此眼初患之时。头旋额角偏痛。连眼睑骨及鼻颊骨痛。眼内痛涩见花。或因呕吐恶心。或因呕逆后。便令一眼先患。
然后相牵俱损。目前花生。或红或黑。为肝肺受劳。致令然也。宜服羚羊角饮子、还睛丸。兼针诸穴眉骨血脉。令住却
疾势也。
诗曰∶
初患头旋偏头痛 额角相牵是绿风 眼眶连鼻时时痛 闷涩生花黑白红
肝脏谁知先患左 肺家右眼作先锋 续后相牵多总患 缘他脉带气相通
风劳入肺肝家壅 客热潜流到肾宫 秘涩大肠由自可 每觉心烦上筑胸
必是有时加呕逆 风痰积聚在心中 羚羊汤药须当服 还睛丸散立成功
频针眉骨兼诸穴 能行病本灭行方 忌针督脉宜出血 恐因此后转昏蒙
瞳子开张三曜绝 妙药能医更谩逢
羚羊角饮子
羚羊角 防风 知母 人参 茯苓 黑参 桔梗（各二两） 细辛（三两） 黄芩 车前子（各一两）
上为末。以水一盏。散一钱。煎至五分，食后去渣温服。
还睛丸
茺蔚子 防风（各二两） 人参 决明子 车前子 芎 细辛（各一两）
上为末。炼蜜为丸如桐子大。空心茶下十丸。
此眼初患之时。不疼不痒。渐渐昏沉。如不患眼人相似。先从一眼起。复乃相牵俱损。瞳子端然不开。不大微小。
不睹三光。此是脏气不和。光明倒退。眼带障闭。经三五年内昏气结。成翳如青白色。不辨人物。以后相牵俱损。瞳人
微小。针之无效。惟宜服药补治五脏。令夺病势。宜服决明丸、补肝汤。立效。
诗曰∶
都无痛痒不头疼 渐渐昏蒙似物瞒 没翳恰如浑不患 乌风根本更何言
有花脏腑虚劳事 无即肝家壅气嗔 两种既知虚与实 分明用药补和宣
觉时先服凉药饮 空腹宜吞磁石丸 食后补肝宜早治 瞳人未卜即能痊
阳衰年老还相似 医者搜索细意看 若绝三光应不救 瞳人干定是为难
决明丸
石决明 防风 人参 车前子 细辛 茯苓 茺蔚子 干山药 桔梗（各二两）
上为末。炼蜜为丸如桐子大。食前茶下十丸。
补肝汤
芍药 细辛 桔梗 车前子 人参 茯苓（各一两） 羌活 防风（各二两）
上为末。以水一盏。散一钱。煎至五分。食前去渣温服。
此病初发时，患者感到头晕，额角及侧头部疼痛，牵连至眼睑骨及鼻颊骨疼痛。眼部内部感觉疼痛、干涩，视物出现幻花（眼前出现闪光或斑点）。这可能是由于呕吐恶心，或者在呕逆之后，导致一只眼睛先发病。随后另一只眼睛也被牵连而共同受损。眼前出现花朵状的视物异常，颜色或红或黑，这是因为肝肺受劳损所致。适宜服用羚羊角饮子、还睛丸，并配合针刺眉骨处的血脉穴位，以遏制疾病的发展势头。
诗曰：
初起头晕偏头痛，额角牵引是绿风症。眼眶连鼻时时痛，闷涩生花黑白红。
肝脏谁知先患左，肺家右眼作先锋。续后相牵多总患，缘他脉带气相通。
风劳入肺肝家壅，客热潜流到肾宫。秘涩大肠由自可，每觉心烦上筑胸。
必是有时加呕逆，风痰积聚在心中。羚羊汤药须当服，还睛丸散立成功。
频针眉骨兼诸穴，能行病本灭行方。忌针督脉宜出血，恐因此后转昏蒙。
瞳子开张三曜绝，妙药能医更谩逢。
羚羊角饮子
组成：羚羊角、防风、知母、人参、茯苓、黑参、桔梗（各二两），细辛（三两），黄芩、车前子（各一两）。
制法与用法：将上述药材研为细末。每次取一钱药散，加水一盏，煎煮至五分量，饭后去渣温服。
还睛丸
组成：茺蔚子、防风（各二两），人参、决明子、车前子、川芎、细辛（各一两）。
制法与用法：将上述药材研为细末，用炼蜜制成如梧桐子大小的丸剂。空腹时用茶送服十丸。
此病初发时，不疼不痒，逐渐变得昏沉模糊，如同未患病的人视力一般（指外观无异常但视力下降）。先从一只眼睛开始，随后牵连另一只眼睛共同受损。瞳孔端正但不张开，不大不小。看不见三光（日光、月光、灯光）。这是由于脏腑之气不和，光明倒退，眼带障闭。经过三五年内，昏气凝结，形成翳膜，颜色呈青白色，无法辨认人物。此后牵连双眼俱损，瞳孔微小，针刺无效。只适宜服药补治五脏，以扭转病情。适宜服用决明丸、补肝汤，可立见成效。
诗曰：
都无痛痒不头疼，渐渐昏蒙似物瞒。没翳恰如浑不患，乌风根本更何言。
有花脏腑虚劳事，无即肝家壅气嗔。两种既知虚与实，分明用药补和宣。
觉时先服凉药饮，空腹宜吞磁石丸。食后补肝宜早治，瞳人未卜即能痊。
阳衰年老还相似，医者搜索细意看。若绝三光应不救，瞳人干定是为难。
决明丸
组成：石决明、防风、人参、车前子、细辛、茯苓、茺蔚子、干山药、桔梗（各二两）。
制法与用法：将上述药材研为细末，用炼蜜制成如梧桐子大小的丸剂。饭前用茶送服十丸。
补肝汤
组成：芍药、细辛、桔梗、车前子、人参、茯苓（各一两），羌活、防风（各二两）。
