黑珠属肝，肝为木也，东方属木木生风，在脏为肝应目中，暴怒不常生内郁，更因风热
翳侵瞳，其症因恼怒不常，劳役过度，外感风寒，内伤色欲，以致头目眩晕，视物不明，日久不
治，遂成昏暗等症。
大小 属心，心为火也，心居包络名君主，血逐火奔眼内凝， 头大小分虚实，远视还
同是火星，其症因忧愁烦劳，悲苦思虑，内伤于心，外攻于目，赤筋灌瞳， 肉攀睛，日久不治
，渐至失明等症。
上下胞属脾，脾为土也。太阳属土主脾元，积热相干病有源，上下胞睑肿又赤，挑针时
发蒂依存。其症因多食热物炙 辛酸，壅热在内，瘀血肿痛，粟沙隐涩，日久不治，以致烂弦倒
睫，缠绵不已等症。
白珠属肺，肺为金也。肺脏停留心热攻，双睛微见绛纱笼，但宣肠胃辛凉剂，方解昏昏
似火红。其症因凌霜冒雪，饥饱失常，风邪外受，内热上攻，日久不治，以致视物不明，变成白
膜遮睛，疼痛难开，冲风出泪等症。
瞳人属肾，肾为水也。又通胆窍，此水木有相生之义，肝肾有同治之方。肾胆同源精自
华，阴虚火旺便生花，上冲神水还成绿，急养化源不用嗟。其症因嗜欲无厌，房劳过度，大惊伤
神，大恐伤志。水火既亏，阴阳渐损，冷泪流于脸上，飞花越于目前，绿水灌瞳，青盲内障
等症。
黑珠归属于肝，肝在五行中属木，对应东方，木气生风。在五脏中，肝与眼睛相应。若因暴怒无常导致体内气机郁结，再加上风热之邪侵袭瞳孔，其症状是由于恼怒无常、过度劳累、外感风寒以及内伤于色欲所致，从而引起头部和眼睛眩晕、视物模糊。若日久不治疗，最终会形成视力昏暗等症状。
瞳神（此处指瞳孔及眼内组织）归属于心，心在五行中属火。心被称为“君主之官”，居于包络之中。血液随火势奔涌凝聚于眼内。根据头目大小来分辨虚实，远视时眼中如同有火星闪烁。其症状是由于忧愁烦劳、悲伤苦闷思虑过度，导致内伤于心，外攻于目，出现赤脉灌注瞳孔、胬肉攀睛（翼状胬肉）。若日久不治疗，逐渐发展到失明等症状。
上下眼睑归属于脾，脾在五行中属土。足太阳膀胱经虽主表，但此处强调脾元之气。积热相互干扰，疾病有了根源。上下眼睑肿胀且发红，挑针治疗时需观察蒂部是否依存。其症状是由于多食辛辣炙烤、酸涩之物，导致壅滞的热邪蕴结在内，瘀血肿痛，感觉如沙粒隐涩不适。若日久不治疗，会导致眼缘溃烂、倒睫，病情缠绵难愈等症状。
白珠（巩膜）归属于肺，肺在五行中属金。肺脏受到心热的停留攻击，双眼微微呈现出像绛纱笼罩的样子。只需宣通肠胃的辛凉剂，方解除了昏沉似火红的症状。其症状是由于冒霜雪受寒、饥饱失常，风邪从外部侵入，内热向上攻冲。若日久不治疗，导致视物不明，变成白色薄膜遮蔽眼球，疼痛难以睁开，迎风流泪等症状。
瞳人（瞳孔）归属于肾，肾在五行中属水。肾又通达胆窍，这里蕴含了水生木（肝肾同源）的相生意义，肝肾有共同治疗的方剂。肾与胆同源，精气自然光华焕发。若阴虚火旺，则眼前出现飞花幻视。热气上冲使神水变绿，急需滋养化源而不必叹息。其症状是由于嗜欲无厌、房事过度、大惊损伤神志、大恐损伤意志。导致水火两亏，阴阳逐渐受损，冷泪流于脸上，眼前飞花越动，绿水灌注瞳孔，青盲内障等症状。
The black pupil (cornea/pupil area) is associated with the Liver. The Liver belongs to Wood in the Five Elements, corresponds to the East, and generates Wind. Among the Zang organs, the Liver corresponds to the eyes. If sudden anger causes internal stagnation, compounded by Wind-Heat invading the pupil, the symptoms arise from frequent anger, excessive labor, external contraction of Cold-Wind, and internal injury from sexual excess. This leads to dizziness of the head and eyes, blurred vision, and if left untreated for a long time, results in dimness of vision.
The pupil (referring to the visual aperture and internal eye structures) is associated with the Heart. The Heart belongs to Fire. The Heart is named the "Monarch" and resides within the Pericardium. Blood follows the fire and condenses within the eyes. Differentiating deficiency and excess based on the size of the head/eyes, distant vision may appear as if sparks are flashing. Symptoms arise from worry, fatigue, sorrow, and excessive thinking, which internally injure the Heart and externally attack the eyes. This manifests as red vessels infusing the pupil and pterygium (fleshy growth climbing onto the cornea). If left untreated for a long time, it gradually progresses to blindness.
The upper and lower eyelids are associated with the Spleen. The Spleen belongs to Earth. Accumulated heat interferes, providing a source for disease. The upper and lower eyelids become swollen and red; when performing acupuncture or lancing, one must observe whether the base remains attached. Symptoms arise from consuming too much hot, roasted, sour, or pungent food, causing stagnant heat to accumulate internally. This leads to blood stasis, swelling, pain, and a gritty, obstructive sensation. If left untreated for a long time, it results in ulceration of the eyelid margins, trichiasis (in-turned eyelashes), and a lingering, unresolving condition.
The white sclera is associated with the Lung. The Lung belongs to Metal. Heat from the Heart lingers and attacks the Lung organ, causing both eyes to faintly appear covered like crimson gauze. Using acrid-cool formulas to ventilate the Stomach and Intestines resolves the symptoms of dimness resembling fire-redness. Symptoms arise from exposure to frost and snow, irregular eating habits, external contraction of Wind pathogen, and upward attack of internal heat. If left untreated for a long time, it leads to blurred vision, formation of a white membrane obscuring the eye, severe pain preventing opening, and tearing upon exposure to wind.
The pupil proper is associated with the Kidney. The Kidney belongs to Water. It also connects to the Gallbladder orifice, embodying the generative relationship between Water and Wood, indicating that the Liver and Kidney share treatment principles. The Kidney and Gallbladder share a common source, allowing essence to shine brightly. Yin deficiency with hyperactive Fire causes visual hallucinations (flies before the eyes). Upward rushing of Qi turns the divine fluid green; urgently nourishing the source of transformation is required without sighing. Symptoms arise from insatiable desires, excessive sexual activity, great fright injuring the Spirit, and great fear injuring the Will. This depletes Water and Fire, gradually damaging Yin and Yang. Cold tears flow down the face, flying flowers appear before the eyes, green water fills the pupil, leading to conditions such as Qingmang (blindness due to internal obstruction) and internal cataracts.