肝病是风轮，色黄而赤，交受风热，色黄而黑，乃肝肺冷；心病是血轮，色赤
而疾，心受热毒，赤而痛者，心主夏之气；脾病是肉轮，色黄而肿，是脾虚，色赤
而痒，是脾气积热；肾病是水轮，色黄而光，是肾受风热之邪，色昏而浊，肾气虚
败；肺病是气轮，色黄而赤，风热毒攻。赤极而痛，火毒伤金。医者辨明，万无
一失，用药无瘥。
肝热 肉攀睛，宜理肝凉胆也。胆热睛生翳膜疼痛，宜凉胆退肝热也。心热是赤脉不散，宜凉心也。肺热胞睑生疮，
宜凉肺也。脾热睛痛、宜凉脾胃也。肾热睛生虚障痛肿，宜均肾气也。膀胱热生倒睫拳毛也。肠热浮翳遮睛，宜凉心
肺也。
肝冷有泪羞明，宜补肾肝和气也。胆冷昏暗两睑涩，宜补肾益肝也。心冷气不顺，宜温脾也。眼睛疼，宜温脾生血
也。肾冷则生黑花，宜补肾生精也。膀胱冷则多昏暗，大肠冷则眼昏，宜服暖药也。肺冷受风邪寒气，宜补心肺也。脾
冷则目闭不开也。凡须用药，究其源，庶无谬矣。
风轮属肝，东方甲乙木位。（理肝经气毒攻目，昏涩疼痛，赤肿风热，冷翳侵睛，宜服）
泻肝散
当归（一钱） 茯苓（一钱） 人参（一钱） 防风（一钱） 羌活（二钱） 蒺藜（二钱） 蝉蜕（一钱，去脚）
荆芥（二钱） 甘草
上为末，每服三五钱，酒送下，茶亦可。
血轮属心，南方丙丁火位。（理心经热毒暴赤，血丝侵睛，血灌瞳人，昏涩难开，宜服）
洗心散
生地黄 白芍药 川芎 槐花 当归 防风 朴硝 荆芥 大黄 甘草 栀子仁（炒，为末） 龙胆草
上药各等分为末，淡竹叶煎汤调下，每服三五钱，重者日三服。
肉轮属脾，中央戊己土位。（理两胞浮肿， 肉攀睛，瘀血偷针眼，宜服）
枳壳散
川芎 枳壳
上为末，浓朴煎汤下，蜜汤送下亦可，每服三五钱。
气轮属肺，西方庚辛金位。（理肺经白膜遮睛，羞明怕日，视物如烟，昏涩痒痛，宜服）
防风散
防风 苍术 羌活 荆芥 当归 甘草
上各等分为末，每服三五钱，茶清送下。
水轮属肾，北方壬癸水位。（理肾经昏暗黑花，头痛冷泪，视物不明，青盲内障，宜服）
补肾丸
巴戟 山药 破故纸 小茴香 青盐 肉苁蓉 牡丹皮（五钱） 枸杞子（十两）
上为末蜜丸，每服五十丸，盐汤送下。
又治肉轮，太阳穴疼痛，翳膜侵睛，瘀血时作赤肿，经年不退，宜服
薏苡仁散
薏苡仁 茯苓 石决明 白牵牛 大黄
上各等分为末，每服三五钱，茶清调送下。
肝病对应风轮，若眼色黄中带赤，是风热邪气侵袭所致；若眼色黄中带黑，则是肝肺受寒所致。心病对应血轮，若眼色红且伴有急迫感，或心受热毒导致眼睛红肿疼痛，这是心主司夏季火热之气的影响。脾病对应肉轮，若眼睑色黄且肿胀，是脾气虚弱所致；若眼睑色红且瘙痒，是脾气积聚内热所致。肾病对应水轮，若眼色黄而光亮，是肾脏受到风热邪气侵袭；若眼神昏浊，是肾气虚衰败坏所致。肺病对应气轮，若眼色黄中带赤，是风热毒邪攻冲所致；若红色极甚而疼痛，是火毒损伤肺金（白色属金）所致。医者若能辨明这些证候，治疗便万无一失，用药不会无效。
肝热会导致肉攀睛（胬肉攀侵黑睛），适宜采用调理肝脏、清凉胆腑的方法。胆热会导致眼睛生成翳膜并疼痛，适宜采用清凉胆腑、退除肝热的方法。心热表现为眼部赤脉不散，适宜采用清凉心脏的方法。肺热会导致眼睑生疮，适宜采用清凉肺脏的方法。脾热会导致眼睛疼痛，适宜采用清凉脾胃的方法。肾热会导致眼睛生成虚性障蔽并疼痛肿胀，适宜采用调和肾气的方法。膀胱热会导致倒睫拳毛（睫毛向内卷曲刺眼）。肠热会导致浮翳遮蔽瞳孔，适宜采用清凉心肺的方法。
肝冷会导致流泪、畏光，适宜采用补肾肝、调和气血的方法。胆冷会导致视物昏暗、两眼睑涩滞不适，适宜采用补肾益肝的方法。心冷气机不顺，适宜采用温补脾脏的方法。眼睛疼痛，适宜采用温补脾脏以生血的方法。肾冷则会产生眼前飞花（黑花），适宜采用补肾生精的方法。膀胱冷则会导致多视物昏暗，大肠冷则会导致眼睛昏花，适宜服用温热性质的药物。肺冷感受风邪寒气，适宜采用补益心肺的方法。脾冷则会导致眼皮闭合无法睁开。凡是需用药物治疗时，必须探究病因本源，这样才不会有谬误。
风轮归属于肝，位于东方甲乙木的方位。（主治肝经气毒攻目，导致视物昏花涩痛，红肿胀痛及风热，寒邪致翳侵入黑睛，适宜服用）泻肝散：当归（一钱）、茯苓（一钱）、人参（一钱）、防风（一钱）、羌活（二钱）、蒺藜（二钱）、蝉蜕（一钱，去足）、荆芥（二钱）、甘草。以上药材研为细末，每次服用三至五钱，用酒送服，用茶送服也可以。
血轮归属于心，位于南方丙丁火的方位。（主治心经热毒导致的突然红赤，血丝侵入黑睛，血灌瞳人，视物昏花涩滞难开，适宜服用）洗心散：生地黄、白芍药、川芎、槐花、当归、防风、朴硝、荆芥、大黄、甘草、栀子仁（炒后研为细末）、龙胆草。以上药材各取等份研为细末，用淡竹叶煎汤调服，每次服用三至五钱，病情重者每日服用三次。
肉轮归属于脾，位于中央戊己土的方位。（主治双眼胞睑浮肿，肉攀睛，瘀血引起的偷针眼，适宜服用）枳壳散：川芎、枳壳。以上药材研为细末，用浓朴煎汤送服，用蜜汤送服也可以，每次服用三至五钱。
