一双青白眼，无人实有钉。神医拔不去，狂瞽足平生。
此症初得，身热憎寒，突如赤肿大作。眉骨、太阳痛楚逾常，生翳一颗，白色。失治，其翳直钉入内。则混
睛加障，赤丝环绕，昼夜不辨，目翳之奇恶者，因以疔名。盖血气摧颓，木中春阳下陷，阴风上腾所致。何以验
之？身热畏寒，暴发赤肿，非气血摧颓耶？率尔生翳，便侵入内，非春阳下陷耶？痛在眉骨、太阳，非阴风上腾
耶？且阳陷火必郁，故赤丝环绕。阴腾寒乃胜，则混睛加障。人如病此，但失明而不焦槁，亦算造化。
此症十有九不治。即主人深信，亦必告明病之结果，立案存验，庶无后话。用药有二法，须详诊脉息，弦大
而数，不妨大攻、大寒。若濡小沉涩，当先补元气，气旺自然推邪而出。其疔渐小，再点磨之丹，无少差谬，疔
落而风轮不破。否则不凹即凸，学人其敬听毋忽。
孔某氏妇，五日携季子登眺，左目暴得兹证。至十一延余，已丧明四日矣。包头挟纩，眠食大废。诊其脉浮
大微弦，明系元虚伤风，风厉变热。遂用补中益气合加味逍遥，日进二服，痛止神安，思得蔬食。复以归脾增附
子、防风投之，夹衣脱去，烦躁如失。最后凡点服之药，无不应效。一日其疔忽坠，状如小小橘核，剪之不断，
目遂见物。未几竟愈。或曰∶此妇抚孤守节，操作自给，从无怨尤。药饵之功，殆天玉女于成也。虽然淑慎姆师
受天之 ，庸或有之。彼男儿野狼心狗行，臻上寿而目若童年，即间抱疾终老，遇余治而遽痊者，抑又何为。
一双青白眼，无人实有钉。神医拔不去，狂瞽足平生。
这双青白相间的眼睛，实际上并没有真正的钉子。即使是神医也无法将其拔出，这种疯狂和失明足以伴随人的一生。
此症初得，身热憎寒，突如赤肿大作。眉骨、太阳痛楚逾常，生翳一颗，白色。失治，其翳直钉入内。则混睛加障，赤丝环绕，昼夜不辨，目翳之奇恶者，因以疔名。盖血气摧颓，木中春阳下陷，阴风上腾所致。何以验之？身热畏寒，暴发赤肿，非气血摧颓耶？率尔生翳，便侵入内，非春阳下陷耶？痛在眉骨、太阳，非阴风上腾耶？且阳陷火必郁，故赤丝环绕。阴腾寒乃胜，则混睛加障。人如病此，但失明而不焦槁，亦算造化。
此症刚开始时，身体发热且怕冷，突然像红肿一样严重发作。眉骨和太阳穴部位疼痛异常剧烈，长出一颗白色的翳膜。如果延误治疗，这颗翳膜会直接像钉子一样深入眼内。导致黑睛浑浊并出现障碍，周围布满红色血丝，白天黑夜都无法分辨，这是眼中极其凶险的翳膜，因此被称为“疔”。这是因为气血衰败，肝木中的春阳之气下陷，阴寒之风上腾所导致的。如何验证这一点呢？身体发热怕冷，突然爆发红肿，难道不是气血衰败吗？突然生出翳膜，随即侵入内部，难道不是春阳下陷吗？疼痛位于眉骨和太阳穴，难道不是阴风上腾吗？况且阳气下陷，火气必然郁结，所以周围布满红色血丝。阴气上腾，寒气占据优势，所以黑睛浑浊并出现障碍。人如果得了这个病，只要只是失明而没有眼球干枯萎缩，也算是一种幸运。
此症十有九不治。即主人深信，亦必告明病之结果，立案存验，庶无后话。用药有二法，须详诊脉息，弦大而数，不妨大攻、大寒。若濡小沉涩，当先补元气，气旺自然推邪而出。其疔渐小，再点磨之丹，无少差谬，疔落而风轮不破。否则不凹即凸，学人其敬听毋忽。
此症十个人中有九个无法治愈。即使患者家属深信不疑，也必须向他们明确告知疾病的最终结果，记录在案以备查验，以免日后产生纠纷。用药有两种方法，必须详细诊察脉象：如果脉象弦大且快，不妨使用猛烈攻伐、性质大寒的药物。如果脉象濡软细小、深沉且涩滞，应当先补益元气，元气旺盛自然会推动病邪排出。此时疔疮逐渐变小，再用点眼或磨眼的丹药，只要没有半点差错，疔疮脱落而黑睛（风轮）不会破损。否则，黑睛要么凹陷要么凸起。学习中医的人要恭敬地听取，不要疏忽大意。
孔某氏妇，五日携季子登眺，左目暴得兹证。至十一延余，已丧明四日矣。包头挟纩，眠食大废。诊其脉浮大微弦，明系元虚伤风，风厉变热。遂用补中益气合加味逍遥，日进二服，痛止神安，思得蔬食。复以归脾增附子、防风投之，夹衣脱去，烦躁如失。最后凡点服之药，无不应效。一日其疔忽坠，状如小小橘核，剪之不断，目遂见物。未几竟愈。或曰∶此妇抚孤守节，操作自给，从无怨尤。药饵之功，殆天玉女于成也。虽然淑慎姆师受天之 ，庸或有之。彼男儿野狼心狗行，臻上寿而目若童年，即间抱疾终老，遇余治而遽痊者，抑又何为。
孔姓人家的妇人，在第五天带着最小的儿子登高远眺，左眼突然得了这个病。到了第十一天的时候请我去诊治，她已经失明四天了。她头上包着头巾，身上穿着棉袄，睡眠和饮食都严重荒废。我诊察她的脉象，浮大且略微带弦，这明显是元气虚弱感受风邪，风邪厉害转化为热邪。于是我用补中益气汤配合加味逍遥散，每天服用两次，疼痛停止，精神安宁，开始想吃蔬菜食物。接着我又用归脾汤增加附子和防风给她服用，她脱去了夹衣，烦躁感消失。最后所有点眼和内服的药，没有不奏效的。有一天那颗疔疮突然掉落，形状像小小的橘子核，剪它却剪不断，眼睛于是能看见东西了。没过多久竟然痊愈了。有人说：这位妇人抚养孤儿坚守节操，劳作自己供养自己，从来没有怨恨抱怨。药物的功效，大概是上天帮助成就的吧。虽然贤淑谨慎的母亲老师承受上天的保佑，或许是有这种情况的。那些男人有着狼的心、狗的行为，活到高寿而眼睛像孩童一样明亮，即使偶尔生病直到老死，遇到我治疗而迅速痊愈的，又是怎么回事呢。
A pair of green and white eyes, yet no actual nail exists. Even a divine physician cannot extract it; madness and blindness may last a lifetime.
Upon the onset of this condition, the patient experiences fever and aversion to cold, with sudden and severe redness and swelling. The pain in the brow bone and temporal region exceeds normal limits, and a white nebula (corneal opacity) forms. If treatment is delayed, the nebula penetrates deeply inward like a nail. This results in turbidity of the cornea (Hun Jing) accompanied by obstruction, surrounded by red blood vessels, rendering day and night indistinguishable. Among the extremely malignant eye opacities, this is named "Ding" (Tubercle/Carbuncle). It is caused by the collapse of Qi and Blood, the sinking of Spring Yang within the Wood element (Liver), and the rising of Yin Wind. How can this be verified? Fever and aversion to