论曰内经曰、血实宜决之，难经曰，肿热宜砭射之，盖邪毒结聚，其势盛，实有药力所
未能去者，决射之法，不可废也，凡目生息肉肿核黄膜之类，皆以脏腑风热毒瓦斯，熏发于肝
，血气结滞所成也，治宜先钩割镰，洗去恶毒，次以汤散荡涤膏剂点敷之。
钩割针镰法
凡两 头有赤脉及息肉者，宜钩起，以铍针割去令尽，未尽更割，以尽为度，或以缝衣
细针穿线，口衔线头牵起，别以铍针向目中割之，割了以火针熨之，使断其根，不尔三二年
间，恐能复发，复发则粘睛难疗，其绝浓者，侵入水输，宜以曲头篦子折起，勿使掣损瞳仁
，盖瞳仁甚薄易损故也，凡钩割及用针，不宜在旦，旦则腹空，五脏皆虚，令人头运闷倒，
又钩割不宜欲速，欲缓缓为之。
凡眼上肿，睑皮里有核如米豆大，渐长如梅李大者，内有物如脓，或似桃胶，此皆风热
所致也，可针破捏去之即瘥，仍翻眼皮，向里针之，恐引风毒，又恐睑外成痕。
凡风毒热肿，结于两睑内，妨痛日久渐大，往往隐损瞳仁，宜用针刀去之，乃瘥。
又脾风热壅，上攻眼睑，热痛不止，其眼肿合者，宜翻眼睑，视其黑睛上下，有黄翳
根脚连睑，则以法针去之，次以药敷。
又风睑毒热结成，肿如 ，世俗呼为眼 ，其风热毒瓦斯，常在睑下唇边缘，睑唇中
空卷，遇肝肺热，即根据前结成，宜针去结脓。
凡目赤肿硬泪出难开，疼痛不可忍，先患一目，次相牵引，渐生翳膜，不能见物，
此是膈中积热，肝脏风毒上冲故也，宜先镰洗除去毒血，次服药攻治。
凡目赤，兼黑睛中忽从下向上，生黄气疼痛者，是脾胃热毒瓦斯熏攻如此，宜先镰上下睑
，散去瘀血，次服诸药。
凡目生顽翳者，可用火烧铜针轻点，传波斯国银矿名悉蔺脂，点之不痛，勿用别法。
凡目生黄膜上直复瞳仁者，初患之时，疼痛赤涩，发歇不定，泪出难开，渐生翳膜，直
复黑睛，不辨人物，盖因脾脏风热，熏发于目，其证如此，宜先钩割镰洗，次服荡涤脾脏风
热之药。
凡目忽然赤涩泪出痛痒，渐生障翳，赤膜下垂，直复睛珠，如朝霞之色者，宜急镰洗，
去其瘀血，次用点药，及服诸药。
凡目胞内胶凝者，是脾胃积热，膈内风冲，入于胞睑，初如麻米，久则渐长，状如桃李
，摩隐瞳仁，后必生翳，宜针破出血，次镰洗去瘀血，加汤药攻治。
凡目风牵睑者，初患之时，乍好乍恶，发歇不定，泪出不止，此是胃气受风，肝膈积热
，风热毒瓦斯，熏发睑 ，甚者目皮翻出，急宜镰之，散去瘀血，及熨烙服药治疗。
凡睑生风粟者，因心肺壅毒，肝家有风，故令睑皮上下，有肉如粟粒，泪出涩痛，久生
翳膜，宜镰出恶血，除去根本。
凡目痛如针刺者，初患之时，微觉头目眩目系常急，夜卧涩痛，泪出难开，久则发痛，
时如针刺，此是心脏潜伏毒热，风壅在于膈中，久则渐生障翳，两目俱损，急宜镰洗出血，
及针阳白穴。
凡目忽被物撞打睛出，但眼带未断者，当时内入睑中，勿令惊触，四畔摩辟风膏，及捣
生地黄敷之，其窍内有恶血，以针引之。
论述说：《内经》记载：“血实宜决之”，《难经》记载：“肿热宜砭射之”。大概是因为邪毒结聚，病势强盛，确实有药力所不能去除的情况，所以钩割、砭射的方法不可废弃。凡是眼睛长出息肉、肿核、黄膜之类的病症，都是因为脏腑的风热毒气，熏蒸肝脏，导致气血结滞而形成的。治疗应当先用钩、割、镰刀等工具，洗去恶毒之气，然后再用汤剂、散剂荡涤，以及膏剂点敷。
凡是眼睑两端有赤脉及息肉的，应当用钩提起，用铍针割除干净，如果没割尽就继续割，以割尽为标准；或者用缝衣细针穿上线，口衔线头牵起，另外用铍针向眼中割除，割完后用火针熨烫，以断其根，否则两三年内恐怕会复发，一旦复发就会粘连睛珠，难以治疗。那些脓液极浓重的，侵入水轮（瞳孔），应当用弯头篦子折起操作，不要牵拉损伤瞳仁，因为瞳仁很薄容易受损的缘故。凡是进行钩割及使用针具，不适宜在早晨进行，早晨腹部空虚，五脏皆虚，会导致人头晕昏倒。另外钩割不宜求快，应当缓缓进行。
凡是眼睛肿胀，眼皮里面有像米粒豆子大小的硬结，逐渐长大像梅子李子大小的，里面有类似脓液的东西，或者像桃胶一样，这都是风热所致，可以用针刺破捏出即愈。但仍需翻转眼皮，向里针刺，以免引入风毒，又恐眼皮外留下疤痕。
凡是风毒热肿，结在两眼皮内，妨碍疼痛日久逐渐变大，往往暗中损伤瞳仁，应当用针刀去除，才能痊愈。
又是脾受风热壅塞，向上攻冲眼睑，热痛不止，眼睛肿胀闭合的，应当翻转眼睑，观察黑睛上下，如果有黄翳根部连着眼睑，则依法针刺去除，然后用药敷贴。
