山叶辞柯，草虫委露，早是薄寒天气。孤衾中夜不成眠，枕上湿，疏疏清泪。并未悲秋，何曾困酒，水木无
端憔悴。借将腻粉 衰容，界长痕，菱花羞觑。
此症谓目无病故，时常如哀如悲，泣下沾襟。非前迎风泪落之比。盖肾水不足，肝气渐弱，液道不固，一也；
膏血耗伤，津液不洽，虚火内逼，二也。清冷者其常，间有热而浑者，乃正为邪 ，清难免浊。水得火而煎，阴
必从阳，不
治终无完目。何则？夫津液者，所以灌睛濡空窍者也，流尽则津不通。肝气者，所以统神、会空窍者也，泄尽则
神不赴。不通、不赴，窍门乃闭，而目失所天，安得无干涩、视渺、青盲、内障之变。但为祸且缓，人不为虑，
罹其害者多矣。悲夫，沉酣香奁，及过哭多忧妇女，每有此患。治法∶二气左归丸。脉迟而濡，以大补黄 汤倍
加枸杞、故纸、鹿角胶。所谓病与脉俱，药与病值，多其物以幸有功。许胤宗云∶一症惟用一药，疗未萌之兆，
气纯而愈速。欺世盗名，徒资浅陋人口实。
瞳神散，状如何，巽廓犹丝大不多。精气两衰风火凑，光摇银海水生波，病业来恩吾已矣，纵邀天眷失人和。
此症专言金井散大，向明斜视，风轮下无时窄窄一周，甚则一周如线也。盖人性急善怒，及癖酒、嗜腌炙浓
味，皆能明激真气，暗生痰火，将胆肾十分精液销耗五六，致巽风雷火交相亢害，水轮因而不用。而神膏亦游走
败坏，色变异常，视物如隔玻璃镜，虽见不远，惟大无小。此时细察，无内障颜色而能收者可治，然亦不宜缓，
缓则气定膏损，非惟不能收，并不能动。暨有障不成，成障而散大如故，丧明必矣。一证因暴怒而散，光遂不收，
都无初、渐之次，不必服药。又有为物所击，散大同暴怒之症，亦不复治。若夫头风痛攻，神散而阳光顿绝，此
为风变，不得混呼前名。
山叶辞柯，草虫委露，早是薄寒天气。孤衾中夜不成眠，枕上湿，疏疏清泪。并未悲秋，何曾困酒，水木无端憔悴。借将腻粉衰容，界长痕，菱花羞觑。
这种病症被称为“目无病故”，即眼睛本身没有器质性病变，但时常感到像悲哀一样，泪水不断流下沾湿衣襟。这与迎风流泪的情况不同。其病因在于：一是肾水不足，肝气渐弱，导致液道不固；二是膏血耗伤，津液不润，虚火内逼。通常情况下眼泪清冷，偶尔有热且浑浊的，是因为正气被邪气干扰，清澈难免变得浑浊。如同水被火煎熬，阴必从属于阳，如果不治疗，最终会导致眼睛无法保全。为什么呢？因为津液是用来灌注眼球、濡养空窍的，如果流尽则津液不通；肝气是用来统摄神志、汇聚于空窍的，如果泄尽则神志不能到达。不通、不赴，窍门就会闭塞，而眼睛失去依托，怎么会不发生干涩、视物渺茫、青盲（视力丧失）、内障等变化呢？虽然这种祸患发生得缓慢，人们不以为虑，但遭受其害的人很多。可悲啊，沉溺于脂粉香奁生活，以及经历过多哭泣忧愁的妇女，常常有此病患。治疗方法：使用二气左归丸。如果脉象迟而濡软，使用大补黄汤加倍加入枸杞、故纸（补骨脂）、鹿角胶。所谓病与脉相应，药与病相合，增加药物剂量以求功效。许胤宗说：“一种病症只用一味药，治疗未萌发的征兆，药气纯正所以痊愈迅速。”这是欺世盗名之徒，只供浅陋之人作为口实。
瞳神散大的形状如何？巽廓（指瞳孔周围区域）仍然只有丝线大小差不多。精气两衰，风火凑集，光摇如银海生水波，病业来临，我命休矣，纵然得到上天眷顾也失去了人和。
此症专门讲述金井（指瞳孔）散大，对着明亮处斜视，风轮（黑睛）下方不时有一圈狭窄，严重时这一圈细如线状。大概人性急躁易怒，以及嗜好饮酒、喜欢吃腌制炙烤浓味食物，都能明激真气，暗生痰火，将胆肾十分精液消耗掉五六成，导致巽风雷火交相亢害，水轮（黑睛/瞳神）因此功能失常。而神膏也游走败坏，颜色异常改变，视物好像隔着玻璃镜，虽然能看见远处，但只能看到大的看不到小的。此时仔细检查，如果没有内障颜色且能够收敛的是可治的，然而也不宜拖延，拖延则气定膏损，不仅不能收敛，甚至连动都动不了。等到障翳形成，或者形成障翳后散大依旧，必然失明。有一种证候是因为暴怒而导致散大，光线随即不收，没有初起、渐进的过程，不必服药。又有因物体击打导致的散大，同暴怒之症一样，也不再治疗。如果是头风痛攻，神散而阳光（目光）顿绝，这是风变，不得混呼前名。
Mountain leaves fall from branches, grass insects lie with dew; it is already the weather of slight cold. In the solitary quilt at midnight, sleep cannot be achieved; on the pillow, wet, sparse clear tears. There was no grieving for autumn, nor was there ever intoxication by wine; water and wood suddenly become haggard. Borrowing thick powder to cover the decaying face, marking long traces, the mirror (linghua) feels ashamed to look.
