圣人立法以治天下,皆取乎正。人生天地间,六气感于外,七情伤于内,加以饥饱劳役
,其病固难枚举,余惟以目病言之。夫目为肝窍,轮分五脏,肾水涵之,胆汁统之。凡有所感,
皆能为患。惟审其虚者补之,实者泻之,或邪盛正虚,补中兼泻,泻中兼补,此正法也。不
谓正法失传,而邪法纷起,受其害者,可胜道哉。不得不严为辩之。如有以针挑其上下胞者
,先出其血,后以金器擦其内睑,久之必生翳障,盖血伤邪不散也。有以舌舔其目珠者,博
古人孝感之名,而非出于诚心,往往伤破其珠。盖舌乃心之苗,瞳神为肾之精,以心火克其
肾水故也。有食辛辣,饮烧酒,烘火向日,谬云以热攻热,是 敌以粮授贼以刃也。有刮指
甲金玉等屑点眼者,以脆嫩之质,而受坚刚之克岂有不伤之理乎。有以黄连汤、薄荷汤、泥
浆、井水、鸡子清、水晶、金银等物,取其凉气以熨洗,必致血凝变症,诚可虑也。更有一
种医人,不察形色部位,脏腑经络,辄用菊花洗心散、龙胆四物汤、三黄汤、羊肝丸之类,
随症乱治,此真徐灵胎所谓劣医矣。大抵目病以肝肾为本,舍本而从标,皆非正法。邪正之
辩,彰明较着,儒家有正宗,医家亦有正宗,学人慎毋惑于旁门也。
《灵枢经》曰∶鼻者肺之官,目者肝之官,口唇者脾之官,舌者心之官,耳者肾之官。
经络
气血,皆上于面而走空窍。其精阳气上走于目而为睛,其别气走于耳而为听,其宗气上出于
鼻而为臭,其浊气出于胃,走唇口而为味。
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上下胞睑属脾土,为肉轮。大 属心君火,小 属心包络相火,为血轮。白睛属肺金,
为气轮。青睛属肝木,为风轮。瞳神属肾水,为水轮。
圣人制定法则来治理天下,都取法于正道。人生活在天地之间,六气(风、寒、暑、湿、燥、火)从外部侵袭,七情(喜、怒、忧、思、悲、恐、惊)从内部损伤,再加上饥饱失调和劳累过度,其产生的疾病固然难以一一列举,我仅以眼病为例来说明。眼睛是肝的窍道,眼轮分为五脏所主,肾水滋养它,胆汁统摄它。凡是有外邪或内伤感受,都能成为病患。只有审察清楚虚证则补益,实证则泻除,或者邪气盛而正气虚时,在补益中兼用泻法,在泻除中兼用补法,这才是正法。没想到正法已经失传,而邪法纷纷兴起,遭受其害的人,哪里说得完呢?不得不严厉地加以辨析。如果有用针挑刺上下眼睑的,先放出血液,然后用金属器具擦拭内眼睑,久而久之必然产生翳障,这是因为血液受损而邪气未散。有用舌头舔舐眼球的人,借博取古人“孝感”的名声,并非出于诚心,往往导致眼球破裂。因为舌是心的苗窍,瞳神是肾的精气所在,用心火克制肾水所致。有食用辛辣食物、饮用烧酒、烘烤火源或对着太阳暴晒的,荒谬地声称用热攻热,这简直是给敌人提供粮草、给盗贼递送利刃。有用刮下的指甲、金玉等碎屑点入眼中的,以脆弱嫩滑的组织,承受坚硬刚强之物的克制,哪有不受伤害的道理呢?有用黄连汤、薄荷汤、泥浆、井水、鸡蛋清、水晶、金银等物,取其凉气来熨洗眼部,必然导致血液凝滞并引发变症,实在令人担忧。又有一种医生,不考察面色形态、病变部位、脏腑经络,就随意使用菊花洗心散、龙胆四物汤、三黄汤、羊肝丸之类的方剂,随症状胡乱治疗,这真是徐灵胎所说的劣医。大抵眼病以肝肾为本,舍弃根本而追求末节,都不是正法。邪与正的辨析,明白显著,儒家有正宗,医家也有正宗,求学之人千万不要被旁门左道所迷惑。
《灵枢经》说:鼻子是肺的外候,眼睛是肝的外候,口唇是脾的外候,舌头是心的外候,耳朵是肾的外候。经络中的气血,都上行于面部并通达空窍。其精微阳气上行至眼睛而形成视觉,其别气运行至耳朵而形成听觉,其宗气上出于鼻子而形成嗅觉,其浊气出于胃,流经口唇而形成味觉。
The sages established laws to govern the world, all derived from the Correct Path (Zheng). Human beings live between Heaven and Earth; Six Excesses (Liu Qi, referring to Wind, Cold, Summerheat, Dampness, Dryness, and Fire) are affected externally, and Seven Emotions (Qi Qing, referring to Joy, Anger, Worry, Thought, Sorrow, Fear, and Fright) are injured internally. Additionally, due to irregular diet and overexertion, the diseases that arise are indeed too numerous to enumerate. I shall speak only of Eye Diseases (Mu Bing) as an example. The eye is the orifice of the Liver (Gan), and the ocular wheels correspond to the Five Zang Organs (Wu Zang). Kidney Water (Shen Shui) nourishes it, and Gallbladder Juice (Dan Zhi) controls it. Any pathogenic influence can cause harm. One must examine whether the condition is Deficiency (Xu) and tonify it, or Excess (Shi) and drain it. If Pathogenic Factors (Xie Qi) are abundant while Healthy Qi (Zheng Qi) is deficient, one should combine tonification with draining, or draining with tonification. This is the Correct Method (Zheng Fa). It is regrettable that the Correct Method has been lost, and Incorrect Methods (Xie Fa) have arisen in confusion. How can one count those who have suffered