痛如针刺属心经，火燥珠疼炽盛行，戒酒忌辛休躁怒，免教症变渐相生，流火轻微唯一
点，蓦然有处似针疼，防微杜渐宣君火，泄破炎 荣自盈。
此症谓目珠疼如针刺也。病
在心经，火实有余之症。若痛蓦然一二处，如针刺痛，目虽不赤，亦是心经流火，别其痛在
何处部分，以见病将犯其经矣。按∶此症多有体虚目劳兼染淋浊之病，荣气不上潮于目，而
如针刺之痛者，宜养其荣，若降火则急矣。宜服∶
加减八正散 治心热冲眼，赤肿涩痛，热泪羞明，兼治大小心经邪热，一切蕴毒，咽干
口燥，大渴引饮，心忪面热，烦燥不宁，唇焦鼻衄，口舌生疮，咽喉肿痛，小便赤涩，或癃
闭不通，及热淋血淋，并宜治之。
滑石 甘草梢 大黄（面裹煨） 木通 瞿麦 车前子 栀子（炒） 蓄（各等分，为末）
上为末。每服五钱，水二钟，灯心三十段，煎至八分，去滓温服。
经曰∶膀胱不利为癃。理宜八正散以通之。滑可去着，滑石、车前皆滑也；泻可去实，
大黄、甘草、栀子皆泻也；通可去滞，瞿麦、 蓄、木通、灯心皆通也。若虚弱辈，则大黄
不宜用也，加生地黄、桑白皮、苦竹叶以清疗之。
子和云∶头痛不止，乃三阳受病也。三阳分部，分头与项痛者，足太阳经也。攒竹痛，
俗呼为眉棱骨痛者是也。额角上痛，俗呼为偏头痛者，足太阳经也。如痛久不止，则令人丧
目。以三阳受病，皆胸膈有宿痰之致然也。先以茶调散吐之，吐讫，可服川芎、薄荷辛凉清
上之药，叔和云“寸脉急而头痛”是也。
疼痛如针刺样，属于心经病变；火热燥盛导致眼球剧烈疼痛，需戒酒、忌食辛辣、避免急躁发怒，以防病症演变逐渐产生。若流火症状轻微仅有一点，突然某处似针刺痛，应防微杜渐以清宣君火，泄破炎症使营气自然充盈。
此症指眼球疼痛如针刺。病在心经，是火邪实有余的病症。如果疼痛突然出现在一两个部位，如针刺痛，眼睛虽然不红，也是心经流火所致，辨别疼痛在哪个具体部位，以判断病邪即将侵犯哪条经脉。按语：此症多伴有体质虚弱、眼睛疲劳兼染淋浊之病，营气不能上潮于目，而出现如针刺般的疼痛，宜滋养营气，若用降火法则过于急切。适宜服用：
加减八正散 治疗心热冲眼，眼睛红肿涩痛，热泪怕光，兼治大小心经邪热，一切蕴毒，咽干口燥，大渴引饮，心悸面热，烦躁不宁，嘴唇焦裂鼻出血，口舌生疮，咽喉肿痛，小便赤涩，或尿闭不通，以及热淋血淋，都适宜治疗。
滑石 甘草梢 大黄（面粉包裹煨制） 木通 瞿麦 车前子 栀子（炒制） 蓄草（各等分，研为末）
以上药物研为细末。每次服用五钱，水两钟，灯心草三十段，煎至八分，去渣温服。
经典记载：膀胱不利称为癃。理应使用八正散来通利。滑可去除附着，滑石、车前子皆具滑性；泻可去除实证，大黄、甘草、栀子皆具泻性；通可去除滞塞，瞿麦、蓄草、木通、灯心草皆具通利性。若是虚弱之人，则不宜使用大黄，可加生地黄、桑白皮、苦竹叶以清热疗疾。
张子和说：头痛不止，是三阳经受病。三阳分部，区分头部和项部疼痛的，是足太阳经。攒竹穴疼痛，俗称眉棱骨痛的是。额角上方疼痛，俗称偏头痛的，也是足太阳经（注：此处原文可能有误，通常偏头痛属少阳，但依原文翻译）。如果疼痛长久不止，会使人失明。因为三阳受病，都是胸膈有宿痰导致的。先用茶调散催吐，吐完后，可服用川芎、薄荷等辛凉清上之药，王叔和说“寸脉急而头痛”就是这种情况。
Pain resembling needle pricks belongs to the Heart Meridian (Heart Channel); intense fire and dryness cause severe pain in the eyeballs. One must abstain from alcohol, avoid spicy foods, and refrain from irritability and anger to prevent the condition from evolving and generating further complications. If the flowing fire is mild with only one point, and suddenly there is a needle-like pain in a specific area, one should prevent deterioration by clearing and diffusing the Ministerial Fire (Jun Huo), draining inflammation so that Ying Qi (Nutritive Energy) naturally becomes abundant.
