轻清圆健者为天。故首象天。重浊方浓者为地。故足象地。飘腾往来者为云。故气象云。过流循环者为水。
故血象水。天降地升。云腾水流。各宜其性。故万物生而无穷。阳平阴秘。气行血随。各得其调。故百骸理而
有余。反此则天地不降升。云水不腾流。各不宜其性矣。反此则阴阳不平秘。气血不行随。各不得其调矣。
故曰人身者小天地也。难经曰。血为荣。气为卫。荣行脉中。卫行脉外。此血气分而不混。行而不阻也。明矣。
故如云腾水流之不相杂也。大抵血气如此。不欲相混。混则为阻。阻则成结。结则无所去还。故隐起于皮
肤之中。遂为疣病。然各随经络而见。疣病自上眼睫而起者。乃手少阴心脉。足厥阴肝脉。血气混结而成
也。初起时但如豆许。血气衰者。遂止不复长。亦有久止而复长者。盛者则渐长。长而不已。如杯如盏。如碗
如斗。皆自豆许致也。凡治在初。大要令病者食饱不饥。先汲冷井水洗眼如冰。勿使气血得行。然后以左
手持铜柱。按眼睫上。右手翻眼皮令转。转则疣肉已突。按以左手大指。按之勿令得动移。复以右手持小
眉刃尖。略破病处。更以两手大指甲。捻之令出。则所出者如豆许小黄脂也。恐出而根不能断。宜更以眉
刀尖断之。以井水再洗。洗后则无恙。要在手疾为巧。事毕。须投以防风散结汤。数服即愈。此病非手法决
不能去。何则。为血气初混时。药自可及。病者则不知其为血气混也。既结。则药不能及矣。故必用手法去。
去毕。必又以升发之药散之。药手皆至。庶几可矣。
防风散结汤（治目上下睫瘾起肉疣。用手法除病后服之。）
防风 羌活 归尾 白芍药（各六分） 红花 苏木（各少许） 苍术
白茯苓 独活 前胡 黄芩（各五分） 细甘草 防己（各四分）
上锉剂。水二钟。煎至一钟。热服。滓再煎。
上方以防风、羌活。升发阳气为君。白芍药。当归尾、红花、苏木。破凝行血为臣。茯苓泻邪气。苍术去上湿。
前胡利五脏。独活除风邪。黄芩疗热滋化为佐。甘草和诸药。防己行十二经为使。病在上睫者。加黄连、
柴胡。以其手少阴足厥阴受邪也。病在下睫者。加 本、蔓荆子。以其手太阳受邪也。
轻清圆健的是天，所以头部象征天。重浊方正浓厚的是地，所以足部象征地。飘浮腾跃、往来流动的是云，所以人的气象喻为云。过流循环的是水，所以血象喻为水。天降地升，云腾水流，各自顺应其本性，所以万物生长而无穷尽。阳气平和，阴气秘固，气行则血随，各自得到调和，所以全身骨骼肢体得以理顺而有余。反之，如果天地不降升，云水不腾流，各自就不顺应其本性了。反之，如果阴阳不平秘，气血不行随，各自就得不到调顺了。所以说人身是小天地。《难经》说：血为荣（营气），气为卫（卫气）。荣气行于脉中，卫气行于脉外。这是血与气分开而不混杂，运行而不受阻的明证。就像云腾水流互不相杂一样。大抵血气如此，不希望相互混杂，混杂就会形成阻滞，阻滞就会结成块结，结块就无法去还，所以在皮肤之中隐起，于是成为疣病。然而各随经络显现。疣病从上下眼睫毛处起始的，是手少阴心脉和足厥阴肝脉，因血气混结而成。初起时仅如豆粒大小，血气衰弱的，就停止不再生长；也有久停后又重新生长的；血气旺盛的则逐渐长大，长个不停，有的像杯、像盏、像碗、像斗，都是从豆粒大小发展而来的。凡是治疗要在初期进行，大要领是让患者吃饱饭不要饥饿，先用冷井水洗眼，冷得像冰一样，不要让气血得以运行。然后用左手持铜柱，按压在眼睫毛上，右手翻转眼皮使其转动，转动后疣肉已经突出，用左手大拇指按住，不让它移动，再用右手持小眉刃尖，略微刺破患处，再用两手的大拇指指甲，捻动使其脱出，那么脱出的东西像豆粒大小的黄色脂肪。担心脱出后根部不能断除，应当再用眉刀尖将其切断，用井水再次清洗，洗完后就没有事了。关键在于手法敏捷巧妙。事情完毕后，必须服用防风散结汤，服几剂就能痊愈。此病非手法决断不能去除，为什么呢？因为在血气刚刚混杂时，药物自然可以到达；但患者不知道这是血气混杂所致。一旦结块形成，药物就不能到达了。所以必须用手法治去。去除之后，必定又要用升发之药来疏散。药物和手法都到位，差不多就可以了。
防风散结汤（治疗眼睛上下眼睑瘾起肉疣，使用手法除去病根后服用。）
防风、羌活、当归尾、白芍药（各六分）、红花、苏木（各少许）、苍术、白茯苓、独活、前胡、黄芩（各五分）、细甘草、防己（各四分）。
以上药材切碎，用水两钟，煎至一钟，热服。药渣再煎。
上方以防风、羌活，升发阳气作为君药。白芍药、当归尾、红花、苏木，破除凝滞、运行血液作为臣药。茯苓泻除邪气，苍术去除上部湿气，前胡利五脏，独活祛除风邪，黄芩治疗热症并滋润化源作为佐药。甘草调和诸药，防己通行十二经脉作为使药。病在上眼睑的，加黄连、柴胡，因为手少阴心和足厥阴肝受邪。病在下眼睑的，加藁本、蔓荆子，因为手太阳小肠受邪。
The light, clear, round, and vigorous is Heaven; thus the head symbolizes Heaven. The heavy, turbid, square, and dense is Earth; thus the feet symbolize Earth. The floating, soaring, and circulating is Cloud; thus Qi (Vital Energy) symbolizes Cloud. The flowing and circulating is Water; thus Blood symbolizes Water. Heaven descends and Earth ascends; Clouds soar and Water flows; each follows its nature. Thus all things are born and endless. When Yang is balanced and Yin is secure, Qi moves and Blood follows; each obtains harmony. Thus the hundred bones are regulated and there is surplus. If contrary to this, Heaven and Earth do not descend or ascend; Clouds and Water do not soar or flow; each does not follow its nature. If contrary to this, Yin and Yang are not balanced or secure; Qi and Blood do not move or follow; each does not obtain harmony. Therefore it is said that the human body is a small Heaven and Earth. The *Nan Jing* states: "Blood is Ying (Nutritive Qi), Qi is Wei (Defensive Qi). Ying circulates within the vessels, Wei circulates outside the vessels." This shows that Blood and Qi are separate and not mixed, moving without obstruction. It is clear. Thus, like clouds soaring and water flowing, they do not mix. Generally, Blood and Qi are thus, desiring not to mix. Mixing leads to obstruction; obstruction leads to knotting; knotting means no departure or return. Thus, hidden within the skin, it becomes a wart disease. However, it appears according