制法与用法：将上述药材研为细末。每次取一钱药散，加水一盏，煎煮至五分量，饭前去渣温服。
At the initial stage of this eye disease, the patient experiences dizziness and pain in the forehead and temporal regions, extending to the orbital bones and nasal-cheek bones. The interior of the eyes feels painful and dry, with visual disturbances such as seeing flowers (photopsia or floaters). This may be caused by vomiting or nausea, or occurring after retching, leading to the onset of symptoms in one eye first. Subsequently, the other eye is involved, resulting in bilateral damage. Visual phenomena resembling flowers appear before the eyes, varying in color from red to black. This condition arises due to exhaustion and injury of the Liver and Lungs. It is advisable to administer Lingyangjiao Yinzi (Antelope Horn Decoction) and Huanjing Wan (Eye-Rejuvenating Pill), combined with acupuncture at the blood vessels around the eyebrow bones, to arrest the progression of the disease.
Poem:
Initial dizziness and unilateral headache,
Temporal pulling indicates Green Wind syndrome.
Orbital and nasal pain occurs frequently,
Stuffy and dry, seeing flowers red, black, or white.
Who knows the Liver suffers on the left side first,
The Lung acts as the vanguard for the right eye.
Subsequent involvement affects both eyes generally,
Due to the connection of meridians and Qi flow.
Wind and exhaustion obstruct the Lung and Liver,
Guest heat secretly flows into the Kidney palace.
Constipation may occur naturally,
Frequent heart vexation presses against the chest.
Occasional retching accompanies the condition,
Wind-phlegm accumulates within the Heart center.
Lingyang Tang (Antelope Decoction) must be taken,
Huanjing Wan powder achieves immediate success.
Frequent acupuncture at the eyebrows and other points,
Can treat the root cause and extinguish the pathogenic method.
