毒火上冲，幸心君不受邪，而逆犯厥阴肝母，故两目红肿如桃，甚则眼珠突出。然他症
患目惟在于目，痧必心中烦闷而目疾因之，苟不早治，则痧毒已参阳位，其火势炎极，轻则
坏目，重则殒命。宜先刺颠顶以泄毒瓦斯，用清火活血顺气之剂，加牛膝、石斛以引火归原。
服，眼珠始收。若两目通红，甚至起障翳，此痧之余毒在肝，用革三寸加灯心、白芙蓉叶，
水煎温服。
一妇头痛身热，眼珠突出半寸，痛不可忍，眼科疗之更甚。予为刺顶门一针，太阳、睛
明、合谷三穴各二针，痛减半，竟投痧症药，珠收痛止，惜治已迟。竟失明矣。
用革四方，神效。
遇痧经阻，或鼻红，或吐红，腹肿胀，不能转侧者是也，腹不痛亦为暗痧。若攻坏脏腑
不治，急放痧，再用药（革五）。
孕妇痧易伤胎，产后痧防恶阻，救疗俱为尤急。若暗痧陡发，则胎前痧脉溷于有孕，产
后痧脉杂于恶阻，又无心腹痛据，须究症候、察声色，看有痧筋，急宜刺破，肌肤痧壅，
割兼施，攻坏脏腑，莫能挽矣。
胎前痧痛，冲绞可畏，凡安胎药如白术、当归、茯苓之类，痧所大禁，其治痧破气破血
之剂，又胎所忌，斟酌其间，活血解毒用银花、丹参、益母、红花、寄生；顺气用香附、陈
皮、紫朴、砂仁、乌药；散痧用荆芥、防风、独活、细辛；消食积用楂、卜、神曲、麦芽，
采择于中，最为稳当。若势盛难效，权用一二味，克伐恐于胎气有防，不可不慎（革六、红
花、细辛少用）。
一妇娠六月，寒热烦闷，痧在初发未现，用药不应，忽尔昏沉，次日左手脉伏，面目微
黑，乃刺腿弯六针，少愈，服革六方而安。后用小柴胡汤退热，又参、苓、归、地健脾养血
乃痊。
毒火向上冲逆，幸好心主不受邪气侵犯，而是逆向侵犯厥阴肝经，所以双眼红肿得像桃子一样，严重时眼珠突出。然而其他病症引起的眼部问题仅局限于眼睛，而痧症必定伴随心中烦闷，进而导致眼部疾病。如果不尽早治疗，那么痧毒已经侵入阳位（头部及体表等阳气旺盛之处），火势极其猛烈，轻则损害视力，重则危及生命。应当先刺破头顶部位以泄出毒气，使用具有清火、活血、顺气作用的方剂，加入牛膝、石斛以引火归原（引导虚火下行回归肾中）。服药后，突出的眼珠才能收回。如果双眼通红，甚至长出翳膜，这是痧症的余毒滞留于肝脏所致，可用革三寸（此处指代特定草药或方剂简称，结合上下文推测为含“革”字药材如地骨皮或特定复方，依原文保留）加灯心草、白芙蓉叶，用水煎煮后温服。
有一位妇女头痛身热，眼珠突出半寸，疼痛难以忍受，眼科医生治疗反而加重。我为她针刺顶门穴一针，太阳穴、睛明穴、合谷穴各两针，疼痛减轻了一半，随即投用治疗痧症的药物，眼珠收回，疼痛停止，可惜治疗已经太迟，最终导致失明。
使用“革四方”，效果神妙。
遇到痧症导致月经阻滞，或者鼻出血，或者吐血，腹部肿胀，无法翻身转动，这就是所谓的症状；即使腹部不痛，也属于“暗痧”。如果攻伐过度损坏脏腑，则无法救治，必须紧急放痧（通过刺络放血等方式排毒），然后再用药（参考“革五”方）。
孕妇患痧症容易伤及胎儿，产后患痧症要防止恶阻（妊娠呕吐或产后恶露不尽引发的不适），抢救和治疗都尤为紧急。如果是“暗痧”突然发作，那么胎前痧症的脉象会混杂在怀孕的脉象中，产后痧症的脉象会混杂在恶阻的脉象中，又没有明显的心腹痛作为依据，必须仔细探究症候、观察声音和面色，查看是否有痧筋（皮下显露的青紫色静脉），必须紧急刺破，肌肤与经络并治（割兼施可能指刺络与刮痧或切开排脓等综合手段），若攻伐过度损坏脏腑，就无法挽回了。
胎前的痧症疼痛，冲击绞痛令人畏惧。凡是安胎的药物，如白术、当归、茯苓之类，都是痧症的大忌；而治疗痧症时使用的破气破血的药物，又是胎儿所忌讳的。需要在两者之间斟酌权衡，活血解毒选用金银花、丹参、益母草、红花、桑寄生；顺气选用香附、陈皮、厚朴、砂仁、乌药；散痧选用荆芥、防风、独活、细辛；消食积选用山楂、莱菔子、神曲、麦芽，从中选取搭配，最为稳妥。如果病情严重难以见效，权且使用一两味药，担心攻伐太过会妨碍胎气，不可不谨慎（参考“革六”方，红花、细辛需少用）。
有一位妇女怀孕六个月，出现寒热交替、心烦闷乱的症状，痧症处于初发阶段尚未显现，用药无效，忽然陷入昏沉状态，第二天左手脉搏伏匿不起，面目微微发黑，于是针刺腿弯（腘窝处穴位）六针，症状稍有好转，服用“革六”方后得以安定。后来用小柴胡汤退热，又用人参、茯苓、当归、地黄健脾养血，最终痊愈。
The toxic fire rushes upward. Fortunately, the Heart (君主之官, ruler of the organs) does not accept the pathogenic factor, but it reversely invades the Jueyin Liver channel. Consequently, both eyes become red and swollen like peaches, and in severe cases, the eyeballs protrude. However, eye diseases caused by other conditions are confined to the eyes themselves. In Sha disease (a category of acute febrile diseases characterized by skin eruptions or toxicity), there is always mental restlessness, which leads to ocular disorders. If not treated early, the Sha toxin will invade the Yang regions (upper body and exterior), and the fire intensity will be extreme. Mildly, it damages the eyes; severely, it causes death. One should first puncture the vertex to drain the toxic qi, using a formula that clears fire, invigorates blood, and regulates qi, adding Achyranthes Root (Niuxi) and Dendrobium Stem (Shihu) to guide the fire back to its source. After taking the medicine, the protruding eyeballs can retract. If both eyes are intensely red, even developing cataracts or nebulae, this indicates residual Sha toxin lingering in the Liver. Use "Ge San Cun" (a specific herbal preparation or herb abbreviation from the text) combined with Juncus Effusus (Dengxin Cao) and Hibiscus Mutabilis Leaf (Bai Furong Ye), decocted in water and taken warm.
