廉泉(治舌下肿、口疮、舌纵、舌根急缩)、金津、玉液(上二穴,可刺出血)、天突、少
商。
大补元煎(新补一) 五君子煎(新热六) 犀角地黄汤(寒七九) 大厘清饮(新寒五) 柴
胡诸饮(新散五方) 补阴益气煎(新补十六) 甘露饮(寒十) 二阴煎(新补十) 清心莲子饮
(寒三二) 徙薪饮(新寒四) 七福饮(新补七) 龙胆泻肝汤(寒六二) 理中汤(热一) 理阴
煎(新热三) 竹叶石膏汤(寒六) 五花散(和一八二) 导赤散(寒一二二) 升麻黄连汤(因
百十七) 玄参散(因百一) 泻心汤(寒二七) 细辛黄柏散(因一二三) 三黄丸(攻六八)
清胃饮(寒五六) 白蚕黄柏散(因一二四) 冰玉散(新因四六) 凉膈散(攻十九,痘八三)
《千金》口臭方(因一三三) 冰白散(新因四七) 黄柏散(因五十五) 金花煎(因百十二)
《圣惠》口齿方(因一三四) 圣金散(因百十一) 阴阳散(因百二十) 福建香茶饼(因三百
二) 绿云散(因一二二) 丁香丸(因百十八)
加减八味丸(补一二二) 《直指》黄芩汤(寒百七 心肺热) 硼砂丸(因百十 噙化)
《五脏生成篇》曰∶诸脉者皆属于目。肝受血而能视。
《五阅五使篇》曰∶目者,肝之官也。肝病者 青。
《金匮真言论》曰∶东方青色,入通于肝,开窍于目。
《邪气脏腑病形篇》曰∶十二经脉,三百六十五路,其血气皆上于面而走空窃,其精阳气
上走于目而为睛。
《大惑论》曰∶五脏六腑之精气,皆上注于目而为之精,精之窠为眼,骨之精为瞳子,
筋之精为黑眼,血之精为络,其窠气之精为白眼,肌肉之精为约束,裹撷筋骨血气之精而与
脉并为系,上属于脑,后出于项中。故邪中于项,因逢其身之虚,其入深,则随眼系以入于
脑,入于脑则脑转,脑转则引目系急,目系急则目眩以转矣。邪其精,其精所中不相比也则
精散,精散则视岐,视歧见两物。目者,五脏六腑之精也,营卫魂魄之所常营,神气之所常
生也。故神劳则魂魄散,志意乱。是故瞳子、黑眼法于阴,白眼、赤脉法于阳也,故阴阳合
传而精明也。目者,心使也,心者,神之舍也,故神精乱而不转,卒然见非常处,精神魂魄
,散不相得,故曰惑也。
《脉度篇》曰∶跷脉气不荣则目不合。肝气通于目,肝和则目能辨五色矣。
《寒热病篇》曰;足太阳有通项入于脑者,正属目本,名曰眼系,头目苦痛取之,在项
中两筋间,入脑乃别。阴跷、阳跷,阴阳相交,阳入阴,阴出阳,交于目锐 ,阳气盛则
82目,阴气盛则瞑目。
《卫气行篇》曰∶平旦阴尽,阳气出于目,目张则气上行于头。夜则气行于阴,而复合
于目。
《口问篇》曰∶心者,五脏六腑之主也;目者,宗脉之所聚也,上液之道也;口鼻者,
气之门户也。故悲哀愁忧则心动,心动则五脏六腑皆摇,摇则宗脉感,宗脉感则液道开,液
道开故泣涕出焉。液者,所以灌精濡空窍者也。故上液之道开则泣,泣不止则液竭,液竭则
精不灌,精不灌则目无所见矣,故命曰夺精。
《解精微论》曰∶夫心者,五脏之专精也,目者其窍也,华色者其荣也。是以人有德也
,则气和于目,有亡忧知于色。是以悲哀则泣下,泣下水所由生。夫水之精为志,火之精为
神,水火相感,神志俱悲,是以目之水生也。厥则目无所见。夫人厥则阳气并于上,阴气并
于下。阳并于上,则火独光也,阴并于下,则足寒,足寒则胀也。夫一水不胜五火,故目
盲。是以冲风,泣下而不止。夫风之中目也,阳气内守于精,是火气燔目,故见风则泣下也
。有以比之,夫火疾风生乃能雨,此之类也。
