此眼初患之时，或即赤烂。渐生翳膜侵睛。盖定瞳人。即无所见，医者细看。翳心若不赤黄。犹见光明。宜令钩割
熨烙。后点烂翳散。服细辛散。
诗曰∶
眼因他患后 渐渐失光明 初觉微生膜 经年翳浓成
遍通睛上黑 日久赤黄生 火烧铜箸烙 用意手轻轻
烂翳散
朱砂 石决明 珍珠末（各半两） 曾青 砂 龙脑（各一分）
上捣研细，每至干点眼内立效。
细辛散
细辛 茺蔚子（各二两） 黑参 黄芩 桔梗 大黄（各一两） 车前子（一两半）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
此眼初患之时。皆因五脏虚劳。风热冲入肝膈之间。渐渐生翳。或后上生向下。或从下生向上。名曰顺逆障。亦用
钩割熨烙。点膜。去除晕膜。然后宜服补劳人参丸、知母饮子立效。
诗曰∶
此眼眸有翳 逆顺要须知 从下生为逆 名医效亦迟
消停经日月 汤药至还生 熨烙并钩割 涂磨散却宜
下来生顺逆 治法宜如之 效速非同逆 忌省即根据根据
补劳人参丸
人参 茯苓 桔梗 干地黄 防风 木香 桂心 干山药 细辛（各一两）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
知母饮子
知母 茺蔚子 车前子（各二两） 黄芩 桔梗 大黄 五味子（各一两）
上为末。以水一钟。散一钱。煎至五分。食后去渣温服。
当眼睛初次患病时，有时会出现红肿溃烂。逐渐生成翳膜侵入黑睛（角膜）。遮蔽瞳孔后，就会失明。医生仔细查看，如果翳膜中心不呈赤黄色，说明尚存光明。适宜采用钩割、熨烫和烙法治疗。之后点用烂翳散，内服细辛散。
诗曰：
眼睛因其他疾病之后，渐渐失去光明。起初感觉微微生出薄膜，经过一年翳膜浓密形成。
遍布通彻黑睛之上，日子久了出现赤黄色。用火烧烤铜筷进行烙治，用心用意手法要轻轻。
烂翳散
朱砂、石决明、珍珠末（各半两）、曾青、砂、龙脑（各一分）。
以上药物捣碎研成细粉，每次取少量干掺入眼内，立即见效。
细辛散
细辛、茺蔚子（各二两）、黑参、黄芩、桔梗、大黄（各一两）、车前子（一两半）。
以上药物研为粉末。用水一盏，药散一钱，煎煮至五分量，饭后去渣温服。
这种眼睛初患之时，都是因为五脏虚损劳伤，风热之邪冲入肝膈之间，渐渐生成翳膜。或者后来从上方生向下方，或者从下方生向上方，称为顺障或逆障。也采用钩割、熨烫和烙法，点药去膜，去除晕膜。然后适宜服用补劳人参丸、知母饮子，立即见效。
诗曰：
此眼眸中有翳膜，必须知晓顺逆之分。从下方向上生长为逆证，名医治疗效果也迟缓。
拖延经过日月，汤药治愈后还会再生。熨烫烙治并配合钩割，涂抹磨敷的散剂却适宜。
从下方生长为顺证，治疗方法应当如此。见效迅速不同于逆证，忌讳省略步骤。
补劳人参丸
人参、茯苓、桔梗、干地黄、防风、木香、桂心、干山药、细辛（各一两）。
以上药物研为粉末，用炼蜜制成如梧桐子大小的丸剂，空腹时用茶送服十丸。
知母饮子
知母、茺蔚子、车前子（各二两）、黄芩、桔梗、大黄、五味子（各一两）。
以上药物研为粉末。用水一钟，药散一钱，煎煮至五分量，饭后去渣温服。
When the eye disease first occurs, there may be redness and ulceration. Gradually, a nebula (corneal opacity) forms and invades the cornea. Once it covers the pupil, vision is lost. The physician examines carefully; if the center of the nebula is not red or yellow, some light perception remains. It is appropriate to employ hook-cutting, moxibustion/cauterization, and cauterizing techniques. Subsequently, apply Lan Yi San (Rotten Nebula Powder) topically and administer Xi Xin San (Asarum Powder) orally.
