(《瑶函》名此证曰“高风障”,义不可解。)
大道行不去,可知世界窄,未晚草堂昏,几疑天地黑。心迹非无素,双睛绝尘墨,何以蔽幽光,惺惺重侧侧。
濉川古疾民,元气能培植,相识半盲人,共子度晨久。秋风哭不成,浩歌响岩石。
此症世呼鸡盲,一名雀目,本经曰阴风障。至晚不见,晓则复明,盖元阳不足之病。或曰∶阳既不足,午厉
属阴,何未申尚见?子后属阳,何丑寅不明?日午后虽阴,太阳离丽,日阳而时阴,阳分之阴;子后虽阳,太阴
瞑黑,夜阴而时阳,阴分之阳。目其类也,故晦明共之。然有灯、月亦尔者,月太阴,灯亦是阴,安能内助乎阳
而容光必照焉。且五六天地中合,人身脏腑十数,既与天地相参,则阴阳之气无时不中,亦无时不合。平旦阳气
生,景午阳气隆,日西阳气息,气门乃闭。人而阳不胜阴,则气必下陷,阳气下陷则阴气上腾,纵有不光月色,
终不能睹。亟用春阳回令丸、四神丸各一料,早晚量服。再汇升阳益阴上品好药,昼煎一剂,则精气冲和,自然
而愈。不则,变内障者有之,变青盲者有之。若骄恣不遵戒慎,或衣食不适口体,致阴阳否塞,为中满、中消而
死者,患者其毋忽诸。
无故双睛白似银,失明久作已亡身,神仙不泄天机妙,漫把金针暗度人。偶尔从高跌下,无意被人一打,神
水挠而
浑,年久凝成翳也。不怕不怕,自有金针在者。
此症盖目无病失明,金井之中,有翳障于神水之上,曰内障。非精艺莫识所以,且疑为诈。讵知障在睛内,
犹悬布幔于纸窗之上,外人安知其蔽而不明也。初起目昏,次视惑,次妄见,甚乃成翳,色白或微黄,或粉青状,
如星、如枣花、如半月、如剑脊、如水银之走、如膏脂之凝、如油之滴水中、如水之冻杯内。名曰圆、曰横、曰
滑、曰涩、曰浮、曰沉、曰破散、曰浓浓,先生一目,向后俱有。其致病始末,前后已详言之,无容再赘。今专
究其针治如后。目不赤痛,左右并无头风,瞳子不欹不侧,阳看能小,阴看能大,年未过六十,过六十而矍铄,
知昼夜,见影动,皆可针拨,反此者不能。既不反此,其翳黄如橙、红如朱、清如水晶,昏暗如羊眼,绿如猫睛,
皆不可针。又有外看无一毫犯禁忌,针入翳坚如石者;沉泊黄精者;韧如皮膜,碎一孔而不能者;着针睛珠病皱
不胜力者;通睛沉陷针难转拨者,须罢手勿强为针。后有头痛用葱艾熨法,痛甚按穴灸,呕吐当暖胃,白睛红当
清火行血,通睛急痛安神养精,佐以和肝。过此,瞳神有油气,视而KT KT ,大益荣卫。如欲缩小,加辛以开。欲
散大,倍酸以收。但不宜用芎、桂、姜、附香燥之物,恐助血作针口。过此,障落无光者,阴阳不交。障久复上
者,再针亦可。人能调养精神,勿药亦保无虞。倘以为愈,而不加谨慎,日夜思所以斩伐其命脉,致元元憔悴,
若焦若烧,必转为风变。而后乃今,虽华佗再见,亦无如之何也,已矣。
有头脑被物打触,或跌扑倒撞,瘀血流出眼窝,渗入神水,当不及觉,后荏苒成症。轻止本目,重则左右相
牵,本经曰惊振翳,受病固不同于他,而治法则一。然要知右边受伤,先损右而牵左。左边受伤,先损左而牵右。
牵损者可
针,先损者忌针。损轻者可针,损重者忌针耳。
诀曰∶
无因自尔渐昏朦,偏是昏朦色界通,妄见HT 飞花乱落,或如电掣火流红。这般病业非伤性,水不清凉木有风。
彼时药石差标本,邪正相持气混融,始然一眼如烟罩,次后相牵总一同,年久舆薪全弗见,爰名内障障双瞳。漫漫
长夜何时旦,金针一度日当空。生成内障有多端,可能医治十来般,分明一一知形色,行针方可获全安。鸭舌古
针今罕尚,三棱用亦不相干,病虚老弱兼娠妇,前后调和药饵难。咳唾 摇仍未许,无已预服补和丸。不雨不风天
气好,致斋申敬待针完。八法通神心勿怖,但是闲人只静观,有血术疏急住手,误犯黄精岂等闲,干廓利贞巽地
善,鉴人神水静无痕。三日启封虽见物,花明水动莫多言,若然使性违将息,纵不伤生翳却翻。内障金针针了时,
针痕湿着痛微微,软帛缠头金纸贴,仰眠忱以稳为期。眼外忽疼禁不住,首风牵引莫他疑,或砭或药归经窦,否
则还将熨法施。欲吐盐梅含咽下,吐来端坐却由伊芳。三朝羹粥温温服,震动牙车事匪宜。大便小便轻叫唤,行云
行雨绝相思。如此耐心三十日,徐行出入会亲知。一切有情身外事,病魔从此永分离。
不尘子曰∶内障之来,其故有四∶五脏有偏胜,众脏失调候,弱阴艰强理,虚阳无补法。心肝脾肺肾各遂其
初,以乐天和。一脏或有余,四脏俱不足,此五脏有偏胜也。胃、胆、大小肠、膀胱各司厥职,少违功令,为燥
为淫,此众腑失调候也。天水不下,地水不上,急而欲滋之,遂使龙雷见,此弱阴艰强理也。壮火食气,气食少
火,是曰阳无根,益之欲令实,翻致不能禁,此虚阳无补法也。经曰∶心者,五脏之专主,目,其窍也。又为肝
之窍。肾主骨,骨之精为
神水,肝木不平,内挟心火,神水莫制,为势妄行,上内为障,此脏病也。腑脉系络于脏,循于目,其精气亦上
注而为目之精,精之窠为瞳子,瞳子受伤,则系络乃败,邪火乘之,上为内障,此腑病也。黑水神珠法于阴,白
眼赤脉法于阳,阴伴阳齐故能视。阴微不立,阳盛亦孤,上为内障,此弱阴病也。劳役过多,心神倦怠,相火代
行其事,相火一衰,百脉沸腾,上为内障,此虚阳病也。故脏病者,气亏血损,邪中之则神光自现而精散,精散
则视歧,故以一为二。腑病者,痰停火扰,邪中之则随眼系以入于脑,入脑则目眩以转,故视定为动。阴弱者,