cold, with sudden onset of redness and swelling—are these not signs of Qi and Blood collapse? The abrupt formation of a nebula that quickly invades inward—is this not due to the sinking of Spring Yang? Pain located in the brow bone and temporal region—is this not due to the rising of Yin Wind? Furthermore, when Yang sinks, Fire must become stagnant, hence the surrounding red blood vessels. When Yin rises, Cold prevails, leading to turbidity of the cornea and obstruction. If a person suffers from this disease, merely losing vision without the eyeball becoming dry and atrophic is considered a stroke of luck.
Nine out of ten cases are incurable. Even if the family firmly believes, one must clearly inform them of the prognosis, record the case for verification, to avoid future disputes. There are two methods for medication, requiring detailed pulse diagnosis: if the pulse is wiry, large, and rapid, one may boldly use strong purgatives and strongly cold-natured herbs. If the pulse is soft, small, deep, and choppy, one should first tonify Yuan Qi (Primal Qi); as Qi becomes robust, it will naturally push the pathogen out. As the Ding gradually shrinks, apply ointments or grinding medicines. Without the slightest error, the Ding will fall off without damaging the Feng Lun (Wind Wheel, referring to the cornea). Otherwise, the cornea will either become concave or convex. Students must listen respectfully and not neglect this.
The wife of Mr. Kong, on the fifth day, took her youngest son for a high vantage point view, and her left eye suddenly developed this condition. By the eleventh day, she invited me to treat her; she had already been blind for four days. She wore a head wrap and padded clothing, and her sleep and diet were severely neglected. Her pulse was floating, large, and slightly wiry, clearly indicating deficiency of Yuan Qi with wind invasion, where the fierce wind transformed into heat. I therefore used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), administered twice daily. The pain ceased, her spirit calmed, and she desired vegetable food. Subsequently, I prescribed Gui Pi Tang (Restore the Spleen Decoction) augmented with Fuzi (Prepared Aconite Root) and Fangfeng (Saposhnikovia Root). She removed her lined jacket, and her irritability vanished. Finally, all eye drops and internal medications proved effective. One day, the Ding suddenly dropped off, resembling a small orange seed; it could not be cut even with scissors, and her vision returned. Shortly after, she completely recovered. Some said: This woman raised an orphan and maintained chastity, supporting herself through labor, never harboring resentment. The efficacy of the medicine was likely aided by heavenly grace. Although virtuous and cautious mothers and teachers may receive heavenly protection, such cases might occur. But what about men with wolfish hearts and dog-like conduct, who live to old age with eyes as clear as children's, or who occasionally fall ill until death but recover rapidly upon my treatment? What explains those cases?