手太阳之经脉,入于耳内。小儿头脑有风者,风入乘其脉,与气相击,故令耳鸣
。则邪气与正气相击,久即邪气停滞,皆成聋也。
小儿耳鸣及风掣痛,其风染而。皆起于头脑有风,其风入经脉,与气相动而作,故令掣
痛。其风染而渐至,与正气相击,轻者动作几微,故但鸣也。其风暴至,正气又盛,相击,
则其动作疾急,故掣痛也。若不止,则风不散,津液壅聚,热气加之,则生黄汁,甚者亦有
耳,宗脉之所聚,肾气之所通。小儿肾脏盛,而有热者,热气上冲于耳,津液壅结,即
生脓汁。亦有因沐浴,水入耳内,而不倾沥令尽,水湿停积,搏于血气,蕴结成热,亦令脓
汁出。皆为之 耳,久不瘥,即变成聋也。
肝气通于目。脏内客热,与胸膈痰饮相搏,熏渍于肝,肝热气冲发于目,故令目赤痛也
眼是腑脏之精华,肝之外候,而肝气通于眼也。小儿腑脏痰热,熏渍于肝,冲发于眼,
初只热痛,热气蕴积,变生障翳。热气轻者,止生白翳结聚,小者如黍粟,大者如麻豆。随
其轻重,轻者止生一翳,重者乃至两三翳也。
若不生翳,而生白障者,是疾重极,遍覆黑睛,满眼悉白,则失明也。其障亦有轻重,
轻者黑睛边微有白膜,来侵黑睛,渐染散漫。若不急治,热势即重,满目并生白障也。
The meridian of the Hand-Taiyang (Small Intestine) enters the interior of the ear. In children, if wind pathogen affects the head and brain, the wind invades and attacks the meridian, striking against the Qi, thus causing tinnitus (ringing in the ears). Consequently, the pathogenic factor strikes against the healthy Qi; over time, the pathogen stagnates, eventually leading to deafness.
Tinnitus and pain caused by wind traction in children arise from wind gradually infiltrating. These conditions originate from wind pathogen in the head and brain; when the wind enters the meridians and agitates with the Qi, it triggers traction pain. As the wind gradually penetrates and strikes the healthy Qi, if the condition is mild, the agitation is subtle, resulting only in tinnitus. If the wind arrives suddenly and violently, and the healthy Qi is strong, their mutual striking is rapid and urgent, causing traction pain. If this is not halted, the wind will not dissipate, body fluids will accumulate, and heat will exacerbate the condition, producing yellow discharge; in severe cases, it may lead to otorrhea (pus discharge from the ear).
The ear is the gathering point of numerous meridians and the pathway through which Kidney Qi communicates. Children have vigorous Kidney Qi; if there is internal heat, the heat rushes upward to the ear, causing body fluids to accumulate and knot, thereby generating pus. Alternatively, during bathing, water may enter the ear and not be completely drained. The retained water-dampness accumulates, combats the Blood and Qi, and generates heat, also leading to pus discharge. These are collectively referred to as ear diseases (likely implying otitis or similar suppurative conditions); if they persist without healing, they transform into deafness.
Liver Qi communicates with the eyes. Internal heat lodged within the Zang-Fu organs combats with phlegm-fluids in the chest and diaphragm, steaming and soaking the Liver. The resulting Liver heat rushes upward to manifest in the eyes, causing redness and pain.
The eyes are the essence of the Zang-Fu organs, the external manifestation of the Liver, and the site where Liver Qi communicates. Phlegm-heat in the Zang-Fu organs of children steams and soaks the Liver, rushing upward to affect the eyes. Initially, there is only heat and pain; as the heat accumulates, it transforms into visual obstructions (cataracts or corneal opacities). With mild heat, only white opacities form and aggregate; small ones resemble millet grains, large ones resemble hemp seeds or beans. Depending on severity, mild cases produce a single opacity, while severe cases may produce two or three.
If no opacity forms but a white membrane develops, the disease is extremely severe. The white membrane covers the black pupil (cornea) entirely, turning the whole eye white, leading to blindness. This obstruction varies in severity: in mild cases, a thin white membrane appears at the edge of the black pupil, encroaching upon it and spreading diffusely. If not treated urgently, the heat intensifies, and the entire eye becomes covered with white obstructions.