视觉微昏,常见空中有黑花,久则视渺、视近,神水淡绿色、淡白色,已而纯白则不见。阳病者,视物惑乱,状
类不一,甚则若萤若电,时发时止,神水变色如前。然虽有脏、腑、阴、阳属病之分,而障成则一。究其原,皆
从五味、四气、七情、六欲不知节之所致也。由微至着,而人不猛省,凭仗血气方刚,仍加斫丧;或安地命元理,
听其自然。再则较锱铢之利,方真药假,信庸劣之医。始轻终重,堂堂之躯同于木偶。虽富且贵,如梦如幻。呜
呼!是谁之过与。语曰∶天无二曜,一物无所生;人无两目,一事无能为。可不慎哉。是以疾之初起,必于药石
之外,正心寡欲,惜视缄光。盖心正邪不入,寡欲水自生,惜视则神不劳,缄光而膏常润。又且目为心所使,心
正则非礼勿视,安得牵事长思。丈夫志气逼人,动为裙钗所沮,精力云乎哉。寡欲不但延年,且免牝鸡司晨。心
为目所诱夺,物交物则引之。不见,可欲使心不乱,是视宜惜。目不着于邪物,则心无妄用,是老宜缄。审如是
而行,则五脏之病、众腑之病、弱阴之病、虚阳之病,虚者可补,弱者可强,有调有候,不偏不胜,内障奚自而
来。而犹有病之者,天之灾
也。天灾可逭,吾将持金针以度之。针用金者,非贵之也。盖取金与金合,不伤肺气。犹磁石引铁之义。故必须
上好赤金子打造,长可六七分,大惟与缝衣针并,颖略钝,不可大利。下用银钳一管,长五分。以象牙锉柄约三
寸半,紧斗入内,通体水磨圆直,恰好利用。则珍重藏着,临事祭以灵液,无不应手。名曰神针,不亦宜乎。
古人针用三棱、用鸭舌、用马口铁造者,虽载诸简策,未得指授,率意为之,鲜不败事。无若吾此者之圆活
稳便也。有某士中年落魄,寻医生涯,师心自足,耻问前达。闻人有独得处,偏加意鄙薄。一日阅余开目,彼阴
记其款式,遽出治人,瞳神一痛而破,可见金针尚不敢妄施。三棱、鸭舌而可漫然尝试者乎?好自用者,愿以此
生为戒。
凡针,量其人年形苦乐,预为调停脏腑外,前二三日须少进清散之剂,平其气血。及时取新汲井泉水一盆,
安置架上,患者对盆正坐,医家侧立,以手匀水,频频于眼内外浇淋,觉冷气沁入脑户,则脂翳越凝,拨而无血。
且使肌理顿木,不知痛怯。于以下针,运斤成风,目不粘滞矣。若冬月及老弱人,兹法不施亦得。拨眼要精八法。
六法易传,惟二法巧妙,在于学人心灵手敏,久之自然有得。八法者,一曰审机。患者以冷泉洗眼毕,正襟危坐
椅上,靠定头项,勿令转动。两手搦珠,心无妄想。如拨左眼,医师用左手大指、食指分开眼皮,即就二指捺住
白睛。次用右手大指、食指、中指执针,令紧而直。名指略按眼眶,庶可动而察轮,静而观廓。二曰点睛。针锋
就金位去风轮与锐 相半,正中插入,毫发无偏。随用疾逆泻荣,徐顺补卫。三曰射覆。针锋深入无碍,即近黄
精,慢慢斜回针柄,会须进不招愆,退而得所。四曰探骊。针泊黄精,如意运用,使不晕不悸,不妨
直自内寻,横从外觅。五曰扰海。神龙即见,雾雨潜兴。闭目片刻,则风雷自息。然后重截云头,轻收虹脚。六
曰卷帘。障虽拨落,开手自能上去,必加力掉下,又放上来。务期上而不高,下而到底。七曰圆镜。翳净用针干
于金井中央、周遭浣涤。细看睛内,神水澄澈,颜色指动,一一映照,自尔远可识人,近能鉴物。八曰完璧。回
针将障送至护睛水内尽处,迟迟出针之半,少息再出,恐障复还原位。切莫缓在半日,急于一刻。此八法之大概,
其中妙处不传,深造自得者,尤在三四法之间。夫探骊得珠,请问谁能没海。射覆知名,亦不过偶然猜着。顾名
思义,不几令人骇汗。孰谓胸有成竹,固可恃而不恐也。其他六法,惟扰海一针。羚羊挂角,无迹可寻。第终知
为羊,自可捕风捉影,端不若前法之微且险也,故曰六法易传。虽然金针治目,可谓力能回天,圣、神、工、巧,
八法备之矣。或以为易而忽之,或以为难而矜慎,纵心灵手敏,均不可语吾道。如拨右眼,则用左手,照左目八
法。左目用右手,右目用左手,一定成法。故学针,先须从左手讲究。张氏石顽《医通》谓左手不便事,只右手
由大 插入,曰过梁针,此强作解事。直插可入,横眠讵能转运。医固不通,而心实顽于石。
行针之日,斋明盛服,洒扫户庭。堂口横设一案,置香炉、茗果等类于上。医者居前,主人居后,再拜稽首
而言曰∶某年月,下士某,敢昭告于上下神 曰,惟天地万物父母,民有疾,伤厥心,匪药而克。某枵腹不学,
未能变化成方,勉治针经,用匡不逮。今某立身行己,无恶于邦家。既眇复瞽,俾昼作夜,五色昏迷。若沉湎冒
色,其或有过,罚宜从轻。废为生理残障,大可矜恤。知悔斯已,启以自新。恐术于数衡罔济,惟尔神尚克相予,俾
疾瘳,毋诒伊芳戚,永荷天
休。是用告虔而默鉴其心。礼毕,褪去大衣,抖擞精神,执针于炉上,且熏且祝曰∶假尔针神有灵,助我八法,
开彼双睛,日还其精,月含其明,我不辱命,彼乐余生,假尔针神有灵。
开妇人瞽目,用全红简,照帖式书启一通。其辞曰∶伏以玉烛调光,中壶照仁寿之镜;铜乌献瑞,南陔补白
华之诗。置灵素于腹笥,司培元气;烹江铅以掌露,启迪瞳神。言念某氏,望族女 ,名家闺范。丰仪间雅,宛
然林下清风;性质温严,委的闺中韶秀。一灯五夜,绣弗停针;寒雨幽窗,梭宁辄织。然而才优于命,受用多让
邻家;抑且女慧于男,教育莫如彼妇。 文雁,奋翮高骞,秩秩青莲,并头早折。凡兹劫数,谁实安排。大都
