此眼初患之时。肝脏积热。虚劳年多。发歇有时。睛上有疮。 后更生障翳。渐入水轮。因大肠壅滞致使热也。宜
服退热饮子。钩割熨烙镰洗。宜服补虚镇心丸即瘥。
诗曰∶
黑上生疮 后痕 积生 肉渐相侵 时多常覆过痕了 因此名侵入水轮
虽即三光微可睹 乌珠沉下必氤氲 庸医猛浪强钩割 遂使双眸转更昏
退热饮子
防风 黄芩 茺蔚子 桔梗（各二两） 大黄 黑参 五味子 细辛（各一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣服之。
补虚镇心丸
石决明 人参 茯苓 大黄（各一两） 远志 细辛 干山药 防风（各二两）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
此眼初患之时。眼中疼痛。作时赤涩。泪出怕日，治疗失时，致令睛上有翳如钉头子相似。不宜钩割熨烙。难得全
效。宜令服药，此是热毒在于肝心。宜服除热饮子、镇心丸即瘥。
诗曰∶
滞留邪热在肝心 疼痛生疮那可任 毒药既深开得后 眼前翳入黑暗深
万药虽然磨不尽 能除发歇解愁襟 若乖忌省无坚固 恐怕瘢痕转更深
除热饮子
黄芩 黑参 桔梗 知母 芒硝（各二两） 防风 大黄 茺蔚子（各一两）
上为末。以水一盏，散一钱。煎至五分。每日空心食后去渣温服。
镇心丸
远志 人参 茯苓 柏子仁 细辛（各二两） 干山药 茺蔚子 车前子（各一两）
上捣罗为末。炼蜜为丸如桐子大。空心茶下十丸。
这段文字主要论述了两种眼部外障疾病的病因、症状及治疗方案。
第一种情况：
当眼睛初发疾病时，是由于肝脏积热，加之虚劳多年，病情发作和缓解有一定的时间规律。眼球表面出现疮疡，随后又生成障翳，逐渐侵入水轮（瞳孔部位）。这是因为大肠壅滞导致热气上攻所致。适宜服用退热饮子，配合钩割、熨烙、镰洗等手术疗法，并宜服用补虚镇心丸，即可痊愈。
诗曰：
黑睛上生疮，留下疤痕后，积肉逐渐相互侵蚀，时常多覆盖过疤痕。因此名为侵入水轮。
虽然三光（日、月、星，此处指视力）微弱尚可看见，但黑珠下沉必定显得朦胧不清。庸医鲁莽轻率地强行进行钩割手术，致使双眼反而更加昏暗。
退热饮子方：
防风、黄芩、茺蔚子、桔梗（各二两），大黄、黑参、五味子、细辛（各一两）。
以上药物研为末。每次取一钱药散，加水一盏，煎至五分量，饭后去渣服用。
补虚镇心丸方：
石决明、人参、茯苓、大黄（各一两），远志、细辛、干山药、防风（各二两）。
以上药物研为末，用炼蜜制成如梧桐子大小的丸剂。空腹时以茶送服十丸。
第二种情况：
这种眼病初患时，眼中疼痛，发作时红涩，流泪且怕光。因治疗失时，致使眼球表面生出如钉头般的翳膜。不宜采用钩割、熨烙等手术，难以取得完全疗效。适宜令患者服药治疗，这是热毒蕴结在肝心所致。适宜服用除热饮子和镇心丸，即可痊愈。
诗曰：
邪热滞留于肝心，疼痛生疮怎能忍受？毒药既已深入，开启治疗后，眼前的翳膜进入黑暗深处。
万种药物虽然磨不尽，能消除发作解除愁苦。如果违背禁忌和调养原则，没有坚固的恢复基础，恐怕瘢痕会转变得更深。
除热饮子方：
黄芩、黑参、桔梗、知母、芒硝（各二两），防风、大黄、茺蔚子（各一两）。
以上药物研为末。每次取一钱药散，加水一盏，煎至五分量。每日空腹及饭后去渣温服。
镇心丸方：
远志、人参、茯苓、柏子仁、细辛（各二两），干山药、茺蔚子、车前子（各一两）。
以上捣碎过筛为末，用炼蜜制成如梧桐子大小的丸剂。空腹时以茶送服十丸。
This text primarily discusses the etiology, symptoms, and treatment plans for two types of external eye obstructions.
