皮急小兮，膏血了兮，筋脉绞兮，瞻视眇兮，忧心悄兮。
此症谓上下胞渐自紧小，甚者小如枣核，眼将合矣。盖膏液耗尽，筋脉急缩故也。若治而小者，治之之过。
乃皮宽睫倒，只夹外而失内理。后则复倒复夹，遂尔肉焦血损，目络不舒而睑日急小。夫既已小矣，年深日久，
欲令开视如常，其可得乎？
或谓是症无害于观，治亦不难。证知彼目惯病，粗工只见症医症，酸丁又以药治药，致瞳子先伤，然后始及
外睑。睑急毛卷，夹且晚矣，劣手胡乱施行已可骇，谬于夹上之肉，用灯火烧个不了，势必肿而溃烂，不待再夹，
眼胞实残毁不堪。今纵遇吾济，惟仰天唤可奈何奈若何已耳。
起睫，乃外治粗工。然眼目为人身华表，必遵法从事。除毛出夹正外，不可左高右低，更不得右大左小。于
妇女及有德名儒，尤宜小心矜慎。七日解夹，再七日落痂，瘢消迹灭，治犹未治，庶几无忝厥职。常见市人有三
角者，有疤病牵引者，有胞肉全无，睛露惊人者，虽宵人无知妄作，亦由耳目昏溃，不自省察之故。为人子，不
可不知医，其斯之谓乎。
时对青铜理鬓毛，意萧骚，销金帐暖醉 ，梦魂劳，倏忽肉轮沿际黑，如灰色。妻梅子鹤耐清操，命根牢。
此症两目别弊，但上下外睑煤黑，有如淡墨沈于旧棉纸。望之若米家山水，烟雨空 。盖虚肥之人，肺脾捻
亏而饮食过量，未尽传送施化，譬沟渎所积，自然久为淤浊。且土金亏，则水木之邪由中凌上，故现前象。治宜辛
温大补。始进真武汤，次三建中，次理阴煎，不令痰饮上溢。太璞还贞，不必及瓜为期。倘药力不充，或更酒以
色下，气从财使，本病固变，颧颊决增斑晕，着以优孟衣冠，公然花面，窃恐笑不成笑，哭不成哭矣。
此症妇人亦常见有患者。总由脾土衰惫，倦于承运输送，致寒饮热痰，不下行而上走，现斯秽迹。或人事不齐，
中怀郁郁，无时悲泣，因而木胜水侮，青斑黑点玷污花容。饰以金丹蓉粉，翻为轻薄子，刻画无盐，其可衰也夫，
其可惜也夫。
眼皮紧缩细小，膏血枯竭，筋脉拘挛绞结，视物模糊不清，心中忧愁凄惨。
这种病症表现为上下眼睑逐渐变得紧窄狭小，严重的像枣核一样小，眼睛几乎要闭合了。这是因为眼内膏液耗尽，筋脉紧急收缩的缘故。如果治疗不当导致眼睑更小，那是治疗失误造成的。
如果是眼皮松弛、睫毛倒卷，只注重外部处理而忽略了内部调理，后来就会反复出现睫毛倒卷夹睑的情况，最终导致眼部肌肉干枯、血液受损，目络不畅，眼睑日益紧缩狭小。既然已经变小了，随着年深日久，想要让眼睛重新像平常一样睁开，怎么可能呢？
有人说这个病症不影响观看，治疗也不难。其实那些患有此症的眼睛是长期患病，粗劣的医生只见症状治症状，迂腐的儒生又只知用药治病，导致瞳孔先受损伤，然后才波及到外眼睑。眼睑紧急、睫毛卷曲，夹睑为时已晚，庸医胡乱施行手术已经令人惊骇，在夹睑处的肉上用灯火烧个不停，势必导致肿胀溃烂，不用等到再次夹睑，眼睑就已经残破毁坏不堪了。现在即使遇到我们这样的医生，也只能仰天叹息无可奈何罢了。
拔除睫毛、夹睑，属于外部治疗的粗浅手段。然而眼睛是人体的重要器官（华表），必须遵循规范进行操作。除了拔除睫毛和夹睑的正统方法外，不得出现左高右低的情况，更不得出现右大左小的情况。对于妇女和有德行的名士，尤其应当小心谨慎。七天解除夹睑，再过七天痂皮脱落，疤痕消失痕迹灭尽，治疗才算没有辜负职责。常见市面上有人眼角呈三角形，有因疤痕疾病牵引导致的，有眼睑肉完全缺失、眼球暴露惊人的，虽然这是无知小人妄作所为，也是由于耳目昏聩溃败，不能自我反省察看的缘故。作为子女，不可以不懂医术，说的就是这个道理吧。
当时对着青铜镜梳理鬓发毛发，心境萧瑟凄凉，销金帐中温暖醉人，梦魂劳顿，忽然发现眼睑边缘变黑，呈现灰色。以梅花为妻、仙鹤为子保持清高的操守，生命根基牢固。
这种病症双眼另有弊端，只是上下外眼睑颜色煤黑，就像淡墨浸泡在旧棉纸上。远看如同米家山水画，烟雨朦胧空灵。这是因为虚胖之人，肺脾虚弱亏缺且饮食过量，食物未尽消化传输转化，好比沟渠积水，自然长久成为淤浊之物。而且土（脾）金（肺）亏损，则水（肾）木（肝）的邪气从中凌犯上部，所以显现出眼前的景象。治疗适宜用辛温大补的方法。开始服用真武汤，接着服用三建中汤，再服用理阴煎，不让痰饮上溢。恢复本来面目，不必等到瓜熟蒂落之时（指很快就能见效）。倘若药力不足，或者更加沉溺于酒色，气随财色而耗散，本病固然变化，颧骨脸颊必定增加斑晕，穿着戏服装扮成他人模样，公然变成花脸，恐怕会笑得不成样子，哭也哭不出来。
这种病症妇人中也常见患者。总归是因为脾土衰败疲惫，疲倦于承担运输输送的功能，导致寒饮热痰，不下行而上走，显现出这种污秽的痕迹。或者因为人事不顺，心中忧郁，不时悲伤哭泣，因而肝木旺盛克制肾水，青色斑点和黑点玷污了美丽的容颜。用丹砂芙蓉粉来掩饰，反而被轻薄子弟嘲笑，刻画无盐女般丑陋，这难道不可悲哀吗，这难道不可惜吗。
Eyelids are tight and small, essence and blood are exhausted, sinews and vessels are twisted and contracted, vision is dim, and the heart is filled with sorrow.