结习未除,或者善缘欠讲。东土岂无罗刹,庸犯戒言;北堂虽祀观音,罕敦慈训。缃裙翳血,曾随喜选佛坛场;
贝叶写经,恒误剪凌波履式。人谓嫦娥不死,桂宫兔杵,宵宵捣药何为;古称仙子了凡,七夕鹊桥,岁岁渡河则
甚。尔问我答,端涉诙谐,既笑载言,知添罪恶。但赏惟从重,平生每事多磨;罚合就轻,未老双睛递瞽。春花
红若锦,不窥园已三年;秋月白 霜,难移步至五尺。真所谓魄未下世,魂早离形。庭镜少治儒书,长通医术,
临财毋苟得,冷户那较丰仪。见义当勇为,近功用补新过,是以直行厥道,逞计他求。伏顾上天勿念前愆,能自
新浓加保定,本师 毖薪授,可为法点运枢机。银海涵虚,日中顷刻消云雾;金针宣化,指下分明有鬼神。此后余
生,由今再造。无任存诚,主敬激切屏营。谨启。
此余向昔治某妇而作,其妇美而贤能,只一子种痘殇。夫因子死忧成病,寻亦不禄。妇昼夜悲泣,得圆翳内
障。告神针之,双目如生,因录以为则。若夫,子无恙,文雁、青莲句勿用。或有别情,修饰增入,与某某姓名,
须实填。
圆翳,非谓方圆之圆,乃两重相粘,中央夹有浊水,犹包子壁钱之象。凡针拨动荡,却不能脱落者是。须针
锋望巽廓空中一刺,其浊水滚滚下流,或溢出于金井之外。再竖针,向内打圆按下,则瞳子 然矣。
滑翳,亦非光滑之滑。乃圆翳未结,针入能散能聚,散之则大珠小珠上下交流,聚之,仍合而为一。所谓如
(《瑶函》将此证称为“高风障”,其义理令人费解。)
大道若行不通,可知世界便显得狭窄;天色未晚草堂已昏暗,几乎让人怀疑天地漆黑。心迹并非没有素常之志,双眼却隔绝了尘世的墨色(黑暗),为何遮蔽了幽微的光芒,使人惺忪又侧目不安。
濉川古来的疾民,元气若能培植,相识的人中半数失明,共同与你度过漫长的清晨。秋风萧瑟连哭都哭不出来,浩歌之声回荡在岩石间。
此症世人称为鸡盲,又名雀目,本经称之为阴风障。到了晚上看不见东西,早晨则恢复视力,这大概是元阳不足的病证。有人说:既然阳气不足,午时之后属阴,为什么申时、酉时还能看见?子时之后属阳,为什么丑时、寅时反而不明亮?日午后虽然属阴,但太阳离丽(附着于天),是日阳而时阴,属于阳分中的阴;子时之后虽然属阳,但太阴瞑黑,是夜阴而时阳,属于阴分中的阳。眼睛也属于这一类,所以晦暗与光明共同受其影响。然而有灯、月照明时也是如此,月亮属太阴,灯光也属阴,怎能内助阳气而使容光必照呢?况且五、六数在天地中相合,人身脏腑有十数之多,既然与天地相参,那么阴阳之气无时不中,也无时不合。平旦阳气生发,景午(正午)阳气隆盛,日西阳气气息收敛,气门乃闭。人若阳气不胜阴气,则气必下陷,阳气下陷则阴气上腾,纵然有不光的月色,终究不能看见。急需服用春阳回令丸、四神丸各一料,早晚适量服用。再汇聚升阳益阴的上品好药,白天煎服一剂,则精气冲和,自然痊愈。否则,变为内障的有之,变为青盲的有之。如果骄纵恣意不遵守戒慎,或者衣食不适口体,导致阴阳否塞,成为中满、中消而死去的,患者千万不要忽视啊。
无故双眼白似银,失明已久身体已亡,神仙不泄露天机妙处,随意把金针暗中传授给人。偶尔从高处分跌落下,无意被人打了一记,神水扰动而浑浊,年久凝成翳障。不要怕不要怕,自有金针在。
此症大概是眼睛本身无病而失明,金井之中,有翳障位于神水之上,称为内障。不是精深的医术不能识别其中的道理,而且容易怀疑是装假。哪里知道障在睛内,就像在纸窗上悬挂布幔一样,外人怎么知道它遮蔽而不明亮呢?初起时眼昏,接着视物迷惑,接着产生妄见,甚至形成翳障,颜色白或微黄,或呈粉青色状,像星星、像枣花、像半月、像剑脊、像水银流动、像膏脂凝固、像油滴入水中、像水冻在杯内。名称叫圆、横、滑、涩、浮、沉、破散、浓浓,先生一眼,后面都有。其致病始末,前面已经详细说过,无需再赘述。现在专门研究其针治方法如下:眼睛不红不痛,左右都没有头风,瞳子不偏不斜,阳看能变小,阴看能变大,年龄未过六十,过了六十但精神矍铄,知晓昼夜,能见影动,都可以进行针拨,反之则不行。既然不违反这些条件,如果翳黄如橙、红如朱砂、清如水晶、昏暗如羊眼、绿如猫睛,都不可以针拨。又有外观看起来没有任何禁忌,但针入后翳坚如石的;沉泊在黄精部位的;坚韧如皮膜,碎一孔而不能通过的;着针后睛珠病变皱纹不胜力气的;通睛沉陷针难转拨的,必须罢手不要强行针拨。此后若有头痛用葱艾熨法,痛甚按穴灸,呕吐当暖胃,白睛红当清火行血,通睛急痛安神养精,佐以和肝。过了这些情况,瞳神有油气,视物模糊不清,大益荣卫。如果想要瞳孔缩小,加辛味药以开散;想要散大,加倍酸味药以收敛。但不宜使用川芎、桂枝、生姜、附子等香燥之物,恐怕助血导致针口出血。过了这些情况,障落无光的,是阴阳不交。障久复上的,再针也可以。人能调养精神,不吃药也能保证无忧。如果以为痊愈,而不加谨慎,日夜思考如何斩伐其命脉,导致元气憔悴,像焦枯像燃烧,必然转为风变。到那时,即使华佗再生,也没有办法了,罢了。
有头脑被物体打触,或跌扑倒撞,瘀血流出眼窝,渗入神水,当时来不及察觉,后来逐渐形成病症。轻的只限于本目,重的则左右相互牵连,本经称为惊振翳,受病固然不同于其他,但治疗法则是一样的。然而要知道右边受伤,先损右而牵左。左边受伤,先损左而牵右。牵损的可以针,先损的忌针。损轻的可以针,损重的忌针罢了。
