杀伐之法。一割即烙。见其再发。大抵眼科钩割一法。惟此最为得效。
鸡冠蚬肉二证 形色相类。经络相同。治亦一法。多生睥 之间。然后害及气轮。而遮掩于
目。治须用割。亦用烙定方好。宜三黄丸加芒硝噙化。外用绛雪膏去麝加阿魏点之。其目大 内
有红肉一块。如鸡冠蚬肉者。乃心经血部之英华。若误割者。轻则损目。重则丧命。慎之。
鱼子石榴二证 经络不异。治法亦同。其状生肉一片。如榴子绽露于房。障满神珠。血部瘀
实。目疾之恶证。治用割。割后见三光者可治。服用皂荚丸。点以绛雪膏。若三光瞑黑者。内必
瞳神有损。不治。
轮上一颗如赤豆证 气轮有赤脉灌注。风轮上有颗积色红。内有瘀血之故。念宜开导。血渐
通。颗亦渐消。然至此十有九损。若白珠上独有颗鲜血者。亦是瘀滞。上下无丝脉接贯者。吹点
自消。若有贯接者。必络中有血灌来。向所来之处寻看。量轻重导之。
睛中一点似银星证 白点一颗。如星光滑。当睛中盖定。虽久不大。傍视瞳神在内。乃目痛
时不忌房事。及服渗泄下焦寒凉之药过多。火虽退而肾络受伤所致。终身之患也。
五花障证 生于神珠之上。斑斑杂杂。盖五脏经络间之气俱伤。结为此疾。其色 斓驳杂不
一。若中有一点黑色者。乃肾络气伤。虽治不能尽去。此状与斑脂翳。玛瑙内伤。形略相似。斑
脂翳乃破而结成瘢痕不能去者。玛瑙内伤乃小而薄未掩瞳神之轻者。此则高浓显大。生在膏外可
退。故不同耳。宜神消散、皂荚丸。并用点药。
混睛障证 有赤白二种。赤者畏赤脉外绊。白者畏光滑如苔。一种白睛光赤而后痒痛迎风有
泪。闭塞难开。或时无事。不久亦发。年深则睛变成碧色。满目如凝脂赤露。如横赤丝。此毒风
积热所致也。宜服补肝调血之剂。血行则风自息。外用吹点则翳渐退。
黑翳如珠证 非蟹睛木疳之比。蟹睛因破流出。此则肝气有余。欲泛起之患。故从风轮际处
发起。黑泡如珠。多寡不一。其火实盛者痛。虚缓者不痛。治法用小锋针。逐个横穿破其黑翳。
中有恶水。流出即平。挑后用炉甘石散去脑、麝点之。先服羚羊角饮子去五味加赤芍药。次用六
味丸。后服补肾丸。设若不谙此法。服凉剂点凉药。鲜能奏效也。
杀伐（指手术切除等峻猛疗法）的方法。一旦切开立即进行烙法处理。如果看到病情复发，大抵眼科中钩割这一方法，只有这种最为有效。
鸡冠蚬肉两种病症，形态颜色相似，经络归属相同，治疗方法也一致。多生于脾轮之间，然后侵害气轮，从而遮蔽于眼球表面。治疗必须使用切割，也要用烙法固定才妥当。适宜服用三黄丸加芒硝含化。外用绛雪膏去掉麝香，加入阿魏点眼。如果目大眦内有红肉一块，像鸡冠或蚬肉形状的，那是心经血分部分的精华所在。如果误行切割，轻则损伤眼睛，重则危及生命，务必谨慎。
鱼子石榴两种病症，经络没有不同，治疗方法也相同。其形状生出一片肉膜，像石榴籽绽露在房室之中，遮蔽满布神珠（黑睛），属于血分瘀滞实证，是眼疾中的恶证。治疗采用切割，割后若能看到三光（日、月、灯三种光源）的可以治愈。内服皂荚丸，外用绛雪膏点眼。如果三光昏暗发黑的，内部必然瞳神受损，无法治愈。
白睛上有一颗如赤豆大小的病症，气轮有赤色血脉灌注，风轮上有颗粒积聚且颜色发红，这是内有瘀血的原因。应当宜于开导疏通，血液逐渐通畅，颗粒也会逐渐消退。然而到了这种地步，十有九个会留下残疾。如果白珠上独有颗粒且鲜血充盈的，也是瘀滞所致。上下没有丝脉连接贯通的，吹药点敷可自行消除。如果有连接贯通的，必然是络脉中有血液灌入，要顺着血液来的方向寻找查看，根据轻重程度进行疏导。
黑睛中有一点似银星的病症，白点一颗，像星星一样光滑，位于黑睛中央遮盖住瞳孔。虽然长久不增大，侧视时可见瞳神在内，这是由于目痛时不注意禁忌房事，以及服用渗泄下焦寒凉药物过多，导致火邪虽退但肾络受伤所致。这是终身的病患。
五花障病症，生于神珠之上，斑斑驳驳杂乱不一，这是因为五脏经络间的气机都受到损伤，结聚成此疾病。其颜色斑斓混杂不一。如果中间有一点黑色的，那是肾络气机受伤，即使治疗也不能完全去除。这种状况与斑脂翳、玛瑙内伤外形略微相似。斑脂翳是破损后结成瘢痕不能去除的；玛瑙内伤是小而薄未遮蔽瞳神的较轻者。此症则高耸浓密显大，生在膏外可以消退，所以不同。适宜使用神消散、皂荚丸，并配合点眼药物。
混睛障病症，有赤白两种。赤色的畏惧赤色血脉外部缠绕，白色的畏惧光滑如苔藓。一种表现为白睛光赤随后痒痛，迎风流泪，眼睑闭塞难以睁开。或者平时无事，不久也会发作。年代久了则眼睛变成碧色，满目如同凝脂赤露，像横亘的赤色丝线。这是毒风积热所致。适宜服用补肝调血的药剂，血液运行则风邪自然平息。外用吹药点敷则翳障逐渐消退。
黑翳如珠病症，不是蟹睛、木疳能比的。蟹睛是因为破损流出，此症则是肝气有余，想要泛起产生的祸患。所以从风轮边缘处发起，黑泡如珠子，多少不一。火邪实盛的就疼痛，虚缓的不疼痛。治疗方法用小锋针，逐个横向穿破其黑翳。里面有恶水流出就会平复。挑破后用炉甘石散去脑、麝香点眼。先服用羚羊角饮子去掉五味子加入赤芍药，其次服用六味丸，后来服用补肾丸。如果不通晓这种方法，服用凉剂点凉药，很少能奏效的。
