注云∶目赤肿痛，翳膜 伤，皆为热也。经云∶热甚目瞑，眼黑也。仲景〔言〕
伤寒病∶热极则目不识人，乃目盲也。《正理》曰∶由热甚怫郁于目，而致之然也。
注云∶卒〔泻〕，与君火义同。
注云∶惕跳动也，火主动，故夏热则脉洪大〔而〕长， 之象也。
注云∶火性速疾故也。或心火暴甚，而肾水衰弱，不能制之，热〔气〕怫郁，
心神昏冒，则筋骨不用，〔卒〕倒而无所知，是为僵仆也。甚则水化制〔火〕，热甚
而生涎，至极即死也。俗云暗风，由火甚制金，不能平木，故风木自甚也。肥人腠理致
密，而多郁滞，气血难以通利，若阳热又甚而郁结，甚则故卒中也。瘦人反中风者，由
暴然阳热太甚，而郁结不通故也。
燥者，阳明燥金，乃肺与大肠之气也。
〔诸涩枯涸，干劲皴揭，皆属于燥。〕
注云∶凡物湿润则滑泽，干燥则涩滞，燥湿相反故也。〔如〕遍身中外涩滞，皆
属燥金之化，故秋脉涩。涩，涩也。或麻者，亦由涩也。由水液衰少而燥涩，气行
壅滞，而不〔得〕滑泽通利，气强攻冲，而为麻也。俗方〔多〕用乌附辈者，令气
因之〔冲〕开道路，以得通利，气行，故麻愈也。无热证，即当此法，治之甚佳。
或风热胜湿为燥，因而病麻，（则）〔宜以〕退风散热，活血养液，润燥通气之凉药调
之，则麻自愈也。治〔诸〕燥涩，只如此〔法〕是也。
注释说：这是因为火气具有炎上的特性。胃与膈间热邪炽盛，导致传化功能失常。
注释说：眼睛红肿疼痛、翳膜损伤，都是热邪所致。《内经》说：热邪极盛会使人闭目不愿睁眼，眼前发黑。张仲景论述伤寒病时说：热邪至极会导致双目失明，无法辨认他人，这就是目盲。《正理》说：这是由于热邪极度郁结于眼部，从而造成这种状况。
注释说：“惕”指惊恐跳动。火性主动，所以夏季炎热时脉象呈现洪大且长的特征，这是火的征象。
注释说：这是因为火性急速迅猛。有时心火暴烈亢盛，而肾水衰弱，不能制约心火，导致热气郁结，心神昏乱迷蒙，筋骨失去知觉，突然跌倒而不省人事，这称为僵仆。严重时，水气受制于火，热极而生痰涎，达到极点就会死亡。民间称之为“暗风”，是因为火邪过盛克制了肺金，导致肺金不能平抑肝木，所以风木之气自行亢盛。肥胖之人腠理致密，容易气机郁滞，气血难以通畅流利，如果阳热又很盛并郁结在内，严重时就会发生中风。瘦人反而患中风，是因为突然之间阳热太盛，导致郁结不通。
燥，对应阳明燥金，是肺和大肠的气化表现。
[各种涩滞、干枯、皮肤干燥起皱开裂，都归属于燥邪。]
注释说：凡是物体湿润就光滑润泽，干燥就涩滞不畅，燥与湿性质相反。[例如]全身内外感到涩滞，都属于燥金气化所致，所以秋季的脉象表现为涩。涩，就是涩滞的意思。或者感觉麻木，也是由于涩滞引起的。因为津液衰少而导致燥涩，气机运行壅滞，不能滑泽通利，气机强盛攻冲，从而产生麻木感。民间方剂[多]使用乌头、附子这类药物，让气机借此冲开道路，得以通利，气行之后，麻木症状就会痊愈。如果没有热证，采用这种方法治疗非常有效。如果是风热胜湿转化为燥，因而导致麻木，[则]适宜用退风散热、活血养液、润燥通气的凉药来调理，麻木自然痊愈。治疗各种燥涩病症，只要遵循这种方法即可。
Annotation states: This is because the fire pathogen has a tendency to flare upwards. When heat in the stomach and diaphragm is excessive, it leads to dysfunction of transmission and transformation.
Annotation states: Redness, swelling, pain of the eyes, and damage to the corneal opacity (Yi Mo) are all caused by heat. The *Classic of Internal Medicine* (*Huangdi Neijing*) states: "When heat is extreme, one closes the eyes and experiences visual darkness." Zhang Zhongjing discussed *Shanghan Bing* (Cold Damage Disease): "When heat reaches its extreme, one becomes blind and cannot recognize people; this is blindness." *Zhengli* states: This occurs because extreme heat stagnates within the eyes, causing such conditions.
Annotation states: Sudden diarrhea shares the same principle as Jun Huo (Ministerial Fire/Heart Fire).
Annotation states: "Ti" refers to palpitations or startle-like trembling. Fire is dynamic in nature; therefore, during the hot summer, the pulse presents as洪大 (Hong Da, Surging and Large) and long, which is the manifestation of fire.
Annotation states: This is because the nature of fire is rapid and swift. Sometimes, Heart Fire flares up violently while Kidney Water is deficient and unable to control it. The heat qi stagnates, causing the Shen (Spirit/Mind) to become confused and obscured, leading to loss of function in the sinews and bones. One may suddenly collapse and lose consciousness, known as Jiang Pu (Stiff Collapse). In severe cases, Water is controlled by Fire; extreme heat generates phlegm-saliva, and at the extreme point, death ensues. Commonly called "An Feng" (Hidden Wind), this condition arises because excessive Fire controls Metal (Lung), preventing Metal from subduing Wood (Liver), thus allowing Wind-Wood to become hyperactive. Obese individuals have dense cou li (skin and interstices) and are prone to Qi stagnation, making the flow of Qi and Blood difficult. If Yang-Heat is also excessive and stagnates internally, it can lead to stroke (Zhong Feng). Thin individuals who suffer from stroke do so because sudden, extreme Yang-Heat causes blockage and stagnation.
Dryness corresponds to Yangming Dry-Metal, representing the Qi of the Lung and Large Intestine.
[All conditions involving astringency, dryness, withering, stiffness, and skin cracking belong to Dryness.]
Annotation states: Generally, things that are moist are smooth and slippery, while those that are dry are astringent and stagnant; Dryness and Dampness are opposite in nature. [For example], a sensation of astringency and stagnation throughout the body, inside and out, belongs to the transformation of Dry-Metal, which is why the autumn pulse is astringent. "Se" (Astringent) means astringent or stagnant. Numbness (Ma) also arises from astringency. It is caused by a deficiency of body fluids leading to dryness and astringency, where Qi movement becomes obstructed and fails to be smooth and unobstructed. Strong Qi attacks and rushes, resulting in numbness. Folk prescriptions often use herbs like Wu Tou (Aconite Root) and Fu Zi (Prepared Aconite Lateral Root) to allow Qi to break through and open pathways, achieving unobstructed flow; once Qi moves, the numbness resolves. In the absence of Heat syndromes, this method is highly effective. However, if Wind-Heat overcomes Dampness to transform into Dryness, causing numbness, it is appropriate to use cool herbs that dispel wind, clear heat, invigorate blood, nourish fluids, moisten dryness, and promote Qi circulation to regulate the condition, thereby resolving the numbness naturally. To treat various astringent and dry conditions, adhering to this method is correct.