诀曰:
无缘无故自己渐渐昏朦,偏偏是昏朦之色界相通,妄见飞花乱落,或像电掣火流红。这种病业不是伤性,水不清凉木有风。彼时药石差在标本,邪正相持气混融,开始一只眼像烟罩,随后相互牵连总是一样,年久像柴薪全看不见,于是名为内障障双瞳。漫漫长夜何时旦,金针一度日当空。生成内障有多端,可能医治十来般,分明一一知形色,行针方可获全安。鸭舌古针今罕尚,三棱用亦不相干,病虚老弱兼娠妇,前后调和药饵难。咳唾摇仍未许,无已预服补和丸。不雨不风天气好,致斋申敬待针完。八法通神心勿怖,但是闲人只静观,有血术疏急住手,误犯黄精岂等闲,干廓利贞巽地善,鉴人神水静无痕。三日启封虽见物,花明水动莫多言,若然使性违将息,纵不伤生翳却翻。内障金针针了时,针痕湿着痛微微,软帛缠头金纸贴,仰眠忱以稳为期。眼外忽疼禁不住,首风牵引莫他疑,或砭或药归经窦,否则还将熨法施。欲吐盐梅含咽下,吐来端坐却由伊芳。三朝羹粥温温服,震动牙车事匪宜。大便小便轻叫唤,行云行雨绝相思。如此耐心三十日,徐行出入会亲知。一切有情身外事,病魔从此永分离。
不尘子说:内障的到来,其原因有四:五脏有偏胜,众脏失调候,弱阴艰强理,虚阳无补法。心肝脾肺肾各遂其初,以乐天和。一脏或有余,四脏俱不足,这是五脏有偏胜。胃、胆、大小肠、膀胱各司其职,稍违功令,为燥为淫,这是众腑失调候。天水不下,地水不上,急而欲滋之,遂使龙雷见,这是弱阴艰强理。壮火食气,气食少火,是曰阳无根,益之欲令实,翻致不能禁,这是虚阳无补法。经说:心者,五脏之专主,目,其窍也。又为肝之窍。肾主骨,骨之精为神水,肝木不平,内挟心火,神水莫制,为势妄行,上内为障,这是脏病。腑脉系络于脏,循于目,其精气亦上注而为目之精,精之窠为瞳子,瞳子受伤,则系络乃败,邪火乘之,上为内障,这是腑病。黑水神珠法于阴,白眼赤脉法于阳,阴伴阳齐故能视。阴微不立,阳盛亦孤,上为内障,这是弱阴病。劳役过多,心神倦怠,相火代行其事,相火一衰,百脉沸腾,上为内障,这是虚阳病。所以脏病者,气亏血损,邪中之则神光自现而精散,精散则视歧,故以一为二。腑病者,痰停火扰,邪中之则随眼系以入于脑,入脑则目眩以转,故视定为动。阴弱者,视觉微昏,常见空中有黑花,久则视渺、视近,神水淡绿色、淡白色,已而纯白则不见。阳病者,视物惑乱,状类不一,甚则若萤若电,时发时止,神水变色如前。虽然有脏、腑、阴、阳属病之分,而障成则一。究其原,皆从五味、四气、七情、六欲不知节之所致也。由微至着,而人不猛省,凭仗血气方刚,仍加斫丧;或安地命元理,听其自然。再则较锱铢之利,方真药假,信庸劣之医。始轻终重,堂堂之躯同于木偶。虽富且贵,如梦如幻。呜呼!是谁之过与。语曰:天无二曜,一物无所生;人无两目,一事无能为。可不慎哉。是以疾之初起,必于药石之外,正心寡欲,惜视缄光。盖心正邪不入,寡欲水自生,惜视则神不劳,缄光而膏常润。又且目为心所使,心正则非礼勿视,安得牵事长思。丈夫志气逼人,动为裙钗所沮,精力云乎哉。寡欲不但延年,且免牝鸡司晨。心为目所诱夺,物交物则引之。不见,可欲使心不乱,是视宜惜。目不着于邪物,则心无妄用,是老宜缄。审如是而行,则五脏之病、众腑之病、弱阴之病、虚阳之病,虚者可补,弱者可强,有调有候,不偏不胜,内障奚自而来。而犹有病之者,天之灾也。天灾可逭,吾将持金针以度之。针用金者,非贵之也。盖取金与金合,不伤肺气。犹磁石引铁之义。故必须上好赤金子打造,长可六七分,大惟与缝衣针并,颖略钝,不可大利。下用银钳一管,长五分。以象牙锉柄约三寸半,紧斗入内,通体水磨圆直,恰好利用。则珍重藏着,临事祭以灵液,无不应手。名曰神针,不亦宜乎。
古人针用三棱、用鸭舌、用马口铁造者,虽载诸简策,未得指授,率意为之,鲜不败事。无若吾此者之圆活稳便也。有某士中年落魄,寻医生涯,师心自足,耻问前达。闻人有独得处,偏加意鄙薄。一日阅余开目,彼阴记其款式,遽出治人,瞳神一痛而破,可见金针尚不敢妄施。三棱、鸭舌而可漫然尝试者乎?好自用者,愿以此生为戒。
凡针,量其人年形苦乐,预为调停脏腑外,前二三日须少进清散之剂,平其气血。及时取新汲井泉水一盆,安置架上,患者对盆正坐,医家侧立,以手匀水,频频于眼内外浇淋,觉冷气沁入脑户,则脂翳越凝,拨而无血。且使肌理顿木,不知痛怯。于以下针,运斤成风,目不粘滞矣。若冬月及老弱人,兹法不施亦得。拨眼要精八法。六法易传,惟二法巧妙,在于学人心灵手敏,久之自然有得。八法者,一曰审机。患者以冷泉洗眼毕,正襟危坐椅上,靠定头项,勿令转动。两手搦珠,心无妄想。如拨左眼,医师用左手大指、食指分开眼皮,即就二指捺住白睛。次用右手大指、食指、中指执针,令紧而直。名指略按眼眶,庶可动而察轮,静而观廓。二曰点睛。针锋就金位去风轮与锐眦相半,正中插入,毫发无偏。随用疾逆泻荣,徐顺补卫。三曰射覆。针锋深入无碍,即近黄精,慢慢斜回针柄,会须进不招愆,退而得所。四曰探骊。针泊黄精,如意运用,使不晕不悸,不妨直自内寻,横从外觅。五曰扰海。神龙即见,雾雨潜兴。闭目片刻,则风雷自息。然后重截云头,轻收虹脚。六曰卷帘。障虽拨落,开手自能上去,必加力掉下,又放上来。务期上而不高,下而到底。