圆翳∶（初患时见蝇飞花发，垂蚁，薄雾轻烟，先患一眼，次第相牵，俱圆翳，如油点浮
水中，阳看则小，阴看则大，金针一拨即去。）滑翳∶（翳如水银珠，宜金针拨之。）涩翳∶（翳如
凝脂色，宜金针拨之。）浮翳∶（藏形睛之深处，细看方见，宜金针拨之。）横翳∶（横如剑脊，两
边薄，中央浓，宜针于中央浓处拨之，以上五翳，皆先患一目，向后俱损，初患之时，其眼
痛涩，头旋额痛，虽有翳状，亦难针拨。独偃月翳、枣花翳、黑水凝翳，微有头旋额痛者，
宜针轻拨之。）冰翳∶（初患时头旋额痛者，眼睑骨鼻颊骨痛，目内赤色，先患一目，向后翳如
冰冻坚白，宜于所经过脉，针其 穴，忌出血，宜针拨动，不宜强拨。）偃月翳∶（初患时微微
头旋额痛，先患一目，次第相牵俱损，翳一半浓一半薄，宜针，先从浓处拨之。）枣花翳∶（初
患时微有头旋眼涩，目中时时痒痛，先患一眼，向后俱翳，周遭如锯齿，轻轻拨去，莫留
短脚，兼于所过之经，针灸其 。）散翳∶（翳如酥点，乍青乍白，宜针拨之。）黑水凝翳∶（初
患时头旋眼涩见花，黄黑不定，翳凝结青色，宜针拨之。）惊振翳∶（头脑被打筑，恶血流入眼
内，至二三十年成翳，翳白色，先患之眼不宜针，牵损后患之眼，宜针拨之。）白翳黄心∶（翳
四边白中心黄者，先服逐翳散，次针足经所过诸穴，后用金针轻拨，拨若先损一目，向后俱
损。）
虽不痛不痒，其翳黄色红色者，不宜针拨；翳破散者，不宜针拨；中心浓重者，不宜针
拨。拨之不动者，曰死翳，忌拨。独白翳黄心，宜先服药后针之，若无翳者，名曰风赤，不
宜针之。
乌风∶（无翳，但瞳仁小，三五年内结成翳，青白色，不宜针，视物有花为虚，宜药补，
不宜药泻。）肝风∶（无翳，眼前多见虚花，或白或黑，或赤或黄，或一物见二形，两眼同患
急宜补治，切忌房劳。）五风变∶（初患时头旋额痛，或一目先患，或因呕吐，双目俱暗，瞳
子白如霜。绿风∶初患时头旋额角偏痛，连眼睑眉及鼻颊骨痛，眼内痛涩，先患一眼，向后
俱损，无翳，目见花，或红或黑。黑风∶初患时头旋额偏痛，连眼睑鼻颊骨痛，眼痛涩，先
患一眼，向后俱损，无翳，眼见黑花。）青风∶（初患时微有痛涩，头旋脑痛，先患一眼，向后
俱损，无翳，劳倦加昏重。）雷头风∶（初患时头旋恶心呕吐，先患一目，次第相牵，俱变伤，
瞳神或大或小，凝脂结白。）
圆翳：（初发时感觉眼前有飞蚊、花朵状物，或如垂下的蚂蚁、薄雾轻烟般遮挡视线，通常先患一只眼，随后逐渐波及双眼，形成圆形云翳，如同油滴浮在水面上，光线充足时看起来较小，光线昏暗时看起来较大，可用金针拨开即去。）滑翳：（云翳形状如水银珠，适宜用金针拨开。）涩翳：（云翳颜色如凝固的油脂，适宜用金针拨开。）浮翳：（云翳隐藏于眼球深处，仔细观看才能发现，适宜用金针拨开。）横翳：（云翳横向分布，形似剑脊，两边薄中间厚，适宜在中间厚的部位进行针拨；以上五种云翳，都是先患一只眼，随后双眼均受损，初发时眼睛疼痛干涩，头晕额头痛，虽然有云翳形态，但也难以进行针拨。唯独偃月翳、枣花翳、黑水凝翳，仅有轻微头晕额头痛者，适宜轻轻针拨。）冰翳：（初发时头晕额头痛，眼睑、颧骨、鼻颊骨疼痛，眼内发红，先患一只眼，随后云翳如冰冻般坚硬洁白，适宜在病变经过的经脉穴位处施针，忌出血，宜将云翳针拨松动，不宜强行拨开。）偃月翳：（初发时轻微头晕额头痛，先患一只眼，随后逐渐波及双眼均受损，云翳一半浓密一半稀薄，适宜施针，先从浓密处开始拨开。）枣花翳：（初发时轻微头晕眼睛干涩，眼中时常痒痛，先患一只眼，随后双眼均有云翳，边缘如锯齿状，轻轻拨去，不要留下短小的残留，同时在病变经过的经络穴位处进行针灸。）散翳：（云翳如酥油点状，颜色忽青忽白，适宜针拨。）黑水凝翳：（初发时头晕眼睛干涩见花，颜色黄黑不定，云翳凝结呈青色，适宜针拨。）惊振翳：（头部遭受打击，恶血流入眼内，经过二三十年形成云翳，云翳呈白色，先患的眼睛不宜施针，以免牵连损害后患的眼睛，适宜针拨。）白翳黄心：（云翳四边白色中心黄色者，先服用逐翳散，然后针刺足部经脉经过的各个穴位，最后用金针轻轻拨开，如果先损伤了一只眼睛，随后双眼均会受损。）
即使不痛不痒，但云翳呈黄色或红色者，不宜针拨；云翳破碎散乱者，不宜针拨；云翳中心浓重者，不宜针拨。拨之不动的，称为死翳，禁忌拨开。唯独白翳黄心，适宜先服药后施针；如果没有云翳的，称为风赤，不宜施针。
乌风：（没有云翳，但瞳孔缩小，三五年内结成云翳，呈青白色，不宜施针，视物模糊为虚证，适宜药物补益，不宜药物泻下。）肝风：（没有云翳，眼前多见虚幻之花，或白或黑，或红或黄，或看一个物体出现两个影像，双眼同时患病，急宜补治，切忌房事劳累。）五风变：（初发时头晕额头痛，或一只眼先患病，或因呕吐导致双目俱暗，瞳孔白如霜色。绿风：初发时头晕且偏侧额角痛，牵连眼睑眉毛及鼻颊骨疼痛，眼内疼痛干涩，先患一只眼，随后双眼均受损，无云翳，眼前见花，或红或黑。黑风：初发时头晕且偏侧额头痛，牵连眼睑鼻颊骨疼痛，眼睛疼痛干涩，先患一只眼，随后双眼均受损，无云翳，眼前见黑花。）青风：（初发时轻微疼痛干涩，头晕脑痛，先患一只眼，随后双眼均受损，无云翳，劳累疲倦后加重昏沉感。）雷头风：（初发时头晕恶心呕吐，先患一只眼，随后逐渐波及双眼均受伤害，瞳神或大或小，云翳如凝脂结白。）
Yuan Yi (Round Opacity): (At the onset, patients perceive floating flies, flower-like shapes, or obstructions resembling hanging ants, thin mist, or light smoke. It typically affects one eye first and subsequently spreads to both eyes, forming a round opacity like an oil drop floating on water. It appears smaller under bright light and larger in dim light. It can be removed by needle dislocation with a gold needle.) Hua Yi (Slippery Opacity): (The opacity resembles a mercury bead; it is suitable