《决气篇》曰∶气脱者,目不明。
《癫狂篇》曰∶狂,目妄见,耳妄闻,善呼者,少气之所生也。
《藏气法时论》曰∶肝病者,虚则目KT KT 无所见,耳无所闻,善恐如人将捕之,取其经
,厥阴与少阳。
《热病篇》曰∶目中赤痛,从内 始,取之阴跷。目不明,热不已者死。
《缪刺篇》曰∶邪客于足阳跷之络,令人目痛从内 始,刺外踝之下半寸所各二
,左刺右,右刺左,如行十里顷而已。
《论疾诊尺篇》曰∶目赤色病在心,白在肺,青在肝,黄在脾,黑在肾。黄色不可名者
,病在胸中。诊目痛赤脉从上下者,太阳病;从下上者,阳明病;从外走内者,少阳病。
《经筋篇》曰∶足太阳之筋,支者为目上纲。足阳明之筋,上合于太阳,为目下纲。足
少阳之筋,支者结于目 为外维。足阳明之筋,引缺盆及颊,卒口僻急者,目不合,热则筋
纵,目不开。
《癫狂篇》曰∶目 外决于面者,为锐 ;在内近鼻者,为内 ;上为外 ;下为内
。
《评热病论》曰∶水者阴也,目下亦阴也,腹者至阴之所居,故水在腹者,必使目下肿
也。
《脉要精微论》曰∶夫精明五色者,气之华也,赤欲如白裹朱,不欲如赭;白欲如鹅羽
,不欲如盐;青欲如苍璧之泽,不欲如蓝;黄欲如罗裹雄黄,不欲如黄土;黑欲如重漆色,
不欲如地苍。五色精微象见矣,其寿不久也。夫精明者,所以视万物,别黑白,审长短。以
长为短,以白为黑,如是则精衰矣。
《五常政大论》曰∶赫曦之纪,其病疮疡血流狂妄目赤。阳明司天,燥气下临,肝气上
从,胁痛目赤。
《六元正纪大论》曰∶少阳司天之政,初之气,候乃大温,其病血溢目赤。三之气,炎
暑至,民病热中,喉痹目赤。少阴司天之政,民病目赤 疡。二之气,阳气布,风乃行,其
病淋,目冥目赤,气郁于上而热。三之气,大火行,民病目赤。火郁之发,民病目赤心热,
甚则瞀闷懊 ,善暴死。木郁之发,甚则耳鸣眩转,目不识人。
《至真要大论》曰∶少阳之胜,目赤欲呕。太阳司天,面赤目黄,善噫。
《气交变大论》曰∶岁金太过,燥气流行,肝木受邪,民病两胁下少腹痛,目赤痛 疡
。
《师传篇》曰∶肝者主为将,使之候外,欲知坚固,视目小大。目下果大,其胆乃横。
《五脏生成篇》曰∶ 蒙招尤,目冥耳聋,下实上虚,过在足少阳、厥阴,甚则
入肝。凡相五色之奇脉。(详前面病门)
《海论》曰∶髓海不足,则脑转耳鸣,胫酸眩冒,目无所见,懈怠安卧。
《风论》曰∶风气与阳明入胃,循脉而上至目内 ,其人肥则风气不得外泄,则为热中
而目黄,人瘦则外泄而寒,则为寒中而泣出。风气循风府而上,则为脑风,风入系头,则为
目风,眼寒。
《经脉篇》曰∶五阴气俱绝,则目系转,转则目运,目运者为志先死,志先死则远一日
半死矣。
《诊要经终论》曰∶太阳之脉,其终也戴眼反折。(详三十七卷死生门)
《三部九候论》曰∶目内陷者死。瞳子高者太阳不足,戴眼者太阳已绝,此决死生之
要,不可不察也。
Lianquan (Ren-23, treating sublingual swelling, mouth ulcers, tongue deviation/flaccidity, and tongue root retraction), Jinjin (Ex-HN12), Yuye (Ex-HN13) (the above two acupoints can be pricked to bleed), Tiantu (Ren-22), Shaoshang (LU-11).