Methods of "killing and slaughtering" (referring to aggressive surgical interventions such as excision). Once incised, moxibustion or cauterization should be applied immediately. If recurrence is observed, among the hook-cutting methods in ophthalmology, this approach is generally the most effective.
**Chicken Comb and Clam Flesh Conditions**: These two conditions are similar in morphology and color, share the same meridians, and require identical treatment. They often arise between the spleen wheel (sclera/conjunctiva area associated with Spleen) and subsequently affect the qi wheel (cornea/sclera area associated with Lung), thereby obscuring the eye surface. Treatment requires cutting, followed by cauterization to stabilize the condition. It is suitable to ingest *Sanhuang Wan* (Three-Yellow Pill) with *Mangxiao* (Mirabilite) held in the mouth for dissolution. Externally, apply *Jiangxue Gao* (Crimson Snow Ointment) with *Shexiang* (Musk) removed and *Awei* (Asafoetida) added for eye instillation. If there is a piece of red flesh in the inner canthus resembling a chicken comb or clam flesh, this represents the essence of the Heart meridian's blood aspect. Misguided excision will, at best, damage the eye, and at worst, cause death. Exercise extreme caution.
**Fish Roe and Pomegranate Conditions**: The meridians involved are not different, and the treatment methods are also the same. Their appearance presents as a sheet of fleshy tissue, resembling pomegranate seeds exposed within a chamber, completely covering the divine pearl (pupil/cornea). This indicates blood stasis and excess, representing a malignant stage of ocular disease. Treatment involves excision; if the patient can perceive the "three lights" (sun, moon, lamp) post-operatively, it is treatable. Internally administer *Zaojiao Wan* (Gleditsia Sinensis Pill) and externally apply *Jiangxue Gao*. If the perception of the three lights is dim or blackened, it implies internal damage to the pupil spirit (Tongshen), which is incurable.