for needle dislocation.) Se Yi (Rough Opacity): (The opacity has the color of congealed fat; it is suitable for needle dislocation.) Fu Yi (Floating Opacity): (The opacity hides deep within the eyeball and is visible only upon close inspection; it is suitable for needle dislocation.) Heng Yi (Horizontal Opacity): (The opacity is distributed horizontally, shaped like a sword ridge, thin on both sides and thick in the center. Needle dislocation should be performed at the thick central part. For the above five types of opacities, the disease usually starts in one eye and later affects both. At the onset, there is eye pain and dryness, dizziness, and frontal headache. Although opacities are present, needle dislocation is difficult. However, for Yan Yue Yi (Crescent Moon Opacity), Zao Hua Yi (Jujube Flower Opacity), and Hei Shui Ning Yi (Black Water Congealed Opacity) with only mild dizziness and frontal headache, gentle needle dislocation is appropriate.) Bing Yi (Ice Opacity): (At the onset, there is dizziness, frontal headache, pain in the eyelids, zygomatic bones, and nasal cheeks, and redness inside the eye. It starts in one eye, and the opacity becomes hard and white like ice. Acupuncture should be applied to the acupoints along the affected meridians. Bleeding is contraindicated. The opacity should be loosened by needling but not forcibly displaced.) Yan Yue Yi (Crescent Moon Opacity): (At the onset, there is mild dizziness and frontal headache. It starts in one eye and spreads to both. The opacity is half dense and half thin. Needling is indicated, starting from the denser part.) Zao Hua Yi (Jujube Flower Opacity): (At the onset, there is mild dizziness, eye dryness, and frequent itching and pain in the eyes. It starts in one eye and spreads to both. The opacity surrounds the pupil like sawteeth. It should be gently displaced without leaving short remnants. Acupuncture and moxibustion should be applied to the acupoints along the affected meridians.) San Yi (Scattered Opacity): (The opacity resembles butter spots, alternating between cyan and white. Needle dislocation is indicated.) Hei Shui Ning Yi (Black Water Congealed Opacity): (At the onset, there is dizziness, eye dryness, and visual disturbances with flowers. The color is unstable between yellow and black, and the opacity congeals into a cyan color. Needle dislocation is indicated.) Jing Zhen Yi (Shock/Vibration Opacity): (Caused by head trauma where evil blood flows into the eye, forming an opacity after 20-30 years. The opacity is white. The initially affected eye should not be needled to avoid damaging the subsequently affected eye. Needle dislocation is indicated.) Bai Yi Huang Xin (White Opacity with Yellow Center): (For opacities white on the periphery and yellow in the center, first administer Zhu Yi San (Opacity-Expelling Powder), then needle the acupoints along the foot meridians, and finally use a gold needle for gentle dislocation. If one eye is damaged first, both will eventually be affected.)
