此眼初患之时。头面多受冷热。毒风冲上。头旋犹如热病相似。俗称雷头风。或呕吐。或恶心。年多。冲入眼内。
致令失明。或从一眼先患。瞳人或大或小不定。后乃相损。眼前昏黑。不辨三光。初觉有患。宜服泻肝汤、磁石丸立效。
诗曰∶
俗号雷头热毒风 年多冲入眼睛中 瞳人微大或微小 坐对三光黑不红
脑热流脂来结白 医师不了便针通 虽然翳坠根据前暗 自愧庸医不用功
泻肝汤
防风 茺蔚子（各二两） 五味子 细辛 黄芩 大黄 芒硝（各一两） 车前子（一两半） 桔梗（一两）
上为末。以水一盏。散一钱。煎至五分。食后去渣温服。
磁石丸
磁石（烧赤醋 三遍） 五味子 牡丹皮 干姜 黑参（各一两） 附子（炮半两）
上为末。炼蜜为丸如桐子大。食前茶下十丸。
此眼初患之时。忽因五脏虚劳受疾。亦由肝气不足，热毒冲入脑中，或因打筑。脑中恶血流下。渐入眼内。后经二
三年间变成白翳。一如内障形状。不宜针拨。先患之眼。更一只牵损之眼。却待翳成。根据法针之立效。然后服镇肝丸、
还睛散即瘥。
诗曰∶
忽然撞振不全伤 疼痛微微日子长 变即脑脂为白色 一如内障睹三光
不须错误将针拨 却恐为灾难可当 在后若牵非损者 医元如法如开张
镇肝丸
石决明（一两另研） 细辛 干山药 茺蔚子 人参 车前子 柏子仁 茯苓（各一两） 防风（两半）
上为末。炼蜜为丸如桐子大。食后茶下十丸。
还睛散
人参 车前子 枯梗（各一两） 茺蔚子 芎 （各一两） 防风 细辛（各一两半）
上为末，以水一盏。散一钱。煎至五分。食前去渣温服。
【十五·雷头风内障】
此眼病在初发之时，头部和面部多受到冷热邪气的侵袭，毒风向上冲逆。患者感到头晕目眩，症状类似于热病，俗称“雷头风”。伴有呕吐或恶心感。若病程迁延多年，邪气冲入眼内，导致失明。可能先从一只眼睛发病，瞳孔大小不定，随后另一只眼睛也受损伤，眼前昏黑，无法分辨三光（日、月、星）。初觉患病时，适宜服用泻肝汤、磁石丸，可立即见效。
诗曰：
俗称为雷头风的热毒之证，年久邪气冲入眼睛之中。
瞳孔微大或微小不定，静坐面对日月星光却只见黑暗不见红光。
脑部热气流注油脂凝结成白色翳障，医生若不明了便施针通治。
虽然翳障下垂依据前法治疗尚能复明，但自愧庸医未能用心钻研。
泻肝汤
防风、茺蔚子（各二两）、五味子、细辛、黄芩、大黄、芒硝（各一两）、车前子（一两半）、桔梗（一两）。
以上药物研为末，用水一盏，取药散一钱，煎至五分，饭后去渣温服。
磁石丸
磁石（烧红后醋淬三次）、五味子、牡丹皮、干姜、黑参（各一两）、附子（炮制半两）。
以上药物研为末，炼蜜制成如梧桐子大小的丸剂，饭前用茶送服十丸。
【十六·惊振内障】
此眼病在初发之时，忽然因五脏虚劳而致病，也是由于肝气不足，热毒冲入脑中，或者因为被打击震荡，导致脑中恶血下行，逐渐进入眼内。经过两三年后变成白色翳障，形状完全像内障一样。不适宜用针拨法治疗。先患病的眼睛，连同另一只被牵连受损的眼睛，要等到翳障成熟后，依据方法施针，可立即见效。然后服用镇肝丸、还睛散即可痊愈。
诗曰：
忽然遭遇震荡造成不完全的损伤，疼痛轻微但日子长久。
病情变化即脑脂变为白色，如同内障一般看不见三光。
不要错误地用针拨法，恐怕会造成灾难难以承受。
后来如果牵连的不是受损之眼，医生若能依法如常开张处方。
镇肝丸
石决明（一两另研）、细辛、干山药、茺蔚子、人参、车前子、柏子仁、茯苓（各一两）、防风（一两半）。
以上药物研为末，炼蜜制成如梧桐子大小的丸剂，饭后用茶送服十丸。
还睛散
人参、车前子、枯梗（各一两）、茺蔚子、芎䓖（各一两）、防风、细辛（各一两半）。
以上药物研为末，用水一盏，取药散一钱，煎至五分，饭前去渣温服。
[Chapter 15. Lei Tou Feng Internal Cataract]
When this eye disease first occurs, the head and face are often affected by cold and heat pathogens, with toxic wind rushing upward. The patient experiences dizziness and vertigo, resembling symptoms of a febrile disease, commonly known as "Lei Tou Feng" (Thunder Head Wind). Accompanied by vomiting or nausea. If the condition persists for many years, the pathogen rushes into the eyes, leading to blindness. It may initially affect one eye, with the pupil size being irregular; subsequently, the other eye is damaged, resulting in dimness and darkness before the eyes, unable to distinguish the Three Lights (Sun, Moon, Stars). Upon initial onset, it is advisable to administer Xie Gan Tang (Liver-Draining Decoction) and Ci Shi Wan (Magnetite Pill), which yield immediate results.