气轮归属于肺，位于西方庚辛金的方位。（主治肺经白膜遮蔽黑睛，畏光怕日，视物如烟熏般模糊，视物昏花涩滞痒痛，适宜服用）防风散：防风、苍术、羌活、荆芥、当归、甘草。以上药材各取等份研为细末，每次服用三至五钱，用茶清送服。
水轮归属于肾，位于北方壬癸水的方位。（主治肾经导致的视物昏花暗黑、眼前飞花、头痛冷泪、视物不明、青盲内障，适宜服用）补肾丸：巴戟天、山药、破故纸（补骨脂）、小茴香、青盐、肉苁蓉、牡丹皮（五钱）、枸杞子（十两）。以上药材研为细末，用蜂蜜制成丸剂，每次服用五十丸，用盐汤送服。
又有一种情况治疗肉轮，表现为太阳穴疼痛，翳膜侵入黑睛，瘀血时常发作导致红肿胀痛，经久一年不愈，适宜服用薏苡仁散：薏苡仁、茯苓、石决明、白牵牛、大黄。以上药材各取等份研为细末，每次服用三至五钱，用茶清调服送下。
Liver disease corresponds to the Wind Wheel (the cornea and sclera). If the eye color is yellow with red, it indicates invasion by wind-heat; if the eye color is yellow with black, it indicates cold in the Liver and Lungs. Heart disease corresponds to the Blood Wheel (the eyelids and conjunctiva). If the eye color is red with a sense of urgency, or if heat-toxin affects the heart causing redness and pain, this reflects the Heart's association with the summer Qi (fire). Spleen disease corresponds to the Flesh Wheel (the eyelids). If the eyelids are yellow and swollen, it indicates Spleen deficiency; if they are red and itchy, it indicates accumulation of heat in the Spleen Qi. Kidney disease corresponds to the Water Wheel (the pupil and iris). If the eye appears yellow and bright, it indicates the Kidney has been invaded by wind-heat pathogenic factors; if the vision is dim and turbid, it indicates failure and deficiency of Kidney Qi. Lung disease corresponds to the Qi Wheel (the white of the eye/sclera). If the eye is yellow with red, it is attacked by wind-heat toxin; if the redness is extreme and painful, it indicates Fire-toxin injuring Metal (Lung). If physicians can clearly distinguish these patterns, treatment will be infallible, and medication will not fail.
Liver heat causes *Rou Pan Jing* (pterygium growing onto the cornea); it is appropriate to regulate the Liver and cool the Gallbladder. Gallbladder heat causes formation of corneal opacities and pain; it is appropriate to cool the Gallbladder and dissipate Liver heat. Heart heat manifests as persistent red vessels in the eyes; it is appropriate to cool the Heart. Lung heat causes sores on the