此眼初患之时。皆因脾胃积热，脑内风冲入眼胞。睑有肉初时小如麻米。年多渐长大如桃李之状。摩隐瞳人为翳。
里边宜令针出血。然后镰洗瘀血。服细辛汤、磨翳散效。
诗曰∶
眼胞皮肉夹胶形 渐长如同梅李形 针破里边脓出后 还须服药使光明
或因此患加风热 泪出应当有翳生 铍割理如风毒眼 尽磨退散自相应
细辛汤
细辛 人参 茯苓 车前子 五味子 黑参 防风 地骨皮（各一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
磨翳散
龙脑 曾青 水晶（各一两） 珍珠末 琥珀（各一分）
上捣罗为末令细。至夜后点散眼内立效。
此眼初患之时。微有头旋昏闷。四体如劳。五脏多积风气壅毒。致令疮出于眼中。或流清涎。皆是脑无所作。虽然
不痛。渐加昏暗。切宜补治。服治风黄 汤即瘥。
诗曰∶
眼目缘何患满睛 热和风在睑中停 头结聚为脓汁 或流涎水色粘青
虽然不痛兼无翳 渐攻疮大岂心宁 黄 象胆丸和散 眼安芦荟作膏蒸
若也因缘经岁月 乌珠渐落始心惊
治风黄 汤
黄 （一两半） 防风 远志 地骨皮 人参 茯苓 大黄（各一两） 知母（二两）
上为末。以水一盏。散一钱。煎至五分。去渣温服。
此眼初患。忽然疼痛。坐卧不得。赤涩泪出。怕日羞明。皆是肝脏伏热。膈中胆气不足。致令瞳人突出如黑珠子。
又如桃李相似。此是蟹眼睛也。急宜服药。不可针灸钩割熨烙。恐损眼也。宜服泻肝汤、补胆丸、镇肾决明丸。立瘥。
诗曰∶
忽然豆粒出乌珠 蟹眼因兹作号呼 此状必因疼痛极 便明损翳最难除
钩膜针镰皆莫用 点诸疼眼败须臾 只宜凉药兼宜补 决明丸散大相宜
肝中热退还消散 针灸涂摩总不须
泻肝汤
黑参 地骨皮 车前子 芒硝（各一两） 大黄 知母（各一两半） 茺蔚子（二两）
上为末。以水一盏。散一钱。煎至五分。去渣空心温温服之。
补胆丸
防风 细辛（各一两半） 远志 黄芩 人参 茯苓 桔梗 芍药（各一两）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
镇肾决明丸
石决明 菟丝子 五味子（各一两） 细辛 干山药 干地黄 知母（各一两半）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
这段文字描述了三种眼部外障疾病的病因、症状及治疗方法。
第一种情况：
这种眼病在初发时，都是因为脾胃积热，加上脑部的风邪冲入眼睑所致。眼睑内长出肉状物，起初小如麻米，随着年份增加逐渐长大，形状如同桃李。如果它遮蔽瞳孔，就会形成翳障。
治疗上应当在内部针刺出血，然后用镰刀清洗瘀血。服用细辛汤、磨翳散效果显著。
诗曰：
眼睑皮肉夹杂胶凝之形，逐渐生长如同梅李的形状。
针刺破内部脓液流出后，还需要服药以使眼睛重见光明。
或者因此患病加重风热，流泪应当有翳生。
用铍针切割处理，如同风毒眼一样，彻底磨除消散自然相应。
细辛汤方剂组成：
细辛、人参、茯苓、车前子、五味子、黑参、防风、地骨皮（各一两半）。
以上药物研为末。用水一盏，药散一钱，煎至五分，饭后去渣温服。
磨翳散方剂组成：
龙脑、曾青、水晶（各一两），珍珠末、琥珀（各一分）。
以上捣碎过筛成细末。到了夜晚后点入眼中，立即见效。
第二种情况：
这种眼病初发时，轻微头晕昏闷，四肢感觉像劳累一样，五脏多积聚风气壅塞毒气，导致疮疡生于眼中。有的流出清稀涎水，这都是脑部功能失调所致。虽然不痛，但逐渐加重昏暗，务必及时补益治疗。服用治风黄汤即可痊愈。
诗曰：
眼睛为何患满睛？热和风在眼睑中停留。
头部结聚成为脓汁，或流涎水颜色粘青。
虽然不痛且无翳障，但逐渐攻伐疮大岂能心安？
黄象胆丸和散，眼睛安宁芦荟作膏蒸。
如果因缘经过岁月，黑珠渐落始心惊。
治风黄汤方剂组成：
黄芪（一两半）、防风、远志、地骨皮、人参、茯苓、大黄（各一两），知母（二两）。
以上药物研为末。用水一盏，药散一钱，煎至五分，去渣温服。
第三种情况：
这种眼病初发时，忽然疼痛，坐卧不安，眼睛红涩流泪，怕日羞明。这都是肝脏伏热，膈中胆气不足，导致瞳孔突出如黑珠子，又如同桃李相似。这是蟹睛症。急宜服药，不可针灸钩割熨烙，恐怕损伤眼睛。适宜服用泻肝汤、补胆丸、镇肾决明丸，立即痊愈。
诗曰：
忽然豆粒出黑珠，蟹眼因兹作号呼。
此状必因疼痛极，便明损翳最难除。
钩膜针镰皆莫用，点诸疼眼败须臾。
只宜凉药兼宜补，决明丸散大相宜。
肝中热退还消散，针灸涂摩总不须。
泻肝汤方剂组成：
黑参、地骨皮、车前子、芒硝（各一两），大黄、知母（各一两半），茺蔚子（二两）。
以上药物研为末。用水一盏，药散一钱，煎至五分，去渣空腹温温服之。
