有翳圆如月,阴阳总一般,当当珠上立,朗朗水中看。血少神弥散,精虚气不完,要将根底去,是必得仙方。
此症微翳混蒙瞳子。人虽不觉,自难耐其昏 ,名曰虚潭呈月。盖状其光滑深沉,似无而实有也。凡一切险
恶外障,致目失明者,愈后必有此。既不能治,不必究其始末。
俗本于比类,分出许多名色。而论于治法则同。可谓真不惮烦。且幸是医书,若作史记,恐笔墨价重连城,
岂限纸
贵。
夏侯死抱啖睛恨,阮子生成白眼贫,那更有人惊世俗,石螺烹出换瞳神。
此症乃神珠被头风痰火所蒸,色死而实,绝似煮熟田螺,其凸与平陷亦如之,故名。往见世人患此,初不经
意,及症已成,求医之切,有不远千里而愿为执鞭者,为之太息。
秋水澄澄零露溥,星芒不幼剑光寒。瞳神此夜藏何处,扫尽妖氛仔细看。
此症系物击所现伤痕,色白或带焦黄,中央略浓,两边薄些,正中横于青睛之上,故曰剑横秋水。轻重不一,
重者虽露上下风轮,而瞳神被掩,视宜无见。轻者终是被掩,视亦暧昧,纵有神丹,止可稍减一二。倘日久沉滑,
暨轮廊低陷,或再加微丝组织,终身不痊。又有热障闪烁,或点或服寒药过投,一线刚风上逼,刮画睛轮。初不
觉,病退,中正白翳紧着,有如针定罗盘,唤此名亦似。为治较前尤难。所谓长剑倚天外,非具拔山之力,不能
摇动。
有一类翳障,形状圆如月亮,在眼睛的黑白二部分中表现一致,高高地立在黑珠之上,清晰明亮如同水中的倒影。这是因为血少导致神气弥散,精虚导致元气不完备,想要从根本上去除它,必须得到仙方。
这种症状表现为轻微的翳障遮蔽瞳孔,使人虽然自己不觉察,但难以忍受其昏蒙感,名为“虚潭呈月”。这是形容其光滑深沉,看似没有实则有的状态。凡是各种险恶的外障眼病导致失明的,痊愈后必然会出现这种情况。既然无法治愈,就不必追究它的起因和经过。
世俗的本子喜欢进行类比,分出许多名称类别。但在治疗法则上却是相同的。可以说真是毫不怕麻烦。况且幸好这是医书,如果写成史书,恐怕笔墨的价值连城,哪里只是纸张昂贵而已。
夏侯惇死抱着被射瞎眼睛的仇恨,阮籍因生就白眼而显得贫穷(指性格孤傲不合世俗),更何况有人惊动世俗,像石螺烹煮后取出一样更换瞳神(比喻手术或治疗)。
这种症状是由于神珠(黑睛/瞳孔)被头风、痰火所熏蒸,颜色枯死且质地坚实,极像煮熟了的田螺,其凸起与平陷的状态也类似,因此得名。以往见到世人患此病,起初不在意,等到病症形成,求医心切,甚至有不远千里愿意为人执鞭侍奉来求医者,对此令人叹息。
秋水清澈,零露广布,星芒不显,剑光寒冷。今晚瞳神藏在哪里?扫尽妖氛仔细看。
这种症状是由物体击打造成的伤痕,颜色白色或带焦黄,中间略浓,两边较薄,正中横在黑睛之上,所以叫“剑横秋水”。病情轻重不一,重的即使上下眼睑(风轮)暴露,但瞳神被遮挡,视力完全丧失;轻的始终被遮挡,视力也模糊不清,即使有神丹妙药,也只能稍微减轻一二。如果日久变得沉滑,以及轮廓低陷,或者再加上微丝组织,终身不能痊愈。又有热障闪烁,或者点眼或服用寒凉药物过量,一线刚风上逼,刮伤黑睛轮廓。起初不觉察,病退后,正中出现白色翳障紧紧附着,有如针定罗盘,这个名字也类似。治疗比前面提到的更难。所谓长剑倚靠天外,不具备拔山之力,不能摇动。
There is a type of nebula (corneal opacity), round like the moon, appearing generally the same in both yin and yang parts [of the eye], standing prominently on the cornea, clear and bright as seen in water. This is due to blood deficiency causing the spirit (Shen) to scatter, and essence (Jing) deficiency leading to incomplete qi (vital energy). To remove it from its root, one must obtain an immortal prescription.
This condition presents with a slight nebula obscuring the pupil. Although the patient may not be aware of it, they find it hard to endure the dimness; it is named "Empty Pool Reflecting the Moon" (Xu Tan Cheng Yue). This describes its smooth and deep appearance, seeming non-existent yet actually present. Whenever all kinds of dangerous external obstructions cause blindness, this will inevitably remain after recovery. Since it cannot be cured, there is no need to investigate its origin and progression.
Secular texts tend to use analogy, creating many names and categories. However, the treatment principles are the same. One could say they are truly unafraid of trouble. Fortunately, this is a medical book; if it were written as history, the value of the ink and brush would rival cities, let alone the price of paper.
Xiahou Dun died holding a grudge over his eaten eye; Ruan Ji's white eyes made him poor [in social standing]; furthermore, someone startles the secular world, cooking a stone snail to replace the pupil spirit [metaphor for drastic intervention].
This condition arises because the divine pearl [pupil/cornea] is steamed by head wind-phlegm-fire, becoming dead-colored and solid, resembling a cooked field snail, with convexity and concavity similar to it, hence the name. In the past, I have seen people suffering from this; initially disregarding it, but once the condition has formed, their eagerness to seek medical help is such that some would travel thousands of li willing to serve as a groom. It makes one sigh.
Autumn water is clear, dew is abundant; starlight is faint, sword light is cold. Where does the pupil spirit hide tonight? Sweep away the evil aura and look carefully.
This condition manifests as a scar caused by physical impact. The color is white or slightly scorched yellow, thicker in the center and thinner on the sides, lying horizontally across the black eye [cornea], thus called "Sword Crossing Autumn Water" (Jian Heng Qiu Shui). Severity varies: in severe cases, although the upper and lower eyelids [wind wheels] are exposed, the pupil spirit is covered, resulting in total loss of vision; in mild cases, it remains covered, and vision is also ambiguous. Even with miraculous pills, only slight improvement can be expected. If it persists for a long time, becoming sunk and slippery, with depressed contours, or adding fine filamentous tissue, it will never heal in this life. There is also the case of flickering heat obstruction, or excessive application of topical or oral cooling medicines, causing a line of rigid wind to attack upwards, scraping the corneal wheel. Initially unnoticed, after the disease recedes, a white nebula tightly adheres to the center, like a needle fixing a compass; this name is also similar. Treatment is even more difficult than the previous ones. As the saying goes, "A long sword leaning against the sky outside," requiring mountain-uprooting strength to move it.