木疡如豆据青睛，绀碧苍黄画不成，若使深侵金井去，水纹荡漾绿苔生。
此症生于风轮左右，色苍碧，形若败豆。大要非下销精血，火燥上攻，即味穷山海，毒循气发。以故一起便
内热食减，头目狂痛，莫敢开视。逮病势稍衰，已成今症。虽不同黄液自内而出，其险恶过之，失治则睛必裂。
愈后显有藓蚀苔斑，似翳非障，神医为之掣肘。
火疡状如红豆蔻，其故知为邪毒否，两 之间已不堪，气轮犯克难分剖。
此症初起如蓁椒，继如红豆蔻，生于内睑 间，着气轮者为急。盖火之实邪，今在金部，所谓鬼贼相侵。失
治或误会成溃漏。须黄连解毒汤。不妥，当八正散、犀角地黄汤。再则宜滋水以济火，或补阴以配阳，圆机活用，
治法良多，宁必一意败毒。
土疡俗号包珍珠，血瘀生痰火剥肤。莫谓疾微无用治，到成溃漏费神机。
此症世又呼偷针眼，生外睑弦上，初得但痒而肿，次则结一小核，乃作痛，屡屡不药自消。若病形俱实，必
至核大溃脓始愈。有一核溃，一核又结，一日罢，一日又起，乃窍虚外风袭入，头面悉肿，目亦赤痛。如再犯燥
烈，决为腐漏吊败，改形换相者。些须小恙，而祸害一至于此，患者幸毋忽。始以泻黄散、竹叶石膏汤，次归芍
六君、金水六君。若目赤痛，面微肿，亟进清胃散、二术胜湿汤，或于疡顶上重砭一针，血出气泄，万万不致溃
腐。
金疡玉粒生睛上，湛湛水轮碍蓁莽。时交阴气金水清，流火居西神稍爽。
此症生于气轮，状如金粟，粒数无定，眵泪涩痛不消说，间有连上睑内结者，尤碍青睛，且击而发翳障，俨
与椒粟仿佛。但火金亢战，非风湿居土木也。子后午前阳气升旺之时，病必急。大剂泻白散、治金煎。不稍减，
消毒逐瘀汤投之，无有不罢。倘违戒反触，变祸端恐不免。
水疡震巽轮间着，黑气碍空苍气薄，太阳离丽苦头风，瞳子生憎金井落。
此症仍生于风轮，病状病态亦与木疡绝肖，但巽廓先起，其色元黄，间亦转青转蓝，由内逼出青睛，目疾之
奇恶者，其不陷睛丧明，真有重瞳耳。或曰疡本火郁，头系风痛，何以病反属水？盖肝木风干则生火，火胜必侮
水。金井，肾脉也，风攻其上，火爆其中，而下之化源未能遽援，些微膏液不得不同流合污，随风入木，结而成
疡。且风行水动，物理自然，凡头风痛攻，决伤瞳子，岂限水疡耶。是疡由热淫，火兼水化，水乏肾困，其为病
也明矣，夫复何疑。
水木二疡本无治，故不立方。然遇初患，医乃仁术，主定诚求，讵忍坐视。木与三黄丸、抑阳酒调散，水与
知柏地黄汤、通幽丸，止痛保凹凸可矣。或天相吉人，有效，再对脉选药百中亦起一二。但必预陈病由，乃无后
言，好人且无从诋毁。
木疡（生于风轮的溃疡）像豆子一样附着在青睛（黑睛/角膜）上，颜色呈苍碧、苍黄，难以用言语形容。如果病情深入侵入金井（瞳孔），就会出现水纹荡漾、绿苔丛生的景象。
这种病症生长在风轮（黑睛）的左右两侧，颜色苍碧，形状像腐烂的豆子。其主要病机不外乎两种：一是由于下焦精血亏损，导致虚火上炎攻冲；二是因饮食穷极山海之味，毒性随气机发作。因此，一旦发病便出现内热、食欲减退、头部和眼睛剧烈疼痛，不敢睁眼视物。等到病势稍减，才形成目前的症状。虽然不像黄液上冲那样脓液从内部流出，但其险恶程度有过之而无不及，若失治则眼球必然破裂。痊愈后，患处明显留有癣蚀般的苔斑，似翳非障，即使是神医也难以处理。
火疡（生于气轮的溃疡）形状像红豆蔻，其病因可知为邪毒所致。病变位于两眦之间已不堪忍受，侵犯气轮（白睛）者难以分辨剖析。
这种病症初起如花椒粒，随后像红豆蔻，生长在内睑（眼睑内侧）与气轮交界处，侵犯气轮者病情危急。这是因为火的实邪现在位于金部（肺/白睛），即所谓“鬼贼相侵”（五行相克中的反侮）。若失治或误治，可能溃破成漏。应当使用黄连解毒汤。若效果不妥，可用八正散或犀角地黄汤。再进一步宜采用滋水以济火，或补阴以配阳的方法，灵活变通，治疗方法很多，岂能只执着于败毒一法？
土疡（生于睑弦的溃疡）俗称为包珍珠，由血瘀生痰、火热剥蚀肌肤所致。不要认为疾病轻微而无需治疗，等到形成溃漏时，就连神妙的医术也感到棘手。
这种病症世人也称为偷针眼，生长在外睑弦（眼睑边缘）上，初得时只是痒而肿，随后结成一个小结核，继而疼痛，常常不药自愈。如果病形属实证，必须等到核大溃脓才能痊愈。有一个核溃破，另一个核又结成，一日停止，一日又起，这是由于窍虚外风袭入，导致头面全部肿胀，眼睛也赤痛。如果再触犯燥烈之物，必定会导致腐烂、漏孔、倒睫等改变容貌的后果。些许小病，祸害却如此严重，患者千万不要忽视。初期可用泻黄散、竹叶石膏汤，后期用归芍六君汤、金水六君汤。如果目赤痛、面部微肿，急需服用清胃散、二术胜湿汤，或者在溃疡顶部重刺一针，使血液流出、气机泄出，万万不会导致溃烂腐败。
金疡（生于白睛的溃疡）如玉粒生在睛上，阻碍了清澈的水轮（瞳神/晶状体等），如同杂草丛生。当时交阴气、金水清朗之时，流火居西（西方属金，对应秋季/傍晚），神志稍感清爽。
