养之固者。则八风无以窥其隙。本之密者。则五脏何以受其邪。故生之者天也。召之者人也。虽生弗召。莫
能害也。为害不已。召之甚也。生气通天论曰。风者百病之始也。清净则肉腠闭拒。虽有大风苛毒。莫之能
害。阴阳应象大论曰。邪风之至。疾如风雨。故善治者治皮毛。夫肉腠固。皮毛密。所以为害者。安从来也。今
为物之所伤。则皮毛肉腠之间。为隙必甚。所伤之际。岂无七情内移。而为卫气衰惫之原。二者俱召。风安
不从。故伤于目之上下左右者。则目之上下左右俱病。当总作除风益损汤主之。伤于眉骨者。病自目系
而下。以其手少阴有隙也。加黄连。除风益损汤主之。伤于 者。病自抵过而上。伤于耳中者。病自锐 而
入。以其手太阳有隙也。加柴胡。除风益损汤主之。伤于额交巅耳上角及脑者。病自内 而出。以其足太
阳有隙也。加苍术。除风益损汤主之。伤于耳后耳角耳前者。病自客主人之穴斜下。伤于额者。病自锐
而入。以其手少阳有隙也。加枳壳。除风益损汤主之。伤于头角耳前后。及目锐 后者。病自锐 而入。以
其足少阳有隙也。加龙胆草。除风益损汤主之。伤于额角及巅者。病自目系而下。以其足厥阴有隙也。加
五味子。除风益损汤主之。诸有热者。更当加黄芩。兼服加减地黄丸。伤甚者。须从权倍加大黄。泻其败血。
六节藏象论曰。肝受血而能视。此盖滋血养血复血之药也。此治其本也。又有物暴震。神水遂散。更不复
治。故并识之于此。
除风益损汤（治目为物伤者）
当归 白芍 熟地 川芎（各一钱） 本 前胡 防风（各七分）
上锉剂。白水二钟。煎至八分。去滓。大热服。
上方以熟地黄补肾为君。黑睛为肾之子。此虚则补其母也。以当归补血。为目为血所养。今伤则血病。
白芍药补血又补气。为血病气亦病也。为臣。川芎治血虚头痛。 本通血。去头风。为佐。前胡、防风。通疗
风邪。俾不凝留为使。兼治亡血过多之病。伤于眉骨者。病自目系而下。以其手少阴有隙也。加黄连疗
之。伤于 者。病自抵过而上。伤于耳者。病自锐 而入。以其手太阳有隙也。加柴胡疗之。伤于额交巅。
耳上角及脑者。病自内 而出。以其足太阳有隙也。加苍术疗之。伤于耳后耳角耳前者。病自客主人
斜下。伤于颊者。病自锐 而入。以其足少阳有隙也。加龙胆草疗之。伤于额角及巅者。病自目系而下。
以其足厥阴有隙也。加五味子。眵泪多。羞涩赤肿者。加黄芩疗之。凡伤甚者。从权倍加大黄。泻其败血。
身体根基稳固的人，八风（指来自八个方向的致病风邪）就无法找到入侵的缝隙。根本坚固的人，五脏又怎么会受到邪气侵害呢？所以，生命的本源在于天（先天禀赋），而招致疾病的原因往往在于人（后天失养）。虽然生命由天赋予，但如果不去主动招引病邪，就没有什么能伤害到他。如果受到的伤害不止一次，那是因为人为地招引了过多的邪气。《生气通天论》说：风是百病的开端。如果保持清净，肌肉腠理就会闭合抵御，即使有大风苛毒，也无法伤害人体。《阴阳应象大论》说：邪风到来时，速度像风雨一样快。所以善于治病的人，是在皮毛阶段就进行治疗。既然肌肉腠理坚固、皮毛致密，那么造成危害的因素从哪里来呢？现在因为被物体所伤，导致皮毛和肉腠之间的防御出现很大的漏洞。在受伤的时候，难道没有七情（喜、怒、忧、思、悲、恐、惊）内移，从而成为卫气衰弱的根源吗？这两方面都导致了正气不足，风邪怎么能不侵入呢？
因此，眼睛上下左右任何部位被物体所伤，则眼睛相应部位都会发病，应当总体按照“除风益损汤”为主方治疗。如果伤在眉骨处，病症会从目系向下发展，因为手少阴心经在此处有缝隙，需加黄连，以除风益损汤为主方治疗。如果伤在颧骨处（原文缺字，据上下文推测为颧或面颊上部），病症会从眼眶向上发展；如果伤在耳中，病症会从眼角锐眦向内深入，因为手太阳小肠经在此处有缝隙，需加柴胡，以除风益损汤为主方治疗。如果伤在额部交于头顶、耳上角及脑部，病症会从内部向外发散，因为足太阳膀胱经在此处有缝隙，需加苍术，以除风益损汤为主方治疗。如果伤在耳后、耳角及耳前，病症会从客主人穴（听宫穴）斜向下方发展；如果伤在额部，病症会从眼角锐眦向内深入，因为手少阳三焦经在此处有缝隙，需加枳壳，以除风益损汤为主方治疗。如果伤在头角、耳前后及眼角锐眦后方，病症会从眼角锐眦向内深入，因为足少阳胆经在此处有缝隙，需加龙胆草，以除风益损汤为主方治疗。如果伤在额角及头顶，病症会从目系向下发展，因为足厥阴肝经在此处有缝隙，需加五味子，以除风益损汤为主方治疗。凡是有热象的，另外再加黄芩，并兼服加减地黄丸。伤势严重的，必须权宜之计加倍使用大黄，以泻出败血。《六节藏象论》说：肝得到血的滋养就能视物。这大概是滋血、养血、复血的药物。这是治本的方法。又有因物体突然震动，导致神水（房水）散失，这种情况更无法再治，所以一并记录在这里。