Dabu Yuanyin Decoction (New Supplement 1), Wu Junzi Jian Decoction (New Heat 6), Xijiao Dihuang Tang (Cold 79), Dali Qingyin Decoction (New Cold 5), Chaihu Zhu Yin (New Dispersal 5 formulas), Buyin Yiqi Jian Decoction (New Supplement 16), Ganlu Yin Decoction (Cold 10), Eryin Jian Decoction (New Supplement 10), Qingxin Lianzi Yin Decoction (Cold 32), Xixin Yin Decoction (New Cold 4), Qifu Yin Decoction (New Supplement 7), Longdan Xiegan Tang (Cold 62), Lizhong Tang (Heat 1), Liyin Jian Decoction (New Heat 3), Zhuye Shigao Tang (Cold 6), Wuhua San Powder (Harmonize 182), Daochi San Powder (Cold 122), Shengma Lianhua Tang (Inherited 117), Xuanshen San Powder (Inherited 111), Xiexin Tang (Cold 27), Xixin Huangbai San Powder (Inherited 123), Sanhuang Wan Pill (Attack 68), Qingwei Yin Decoction (Cold 56), Baican Huangbai San Powder (Inherited 124), Bingyu San Powder (New Inherited 46), Liangge San Powder (Attack 19, Smallpox 83), *Qianjin Fang* Halitosis Formula (Inherited 133), Bingbai San Powder (New Inherited 47), Huangbai San Powder (Inherited 55), Jinhua Jian Decoction (Inherited 112), *Shenghui Fang* Oral and Dental Formula (Inherited 134), Shengjin San Powder (Inherited 111), Yinyang San Powder (Inherited 120), Fujian Fragrant Tea Cake (Inherited 302), Lvyun San Powder (Inherited 122), Dingxiang Wan Pill (Inherited 118).
Jiajian Bawei Wan Pill (Supplement 122), *Zhizhi Fang* Scutellaria Decoction (Cold 107, treating Heart and Lung Heat), Pengsha Wan Pill (Inherited 110, for holding in the mouth).
The *Suwen: Chapter on the Generation of the Five Zang Organs* states: All meridians connect to the eyes. The Liver receives blood to enable vision.
The *Suwen: Chapter on the Five Orifices and Five Orifices* states: The eyes are the external manifestation of the Liver. Patients with Liver disease have a bluish complexion.
The *Suwen: Chapter on the True Theory of the Golden Casket* states: The East corresponds to the color green, internally connecting to the Liver, and opening into the eyes.
The *Suwen: Chapter on Pathogenic Factors and Meridian-Zang-Fu Disease Forms* states: The twelve main meridians and three hundred sixty-five collaterals, their Qi and Blood all ascend to the face and enter the orifices; the refined Yang Qi ascends to the eyes to form vision.
The *Suwen: Chapter on Great Confusion* states: The essence of the five Zang and six Fu organs all ascend to the eyes to form the eye's essence. The gathering place of essence is the eyeball. The essence of bone forms the pupil, the essence of sinews forms the black part (iris/cornea), the essence of blood forms the vessels, the essence of Qi forms the white part (sclera), and the essence of muscle forms the constraints (eyelids). These wrap and gather the essence of sinews, bones, blood, and Qi, combining with the meridians to form the optic nerve system, which connects upward to the brain and exits posteriorly from the middle of the neck. Therefore, if pathogenic factors attack the neck, coinciding with bodily deficiency, and penetrate deeply, they follow the optic nerve system into the brain. Entering the brain causes dizziness, which pulls the optic nerves tight, causing visual vertigo. If pathogenic factors disturb the essence, and the affected essences do not coordinate, the essence scatters. When essence scatters, diplopia occurs, seeing double objects. The eyes are the gathering place of the essence of the five Zang and six Fu organs, where Ying and Wei, Hun and Po frequently circulate, and where Shen Qi frequently generates. Thus, mental labor causes Hun and Po to scatter and will/intent to become chaotic. Therefore, the pupil and black part follow Yin, while the white part and red vessels follow Yang. When Yin and Yang combine and transmit, clarity of vision is achieved. The eyes are the messengers of the Heart, and the Heart is the residence of Shen. Thus, if Shen and Jing are chaotic and not rotating, suddenly seeing unusual places causes Spirit, Hun, and Po to scatter and lose coordination, which is called "Huo" (confusion/delusion).
The *Suwen: Chapter on Pulse Length* states: If Qi of the Chong Mai does not nourish, the eyes cannot close. Liver Qi communicates with the eyes; when Liver Qi is harmonious, the eyes can distinguish the five colors.
