（附论）
内经曰。血实宜决之。难经曰。肿热宜砭射之。盖邪毒结聚。其势盛实有药力未能去者。
决
所成也。治宜先钩割镰洗去毒瓦斯。次以汤散。荡涤膏剂点敷之。
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
间。
盖
钩
凡眼上肿。睑皮裹有核如米粒大。渐长如梅李大者。内有物如脓似桃胶。此皆风热所致
也。
凡风毒热肿。结于两睑内。妨痛日久渐大。往往隐损瞳仁。宜用针刀割去之乃瘥。
又有脾风热壅。上攻眼睑。热痛不止者。又有眼肿合者。宜翻眼睑。视其黑睛上下。有
黄翳
又风睑。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。
又目赤肿硬。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。皆是
膈
凡目赤。兼黑睛中忽从下向上生黄气。疼痛者。是脾胃热毒瓦斯相熏攻。如此宜先镰上下
睑。
凡目生顽翳者。可用火烧铜针轻点。敷波斯国银矿。名悉兰脂点之。不痛。勿用别法。
凡目中生黄膜。上直覆瞳仁者。初患之时。疼痛赤涩。发歇不定。泪出难开。渐生翳膜。
直
热
凡目中忽然赤涩。泪出痛痒。渐生障翳。赤膜下垂。直覆睛珠。如朝霞之色者。宜急镰
洗。
凡目胞内胶凝者。是脾胃积热。膈内风冲入于胞睑。初如麻子。久积渐长。状如桃李。
磨隐
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
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
凡目痛如针刺者。初患之时。微觉头疼目眩。目系常急。夜卧涩痛。泪出难开。久则发
痛。
血。
凡目忽被物撞打睛出。但眼带未断者。当时纳入睑中。勿令惊触。四畔摩风膏。及捣生
地黄
方
钩割后用刀剪药。
安咱卢（系回回药名） 绿豆粉 砂糖霜 李子树胶（各一两） 上为末。每用点疮上。
治目白膜瞒睛方。
以鸡翎截之。近黑睛及当白睛嗍之。膜自聚。钩针钩挽之。割去即见物。以绵当眼上着
血断
（附论）
《黄帝内经》说：血气壅实应当用决泄的方法治疗。《难经》说：肿胀发热应当用砭石刺破排脓。这是因为邪毒结聚，病势强盛，单靠药物力量无法去除。
治疗方法
所形成的病症，治疗适宜先用钩、割、镰等工具洗去毒瓦斯，随后使用汤剂或散剂，再用膏剂点涂敷贴。
凡两眼头部有赤色脉络及息肉的，适宜用钩挑起，用铍针割除使其干净。若未割尽，继续割除，以割尽为标准。或者用缝衣用的细针处理。
凡眼睛上部肿胀，眼睑皮内包裹有像米粒大小的硬核，逐渐长大像梅子大小的，内部有类似脓液或桃胶的物质。这都是风热所致。
凡是风毒热肿，结聚在两眼睑内侧，妨碍疼痛日久逐渐增大，往往暗中损伤瞳仁，适宜用针刀割除才能痊愈。
又有脾经风热壅盛，上攻眼睑，热痛不止的；又有眼睑肿胀闭合的，适宜翻开眼睑，观察黑睛上下是否有黄翳。
还有风睑症，毒瓦斯常在眼睑下唇边缘，因为眼睑唇中空卷曲，遇到肝肺热，就依据前面的情况结成，适宜用针刺去结脓。
又有眼睛红肿胀硬，流泪难以睁开，疼痛不可忍受，先患一只眼，然后相互牵引，逐渐生出翳膜不能看见物体，这些都是膈间……（原文此处似有脱漏，依文意推测为膈热或相关病机）。
凡是眼睛发红，兼黑睛中忽然从下向上生出黄气，伴有疼痛的，这是脾胃热毒瓦斯相互熏蒸攻击所致。如此适宜先用镰刀割上下眼睑。
凡是眼睛生出顽固翳膜的，可用火烧过的铜针轻轻点刺，敷上波斯国的银矿，名叫悉兰脂来点涂它。不痛，不要使用其他方法。
凡是眼中生出黄膜，向上直接覆盖瞳仁的，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。
凡是眼中忽然红涩，流泪疼痛发痒，逐渐生出障翳，赤膜下垂，直接覆盖眼球，像朝霞颜色的，适宜紧急镰洗。
凡是眼睑内胶质凝结的，是脾胃积热，膈内风冲入胞睑，初起像麻子，久积逐渐长大，形状像桃李，摩擦隐痛。
凡是眼睛受风牵拉眼睑的，初患病时，时好时坏，发作间歇不定，流泪不止。这是胃气受风，肝膈积热所致。
凡是眼睑生出风粟的，因心肺壅毒，肝家有风，所以令眼睑皮上下，有肉像粟粒一样，流泪涩痛，久了生出翳膜。
凡是眼睛疼痛像针刺一样的，初患病时，微微觉得头疼目眩，目系经常紧张，夜间睡觉涩痛，流泪难以睁开，久了则发作疼痛出血。
凡是眼睛忽然被物体撞击导致眼球突出，但眼带没有断的，当时纳入眼睑中，不要让受到惊扰触碰。涂抹四畔摩风膏，以及捣碎的生地黄……
方剂
钩割后用刀剪药。
安咱卢（回回药名）、绿豆粉、砂糖霜、李子树胶（各一两）。以上研为末。每次取少许点涂在疮口上。
治疗眼睛白膜遮挡视力的方子。
用鸡翎截断，靠近黑睛及正对白睛处吸吮它，膜自然聚集，用钩针钩挽，割除后就能看见物体，用绵花盖在眼睛上止血。
(Attached Discussion)
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When blood is excessive, it should be drained." The *Nan Jing* (Classic of Difficult Issues) states: "Swelling and heat should be treated with Bian stone puncture." This is because pathogenic toxins are aggregated, the condition is vigorous and substantial, and medicinal power alone cannot eliminate it.