A woman suffered from headache and fever, with her eyeball protruding by half an inch, unbearable pain, and worsening symptoms under ophthalmological treatment. I administered one needle at the Dingmen point (vertex), two needles each at the Taiyang, Jingming, and Hegu points. The pain decreased by half. Subsequently, I administered Sha disease medication, which retracted the eyeball and stopped the pain. Unfortunately, the treatment was too late, resulting in blindness.
Using "Ge Si Fang" yields miraculous effects.
When the Sha toxin has completely subsided but stasis remains in the chest and diaphragm causing pain, use Shixiao San.
If Sha disease obstructs menstruation, or causes epistaxis or hematemesis, accompanied by abdominal distension and inability to turn over, these are the signs. Even if the abdomen is not painful, it is still considered "Hidden Sha." If aggressive treatment damages the zang-fu organs, it becomes incurable. Urgent Sha release (bloodletting or detoxification techniques) is required, followed by medication (refer to "Ge Wu").
Pregnant women contracting Sha disease are prone to fetal injury, while postpartum women must guard against Ezu (nausea/vomiting or complications related to lochia). Rescue and treatment are particularly urgent. If Hidden Sha erupts suddenly, the pulse of pre-natal Sha disease mixes with pregnancy pulses, and post-partum Sha pulses mix with Ezu pulses. Without distinct heart or abdominal pain as reference, one must carefully investigate symptoms, observe voice and complexion, and check for Sha veins (visible subcutaneous veins). Urgent puncturing is necessary, combining skin and meridian treatments. If the zang-fu organs are damaged by excessive aggression, recovery is impossible.
Pre-natal Sha pain involves terrifying cramping and twisting. All fetal-anchoring herbs such as Atractylodes Macrocephala Rhizome (Baizhu), Angelica Sinensis Radix (Danggui), and Poria (Fuling) are strictly contraindicated for Sha disease. Conversely, Qi-breaking and Blood-invigorating agents used to treat Sha are taboo for the fetus. One must balance these considerations: for invigorating blood and resolving toxicity, use Chrysanthemum Flower (Jinyinhua - *Note: Text says Yinhua, likely Jin Yin Hua*), Salvia Miltiorrhiza Radix (Danshen), Motherwort Herba (Yimucao), Safflower Flos (Honghua), and Eucommia Bark (Sangjisheng); for regulating Qi, use Cyperi Rhizoma (Xiangfu), Citrus Reticulata Pericarpium (Chenpi), Magnolia Officinalis Bark (Zhoupu/Pohu), Amomum Fruit (Sharen), and Lindera Root (Wuyao); for dispersing Sha, use Schizonepeta Spike (Jingjie), Saposhnikovia Root (Fangfeng), Angelica Pubescens Radix (Duhuo), and Asarum Root (Xixin); for resolving food stagnation, use Hawthorn Fruit (Zha), Radish Seed (Bo), Medicated Leaven (Shenqu), and Malt (Maiya). Selecting from these is the safest approach. If the condition is severe and unresponsive, cautiously use only one or two herbs, as excessive aggression may harm the fetal Qi. Caution is essential (Refer to "Ge Liu"; use Honghua and Xixin in small doses).
A woman at six months of gestation experienced alternating chills and fever, mental restlessness, and Sha disease in its initial stage without visible eruption. Medication was ineffective, and she suddenly fell into lethargy. On the second day, her left wrist pulse was deep and hidden, and her face and eyes were slightly dark. I administered six needles at the popliteal fossa (leg bend). She improved slightly and stabilized after taking "Ge Liu Fang." Later, Xiao Chai Hu Tang was used to resolve the fever, followed by Ginseng Radix (Renshen), Poria (Fuling), Angelica Sinensis Radix (Danggui), and Rehmannia Root (Dihuang) to strengthen the Spleen and nourish the Blood, leading to full recovery.