The *Suwen: Chapter on Cold and Heat Diseases* states: The Foot-Taiyang channel has a branch entering the brain from the neck, directly attaching to the root of the eye, named the optic nerve system. For severe head and eye pain, treat this point located between the two tendons in the neck, entering the brain before branching. Yin Chong and Yang Chong intersect; Yang enters Yin, Yin exits Yang, intersecting at the outer canthus. When Yang Qi is abundant, the eyes open; when Yin Qi is abundant, the eyes close.
The *Suwen: Chapter on Wei Qi Circulation* states: At dawn, Yin ends, and Yang Qi emerges from the eyes. When the eyes open, Qi ascends to the head. At night, Qi travels through Yin and returns to the eyes.
The *Suwen: Chapter on Questions of the Mouth* states: The Heart is the master of the five Zang and six Fu organs; the eyes are the gathering place of numerous meridians and the pathway for fluids; the mouth and nose are the gates of Qi. Therefore, sorrow and worry move the Heart, moving the Heart shakes the five Zang and six Fu organs, shaking causes the numerous meridians to be stimulated, stimulation opens the fluid pathways, and opening of fluid pathways causes tears and snot to flow. Fluids are used to irrigate essence and moisten the orifices. Thus, when the upper fluid pathway opens, tears flow; if tearing does not stop, fluids are exhausted. When fluids are exhausted, essence is not irrigated; when essence is not irrigated, the eyes cannot see, which is called "Duojing" (loss of essence).
The *Suwen: Chapter on the Subtle Essence of Resolution* states: The Heart is the concentrated essence of the five Zang organs, the eyes are its orifice, and the luster of the complexion is its glory. Therefore, virtue leads to harmonious Qi in the eyes, and distress is known through complexion. Sorrow causes tears to fall, which is how water is generated. The essence of Water is Zhi (Will), and the essence of Fire is Shen (Spirit). When Water and Fire interact, both Shen and Zhi feel sorrow, hence water appears in the eyes. Jue syndrome results in blindness. In Jue syndrome, Yang Qi merges upward and Yin Qi merges downward. Yang merging upward means Fire shines alone; Yin merging downward means cold feet, and cold feet cause distension. One Water cannot overcome Five Fires, hence blindness. Thus, weeping continues in the wind. When Wind attacks the eyes, Yang Qi guards internally within Jing, meaning Fire Qi burns the eyes, so weeping occurs upon exposure to wind. This can be compared to nature: fierce wind generates rain, which is similar.
The *Suwen: Chapter on Resolving Qi* states: When Qi escapes, vision is unclear.
The *Suwen: Chapter on Epilepsy and Mania* states: Mania involves hallucinations of sight and hearing, and frequent shouting, caused by deficiency of Qi.
The *Suwen: Chapter on Organ Qi and Seasonal Laws* states: Patients with Liver disease, in deficiency, experience blurred vision and deafness, and excessive fear as if being hunted. Treat the meridians of Jueyin and Shaoyang.
The *Suwen: Chapter on Heat Diseases* states: Red and painful eyes starting from the inner canthus should be treated by puncturing Yin Chong. Unclear vision with unrelenting heat indicates death.
The *Suwen: Chapter on Miao Ci* states: Pathogenic factors lodging in the collateral of the Foot-Yang Chong meridian cause eye pain starting from the inner canthus. Prick two points below the lateral malleolus, left for right symptoms and right for left, resolving after walking about ten li.
The *Suwen: Chapter on Diagnosing Diseases by Measuring the Forearm* states: Red eyes indicate Heart disease; white indicates Lung disease; green indicates Liver disease; yellow indicates Spleen disease; black indicates Kidney disease. Yellow that cannot be named indicates disease in the chest. Diagnosing eye pain: red vessels descending from top to bottom indicate Taiyang disease; ascending from bottom to top indicate Yangming disease; moving from outside to inside indicate Shaoyang disease.
The *Suwen: Chapter on Meridian Sinews* states: The branch of the Foot-Taiyang meridian sinus becomes the upper eyelid. The Foot-Yangming meridian sinus combines with Taiyang to form the lower eyelid. The branch of the Foot-Shaoyang meridian sinus knots at the outer canthus to form the outer restraint. The Foot-Yangming meridian sinus draws the supraclavicular fossa and cheek; sudden facial paralysis with tightness prevents eye closure; heat causes sinew flaccidity and inability to open the eyes.
