（各一两），防风（二两）。
制法与用法：将上述药材研为细末。取水一盏，加入药散一钱，煎煮至剩余五分量，饭后滤去药渣，温服。
当眼睛初次发病时，发作突然，疼痛剧烈，流泪不止，立刻生成白色的翳障，形状像珍珠、枣花，凹陷如台阶上的鱼鳞一般。这是由于肝肺积热，壅滞实证向上冲逆入脑，从而导致此病。务必及时服药治疗，不可延误时机，恐怕会损伤眼睛。适宜用摩顶膏涂抹于头顶内部，然后服用知母饮子，同时服用山药丸，可立即痊愈。
诗曰：
忽然生出白色翳障簇拥在瞳仁周围，点点如花，凹陷如台阶上的鱼鳞。肝肺中潜伏藏匿着多重的壅滞实证，向上冲逆入脑是疾病的根源。
在头顶涂抹膏药以祛除风热，服用汤剂清除肝热需频繁饮用。戒除饮酒面食及各类毒药，不要因为小事引发贪欲和嗔怒。
摩顶膏
配方：鹅脂、牛酥、木香（各一两），盐花（一两半），朱砂、龙脑（各一分）。
制法与用法：将上述药材捣碎过筛成粉末，调和制成膏状。每天两次涂抹于头顶，立见疗效。
知母饮子
配方：知母、茺蔚子（各一两），防风、细辛（各一两半），桔梗、大黄、茯苓、芒硝（各一两半）。
制法与用法：将上述药材研为细末。取水一盏，加入药散一钱，煎煮至剩余五分量，饭后滤去药渣，温服。
山药丸
配方：干山药（二两），人参、茯苓、五味子、细辛（各一两），干地黄、防风（各一两半）。
制法与用法：将上述药材研为细末，用炼蜜制成梧桐子大小的丸剂。空腹时用茶送服十丸。
When the eye first becomes afflicted, there is sudden, unbearable pain, tearing, and an inability to open the eye. A nebula (corneal opacity) resembling a black pearl appears on the black eye (pupil/cornea). If this condition occurs in adults, it is due to exhaustion of the Liver and Kidney, with toxic wind entering the eye. For such symptoms, acupuncture and moxibustion stimulation should not be used; instead, Bushen Wan (Kidney-Nourishing Pill) should be administered. If this condition occurs in children, it is due to excess heat and acute malnutrition syndrome (Ji Gan), and Lingyangjiao Yinzi (Antelope Horn Decoction) should be taken for recovery.
The poem states:
Black nebulae like pearls are arranged amidst the black water (aqueous humor); only skilled physicians know the difficulty of treatment.
Using divine eye drops can reverse the condition rapidly; taking decoctions or pills brings peace.
Do not force your gaze or pry open the eyelids with hands,
For fear that heavy pressure will cause green fluid (ocular discharge) to leak out.
Mediocre doctors who pierce the nebula and use cauterization make the path to seeing the three lights (sun, moon, stars, symbolizing clear vision) even more difficult.
Lingyangjiao Yinzi (Antelope Horn Decoction)
Ingredients: Antelope Horn (Lingyangjiao), Schisandra Fruit (Wuweizi), Asarum (Xixin), Rhubarb (Dahuang), Anemarrhena Root (Zhimu), Mirabilite (Mangxiao) (each 1 liang), Saposhnikovia Root (Fangfeng) (2 liang).
Preparation and Administration: Grind the above ingredients into powder. Take one qian of the powder with one cup of water, boil until reduced to five fen. Strain the dregs after meals and take warm.
When the eye first becomes afflicted, the onset is sudden with severe pain and tearing. White nebulae appear immediately, resembling pearls, jujube flowers, or fish scales sunken into steps. This is caused by accumulated heat in the Liver and Lung, where stagnation and excess rise upward to invade the brain, leading to this disease. It is crucial to take medicine for treatment without delay, lest the eye be damaged. It is advisable to apply Moding Gao (Head-Massaging Ointment) to the top of the head, then take Zhimu Yinzi (Anemarrhena Decoction), and concurrently take Shanyao Wan (Chinese Yam Pill) for immediate recovery.
The poem states:
White nebulae suddenly cluster around the pupil, dotting like flowers sunken into step-like scales.
The Liver and Lung harbor excessive stagnation and excess, rising to invade the brain as the root of the disease.
Massaging ointment on the head dispels wind and heat;
Decoctions remove Liver heat and must be taken frequently.
Refrain from alcohol, wheat products, and all toxic drugs;
Do not let trivial matters incite greed and anger.
Moding Gao (Head-Massaging Ointment)
Ingredients: Goose Fat (Zhi E Shi), Beef Tallow/Suet (Niu Su), Costus Root (Muxiang) (each 1 liang), Salt Flower (Yanhua) (1.5 liang), Cinnabar (Zhusha), Borneol (Longnao) (each 1 fen).
Preparation and Administration: Pound and sieve the above ingredients into powder, mix to form an ointment. Massage onto the top of the head twice daily for immediate effect.
Zhimu Yinzi (Anemarrhena Decoction)
Ingredients: Anemarrhena Root (Zhimu), Eyebright Seed (Chongweizi) (each 1 liang), Saposhnikovia Root (Fangfeng), Asarum (Xixin) (each 1.5 liang), Platycodon Root (Jiegeng), Rhubarb (Dahuang), Poria (Fuling), Mirabilite (Mangxiao) (each 1.5 liang).
Preparation and Administration: Grind the above ingredients into powder. Take one qian of the powder with one cup of water, boil until reduced to five fen. Strain the dregs after meals and take warm.
Shanyao Wan (Chinese Yam Pill)
Ingredients: Dried Chinese Yam (Gan Shanyao) (2 liang), Ginseng (Renshen), Poria (Fuling), Schisandra Fruit (Wuweizi), Asarum (Xixin) (each 1 liang), Dried Rehmannia Root (Gan Dihuang), Saposhnikovia Root (Fangfeng) (each 1.5 liang).
Preparation and Administration: Grind the above ingredients into powder, bind with refined honey to make pills the size of paulownia seeds. Take ten pills on an empty stomach with tea.