补胆丸方剂组成：
防风、细辛（各一两半），远志、黄芩、人参、茯苓、桔梗、芍药（各一两）。
以上药物研为末，炼蜜为丸如桐子大。空腹茶下十丸。
镇肾决明丸方剂组成：
石决明、菟丝子、五味子（各一两），细辛、干山药、干地黄、知母（各一两半）。
以上药物研为末，炼蜜为丸如桐子大。空腹茶下十丸。
This text describes the etiology, symptoms, and treatment methods for three types of external eye obstructions.
First Condition:
When this eye disease first occurs, it is all due to accumulated heat in the Spleen and Stomach, combined with wind pathogens from the brain rushing into the eyelids. Flesh-like growths appear in the eyelids, initially small as hemp seeds, and gradually enlarge over years to resemble plums or peaches. If it obscures the pupil, it forms a nebula (Yi).
Treatment involves pricking the interior to release blood, then using a scalpel to wash away stagnant blood. Taking Xixin Tang (Asarum Decoction) and Moyi San (Nebula-Grinding Powder) yields effective results.
Poem says:
Eyelid skin and flesh夹杂 gelatinous form, gradually growing like plum and peach shapes.
After pricking open the interior and pus flowing out, one must still take medicine to restore brightness.
Or if wind-heat aggravates the condition, tearing should occur with nebula formation.
Cutting with a Pi needle (Bichuan) treats it like wind-toxic eye; thorough grinding and dissolving will naturally correspond.
Xixin Tang (Asarum Decoction):
Asari Radix (Xixin), Ginseng Radix (Renshen), Poria (Fuling), Plantaginis Semen (Cheqianzi), Schisandrae Fructus (Wuweizi), Black Ginseng (Heishen), Saposhnikoviae Radix (Fangfeng), Lycii Cortex (Digupi) (each 1.5 liang).
The above are ground into powder. Use one cup of water, one qian of powder, decoct until half a cup remains. Strain and take warm after meals.
Moyi San (Nebula-Grinding Powder):
Borneolum Syntheticum (Longnao), Azurite (Zengqing), Rock Crystal (Shuijing) (each 1 liang), Pearl Powder (Zhenzhu Mo), Amber (Hupo) (each 1 fen).
The above are pounded and sifted into fine powder. Apply into the eyes at night for immediate effect.
