乃睥翻转贴在外睑之上，如舌舐唇之状。乃气滞血涌于内，皮急系吊于外，故不能复转。有自病
壅翻而转，有因翻睥看病，为风热搏滞，不得复返而转。大抵多风湿之滞所致。故风疾人患者多，治
亦难愈。非风者易治。宜用 剔开导之法。
谓目睥不待人之开合，而自牵拽振跳也。乃气分之病，属肝脾二经络牵振之患。
人皆呼为风，殊不知血虚而气不顺，非纯风也。若有湿烂及头风病者，方是风邪之故。久而不治，为
牵吊败坏之病。
谓睥内之肉紫淤浮泛，如臭血坏泛之状，其色紫晕泛起，甚则细细如泡，无数相连成片。盖睥络
血滞，又不忌火毒燥腻，致积而不散，其血皆不莹泽而瘀泛，睥内肉坏，或碎睥出血，因而冒风，风
伤其血，血滞涩而睥肉不得润泽，此乃久积之病也，非比暴疾。治以活血为上，甚者方以劫治，轻者
止用杀伐之治足矣。
谓目睥浮肿如球状也。目尚无别病，久则始有赤丝乱脉之患。火重甚，皮或红，目不痛。湿痰与
火夹搏者，则有泪，有 烂之候。乃火在气分之虚证，不可误认为肿如杯覆，血分之实病。以两手掌
擦热拭之少平，顷复如故，可见其血不足，而虚火壅于气也。
丹溪云∶风沿眼系上膈有积热，自饮食中挟怒气，而成顽痰痞塞，浊气不降，
清气不上升，由是火益炽而水益降，积而久也，眼沿因脓渍而肿，于中生细小虫丝，遂年久不愈而多
痒者是也。用紫金膏，以银KT 脚揩去油腻点之。试问若果痒者，又当去虫，以绝根本。盖紫金膏只
是去湿与去风凉血而已。若前所谓饮食挟怒成痰，又须更与防风通圣散，去硝黄，为细末，以酒拌匀，
晒干，根据法服之。禁诸浓味及大料物，方尽诸法之要。
【风弦赤烂证】乃目睥沿赤烂垢腻也。盖血虚
液少不能滋养睥肉，以致湿热滞于脾络，常时赤烂如是者，非若迎风因邪乘虚之比。久而不治，则拳
毛倒入，损甚则赤烂湿垢而拳毛皆坏。若先有障而后赤烂者，乃经络涩滞，神水不清而烂，治其障，
通其脉络而自愈。有因毛倒而拔剪，损动精液，引入风邪，以致坏烂，各因其源而浚之。一法劫治，
以小烙铁卷纸，蘸桐油烧红烙之，烂湿而痒者，颇获其效。若失于内治，终难除根。
【迎风赤烂证】谓目不论何风，见之则赤烂，无风则否，与风弦赤烂入脾络之深者不同。夫风属木，木强土弱，
弱则
易侵，因邪引邪，内外夹攻，土受木克，是以有风则病，无风则愈。赤烂者，木土之正病耳。赤者、
木中火证，烂者、土之湿证。若痰、若湿盛者，烂胜赤。若火、若燥盛者，赤胜烂。心承肺承者，珠
亦痛赤焉。此专言见风赤烂之患，与后章迎东、迎西、
迎风冷热泪证，入内之深者，又不同。
【 赤烂证】谓赤烂唯 有之，目无别病也。若目有别病而赤
烂者，乃因别火致伤其 ，又非此比。赤胜烂者火多，乃劳心忧郁忿悖，无形之火所伤。烂胜赤者湿
多，乃恣燥嗜酒，哭泣过多，冒火冲烟，风热熏蒸，有形所伤，病属心络，甚则火盛水不清，而生疮
于边也。要分大小二 ，相火君火虚实之说。洗刀散、菊花通圣散内服。黄连散洗。芦甘石散点。
二蚕沙，香油浸月余，重绵滤过点。紫金膏用水飞过，虢丹，蜜多水少，文武火熬，以器盛之，点。
治眼赤瞎，以青泥蛆淘净，晒干末之。仰卧合目，用药一钱，放眼上，须臾药行，待少时去药，赤瞎
自无。东垣云∶目眶赤烂岁久，俗呼赤瞎是也。常以三棱针刺目外，以泄湿热，立愈。治风弦烂眼秘
穴∶大骨空，在手大指第二节尖。灸九壮，以口吹火灭。小骨空，在手小指二节尖。灸七壮，亦吹火
灭。
眼睑边缘翻转贴附在外侧眼睑之上，形状如同舌头舔舐嘴唇的样子。这是因为气机阻滞、血液涌盛于内，导致皮肤紧张并系吊于外，所以无法恢复原位。有的因自身病变壅滞而翻转，有的因眼睑翻转后患病，受风热搏结阻滞，不能复位而翻转。大抵多由风湿之邪阻滞所致。因此患风疾的人患者较多，治疗也难以痊愈。非风邪引起的则容易治疗。适宜采用挑开导引的方法。
指眼睑不待人为开合，而自行牵拉震颤跳动。这是气分的病症，属于肝脾两经络牵拉震颤的疾患。人们都称之为“风”，殊不知这是血虚导致气机不顺，并非纯粹的风邪。如果有湿烂及头风病的情况，才是风邪的缘故。如果长期不治疗，会演变成牵拉倒睫败坏眼部的疾病。
指眼睑内的肌肉呈现紫暗淤血浮泛的状态，像臭血腐败浮泛的样子，颜色紫晕泛起，严重时细小如泡，无数相连成片。这是因为眼睑络脉血液停滞，又不忌避火毒燥腻之物，导致积滞不散，其血都不晶莹润泽而淤血浮泛，眼睑内肌肉败坏，或者破碎的眼睑出血，因而冒犯风邪，风邪损伤其血，血液滞涩使眼睑肌肉不得润泽，这是长期积滞的疾病，不像突发急症。治疗以活血为最上策，严重的才用攻劫法治，轻的用祛邪治法就足够了。
指眼睑浮肿像球状。眼睛没有其他病症，时间久了才开始出现赤丝乱脉的隐患。火邪重甚，眼皮可能发红，眼睛不痛。湿痰与火邪夹击搏结的，则有流泪、有溃烂的迹象。这是火在气分的虚证，不可误认为是肿得像杯覆那样的血分实证。用双手掌擦热擦拭它，稍微平复，一会儿又恢复原状，可见其血不足，而虚火壅塞于气分。
朱丹溪说：风沿（眼睑边缘）眼系上部膈间有积热，从饮食中夹杂怒气，形成顽痰痞塞，浊气不下降，清气不上升，因此火更炽盛而水液更易下注，积久之后，眼睑边缘因脓液浸渍而肿胀，其中生出细小虫丝，于是多年不愈且多瘙痒的就是这种情况。使用紫金膏，用银钗脚揩去油腻后点涂。试问如果确实瘙痒，又应当去虫，以绝根本。因为紫金膏只是去湿、去风、凉血而已。如果前面所说的饮食夹杂怒气成痰，又必须再用防风通圣散，去掉芒硝和大黄，研为细末，用酒拌匀，晒干，按照方法服用。禁止食用各种浓味及大料食物，才能尽到各种治法的要点。
