一圆径寸突如来，绝似嫣红荔剖开，欲识病从何气得，地天衰老冷风摧。
此症白珠红胀长垂，若舌卷下舐，形恶惊人。轻者睑不肿，痛亦差强，但眵凝粘污，睛明久已渐失，身子亦
弥留欲绝，盖罕见之病也。悬揣其故，此人资禀素虚，客感厉风。医不扶正抑邪，谬以散法尽处，致真元削弱，
淹淹胀起。又认作火旺，苦寒攻泄，艮坤之土皆败。所谓欹器既满，又从而挤之，而欲不覆，得乎？抑且丹溪曰∶
脾具坤静之德，而营运干健。故能使心肺之阳降，肝肾之阴升。今妖厉外感，草木内伤。动静升降，失其常道，
天地不交而否矣。否极则清浊相混，隧道壅塞郁而为热，留而为湿，湿热相搏，载销载胀，遂成枯落。虽金锁固
元、百合固金、生脉散、益营煎大补微和，渐能收缩还位，不似从前启人疑问而动人悲恸，本目终不雅观。先贤
谓爱子之心，无所不至，顾宁馨囝儿，残贼于渔利下工而不事事。若父若母，亦可谓愦愦者矣。假寐永叹，中心
焉如捣。
水天轮廓碧云通，金木战西风，且知潮随日落，惨淡处火烧空。初若线，继如虹，绕青宫。望中目断，梦后
魂销，问甚神瞳。
此症左右白睛，尽变粉蓝深碧之色。今虽无害，而源远流长，将来莫穷止境。所以然者，金德本白，被风木
郁蒸，
青气游出，逼入气轮，青白混融，致成蓝碧。夫木承金制，尚能为祸，顾主弱贼强，焉不肆其暴戾。且风生水动，
乙癸同源，瞳神必有大小之患。神不大小，只微碧而涩，系上膈潜伏虚火，与脾肺之络微有湿热，秋天人多见之，
俗呼稻芒眼是也。有小儿白睛微变青色，黑睛稍带白色，黑白之间赤环如带，此心火乘金，金木交战。缘平素病
困已久，服药过当，肝邪抑郁不舒，曲直动摇，内伤元气，元气一虚，肝邪愈固，乃所谓淫热者，亢而侮金，金
者兵象，不胜则失机。目为五行正色，金木相敌，风气杂作，故宜青者而白，宜白者而青也。倘更腹满飧泄，则
木火又犯脾土，疳食必矣。又中年人，脾肾衰甚，不能资生养化，致木失春荣，视物如烟树云林，或瞳子高低不
平，色浊如淤泥，赤带抱风轮而系。再常内劳外感，厥症之变，有非毛颖所能殚述。统以花果合欢丸，经岁长服，
黑自各还本色。愚按淫者过也，溢也。淫热者，犹言湿热浸淫也，当指母而言。盖母有热邪，子资气禀，热遂传
入。反克者，正本制邪，邪盛则害正。如上证金能胜木，肝邪安能入肺。盖金衰木旺，反其所克。譬以小刀劈大
木，木未损而刀早折矣。倪氏撰淫热反克之病，有云足厥阴木妊子火，子以淫胜，祸发反克，故肝受克而目亦受
病也。由斯说，是生木者其火，胜木者亦其火也。岂心有大小，而火分君相乎。读者澄怀体认，自应翻怒为笑。
一个直径一寸的眼珠突然突起，宛如鲜红的荔枝被剖开一样。想要知道这病是从什么邪气引起的？是因为地天（脾肾）衰老，遭受冷风的摧残。
这种病症表现为白眼球红肿胀大且下垂，如果伴有舌头卷曲向下舔舐嘴唇的症状，形态可怕，令人惊骇。轻症者眼睑不肿胀，疼痛也勉强可以忍受，但眼屎凝结粘稠污浊，睛明穴处的视力早已逐渐丧失，身体也奄奄一息濒临死亡，这确实是罕见的疾病。推测其原因，此人先天禀赋素来虚弱，又感受了厉害的邪风。医生不扶助正气、抑制邪气，反而错误地滥用发散的方法，导致真元（元气）削弱，病情缠绵肿胀起来。又将此症误认为是火旺，使用苦寒药物攻下泄热，致使脾胃（艮坤之土）败坏。这就好比倾斜的器皿已经满了，还要去挤压它，想要不倾覆，怎么可能呢？况且丹溪先生说过：脾具有坤卦静顺的德行，而运化功能具备乾卦刚健的特性。所以能使心肺的阳气下降，肝肾的阴气上升。如今外感妖厉之风，内伤草木药石，动静升降失去了常道，天地之气不交泰而陷入闭塞不通的状态。闭塞到了极点，清浊之气相互混杂，经络隧道壅塞郁结而生热，停留而成湿，湿热相互搏结，时而消耗时而肿胀，最终形成枯落之症。虽然使用金锁固元汤、百合固金汤、生脉散、益营煎等大补微和的方剂，能逐渐使眼球收缩复位，不像从前那样引起人的疑问和悲恸，但眼睛终究看起来不美观。先贤曾说，爱护子女的心意无所不至，看着可爱的孩子，却被那些唯利是图、庸碌无能的医生所残害。作为父母，也可以说是昏聩糊涂的了。假寐中长久叹息，心中痛苦如同捣击一般。
水天轮廓碧绿云气相通，金木在西风中交战，且要知道潮汐随着日落而变化，惨淡之处仿佛火烧空际。起初像线，继而像彩虹，环绕着青宫（黑眼球/瞳神）。望去目力断绝，梦醒后魂销魄散，询问那神明的瞳孔何在。
这种病症表现为左右白眼球全部变成粉蓝或深碧色。现在虽然暂时没有危害，但源远流长，将来没有穷尽的止境。之所以这样，是因为金的本色是白色，被风木之气郁蒸，青色之气游逸而出，逼入气轮（白眼球），青白混合交融，从而形成蓝碧色。木受金的制约，尚且能为祸患，何况主弱贼强，怎么能不肆意暴戾呢？况且风生水动，乙癸同源（肝肾同源），瞳神必然会有大小方面的病患。瞳孔大小若无异常，只是微微发碧且干涩，这是上膈潜伏的虚火，与脾肺的络脉有轻微的湿热，秋天人多见此症，俗称稻芒眼。有的小儿白眼球微微变青，黑眼球稍带白色，黑白之间赤红环状如带，这是心火乘袭肺金，金木交战。因为平素患病困顿已久，服药过度，导致肝邪抑郁不能舒展，曲直动摇，内伤元气，元气一旦虚弱，肝邪更加坚固，这就是所谓的“淫热”，亢盛而侮犯肺金。金代表兵象，不胜则失机。眼睛呈现五行的正色，金木相敌，风气杂作，所以本该青色的变白，本该白色的变青。倘若再出现腹部胀满、完谷不化的腹泻，那么木火又会侵犯脾土，必定会患上疳积食滞之症。又有中年人，脾肾衰败严重，不能资生养化，导致木失去春天的荣盛，视物如烟树云林，或者瞳孔高低不平，色泽浑浊如淤泥，赤色环带包裹风轮（黑眼球）并系连。再加上经常内劳外感，厥证的变证，有不是毛笔所能详尽描述的。统用花果合欢丸，常年服用，黑色和白色自然各自回归本色。我按语认为，“淫”就是过、就是溢。“淫热”犹言湿热浸淫，应当指母亲而言。因为母亲有热邪，子女继承其气禀，热邪遂传入体内。反克，本是正气制约邪气，邪气盛则伤害正气。如上证若金能胜木，肝邪怎能进入肺脏？这是因为金衰木旺，违背了其所克的规律。就像用小刀劈大树，树未受损而刀早已折断。倪氏撰写关于淫热反克的病症时说：“足厥阴肝木孕育子火，子以淫胜，祸发反克，所以肝受克而眼睛也生病。”由这个说法来看，生木的是火，胜木的也是火。难道心有大小之分，而火分君火相火吗？读者澄怀体认，自然会转怒为笑。
