按 肉之症。或大小 间生出者。乃活肉也。若用点药服药不能退者。必至侵遮黑睛。恐碍瞳神。须用割
法施治为妙。或未侵及黑珠者。亦无伤也。只宜点服丸散。缓以退之。不可轻易钩割。慎之慎之。
凡割之际。先用明矾不拘多少。热水泡化。以新羊毛笔蘸矾水于 肉上。其肉始能皱起。然后易于下
手。先用锋利之针。穿入肉中。上下露针挑起。横于上下眼胞担定。方用锄刀从中锄至近黑珠边。微微
轻浮搜拨下切。不可碍动黑珠要紧。复又从针处搜拨白睛。至大小眼 尽处。或用刀割。或用小花剪
剪断亦可。不可碍动大小 头红肉一块。此乃眼窍。通于心之血英也。若一出血。则必伤之。多至成漏。
为害非浅。如 肉白者。不烙无妨。如割 肉有出血者。用绵纸揉软。蘸水湿拭之即止。
凡割眼如 肉红者不烙。有变成鸡冠蚬肉者。亦宜割之。割后要戒色欲恼怒。冲风冒日。辛苦劳碌。静
养三七日可也。禁食鱼腥煎炒酒面鸡鹅驴马猪头犬肉。葱蒜韭芥胡椒辛辣等物。割后宜服清热活
血疏风煎剂十余帖始妙。
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按《内经》∶原气所乘，风燥火侵，或水衰金弱，木侮所胜，民病目昏，大要有四∶一
曰风热。经曰∶少阴司天之政，风热参布，云物沸腾，太阴横流，寒乃时至，往复之作，民
病聋瞑，此风热参布目昏也。二曰热。经云∶少阴在泉，热淫所胜，病目瞑，治以咸寒，此
热胜目昏也。三曰风。经云∶岁水不及，湿乃大行，复则大风暴发，目视KT KT ，此
风胜目昏也。四曰燥。经云∶阳明司天，燥淫所胜。目 伤，治以苦热是也。
按：攀睛肉这一病症，有时在内外眼角之间生出，属于活肉。如果使用点眼药和服药不能消退的，必然会侵犯遮挡黑睛（角膜），恐怕妨碍瞳神（视力）。必须采用割除法进行治疗才为妙策。如果尚未侵及黑珠（黑睛），也没有大碍，只适宜点用药物或服用丸散，缓慢使其消退。不可轻易使用钩割法，务必谨慎再谨慎。
凡是进行切割时，先用明矾不拘多少用量，用热水泡化，用新的羊毛笔蘸取矾水涂抹在攀睛肉上，这样肉质才能皱起，然后才容易下手操作。先用锋利的针，穿入肉中，上下露出针尖挑起，横向固定在上下的眼睑上。然后用锄刀从中间向靠近黑珠的边缘处锄切，动作要微微轻浮地搜拨下切，切不可触动黑珠，这是关键要点。接着再从针孔处搜拨白睛部分，直到内外眼角的尽头。或者用刀割，或者用小剪刀剪断也可以。切不可触动内外眼角头部的红肉一块，那是眼窍，与心脏的血英相通。一旦出血，就会损伤它，多则形成漏症，危害不浅。如果攀睛肉颜色发白的，不烧烙也无妨。如果切割攀睛肉时有出血的情况，用绵纸揉软，蘸水湿润擦拭即可止血。
凡是切割眼部如攀睛肉发红的不烧烙。如果有变成鸡冠蚬肉形状的，也应当切除。切割后要戒除色欲、恼怒，避免冲风冒日、辛苦劳碌，静养二十一天即可。禁止食用鱼腥、煎炒食品、酒面、鸡鹅驴马猪头犬肉，以及葱蒜韭菜芥末胡椒等辛辣食物。切割后适宜服用清热活血疏风的煎剂十余帖才为妙。
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根据《黄帝内经》记载：原气受邪乘，风燥火侵袭，或者肾水衰少肺金虚弱，肝木侮犯所胜之脏，民众易患目昏病，大体有四种情况：
一是风热。经文说：少阴君天司天之时，风热参半散布，云物沸腾，太阴湿土横流，寒气时至，往复交替发作，民众患耳聋目眩，这就是风热参半导致目昏。
二是热盛。经文说：少阴在泉之时，热邪淫胜，患目瞑病，治疗用咸寒之品，这就是热胜导致目昏。
三是风胜。经文说：岁水不及之年，湿气大行，复气则大风暴发，视物模糊不清，这就是风胜导致目昏。
四是燥胜。经文说：阳明燥金司天，燥邪淫胜，目窍受伤，治疗用苦热之品，就是这种情况。
According to: The condition of Pterygium (Pterygium, a wing-like growth on the conjunctiva). It may appear between the inner and outer canthi; this is considered "living flesh." If topical eye drops and oral medications cannot resolve it, it will inevitably invade and obscure the Cornea (black pupil), potentially obstructing the Pupil Spirit (vision). In such cases, surgical excision is the most appropriate treatment. However, if it has not yet invaded the Cornea, there is little harm; only topical applications or oral pills/powders should be used to gradually resolve it. One must not lightly resort to hooking or cutting; caution is paramount.
When performing the excision, first use an unspecified amount of Alum (Mingfan), dissolve it in hot water, and apply the alum solution to the pterygium using a new wool brush. This causes the tissue to wrinkle, facilitating the procedure. First, insert a sharp needle through the tissue, exposing the ends above and below to lift and secure the tissue horizontally across the upper and lower eyelids. Then, use a hoe-shaped blade to cut from