The poem states:
After other illnesses affect the eyes, brightness gradually fades.
Initially, a thin membrane seems to appear; after a year, the nebula thickens and forms.
It spreads across the black part of the eye; over time, redness and yellowness arise.
Burn copper chopsticks for cauterization; apply with gentle intent and light hands.
Lan Yi San (Rotten Nebula Powder)
Cinnabar (Zhusha), Concha Argo (Shijueming), Pearl Powder (Zhenzhu Mo) (each 0.5 liang); Azurite (Cengqing), Borax (Sha), Borneolum Syntheticum (Longnao) (each 1 fen).
Pulverize these ingredients finely. Apply a small amount dry into the eye for immediate effect.
Xi Xin San (Asarum Powder)
Asari Radix et Rhizoma (Xixin), Semen Ecliptae (Chongweizi) (each 2 liang); Panax Notoginseng Radix (Heishen), Scutellariae Radix (Huangqin), Platycodonis Radix (Jiegeng), Rhei Radix et Rhizoma (Dahuang) (each 1 liang); Plantaginis Semen (Cheqianzi) (1.5 liang).
Grind into powder. Take one qian of powder with one cup of water, decoct until reduced to half a cup. Strain and take warm after meals.
When this eye condition first arises, it is due to deficiency and exhaustion of the five zang organs, allowing wind-heat pathogens to rush into the liver and diaphragm region, gradually forming a nebula. The nebula may grow from above downwards or from below upwards, termed "Shun Zhang" (Smooth Obstruction) or "Ni Zhang" (Reverse Obstruction). Hook-cutting, cauterization, and cauterizing techniques are also employed to remove the membrane and its halo. Thereafter, it is appropriate to administer Bu Lao Ren Shen Wan (Tonify Deficiency Ginseng Pill) and Zhi Mu Yin Zi (Anemarrhena Decoction) for immediate effect.
The poem states:
Nebulae in the eyes require distinguishing between smooth and reverse growth.
Growth from below upwards is reverse; even famous doctors find treatment slow.
Delaying through days and months, medicines cure but recurrence happens.
Cauterization combined with hook-cutting makes topical powders suitable.
Growth from below is smooth; treatment methods should follow suit.
Recovery is rapid unlike reverse cases; do not neglect precautions.
Bu Lao Ren Shen Wan (Tonify Deficiency Ginseng Pill)
Ginseng Radix (Renshen), Poria (Fuling), Platycodonis Radix (Jiegeng), Rehmanniae Radix Preparata (Shengdihuang - *Note: Text says Gan Dihuang, usually implies Prepared Rehmannia in tonics, but literal is Dried Rehmannia*), Saposhnikoviae Radix (Fangfeng), Aucklandiae Radix (Muxiang), Cinnamon Twig (Guixin), Dioscoreae Rhizoma (Shanyao), Asari Radix et Rhizoma (Xixin) (each 1 liang).
Grind into powder, mix with refined honey to form pills the size of tung tree seeds. Take ten pills on an empty stomach with tea.
Zhi Mu Yin Zi (Anemarrhena Decoction)
Anemarrhenae Rhizoma (Zhimu), Semen Ecliptae (Chongweizi), Plantaginis Semen (Cheqianzi) (each 2 liang); Scutellariae Radix (Huangqin), Platycodonis Radix (Jiegeng), Rhei Radix et Rhizoma (Dahuang), Schisandrae Fructus (Wuweizi) (each 1 liang).
Grind into powder. Take one qian of powder with one cup of water, decoct until reduced to half a cup. Strain and take warm after meals.