夫一身之有双眸。若层霄之有两曜。虽浮云暂起。不妨临照之功。而纤翳或生。便失毫
厘之
肺
乃
体
晓
明。
从一
故也
成者
急须疗治。
之眼。凝滑
或半分片
色之不
治者。初
治也。又
辨其证
穷旨趣
凡内障之眼。形候甚多。好恶非一。有冰。有涩。有滑。有散。冰者拨之不下。滑者闭
之不
偶逢
非。
深。
不
闷
难
翳
产
诸
宜向小 头下针。隔鼻开眼者。鼻碍于手。下针不妙。令患人正面坐。手捉医人腰带。勿令
放手。先将钝针拄穴令定。使得眼惯。勿令转动。定呼吸气五十息。徐徐进针。勿令过重。
亦不可全轻。初且须轻轻。未入。即须稍重。针头若偏。或有伤损。血则随针出。即不可止
。亦不得重手按之。恐血更多。可轻轻 之。又须缓气。徐徐用力逼之。血即自止。若血不
止。必见大伤。则待血凝塞。针孔则合也。可依旧法。用药将息。转针不过子午。若针觉坚
急者。则是入膜。若放手犹滑。及未得全入。若已入了。其眼觉痛。若痛且住歇少时。更渐
进之。临欲过膜。痛即更甚。方便用意针过。待痛稍定。即可倒针向瞳仁。与瞳仁齐平。拨
之向下。不得绝重手也。离瞳仁微近。开眼便见物。既见物。须捻眼合。缓缓抽针出了。停
五十息。久开得明。明见物分明。即以绵封之。依法将息。勿令光度稍失其宜。即翳晕却上
。准前更开亦得。若拨后有动静。随状止之。若有痛处。以手随处 之即定。若大痛不定。
即以火熨之。凡欲下针。预向人说。虑恐下手疾。人惊恶呕吐。亦须 药止痛。以大黄木香
等为末。以醋浆水和如泥。作饼子拓之即定。或吐不定。含白梅咽津。仍预先含之。吐逆盛
。即难止。凡诸药须预备拟。不可临时阙也。痛久不可忍。即见损也。开眼后。绵封七日。
吃豉粥仰卧。不得转动侧卧。常须人看。不得离人。勿高声呼唤。大小便缓缓扶起。勿令患
人用力。及不得洗面。避风将息。七日后开封。若见物犹白色。或如霜雪。盖是眼嫩故也。
亦未可全除封。看物即可时时一开。若看物甚即睛疼。必有所损。二七日后。方可除封。有
物状如衣带飞虫。悬针之动。水轮未定。吃药渐渐自已。三七日外。眼忽痒。无虑也。凡开
眼时。患人不得太饱。亦无令饥也。既开见物。或有痛处。随左右针之。及 捻左右督脉。
颞风府等穴。若针痕痛二三日即自定也。一月不用洗面。恐水入针孔有损也。宜以绵渍盐
汤。微微拭之。七日内不得吃饭。恐动牙关。应着水轮。故须吃粥及软烂之物。夫治眼不论
障翳。及错杂状候之眼。皆不得当风看日。及喜怒房事。五辛酒面。炙爆毒物。并宜断之。
唯须宽缓情性。慎护调摄。即无不瘥也。若纵恣乖违。触犯禁忌。则自贻其咎矣。
人体的双眼，就像高空中的日月。虽然浮云暂时升起，并不妨碍其照耀的功能；但如果产生细微的翳障，就会失去毫厘之间的清明。因此一旦形成，必须立即治疗。
凡是内障眼病，形态征候非常多，好坏情况不一。有的呈冰状，有的呈涩状，有的呈滑状，有的呈散状。冰状的翳障，拨动它不会下沉；滑状的翳障，闭合它不会深陷。
遇到这种情况，应当面向患者的头部下方进针。如果隔着鼻子开眼，因为鼻子阻碍手部操作，进针效果不佳。应让患者正面端坐，手握住医生的腰带，不要松手。先用钝针抵住穴位使其固定，让眼睛适应，不要转动。调整呼吸气息五十次（约一息为一呼一吸），然后徐徐进针，力度不要过重，也不可完全过轻。刚开始要轻轻进针，未入穴时需稍加重力。如果针头偏斜，可能会造成损伤，血液会随针流出，此时不可强行止血，也不得重手按压，恐怕出血更多，可轻轻擦拭。又须放缓气息，徐徐用力逼出瘀血，血液自然停止。如果血液不止，必定是大伤，则等待血液凝固堵塞，针孔自然会闭合。可以依照旧法，用药调养。转针时不要超过子午线方向。