七曰圆镜。翳净用针干于金井中央、周遭浣涤。细看睛内,神水澄澈,颜色指动,一一映照,自尔远可识人,近能鉴物。八曰完璧。回针将障送至护睛水内尽处,迟迟出针之半,少息再出,恐障复还原位。切莫缓在半日,急于一刻。此八法之大概,其中妙处不传,深造自得者,尤在三四法之间。夫探骊得珠,请问谁能没海。射覆知名,亦不过偶然猜着。顾名思义,不几令人骇汗。孰谓胸有成竹,固可恃而不恐也。其他六法,惟扰海一针。羚羊挂角,无迹可寻。第终知为羊,自可捕风捉影,端不若前法之微且险也,故曰六法易传。虽然金针治目,可谓力能回天,圣、神、工、巧,八法备之矣。或以为易而忽之,或以为难而矜慎,纵心灵手敏,均不可语吾道。如拨右眼,则用左手,照左目八法。左目用右手,右目用左手,一定成法。故学针,先须从左手讲究。张氏石顽《医通》谓左手不便事,只右手由大眦插入,曰过梁针,此强作解事。直插可入,横眠讵能转运。医固不通,而心实顽于石。
行针之日,斋明盛服,洒扫户庭。堂口横设一案,置香炉、茗果等类于上。医者居前,主人居后,再拜稽首而言曰∶某年月,下士某,敢昭告于上下神祇曰,惟天地万物父母,民有疾,伤厥心,匪药而克。某枵腹不学,未能变化成方,勉治针经,用匡不逮。今某立身行己,无恶于邦家。既眇复瞽,俾昼作夜,五色昏迷。若沉湎冒色,其或有过,罚宜从轻。废为生理残障,大可矜恤。知悔斯已,启以自新。恐术于数衡罔济,惟尔神尚克相予,俾疾瘳,毋诒伊芳戚,永荷天休。是用告虔而默鉴其心。礼毕,褪去大衣,抖擞精神,执针于炉上,且熏且祝曰∶假尔针神有灵,助我八法,开彼双睛,日还其精,月含其明,我不辱命,彼乐余生,假尔针神有灵。
开妇人瞽目,用全红简,照帖式书启一通。其辞曰∶伏以玉烛调光,中壶照仁寿之镜;铜乌献瑞,南陔补白华之诗。置灵素于腹笥,司培元气;烹江铅以掌露,启迪瞳神。言念某氏,望族女 ,名家闺范。丰仪间雅,宛然林下清风;性质温严,委的闺中韶秀。一灯五夜,绣弗停针;寒雨幽窗,梭宁辄织。然而才优于命,受用多让邻家;抑且女慧于男,教育莫如彼妇。 文雁,奋翮高骞,秩秩青莲,并头早折。凡兹劫数,谁实安排。大都结习未除,或者善缘欠讲。东土岂无罗刹,庸犯戒言;北堂虽祀观音,罕敦慈训。缃裙翳血,曾随喜选佛坛场;贝叶写经,恒误剪凌波履式。人谓嫦娥不死,桂宫兔杵,宵宵捣药何为;古称仙子了凡,七夕鹊桥,岁岁渡河则甚。尔问我答,端涉诙谐,既笑载言,知添罪恶。但赏惟从重,平生每事多磨;罚合就轻,未老双睛递瞽。春花红若锦,不窥园已三年;秋月白 霜,难移步至五尺。真所谓魄未下世,魂早离形。庭镜少治儒书,长通医术,临财毋苟得,冷户那较丰仪。见义当勇为,近功用补新过,是以直行厥道,逞计他求。伏顾上天勿念前愆,能自新浓加保定,本师 毖薪授,可为法点运枢机。银海涵虚,日中顷刻消云雾;金针宣化,指下分明有鬼神。此后余生,由今再造。无任存诚,主敬激切屏营。谨启。
此余向昔治某妇而作,其妇美而贤能,只一子种痘殇。夫因子死忧成病,寻亦不禄。妇昼夜悲泣,得圆翳内障。告神针之,双目如生,因录以为则。若夫,子无恙,文雁、青莲句勿用。或有别情,修饰增入,与某某姓名,须实填。
圆翳,非谓方圆之圆,乃两重相粘,中央夹有浊水,犹包子壁钱之象。凡针拨动荡,却不能脱落者是。须针锋望巽廓空中一刺,其浊水滚滚下流,或溢出于金井之外。再竖针,向内打圆按下,则瞳子 然矣。
滑翳,亦非光滑之滑。乃圆翳未结,针入能散能聚,散之则大珠小珠上下交流,聚之,仍合而为一。所谓如
(The *Yaohan* names this syndrome "Gao Feng Zhang" (High Wind Obstruction), the meaning of which is incomprehensible.)
If the Great Way cannot be traveled, one knows the world becomes narrow; before dusk, the thatched cottage grows dim, almost making one suspect heaven and earth are black. The heart's traces are not without their original purity, yet both eyes are cut off from worldly darkness. Why do they obscure the faint light, leaving one drowsy and uneasy?
The ancient people of Suichuan suffer from illness; if primordial qi can be cultivated, among acquaintances half are blind, spending long mornings together. Autumn winds are too mournful for crying, but loud songs echo against the rocks.
