李氏 有年血衰，肾之精华不能上注于目。常时似有黑物护蔽锐 ，低头则如黑灰纷扑。左脉短涩，此肝
肾阴亏，瞳神失敛也。仿东垣明目地黄丸。用熟地、杞子、山药、茯神、当归、五味、柴胡、白芍蜜丸，遂愈。
一小儿 夜热溺数，面肿目 羞明，白睛微黄，此脾虚不能约制，而为肝经风热所乘。用薏仁、丹皮、
茵陈、山栀、钩藤、甘菊、甘草、茯神。二服汗津津，热退溺缩，加潞参、白芍，又数服，诸症悉平。
族妇 久患目赤，产后郁怒，赤肿难开，服散火解郁之剂，未效。诊其脉脾弱肝强，议扶土制木，目疾可
瘳。砂仁、陈皮、白茯苓、白术、天麻、炙草、甘菊、川芎、山栀、草决明加枣。外用洗药，蚕砂、夏枯草、
冬桑叶、菊叶，煎汤熏洗，数次而病若失。
马氏 左目久昏，右目复 ，服眼科苦寒之剂，畏冷减食，脉弱如无，此有年阳衰，神水欲竭。惟补养神
膏，右目可复。用
党参、杞子、鹿角胶、沙苑子、当归、玉竹、桑叶、龙眼，接服补中汤二剂后，再服前药加故纸、核桃，数
十服，右目复初。
张氏 目大 脉赤，浮膜渐入风轮。按大 属心为君火，风轮属肝为风木，子能令母实，火动风生，
宜抑火以退风。用木贼、谷精消膜，赤芍、连翘泻火，枳壳、当归通元府，甘菊散风，龙眼归目，四服全消。
王 春初两目肿痛难开，旬日后白睛通赤入上 ，中裹白膜，视物无睹，服散风火退浮翳之药不应，更
用挑针点药益剧。诊之脉虚疾，予谓前法俱非也，此肝肾受损，阴火上乘耳。用杞菊地黄汤大剂煎服，数日
而明复，膜渐消。
李 精散则视歧，精虚则目暗。今病后未复，再伤肾阴。脉虚大，头震眩，目赤，纹内障视 ，心烦不
眠。治宜补坎镇离，切忌寒凉清降。仿东垣先生法。熟地、苣胜子、枸杞子、五味子、茯神、龙齿、枣仁、当
归、龙眼肉，数剂而明复障消。
李氏，年事已高，气血衰弱，肾中精华不能上注于眼睛。平时感觉好像有黑物遮挡视线，低头时如同黑灰纷飞扑来。左脉短而涩，这是肝肾阴液亏虚，瞳神失去收敛功能所致。仿照东垣先生的明目地黄丸方意。使用熟地黄、枸杞子、山药、茯神、当归、五味子、柴胡、白芍，制成蜜丸服用，于是痊愈。
一个小孩夜间发热、小便频数，面部浮肿、眼睛怕光，眼白微黄，这是脾虚不能制约，导致肝经风热侵袭所致。使用薏苡仁、牡丹皮、茵陈、山栀、钩藤、甘菊、甘草、茯神。服用两剂后微微出汗，热退尿少，加入党参、白芍，又服用几剂，所有症状全部平息。
同族妇人长期患有目赤肿痛，产后因抑郁愤怒，导致眼睛红肿难以睁开，服用散火解郁的药物，没有效果。诊察其脉象脾弱肝强，建议扶助脾胃以制约肝木，眼疾可以治愈。使用砂仁、陈皮、白茯苓、白术、天麻、炙甘草、甘菊、川芎、山栀、草决明，加红枣。外用洗药：蚕砂、夏枯草、冬桑叶、菊花叶，煎汤熏洗，经过几次治疗，病若失。
马氏，左眼长期昏花，右眼又出现翳障，服用眼科苦寒药物，畏冷食欲减退，脉微弱几乎摸不到，这是年老阳气衰微，神水即将枯竭。只有补养神膏，右眼才可以恢复。使用党参、枸杞子、鹿角胶、沙苑子、当归、玉竹、桑叶、龙眼肉，接续服用补中益气汤两剂后，再服用前药加入故纸（补骨脂）、核桃，服用几十剂，右眼恢复如初。
张氏，眼睛大且红，脉象赤色，浮膜逐渐侵入风轮（黑睛）。按中医理论，大眦属心为君火，风轮属肝为风木，子能令母实，火动则风生，应当抑制火势以消退风邪。使用木贼、谷精草消除翳膜，赤芍、连翘泻火，枳壳、当归通利元府，甘菊疏散风邪，龙眼肉引药归目，服用四剂全部消除。
王某，春初两眼肿痛难以睁开，十天后眼白通红并侵入上胞，中间包裹白色薄膜，视物不见，服用散风火退浮翳的药物无效，更用挑针点药反而加重。诊察其脉象虚弱急促，我认为前面的方法都不对，这是肝肾受损，阴火上冲所致。使用杞菊地黄汤大剂量煎服，几天后视力恢复，薄膜逐渐消退。
李某，精气涣散则视物成双，精气虚则眼睛昏暗。如今病后未恢复，再次损伤肾阴。脉象虚大，头部震颤眩晕，眼睛发红，纹内障视物模糊，心烦不眠。治疗应当补益肾水以镇守心火，切忌使用寒凉清降药物。仿照东垣先生的方法。使用熟地黄、苣胜子（菟丝子）、枸杞子、五味子、茯神、龙齿、枣仁、当归、龙眼肉，服用几剂后视力恢复，翳障消除。
Ms. Li, of advanced age, suffers from blood and qi deficiency, with the essence of the Kidney unable to ascend to nourish the eyes. She often feels as if black objects are obscuring her vision; when bowing her head, it is like black ash swirling around. The left pulse is short and choppy (Duan Se), indicating a deficiency of Liver and Kidney Yin, leading to the loss of constriction in the pupil (Tong Shen). Following the principle of Dong Yuan's Mingmu Dihuang Wan, she was prescribed prepared Rehmannia Root (Shu Di Huang), Lycium Fruit (Qi Zi), Chinese Yam (Shan Yao), Poria (Fu Shen), Angelica Sinensis Root (Dang Gui), Schisandra Berry (Wu Wei Zi), Bupleurum Root (Chai Hu), and White Peony Root (Bai Shao), processed into honeyed pills. She recovered subsequently.
A child presented with night fever and frequent urination, facial edema, photophobia, and slight yellowing of the sclera. This indicates Spleen deficiency failing to control, allowing Wind-Heat of the Liver channel to invade. He was treated with Coix Seed (Yi Yi Ren), Moutan Bark (Dan Pi), Yinchen (Artemisiae Scopariae Herba), Gardenia Fruit (Shan Zhi), Uncaria Rhynchophylla (Gou Teng), Chrysanthemum Flower (Gan Ju), Licorice Root (Gan Cao), and Poria (Fu Shen). After two doses, he sweated slightly, the fever subsided, and urination decreased. Dang Shen (Codonopsis Radix) and Bai Shao (White Peony Root) were added. After several more doses, all symptoms resolved.
A female relative of the same clan had suffered from red eyes for a long time. Postpartum depression and anger caused severe redness and swelling, making it difficult to open the eyes. Decoctions for clearing fire and resolving stagnation were ineffective. Her pulse indicated weak Spleen and strong Liver. It was proposed to strengthen the Earth (Spleen) to control Wood (Liver), which would cure the eye disease. She was given Amomum Fruit (Sha Ren), Tangerine Peel (Chen Pi), White Poria (Bai Fu Ling), Atractylodes Macrocephala Rhizome (Bai Zhu), Gastrodia Tuber (Tian Ma), Honey-fried Licorice Root (Zhi Gan Cao), Chrysanthemum Flower (Gan Ju), Ligusticum Wallichii Rhizome (Chuan Xiong), Gardenia Fruit (Shan Zhi), and Cassia Seed (Cao Jue Ming), with dates. Externally, a wash was prepared using Silkworm Frass (Can Sha), Prunella Vulgaris Spikes (Xia Ku Cao), Winter Mulberry Leaves (Dong Sang Ye), and Chrysanthemum Leaves, decocted for fumigation and washing. After several treatments, the illness disappeared almost completely.