如果感觉针刺坚硬紧急，说明进入了膜层。如果放手后针感仍滑利，且未能完全进入。如果已经深入，眼睛感到疼痛，若疼痛则暂停休息片刻，再逐渐进针。临近穿过膜层时，疼痛会更剧烈，需巧妙用意将针穿过。待疼痛稍定，即可倒转针尖朝向瞳仁，与瞳仁齐平，向下拨动，不得用极重的力量。离瞳仁微近时，开眼就能看见物体。既然看见了物体，必须捻转眼皮闭合，缓缓抽出针来。停留五十息的时间，久一点开眼就能明亮。看得清楚分明后，就用棉絮封住眼睛，依法调养，不要让光线稍微失去适宜度，这样翳障就会重新上升。照以前的方法再次开眼也可以。如果拨动后有动静，根据情况停止。如果有疼痛处，用手随处揉按即可安定。如果剧痛不止，就用火熨烫。凡是要下针，预先告诉患者，担心下手太快，人受惊吓而呕吐。也必须准备药物止痛，用大黄、木香等研成粉末，用醋浆水调和如泥，做成饼子贴敷即能安定。如果呕吐不止，含白梅咽津，并预先含着。如果呕吐严重，就难以止住。各种药物都必须预备好，不可临时缺少。疼痛长久不能忍受，就会造成损伤。开眼后，用棉絮封住七天，吃豆豉粥仰卧，不得转动或侧卧，常须有人看护，不得离开人。不要高声呼唤，大小便时要缓缓扶起，不要让患者用力，以及不得洗脸，避风调养。七日后开封。如果看见物体还是白色，或者像霜雪一样，这是因为眼睛娇嫩的原因。也还可以不完全除去封条，看东西时可以时时打开一次。如果看东西很吃力导致眼睛疼痛，必定有所损伤。十四日后，才可以除去封条。有物状如衣带飞虫，悬针般的颤动，这是水轮（瞳孔/晶状体）尚未稳定，吃药渐渐自己会好。三七日外，眼睛忽然发痒，不用担心。凡开眼时，患者不得太饱，也不要令其饥饿。既已开眼看见物体，如果有疼痛处，随左右针刺，以及捻转左右督脉、颞风府等穴位。如果针痕疼痛二三日就会自行安定。一个月不用洗脸，恐怕水进入针孔造成损伤。应用棉絮浸渍盐汤，微微擦拭。七日内不得吃饭，恐怕动摇牙关，进而影响水轮，所以须吃粥及软烂之物。凡治眼不论障翳，以及错杂状候的眼病，都不得当风看日，以及喜怒房事、五辛酒面、炙爆毒物，都应断绝。只须宽缓性情，谨慎护养调摄，就没有不好的。如果放纵恣意违背禁忌，触犯忌讳，那就是自取其咎了。
The two eyes of the human body are like the sun and moon in the high sky. Although floating clouds may temporarily rise, they do not hinder the function of illumination; however, if fine opacities (cataracts) arise, clarity is lost by even a hair's breadth. Therefore, once formed, immediate treatment is required.
There are many morphological manifestations of internal cataract diseases, varying in severity. Some present as "ice-like," some as "astringent," some as "slippery," and some as "scattered." Ice-like opacities do not sink when manipulated; slippery opacities do not deepen when closed.
