条文：五风初患有余证，除风汤内主羚羊，黑芩蝎尾车前子，黄芩白芍共硝黄。
方剂：除风汤方
羚羊角二钱 黑参二钱 茯苓二钱 蝎尾三分 车前子二钱 黄芩一钱
白芍药一钱 芒硝一钱 大黄一栈
右为粗末，令匀，以水二盏，煎至一盏，食后去渣温服。
【注】
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条文：胞为脾病眦主心，肺白肝黑肾瞳人，五轮为病主五脏，寒热虚实随证分。
方剂：
【注】[1]胞为肉轮，主脾病也。肉、外二眦为血轮，主心病也。白睛为气轮，
主肺病也。黑睛为风轮，主肝病也。瞳人为水轮，主肾病也。
[2]五轮之病，五脏主之。其寒、热、虚、实，当随所现之证而分之也。
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条文：五轮肉血气风水，肉轮两胞血轮眦，气轮白睛风轮黑，水轮瞳子自当知。
方剂：
【注】[1]五轮者，肉轮、血轮、气轮、风轮、水轮也。
[2]谓之轮者，目睛运动如轮之意也。
[3]上、下两胞为肉轮，内、外两眦为血轮，白睛为气轮，黑睛为风轮，
瞳人为水轮，此明五轮之部位，分属五脏也（图一）。
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条文：内障皆因伤七情，喜怒忧思悲恐惊，脏腑内损精不注，初为内障久成风。
方剂：
【注】[1]此明内障受病之因也。
[2]障，遮蔽也；内障者，从内而蔽也。
[3]内障之病，皆因七情过伤，过喜伤心，过怒伤肝，过忧伤肺，过思伤
脾，过悲伤心，过恐伤肾，过惊伤胆，脏腑内损，精气不上注于目。
[4]故初病内障，久成五风（乌风、绿风、黑风、黄风、青风）之患。
[5]其证不红不肿，瞳人色变，而其光先明也。
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条文：五风初起时表现为有余的实证，治疗应以除风汤为主，方中主要使用羚羊角。方剂组成包括黑参、蝎尾、车前子，以及黄芩、白芍药和芒硝、大黄。
方剂：除风汤方
羚羊角二钱，黑参二钱，茯苓二钱，蝎尾三分，车前子二钱，黄芩一钱，白芍药一钱，芒硝一钱，大黄一栈（注：原文“栈”应为“两”之误，此处依原文保留或理解为剂量单位，通常指一两）。
将上述药材捣成粗末，混合均匀，用水两盏煎煮至一盏，饭后去渣温服。
【注】
条文：眼睑属于脾病，内外眼角由心所主，白睛属肺，黑睛属肝，瞳孔属肾。五轮发病分别对应五脏，寒热虚实需根据具体证候进行区分。
方剂：无
【注】[1] 眼睑为肉轮，主治脾病。内外眼角为血轮，主治心病。白睛为气轮，主治肺病。黑睛为风轮，主治肝病。瞳孔为水轮，主治肾病。
[2] 五轮的病变由五脏主导。其寒、热、虚、实的性质，应当根据所呈现的症状来辨别。
条文：五轮即肉轮、血轮、气轮、风轮、水轮。肉轮对应上下眼睑，血轮对应内外眼角，气轮对应白睛，风轮对应黑睛，水轮对应瞳孔，这些需要自己清楚掌握。
方剂：无
【注】[1] 五轮是指肉轮、血轮、气轮、风轮、水轮。
[2] 称为“轮”，是因为眼球运动如同车轮旋转的意思。
[3] 上下眼睑为肉轮，内外眼角为血轮，白睛为气轮，黑睛为风轮，瞳孔为水轮，这明确了五轮的部位及其分属五脏的关系（见图一）。
条文：内障疾病都是因为七情过度损伤所致，喜、怒、忧、思、悲、恐、惊七种情绪过极，导致脏腑内部受损，精气不能上注于目，起初形成内障，日久则演变为五风之患。
方剂：无
【注】[1] 这里阐明内障受病的病因。
[2] “障”意为遮蔽；内障是指从内部遮蔽视力。
[3] 内障的疾病，皆因七情过度损伤所致：过喜伤心，过怒伤肝，过忧伤肺，过思伤脾，过悲伤心，过恐伤肾，过惊伤胆。脏腑内部受损，精气不能向上灌注于眼睛。
[4] 所以初病时为内障，久病则成为五风（乌风、绿风、黑风、黄风、青风）的病患。
[5] 其症状表现为不红不肿，瞳孔颜色改变，且视力先变得明亮（后可能失明或视物不清，此处依原文直译“光先明也”，但在中医语境中常指晶状体混浊前的光影变化或特定病理状态，此处忠实于原文字面意思）。
Original Text: When the "Five Winds" (Wufeng) initially manifest as excess syndromes, Chufeng Tang (Wind-Expelling Decoction) is the primary formula, with Lingyang Jiao (Antelope Horn) as the chief ingredient. The formula contains Heishen (Black Ginseng/Panax Notoginseng), Xiewei (Scorpion Tail), Cheqianzi (Plantago Seed), Huangqin (Scutellaria Root), Baishaoyao (White Peony Root), Xiaoshi (Mirabilite), and Dahuang (Rhubarb Root).
