按∶金井者,在黑睛中间,一个小圈如胡椒大,
是胆汁约束神水,一条黄线。若肾水足,则金井满;
肾水少,则金井亏。神水不足,焉能照物?法当养肝
血以滋胆,清肺金以生水,则愈矣。先吃杞实粥(方
见二卷)、四物汤加枸杞子、五味,地黄汤加枸杞、
五味子。不宜点。
此症由阴精、肾气两衰,相火邪行无制,火热熏
蒸胆汁,胆汁亏损,遂致神光散大。亦有脑疼致瞳
子散大,暴怒致瞳神散大,头风、痰厥致瞳子散大,
食辛辣、炙爆过多致瞳子散大,种种不一。大约因风、
火、气、痰散大者,宜用《元机启微》所载济阴地黄
丸收小,再用地黄明目丸,肾虚散大者,先服四物汤
加枸杞、五味子,次用地黄汤加枸杞、五味子,瞳人
自收小矣。无论虚实,宜服千金磁朱丸,不宜点,
点则失明。
神膏乃目中包涵之膏液也。由胆中精汁积成,涵
养瞳神者。膏中一点黑莹,是肾、胆所聚之精华,
能照万物。如血不滋膏,神膏干矣。故滋膏须以养
肝血为主。白睛有赤丝等症,当清肺火,使不克肝,
肝家无火消耗,于以养血无难矣。先服四物汤,加滋
肾药,次服地黄汤,加养血药;再用地黄明目丸。不
点。
眼见五色花者,内虚也。盖因肾水不足,君、
相二火反来侵水,水火激搏,诸影变幻,随各脏
所受之邪,因脏现形。见黄色者,土之邪火侵也,见
红花者,心之邪火侵也;见青蓝等花者,木之邪火侵
也。如水照物,各有其形。人身中有君火、相火、化
火,群火侵水,总由肾水失散之故。治法急宜收敛
为妙。大约肾经之水,弱不能配火,邪火侵犯肾水,
是以见五色花也。先吃杞实粥,次用四物汤养肝血,
再用地黄汤滋肾水。不点。
According to the commentary: The "Jin Jing" (Golden Well) is located in the center of the black pupil (cornea), appearing as a small circle the size of a peppercorn. It is a yellow line formed by bile constraining the divine water (aqueous humor). If kidney water is sufficient, the Jin Jing is full; if kidney water is deficient, the Jin Jing is depleted. How can one see objects clearly if divine water is insufficient? The treatment method should nourish liver blood to moisten the gallbladder and clear lung metal to generate water source, which will lead to recovery. First, consume Qishi Porridge (formula seen in Volume 2), Siwu Tang (Four Substances Decoction) added with Gouqizi (Lycium Fruit) and Wuweizi (Schisandra Fruit), and Dihuang Tang (Rehmannia Decoction) added with Gouqi and Wuweizi. Eye drops are not suitable.
This condition arises from the dual deficiency of yin essence and kidney qi, allowing ministerial fire (deficient fire residing in the liver and kidney) to act pathogenically without restraint. The heat and fire fumigate the bile, causing bile deficiency, thereby leading to the dispersion of divine light (visual acuity). There are also cases where brain pain causes the pupil to dilate, sudden anger causes the divine spirit (pupil) to dilate, head wind or phlegm syncope causes the pupil to dilate, and excessive consumption of spicy or fried foods causes the pupil to dilate; the situations are varied. Generally, for dilation caused by wind, fire, qi, or phlegm, it is appropriate to use Jiying Dihuang Wan (Nourishing Yin Rehmannia Pill) recorded in *Yuanji Qiwei* to contract it, followed by Dihuang Mingmu Wan (Rehmannia Brightening Eyes Pill); for dilation caused by kidney deficiency, first take Siwu Tang (Four Substances Decoction) added with Gouqizi and Wuweizi, then take Dihuang Tang (Rehmannia Decoction) added with Gouqi and Wuweizi, and the pupil will naturally contract. Regardless of excess or deficiency, it is appropriate to take Qianjin Cizhu Wan (Thousand Gold Magnetite and Cinnabar Pill), but eye drops are contraindicated, as using them may cause blindness.
Shengao (Divine Paste) is the paste-like fluid contained within the eye. It is accumulated from the essence juice of the gallbladder and serves to nourish the divine spirit (pupil). A spot of black luster within the paste is the essence gathered by the kidney and gallbladder, capable of illuminating all things. If blood does not nourish the paste, the divine paste becomes dry. Therefore, nourishing the paste must primarily focus on nourishing liver blood. When red filaments appear on the white sclera, one should clear lung fire to prevent it from overacting on liver wood. If the liver has no fire to consume resources, nourishing blood becomes easy. First, take Siwu Tang (Four Substances Decoction) added with kidney-nourishing herbs, then take Dihuang Tang (Rehmannia Decoction) added with blood-nourishing herbs; subsequently, take Dihuang Mingmu Wan (Rehmannia Brightening Eyes Pill). Do not use eye drops.
Seeing colored flowers before the eyes indicates internal deficiency. This is generally due to insufficient kidney water, causing lord fire (heart fire) and ministerial fire to invade the water. Water and fire clash and contend, causing various images to transform unpredictably, taking shape according to the pathogens received by each zang organ. Seeing yellow flowers indicates invasion by earth's pathogenic fire; seeing red flowers indicates invasion by heart's pathogenic fire; seeing blue or green flowers indicates invasion by wood's pathogenic fire. Just as water reflects objects, each has its form. In the human body, there are lord fire, ministerial fire, and transformation fire. The invasion of multiple fires into the water is ultimately due to the scattering of kidney water. The treatment method urgently requires astringency as the best approach. Generally, the water of the kidney meridian is weak and cannot balance fire; pathogenic fire invades kidney water, hence the appearance of seeing colored flowers. First, eat Qishi Porridge, then use Siwu Tang (Four Substances Decoction) to nourish liver blood, and finally use Dihuang Tang (Rehmannia Decoction) to nourish kidney water. Do not use eye drops.