This syndrome is called "Chicken Blindness" by the world, also known as "Sparrow Eye". The Classic calls it Yin Wind Obstruction. One cannot see at night, but vision returns in the morning; this is a disease of insufficient Primordial Yang. Some say: Since Yang is insufficient, and the period after noon belongs to Yin, why can one still see during Shen and You hours? Although the period after Zi belongs to Yang, why is vision unclear during Chou and Yin hours? After noon, although Yin prevails, the Sun attaches to Heaven; it is Day-Yang and Hour-Yin, representing Yin within Yang. After Zi, although Yang begins, the Moon (Taiyin) brings darkness; it is Night-Yin and Hour-Yang, representing Yang within Yin. The eyes belong to this category, so darkness and brightness share this influence. However, even with lamps or moonlight, the situation is similar. The moon is Taiyin, and lamp light is also Yin; how can they assist Yang internally to ensure illumination? Moreover, the numbers five and six combine in heaven and earth, and the human body has dozens of zang-fu organs. Since humans correspond to heaven and earth, the qi of yin and yang is never out of balance nor out of harmony. At dawn, Yang qi arises; at midday, Yang qi is abundant; at sunset, Yang qi recedes, and the pores close. If a person's Yang cannot overcome Yin, qi must sink. When Yang qi sinks, Yin qi rises. Even with moonlight, one ultimately cannot see. It is urgent to administer one dose each of Chunyang Huiling Wan (Spring Yang Reviving Command Pill) and Sishen Wan (Four Spirits Pill), taken in the morning and evening according to capacity. Then, gather superior herbs that raise Yang and benefit Yin, decoct one dose during the day, so that essence and qi become harmonious, leading to natural recovery. Otherwise, it may transform into Internal Obstruction or Qing Mang (Green Blindness). If one is arrogant and disobedient to precautions, or if food and clothing do not suit the body, causing Yin and Yang to blockage, resulting in death from Zhong Man (Middle Fullness) or Zhong Xiao (Middle Wasting-Thirst), the patient should not ignore this.
Without cause, both eyes turn white as silver; having been blind for a long time, the body perishes. Immortals do not reveal the mystery of Tianji (Heavenly Secret); casually passing on the golden needle to others. Occasionally falling from a height, or unintentionally being struck, the Shen Shui (Divine Water) is disturbed and turbid. Over years, an opacity condenses. Do not fear, there is indeed a golden needle ready.
This syndrome is essentially blindness where the eye itself has no pathology. Within the Jing Jing (Golden Well), an obstruction exists above the Shen Shui, called Internal Obstruction. Only profound medical skill can recognize its nature, and it is often suspected as feigned. How could one know the obstruction is inside the eyeball, like a cloth curtain hung on a paper window, preventing outsiders from seeing why it is obscured and unclear? Initially, vision dims, then becomes confused, followed by hallucinations, eventually forming an opacity. The color may be white, slightly yellow, or powder-blue, resembling stars, jujube flowers, half-moons, sword spines, flowing mercury, solidified fat, oil drops in water, or frozen water in a cup. Names include Yuan (Round), Heng (Horizontal), Hua (Slippery), Se (Rough), Fu (Floating), Chen (Sinking), Po San (Broken/Scattered), Nong Nong (Thick/Dense). The master affected one eye first, then the other. The etiology and progression have been detailed previously, so no further repetition is needed. Now, we specifically investigate acupuncture treatment as follows: If the eye is not red or painful, there is no headache on either side, the pupil is not deviated, pupils constrict in bright light and dilate in dim light, age is under sixty (or over sixty but vigorous), consciousness of day and night is intact, and shadow movement is visible, needling and dislocation can be performed. Conversely, it cannot be done. If these conditions are met, but the opacity is yellow like orange, red like cinnabar, clear like crystal, dim like a sheep's eye, or green like a cat's eye, needling is contraindicated. There are also cases where external appearance shows no contraindications, but upon needling, the opacity is hard as stone; or sunk in the Huang Jing (Yellow Essence); or tough like a membrane, unable to be pierced even with a hole; or the eyeball wrinkles and lacks strength upon needle insertion; or strabismus with sinking makes rotation difficult. In such cases, stop and do not force the needling. Subsequently, if there is headache, use scallion and moxibustion warming method; if pain is severe, moxa acupoints; if vomiting, warm the stomach; if sclera is red, clear fire and move blood; if strabismus with acute pain, calm spirit and nourish essence, assisted by harmonizing Liver. Beyond these, if the pupil has an oily aura and vision is blurred, greatly benefiting Ying and Wei. To constrict, add pungent herbs to open; to dilate, double sour herbs to astringe. However, avoid Xiong (Ligusticum), Gui (Cinnamon Twig), Jiang (Ginger), and Fu (Aconite) due to their drying nature, lest they promote bleeding at the needle site. Beyond these, if the opacity falls but there is no light, it indicates Yin and Yang do not intersect. If the opacity returns after a long time, needling again is possible. If one can nourish spirit and mind, healing can occur without medicine. If one thinks cured and neglects caution,日夜 thinking of destroying life force, causing primordial essence to wither like burning, it will inevitably transform into Wind Variations. By then, even if Hua Tuo returns, nothing can be done.
If the head is struck by an object or bumped/fallen, blood stasis flows into the eye socket, infiltrating the Shen Shui. This may not be felt immediately, but gradually forms a syndrome. Mild cases affect only the injured eye; severe cases affect both. The Classic calls this Jing Zhen Yi (Shock-Induced Opacity). Although the pathology differs from others, the treatment principle is the same. However, right-side injury damages the right first and affects the left; left-side injury damages the left first and affects the right. Affected-but-not-primary eyes can be needled; primary-injured eyes are contraindicated for needling. Mild damage can be needled; severe damage is contraindicated.
Verse says:
Blindness arises without cause, gradually dimming, specifically connecting the realm of color and obscurity. Hallucinations of flying flowers falling, or like lightning striking and fire flowing red. This disease karma does not injure nature; when water is not cool, wood has wind. At that time, medicine missed the root and branch, evil and righteous qi mixed. Initially, one eye covered like smoke, later both affected similarly. Years pass like firewood, completely unseen, hence named Internal Obstruction blocking both pupils. Long nights, when will dawn come? One golden needle stroke brings the sun to the sky. There are many types of generated internal obstructions, perhaps ten kinds treatable. Clearly knowing shapes and colors allows safe needling. Duck-tongue ancient needles are rare now, three-edged ones are irrelevant. For weak, old, or pregnant patients, regulating medicine beforehand is difficult. Coughing and shaking are not permitted; if unavoidable, take Buhe Wan (Harmonizing Pill) in advance. On fine days without rain or wind, fast and worship, waiting to complete needling. Eight methods connect to spirit, do not fear; bystanders just watch quietly. If blood appears, stop immediately; mistakenly harming Huang Jing is no small matter. Dry廓 (Kuang) benefits Li and Zhen, Xun position is good. Inspect Shen Shui, quiet without traces. Three days after opening seal, objects are seen, but if water moves like flowers, speak little. If temper opposes rest, though life is spared, opacity may flip back. After internal obstruction golden needle treatment, needle marks wet and slightly painful. Wrap head with soft silk, paste gold paper. Sleep supine, stability is key. If sudden pain outside eye, do not doubt headache traction. Use cupping or medicine to return to meridians, otherwise apply warming method. If wanting to vomit, swallow salted plum; sit upright after vomiting. Warm porridge for three days, avoid jaw movement. Light urination and defecation, avoid sexual intercourse. With patience for thirty days, walk slowly, meet relatives. All worldly affairs of sentient beings, separate from disease demons forever.
