人有双眸,如天之有两曜,乃一身之至宝,聚五脏之精华。其五轮者,应五行;八廓者,
象
数看日月,频视星火,夜读细书,月下观书,抄写多年,雕镂细作,博弈不休,久处烟火,
泣泪过多,刺头出血多,若
此者,俱丧明之本。复有驰骋田猎,冲冒尘沙,日夜不息者,亦
伤目之媒。又于少壮之时,不自保惜,逮至四十,以渐昏蒙。故善卫养者,才至中年,无事
常须暝目,勿使他视,非有要事,勿宜辄开,则虽老而视不衰。大抵营卫顺则斯疾无由而生
,营卫衰则致病多矣。且伤风冷则泪出,虚则昏蒙,劳力则 赤,白肿则脾家受毒,生疮则
风热侵肺,黄乃酒伤于脾,血灌瞳仁及赤色,俱是心家有热。羞明见红花为肝冷,黑花则肾
虚,青花胆有寒,五色花为肾虚兼热,不可一概为治。若虚不补而实不泻,亦难收效。然上
虚乃肝虚,下虚乃肾虚,肝虚则头晕、耳聋、目眩,肾虚则虚壅生花,耳作蝉鸣,尤宜补肝
益肾。其有热泪交流,两睑赤痛,乃肝之极热,迎风有泪,为肾虚客热,凉肝泻肾,必得其
宜。至于五脏,各以类推。虚则生寒,实则生热,补泻之用,须在参详,毫厘之差,千里之
谬。余则无非有所触动,或大病之后,所患不一。至如暴赤一证,多因浮热冲上,或眠食失
时,饱食近火得之,加以劳役失于调摄,过食毒物,变成恶证。医者不原本始,但知暴赤属
阳,或以散血之剂,或以凉心之药,纵使退散,遂致脾经受寒,饮食不进,头目虚浮,五脏
既虚,因成内障。亦有见其不进饮食,俾更服热药,遂致三焦暴燥,热气上攻,昏涩眵泪。
或犯盛怒,辛苦重劳,遂生 肉。心气不宁,风热交并,变为攀睛,症状不一,是为外障。
又若读书、博弈等过度而致疾者,名曰肝劳。不可但投以治肝之剂,及作他证治之,卒于莫
效,惟须闭目珍护,不极远视,庶乎可瘳。若夫患风疹者,必多眼暗,先攻其风,则暗自去。
妇人胎前产后,用药亦须避忌。小儿所患,切且善治,惟略加淋洗,披镰针灸,端不可施,
犹须戒其用手频揉,或因兹睛破,至于莫救。以上诸证,专是科者,宜留意焉。
Humans possess two eyes, akin to Heaven having the Sun and Moon; they are the supreme treasures of the body, gathering the essence of the Five Zang Organs (Zang-Fu Organs). The Five Wheels of the eye correspond to the Five Elements (Wu Xing); the Eight Palaces (Ba Kuo) symbolize numerical patterns. Frequently gazing at the Sun and Moon, staring intently at sparks, reading small print by night, viewing books under moonlight, copying for many years, carving fine details, playing games without rest, dwelling long in smoke and fire, weeping excessively, or pricking the head causing much bleeding—such conditions are all roots leading to blindness. Furthermore, galloping in hunting fields, rushing through dust and sand day and night, also serves as a medium for injuring the eyes. If one does not cherish and protect oneself during youth and strength, by the age of forty, vision will gradually become dim and blurred. Therefore, those who are skilled in nurturing life should, upon reaching middle age, often close their eyes when idle, avoid letting their gaze wander elsewhere, and not open them unless there is an urgent matter; thus, even in old age, vision will not decline. Generally, when Ying and Wei Qi (Defensive and Nutritive Qi) flow smoothly, such diseases cannot arise; when Ying and Wei Qi decline, diseases multiply. Moreover, contracting wind-cold causes tearing; deficiency leads to blurriness; overwork causes redness; swelling of the eyelids indicates the Spleen has been affected by toxicity; sores indicate Wind-Heat invading the Lungs; yellowing indicates alcohol damaging the Spleen; blood flooding the pupil and redness both indicate Heat in the Heart. Photophobia with seeing red flowers suggests Cold in the Liver; seeing black flowers indicates Kidney Deficiency; seeing blue flowers indicates Cold in the Gallbladder; seeing flowers of five colors indicates Kidney Deficiency combined with Heat; treatment cannot be uniform. If deficiency is not tonified and excess is not purged, efficacy is hard to achieve. Upper deficiency refers to Liver Deficiency, lower deficiency refers to Kidney Deficiency. Liver Deficiency causes dizziness, deafness, and vertigo; Kidney Deficiency causes virtual stagnation generating visual spots and cicada-like tinnitus in the ears; it is especially appropriate to tonify the Liver and benefit the Kidney. Profuse hot tears and red, painful eyelids indicate extreme Heat in the Liver; tearing in the wind indicates Kidney Deficiency with exogenous Heat; cooling the Liver and purging the Kidney is most suitable. As for the other Zang Organs, similar reasoning applies. Deficiency generates Cold, Excess generates Heat; the use of tonification and purgation must be carefully considered, for a difference of a hair's breadth can lead to an error of a thousand miles. Other cases are merely triggered by various stimuli or occur after severe illnesses, presenting diverse symptoms. For instance, sudden acute redness (Acute Conjunctivitis) is mostly due to floating Heat rushing upward, or irregular sleep and diet, eating full meals near fire, compounded by overwork and lack of care, or consuming toxic foods, turning into malignant syndromes. Physicians who do not investigate the origin, but simply know that acute redness belongs to Yang, may use blood-dispersing agents or Heart-cooling medicines. Even if symptoms subside, this may cause Cold in the Spleen Meridian, loss of appetite, and floating edema of the head and eyes. With the Five Zang Organs now deficient, internal cataracts (Internal Obstruction) may form. Some, seeing the patient cannot eat, administer hot medicines, leading to sudden dryness of the San Jiao (Triple Burner), with Heat Qi attacking upward, causing blurry vision, sticky discharge, and tearing. Or, provoked by extreme anger and heavy labor, fleshy growths (Pterygium) may appear. Restless Heart Qi combined with Wind-Heat transforms into Pterygium; these varied symptoms constitute External Obstructions. Similarly, diseases caused by excessive reading or gaming are named Liver Fatigue (Liver Labor). One should not merely administer Liver-treating formulas or treat it as other syndromes, as this yields no effect; rather, one must keep the eyes closed and protected, avoiding extreme distance viewing, so that recovery might be possible. Those suffering from Wind-Rashes often have dim vision; first attack the Wind, then the dimness will clear. Women before pregnancy and after childbirth must observe medication taboos. Pediatric eye conditions require careful treatment; only mild washing should be applied. Incision with blades or acupuncture must absolutely not be used. It is also necessary to forbid children from frequently rubbing their eyes, lest the eyeball rupture, leading to incurable damage. These various syndromes should be noted by specialists in ophthalmology.