Poem:
Commonly called the hot toxic wind of Thunder Head, after many years it rushes into the eyes.
The pupil becomes slightly large or minute, sitting facing the Three Lights, seeing only blackness without redness.
Brain heat flows with grease to form white opacities; if physicians do not understand, they mistakenly use needling.
Although the cataract droops, following previous methods brings recovery, yet I feel ashamed that mediocre doctors lack diligence.
Xie Gan Tang (Liver-Draining Decoction)
Fangfeng (Saposhnikoviae Radix), Chongweizi (Chuanxiong Herba seeds? Note: Context implies Chuanxiong or similar, but text says Chongweizi - Elsholtziae Fructus/Perilla Fructus variant? Standard WHO: Elsholtziae Fructus), Wuweizi (Schisandrae Chinensis Fructus), Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Cheqianzi (Plantaginis Semen), Jiegeng (Platycodonis Radix). (Dosages: Fangfeng and Chongweizi 2 liang each; Wuweizi, Xixin, Huangqin, Dahuang, Mangxiao 1 liang each; Cheqianzi 1.5 liang; Jiegeng 1 liang).
Grind all ingredients into powder. Take 1 qian of powder with 1 cup of water, decoct until reduced to 0.5 cup. Strain and take warm after meals.
Ci Shi Wan (Magnetite Pill)
Cishi (Magnetitum, calcined red and quenched in vinegar three times), Wuweizi (Schisandrae Chinensis Fructus), Mudanpi (Moutan Cortex), Ganjiang (Zingiberis Rhizoma), Heishen (Ginseng Radix nigra? Text says Heishen, likely processed Ginseng), Fuzi (Aconiti Lateralis Radix Praeparata, prepared 0.5 liang). (Dosages: Cishi, Wuweizi, Mudanpi, Ganjiang, Heishen 1 liang each; Fuzi 0.5 liang).
Grind all ingredients into powder, mix with refined honey to make pills the size of tung tree seeds. Take 10 pills with tea before meals.
[Chapter 16. Jing Zhen Internal Cataract]
When this eye disease first occurs, it suddenly arises from deficiency and exhaustion of the Five Zang organs, or due to insufficiency of Liver Qi, allowing toxic heat to rush into the brain. Alternatively, it may result from physical trauma or concussion, causing evil blood from the brain to flow downward and gradually enter the eyes. After two or three years, it transforms into a white opacity, resembling the appearance of an internal cataract. Needling manipulation is contraindicated. For the initially affected eye, and the other eye potentially compromised by traction, wait until the opacity matures, then apply needling according to standard methods for immediate effect. Subsequently, administer Zhen Gan Wan (Liver-Calming Pill) and Huan Jing San (Eye-Recovering Powder) for complete recovery.
Poem:
Suddenly struck by vibration causing incomplete injury, pain is slight but lasts long.
The condition changes so brain grease turns white, like an internal cataract obscuring the Three Lights.
Do not err by using needle manipulation, lest disaster be unbearable.
If later traction does not damage the other eye, the physician should prescribe according to proper methods.
Zhen Gan Wan (Liver-Calming Pill)
Shijueming (Haliotidis Concha, 1 liang separately ground), Xixin (Asari Radix et Rhizoma), Gansanyao (Dioscoreae Rhizoma dried), Chongweizi (Elsholtziae Fructus), Renshen (Ginseng Radix), Cheqianzi (Plantaginis Semen), Baiziren (Biota Semen), Fuling (Poria), Fangfeng (Saposhnikoviae Radix, 1.5 liang). (Dosages: Shijueming 1 liang; Xixin, Gansanyao, Chongweizi, Renshen, Cheqianzi, Baiziren, Fuling 1 liang each; Fangfeng 1.5 liang).
Grind all ingredients into powder, mix with refined honey to make pills the size of tung tree seeds. Take 10 pills with tea after meals.
Huan Jing San (Eye-Recovering Powder)
Renshen (Ginseng Radix), Cheqianzi (Plantaginis Semen), Kugeng (Platycodonis Radix? Text says Kugeng, likely Platycodon or Scrophulariae Radix variant, usually Platycodon in this context), Chongweizi (Elsholtziae Fructus), Xiong (Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma). (Dosages: Renshen, Cheqianzi, Kugeng 1 liang each; Chongweizi, Xiong 1 liang each; Fangfeng, Xixin 1.5 liang each).
Grind all ingredients into powder. Take 1 qian of powder with 1 cup of water, decoct until reduced to 0.5 cup. Strain and take warm before meals.