to the meridians. Warts arising from the upper and lower eyelashes are due to the Hand Shaoyin Heart Meridian and Foot Jueyin Liver Meridian, formed by the mixing and knotting of Blood and Qi. At the initial stage, they are only bean-sized. In cases of deficient Blood and Qi, they stop growing; in others, after stopping for a long time, they grow again. In robust cases, they gradually grow endlessly, becoming like cups, bowls, or buckets, all starting from bean-sized. Treatment should begin early. The main principle is to have the patient eat until full, then wash the eyes with cold well water as if ice, preventing Qi and Blood from moving. Then, hold a copper pillar with the left hand, pressing on the eyelashes. With the right hand, turn the eyelid inside out. Once the wart flesh protrudes, press it firmly with the left thumb to prevent movement. Use the tip of a small eyebrow blade with the right hand to slightly pierce the lesion. Then, use the thumbnails of both hands to twist and extract it. The extracted material resembles a small yellow fat bead. To ensure the root is severed, use the tip of an eyebrow knife to cut it off. Wash again with well water; afterwards, there will be no harm. Skillful and swift manual technique is key. After the procedure, administer Fangfeng Sanjie Tang (Windproof Decoction for Resolving Knots); several doses will lead to recovery. This disease cannot be removed without manual intervention. Why? Because when Blood and Qi first mix, medicine can reach the site; however, patients are unaware of this mixing. Once knotted, medicine cannot reach it. Therefore, manual removal is necessary. After removal, ascending and dispersing herbs must be used. Both medicinal and manual approaches must be employed for success.
Fangfeng Sanjie Tang (Windproof Decoction for Resolving Knots) [Indication: For warts arising from the upper and lower eyelids, taken after manual removal.]
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Dangguiwei (Angelicae Sinensis Radix caulis), Baishao (Paeoniae Radix Alba) (each 6 fen), Honghua (Carthami Flos), Sumu (Sappan Lignum) (each a small amount), Cangzhu (Atractylodis Rhizoma), Baifuling (Poria), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Huangqin (Scutellariae Radix) (each 5 fen), Xigancao (Glycyrrhizae Radix et Rhizoma preparata), Fangji (Stephaniae Tetrandrae Radix) (each 4 fen).
Crush the ingredients. Add two zhong of water, decoct to one zhong, and take hot. Decoct the dregs again.
In the above formula, Fangfeng and Qianghuo ascend and diffuse Yang Qi, serving as the Sovereign (Jun) herbs. Baishao, Dangguiwei, Honghua, and Sumu break stagnation and promote Blood circulation, serving as the Minister (Chen) herbs. Fuling drains pathogenic factors, Cangzhu removes dampness from the upper body, Qianhu benefits the five Zang organs, Duhuo dispels wind pathogens, and Huangqin treats heat and nourishes transformation, serving as the Assistant (Zuo) herbs. Gancao harmonizes the various herbs, and Fangji guides the action through the twelve meridians, serving as the Envoy (Shi) herb. For lesions on the upper eyelids, add Huanglian (Coptidis Rhizoma) and Chaihu (Bupleuri Radix), because the Hand Shaoyin and Foot Jueyin meridians are affected. For lesions on the lower eyelids, add Gaoben (Ligustici Rhizoma et Radix) and Manjingzi (Viticis Fructus), because the Hand Taiyang meridian is affected.