eyelids; it is appropriate to cool the Lungs. Spleen heat causes eye pain; it is appropriate to cool the Spleen and Stomach. Kidney heat causes false cataracts with pain and swelling; it is appropriate to harmonize Kidney Qi. Bladder heat causes inverted eyelashes (*Dao Jie Quan Mao*). Intestine heat causes floating opacities obscuring the pupil; it is appropriate to cool the Heart and Lungs.
Liver cold causes tearing and photophobia; it is appropriate to tonify the Liver and Kidney and harmonize Qi and Blood. Gallbladder cold causes dim vision and dryness/roughness in both eyelids; it is appropriate to tonify the Kidney and benefit the Liver. Heart cold with stagnant Qi causes discomfort; it is appropriate to warm the Spleen. Eye pain caused by cold should be treated by warming the Spleen to generate blood. Kidney cold generates "black flowers" (floaters); it is appropriate to tonify the Kidney and generate essence. Bladder cold causes frequent dim vision; Large Intestine cold causes blurred vision; it is appropriate to take warming medicines. Lung cold due to wind-cold pathogens requires tonifying the Heart and Lungs. Spleen cold causes inability to open the eyelids. In all cases requiring medication, one must investigate the root cause to avoid errors.
The Wind Wheel belongs to the Liver, located in the East under the Wood element (Jia-Yi positions). (Indications: Liver meridian qi-toxin attacking the eyes, causing blurriness, dryness, pain, redness, swelling, wind-heat, and cold-induced opacities invading the cornea. Prescription: Xie Gan San [Drain the Liver Powder])
* Dang Gui (Angelicae Sinensis Radix) - 1 qian
* Fu Ling (Poria) - 1 qian
* Ren Shen (Ginseng Radix) - 1 qian
* Fang Feng (Saposhnikoviae Radix) - 1 qian
* Qiang Huo (Notopterygii Rhizoma et Radix) - 2 qian
* Ji Li (Tribuli Fructus) - 2 qian
* Chan Tui (Cicadae Periostracum) - 1 qian, feet removed
* Jing Jie (Schizonepetae Spica) - 2 qian
* Gan Cao (Licorice Root)
Process into powder. Take 3-5 qian per dose, washed down with wine or tea.
