心为君主，总统脏腑，故忧思劳怒，皆动心神。心应南方火色，目之大 属心，心受火
刑，
则肉壅突而痛。若不痛而痒属虚，或因操劳过度，或因水亏不能制火所致。小 属心胞，
又属少阳经，多气少血，故小 肉属血虚，火烁之故也。若心经火邪盛而刑肺，为大
肉攀睛，属实火，不痛而痒，属虚火。小 肉攀睛，乃虚火刑金为亏症。 肉双斗，属水
亏血少，火邪刑肺，甚则蚀及神水，乃心火克肾水也。大 流血，肿痛，为实火。心统诸经
之血，火盛则血热妄行，故流血。不肿痛而痒，为虚火，乃心肾不交，君火炎甚也。左目为
阴，右目为阳，阴属血，阳属气，男多患左，女多患右，虽有是分，不可执一，惟在圆机通
变也。
肺为华盖，百脉之宗。白睛红丝满布，乃肺热也。白珠 肉紫胀，甚则眼眶青黯，乃血
为邪
乘，凝而不行也。玉粒侵睛，肺气凝滞所致。白睛起膜，状如鱼泡，寒郁太阴也。白翳侵睛
，属金来克木，目珠壅肿红痛，辨是何邪，分别施治。目珠突出，鼻塞咳嗽，乃风寒乘肺，
肺气逆也。珠大脱眶，肺肾气冲，乃金水两亏症也。能仰视不能俯视，气有余而血不足也。
能俯视不能仰视，阴有余而阳不足也。鸡盲者，阴气未升则昏，至人定后，仍能见物。雀盲
者，通夜不见，乃肝血少，肺阴亏也。鹘眼凝睛者，阴阳不和，火克金也。总之其位至高，
统一身之气，其见症多在于气轮。随症审察，用药自能奏效。
心是君主之官，统率全身脏腑，因此忧思和劳怒都会扰动心神。心对应南方的火行，眼睛的大眦（内、外眼角）归属于心，如果心受到火邪的刑克，就会导致大眦处的肉壅塞突起并伴有疼痛。如果不痛而发痒，则属于虚证，可能是因为操劳过度，或者肾水亏虚不能制约心火所致。小眦归属于心包络，同时也归属于少阳经，该部位多气少血，所以小眦处的肉属于血虚，是因为火邪灼烧的缘故。如果心经火邪旺盛进而刑克肺金，就会形成大眦肉攀睛（胬肉攀睛），这属于实火；如果不痛而痒，则属于虚火。小眦肉攀睛，则是虚火刑克肺金导致的亏损病症。上下眼睑的肉双方向生长（双斗），属于肾水亏虚、血液不足，火邪刑克肺金，严重时甚至会侵蚀神水（房水），这是心火克制肾水的表现。大眦处流血、肿痛，属于实火。心统管各条经脉的血，火势旺盛则导致血热妄行，从而引起出血。如果不肿痛而发痒，属于虚火，这是心肾不交，君火炎上的表现。左眼属阴，右眼属阳，阴归属于血，阳归属于气，男性多患左眼病，女性多患右眼病，虽然有这种区分，但不能固执拘泥，关键在于灵活变通。
肺被称为华盖，是百脉的宗主。白睛上红丝满布，是肺热的表现。白珠（巩膜）处的肉紫胀，严重时眼眶呈现青黑色，这是血分被邪气侵袭，凝滞而不流通的表现。玉粒侵睛（结膜滤泡增生等），是由于肺气凝滞所致。白睛起膜，形状像鱼泡，是寒邪郁结在太阴肺经所致。白翳侵入黑睛，属于金来克木（肺病及肝），眼球壅肿红痛，需要辨别是何种邪气，分别施治。眼球突出，伴有鼻塞咳嗽，是风寒侵袭肺脏，肺气上逆所致。眼球脱出眼眶，是肺肾之气冲逆，属于金水两亏的病症。能向上看而不能向下看，是气有余而血不足。能向下看而不能向上看，是阴有余而阳不足。鸡盲（夜视障碍的一种），是阴气未升导致昏暗，但到了人定之后（深夜），仍然能见物。雀盲（夜盲症），整夜看不见东西，是肝血少、肺阴亏所致。鹘眼凝睛（眼球固定不动），是阴阳不和，火克金所致。总之，肺的位置最高，统一一身之气，其病变症状多表现在气轮（白睛）。根据症状仔细审察，用药自然能奏效。
The Heart is the Sovereign Monarch, presiding over all zang-fu organs; therefore, worry, thought, fatigue, and anger all disturb the Shen (Spirit) of the Heart. The Heart corresponds to the Fire element in the South. The canthi (inner and outer corners of the eye) are governed by the Heart. If the Heart suffers from the penalizing effect of Fire pathogenic factors, the flesh at the canthi will become congested, protrude, and cause pain. If there is itching without pain, it indicates a Deficiency syndrome, possibly due to excessive labor or Kidney Water deficiency failing to control Heart Fire. The inner canthus is governed by the Pericardium and also belongs to the Shaoyang (Lesser Yang) meridian, which is characterized by abundant Qi and scarce Blood; thus, pathology here relates to Blood Deficiency caused by the scorching effect of Fire. If Heart Fire pathogenic factors are exuberant and penalize Lung Metal, it results in pterygium (fleshy growth invading the cornea) at the canthus, indicating Excess Fire. If there is itching without pain, it indicates Deficient Fire. Pterygium at the inner canthus is a Deficiency syndrome caused by Deficient Fire penalizing Lung Metal. Bilateral fleshy growths on both upper and lower eyelids indicate Kidney