除风益损汤（治疗眼睛被物体所伤者）
当归、白芍、熟地黄、川芎（各一钱）、藁本、前胡、防风（各七分）
以上药材切碎，用白水两钟，煎至八分，去渣，趁大热服用。
上方以熟地黄补肾为君药。黑睛（角膜）是肾之子，肾虚则补其母（肝/肾关系此处指滋水涵木或补肾以养肝血，原文逻辑为补肾以养目）。以当归补血，因为眼睛靠血滋养，现在受伤则血受损。白芍药既补血又补气，因为血病则气亦病，作为臣药。川芎治疗血虚引起的头痛，藁本通血脉，去除头风，作为佐药。前胡、防风通治风邪，使其不凝滞停留，作为使药。同时兼治亡血过多的病症。
伤在眉骨处，病症从目系向下，因为手少阴心有缝隙，加黄连治疗。伤在颧骨处，病症从眼眶向上；伤在耳部，病症从眼角锐眦向内，因为手太阳小肠经有缝隙，加柴胡治疗。伤在额部交于头顶、耳上角及脑部，病症从内部向外，因为足太阳膀胱经有缝隙，加苍术治疗。伤在耳后、耳角、耳前，病症从客主人穴斜下；伤在颊部，病症从眼角锐眦向内，因为足少阳胆经有缝隙，加龙胆草治疗。伤在额角及头顶，病症从目系向下，因为足厥阴肝经有缝隙，加五味子。眼屎眼泪多，眼睑涩痛红肿的，加黄芩治疗。凡是伤势严重的，权宜加倍使用大黄，以泻出败血。
If the foundation of the body is solid, the Eight Winds (pathogenic winds from eight directions) cannot find a gap to invade. If the root is dense and secure, how can the Five Zang Organs be affected by pathogens? Therefore, life is given by Heaven (innate constitution), but it is humans who summon disease through their actions. Although life is endowed by Heaven, if one does not actively invite pathogens, nothing can harm them. If harm occurs repeatedly, it is because one has summoned excessive pathogens. The *Suwen: Shengqi Tongtian Lun* states: "Wind is the beginning of all diseases." If one remains pure and tranquil, the flesh and pores will close and resist; even with great wind and severe toxins, they cannot cause harm. The *Suwen: Yinyang Yingxiang Dalun* states: "When pathogenic wind arrives, it is swift as wind and rain." Thus, those skilled in treatment treat at the level of the skin and hair. Since the flesh and pores are solid and the skin and hair are dense, where would the cause of harm come from? Now, having been injured by an object, there must be significant gaps between the skin/hair and the flesh/pores. At the time of injury, could there not be internal movement of the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright), becoming the origin of weakened Wei Qi (Defensive Qi)? Both factors summon pathogens; how could Wind not enter?