The *Suwen: Chapter on Epilepsy and Mania* states: The part of the eye decided outwardly on the face is the outer canthus; the part inward near the nose is the inner canthus; the upper is the outer canthus; the lower is the inner canthus. (Note: Textual ambiguity preserved).
The *Suwen: Chapter on Evaluating Heat Diseases* states: Water is Yin, and the area under the eyes is also Yin. The abdomen is the residence of Supreme Yin. Therefore, when water accumulates in the abdomen, the area under the eyes must swell.
The *Suwen: Chapter on Essential subtleties of Pulse Diagnosis* states: The brightness of the eyes and the five colors are the splendor of Qi. Red should resemble cinnabar wrapped in white silk, not ochre; white should resemble goose feathers, not salt; green should resemble the luster of dark jade, not indigo; yellow should resemble realgar wrapped in silk, not loess; black should resemble heavy lacquer, not earthy gray. If the subtle images of the five colors appear, life expectancy is short. The brightness of the eyes is used to view all things, distinguish black and white, and judge length and shortness. Mistaking long for short and white for black indicates depletion of essence.
The *Suwen: Chapter on the Great Theory of the Five Constant Policies* states: In the Ji of He Xi (excessive Fire), diseases include sores, bleeding, mania, and red eyes. When Yangming governs the year, dry Qi descends, Liver Qi follows upward, causing hypochondriac pain and red eyes.
The *Suwen: Chapter on the Great Theory of the Six Origins and Correct Principles* states: When Shaoyang governs the year, in the first Qi period, the climate is greatly warm, causing hemorrhage and red eyes. In the third Qi period, intense heat arrives, causing internal heat, throat obstruction, and red eyes. When Shaoyin governs the year, people suffer from red eyes and ulcers. In the second Qi period, Yang Qi spreads, wind moves, causing strangury, blurred vision, and red eyes, with Qi stagnating upward causing heat. In the third Qi period, great fire moves, causing red eyes. When Fire Stagnation erupts, people suffer from red eyes and heart heat, severe cases leading to confusion, restlessness, and sudden death. When Wood Stagnation erupts, severe cases lead to tinnitus, vertigo, and inability to recognize people.
The *Suwen: Chapter on the Great Necessity of Truth* states: When Shaoyang prevails, there are red eyes and nausea. When Taiyang governs the year, there is facial redness, yellow eyes, and frequent belching.
The *Suwen: Chapter on the Great Theory of Qi Intersection Changes* states: When Metal of the Year is excessive, dry Qi prevails, attacking Liver Wood, causing pain in the hypochondrium and lower abdomen, and red, painful, ulcerated eyes.
The *Suwen: Chapter on Teacher Transmission* states: The Liver acts as the general, scouting externally. To know its firmness, observe the size of the eyes. Large eyes under the orbit indicate bold Gallbladder Qi.
The *Suwen: Chapter on the Generation of the Five Zang Organs* states: Dizziness and swaying, blurred vision, and deafness indicate excess below and deficiency above, involving the Foot-Shaoyang and Foot-Jueyin meridians, potentially entering the Liver. Regarding the observation of abnormal pulses of the five colors (see previous disease sections).
The *Lingshu: Chapter on the Sea* states: Deficiency of the Sea of Marrow causes dizziness, tinnitus, leg soreness, vertigo, blindness, lassitude, and desire to lie down.
The *Lingshu: Chapter on Wind* states: Wind Qi enters the Stomach via the Yangming meridian, ascending to the inner canthus. In fat individuals, wind cannot escape externally, causing internal heat and yellow eyes. In thin individuals, it escapes externally causing cold, leading to internal cold and tearing. Wind ascending via Fengfu causes Brain Wind; wind entering the head system causes Eye Wind and cold eyes.
The *Lingshu: Chapter on Meridians* states: When all five Yin Qi are exhausted, the optic nerve system twists, causing eye rotation. Eye rotation indicates the death of Zhi (Will) first, followed by death one and a half days later.
The *Lingshu: Chapter on Essential Acupuncture and Terminal Meridians* states: The termination of Taiyang meridian Qi presents as upward gaze and opisthotonos. (See Volume 37, Gate of Life and Death).
The *Lingshu: Chapter on Three Parts and Nine Probes* states: Sunken eyes indicate death. High pupils indicate Taiyang deficiency; fixed upward gaze (daiyan) indicates Taiyang exhaustion. This is crucial for determining life and death and must be examined carefully.