Formula: Chufeng Tang (Wind-Expelling Decoction)
Lingyang Jiao (Antelope Horn) 2 qian, Heishen (Black Ginseng) 2 qian, Fuling (Poria) 2 qian, Xiewei (Scorpion Tail) 3 fen, Cheqianzi (Plantago Seed) 2 qian, Huangqin (Scutellaria Root) 1 qian, Baishaoyao (White Peony Root) 1 qian, Xiaoshi (Mirabilite) 1 qian, Dahuang (Rhubarb Root) 1 zhan.
Grind the above herbs into a coarse powder, mix evenly. Add two cups of water, decoct until one cup remains. Strain and take warm after meals.
Annotation:
Original Text: The eyelids belong to Spleen diseases, the inner and outer canthi are governed by the Heart, the white sclera belongs to the Lung, the black cornea belongs to the Liver, and the pupil belongs to the Kidney. Diseases of the Five Wheels correspond to the Five Zang organs; their cold, heat, deficiency, and excess patterns should be differentiated according to the specific symptoms.
Formula: None
Annotation [1]: The eyelids constitute the Flesh Wheel (Rou Lun), governing Spleen diseases. The inner and outer canthi constitute the Blood Wheel (Xue Lun), governing Heart diseases. The white sclera constitutes the Qi Wheel (Qi Lun), governing Lung diseases. The black cornea constitutes the Wind Wheel (Feng Lun), governing Liver diseases. The pupil constitutes the Water Wheel (Shui Lun), governing Kidney diseases.
[2]: The pathologies of the Five Wheels are dominated by the Five Zang organs. Their nature of cold, heat, deficiency, or excess should be distinguished based on the manifested symptoms.
Original Text: The Five Wheels are the Flesh Wheel, Blood Wheel, Qi Wheel, Wind Wheel, and Water Wheel. The Flesh Wheel corresponds to the upper and lower eyelids, the Blood Wheel to the inner and outer canthi, the Qi Wheel to the white sclera, the Wind Wheel to the black cornea, and the Water Wheel to the pupil. These must be clearly understood.
Formula: None
Annotation [1]: The Five Wheels refer to the Flesh Wheel, Blood Wheel, Qi Wheel, Wind Wheel, and Water Wheel.
[2]: They are called "Wheels" because the movement of the eyeball resembles a rotating wheel.
[3]: The upper and lower eyelids are the Flesh Wheel; the inner and outer canthi are the Blood Wheel; the white sclera is the Qi Wheel; the black cornea is the Wind Wheel; and the pupil is the Water Wheel. This clarifies the locations of the Five Wheels and their attribution to the Five Zang organs (Figure 1).
Original Text: Internal cataracts are all caused by injury from the Seven Emotions (Qing): excessive joy, anger, worry, thought, grief, fear, and shock. These damage the internal Zang and Fu organs, preventing Jing-Qi (Essence-Qi) from ascending to nourish the eyes. Initially, this manifests as internal cataracts; over time, it evolves into the affliction of the Five Winds.
Formula: None
Annotation [1]: This explains the etiology of internal cataracts.
[2]: "Zhang" means obstruction or covering; "internal cataract" refers to obstruction originating from within.
[3]: The disease of internal cataracts is caused by excessive injury from the Seven Emotions: excessive joy injures the Heart, excessive anger injures the Liver, excessive worry injures the Lung, excessive thought injures the Spleen, excessive grief injures the Heart, excessive fear injures the Kidney, and excessive shock injures the Gallbladder. The internal Zang and Fu organs are damaged, and Jing-Qi fails to ascend to the eyes.
[4]: Therefore, the initial stage presents as internal cataracts, which, if prolonged, develop into the afflictions of the Five Winds (Wu Feng: Black Wind, Green Wind, Dark Wind, Yellow Wind, Cyan Wind).
[5]: The clinical manifestations include no redness or swelling, changes in the color of the pupil, and an initial brightening of vision (or light perception).