Therefore, if the upper, lower, left, or right parts of the eye are injured by an object, the corresponding parts of the eye will all become diseased. One should generally use Chufeng Yisun Tang (Remove Wind and Benefit Deficiency Decoction) as the main formula. If injured on the brow bone, the disease manifests downward from the Eye System (connection between the eye and the brain), because there is a gap in the Hand-Shaoyin Heart Meridian. Add Huanglian (Coptidis Rhizoma), using Chufeng Yisun Tang as the main formula. If injured on the cheekbone area, the disease manifests upward from the orbital rim; if injured in the ear, the disease enters inward from the lateral canthus, because there is a gap in the Hand-Taiyang Small Intestine Meridian. Add Chaihu (Bupleuri Radix), using Chufeng Yisun Tang as the main formula. If injured at the forehead junction with the vertex, the upper angle of the ear, and the brain, the disease manifests outward from the interior, because there is a gap in the Foot-Taiyang Bladder Meridian. Add Cangzhu (Atractylodis Rhizoma), using Chufeng Yisun Tang as the main formula. If injured behind the ear, at the ear angle, or in front of the ear, the disease manifests obliquely downward from the Kerenren acupoint (Tinggong, SI19); if injured on the forehead, the disease enters inward from the lateral canthus, because there is a gap in the Hand-Shaoyang Sanjiao Meridian. Add Zhike (Aurantii Fructus), using Chufeng Yisun Tang as the main formula. If injured at the temporal angle, before and after the ear, and behind the lateral canthus, the disease enters inward from the lateral canthus, because there is a gap in the Foot-Shaoyang Gallbladder Meridian. Add Longdancao (Gentianae Radix), using Chufeng Yisun Tang as the main formula. If injured at the frontal angle and the vertex, the disease manifests downward from the Eye System, because there is a gap in the Foot-Jueyin Liver Meridian. Add Wuweizi (Schisandrae Fructus), using Chufeng Yisun Tang as the main formula. For cases with heat signs, additionally add Huangqin (Scutellariae Radix), and concurrently take Jiadi Dihuang Wan (Modified Rehmannia Pill). For severe injuries, one must temporarily double the dosage of Dahuang (Rhei Radix et Rhizoma) to purge the failing blood. The *Suwen: Liujie Zangxiang Lun* states: "The Liver receives blood and thus enables vision." This refers to herbs that nourish, tonify, and restore blood. This treats the root cause. There are also cases where sudden impact causes the Shen Shui (Eye Fluid/Aqueous Humor) to scatter, which cannot be treated further; this is recorded here for awareness.
Chufeng Yisun Tang (For treating eye injuries caused by objects):
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Gaoben (Ligustici Wallichii Rhizoma), Qianhu (Peucedani Radix), Fangfeng (Saposhnikoviae Radix) (each 0.7 fen).
Decoct these herbs in two zhong of clear water until reduced to 0.8 zhong. Strain and drink while very hot.
In the above formula, Shudihuang tonifies the Kidney as the Sovereign herb. The Black Pupil (cornea) is the child of the Kidney; deficiency is treated by tonifying the mother. Danggui tonifies Blood, as the eyes are nourished by Blood; injury leads to Blood pathology. Baishao tonifies both Blood and Qi, as Blood pathology affects Qi, serving as the Minister herb. Chuanxiong treats headache due to Blood deficiency; Gaoben unites the Blood and expels Head Wind, serving as the Assistant herb. Qianhu and Fangfeng treat Wind pathogens, preventing stagnation, serving as the Envoy herb. It also treats conditions of excessive blood loss.
If injured on the brow bone, disease manifests downward from the Eye System due to a gap in the Hand-Shaoyin Heart Meridian; add Huanglian to treat it. If injured on the cheekbone, disease manifests upward from the orbital rim; if injured in the ear, disease enters inward from the lateral canthus due to a gap in the Hand-Taiyang Small Intestine Meridian; add Chaihu to treat it. If injured at the forehead junction with the vertex, upper ear angle, and brain, disease manifests outward from the interior due to a gap in the Foot-Taiyang Bladder Meridian; add Cangzhu to treat it. If injured behind the ear, at the ear angle, and in front of the ear, disease manifests obliquely downward from Kerenren; if injured on the cheek, disease enters inward from the lateral canthus due to a gap in the Foot-Shaoyang Gallbladder Meridian; add Longdancao to treat it. If injured at the frontal angle and vertex, disease manifests downward from the Eye System due to a gap in the Foot-Jueyin Liver Meridian; add Wuweizi. For excessive discharge (eye boogers/tears), astringency, redness, and swelling, add Huangqin to treat it. For severe injuries, temporarily double the dosage of Dahuang to purge the failing blood.