又是风毒热邪结成，肿胀如……（原文此处似有缺字或异体字，指某种特定形态），世俗称为眼……（原文此处似有缺字），这种风热毒气常在眼皮下唇边缘，眼皮嘴唇中间空卷，遇到肝肺热，就依据前法结成，应当针刺去除结脓。
凡是眼睛红肿胀硬流泪难以睁开，疼痛不可忍受，先患一只眼，随后互相牵引，逐渐生出翳膜，不能看见物体，这是膈中积热，肝脏风毒上冲的缘故，应当先用镰刀清洗除去毒血，然后服药攻治。
凡是眼睛发红，兼黑睛中忽然从下向上生出黄气并疼痛的，是脾胃热毒气熏攻所致，应当先用镰刀处理上下眼睑，散去瘀血，然后服用各种药物。
凡是眼睛长出顽固翳膜的，可用火烧铜针轻点，传入波斯国银矿名“悉蔺脂”（一种矿物药），点涂后不痛，不要用其他方法。
凡是眼睛长出黄膜向上覆盖瞳仁的，初患病时，疼痛红涩，发作间歇不定，流泪难以睁开，逐渐生出翳膜，直接覆盖黑睛，分辨不出人物，这是因为脾脏风热，熏发于眼睛，症状如此，应当先用钩割镰洗，然后服用荡涤脾脏风热的药物。
凡是眼睛忽然红涩流泪痛痒，逐渐生出障翳，赤膜下垂，直接覆盖睛珠，像朝霞颜色的，应当紧急镰洗，去除瘀血，然后使用点眼药，以及服用各种药物。
凡是眼胞内部胶凝的，是脾胃积热，膈中风气冲入胞睑，初起像麻米，久了则逐渐长大，形状像桃李，摩擦隐损瞳仁，后来必定生翳，应当针刺破出血，然后镰洗去除瘀血，加用汤药攻治。
凡是眼睛因风导致眼睑牵拉的，初患病时，时好时坏，发作间歇不定，流泪不止，这是胃气受风，肝膈积热，风热毒气熏发眼睑，严重的甚至眼皮翻出，应当紧急用镰刀处理，散去瘀血，以及熨烙服药治疗。
凡是眼睑长出风粟（粟粒状小泡），是因为心肺壅毒，肝家有风，导致眼皮上下有肉像粟粒，流泪涩痛，久了生翳膜，应当镰出恶血，除去根本。
凡是眼睛疼痛如针刺的，初患病时，微微觉得头目眩晕，眼系常紧张，夜间卧睡涩痛，流泪难以睁开，久了则发作疼痛，时时如针刺，这是心脏潜伏毒热，风壅在于膈中，久了则逐渐生出障翳，双眼都受损，应当紧急镰洗出血，以及针刺阳白穴。
凡是眼睛忽然被物体撞击打伤眼球突出，只要眼带没有断裂的，当时将眼球纳入眼睑中，不要让惊扰触动，四周涂抹辟风膏，以及捣碎生地黄敷贴，眼窍内有恶血，用针引导排出。
Commentary states: The *Neijing* (Inner Canon) records, "When blood is excessive, it should be drained"; the *Nan Jing* (Classic of Difficult Issues) records, "For swelling and heat, bian stone therapy (stone pricking) should be used." This is because when pathogenic toxins accumulate and the condition is severe, there are indeed cases where medicinal power alone cannot eliminate them; therefore, the methods of hooking, cutting, and bian stone therapy must not be abandoned. Any conditions such as polyps, nodules, or yellow membranes appearing in the eyes are formed by wind-heat and toxic qi from the zang-fu organs steaming the Liver, causing stagnation of Qi and Blood. Treatment should first employ hooks, scalpels, or sickles to wash away noxious pathogens, followed by decoctions and powders for cleansing, and ointments for application.