A round eyeball, one inch in diameter, suddenly protrudes, resembling a bright red lychee that has been split open. To identify which pathogenic qi causes this disease: it is due to the decline and aging of Earth and Heaven (Spleen and Kidney), devastated by cold wind.
This condition presents with the white sclera becoming red, swollen, and drooping; if accompanied by tongue curling down to lick the lips, the appearance is terrifying. In mild cases, the eyelids are not swollen, and pain is bearable, but eye discharge is condensed, sticky, and dirty. Vision at the Jingming point (BL-1) has gradually been lost, and the body is lingering on the verge of death; this is indeed a rare disease. Speculating on the cause, this person has always had a constitutionally deficient endowment and contracted severe external wind pathogens. The physician failed to support the righteous qi and suppress the pathogenic factors, instead erroneously employing dispersing methods to exhaustion, thereby weakening the Zhenyuan (True Yuan/Essential Qi). The illness lingers and swells. Furthermore, mistaking it for excessive fire, bitter-cold purgatives were used, causing the Gen-Kun Earth (Spleen/Stomach) to fail. It is like tilting a vessel that is already full and then squeezing it; how could it not overturn? Moreover, Danxi stated: "The Spleen possesses the quiet virtue of Kun, yet its transportation function embodies the vigorous nature of Qian." Thus, it allows the Yang of Heart and Lung to descend and the Yin of Liver and Kidney to ascend. Now, with external妖厉 (demonic/severe) wind invasion and internal injury from herbal medicines, movement and stillness, ascending and descending have lost their normal course. Heaven and Earth do not interact, resulting in Pi (Stagnation/Obstruction). When stagnation reaches its extreme, clear and turbid energies mix, meridians and collaterals become blocked, leading to heat retention and dampness accumulation. Damp-heat combats each other, causing alternating consumption and swelling, ultimately forming the "Withered and Fallen" syndrome. Although major tonifying and mildly harmonizing formulas such as Jin Suo Gu Yuan Tang (Golden Lock to Secure the Origin Decoction), Bai He Gu Jin Tang (Lily to Secure the Metal Decoction), Sheng Mai San (Generate the Pulse Powder), and Yi Ying Jian (Nourish the Nutrient Decoction) can gradually shrink and reposition the eyeball, preventing the previous doubt and sorrow, the eye will never look aesthetically pleasing again. The sages said that the love for one's child knows no bounds. Yet, seeing a beloved child harmed by greedy, incompetent physicians who accomplish nothing—parents in such situations can be considered foolish. Dozing off, sighing endlessly, the heart feels as if being pounded.
