雀盲。俗称也。亦曰鸡盲。本科曰高风内障。至晚不见。至晓复明也。方书以为木生于亥。
旺于卯而绝于申。至酉戌之时。木气衰甚。故不能睹。至日出于卯之时。木气稍盛。故复明。蛤
粉丸、煮肝散、决明夜灵散。效后常服六味丸加当归、沙参。永保终吉。按内经云。目得血而能
视。血虚肝失所养。则不能视。夜属阴。人之血属阴。阴主静而恶躁扰。阴虚则火必盛。弱阴不
能胜强火。故夜转剧。昏暗而不能睹。天明以阳用事。阳主动。火邪暂开。故稍明。治以补气养
血为主。食以牛猪之肝即愈。益见其元气弱而阴不足也。
真睛膏损。乃热伤其水。以致神膏缺损。其状风轮有证。或痕或HT 。长短大小不一。或HT
小如针刺伤者。或HT 大如簪脚刺伤者。或痕如指甲刻伤者。或风轮周匝有痕长甚者。凡有此等。
皆肝胆络分有郁滞。热蒸之甚。烁坏神膏之故。并宜六味丸加当归、石决明、白蒺藜及八珍、补
中之类。急须早治。勿使深陷为窟。为蟹睛突出。为翳满如冰瑕等患。必久服峻补之剂。方得水
清膏复。若治间怠。则白晕终身难免。
膏伤珠陷。谓珠觉低陷而不鲜绽也。非若青黄凸出诸漏之比。所致不一。有恣色而竭肾水者。
有嗜辛燥而伤津液者。有因风痰湿热久郁而蒸损睛膏者。有不当出血而误伤经络。及出血太多。
以致膏液不得滋润涵养者。有哭损液汁而致者。大抵皆元气弱而膏液不足也。治当温养血气为主。
慎不可用清凉之剂。凡人目无故而自低陷者。死期至矣。若外有恶证。内损睛膏者不治。
雀盲。是俗称。也称为鸡盲。本病在中医典籍中称为高风内障。表现为到了晚上就看不见东西，到了天亮又恢复视力。医书认为肝木之气生于亥时，旺于卯时而绝于申时。到了酉时和戌时，木气衰微得很厉害，所以不能视物。等到日出卯时，木气稍微旺盛，所以又能看见。蛤粉丸、煮肝散、决明夜灵散疗效显著，之后常服用六味丸加当归、沙参，可以永远保持健康吉祥。按《内经》所说，眼睛得到血液滋养才能视物。血虚则肝失所养，就不能视物。夜晚属阴，人的血液属阴。阴主静而厌恶躁动扰乱。阴虚则火必然亢盛，弱阴不能战胜强火，所以夜间病情加重，昏暗而不能视物。天明后阳气当令，阳主动，火邪暂时消散，所以稍微明亮。治疗以补气养血为主。食用牛或猪的肝脏即可痊愈。这更说明其元气虚弱且阴液不足。
真睛膏损。是由于热邪损伤了肾水（精），导致神膏缺损。其症状表现为黑睛（风轮）出现病变，或有瘢痕或有凹陷，长短大小不一。有的凹陷小如针刺伤，有的凹陷大如发簪脚刺伤，有的瘢痕如指甲刻伤，有的黑睛周围有较长的瘢痕。凡是有这些情况，都是肝胆经络分界处有郁滞，热邪熏蒸严重，烧灼损坏神膏的缘故。都适宜用六味丸加当归、石决明、白蒺藜以及八珍汤、补中益气汤之类的方剂。必须尽早治疗，不要使其深陷成为窟窿，演变成蟹睛突出、翳膜布满如冰瑕等病症。必须长期服用峻猛的补益药剂，才能使水清膏复。如果治疗间断懈怠，那么终身难免留下白色的晕圈。
膏伤珠陷。是指眼球感觉低陷而不鲜亮饱满。不像青黄凸出等各种漏症那样。成因不一。有纵欲过度而耗竭肾水的；有嗜好辛辣燥热食物而损伤津液的；有因风痰湿热久郁而熏蒸损伤睛膏的；有不应当出血却误伤经络，以及出血过多，导致膏液不得滋润涵养的；有哭泣损伤液汁而导致的。大体上都是元气虚弱且膏液不足。治疗应当以温养血气为主。千万不要使用清凉的药物。凡是人的眼睛无故自己低陷的，死期就到了。如果外有恶证，内损睛膏的，无法治愈。
Blindness at dusk. This is a common name. It is also called "chicken blindness." In this specialty, it is referred to as *Gaofeng Neizhang* (High-Wind Internal Obstruction). The patient cannot see in the evening but regains vision at dawn. Medical texts attribute this to the wood element (Liver) being born at Hai hour, flourishing at Mao hour, and perishing at Shen hour. By You and Xu hours, the wood qi is extremely weak, hence the inability to see. When the sun rises at Mao hour, the wood qi becomes slightly vigorous, hence vision returns. *Ge Fen Wan* (Clam Powder Pill), *Zhu Gan San* (Boiled Liver Powder), and *Jueming Yeling San* (Cassia Seed and Night Owl Powder) are effective; thereafter, regularly taking *Liuwei Wan* (Six-Ingredient Pill with Rehmannia) added with Danggui (*Angelicae Sinensis Radix*) and Shashen (*Glehniae Radix*) ensures lasting health. According to the *Neijing* (Inner Canon), the eyes can see only when nourished by blood. If blood is deficient, the Liver loses its nourishment, and vision fails. Night belongs to Yin, and human blood belongs to Yin. Yin is quiet and dislikes agitation. If Yin is deficient, Fire must be hyperactive; weak Yin cannot overcome strong Fire, so symptoms worsen at night, causing dimness and blindness. At dawn, Yang takes command; Yang is active, and the pathogenic Fire temporarily dissipates, so vision slightly improves. Treatment should focus on tonifying Qi and nourishing Blood. Consuming beef or pig liver leads to recovery, further indicating that Yuan Qi (Original Qi) is weak and Yin fluids are insufficient.
