从来疮液肉溃成，如纸风轮那更生？大抵火邪膏内作，黑神冲散病黄精。
此症于风轮下际金位之间，神膏内生物黄色，状如鸡脂。稍轻者若黄浆小疮，外面无有，俨人指甲根白岩相
类，
非针药所能及者。势大不消，必冲出风轮，其睛随破而眇。即不然，金井立散，黑神败而失明。是症最逆，盖经
络否塞，阴阳离间，火土诸邪蒸溽幻化而成。有头痛便秘者尤急。若作天行、客热，胡乱治而顿愈，吾其退避三
舍。临视，当问其已治未治，未治，以柴葛解肌、十神汤进一剂看效，效则三友丸、大黄丸尽服，不效改用人参
白虎汤、芍药清肝散，或泻黄，或双解，病必缓而渐退。已治，审其脉，相其体，验其方药某过某不及，裁以心
法，羚羊、犀角磨调逍遥散，或拨云、固本、还睛诸丸煎汤递饮，黄液无不消。消则补和，对症选方，还元易矣。
十中间有一虚寒，入手须参、 、桂、附温散者，舍症从脉。元有是说，又不可不细心理会。
水轮贴风轮而生，质最脆嫩，中空而薄，能舒能敛，正看似在外，斜视则显然在内，凡鸟、兽、鳞、介之目
皆如是。其空处俗谓之瞳子，常遇险病，莫不以手招之，能应即喜，甚至青盲、风变，且谓“瞳子尚在，谅不妨
事”，不知此乃镜花水月，以影示人耳。其瞳神深藏膏中，有光无光，伊芳谁得见。本科不惟未及发明，竟渡河有
豕，穿井得人，公然立说，并有引重瞳、一物两现之奇者，为之捧腹。尤可笑者，于此症则曰风轮上际、坎位之
间；于水轮散大则曰风轮窄窄一周；外障正中者则曰肾翳。其所用药，俱不免地黄汤加减。是直以中空者在外、
为风轮，包来神水者在内、为水轮矣。呜呼！下愚不移，无庸深辨。第剖之蠢而笨之猪睛，使渠详观，谅必茅塞
顿开。舜、羽之目，大抵较常人分外精采，故曰重瞳，果一物现二影？于理不达。若一目两瞳，则
俨然怪物耳，帝王云乎哉？至曰“舜目重瞳上下生，羽重瞳左右生”，不知谁实见来，载于何典。
是症诸书皆曰黄膜上冲，傅氏本专家，所辑眼科目《瑶函》，曰《大全》，似无出其右者，曷亦相因称膜。
不尘特正之曰液。盖液类浆水，比喻恰切，膜系皮属，凡薄而嫩、浓而韧、不动紧着者皆是，讵能上冲！看牛
膜、猪膏膜可晓。明明浆汁之物，混沌名症，岂字典、字通、字汇俱未谋面耶？又下症曰五疳，夫疳为小儿甘食
致病，奈何着于眼上？岂点眼药过多，目饱积成耶？罔顾笑脱人颐！今换疡字何义？疡乃疮痍别名，去理未远，
故直书曰五疡。
疮疡溃烂后，脓液积聚在肉中，如同风轮（黑睛）受损，还能恢复吗？大抵是因为火邪在膏内作祟，使用黑神散冲散黄精（此处指病邪或病理产物）。
此症发生在风轮下际与金位（白睛/气轮）之间，神膏内部生出黄色物质，形状像鸡脂。症状较轻的，如同黄色的浆液小疮，外表看不出来，很像人指甲根部的白岩（甲床根部白色部分）。这种情况不是普通针药能治好的。如果病情严重无法消散，必然冲出风轮，眼睛随即破裂而失明。即使不破裂，金井（瞳孔）也会立刻散大，黑神（瞳神/肾气）败坏而导致失明。这种病症最为凶险，因为经络阻塞，阴阳离决，由火、土等邪气蒸腾湿热幻化而成。伴有头痛、便秘的症状尤为紧急。如果误认为是天行时疫或客热，胡乱治疗却突然痊愈，那我只能退避三舍（表示佩服或回避）。临诊时，应当询问之前是否经过治疗。若未治疗，先用柴葛解肌汤或十神汤服用一剂观察疗效；有效则继续服完三友丸、大黄丸；无效则改用参白虎汤或芍药清肝散，或者用泻黄散、双解散，病情必定会缓解并逐渐消退。若已接受过治疗，需审察脉象，观察体质，验证之前的方药是否有偏差或不足，用心法裁断，可用羚羊角、犀角磨汁调服逍遥散，或用拨云丸、固本丸、还睛丸等煎汤递次饮用，黄液没有不消散的。黄液消散后，进行补益调和，对症选方，恢复元气就容易了。中间有一种虚寒证，入手治疗必须用人参、[缺字]、桂枝、附子温散者，这是“舍症从脉”的原则。原本就有这种说法，不可不细心理会。
水轮（黑睛/瞳神）依附于风轮而生，质地最脆嫩，中空而薄，能舒展也能收敛，正面看似乎在外，斜视则显然在内，凡是鸟、兽、鳞、介类动物的眼睛都是这样。其空处俗称为瞳子，常遇到险恶疾病，无不以手招引它，若能回应就欢喜，甚至到了青盲、风变的地步，还说“瞳子还在，想必不妨事”，却不知道这乃是镜花水月，只是把影子给人看罢了。真正的瞳神深藏在膏中，有光无光，谁能看见呢？本学科不仅未能阐明这一点，竟然出现“渡河有豕”（比喻荒谬不经）、“穿井得人”（比喻以讹传讹）的情况，公然立说，甚至引用重瞳、一物两现的奇谈，令人捧腹。更可笑的是，对于此症却说是在风轮上际、坎位之间；对于水轮散大却说风轮窄窄一周；对于外障正中者则称为肾翳。其所用的药物，都不免是地黄汤加减。这简直是把中空的部分当作风轮，把包裹神水的部分当作水轮了。唉！愚昧之人固执不移，无需多辩。只需剖开愚蠢笨拙的猪眼睛，让他详细观看，想必茅塞顿开。舜和羽的眼睛，大概比常人格外精彩，所以叫重瞳，难道真是一物现二影吗？从道理上讲不通。如果一只眼睛有两个瞳孔，那简直就是怪物了，怎么能说是帝王之相呢？至于说“舜目重瞳上下生，羽重瞳左右生”，不知道是谁亲眼所见，记载在哪部典籍里。
此症各书都称为黄膜上冲，傅氏本是眼科专家，所辑眼科学著作《瑶函》，又称《大全》，似乎没有超过它的，为何也沿袭称其为膜？不尘特意纠正为“液”。因为液类似浆水，比喻恰当；膜属于皮属，凡是薄而嫩、浓而韧、不动紧着的东西都是膜，怎么可能上冲！看看牛膜、猪膏膜就知道了。明明是浆汁之物，混沌地命名病症，难道字典、字通、字汇都没见过吗？又提到下症曰五疳，夫疳是由于小儿贪吃甘食导致的疾病，怎么会出现在眼睛上？难道是点眼药过多，眼睛吃饱积成吗？不顾及这些只会让人笑掉下巴！现在换成“疡”字是什么意思？疡乃疮痍的别名，去理（纹理/机理）不远，所以直接书写为五疡。
Since the ulceration and rotting of flesh into pus, how can the Fenglun (Cornea) regenerate? Generally, this is caused by Fire Evil acting within the Shen Gao (Vitreous Humor), and the Black God Powder (Hei Shen San) is used to disperse the Yellow Essence (pathological accumulation).