Second Condition:
When this eye disease first occurs, there is slight dizziness and mental cloudiness, limbs feel fatigued, and the Five Zang organs accumulate wind qi and toxic stagnation, causing sores to emerge in the eyes. Some flow clear saliva, all resulting from brain dysfunction. Although painless, darkness gradually increases; timely tonification and treatment are essential. Taking Zhifeng Huangtang (Wind-Treating Yellow Decoction) leads to recovery.
Poem says:
Why do eyes suffer fullness? Heat and wind linger in the eyelids.
Head accumulation becomes pus, or flows saliva sticky and green.
Though painless and without nebula, progressive sore enlargement causes anxiety.
Huangxiang Dan Wan and powders, Aloe vera paste steamed for eye peace.
If conditions persist over years, the black pearl gradually falls, causing alarm.
Zhifeng Huangtang (Wind-Treating Yellow Decoction):
Astragali Radix (Huangqi) (1.5 liang), Saposhnikoviae Radix (Fangfeng), Polygalae Radix (Yuanzhi), Lycii Cortex (Digupi), Ginseng Radix (Renshen), Poria (Fuling), Rheismi Radix (Dahuang) (each 1 liang), Anemarrhenae Rhizoma (Zhimu) (2 liang).
The above are ground into powder. Use one cup of water, one qian of powder, decoct until half a cup remains. Strain and take warm.
Third Condition:
When this eye disease first occurs, sudden pain arises, making sitting and lying uncomfortable, eyes are red, dry, and tearing, sensitive to light and bright environments. This is all due to latent heat in the Liver and insufficient Gallbladder qi in the diaphragm, causing the pupil to protrude like a black bead, resembling a plum or peach. This is Crab Eye Syndrome (Xiejing). Urgent medication is required; acupuncture, hooking, cutting, moxibustion, and cauterization are contraindicated to avoid damaging the eye. It is suitable to take Xiegan Tang (Liver-Draining Decoction), Budan Wan (Gallbladder-Tonifying Pill), and Zhenshen Jueming Wan (Kidney-Supplementing Clear-Eye Pill) for immediate recovery.
Poem says:
Suddenly a bean-sized mass emerges from the black pearl, Crab Eye cries out because of this.
This state must be due to extreme pain, clarity lost, nebula hardest to remove.
Hooks, membranes, needles, and scalpels must not be used; applying to painful eyes ruins them instantly.
Only cool medicines and tonics are suitable; Jueming pills and powders are highly appropriate.
Heat in the Liver returns and dissipates; acupuncture, topical application, and massage are altogether unnecessary.
Xiegan Tang (Liver-Draining Decoction):
Black Ginseng (Heishen), Lycii Cortex (Digupi), Plantaginis Semen (Cheqianzi), Mirabilitum (Mangxiao) (each 1 liang), Rheismi Radix (Dahuang), Anemarrhenae Rhizoma (Zhimu) (each 1.5 liang), Leonuri Fructus (Chongweizi) (2 liang).
The above are ground into powder. Use one cup of water, one qian of powder, decoct until half a cup remains. Strain and take warm on an empty stomach.
Budan Wan (Gallbladder-Tonifying Pill):
Saposhnikoviae Radix (Fangfeng), Asari Radix (Xixin) (each 1.5 liang), Polygalae Radix (Yuanzhi), Scutellariae Radix (Huangqin), Ginseng Radix (Renshen), Poria (Fuling), Platycodonis Radix (Jiegeng), Paeoniae Radix Alba (Shaoyao) (each 1 liang).
The above are ground into powder, mixed with refined honey to make pills the size of paulownia seeds. Take ten pills with tea on an empty stomach.
Zhenshen Jueming Wan (Kidney-Supplementing Clear-Eye Pill):
Haliotidis Concha (Shijueming), Cuscutae Semen (Tusizi), Schisandrae Fructus (Wuweizi) (each 1 liang), Asari Radix (Xixin), Dioscoreae Rhizoma Dryum (Ganshan Yao), Rehmanniae Radix Preparata (Gandihuang), Anemarrhenae Rhizoma (Zhimu) (each 1.5 liang).
The above are ground into powder, mixed with refined honey to make pills the size of paulownia seeds. Take ten pills with tea on an empty stomach.