【风弦赤烂证】是指眼睑边缘红烂、污垢腻滞。这是因为血虚液少不能滋养眼睑肌肉，以致湿热滞留于脾络，经常如此红烂，不像迎风时因邪气乘虚而入相比。长期不治疗，则睫毛向内倒卷，损害严重则红烂湿垢且睫毛全部败坏。如果先有翳障而后红烂的，是经络涩滞，神水不清而糜烂，治疗翳障，疏通脉络即可自愈。有的因睫毛倒伏而拔除修剪，损伤精液，引入风邪，以致坏烂，各根据其源头而疏浚。一种方法是攻劫治疗，用小烙铁卷纸，蘸桐油烧红后烙烫，对于烂湿而痒的症状，颇获疗效。如果忽视内治，终究难以除根。
【迎风赤烂证】指眼睛不论遇到什么风，见到风就红烂，无风则不然，这与风弦赤烂深入脾络的不同。风属木，木强土弱，土弱则易被侵犯，因邪引邪，内外夹攻，土受木克，所以有风则发病，无风则痊愈。红烂是木土的正病。红，是木中的火证；烂，是土的湿证。如果痰、湿盛的，烂胜过红。如果火、燥盛的，红胜过烂。心承肺气的，眼球也会疼痛发红。这里专门讲见风红烂的病患，与后章迎东、迎西、迎风冷热泪证，深入内部的，又不同。
【眦部赤烂证】指红烂唯独发生在眼角，眼睛没有其他病症。如果眼睛有其他病症而红烂的，是因为其他火邪致伤其眼角，又不是这种情况。红胜过烂的是火多，乃劳心忧郁忿怒，无形之火所伤。烂胜过红的是湿多，乃恣意吃燥热嗜酒，哭泣过多，冒犯火冲烟，风热熏蒸，有形之邪所伤，病属心络，严重时火盛水不清，而在眼角边生疮。要区分大小二角，相火君火虚实之说。内服洗刀散、菊花通圣散。外用黄连散清洗。芦甘石散点涂。二蚕沙，用香油浸泡一个多月，用厚棉过滤后点涂。紫金膏用水飞法处理过的炉甘石，加铅丹，蜜多水少，用文武火熬制，用器皿盛装，点涂。治疗眼赤瞎，用青泥蛆淘洗干净，晒干研末。仰卧闭目，用药一钱，放在眼上，须臾药力运行，待稍长时间去掉药物，赤瞎自然消失。李东垣说：眼眶红烂多年，俗呼赤瞎。常用三棱针刺眼外侧，以泄湿热，立即痊愈。治疗风弦烂眼的秘穴：大骨空，在手大拇指第二节尖端。灸九壮，用口吹灭火焰。小骨空，在手小指第二节尖端。灸七壮，也吹灭火焰。
The eyelid margin turns inward and adheres to the outer eyelid, resembling the shape of a tongue licking the lips. This is due to Qi stagnation and blood surging internally, causing the skin to become tense and tethered externally, thus preventing it from returning to its original position. Some cases involve inversion caused by internal obstruction of pathology; others occur when the inverted eyelid becomes diseased, where wind-heat binds and obstructs, preventing return and causing inversion. Generally, this is mostly caused by the obstruction of wind-dampness. Therefore, patients with wind diseases are more common, and treatment is difficult to cure. Non-wind cases are easier to treat. The method of picking open and guiding (Ti Kai Dao) should be used.
This refers to the eyelid pulling, twitching, and trembling spontaneously without human intervention to open or close it. It is a disease of the Qi level, belonging to the disorders of pulling and trembling in the Liver and Spleen meridians. People all call it "wind," but they do not realize that it is blood deficiency leading to unsmooth Qi, not pure wind. Only if there is damp rot or head wind disease is it due to wind pathogen. If untreated for a long time, it becomes a disease of pulling and disfigurement.