In such cases, acupuncture should be directed towards the area below the patient's head. Acupuncture performed through the nose is suboptimal due to nasal obstruction of hand movement. The patient should sit facing forward, holding the physician's belt firmly without letting go. First, use a blunt needle to stabilize the acupoint, allowing the eye to adapt and preventing rotation. Adjust breathing for fifty breaths (xi), then advance the needle slowly. The force should not be too heavy nor too light. Initially, apply gentle pressure; before entering the point, slightly increase the force. If the needle tip deviates, it may cause injury, leading to bleeding that follows the needle. Do not forcibly stop the bleeding, nor press heavily, as this may exacerbate hemorrhage. Gently wipe the area. Slow down breathing and apply steady pressure to expel blood stasis, which will stop naturally. If bleeding persists, severe damage has occurred; wait for coagulation to seal the puncture. Resume care according to standard protocols using medicinal therapy. Rotate the needle no more than the Zi-Wu meridian axis. If resistance feels rigid or urgent, the membrane layer has been entered. If the needle feels slippery upon release and has not fully penetrated, proceed with caution. Once deeply inserted, pain may occur; pause briefly if painful, then advance gradually. As the needle approaches piercing the membrane, pain intensifies; skillfully guide the needle through. Once pain subsides slightly, invert the needle tip towards the pupil (Tongren), aligning it level with the pupil, and gently manipulate downwards without excessive force. When near the pupil, vision may return. Upon seeing objects, close the eyelids by rolling them, and slowly withdraw the needle. Rest for fifty breaths. Prolonged rest leads to clearer vision. Once vision is distinct, seal the eye with cotton and follow dietary and lifestyle regulations to maintain optimal light exposure, allowing the opacity to re-ascend. Re-treatment can follow previous methods. If movement occurs after manipulation, stop according to symptoms. For localized pain, massage gently to alleviate. For severe unrelenting pain, apply heat therapy (fire moxibustion/warming). Before acupuncture, inform the patient to prevent sudden shock and vomiting. Prepare analgesic herbs: powder Da Huang (Rhei Radix et Rhizoma) and Mu Xiang (Aucklandiae Radix), mix with vinegar and water into a paste, form into cakes, and apply to the site to stabilize. If vomiting persists, hold dried plum (Bai Mei) in the mouth to promote saliva swallowing. Severe vomiting is difficult to control. All medications must be prepared in advance. Unbearable prolonged pain indicates tissue damage. After surgery, seal the eye with cotton for seven days. Consume fermented soybean porridge while lying supine; avoid turning or side-lying. Constant supervision is required. Avoid loud calls. Assist the patient gently during urination and defecation; avoid straining. Wash face is prohibited; avoid wind and rest properly. Open the seal on the seventh day. If vision remains white or frosty, it is due to ocular tenderness. The seal need not be completely removed; open briefly for viewing. If viewing causes eye pain, further damage may have occurred. After fourteen days, the seal may be fully removed. Sensations resembling flying insects or ribbons, or trembling like a suspended needle, indicate instability of the Shui Lun (Water Wheel/Pupil/Lens); oral medication will gradually resolve this. Itching after twenty-one days is normal. During surgery, the patient should neither be overly full nor hungry. Post-surgery, if pain occurs at specific locations, acupuncture can be applied bilaterally along the Du Mai (Governing Vessel), including Xi Feng and Feng Fu points. Needle-site pain typically resolves within two to three days. Avoid washing the face for one month to prevent water entry into the puncture wound. Use cotton soaked in saline solution to gently wipe. No solid food for seven days to avoid jaw movement affecting the Shui Lun; consume porridge and soft foods. Regardless of the type of cataract or complex symptoms, patients must avoid wind, direct sunlight, emotional extremes, sexual activity, pungent spices (Wu Xin), alcohol, wheat products, and roasted/fried toxic foods. Maintain a calm temperament and careful self-care for recovery. Indulgence and violation of taboos lead to self-inflicted harm.