The contours of Water and Heaven connect through blue clouds; Metal and Wood battle in the west wind. One must know that tides follow the sunset; in the desolate places, it seems as if fire burns the void. Initially like a thread, subsequently like a rainbow, surrounding the Qing Gong (Pupil/Dark Palace). Gazing until vision fails, waking from dreams with soul dissipated, asking where the divine pupil is.
This condition manifests as both left and right scleras turning pink-blue or deep azure. Although currently harmless, the source is distant and long-lasting, with no foreseeable end. This is because the natural color of Metal is white, but it is steamed and oppressed by Wind-Wood, causing green qi to wander out, forcing its way into the Qi Wheel (Sclera). Green and white mix and blend, resulting in a blue-green hue. Wood, though controlled by Metal, can still cause harm; especially when the host is weak and the thief strong, how can it not act violently? Furthermore, wind generates water movement, and Yi-Gui share the same source (Liver and Kidney); thus, the pupil must suffer size abnormalities. If the pupil size is normal but slightly blue and dry, it is due to latent deficiency-fire in the upper diaphragm combined with slight damp-heat in the Spleen and Lung collaterals. This is common in autumn, commonly called "Rice Awl Eye." Some children have scleras slightly turning green, corneas slightly white, with a red ring between black and white like a belt; this is Heart Fire invading Lung Metal, with Metal-Wood conflict. Because the patient has been ill for a long time and overdosed on medication, Liver pathogenic factors become depressed and unable to舒展 (smoothly flow), moving erratically, internally injuring Yuan Qi. Once Yuan Qi is deficient, Liver pathogens become entrenched. This is what is meant by "Yin Re" (Excessive Heat), which becomes hyperactive and insults Metal. Metal represents military imagery; if it cannot win, it loses opportunity. The eyes display the true colors of the Five Elements. With Metal and Wood opposing each other and mixed winds acting, the color that should be green turns white, and the color that should be white turns green. If abdominal distension and undigested stool diarrhea occur, Wood-Fire will invade Spleen-Earth, inevitably leading to Gan Shi (Childhood Malnutrition/Food Stagnation). Additionally, middle-aged people with severe Spleen-Kidney decline cannot nourish and transform, causing Wood to lose spring-like vitality. They may see objects like smoke, trees, clouds, and forests, or have pupils uneven in height, with turbid color like mud, and red bands embracing the Feng Lun (Cornea/Iris) and tying them. Coupled with frequent internal fatigue and external infections, variations of Jue Syndrome (Cold Extremities/Rebellious Qi) exist that cannot be fully described by pen and ink. Generally, using Hua Guo He Huan Wan (Flower and Fruit Joyful Union Pill) taken over a year will allow black and white to return to their original colors. My commentary states: "Yin" means excess or overflow. "Yin Re" refers to damp-heat soaking and overflowing, likely referring to the mother. Because the mother has heat pathogens, the child inherits her Qi endowment, and the heat transmits inward. "Fan Ke" (Reverse Restriction) implies that originally Zheng Qi (Righteous Qi) restricts Xie Qi (Pathogenic Qi); when Xie Qi is strong, it harms Zheng Qi. As in the above case, if Metal could overcome Wood, how could Liver pathogens enter the Lungs? It is because Metal is deficient and Wood is hyperactive, violating the rule of restriction. It is like using a small knife to chop a large tree; the tree remains unharmed while the knife breaks first. Ni Shi wrote about diseases of Yin Re Fan Ke: "Jueyin Wood conceives Zi Fire; Zi uses excess to overcome, disaster arises from reverse restriction, so Liver suffers restriction and the eyes also fall ill." From this theory, the one generating Wood is Fire, and the one overcoming Wood is also Fire. Does the Heart have sizes, and does Fire divide into Jun Huo (Ministerial Fire) and Xiang Huo (Monarchial Fire)? Readers should clarify their minds and comprehend this, naturally turning anger into laughter.