from them? It is necessary to strictly distinguish them. For instance, some use needles to puncture the upper and lower eyelids, first drawing blood, then rubbing the inner eyelid with metal instruments. Over time, this inevitably leads to the formation of Opacities (Yi Zhang), because Blood (Xue) is damaged and Pathogenic Factors remain undispersed. Some lick the eyeball with their tongue, seeking the reputation of ancient "filial piety affecting heaven," but without sincerity, often breaking the eyeball. The tongue is the sprout of the Heart (Xin), and the Pupil (Tong Shen) is the essence of the Kidney (Shen). Using Heart Fire (Xin Huo) to overcome Kidney Water causes injury. Some consume spicy foods, drink distilled liquor, warm themselves by fire, or expose themselves to the sun, absurdly claiming to "attack heat with heat." This is like providing grain to the enemy and handing a blade to the thief. Some apply dust from scraped fingernails, gold, or jade to the eyes. To subject delicate tissues to hard, rigid substances—how could they not be injured? Some use decoctions of Coptis Rhizome (Huanglian Tang) or Mint (Bohe Tang), mud, well water, egg white, rock crystal, or gold and silver, using their cooling properties to wash the eyes. This inevitably causes Blood stasis and induces complicated changes, which is truly worrying. Furthermore, there are physicians who, without examining complexion, lesion location, Zang-Fu organs, and meridians, indiscriminately prescribe formulas such as Chrysanthemum Decoction for Cleansing the Heart (Juhua Xixin San), Dragon’s Gallbladder Four Substances Decoction (Longdan Siwu Tang), Three Yellows Decoction (Sanhuang Tang), or Sheep Liver Pills (Yanggan Wan), treating symptoms randomly. These are truly what Xu Lingtai called "inferior physicians." Generally, eye diseases take the Liver and Kidney as the root. Abandoning the root to follow the branch is not the Correct Method. The distinction between Correct and Incorrect methods is clear and obvious. Confucianism has its orthodox school, and medicine also has its orthodox school. Students must beware of being confused by heterodox paths.
The *Lingshu Jing* states: The nose is the official organ of the Lung (Fei); the eye is the official organ of the Liver; the lips are the official organ of the Spleen (Pi); the tongue is the official organ of the Heart; the ear is the official organ of the Kidney. Meridian Qi (Jingluo) and Blood (Xueqi) all ascend to the face and traverse the orifices. Its refined Yang Qi ascends to the eyes to form vision; its distinct Qi flows to the ears to form hearing; its Ancestral Qi (Zong Qi) emerges from the nose to form smell; its turbid Qi exits from the Stomach (Wei), flowing to the lips to form taste.