膏粱之变，滋味过也；气血俱盛，禀受浓也；亢阳上炎，阴不济也；邪入经络，内无御
也。因生而化，因化而热，热为火，火性炎上。足厥阴肝为木，木生火，母妊子，子以淫胜
，祸发反克，而肝开窍于目，故肝受克，而目亦受病也。其病眵多 紧涩，赤脉贯
睛，脏腑秘结者为重。重者，芍药清肝散主之，通气利中丸主之。眵多 紧涩，赤
脉贯睛，脏腑不秘结者为轻。轻者，减大黄、芒硝，芍药清肝散主之，黄连天花粉丸主之。
火盛，服通气利中丸。目眶烂者，内服上药，外以黄连炉甘石散收其烂处，兼以点眼春雪膏
、龙脑黄连膏、 鼻碧云散攻其淫热，此治淫热反克之法也。非膏粱之变，非气血俱盛，非亢
阳上炎，非邪入经络，毋用此也。用此则寒凉伤胃，生意不上升，反为所害，病岂不治而已
也。噫，审诸。
风动物而生于热，譬以烈火焰而必吹，此物类感召而不能违间者也。因热而召，是为外
来，久热不散，感而自生，是为内发。内外为邪，惟病则一，淫热之祸，条已如前。益以风
邪，害岂纤止，风加头痛，风加鼻塞，风加肿胀，风加涕泪，风加脑巅沉重，风加眉骨酸疼
，有一于此，羌活胜风汤主之。风加痒，则以杏仁、龙胆草，泡散洗之。病者有此数证，或
不服药，或误服药，翳必随之而生。翳如云雾，翳如丝缕，翳如秤星。翳如秤星者，或一点
，或三四点，而至数十点。翳如螺盖者，为病久不去，治不如法，至极而至也，为服寒凉药
过多，脾胃受伤，生意不能上升，渐而至也。然必要明经络，庶能应手。翳凡自内 而出，
为手太阳、足太阳受邪，治在小肠、膀胱经，加蔓荆子、苍术，羌活胜风汤主之。自锐 客
主人而入者，为足少阳、手少阳、手太阳受邪，治在胆与三焦、小肠经，加龙胆草、 本，
少加人参，羌活胜风汤主之。自目系而下者，为足厥阴、手少阴受邪，治在肝经、心经，加
黄连，倍加柴胡，羌活胜风汤主之。自抵过而上者，为手太阳受邪，治在小肠经，加木通、
五味子，羌活胜风汤主之。热甚者，兼用治淫热之药。 鼻碧云散俱治以上之证，大抵
如开锅盖法， 之随效，然力少而锐，宜不时用之以聚其力。虽然始者易而久者难，渐
复而复，渐复而又复可也。急于复者则不治。今世医用磨翳药者有之，用手法揭翳者有之。
噫！翳犹疮也，奚斯愈乎。庸者用此，非徒无益，增害犹甚。愚者受此，欣然而不悟，可叹
也哉！故置风热不制之病治法。
膏粱之变，是指饮食过于肥甘厚味；气血俱盛，是指先天禀赋浓厚；亢阳上炎，是指阳气过亢而上冲，阴液不能制约；邪入经络，是指外邪侵入经络，体内没有抵御之力。因为上述原因产生变化，因变化而产生热，热转化为火，火的性质是炎上。足厥阴肝属木，木生火，母（肝）滋养子（心/火），子气过盛反侮其母，导致祸患发生并出现“反克”现象。而肝开窍于目，所以肝受到克制，眼睛也就随之患病。
病症表现为眼屎多且眼睑紧涩，红血丝贯穿眼球，伴有脏腑便秘结滞的为重症。重症者，用芍药清肝散主治，或用通气利中丸主治。若眼屎多且眼睑紧涩，红血丝贯穿眼球，但脏腑不秘结的为轻症。轻症者，减少大黄、芒硝的用量，用芍药清肝散主治，或用黄连天花粉丸主治。若火势旺盛，服用通气利中丸。若眼眶溃烂，内服上述药物，外用黄连炉甘石散涂抹患处以收敛疮面，同时配合点眼春雪膏、龙脑黄连膏，以及使用鼻碧云散吹鼻以攻逐淫热，这是治疗淫热反克的方法。如果不是因为饮食肥甘、气血俱盛、亢阳上炎或邪入经络等原因，不要使用这些方法。如果使用不当，寒凉药物会损伤胃气，使生机不能上升，反而受害，疾病难道能治愈吗？唉，务必审慎。