Treatment Methods
For conditions thus formed, treatment should first employ hooks, knives, or scythes to wash away toxic vapors, followed by decoctions or powders, and then application of ointments for spot-dressing.
Whenever there are red vessels and polyps at the head of both eyes, it is appropriate to hook them up and cut them off completely using a Pi needle (a flat surgical knife). If not completely removed, continue cutting until they are entirely gone, taking this as the standard. Alternatively, use fine sewing needles.
Whenever the upper part of the eye is swollen, and the eyelid skin contains a nodule like a rice grain that gradually enlarges to the size of a plum, containing internal matter resembling pus or peach gum, these are all caused by Wind-Heat.
Whenever Wind-toxic Heat swelling aggregates inside the inner aspects of both eyelids, causing obstruction and pain for a long time and gradually increasing, often secretly damaging the pupil, it is appropriate to use a needle-knife to cut it off for recovery.
There are also cases where Spleen-Wind-Heat congestion attacks the eyelids, causing unceasing heat and pain; or cases where eyelids swell shut. It is appropriate to turn up the eyelids and inspect the upper and lower areas of the black cornea for Yellow翳 (yellow nebula).
There is also Wind-Yan syndrome, where toxic vapors remain at the edge of the lower eyelid lip. Because the eyelid lip is hollow and curled, encountering Liver and Lung Heat causes aggregation according to previous patterns. It is appropriate to use needles to remove the condensed pus.
There are also cases of red, swollen, and hard eyes with tears making opening difficult, and unbearable pain. Starting in one eye, it then affects the other, gradually generating nebulae membranes so that vision is lost. These are all due to Diaphragm [heat/pathogen]...
Whenever the eyes are red, accompanied by sudden appearance of yellow qi rising from below upwards in the black cornea, with pain, this is caused by Stomach and Spleen Heat-Toxic Vapors steaming and attacking each other. In such cases, it is appropriate to first use a scythe on the upper and lower eyelids.
Whenever stubborn nebulae grow in the eyes, burnt copper needles can be used to gently point/strike, applying Persian silver mine mineral named Xilan Zhi (Silicate/Glass-like substance) for spotting. It will not hurt; do not use other methods.
Whenever yellow membranes appear in the eyes, covering the pupil directly upwards, upon initial onset, there is pain, redness, and dryness, with intermittent episodes, tears making opening difficult, and gradual generation of nebulae membranes.
Whenever the eyes suddenly become red and dry, with tearing, pain, and itching, gradually generating visual obstructions, with red membranes drooping down and covering the eyeball directly, resembling the color of morning clouds, urgent scything and washing are appropriate.
Whenever gelatinous coagulation occurs inside the eyelids, it is due to accumulated Heat in the Stomach and Spleen, with Wind from the Diaphragm rushing into the eyelids. Initially like hemp seeds, over time accumulating and growing, shaped like peaches or plums, causing friction and hidden pain.
Whenever Wind pulls the eyelids, upon initial onset, symptoms fluctuate between good and bad, with intermittent episodes and continuous tearing. This is due to Stomach Qi receiving Wind and accumulated Heat in the Liver and Diaphragm.
Whenever Wind-Millet grows on the eyelids, it is due to congestion and toxicity in the Heart and Lungs, and Wind in the Liver House, causing flesh like millet grains on the upper and lower eyelid skins, with tearing, dryness, and pain, eventually generating nebulae membranes.
Whenever eye pain feels like needle pricking, upon initial onset, there is slight headache and dizziness, tension in the eye system, night-time dryness and pain, and tearing making opening difficult. Over time, it develops into painful bleeding.
Whenever the eye is suddenly struck by an object causing the eyeball to protrude, but the ocular ligament remains intact, it should be immediately placed back into the eyelid, avoiding shock or touch. Apply Si Pan Mo Feng Gao (Four-Sides Rubbing Wind Ointment) and crushed fresh Sheng Dihuang (Rehmanniae Radix).
Formulas
Medicines for use after hooking, cutting, and scything with knives and scissors.
Anzalu (Huigui medicine name), Lv Dou Fen (Mung Bean Powder), Sha Tang Shuang (Sugar Frost), Li Zi Shu Jiao (Plum Tree Gum) (each 1 liang). Grind all into powder. Use a small amount to spot on the sore each time.
Formula for treating White Membrane Covering the Pupil.
Cut off chicken feathers. Near the black cornea and directly opposite the white sclera, suck/pull it. The membrane will naturally gather. Hook and pull with a hook needle, cut it off, and vision will return. Place cotton over the eye to stop bleeding.