This condition occurs between the lower margin of the Fenglun (Cornea) and the Jin Wei (White Sclera/Qi Wheel), where a yellow substance resembling chicken fat grows inside the Shen Gao (Vitreous Humor). In mild cases, it resembles small yellow pustules, invisible from the outside, similar to the white rock at the root of human fingernails. This is beyond the reach of ordinary acupuncture and herbal medicine. If the condition is severe and does not resolve, it will inevitably burst through the Fenglun (Cornea), causing the eye to rupture and leading to blindness. Even if it does not rupture, the Jin Jing (Pupil) will immediately scatter, the Black God (Kidney Qi/Pupil) will fail, resulting in blindness. This condition is extremely adverse, as meridians are blocked, Yin and Yang are separated, and it is formed by the steaming and humidification of Fire and Earth evils. Cases accompanied by headache and constipation are particularly urgent. If mistaken for epidemic heat or external heat and treated indiscriminately yet suddenly cured, I would retreat three camps (yield admiration). Upon examination, one must ask whether previous treatment has been administered. If untreated, administer one dose of Chai Ge Jie Ji Tang (Bupleurum and Kudzu Decoction to Release the Muscles) or Shi Shen Tang (Ten Spirits Decoction) to observe efficacy. If effective, complete the course with San You Wan (Three Friends Pill) and Da Huang Wan (Rhubarb Pill); if ineffective, switch to Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction) or Shao Yao Qing Gan San (Peony Liver-Clearing Powder), or use Xie Huang San (Drain Yellow Powder) or Shuang Jie San (Double Resolution Powder); the illness will surely缓 (slow down) and gradually recede. If previously treated, examine the pulse, observe the constitution, and verify whether previous prescriptions were excessive or insufficient; apply mental principles to adjust. Grind Ling Yang Jiao (Antelope Horn) and Xi Jiao (Rhinoceros Horn) to mix with Xiao Yao San (Free and Easy Wanderer Powder), or decoct Bo Yun Wan (Cloud-Piercing Pill), Gu Ben Wan (Root-Firming Pill), or Huan Jing Wan (Eye-Returning Pill) to drink sequentially; the yellow fluid will undoubtedly dissipate. Once dissipated, tonify and harmonize, select formulas according to symptoms, and restoring Yuan Qi (Original Qi) becomes easy. Among these, there is a deficiency-cold pattern requiring initial treatment with Ren Shen (Ginseng), [missing character], Gui Zhi (Cinnamon Twig), and Fu Zi (Aconite Root) for warming dispersion; this follows the principle of "abandoning symptoms to follow the pulse." This principle exists and must be carefully understood.