这种病症生长在气轮（白睛），形状像金粟，颗粒数量不定，眵泪涩痛不止是常事，间或有连及上睑内结者，尤其妨碍青睛（黑睛），且击打后易发翳障，俨然与椒粟相似。但这是火金亢盛交战，并非风湿居于土木（肝脾）。在子时后到午前阳气升旺之时，病情必定加剧。需用大剂量的泻白散、治金煎。若不稍减，投以消毒逐瘀汤，没有不愈的。倘若违反禁忌再次触犯，恐怕难免变生祸端。
水疡（生于黑睛深层或涉及瞳神的溃疡）着于震巽轮（风轮/黑睛）之间，黑气阻碍空廓，苍气淡薄，太阳经（足太阳膀胱经）离丽（附着）之苦表现为头风痛，瞳子厌恶金井（瞳孔）坠落。
这种病症仍然生长在风轮（黑睛），病状病态也与木疡极为相似，但巽廓（风轮外侧）先起，颜色元黄，间亦转青转蓝，由内逼出至青睛，这是目疾中奇特而凶恶的，如果不陷入眼球丧明，真有如重瞳一般怪异。有人说溃疡本是火郁，头部系风痛，为何病反而属水？盖因肝木风干则生火，火胜必侮水（火反克金，进而耗伤肾水）。金井指肾脉，风攻其上，火爆其中，而下焦化源未能迅速支援，些许膏液不得不随波逐流，随风入木，结而成疡。且风行则水动，这是物理自然规律，凡头风痛攻，必定损伤瞳子，岂止限于水疡呢？此疡由热淫所致，火兼水化，水乏肾困，其为病也显而易见，有何可怀疑的？
水木二疡原本无固定方治，故不列出具体方剂。然而遇到初患，医者乃仁术，主诊者诚心求索，怎忍心坐视不管？木疡用三黄丸、抑阳酒调散，水疡用知柏地黄汤、通幽丸，止痛并保护眼球凹凸形态即可。若是天相吉人（运气好的人），有疗效，再对脉选药，百次中也有一二次能起死回生。但必须预先陈述病因，以免日后有怨言，好人尚且无从诋毁。
Mu Yang (Ulcer of the Wood Wheel) resembles a bean attached to the Qing Jing (Black Cornea), with colors of cyan-green and pale yellow, difficult to depict. If it deeply invades the Jin Jing (Pupil), water ripples will ripple and green moss will grow.
This condition arises on the left and right sides of the Feng Lun (Black Cornea), presenting with a cyan-green hue and a shape resembling a rotten bean. The primary etiology involves either depletion of essence and blood in the lower jiao leading to deficiency fire attacking upwards, or excessive consumption of rich foods from mountains and seas, where toxins follow the qi mechanism to erupt. Consequently, upon onset, there is internal heat, reduced appetite, severe headache and eye pain, making opening the eyes unbearable. As the disease momentum subsides, this current presentation forms. Although distinct from Huang Ye Shang Chong (Yellow Fluid Rushing Upward) where pus flows from within, its malignancy is even greater; if untreated, the eyeball will surely rupture. After healing, obvious lichen-like erosions and mossy patches remain, appearing as nebulae but not true cataracts, posing a challenge even for divine physicians.
Huo Yang (Fire Ulcer) resembles a red cardamom pod; its cause can be known as pathogenic toxin. It becomes intolerable between the two canthi, and when invading the Qi Lun (White Sclera), it is difficult to distinguish and dissect.