Water deficiency and Blood insufficiency, with Fire pathogenic factors penalizing Lung Metal; in severe cases, it may erode the Shen Shui (aqueous humor), representing Heart Fire overcoming Kidney Water. Bleeding, swelling, and pain at the canthus indicate Excess Fire. The Heart commands the blood of all meridians; when Fire is exuberant, Heat in the Blood causes reckless bleeding. Itching without swelling or pain indicates Deficient Fire, resulting from the failure of communication between the Heart and Kidney, with the Ministerial Fire blazing upward. The left eye belongs to Yin, and the right eye belongs to Yang; Yin governs Blood, and Yang governs Qi. Men often suffer from left-eye disorders, while women often suffer from right-eye disorders. Although this distinction exists, one must not adhere rigidly to it; flexibility and adaptability are key.
The Lung is known as the Canopy (Hua Gai) and is the master of all vessels. Red filaments covering the sclera indicate Lung Heat. Purple swelling of the scleral tissue, potentially leading to darkening around the eye orbits, indicates that Blood has been invaded by pathogenic factors and becomes stagnant. "Jade grains invading the eye" (conjunctival follicles) is caused by stagnation of Lung Qi. A membrane forming on the sclera, resembling a fish bubble, indicates Cold constraint in the Taiyin (Lung) meridian. White nebula invading the cornea indicates Metal overcoming Wood (Lung affecting Liver); if the eyeball is congested, swollen, red, and painful, one must distinguish the specific pathogenic factor and treat accordingly. Protrusion of the eyeball accompanied by nasal congestion and cough indicates Wind-Cold invading the Lung with rebellious Lung Qi. Dislocation of the eyeball from the orbit indicates rebellious Qi of the Lung and Kidney, constituting a deficiency of both Metal and Water. The ability to look up but not down indicates excess Qi and insufficient Blood. The ability to look down but not up indicates excess Yin and insufficient Yang. Ji Mang (a type of night blindness where vision is dim until late night) occurs when Yin Qi fails to ascend, causing dimness, yet objects remain visible after human rest time. Que Mang (common night blindness, total inability to see at night) is caused by Liver Blood deficiency and Lung Yin deficiency. Hu Yan Ning Jing (fixed eyeballs) indicates disharmony of Yin and Yang, with Fire overcoming Metal. In summary, the Lung resides at the highest position and unifies the Qi of the whole body; its symptoms mostly manifest in the Qi Wheel (sclera). By carefully examining the symptoms, medication will naturally prove effective.