Bu Chen Zi said: The causes of internal obstructions are four: Zang organs have excess dominance, all zang organs lose harmony, weak Yin is hard to strengthen, deficient Yang has no tonification method. Heart, Liver, Spleen, Lung, Kidney each follow their origin, enjoying peaceful harmony. If one organ is excessive, four are deficient; this is Zang excess dominance. Stomach, Gallbladder, Small/Large Intestine, Bladder perform duties; slight deviation leads to dryness or dampness; this is Fu disharmony. Heavenly water does not descend, earthly water does not ascend; urgently trying to nourish causes Dragon-Lei (Thunder) to appear; this is weak Yin hard to strengthen. Vigorous fire consumes Qi, Qi feeds mild fire; this is Yang without root. Toning it to make it solid results in inability to control; this is deficient Yang no tonification method. The Classic says: Heart is the master of five zang, Eye is its orifice. Also Liver's orifice. Kidney governs bone, bone essence is Shen Shui. Liver Wood uneven, internally carrying Heart Fire, Shen Shui uncontrolled, acting recklessly, rising internally as obstruction; this is Zang disease. Fu meridians connect to Zang, circulate to eye, essence ascends to eye essence, essence's nest is Pupil. Pupil injured, meridians fail, evil fire attacks, rising as internal obstruction; this is Fu disease. Black Water Divine Pearl follows Yin, White Eye Red Veins follow Yang. Yin accompanies Yang equally, thus vision occurs. Yin weak cannot stand, Yang excessive also lonely, rising as internal obstruction; this is Weak Yin disease. Overwork, mental fatigue, Ministerial Fire acts on behalf, once Ministerial Fire declines, hundred vessels boil, rising as internal obstruction; this is Deficient Yang disease. Thus, Zang disease: Qi deficit, Blood loss, Evil enters, Shen Guang (Spiritual Light) appears, Essence scatters, Essence scatters causes diplopia, so one becomes two. Fu disease: Phlegm stagnation, Fire disturbance, Evil enters, follows eye system to Brain, Brain dizzy and turning, so fixed vision becomes moving. Weak Yin: Vision slightly dim, often seeing black flowers in air, long-term myopia/nearsightedness, Shen Shui pale green/white, finally pure white means blindness. Yang disease: Vision confused, various states, even like fireflies/lightning, intermittent, Shen Shui changes color as before. Although divided by Zang/Fu/Yin/Yang, once obstruction forms, it is one. Investigating origin, all caused by lack of moderation in Five Flavors, Four Qi, Seven Emotions, Six Desires. From subtle to obvious, people do not wake up, relying on robust blood/qi, still damaging; or accepting fate, letting nature take course. Or calculating petty profits, using fake medicines, trusting mediocre doctors. Starts light, ends heavy, noble body becomes like wooden puppet. Rich and noble, like dream/illusion. Alas! Whose fault is it? Saying: Heaven has no two suns, nothing born without one; Human has no two eyes, nothing accomplished without them. Must be cautious. Therefore, at disease onset, besides medicine, rectify heart, reduce desires, cherish vision, seal light. Rectified heart, evil does not enter; reduced desires, water generates naturally; cherishing vision, spirit not tired; sealing light, essence moist. Eye is commanded by Heart; rectified heart, sees not what is improper, how can it be dragged by thoughts? Men's ambition presses, often frustrated by women, where is energy? Reduced desires not only prolong life, but prevent hen crowing at dawn. Heart seduced by eyes, things interact with things, drawing in. Not seeing desirable things keeps heart不乱 (not chaotic), so vision should be cherished. Eye not attached to evil things, heart no妄用 (wasted use), old should seal. If acting thus, Zang diseases, Fu diseases, Weak Yin diseases, Deficient Yang diseases, deficient can be tonified, weak can be strengthened, regulated and harmonized, not biased or dominant, how would internal obstruction arise? Those still ill, it is Heaven's disaster. Heaven's disaster can be avoided, I will hold golden needle to save them. Needles use gold, not for value. Taking Gold combining with Gold, not injuring Lung Qi. Like magnet attracting iron. Must use high-quality red gold, length 6-7 fen, width same as sewing needle, tip slightly blunt, not too sharp. Below use silver clamp tube, length 5 fen. Ivory handle file approx 3.5 cun, tightly inserted, whole body water-polished round and straight, perfectly usable. Store carefully, sacrifice with spiritual liquid before use, nothing fails. Named Divine Needle, is it not appropriate?
Ancient needles used three-edged, duck-tongue, horse-mouth iron. Though recorded in bamboo slips, without instruction, doing arbitrarily rarely succeeds. None as flexible and stable as mine. A scholar middle-aged failed, sought doctor career, self-sufficient, ashamed to ask predecessors. Heard someone had unique skills, deliberately despised. One day read my eye-opening technique, secretly memorized style, suddenly treated people, pupil hurt and broke. Visible golden needle dare not be used rashly. Can three-edged, duck-tongue be casually tried? Self-reliant people, let this life be a warning.
