天廓由来即气轮，不通传导损干元，火天见惯浑闲事，夺日谁云不骇人。
此症无因无恙，一二日天廓尽情肿起，色紫碧，状如败猪肺，看得怕人。甚者并风轮包倒，不见金井，故曰
火天夺日。其实亦无害。盖传导失职，内火上炎，洁其本经脏腑，使邪从下出。更以生熟地黄饮、扶桑丸早晚互
投，则肿渐消而色亦渐白。如从伤寒赤热为治，未能中病，徒丧真元。倘斯人大运已去，则熔金毁木，其利胜斧
钺多矣。临症者，尚凛遵无忽。
忧思郁结心神损，恚怒劬劳肝气亏，饥饱不匀仓禀坏，色欲无时水火虚，土气既衰金自薄，风邪寒暑易相欺，
病兼五脏惟斯症，医得无增便是除。
此症目无甚大弊，但三处两处似膜非脂，从气轮而蚀风轮，故曰流金凌木。状如 肉攀睛，然色白而薄，位
且不定。亦多见于阴郁妇女。所以然者，妇人性虽柔，当不得好胜而善愁。善愁则气降，好胜不胜则愁变为恨矣。
恨不能发故郁，郁则生火，火盛精耗，金木俱伤，爰得斯病。病成可却而不可除，万无妄施钩割，徒致人丧明也。
症成可却，盖风轮患此，必有微眵与泪，或昏 不自在。以归 六君子合生脉，倍分两为丸，岁月长服，则
病不再长。或还少丹、驻景丸亦可。不可除，攀睛 肉明明薄在
轮廓，只钩起钳定，飞刀割之立去。此则谓攀睛却是翳障，谓翳障却是皮膜，谓轻而无害却针药无下手处。医得
无增便是除，此言虽谬，见理 明。
天廓（白睛）由来就是气轮（肺经所属的眼部区域），传导功能失常会损伤元气。火天见惯浑闲事，夺日谁云不骇人：人们看惯了“火天”之象，觉得是平常事，但谁说“夺日”不会让人惊骇呢？
此症若无外因且身体原本健康，一两天内天廓（白睛）就会完全肿起，颜色呈紫青色，形状像腐烂的猪肺，看起来令人害怕。严重时甚至包裹住风轮（黑睛），看不见金井（瞳孔），所以称为“火天夺日”。其实这也并无大害。这是因为传导失职，内火上炎，需要清洁本经脏腑，使邪气从下排出。早晚交替服用生熟地黄饮和扶桑丸，则肿胀逐渐消退，颜色也逐渐变白。如果按照伤寒赤热来治疗，不能切中病机，只会白白损耗真元。倘若此人运势已去（指病情危重或体质极虚），则如熔金毁木，其危害胜过斧钺杀戮。临证医生，务必谨慎遵守，不可疏忽。
忧思郁结损伤心神，恚怒劳累亏损肝气，饥饱不均破坏脾胃（仓禀），色欲无度导致水火（肾阴肾阳）虚弱，土气（脾）既衰，金气（肺）自然薄弱，风邪寒暑容易相互侵袭，疾病兼涉五脏唯独此症，医生只要做到不增加病情便是治愈。
此症眼睛没有太大的弊端，但在三处或两处出现似膜非脂的组织，从气轮侵蚀风轮，所以称为“流金凌木”。形状类似肉攀睛（胬肉侵睛），但颜色白而薄，位置也不固定。也多见于情绪抑郁的女性。之所以这样，是因为女性性格虽柔弱，却好胜且多愁善感。多愁则气机下降，好胜不得志则愁绪变为怨恨。怨恨无法发泄故而生郁，郁久化火，火盛耗伤精血，金（肺）木（肝）俱伤，因此得了这个病。病成之后可以控制而不能根除，千万不要妄用钩割手术，只会导致病人失明。
症状形成后可以控制，因为风轮患此病，必然伴有少量眼屎和泪水，或者视物昏花不自在。使用归脾汤合六君子汤加生脉散，加倍剂量制成丸药，长期服用，则病情不再发展。或者使用还少丹、驻景丸也可以。不可以根除，因为攀睛之肉明明薄贴在轮廓上，只是钩起钳定，用飞刀割之即可立去。这里所说的攀睛其实是翳障，所说的翳障其实是皮膜，说它轻微无害却又让针药无处下手。医生说“只要不增加病情便是治愈”，这话虽然看似荒谬，但见解非常明晰。
The Tiankuo (White Sclera) originates as the Qi Wheel (the ocular region governed by the Lung Meridian); when its transmission function fails, it damages the Yuan Qi (Original Qi). People are accustomed to the phenomenon of "Fire Heaven" and regard it as trivial, but who would claim that "Snatching the Sun" is not shocking?