This refers to the flesh inside the eyelid appearing purple, stagnant, and floating, resembling the appearance of foul blood rotting and floating. The color shows purple halos rising, and in severe cases, it becomes fine like bubbles, countless and connected in patches. This is because the collateral vessels of the eyelid have blood stasis, and one does not avoid fire toxins and dry/greasy substances, leading to accumulation without dispersion. The blood loses its clarity and luster, becoming stagnant and floating, causing the eyelid flesh to decay. Or, broken eyelids bleed, thereby exposing to wind; wind damages the blood, making the blood sluggish and preventing the eyelid flesh from being moistened. This is a chronic accumulated disease, unlike acute sudden illness. Treatment prioritizes invigorating blood; for severe cases, only then use drastic purgative methods; for mild cases, simple dispelling methods suffice.
This refers to the eyelid swelling like a ball. There are no other eye diseases initially, but over time, red veins and chaotic pulses may appear. If fire is heavy, the skin may turn red, but the eyes do not hurt. If damp-phlegm and fire clump together, there will be tearing and signs of ulceration. This is a deficiency syndrome of fire at the Qi level; it must not be mistaken for a fullness syndrome of the Blood level, such as swelling like an inverted cup. Rubbing it with warm palms provides slight relief temporarily, but it returns to normal shortly after, showing blood insufficiency and deficient fire congesting at the Qi level.
Zhu Danxi said: Wind along the eye system above the diaphragm has accumulated heat. From diet combined with anger, stubborn phlegm and obstruction form. Turbid Qi fails to descend, clear Qi fails to ascend. Thus, fire becomes more blazing while water descends further. Over time, the eyelid margins swell due to pus exudation, and tiny worm-like filaments grow inside, resulting in chronic non-healing conditions with much itching. Use Zijin Ointment (Purple Gold Ointment); wipe off grease with the foot of a silver hairpin before applying. Ask yourself: if it is indeed itchy, you must remove worms to cut off the root. For Zijin Ointment merely removes dampness, wind, and cools the blood. If the aforementioned condition of diet and anger forming phlegm exists, one must additionally use Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Master), removing Rhubarb (Da Huang) and Mirabilite (Mang Xiao), grinding into fine powder, mixing evenly with wine, drying, and taking according to the method. Prohibit all rich flavors and strong spices to fully achieve the essence of these treatments.