Even if there is no pain or itching, opacities that are yellow or red should not be needle-dislocated. Broken or scattered opacities should not be needle-dislocated. Opacities that are dense in the center should not be needle-dislocated. Those that cannot be displaced are called Si Yi (Dead Opacity) and dislocation is contraindicated. Only Bai Yi Huang Xin (White Opacity with Yellow Center) requires medication before needling. Conditions without opacity are called Feng Chi (Wind Redness) and should not be needled.
Wu Feng (Black Wind): (No opacity, but the pupil is small. An opacity forms within 3-5 years, appearing cyan-white. Needle dislocation is contraindicated. Blurred vision indicates deficiency; tonification with herbs is indicated, while purgation is contraindicated.) Gan Feng (Liver Wind): (No opacity. Patients frequently see illusory flowers in front of their eyes, which may be white, black, red, or yellow, or see double images. Both eyes are affected simultaneously. Urgent tonification treatment is required. Sexual intercourse and fatigue must be strictly avoided.) Wu Feng Bian (Transformation of Five Winds): (At the onset, there is dizziness and frontal headache. One eye may be affected first, or due to vomiting, both eyes become dark with pupils white as frost. Lü Feng (Green Wind): At the onset, there is dizziness and pain in the lateral forehead, extending to the eyelids, eyebrows, and nasal cheeks. There is internal eye pain and dryness. It starts in one eye and spreads to both. There is no opacity, but patients see flowers, which may be red or black. Hei Feng (Black Wind): At the onset, there is dizziness and pain in the lateral forehead, extending to the eyelids and nasal cheeks. There is eye pain and dryness. It starts in one eye and spreads to both. There is no opacity, but patients see black flowers.) Qing Feng (Blue/Green Wind): (At the onset, there is mild pain and dryness, dizziness, and brain pain. It starts in one eye and spreads to both. There is no opacity, but symptoms worsen with fatigue and exhaustion.) Lei Tou Feng (Thunder Head Wind): (At the onset, there is dizziness, nausea, and vomiting. It starts in one eye and spreads to both, causing injury. The pupil size varies, and the opacity resembles congealed fat turning white.)