Avoid needling the Du Meridian; bleeding is preferred,
Lest it lead to subsequent blindness and confusion.
When the pupil opens, the Three Luminaries are lost,
Excellent medicines can cure, but they are rarely met.
Lingyangjiao Yinzi (Antelope Horn Decoction)
Ingredients: Antelope Horn (Lingyangjiao), Saposhnikovia Root (Fangfeng), Anemarrhena Rhizome (Zhimu), Ginseng Radix (Renshen), Poria (Fuling), Black Ginseng (Heishen), Platycodon Root (Jiegeng) (each 2 liang); Asarum (Xixin) (3 liang); Scutellaria Root (Huangqin), Plantago Seed (Cheqianzi) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 1 qian of the powder, add 1 cup of water, decoct until reduced to 0.5 cup. Strain and take warm after meals.
Huanjing Wan (Eye-Rejuvenating Pill)
Ingredients: Leonurus Fruit (Chongweizi), Saposhnikovia Root (Fangfeng) (each 2 liang); Ginseng Radix (Renshen), Cassia Seed (Juemingzi), Plantago Seed (Cheqianzi), Ligusticum Rhizome (Xiong), Asarum (Xixin) (each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 10 pills with tea on an empty stomach.
In the early stage of this disease, there is no pain or itching. Vision gradually becomes dim and blurry, resembling that of a person without eye disease (externally normal but functionally impaired). It starts in one eye and then spreads to involve both. The pupil remains upright but does not dilate, neither large nor small. The patient cannot see the Three Luminaries (sunlight, moonlight, lamplight). This is due to disharmony of Zang-Fu Qi, regression of visual clarity, and obstruction of the eye channels. Over three to five years, turbid Qi condenses, forming cataracts or opacities that are greenish-white in color, making it impossible to distinguish people. Subsequently, both eyes are involved, and the pupil becomes minute. Acupuncture is ineffective. Treatment should focus on herbal medicine to tonify the Five Zang organs and reverse the disease process. It is advisable to administer Jueming Wan (Cassia Seed Pill) and Bugan Tang (Liver-Tonifying Decoction), which yield immediate results.
Poem:
No pain, itching, or headache,
Gradual blurriness obscures vision like a veil.
Absence of opacity suggests the disease is hidden,
What more needs to be said about the root of Black Wind?
Visual spots indicate deficiency and exhaustion of Zang-Fu,
Absence of spots implies Liver Qi stagnation and anger.
Once the distinction between deficiency and excess is known,
Tonification and dispersal can be applied clearly.
Upon waking, first take cooling herbal drinks,
On an empty stomach, swallow Magnetite Pill (Cishi Wan).
Tonify the Liver after meals; early treatment is best,
If the pupil recovers, healing will soon follow.
It resembles the condition in the elderly with Yang decline,
Physicians must search carefully and examine closely.
If the Three Luminaries are completely lost, rescue is hopeless,
A dry and fixed pupil presents great difficulty.
Jueming Wan (Cassia Seed Pill)
Ingredients: Abalone Shell (Shijueming), Saposhnikovia Root (Fangfeng), Ginseng Radix (Renshen), Plantago Seed (Cheqianzi), Asarum (Xixin), Poria (Fuling), Leonurus Fruit (Chongweizi), Dried Yam (Ganshan Yao), Platycodon Root (Jiegeng) (each 2 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 10 pills with tea before meals.
Bugan Tang (Liver-Tonifying Decoction)
Ingredients: Peony Root (Shaoyao), Asarum (Xixin), Platycodon Root (Jiegeng), Plantago Seed (Cheqianzi), Ginseng Radix (Renshen), Poria (Fuling) (each 1 liang); Notopterygium Rhizome (Qianghuo), Saposhnikovia Root (Fangfeng) (each 2 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take 1 qian of the powder, add 1 cup of water, decoct until reduced to 0.5 cup. Strain and take warm before meals.