Initially, this condition appears like a pepper grain, subsequently resembling a red cardamom pod, growing between the inner eyelid and the Qi Lun interface, with invasion of the Qi Lun being critical. This is due to excess fire pathogen now residing in the Metal sector (Lung/White Sclera), described as "Ghost Thief Invasion" (reverse overcoming in Five Elements). If neglected or mismanaged, it may ulcerate into a fistula. Huanglian Jiedu Tang (Coptis Decoction for Detoxification) should be used. If ineffective, Bazheng San (Eight Corrective Powder) or Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) are appropriate. Further treatment should nourish Water to assist Fire, or tonify Yin to harmonize Yang, employing flexible methods rather than solely focusing on detoxification.
Tu Yang (Earth Ulcer) is commonly known as Bao Zhen Zhu (Pearl Enveloped), caused by blood stasis generating phlegm and fire eroding the skin. Do not consider minor ailments unworthy of treatment; once an ulcerated fistula forms, even miraculous skills struggle.
Also called Tou Zhen Yan (Stolen Needle Eye), it grows on the outer eyelid margin. Initially, it presents only with itching and swelling, followed by a small nodule that becomes painful, often resolving spontaneously without medication. If the pathology is full-excess, it must reach the stage of large nodule suppuration to heal. One nodule may ulcerate while another forms; one day it ceases, the next it rises again, due to pore deficiency allowing external wind invasion, causing total facial swelling and red, painful eyes. Further exposure to dry-hot substances will inevitably lead to rot, fistula, trichiasis, and deformity. Such a trivial ailment brings such disaster; patients must not ignore it. Initially, use Xiehuang San (Drain Yellow Powder) or Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction); later, Guishao Liujun Tang (Angelica Sinensis, Paeonia and Six Gentlemen Decoction) or Jinshui Liujun Tang (Metal-Water Six Gentlemen Decoction). If eyes are red/painful and face slightly swollen, urgently administer Qingwei San (Clear Stomach Powder) or Ershu Shengshi Tang (Two Atractylodes Dampness-Overcoming Powder), or apply heavy pricking at the ulcer apex to release blood and qi, preventing rot.
Jin Yang (Metal Ulcer) produces jade-like grains on the eye surface, obstructing the clear Shui Lun (Water Wheel/Pupil/Lens), akin to overgrown weeds. During times of yin qi transition and clear metal-water energy, with flowing fire in the west, mental clarity slightly improves.
This condition arises in the Qi Lun (White Sclera), shaped like golden millet, with variable numbers of grains. Discharge, tearing, and astringent pain persist. Occasionally, nodules connect to the upper eyelid interior, particularly obstructing the Qing Jing (Black Cornea), and trauma may induce nebulae/cataracts, resembling pepper grains. However, this is hyperactive Fire-Metal conflict, not wind-dampness in Wood-Earth. Symptoms exacerbate during the period from Zi hour to Wu hour when yang qi rises. Large doses of Xiebai San (Drain White Powder) or Zhijin Jian (Treat Metal Decoction) are required. If no reduction occurs, Xiaodu Zhuyu Tang (Detoxify and Remove Blood Stasis Decoction) is effective. Violating taboos risks further calamity.
Shui Yang (Water Ulcer) adheres to the Zhen-Xun Lun (Wind Wheel/Cornea area), with black qi obstructing the void and pale qi thinning. Taiyang channel attachment causes severe cephalalgia; the pupil dislikes the Jin Jing (Pupil) sinking.
This condition still arises in the Feng Lun (Black Cornea), mimicking Mu Yang closely, but starting in the Xun perimeter with yellowish color, sometimes turning cyan/blue, pressing inward to the Qing Jing. It is among the most bizarre and malignant eye diseases; failure to penetrate the eyeball and cause blindness results in a pseudo-diplopia appearance. Some ask: ulcers are typically fire-stagnation with wind-headache, why attribute this to Water? Because Liver Wood wind-dryness generates Fire; excessive Fire insults Water. Jin Jing refers to Kidney meridian; wind attacks above, fire burns within, while the lower transformation source cannot quickly support. Minimal essence fluids mix with the flow, entering Wood with the wind, forming ulcers. Wind moves water, a natural law; any severe cephalalgia attacks damages the pupil, not limited to Water Ulcers. This ulcer stems from heat dominance, fire combining with water transformation, kidney water deficiency and fatigue, clearly evident.
Shui and Mu Yangs originally lack fixed prescriptions, hence none listed. However, for early onset, medicine is benevolent art; the physician must sincerely seek cure, unable to sit idle. For Mu Yang, use Sanhuang Wan (Three Yellows Pill) or Yiyang Jiutiao San (Suppress Yang Wine-Mixed Powder); for Shui Yang, use Zhibai Dihuang Tang (Anemarrhena, Phellodendron and Rehmannia Decoction) or Tongyou Wan (Unblocking Source Pill), aiming to relieve pain and preserve globe convexity. For fortunate cases with efficacy, pulse diagnosis guides medication selection, achieving recovery occasionally. Pre-explaining the etiology prevents future complaints and criticism from others.