[Wind Margin Red Rot Syndrome] refers to the redness, rotting, and greasy dirt along the eyelid margin. This is because blood deficiency and fluid scarcity fail to nourish the eyelid flesh, leading to damp-heat stagnating in the Spleen collaterals. Chronic redness and rotting here differ from wind attacking due to deficiency. If untreated for a long time, eyelashes invert inward; if damage is severe, redness, rotting, wet dirt, and lash destruction occur. If nebulae (cataracts/opacities) exist prior to red rot, it is due to meridian sluggishness and unclear Shen Water (aqueous humor) causing rot. Treating the nebula and unblocking the meridians leads to self-healing. Some cases arise from plucking or trimming inverted lashes, damaging essence fluids and introducing wind pathogens, leading to decay. Treat each according to its source. One method involves drastic treatment using a small soldering iron wrapped in paper, dipped in tung oil, heated red, and cauterized; this is quite effective for rotting, wet, and itchy conditions. Neglecting internal treatment makes eradication difficult.
[Wind-Induced Red Rot Syndrome] refers to the eyes becoming red and rotting upon exposure to any wind, but remaining normal without wind. This differs from Wind Margin Red Rot which penetrates deeply into the Spleen collaterals. Wind belongs to Wood; Wood is strong and Earth is weak. Weakness makes it susceptible to invasion. Pathogens attract pathogens, attacking from inside and outside. Earth is overcome by Wood, so disease occurs with wind and heals without wind. Red rot is the primary disease of Wood and Earth. Redness indicates Fire within Wood; rotting indicates Dampness within Earth. If Phlegm and Dampness are abundant, rotting exceeds redness. If Fire and Dryness are abundant, redness exceeds rotting. If Heart receives Lung Qi, the eyeball also hurts and turns red. This specifically discusses the affliction of seeing wind causing red rot, which differs from the subsequent chapters on facing East/West or wind-induced cold/tears penetrating deeply internally.
[Canthus Red Rot Syndrome] refers to red rot occurring only at the canthus (eye corners), with no other eye diseases. If other eye diseases cause red rot, it is due to other fire pathogens injuring the canthus, which is different. Redness exceeding rotting indicates excess Fire, caused by mental labor, depression, anger, and injury from formless fire. Rotting exceeding redness indicates excess Dampness, caused by indulgence in dry foods and alcohol, excessive crying, exposure to fire/smoke, and steaming by wind-heat, representing injury from tangible pathogens. The disease belongs to the Heart collaterals. In severe cases, excessive fire and unclear water lead to sores at the margins. One must distinguish between inner and outer canthi, and the concepts of Ministerial Fire vs. Sovereign Fire, and deficiency vs. fullness. Take Xidao San (Scalpel Powder) and Juhua Tongsheng San (Chrysanthemum Decoction for Unblocking the Master) internally. Wash with Huanglian San (Coptis Powder). Apply Luganshi San (Galena Powder). Apply Er Can Sha (Bombyx Batryticatus) soaked in sesame oil for over a month, filtered through thick cotton. Apply Zijin Gao (Purple Gold Ointment) made from water-classified Galena, Guo Dan (Lead Oxide), honey, and little water, boiled on gentle/fire heat, stored in a vessel, and applied. To treat eye redness and blindness, clean green mud maggots thoroughly, dry and powder them. Lie supine with eyes closed, place one qian of medicine on the eye. After a moment when the medicine acts, remove it after a short time, and redness/blindness will naturally disappear. Li Dongyuan said: Chronic red rot of the eye socket is commonly called Chi Xia (Red Blindness). Often prick the outer eye with a three-edged needle to drain damp-heat, leading to immediate recovery. Secret acupoints for treating wind-margin rotting eyes: Da Gu Kong (Great Bone Emptiness), located at the tip of the second joint of the thumb. Moxibustion 9 cones, extinguished by blowing. Xiao Gu Kong (Small Bone Emptiness), located at the tip of the second joint of the little finger. Moxibustion 7 cones, also extinguished by blowing.