the center towards the edge near the Cornea, employing gentle, superficial scraping and cutting motions. It is crucial not to disturb the Cornea. Next, scrape the sclera from the needle insertion point towards the extreme ends of the canthi. Either cut with a knife or snip with small scissors. Do not disturb the red fleshy mass at the head of the canthus (inner/outer corner); this is the ocular aperture, connected to the blood essence of the Heart. Bleeding here causes injury and may lead to fistula formation, resulting in significant harm. If the pterygium is white, cauterization is unnecessary. If bleeding occurs during excision, wipe it dry with softened cotton paper moistened with water to stop the flow.
For red pterygia, do not cauterize. If it transforms into a shape resembling a rooster's comb or clam meat, excision is indicated. Post-operatively, abstain from sexual desire, anger, exposure to wind and sun, and strenuous labor. Rest quietly for twenty-one days. Avoid fish, seafood, fried foods, alcohol, wheat noodles, chicken, goose, donkey, horse, pig head, dog meat, as well as scallions, garlic, chives, mustard, pepper, and other spicy foods. After surgery, it is beneficial to take more than ten doses of decoctions that clear heat, invigorate blood, and dispel wind.
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[Diagram of Needle, Cautery Iron, Hook, and Knife]
According to the *Huangdi Neijing* (Yellow Emperor's Inner Canon): When primordial Qi is attacked by pathogenic factors, or when Wind-Dryness and Fire invade, or when Kidney Water is deficient and Lung Metal weak, causing Liver Wood to overact upon its controlled element, the people suffer from blurred vision. There are four main types:
First, Wind-Heat. The classic states: "When Shaoyin governs the Heaven, Wind and Heat are distributed together... the people suffer from deafness and blindness/dizziness." This refers to blurred vision caused by the intermingling of Wind and Heat.
Second, Excess Heat. The classic states: "When Shaoyin governs the Earth, excessive Heat prevails... causing eye dizziness/blindness. Treat with salty-cold substances." This refers to blurred vision caused by excess Heat.
Third, Wind Excess. The classic states: "In years where Water is insufficient, Dampness prevails greatly... sudden violent storms occur, causing visual blurring/distortion." This refers to blurred vision caused by Wind excess.
Fourth, Dryness Excess. The classic states: "When Yangming governs the Heaven, excessive Dryness prevails... damaging the eyes. Treat with bitter-hot substances." This refers to the aforementioned condition.