风由热而生，就像烈火焰必然被风吹动一样，这是物类相互感召而不能违背的自然规律。因热而招致风邪，称为外来；久热不散，感邪而自生，称为内发。无论是外来的还是内发的邪气，致病原理是一样的，淫热的祸害前面已经论述过了。再加上风邪，危害岂止轻微？风邪侵袭导致头痛，风邪侵袭导致鼻塞，风邪侵袭导致肿胀，风邪侵袭导致涕泪，风邪侵袭导致头脑沉重，风邪侵袭导致眉骨酸痛，只要出现其中一种症状，就用羌活胜风汤主治。如果风邪侵袭导致瘙痒，则用杏仁、龙胆草泡制成散剂清洗患处。患者出现上述几种证候，或者不服药，或者误服药，内障翳膜必然随之生成。翳膜像云雾一样，像丝缕一样，像秤星一样。像秤星的翳膜，有的一个点，有的三四个点，甚至多达数十个点。像螺盖一样的翳膜，是因为病程长久未去，治疗不得法，发展到极致所致，这是由于服用过多寒凉药物，损伤脾胃，生机不能上升，逐渐形成的。然而必须明确经络归属，才能应手而愈。
翳膜凡是自内向外出的，为手太阳、足太阳经受邪，治疗在小肠、膀胱经，加蔓荆子、苍术，用羌活胜风汤主治。从锐明穴客主人穴进入的，为足少阳、手少阳、手太阳经受邪，治疗在胆与三焦、小肠经，加龙胆草、藁本，少加人参，用羌活胜风汤主治。从目系向下发展的，为足厥阴、手少阴经受邪，治疗在肝经、心经，加黄连，加倍柴胡，用羌活胜风汤主治。从抵过穴向上发展的，为手太阳经受邪，治疗在小肠经，加木通、五味子，用羌活胜风汤主治。热势严重的，兼用治疗淫热的药物。鼻碧云散都治疗以上证候，大致如同揭开锅盖的方法，药效随证显现，但药力较小而作用敏锐，适宜不时使用以积聚药力。虽然起初容易治愈，日久难治，应逐渐恢复，反复调理即可。急于求成则无法治愈。当今世医有用磨翳药的，有用手法揭翳的。唉！翳膜犹如火疮，怎能迅速痊愈呢？庸医使用这种方法，不仅无益，反而增加危害。愚者接受这种治疗，欣然不觉悟，真是可叹啊！因此，将风热不制之病的治疗方法列于此。
Gao liang zhi bian (changes caused by rich and greasy food) refers to excessive consumption of rich and sweet flavors; Qi and blood both flourishing refers to a strong congenital constitution; Kang yang shang yan (hyperactive Yang flaming upward) refers to excessive Yang rising, with Yin fluids failing to restrain it; Xie ru jing luo (pathogenic factors entering the meridians) refers to external pathogens invading the meridians without internal defense. Due to these changes, heat is generated; heat transforms into fire, and the nature of fire is to flare upward. The Foot Jueyin Liver belongs to Wood, and Wood generates Fire. The Mother (Liver) nourishes the Child (Heart/Fire), but when the Child's Qi becomes excessive, it rebels against the Mother, causing disaster and resulting in "reverse conquest" (Fan Ke). Since the Liver opens into the eyes, when the Liver is conquered, the eyes also become diseased.