Ms. Ma had long-term blurriness in the left eye and new opacity in the right eye. After taking bitter-cold ophthalmic medicines, she became sensitive to cold and lost appetite, with a very faint pulse barely perceptible. This indicates Yang deficiency in old age, with the Divine Water (Shen Shui) nearing exhaustion. Only by nourishing the Divine Paste can the right eye recover. She was prescribed Codonopsis Radix (Dang Shen), Lycium Fruit (Qi Zi), Deer Antler Glue (Lu Jiao Jiao), Astragalus Complanatus Seed (Sha Yuan Zi), Angelica Sinensis Root (Dang Gui), Polygonatum Odoratum Rhizome (Yu Zhu), Mulberry Leaf (Sang Ye), and Longan Aril (Long Yan). After taking Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) for two doses, she continued with the previous prescription plus Psoralea Fruit (Gu Zhi) and Walnut Kernel. After dozens of doses, her right eye returned to normal.
Ms. Zhang had large, red eyes with a reddish pulse, and a floating membrane gradually invading the Wind Wheel (cornea). According to theory, the outer canthus belongs to the Heart as Minister Fire, and the Wind Wheel belongs to the Liver as Wind-Wood. "The son makes the mother full"; when Fire moves, Wind arises. Therefore, it is appropriate to suppress Fire to dissipate Wind. She was treated with Equisetum Hiemale Stem (Mu Zei) and Centipeda Flower (Gu Jing Cao) to eliminate the membrane, Red Peony Root (Chi Shao) and Forsythia Fruit (Lian Qiao) to purge Fire, Aurantium Fruit (Zhi Ke) and Angelica Sinensis Root (Dang Gui) to unblock the Yuan Fu, Chrysanthemum Flower (Gan Ju) to scatter Wind, and Longan Aril (Long Yan) to guide the medicine to the eyes. After four doses, everything cleared completely.
Mr. Wang suffered from painful swelling of both eyes at the beginning of spring, unable to open them. Ten days later, the sclera turned entirely red and invaded the upper eyelid, wrapped in a white membrane, rendering him blind. Medications for dispersing Wind-Fire and reducing floating opacities were ineffective. Further treatment with needle pricking and topical medication worsened the condition. His pulse was weak and rapid. I stated that previous methods were incorrect; this is due to damage to the Liver and Kidney, with Deficient Fire ascending. He was given a large dose of Qiju Dihuang Wan (Lycium and Chrysanthemum Rehmannia Pill) decocted and taken orally. Within a few days, his vision returned, and the membrane gradually dissipated.
Mr. Li: When Essence scatters, vision becomes double; when Essence is deficient, vision dims. Now, after illness without recovery, further damage to Kidney Yin occurred. The pulse was empty and large, accompanied by head tremors and vertigo, red eyes, visual obstruction from internal cataracts, irritability, and insomnia. Treatment should tonify Kan (Water/Kidney) to calm Li (Fire/Heart); cold and purgative herbs must be strictly avoided. Following Mr. Dong Yuan's method, he was prescribed Prepared Rehmannia Root (Shu Di Huang), Cuscuta Seed (Qusheng Zi - likely Tu Si Zi), Lycium Fruit (Gou Qi Zi), Schisandra Berry (Wu Wei Zi), Poria (Fu Shen), Dragon Bone (Long Gu), Sour Jujube Seed (Suan Zao Ren), Angelica Sinensis Root (Dang Gui), and Longan Aril (Long Yan Rou). After several doses, his vision recovered, and the obstruction cleared.