The Blood Wheel belongs to the Heart, located in the South under the Fire element (Bing-Ding positions). (Indications: Heart meridian heat-toxin causing sudden redness, blood vessels invading the cornea, blood flooding the pupil, blurriness, dryness, and difficulty opening the eyes. Prescription: Xi Xin San [Wash the Heart Powder])
* Sheng Di Huang (Rehmanniae Radix)
* Bai Shao Yao (Paeoniae Radix Alba)
* Chuan Xiong (Ligustici Chuanxiong Rhizoma)
* Huai Hua (Sophorae Flos)
* Dang Gui (Angelicae Sinensis Radix)
* Fang Feng (Saposhnikoviae Radix)
* Po Xiao (Natrii Sulfas)
* Jing Jie (Schizonepetae Spica)
* Da Huang (Rhei Radix et Rhizoma)
* Gan Cao (Licorice Root)
* Zhi Zi Ren (Gardeniae Semen), stir-fried and powdered
* Long Dan Cao (Gentianae Radix)
Process equal parts into powder. Mix with decoction of light bamboo leaves and take 3-5 qian per dose. For severe cases, take three times daily.
The Flesh Wheel belongs to the Spleen, located in the Center under the Earth element (Wu-Ji positions). (Indications: Swelling of both eyelids, *Rou Pan Jing*, stasis-induced *You Zhen Yan* [hordeolum]. Prescription: Zhi Ke San [Citrus Aurantium Powder])
* Chuan Xiong (Ligustici Chuanxiong Rhizoma)
* Zhi Ke (Aurantii Fructus Immaturus)
Process into powder. Wash down with decoction of Hou Po (Magnolia Bark), or honey water. Take 3-5 qian per dose.
The Qi Wheel belongs to the Lung, located in the West under the Metal element (Geng-Xin positions). (Indications: White membrane obscuring the cornea from Lung meridian issues, photophobia, vision like smoke, blurriness, dryness, itching, and pain. Prescription: Fang Feng San [Saposhnikovia Powder])
* Fang Feng (Saposhnikoviae Radix)
* Cang Zhu (Atractylodis Rhizoma)
* Qiang Huo (Notopterygii Rhizoma et Radix)
* Jing Jie (Schizonepetae Spica)
* Dang Gui (Angelicae Sinensis Radix)
* Gan Cao (Licorice Root)
Process equal parts into powder. Take 3-5 qian per dose, washed down with clear tea.
The Water Wheel belongs to the Kidney, located in the North under the Water element (Ren-Gui positions). (Indications: Dim/dark vision, floaters, headache, cold tears, unclear vision, *Qing Mang* [tubular vision loss], and internal cataracts from Kidney meridian issues. Prescription: Bu Shen Wan [Tonify the Kidney Pill])
* Ba Ji Tian (Morindae Officinalis Radix)
* Shan Yao (Dioscoreae Rhizoma)
* Po Gu Zhi (Psoraleae Fructus)
* Xiao Hui Xiang (Foeniculi Fructus)
* Qing Yan (Natrii Chloridum)
* Rou Cong Rong (Cistanches Herba)
* Mu Dan Pi (Moutan Cortex) - 5 qian
* Gou Qi Zi (Lycii Fructus) - 10 liang
Process into powder, make pills with honey. Take 50 pills per dose, washed down with salt water.
Another prescription for treating the Flesh Wheel, indicated for pain at the Taiyang acupoint, opacities invading the cornea, recurrent redness/swelling due to stasis persisting for years: Yi Yi Ren San [Coix Seed Powder]
* Yi Yi Ren (Coicis Semen)
* Fu Ling (Poria)
* Shi Jue Ming (Haliotidis Concha)
* Bai Qian Niu (Pharbitidis Semen)
* Da Huang (Rhei Radix et Rhizoma)
Process equal parts into powder. Take 3-5 qian per dose, mixed with clear tea.