Method of Hooking, Cutting, Needling, and Sickle-Therapy
For those with red vessels and polyps at both ends of the eyelids, they should be hooked up and cut off completely with a pi needle (flat-bladed needle). If not fully removed, continue cutting until complete. Alternatively, use a fine sewing needle threaded, hold the thread end in the mouth to pull it up, and use another pi needle to cut into the eye. After cutting, cauterize with a fire needle to sever the root; otherwise, recurrence within two or three years is likely. Recurrence leads to adhesion to the eyeball, making treatment difficult. For those with extremely thick pus invading the water wheel (pupil), use a curved-headed comb to lift carefully, avoiding traction damage to the pupil, as the pupil is very thin and easily damaged. Hooking, cutting, and needling should not be performed in the morning, when the abdomen is empty and the five zang organs are deficient, which can cause dizziness and fainting. Furthermore, these procedures should not be rushed but performed slowly.
For eye swelling with nodules inside the eyelid skin, initially the size of rice grains or beans, gradually growing to the size of plums or apricots, containing matter like pus or peach gum, this is caused by wind-heat. It can be punctured with a needle and squeezed out for recovery. However, one must still turn the eyelid and needle inward to avoid introducing wind-toxicity and preventing scarring on the outer eyelid.
For wind-toxic heat swelling结 (knotting) inside both eyelids, causing pain over a long period and gradually enlarging, often secretly damaging the pupil, needle-knives should be used to remove it for cure.
When spleen wind-heat obstruction attacks upward to the eyelids, causing unceasing hot pain and swollen closed eyes, turn the eyelid to inspect above and below the black cornea. If yellow nebulae roots connect to the eyelid, needle them out according to method, then apply medicine.
When wind-toxic heat knots form, swelling resembling [text missing], commonly called eye [text missing], this wind-heat toxic qi often stays at the lower lip edge of the eyelid, where the eyelid lip is hollow and curled. When liver and lung heat occur, it forms knots according to previous methods; needle out the condensed pus.
For eyes that are red, swollen, hard, tearing, difficult to open, and unbearably painful, starting in one eye and then affecting the other, gradually forming nebulae and obscuring vision, this is due to accumulated heat in the diaphragm and liver wind-toxicity rushing upward. First, use a sickle to wash away toxic blood, then administer internal medication.
For red eyes accompanied by sudden yellow qi rising from bottom to top in the black cornea with pain, this is caused by stomach-spleen heat-toxicity steaming and attacking. First, use a sickle on the upper and lower eyelids to disperse stasis, then take various medicines.
For stubborn nebulae in the eyes, lightly touch with a copper needle heated by fire. Apply "Xilin Zhi" (a mineral substance from Persian silver mines); this causes no pain. Do not use other methods.
For yellow membranes growing upward to cover the pupil, initial symptoms include pain, redness, dryness, intermittent onset, tearing, and difficulty opening the eyes. Gradually, nebulae form, directly covering the black cornea, blurring vision. This is due to spleen wind-heat steaming the eyes. Symptoms are as described; first perform hooking, cutting, and sickle-washing, then take medicines to cleanse spleen wind-heat.
For sudden eye redness, dryness, tearing, pain, and itching, gradually forming obstructions, with red membranes drooping and covering the eyeball like morning glow colors, urgently perform sickle-washing to remove stasis, then use eye drops and internal medicines.
For gelatinous coagulation inside the eye bags, this is due to stomach-spleen accumulated heat and wind rushing from the diaphragm into the eyelids. Initially like hemp seeds, later growing like peaches or plums, rubbing against and damaging the pupil, eventually forming nebulae. Puncture to bleed, then sickle-wash to remove stasis, and add decoction therapy.
For eyes pulled by wind (entropion/ectropion), initial symptoms fluctuate, intermittent onset, continuous tearing. This is stomach qi affected by wind, with liver-diaphragm accumulated heat, and wind-heat toxicity steaming the eyelids. Severe cases involve everted eyelid skin. Urgently use a sickle to disperse stasis, and treat with cauterization and internal medicine.
For wind millet (papillae) on the eyelids, caused by heart-lung obstructed toxicity and liver wind, resulting in flesh-like millet grains on upper and lower eyelids, tearing, dryness, pain, and eventual nebulae. Use a sickle to drain bad blood and remove the root.
For eye pain like needle pricks, initial symptoms include slight dizziness, tension in the eye tendons, night-time dryness/pain, tearing, and difficulty opening eyes. Later, pain flares like needle pricks. This is latent heart-toxic heat and wind obstruction in the diaphragm. Long-term results in nebulae and bilateral damage. Urgently perform sickle-washing to bleed, and needle the Yangbai acupoint.
If the eyeball is suddenly struck and protrudes, provided the optic nerve/tendon is not severed, push the eyeball back into the eyelid immediately without startling or touching it. Rub the surrounding area with Bifeng Gao (Wind-Avoiding Ointment) and apply mashed fresh Rehmannia root. For bad blood in the orifice, guide it out with a needle.