The Shui Lun (Water Wheel/Pupil) grows attached to the Fenglun (Cornea); its texture is most fragile and tender, hollow and thin, capable of expanding and contracting. Seen frontally, it appears external; seen obliquely, it is clearly internal. The eyes of all birds, beasts, scales, and shells are like this. Its hollow part is commonly called Tongzi (Pupil). In dangerous diseases, one always beckons it with a hand; if it responds, joy ensues. Even in cases of Qing Mang (Green Blindness) or Wind Transformation, people say, "The pupil remains, so surely no harm," unaware that this is but a reflection in a mirror or moon in water, showing only an image. The true Tong Shen (Spirit of the Pupil) is deeply hidden within the Gao (Vitreous Humor); who can see whether there is light or not? This discipline not only fails to clarify this point but also propagates absurdities like "a pig crossing the river" (nonsense) and "digging a well to find a man" (rumor), openly establishing theories, even citing the wonders of double pupils or one object appearing twice, causing laughter. Most laughable is stating that for this condition, it is between the upper margin of the Fenglun (Cornea) and the Kan Wei (North/Kidney position); for Shui Lun (Pupil) dilation, it is said the Fenglun (Cornea) is narrow around; for central external obstacles, it is called Shen Yi (Kidney Nebula). The drugs used invariably involve modifications of Di Huang Tang (Rehmannia Decoction). This essentially treats the hollow part as the Fenglun (Cornea) and the part enclosing the Shen Shui (Humors) as the Shui Lun (Water Wheel). Alas! The ignorant are unchangeable; no need for deep debate. Simply dissect the stupid pig's eye for him to observe closely, and his confusion will surely clear. The eyes of Shun and Yu were likely more brilliant than ordinary people, hence called "double pupils"; could it truly be one object presenting two shadows? This defies logic. If one eye had two pupils, it would be a monster, let alone a sign of emperors. Regarding the saying "Shun's double pupils grew top and bottom, Yu's grew left and right," who actually saw this, and in which classic is it recorded?
All books describe this condition as Huang Mo Shang Chong (Yellow Membrane Rushing Up). Master Fu, an expert in ophthalmology, compiled the Eye Subject book *Yao Han* (Treasury of Miracles), also known as *Da Quan*, seemingly unsurpassed, yet why did he also follow the term "Membrane"? Bu Chen specifically corrects it to "Fluid" (Ye). Because fluid resembles serum/water, the metaphor is apt; membrane belongs to skin/flesh, referring to things that are thin and tender, thick and tough, immobile and tight—how could such things rush up? One can understand this by looking at cow membranes or pig vitreous humor. It is clearly a serous substance, yet chaotically named as a disease. Have dictionaries and glossaries never been consulted? Furthermore, the lower condition is called Wu Gan (Five Wasting-Tobacco Syndromes). Gan syndromes are diseases caused by children consuming too much sweet food; how can they manifest in the eyes? Is it because excessive eye drops make the eye "full" and accumulate? Ignoring this logic makes one laugh their jaw off! Now, changing to the character "Yang" (Ulcer), what is the meaning? Yang is another name for sores/crusts, close to the principle/mechanism, so it is directly written as Wu Yang (Five Ulcers).