The symptoms include abundant eye discharge (Chi) and tightness/astringency, red vessels penetrating the eyeball, and constipation/fecal impaction in the Zang-Fu organs, which indicates a severe condition. For severe cases, Shaoyao Qinggan San (Peony Decoction to Clear the Liver) is the primary formula, or Tongqi Lizhong Wan (Pill to Unblock Qi and Benefit the Middle) is used. If there is abundant eye discharge and tightness, red vessels penetrating the eyeball, but no constipation in the Zang-Fu organs, it indicates a mild condition. For mild cases, reduce the dosage of Dahuang (Rhubarb Rhizome) and Mangxiao (Mirabilite), use Shaoyao Qinggan San (Peony Decoction to Clear the Liver), or Huanglian Tianhuafen Wan (Coptis and Trichosanthes Root Pill). If Fire is excessive, take Tongqi Lizhong Wan (Pill to Unblock Qi and Benefit the Middle). If the eye orbits are ulcerated, take the aforementioned internal medicines externally apply Huanglian Lulganshi San (Coptis and Calamina Powder) to the ulcers to promote healing, and simultaneously use Dianyan Chunxue Gao (Spring Snow Eye Ointment) and Longnao Huanglian Gao (Borneol and Coptis Eye Ointment) for eye application, and use Bixiang Biyun San (Bi Cloud Powder for the Nose) insufflated into the nose to attack the excessive heat. This is the method for treating excessive heat with reverse conquest. Do not use this if the cause is not rich diet, flourishing Qi and blood, hyperactive Yang, or pathogenic invasion of meridians. Misuse will damage the Stomach with cold-cooling herbs, prevent the rise of vital energy, and cause harm instead of benefit. Alas, exercise caution.
Wind arises from heat, just as a fierce flame must be blown by wind; this is an inevitable mutual induction among things. Attracted by heat, it is considered external; lingering heat persists, inducing generation from within, considered internal. Whether external or internal, the pathology is the same, and the disaster of excessive heat has been described above. Adding Wind pathogen, the harm is not slight: Wind causes headache, Wind causes nasal congestion, Wind causes swelling, Wind causes runny nose and tears, Wind causes heaviness in the head, Wind causes soreness in the brow bones. If any of these occur, Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind) is the primary formula. If Wind causes itching, wash with a decoction of Xingren (Apricot Seed) and Longdancao (Gentian Root). If patients have these syndromes, or refuse medication, or take incorrect medication, nebulae (Yi) will inevitably form. Nebulae may appear like clouds/mist, like silk threads, or like star scales. Star-scale nebulae may be single spots, three or four spots, up to dozens. Shell-cover nebulae result from long-standing disease, improper treatment reaching an extreme, often due to excessive intake of cold-cooling medicines damaging the Spleen and Stomach, preventing the rise of vital energy, developing gradually. One must clearly understand the meridians to achieve effective treatment.
Nebulae emerging from inside outward indicate pathogenic invasion of the Hand Taiyang and Foot Taiyang meridians; treat the Small Intestine and Bladder meridians, add Manjingzi (Vittex Seed) and Cangzhu (Atractylodes Rhizome), use Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind). Entering via Ruiming and Kerenman points indicates pathogenic invasion of the Foot Shaoyang, Hand Shaoyang, and Hand Taiyang meridians; treat the Gallbladder, Sanjiao, and Small Intestine meridians, add Longdancao (Gentian Root) and Gaoben (Ligusticum Sinense Rhizome), add a small amount of Renshen (Ginseng Radix), use Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind). Developing downward from the Eye System indicates pathogenic invasion of the Foot Jueyin and Hand Shaoyin meridians; treat the Liver and Heart meridians, add Huanglian (Coptis Rhizome), double the Chaihu (Bupleurum Root), use Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind). Developing upward from Diguo point indicates pathogenic invasion of the Hand Taiyang meridian; treat the Small Intestine meridian, add Mutong (Akebia Caulis) and Wuweizi (Schisandra Fruit), use Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind). If Heat is severe, combine with medicines for treating excessive heat. Bixiang Biyun San (Bi Cloud Powder for the Nose) treats all the above conditions, generally acting like opening a pot lid; efficacy follows the syndrome, but the power is mild yet sharp, suitable for intermittent use to accumulate strength. Although initial stages are easy to cure and late stages difficult, gradual recovery through repeated treatment is advisable. Rushing recovery leads to failure. Some modern physicians use grinding nebulae methods or manual removal techniques. Alas! Nebulae are like sores, how can they heal quickly? Quack doctors using these methods do more harm than good. Fools accepting such treatments remain unaware and delighted, truly lamentable. Therefore, the treatment methods for Wind-Heat Uncontrolled Disease are recorded here.