There are cases that are mild and resolve spontaneously. If one indulges in alcohol and sexual activity, has a preference for pungent, hot, and toxic foods, possesses a temperament prone to anger, irritability, and impatience, or fails to treat the condition for a long time leading to accumulation, the lesion may enlarge, become firm, and then painful; or it may enlarge, sink, and ulcerate, appearing white or pale yellow, resembling a rotting sore. Such manifestations indicate a relatively mild syndrome. If one continues to ignore dietary and lifestyle taboos and violates them, the ulceration will deepen. If deep ulceration is further compounded by continued disregard for taboos and lack of treatment, it may transform into a fistula (Lou). It must not be mistaken for Hordeolum (Suli Chuang).
[Silver Star Alone Visible] When star-like spots appear on the cornea (Wuzhu), they grow independently.
If they appear as clustered, interconnected aggregations, they are not "stars." This is because stars do not grow large, and lesions that become large are not stars. There are syndromes of deficiency and excess, some of which recede spontaneously while others do not. The terms deficiency and excess here do not refer to the body's Qi and Blood, but rather to the Fire within the collaterals. If deficient Fire from the collaterals wanders and stagnates in the Wind Wheel (cornea), condensing into a star, this Fire lacks a source and cannot persist for long. As the Fire subsides and Qi disperses, the corneal transparency restores, and the star disappears naturally. However, if the Fire has a source and arrives with excessive Qi causing stagnation...