雀盲。俗称也。亦曰鸡盲。本科曰高风内障。至晚不见。至晓复明也。方书以为木生于亥。
旺于卯而绝于申。至酉戌之时。木气衰甚。故不能睹。至日出于卯之时。木气稍盛。故复明。蛤
粉丸、煮肝散、决明夜灵散。效后常服六味丸加当归、沙参。永保终吉。按内经云。目得血而能
视。血虚肝失所养。则不能视。夜属阴。人之血属阴。阴主静而恶躁扰。阴虚则火必盛。弱阴不
能胜强火。故夜转剧。昏暗而不能睹。天明以阳用事。阳主动。火邪暂开。故稍明。治以补气养
血为主。食以牛猪之肝即愈。益见其元气弱而阴不足也。
真睛膏损。乃热伤其水。以致神膏缺损。其状风轮有证。或痕或HT 。长短大小不一。或HT
小如针刺伤者。或HT 大如簪脚刺伤者。或痕如指甲刻伤者。或风轮周匝有痕长甚者。凡有此等。
皆肝胆络分有郁滞。热蒸之甚。烁坏神膏之故。并宜六味丸加当归、石决明、白蒺藜及八珍、补
中之类。急须早治。勿使深陷为窟。为蟹睛突出。为翳满如冰瑕等患。必久服峻补之剂。方得水
清膏复。若治间怠。则白晕终身难免。
膏伤珠陷。谓珠觉低陷而不鲜绽也。非若青黄凸出诸漏之比。所致不一。有恣色而竭肾水者。
有嗜辛燥而伤津液者。有因风痰湿热久郁而蒸损睛膏者。有不当出血而误伤经络。及出血太多。
以致膏液不得滋润涵养者。有哭损液汁而致者。大抵皆元气弱而膏液不足也。治当温养血气为主。
慎不可用清凉之剂。凡人目无故而自低陷者。死期至矣。若外有恶证。内损睛膏者不治。
Blindness at dusk. This is a common name. It is also called "chicken blindness." In this specialty, it is referred to as *Gaofeng Neizhang* (High-Wind Internal Obstruction). The patient cannot see in the evening but regains vision at dawn. Medical texts attribute this to the wood element (Liver) being born at Hai hour, flourishing at Mao hour, and perishing at Shen hour. By You and Xu hours, the wood qi is extremely weak, hence the inability to see. When the sun rises at Mao hour, the wood qi becomes slightly vigorous, hence vision returns. *Ge Fen Wan* (Clam Powder Pill), *Zhu Gan San* (Boiled Liver Powder), and *Jueming Yeling San* (Cassia Seed and Night Owl Powder) are effective; thereafter, regularly taking *Liuwei Wan* (Six-Ingredient Pill with Rehmannia) added with Danggui (*Angelicae Sinensis Radix*) and Shashen (*Glehniae Radix*) ensures lasting health. According to the *Neijing* (Inner Canon), the eyes can see only when nourished by blood. If blood is deficient, the Liver loses its nourishment, and vision fails. Night belongs to Yin, and human blood belongs to Yin. Yin is quiet and dislikes agitation. If Yin is deficient, Fire must be hyperactive; weak Yin cannot overcome strong Fire, so symptoms worsen at night, causing dimness and blindness. At dawn, Yang takes command; Yang is active, and the pathogenic Fire temporarily dissipates, so vision slightly improves. Treatment should focus on tonifying Qi and nourishing Blood. Consuming beef or pig liver leads to recovery, further indicating that Yuan Qi (Original Qi) is weak and Yin fluids are insufficient.
Damage to the True Eye's Glaze. This results from Heat injuring Kidney Water (Essence), leading to defects in the Shen Glaze (lens/vitreous humor). The manifestation involves pathology of the Feng Lun (Wind Wheel, i.e., cornea/pupil area), presenting as scars or depressions of varying lengths and sizes. Some depressions are small like needle pricks, others large like hairpin tips, some scars resemble nail scratches, and some involve long scars around the circumference of the Wind Wheel. All such conditions stem from stagnation in the collaterals of the Liver and Gallbladder channels, where severe Heat steaming burns and damages the Shen Glaze. Treatment should employ *Liuwei Wan* (Six-Ingredient Pill with Rehmannia) added with Danggui (*Angelicae Sinensis Radix*), Shijueming (*Haliotidis Concha*), Baijili (*Tribuli Fructus*), as well as *Bazhen Tang* (Eight-Treasure Decoction) or *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction). Early treatment is urgent to prevent deep excavation into cavities, evolution into Xiejing protrusion (iris prolapse), or full opacification resembling ice flaws. Long-term administration of potent tonic agents is required to restore clear aqueous fluid and healthy glaze. If treatment is intermittent or neglected, white halos will inevitably remain for life.
Glaze Damage and Globe Depression. This refers to the sensation of the globe sinking low and lacking freshness or plumpness. It differs from various fistula-like conditions involving green or yellow protrusions. Causes vary: excessive sexual activity depleting Kidney Water; preference for pungent and dry foods damaging Jin Ye (Body Fluids); prolonged stagnation of Wind, Phlegm, Dampness, and Heat steaming and damaging the eye's glaze; erroneous injury to meridians during unnecessary bleeding or excessive blood loss preventing glaze fluids from moistening and nurturing; or damage to fluid juices due to excessive weeping. Generally, these are all cases of weak Yuan Qi (Original Qi) and insufficient glaze fluids. Treatment should primarily warm and nourish Blood and Qi. Cooling agents must strictly be avoided. If a person's eyes sink spontaneously without cause, death is imminent. If there are external malignant signs combined with internal damage to the eye's glaze, the condition is incurable.