All needling, measure age, form, hardship/happiness, pre-regulate zang-fu. Two-three days prior, take mild clearing/dispersing agents to calm qi/blood. Take fresh well water basin, place on shelf. Patient sits facing basin, doctor stands side. Hand smooth water, frequently pour on eye inside/outside. Feel cold qi seep into brain gate, then lipid opacity condenses more, dislocation without blood. Makes muscle texture numb, unaware of pain/fear. Then insert needle, wield axe like wind, eye not sticky. Winter or old/weak, this method not applied is fine. Dislocating eye requires precision in Eight Methods. Six methods easy to transmit, two methods clever, depend on student's agile mind/hand, long practice yields gain. Eight methods: 1. Shen Ji (Examine Mechanism). Patient washes eye with cold spring, sit upright, lean head, do not move. Hands grasp pearl, mind no delusion. For left eye, doctor uses left thumb/index to separate eyelids, press white eye. Right hand thumb/index/middle hold needle, tight and straight. Ring finger press orbit, allow movement to observe wheel, stillness to observe frame. 2. Dian Jing (Dot Spirit). Needle tip approaches Jin position, halfway between Feng Lun (Wind Wheel) and Rui Zi (Sharp Corner), insert center, no deviation. Follow with rapid counter-clockwise draining Ying, slow clockwise tonifying Wei. 3. She Fu (Shoot Cover). Needle tip deepens without obstacle, near Huang Jing, slowly tilt back handle, advance without error, retreat to proper place. 4. Tan Li (Explore Dragon). Needle anchored in Huang Jing, operate as wished, no dizziness/palpitation, search directly inside, horizontally outside. 5. Rao Hai (Disturb Sea). Divine dragon seen, fog/rain rises. Close eyes moment, wind/thunder rests. Then heavily cut cloud head, lightly collect rainbow foot. 6. Juan Lian (Roll Curtain). Obstruction dislodged, hand release lets it rise, must add force to drop, then lift. Aim high but not too high, low but to bottom. 7. Yuan Jing (Round Mirror). Opacity clean, use needle dry in center of Jin Jing, wash surroundings. Carefully look inside eye, Shen Shui clear, colors reflect finger movement, far identify people, near inspect objects. 8. Wan Bi (Perfect Jade). Return needle send obstruction to end of Hu Jing Shui (Protect Eye Water), slowly withdraw half needle, rest briefly, withdraw again, fear obstruction returns. Do not delay half day, rush one moment. These are general Eight Methods, secrets not transmitted, those who deepen gain, especially in methods 3 and 4. Exploring dragon get pearl, who can dive sea? Shooting cover know name, just accidental guess. Considering name meaning, makes one sweat. Who says bamboo in chest relies on fearlessness? Other six methods, only Rao Hai needle. Antelope hangs horn, no trace. Finally know it is sheep, can catch wind/shadow, not as subtle/dangerous as previous methods, so six methods easy to transmit. Although golden needle treats eye, power turns heaven, Sage/Spirit/Work/Clever, Eight Methods prepared. Some think easy and ignore, some think hard and boast/cautious, even agile mind/hand, cannot speak of my Way. For right eye, use left hand, follow left eye eight methods. Left eye use right hand, right eye use left hand, fixed rule. So learning needle, start with left hand. Zhang Shi Shiwan *YiTong* says left hand inconvenient, only right hand inserts from large corner, called Guo Liang Needle, this forces explanation. Straight insert enters, horizontal lie how rotate? Doctor not understanding, heart truly stubborn as stone.
Day of needling, fast/clean grand dress, sweep courtyard. Table across hall, incense burner, tea/fruits. Doctor front, host back, bow twice, kneel, say: Year/Month, humble scholar XX, dare announce to upper/lower gods: Heaven/Earth parents of all things, people sick, hurt hearts, not medicine can cure. XX empty belly unlearned, cannot change formulas, strive study needle classic, aid deficiency. Now XX stand/self-behave, no evil to state. Once blind then sightless, day becomes night, five colors confused. If indulging lust, maybe fault, punishment light. Disabled physiological barrier, great pity. Know repentance enough, open self-new. Fear technique number balance useless, only you god help me, let disease heal, do not leave sorrow, forever enjoy heaven blessing. Thus piously announce, silently judge heart. Ritual finish, remove coat, shake spirit, hold needle over incense, fumigate/pray: Borrow your needle spirit spirit, help my eight methods, open those two eyes, sun return essence, moon contain brightness, I not disgrace mission, they joy remaining life, borrow your needle spirit spirit.
Open woman's blindness, use full red bamboo slip, write letter following format. Words: Humble jade candle adjust light, inner palace mirror benevolence longevity; copper crow offer auspiciousness, southern path supplement Baihua poem. Place Ling Su in belly basket, manage cultivate primordial qi; cook Jiang Lead palm dew, inspire pupil spirit. Thinking of XX clan, prominent family daughter, famous family model. Elegant demeanor, like forest breeze; gentle strict nature, truly maiden beauty. One lamp five nights, embroidery needle stops not; cold rain dark window, shuttle weave often. However talent exceeds fate, enjoyment less neighbor; moreover female wise than male, education不如 that woman. Wen Yan (Literary Goose), spread wings fly high, Qian Lian (Green Lotus), heads break early. All these kalpas, who arranged? Mostly habits not removed, or good karma lacking. East land not without Rakshasa, vulgar violate vows; North hall worship Guanyin, rarely encourage kindness teaching. Yellow skirt hide blood, once rejoice Buddha altar; Palm leaf write scripture, often mistake cutting lotus shoe style. People say Chang'e immortal, Cassia Palace rabbit pestle, night night pound medicine why; Ancient say fairy understand mortal, Qixi Magpie Bridge, year year cross river why. You ask I answer, involve humor, since laugh record words, know add sin. But reward heavy, life every thing grind; punishment light, not old two eyes success blindness. Spring flower red like brocade, not peek garden three years; Autumn moon white frost, hard move step five chi. Truly soul not down world, soul early leave shape. Ting Jing young study Confucian books, grow understand medicine, face wealth no greed, cold household compare elegance. See righteousness brave act, near merit supplement new fault, thus walk path, show plan seek. Humble look heaven not remember past fault, can self-new strongly protect, master teach firewood, can law point pivot machine. Silver sea contain void, sun middle instant dissolve clouds/glass; Golden needle declare transformation, finger below clearly have ghost/spirit. After remaining life, from now recreate. No limit preserve sincerity, main respect excited panic. Respectfully open.
This I formerly treated a woman wrote. Woman beautiful/virtuous, only one son smallpox died. Husband son death worry become illness, soon also die. Woman day/night cry, get Round Opacity Internal Obstruction. Pray divine needle, two eyes like alive, thus record as example. If son healthy, Wen Yan/Qian Lian sentences not use. Or other feelings, modify add, with XX names, must fill real.
Round Opacity, not mean round square, but two layers stick, center sandwich turbid water, like bun wall coin image. All needle dislocate shake, cannot fall off is. Must needle tip aim Xun Kuang (Southeast Frame) air one stab, turbid water roll down, or overflow Jin Jing outside. Again vertical needle, inward circle press, then pupil [clear]矣.
Slippery Opacity, not mean smooth slip. But Round Opacity not formed, needle enter can scatter/gather, scatter then big pearl small pearl up/down exchange, gather, still combine one. So-called like