This condition arises without external causes in previously healthy individuals. Within one or two days, the Tiankuo (White Sclera) swells completely, appearing purple-blue in color and resembling a rotting pig's lung, which is frightening to behold. In severe cases, it may envelop the Fenglun (Black Cornea/Iris), obscuring the Jinjing (Pupil), hence the name "Fire Heaven Snatching the Sun." In reality, this poses no significant harm. It stems from the failure of transmission functions, causing internal fire to flare upward. The treatment requires cleansing the organs and meridians involved to allow pathogenic factors to exit downward. Administering Shengshu Dihuang Yin (Raw and Prepared Rehmannia Decoction) and Fusang Wan (Morus Pill) alternately morning and evening will gradually reduce swelling and restore whiteness to the tissue. If treated according to the protocols for cold damage with redness and heat, the treatment will miss the pathology, merely depleting the True Yuan (True Original Qi). Should the patient's vital fortune be exhausted (indicating critical illness or extreme constitutional deficiency), the damage will be akin to melting metal and destroying wood, far exceeding the harm of axes and swords. Clinicians must adhere strictly to these principles and not neglect them.
Worry and contemplation stagnate, damaging the Heart Spirit; anger and overwork deplete Liver Qi; irregular eating and drinking impair the Stomach and Spleen (Granary); excessive sexual desire empties Water and Fire (Kidney Yin and Yang); as Earth Qi (Spleen/Stomach) declines, Metal Qi (Lung) naturally becomes thin, making the body susceptible to Wind, Cold, and Summer-heat pathogens. This disease involves all five Zang organs; if the physician ensures no aggravation occurs, this constitutes cure.
In this condition, there is no major defect in the eye, but at three or two locations, membrane-like tissues appear, eroding from the Qi Wheel into the Fenglun (Cornea/Iris), thus termed "Flowing Metal Overwhelming Wood." Its appearance resembles Roupanjing (Pterygium invading the cornea), yet it is white and thin, with an unstable position. It is also commonly seen in women with depressive dispositions. The reason lies in the fact that although women are naturally gentle, they are competitive and prone to sorrow. Sorrow causes Qi to descend; when competitiveness is unfulfilled, sorrow transforms into resentment. Unexpressed resentment leads to stagnation; stagnation generates fire; excessive fire consumes essence, injuring both Metal (Lung) and Wood (Liver), resulting in this disease. Once established, the condition can be controlled but not eradicated. One must never recklessly apply hook-and-cut surgery, as this will only cause blindness.
Since the condition can be controlled: because the Fenglun is affected, there will inevitably be slight discharge and tearing, or visual blurring and discomfort. Combining Guipi Tang (Restore the Spleen Decoction), Liujunzi Tang (Six Gentlemen Decoction), and Shengmai San (Generate the Pulse Powder), doubling the dosage and forming pills for long-term administration will prevent further progression. Huanshao Dan (Return to Youth Pill) or Zhujing Wan (Stabilize Vision Pill) are also suitable options. It cannot be eradicated surgically because the pterygium-like flesh is clearly thin and attached to the contour. Simply hooking and clamping it allows immediate removal with a flying knife. Here, what is called pterygium is actually an opacity; what is called opacity is actually a membrane. Describing it as mild and harmless yet claiming acupuncture and herbs have no place to act is contradictory. The statement that "preventing aggravation constitutes cure," while seemingly absurd, reflects profound insight.