阴阳应象大论曰∶天有四时,以生长收藏,以生寒暑燥湿风。寒暑燥湿风之发耶,发而皆
宜时,则万物俱生;寒暑燥湿风之发耶,发而皆不宜时,则万物俱死。故曰∶生于四时,死于
四时。又曰∶人有五脏,化为五气,以生喜怒忧悲恐。喜怒忧悲恐之发耶,发而皆中节,则九窍
俱生;喜怒忧悲恐之发耶,发皆不中节,则九窍俱死,故曰生于五脏,死于五脏。目,窍之一
也,光明视见,纳山川之大,及亳芒之细,悉云霄之高,尽泉沙之深,至于鉴无穷而有穷,而
有穷又不能为穷。反而聚之,则乍张乍敛,乍动乍静,为一泓一点之微者,岂力为强致而能
此乎?是皆生生自然之道也。或因七情内伤,五贼外攘,饥饱不节,劳役异常。足阳明胃之脉,
足太阴脾之脉,为戊己二土,生生之原也。七情五贼,总伤二脉,饥饱伤胃,劳役伤脾。戊己
既病,则生生自
然之体,不能为生生自然之用,故致其病,曰七情五贼劳役饥饱之病。其病红赤睛珠痛,痛
如刺,应太阳。眼睫无力,常欲垂闭,不敢久视,久视则酸疼生翳,皆成陷下,所陷者,或圆
或方,或长或短,或如点,或如缕,或如锥,或如凿。证有印此者,柴胡复生汤主之,黄连
羊肝丸主之。痛睛甚者,当归养荣汤主之,助阳活血汤主之,加减地黄丸主之,决明益阴丸主
之,加当归、黄连羊肝丸主之,龙脑黄连膏主之。以上数方,皆群队升发阳气之药,其中有用
黄连、黄芩之类者,去五贼也。 鼻碧云散,亦可兼用。最忌大黄、芒硝、牵牛、石膏、
栀子之剂,犯所忌,则病愈振。
The *Treatise on the Correspondence of Yin and Yang* states: Heaven has the four seasons, which govern growth, flourishing, harvesting, and storage, thereby generating cold, heat, dryness, dampness, and wind. When the emergence of cold, heat, dryness, dampness, and wind conforms to the proper timing, all things are born; when their emergence does not conform to the proper timing, all things die. Thus it is said: "Born from the four seasons, dying by the four seasons." It also says: Humans have five zang organs, which transform into five qi, thereby generating joy, anger, worry, grief, and fear. When the expression of joy, anger, worry, grief, and fear is moderate and regulated, the nine orifices function normally; when their expression is unregulated, the nine orifices fail. Thus it is said: "The nine orifices are born from the five zang organs, and die by them." The eyes are one of the nine orifices. They possess brightness and vision, capable of encompassing the vastness of mountains and rivers, as well as the minutiae of hairs and grains; they can perceive the height of clouds and the depth of springs and sands. Although they seem infinite yet finite, and the finite cannot truly reach infinity, when these energies gather inward, they fluctuate between opening and closing, movement and stillness, condensing into a subtle point like a pool of clear water. Is this achieved through force? No, this is the natural way of continuous generation.
However, internal injury may result from the seven emotions (joy, anger, worry, thought, grief, fear, fright), or external invasion by the five pathogenic factors, irregular eating and drinking, and excessive labor. The Foot-Yangming Stomach Meridian and the Foot-Taiyin Spleen Meridian correspond to Wu Earth and Ji Earth, respectively, serving as the source of life's generation. The seven emotions and five pathogens collectively injure these two meridians; irregular diet injures the Stomach, while overexertion injures the Spleen. Once Wu and Ji Earth are diseased, the physical form of natural generation cannot perform its functional role, leading to illness. This is termed disease caused by the seven emotions, five pathogens, overexertion, and dietary irregularities. Symptoms include redness and swelling of the eyeballs with pain, feeling like needle pricks, corresponding to the Taiyang pattern. The eyelids lack strength and tend to droop; the patient dares not gaze for long periods. Prolonged gazing leads to soreness, distension, and the formation of nebulae (corneal opacities). Any resulting depressions may be round, square, long, short, dot-like, thread-like, cone-shaped, or chisel-marked. For cases presenting such signs, Chaihu Fusheng Tang (Bupleurum Decoction for Renewal) is indicated; Huanglian Yanggan Wan (Coptis Pill for Nourishing the Liver) is indicated. For severe eye pain, Danggui Yangrong Tang (Angelica Decoction for Nourishing the Blood and Qi), Zhuyang Huoxue Tang (Decoction for Assisting Yang and Invigorating Blood), Jiadi Dihuang Wan (Rehmannia Pill with Modifications), Jueming Yiyin Wan (Cassia Seed Pill for Nourishing Yin), or Huanglian Yanggan Wan modified with Danggui (Angelica) are indicated; Longnao Huanglian Gao (Camphor and Coptis Ointment) is also indicated. All the aforementioned formulas consist primarily of herbs that ascend and generate Yang Qi. Those containing Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix) are used to eliminate the five pathogens. Biyun San (Green Cloud Powder) may also be used concurrently. One must strictly avoid agents containing Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Qianniu (Pharbitidis Semen), Shigao (Gypsum Fibrosum), and Zhizi (Gardeniae Fructus). Violation of these prohibitions will exacerbate the condition.