**Condition of a Red Bean-Sized Nodule on the Wheel**: There is infusion of red vessels in the Qi wheel (white part of the eye), and a reddish nodule accumulates on the Wind wheel (black part/cornea), caused by internal blood stasis. Guidance and dredging are appropriate; as blood circulation gradually improves, the nodule will gradually dissipate. However, at this stage, nine out of ten cases result in permanent impairment. If there is a solitary, bright red nodule on the white sclera, it is also due to stasis. If there are no vascular connections above or below, medicated powder insufflation and instillation can lead to spontaneous resolution. If vascular connections exist, it implies blood influx from the collaterals; one must trace the direction of blood flow to identify the source and guide/dredge according to severity.
**Condition of a Silver-Star-Like Spot in the Eye**: A single white spot, smooth like a star, covers the center of the cornea/pupil. Although it does not enlarge significantly over time, the pupil remains visible upon lateral gaze. This results from engaging in sexual activity without restraint during episodes of eye pain, and excessive consumption of diuretic and cold-natured drugs targeting the lower jiao. Although the fire pathogen recedes, the Kidney collaterals are injured. This constitutes a lifelong affliction.
**Five-Flower Obstruction Condition**: Arises on the divine pearl (cornea/pupil), appearing mottled and heterogeneous. This occurs because the qi of the meridians of all five zang organs is damaged, knotting into this disease. The colors are variegated and mixed. If there is a central black spot, it indicates injury to the Kidney meridian qi; even with treatment, it cannot be entirely eliminated. This presentation is slightly similar in form to *Banziyi* (Speckled Greasy Membrane) and *Manao Neishang* (Agate Internal Injury). *Banziyi* refers to scar tissue formed after rupture that cannot be removed. *Manao Neishang* refers to small, thin lesions that do not obscure the pupil and are mild. In contrast, this condition is elevated, dense, and prominent, arising outside the stroma/gel layer, allowing for regression; hence, they are distinct. Suitable treatments include *Shenxiao San* (Divine Dissolution Powder) and *Zaojiao Wan*, combined with topical eye medications.
**Hun Jing Obstruction Condition**: Comes in red and white types. The red type fears external entanglement by red vessels; the white type fears becoming smooth like moss. One manifestation involves the white sclera becoming bright red, followed by itching, pain, tearing upon exposure to wind, and difficulty opening the eyelids due to blockage. It may remain asymptomatic for periods but recurs quickly. With prolonged duration, the eye turns greenish-blue, appearing full of congealed fat-like exudate with exposed redness, resembling horizontal red threads. This is caused by accumulated toxic wind and heat. Suitable treatment involves decoctions that tonify the Liver and regulate blood; as blood circulates, wind naturally subsides. External insufflation and instillation will gradually reduce the membrane.
**Black Membrane Like a Pearl Condition**: This is not comparable to *Xiejing* (Crab Pupil) or *Mugan* (Wood Withered). *Xiejing* results from rupture and discharge; this condition arises from excess Liver qi attempting to protrude. Thus, it originates from the periphery of the Wind wheel. Black blisters resemble pearls, varying in number. When fire pathogen is substantial and excess, it causes pain; when deficient and slow, it does not hurt. Treatment uses a fine-bladed needle to horizontally pierce each black membrane individually. Malignant fluid inside flows out, and the lesion flattens. Post-puncture, apply *Luganshi San* (Calamine Powder) with *Nao* (Borneol) and *Shexiang* (Musk) removed for instillation. First, ingest *Lingyangjiao Yinzi* (Antelope Horn Decoction) with *Wuweizi* (Schisandra) removed and *Chishaoyao* (Red Peony Root) added. Subsequently, take *Liujun Wan* (Six-Ingredient Pill), followed by *Bushen Wan* (Kidney-Tonifying Pill). If one is unfamiliar with this method and instead uses cooling agents and cooling topical medicines, efficacy is rarely achieved.