Female, 58 years old. Gradual deterioration of the vision for two years. Symptoms included blurred vision, headache, dry eyes, irritability, insomnia, a bitter taste in the mouth and a dry throat. Examination showed visual acuity of 0.6 in the right eye and 0.3 in the left, no abnormality of the outside of the eyes and wedge-shaped spokes in the cortex of the lens that was cloudy after pupil dilation. There was no obvious abnormality in the fundus. The tongue body was red with a thin, yellow coating and the pulse was wiry.
Formula: Shí Jué Míng Săn (Abalone Shell Powder)
[石决明散]
| 石决明 | shí jué míng | 20g | Concha Haliotidis |
| 草决明 | căo jué míng | 10g | Semen Cassiae |
| 羌活 | qiāng huó | 10g | Rhizoma et Radix Notopterygii |
| 栀子 | zhī zĭ | 10g | Fructus Gardeniae |
| 大黄 | dà huáng | 6g | Radix et Rhizoma Rhei |
| 荆芥 | jīng jiè | 10g | Herba Schizonepetae |
| 木贼 | mù zéi | 10g | Herba Equiseti Hiemalis |
| 青葙子 | qīng xiāng zĭ | 10g | Semen Celosiae |
| 芍药 | sháo yào | 10g | Radix Paeoniae Alba |
| 麦冬 | mài dōng | 10g | Radix Ophiopogonis |
[Formula Analysis]
Shí jué míng is the monarch. Salty, heavy and cold, it cools the liver, extinguishes liver wind, nourishes liver yin and brightens the eyes.Căo jué míng, mù zéi and qīng xiāng zĭ support these actions to clear liver heat, nourish liver yin and clear the vision.Zhī zĭ and dà huáng drain fire through urination and defecation.Qiāng huó and jīng jiè eliminate wind heat.Mài dōng and sháo yào nourish the liver blood and yin.
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