This condition is called "eyes without disease cause," meaning the eyes themselves have no organic pathology, yet one frequently feels as if in sorrow or grief, weeping until clothes are dampened. This is not comparable to tearing up when facing wind. The etiology lies in: first, Kidney Water is insufficient, Liver Qi gradually weakens, causing the fluid pathways to be insecure; second, essence and blood are consumed, body fluids fail to moisten, and deficiency fire presses inward. Normally, tears are cold and clear; occasionally they are hot and turbid, which is because the righteous qi is disturbed by pathogenic factors, so clarity inevitably becomes turbidity. Just as water is boiled by fire, yin must submit to yang; if untreated, ultimately the eyes will not remain intact. Why? Because body fluids are what irrigate the eyeballs and moisten the empty orifices; if they flow out completely, then fluids do not circulate. Liver Qi is what commands the spirit and converges at the empty orifices; if it leaks out completely, then the spirit does not arrive. If there is no circulation and no arrival, the apertures close, and the eyes lose their heaven-like support; how can dryness, blurred vision, Qingmang (blindness), and internal cataracts not occur? Although this disaster unfolds slowly and people do not worry about it, many suffer its harm. Alas, those indulging in cosmetics and scented boxes, as well as women who have experienced excessive crying and worry, often suffer from this affliction. Treatment method: Erqi Zuogui Wan (Two-Qi Left Restoring Pill). If the pulse is slow and soggy, use Dabu Huang Tang (Great Tonification Yellow Decoction) doubled with Gouqi (Lycium Fruit), Guzhi (Psoralea Fruit), and Lujiaojiao (Deer Antler Glue). It is said that when the disease matches the pulse, and the medicine matches the disease, increasing the quantity of substances brings hope of success. Xu Yinzong said: "For one symptom, use only one herb; treat the signs before they emerge; pure qi leads to faster recovery." This is deceiving the world and stealing fame, merely providing ammunition for shallow mouths.
What is the shape of Tongshen Sanda (Pupil Dilatation)? Xunkuo (the area around the pupil) is still barely larger than a thread. Essence and Qi both decline, Wind and Fire gather; light shakes like silver seas generating waves; karmic illness arrives, my life is finished; even if favored by Heaven, human harmony is lost.
This condition specifically discusses Jjing (pupil) dilatation. Looking obliquely towards brightness, below the Fenglun (cornea/iris), there is occasionally a narrow ring, sometimes extremely thin like a line. Generally, people with irritable and angry dispositions, as well as those addicted to alcohol and fond of pickled, roasted, and strong-flavored foods, can stimulate true Qi brightly and generate Phlegm-Fire secretly. This consumes five or six parts out of ten of the Gallbladder and Kidney's essence and fluids, causing Xun-Wind and Lei-Fire to mutually overact, thereby rendering Shuilun (water wheel/pupil) dysfunctional. Meanwhile, Shengao (spiritual paste/vitreous humor) wanders and deteriorates, changing color abnormally. Vision is like looking through a glass mirror; although distant objects are seen, only large ones are visible, not small ones. At this time, careful examination shows that if there are no internal cataract colors and contraction is possible, it is treatable, but delay is inadvisable. Delay causes Qi to settle and Gaosun (vitreous damage); not only can it not contract, it cannot even move. When opacities form, or after formation the dilation remains unchanged, blindness is inevitable. One syndrome involves sudden dilatation due to violent anger, with light immediately failing to converge; there is no initial or gradual stage, so medication is unnecessary. Another involves dilatation caused by physical impact, similar to the violent anger syndrome, which is also left untreated. If head-wind pain attacks, spirit scatters, and Yangguang (sunlight/gaze) abruptly ceases, this is a Wind transformation and must not be confused with the previous names.