First Condition:
When the eye disease first occurs, it is due to accumulated heat in the Liver, compounded by years of deficiency consumption (Xu Lao), with episodes of exacerbation and remission occurring at regular intervals. Sores appear on the surface of the eyeball, followed by the formation of opacities (Yi Yi) that gradually invade the Water Wheel (Shui Lun, referring to the pupil area). This is caused by heat resulting from stagnation in the Large Intestine. It is appropriate to administer Tui Re Yin Zi (Heat-Removing Decoction), combined with surgical methods such as hooking/cutting (Gou Ge), cauterization (Yun Lao), and scraping/washing (Lian Xi), along with Bu Xu Zhen Xin Wan (Deficiency-Nourishing Heart-Calming Pill), which will lead to recovery.
The poem states:
Sores arise on the black cornea; after healing, scars remain. Accumulated flesh gradually encroaches upon each other, often covering the scars extensively. Hence, it is named "Invading the Water Wheel."
Although vision (San Guang, literally sun, moon, stars, here referring to visual acuity) is faint but still perceivable, the dark pupil sinks and appears hazy. Ignorant physicians recklessly and forcefully perform hooking/cutting surgeries, causing both eyes to become even dimmer.
Tui Re Yin Zi (Heat-Removing Decoction):
Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Chong Wei Zi (Achyranthis Bidentatae Fructus), Jie Geng (Platycodonis Radix) (each 2 liang); Da Huang (Rhei Radix et Rhizoma), Hei Shen (Adenophorae Radix or similar dark ginseng variant), Wu Wei Zi (Schisandrae Chinensis Fructus), Xi Xin (Asari Radix et Rhizoma) (each 1 liang).
Grind the above into powder. Take one qian of the powder with one cup of water, decoct until reduced to half a cup. Strain and take after meals.
Bu Xu Zhen Xin Wan (Deficiency-Nourishing Heart-Calming Pill):
Shi Jue Ming (Haliotidis Concha), Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Da Huang (Rhei Radix et Rhizoma) (each 1 liang); Yuan Zhi (Polygalae Radix), Xi Xin (Asari Radix et Rhizoma), Gan Shan Yao (Dioscoreae Rhizoma), Fang Feng (Saposhnikoviae Radix) (each 2 liang).
Grind the above into powder. Mix with refined honey to form pills the size of tung tree seeds. Take ten pills with tea on an empty stomach.
Second Condition:
In this eye disease, upon initial onset, there is pain in the eye. During attacks, the eye becomes red and dry/astringent, with tearing and photophobia. Due to delayed treatment, an opacity resembling a nail head forms on the surface of the eyeball. Surgical methods such as hooking/cutting and cauterization are not suitable, as complete efficacy is difficult to achieve. It is appropriate to treat with herbal medicine, as this condition is caused by heat-toxin accumulating in the Liver and Heart. It is appropriate to administer Chu Re Yin Zi (Heat-Eliminating Decoction) and Zhen Xin Wan (Heart-Calming Pill), which will lead to recovery.
The poem states:
Evil heat lingers in the Liver and Heart; how can one endure the pain and sores? Once the deep-seated toxin is addressed, the opacity before the eyes sinks into the darkness.
Although myriad medicines cannot completely grind away the obstruction, they can eliminate flare-ups and relieve distress. If one violates dietary/lifestyle prohibitions and lacks firm recuperation, fear that the scar tissue will deepen further.
Chu Re Yin Zi (Heat-Eliminating Decoction):
Huang Qin (Scutellariae Radix), Hei Shen (Adenophorae Radix), Jie Geng (Platycodonis Radix), Zhi Mu (Anemarrhenae Rhizoma), Mang Xiao (Natrii Sulfas) (each 2 liang); Fang Feng (Saposhnikoviae Radix), Da Huang (Rhei Radix et Rhizoma), Chong Wei Zi (Achyranthis Bidentatae Fructus) (each 1 liang).
Grind the above into powder. Take one qian of the powder with one cup of water, decoct until reduced to half a cup. Strain and take warm on an empty stomach and after meals daily.
Zhen Xin Wan (Heart-Calming Pill):
Yuan Zhi (Polygalae Radix), Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Bai Zi Ren (Biota Semen), Xi Xin (Asari Radix et Rhizoma) (each 2 liang); Gan Shan Yao (Dioscoreae Rhizoma), Chong Wei Zi (Achyranthis Bidentatae Fructus), Che Qian Zi (Plantaginis Semen) (each 1 liang).
Pulverize and sieve the above into powder. Mix with refined honey to form pills the size of tung tree seeds. Take ten pills with tea on an empty stomach.