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Who took the thick fingernail and pinched deep marks on the ice mirror, causing star clouds to rise and making the sun and moon dim. Damp pathogen invades the Fire Cauldron (referring to heat syndrome in the eye), and Metal Qi enters the Yin Gate (referring to the pathological state of Lung Metal overcoming Liver Wood). Do not blindly specialize in attacking and dispersing; the subtle principle lies in harmonizing the middle Jiao (Spleen and Stomach).

When this condition first appears, the eyes are red, swollen, painful, and tearing, unable to tolerate fire or sunlight. The Wind Wheel (cornea) develops a white nebula, shaped like a large star, with a hole in the center resembling a drill puncture. In severe cases, it resembles a new moon, with a mark on the moon that looks exactly like a deep pinch by a fingernail; thus it is called Star-Moon Nebula Erosion, which is a minor form of Purulent Corneal Ulcer (Ningzhi Syndrome). Generally, this is caused by anger and Earth stagnation injuring the Liver. When the Liver is deficient and cannot withstand the disease trend, the pathogen follows the empty orifices, presenting such symptoms in both eyes. There are many male and female patients. Regardless of whether the pulse is floating, rapid, wiry, or large, one should always use Xiling Xiaoyao San (Rhinoceros Horn and Antelope Horn Free and Easy Wanderer Powder) or Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix) and Lian (Coptidis Rhizoma) stir-fried with Cornus officinalis wine. Alternatively, modify and administer Fangji formulas such as Shufeng Yangrong (Dispel Wind and Nourish Ying), Xieqing (Drain Green), or Daochi (Guide Out Red). Although the nebula appears dangerous, it will slowly wither and fall off naturally. However, if the marks are depressed, only after long-term treatment based on pulse diagnosis for tonification and harmonization will the nebula rise and level out; it cannot disappear suddenly in a short time.

Yellow and white tender stamens bloom chaotically along the eyeball. Just now there were only a few petals, but in an instant they became double terraces. The bright moon does not shine upon them; where do the demonic clouds come from? The beauty has not seen enough, lonely and picking at those destroyed by the wind.

When this condition initially arises, both eyes become red, swollen, and violently painful, sensitive to light with excessive discharge. Upon opening the eyes, many white spots are visible along the edge of the Qingjing (clear cornea), resembling crushed plum or pear petals. Those petals that are yellow in color and floatily enlarged are particularly dangerous. Within a day and night, they connect and merge, obscuring the Divine Pearl (pupil/lens). Visually similar to Hunjing Zhang (Misty Corneal Opacity), yet prone to rapid changes, with nebula rising around the periphery and a sensation of depression in the center. If the erosion penetrates inward, it is named Flower-White Nebula Depression. Treatment requires great mental effort. It is hypothesized that excessive Earth stagnates Wood; Wood stagnation generates Fire; excessive Fire generates Phlegm. Phlegm and Fire scorch each other, damaging the essence fluids, leading to an endless predicament. *Yaohan* states this is the disaster of Metal overcoming Wood, which is truly talking in one's sleep. Rapid rescue can reverse the situation, but strict monitoring similar to that for Purulent Corneal Ulcer is required. Administer Juhua Tongsheng San (Chrysanthemum Unblocking Supreme Powder) 1 liang, divided into three doses. If the trend does not subside, administer another 1 liang the next day; swelling must subside, and the nebula will decrease. Switch to Jin Jian (Metal Decoction), two doses daily, and swallow Sanyang Qingre Wan (Three Yellows Heat-Clearing Pill) 4 qian at midnight. If the condition does not relapse and gradually ceases, then regulate Qi, soothe the Liver, clear heat, and resolve phlegm. Approximately one season is needed for full recovery. However, it cannot return to its original state. Should people not blame the physician entirely?

Original Case: In the mid-winter of the Ren-Shen year, one day my left eye suddenly suffered strange pain, followed by swelling, excessive tearing, and inability to open it. By night, the right eye was the same, feeling like roasting and stabbing, disrupting sleep and diet. Forcing myself up to look in the mirror, I saw the edges of the Wind Wheel on both sides surrounded like prayer beads, knowing it was the evil Flower-White condition. Based on the previous formula, adjusting for the disease, after three days and nights, the pain stabilized and decreased, and swelling subsided, yet I could not see people. Asking my wife and children, they all said the surrounding nebula was large and white. Fortunately, the pupil showed a slight dark shadow. Thus, Kongqingshi (Azurite) and Furongjingru (Hibiscus Mirror Milk) were mixed and applied alternately to the eyes. Gradually, vision returned. It took five full moons to achieve complete recovery.