Damage to the True Eye's Glaze. This results from Heat injuring Kidney Water (Essence), leading to defects in the Shen Glaze (lens/vitreous humor). The manifestation involves pathology of the Feng Lun (Wind Wheel, i.e., cornea/pupil area), presenting as scars or depressions of varying lengths and sizes. Some depressions are small like needle pricks, others large like hairpin tips, some scars resemble nail scratches, and some involve long scars around the circumference of the Wind Wheel. All such conditions stem from stagnation in the collaterals of the Liver and Gallbladder channels, where severe Heat steaming burns and damages the Shen Glaze. Treatment should employ *Liuwei Wan* (Six-Ingredient Pill with Rehmannia) added with Danggui (*Angelicae Sinensis Radix*), Shijueming (*Haliotidis Concha*), Baijili (*Tribuli Fructus*), as well as *Bazhen Tang* (Eight-Treasure Decoction) or *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction). Early treatment is urgent to prevent deep excavation into cavities, evolution into Xiejing protrusion (iris prolapse), or full opacification resembling ice flaws. Long-term administration of potent tonic agents is required to restore clear aqueous fluid and healthy glaze. If treatment is intermittent or neglected, white halos will inevitably remain for life.
Glaze Damage and Globe Depression. This refers to the sensation of the globe sinking low and lacking freshness or plumpness. It differs from various fistula-like conditions involving green or yellow protrusions. Causes vary: excessive sexual activity depleting Kidney Water; preference for pungent and dry foods damaging Jin Ye (Body Fluids); prolonged stagnation of Wind, Phlegm, Dampness, and Heat steaming and damaging the eye's glaze; erroneous injury to meridians during unnecessary bleeding or excessive blood loss preventing glaze fluids from moistening and nurturing; or damage to fluid juices due to excessive weeping. Generally, these are all cases of weak Yuan Qi (Original Qi) and insufficient glaze fluids. Treatment should primarily warm and nourish Blood and Qi. Cooling agents must strictly be avoided. If a person's eyes sink spontaneously without cause, death is imminent. If there are external malignant signs combined with internal damage to the eye's glaze, the condition is incurable.