This condition refers to the upper and lower eyelids gradually becoming tight and narrow; in severe cases, they become as small as a jujube pit, nearly closing the eye. This is due to the exhaustion of ocular fluids and the emergency contraction of sinews and vessels. If treatment results in further shrinkage, it is an error in treatment.
If the eyelid skin is loose with inverted eyelashes, but only external measures are taken while neglecting internal regulation, the inversion and entrapment will recur. Eventually, the muscle tissue becomes dry and blood damaged, the ocular collaterals fail to circulate smoothly, and the eyelids daily tighten and shrink. Once shrunken, as years pass, can one expect the eyes to open normally again?
Some say this condition does not affect vision and is not difficult to treat. However, these eyes have been chronically ill. Crude practitioners merely treat symptoms without addressing the root, and pedantic scholars merely apply medicine to diseases, causing damage to the pupil first, before affecting the outer eyelid. With tight eyelids and curled lashes, intervention comes too late. Incompetent hands performing random procedures are already shocking; burning the flesh at the site of eyelid entrapment with lamps endlessly will inevitably lead to swelling and ulceration. Without waiting for further entrapment, the eyelid will be irreparably destroyed. Even if we were to encounter such patients now, we could only look to heaven and sigh, saying "What can be done?"
Removing eyelashes and applying eyelid clamps are crude external treatments. Yet, the eyes are the magnificent markers of the human body, so one must strictly follow protocols. Besides the correct methods of removing lashes and clamping, there should be no asymmetry like high on the left and low on the right, nor size disparity between right and left. Particular care and caution are required for women and virtuous scholars. After seven days, remove the clamp; after another seven days, the scab falls off. When scars vanish and traces disappear, the treatment has fulfilled its duty without shame. It is common to see people with triangular eyes, those pulled by scar disease, or those whose eyelid tissue is completely absent, exposing the eyeballs shockingly. Although this stems from ignorant fools acting recklessly, it is also due to dullness and decay of the senses, failing to self-reflect. As children, one cannot fail to understand medicine; this is what is meant.
At that time, combing hair near a bronze mirror, feeling desolate and lonely, intoxicated in the warm golden tent, the dream soul is weary. Suddenly, the rim of the eyelid turns black, resembling gray. Maintaining pure conduct with plum blossoms as wife and cranes as sons, the root of life remains firm.
This condition presents a specific abnormality in both eyes: the upper and lower outer eyelids are coal-black, like light ink soaked into old cotton paper. From afar, it resembles Mi Family landscape painting, misty and empty. This occurs because obese individuals suffer from deficiency in Lung and Spleen Qi, coupled with excessive eating. Undigested food fails to transform and transport, accumulating like silt in ditches over time. Furthermore, when Earth (Spleen) and Metal (Lung) are deficient, Water (Kidney) and Wood (Liver) pathogens rise from the middle to attack the upper, manifesting as the current appearance. Treatment should employ pungent-warm major tonification. Initially administer Zhenwu Tang (True Warrior Decoction), followed by San Jian Zhong Tang (Three Builders Middle Harmonizing Decoction), then Li Yin Jian (Regulating Yin Decoction), preventing phlegm-fluids from overflowing upward. To restore original purity, recovery need not wait long. If medicinal power is insufficient, or if one indulges further in wine and lust, Qi dissipates following wealth and desire. The primary disease changes, and malar spots and halos will surely increase on the cheeks. Dressed in actor's costumes, openly wearing a painted face, one fears neither laughter nor crying will come naturally.
This condition is also commonly seen in women. It generally arises from the decline and fatigue of Spleen Earth, which fails to perform its transporting and transforming functions. Consequently, cold fluids and hot phlegm do not descend but ascend, leaving these filthy marks. Or, due to unfavorable circumstances, inner depression causes frequent weeping, leading to Liver Wood excess suppressing Kidney Water. Blue spots and black dots stain the beautiful face. Covering them with cinnabar and hibiscus powder only invites ridicule from frivolous men, comparing the effort to painting up the ugly No-Yan. Is this not tragic? Is this not regrettable?