Enrich the Yin Rehmannia Pill

Pattern-based

• Blood vacuity with spirit taxation and dilated pupils
• Yin vacuity fire with failing vision

Biomedical correlates

• Optic atrophy
• Progressive visual loss

Donguibogam 東醫寶鑑

治血少神勞腎虛, 眼目昏暗, 瞳子散大, 視物昏花. 法當養血ㆍ凉血ㆍ散火ㆍ除風. 熟地黃 一兩, 柴胡 八錢, 生乾地黃(酒焙) 七錢半, 當歸身(酒洗)ㆍ黃芩 各五錢, 天門冬ㆍ地骨皮ㆍ五味子ㆍ黃連 各三錢, 人參ㆍ枳殼ㆍ甘草(灸) 各二錢. 右爲末, 蜜丸菉豆大, 每百丸, 茶淸送下. 《丹心》 ○一名熟地黃丸. 凡眼視漸昏, 乍明乍暗, 此失血之驗也, 宜服此, 與定志丸(方見神門)兼服尤佳. 《保命》

Translation

Treats scant blood with taxed spirit and kidney vacuity, the eyes dim, the pupils dilated and vision dim and flowering. The method should be to nourish and cool the blood, scatter fire and remove wind. Prepared rehmannia 1 nyang; bupleurum 8 don; dried raw rehmannia wine-dried over a low fire 7 don 5 pun; the body of Korean angelica (wine-washed) and scutellaria 5 don each; asparagus, lycium root bark, schisandra and coptis 3 don each; ginseng, bitter orange and roasted licorice 2 don each. Powder them, make honey pills the size of mung beans, and send a hundred down with clear tea. It is also called Sukjihwang-hwan. Whenever vision grows gradually dim, now bright and now dark, this is the proof of lost blood, and this should be taken; taken together with Jeongji-hwan (its formula is in the Spirit chapter) it is better still. — Danggye Simbeop 丹心 (Donguibogam · An)