This condition refers to eye pain resembling needle pricks. The disease resides in the Heart Meridian, representing a syndrome of excess Fire. If the pain suddenly appears in one or two spots, like needle pricks, even if the eyes are not red, it is still due to flowing fire of the Heart Meridian. By distinguishing which specific part hurts, one can see which meridian the pathogen is about to invade. Commentary: This condition often occurs in individuals with weak constitutions, eye fatigue, and concurrent strangury (Lin syndrome). When Ying Qi fails to flow upward to nourish the eyes, needle-like pain occurs; thus, nourishing Ying Qi is appropriate, whereas using methods to descend Fire would be too abrupt. It is suitable to take:
Jiajian Baze San (Modified Eight Corrects Powder) treats heart heat rushing to the eyes, causing redness, swelling, astringency, and pain, with hot tears and photophobia. It also treats evil heat in both the Greater and Lesser Heart meridians, all kinds of accumulated toxins, dry throat and mouth, excessive thirst with desire to drink, palpitations and facial heat, restlessness and irritability, cracked lips, epistaxis, mouth and tongue ulcers, sore and swollen throat, red and astringent urination, or urinary retention, as well as heat strangury and blood strangury. All these are suitable for treatment.
Hua Shi (Talcum), Gancao Shao (Terminal Licorice Root), Dahuang (Rhubarb Root and Rhizome, stir-baked wrapped in flour), Mutong (Akebia Stem), Qumai (Dianthus Herb), Cheqianzi (Plantago Seed), Zhizi (Gardenia Fruit, stir-fried), Xianhecao (Herba Siegesbeckiae, referred to here as Xu/Su) (all in equal parts, ground into powder).
Grind the above into fine powder. Take five qian per dose, with two zhong of water and thirty segments of Dengxincao (Juncus Effusus Pith), decoct until eight fen remains, remove the dregs, and take warm.
The Classics state: "Impaired function of the Bladder is called Long (urinary retention)." Therefore, it is proper to use Baze San to promote unblocking. Slippery substances remove adherence; Hua Shi (Talcum) and Cheqian (Plantago Seed) are slippery. Purging substances remove excess; Dahuang (Rhubarb Root and Rhizome), Gancao (Licorice Root), and Zhizi (Gardenia Fruit) are purgative. Unblocking substances remove stagnation; Qumai (Dianthus Herb), Xu (Siegesbeckia Herb), Mutong (Akebia Stem), and Dengxincao (Juncus Effusus Pith) are unblocking. For those with deficiency, Dahuang (Rhubarb Root and Rhizome) should not be used; instead, add Shengdihuang (Rehmannia Root), Sangbaipi (Mulberry Bark), and Ku Zhuye (Bitter Bamboo Leaf) to clear and treat.
Zi He (Zhang Zijian) said: Persistent headache indicates disease in the Three Yang meridians. Regarding the distribution of the Three Yang meridians, pain in the head and nape belongs to the Foot-Taiyang Bladder Meridian. Pain at Cuanzhu (BL2) is commonly known as supraorbital ridge pain. Pain in the upper lateral forehead, commonly known as hemianopia or migratory headache, belongs to the Foot-Taiyang Bladder Meridian (Note: Textual error likely exists in original, typically associated with Shaoyang). If the pain persists for a long time, it may lead to blindness. This is because disease in the Three Yang meridians is caused by retained phlegm in the chest and diaphragm. First, induce vomiting with Chatiao San (Tea Regulation Powder). After vomiting, administer Xinliang Qing Shang (Acrid-Cool Subduing Upper) herbs such as Chuanxiong (Szechwan Lovage Rhizome) and Bohe (Mint Herb). Shuhe (Wang Shuhe) stated, "When the Cun pulse is rapid and headache occurs," referring to this situation.