轮廓倾翻症匪小,病患难值医人少,虽然家秘有针经,心不巧,手不妙,多恐沉盲直到老。
此症因六气偏胜,风热搏击,其睛斜翻倒转,白向外而黑向内也。药不能疗,惟治以手法。手法奈何?熟视
其何入何背,并带上带下之分,然后针之,易如反掌。针定进正容汤,高枕安眠。再煎人参养荣汤二三剂,立愈。
其针须临症
新授,笔墨难代喉舌。市医对此茫然,而见青盲内障,又曰瞳神反背。噫!真瞳神反背矣夫?
金轮自平兮水轮明而,风轮半倾兮火轮蒸而,肝邪虽婴兮肾枚宁而,莫令尖生兮损真精而。
此症初起,目不自然,视内外都无别恙。一二日,风轮坎廓或左、或右、在上、在下,斜斜高耸而起也,故
曰春水扬波。乃肾邪上蒸,胆火内逼,幸巽风不动,所以未及全出。若木旺生火,多从上胀,而有虬脉。及火盛
生风,必赤痛泪下,头脑如破。急以犀羚逍遥、归芍地黄,或暂加知柏,昼夜交进。稍迟则渐高渐尖,至极并水
不见,神膏如死,俗谓之田螺旋顶。虽有善者亦无如之何矣。
愁瞳子瞠瞠不转头,阳邪亢风热又相投。
此症项强,面赤燥,目如火,胀于睑间,不能开闭,若野庙凶神,与花缸变鱼之目,凸而定凝,故曰鱼睛不
夜。乃阳邪亢害,风热壅阻,下窍不通,上窍亦塞。是眼不出即入,速于百会、太阳、两睑、上星要隘等穴砭针
出血。嗣后黄连解汤毒、一味大黄丸、三友丸寒之攻之,庶有可救,然亦险矣。
轮廓倾翻症并非小病,患病的人不少而能治的医生却很少。虽然家传秘法中有针灸经典,但如果医者心不灵巧、手不巧妙,患者恐怕会一直失明直到老死。
此症是因为六气(风、寒、暑、湿、燥、火)偏胜,风热相互搏击,导致眼球斜向翻转倒转,白睛向外而黑睛向内。药物无法治疗,只能通过手法治疗。手法是怎样的呢?仔细审视其进入和背出的方向,以及带上、带下的位置区分,然后进行针刺,这就容易得像翻手掌一样简单。针刺后服用正容汤,高枕安睡。再煎服人参养荣汤两到三剂,即可立即痊愈。其中的针法必须临证时新近传授,笔墨难以替代口头讲解。市井医生对此茫然无知,见到青盲内障,又称之为瞳神反背。唉!这真的是真正的瞳神反背吗?
金轮(白睛)自然平正则水轮(黑睛/瞳孔)明亮;风轮(黑睛)半侧倾斜则火轮(黄仁/虹膜)受热熏蒸;肝邪虽侵袭但肾精安宁;不要让眼尖生长异常而损伤真精。
此症初起时,眼睛外观不自然,看内外都没有其他异样。一两天后,风轮(黑睛)的轮廓或左、或右、或在上、或在下,斜斜地高耸起来,所以称为春水扬波。这是肾邪向上熏蒸,胆火在内逼迫,幸好巽风(风气)没有大动,所以病情尚未完全爆发。如果木旺生火,多从上方肿胀,并出现扭曲的脉络。等到火盛生风,必定出现红痛流泪,头脑疼痛如破裂般剧烈。急需使用犀羚逍遥散、归芍地黄丸,或者暂时加入知母、黄柏,昼夜交替进服。如果稍微迟缓,则逐渐增高变尖,到了极点甚至看不见水轮,神膏(玻璃体)如同死亡,俗称为田螺旋顶。即使有擅长医术的人也无能为力了。
愁苦的瞳子瞪视不转头,阳邪亢盛风热又相投合。
此症表现为颈部僵硬,面色红润干燥,眼睛像火一样,在眼睑间肿胀,不能开闭,如同野庙中的凶神,又像花缸中变成鱼的眼睛,凸出且固定凝滞,所以称为鱼睛不夜。这是阳邪亢盛为害,风热壅阻,下窍不通,上窍也闭塞。此时眼睛要么突出要么凹陷,速度极快,需迅速在百会穴、太阳穴、上下眼睑、上星穴等重要穴位用砭石针刺出血。此后用黄连解毒汤清解热毒,用一味大黄丸、三友丸寒凉攻下,或许还有救,但也十分危险。
The condition of "Contour Inversion" is not minor; many suffer from it, yet few doctors can treat it. Although there are secret family acupuncture classics, if the practitioner's mind is not agile and hands are not skillful, the patient may remain blind until old age.
This condition arises from the excess of the Six Qi (Wind, Cold, Summer-heat, Dampness, Dryness, Fire), where Wind and Heat battle each other, causing the eyeball to tilt and invert, with the Sclera (White part) facing outward and the Cornea/Iris (Black part) facing inward. Medication cannot cure it; only manual techniques can treat it. How is this technique performed? One must carefully observe the direction of entry and exit, as well as the distinctions between the upper and lower meridians, then proceed with acupuncture. This becomes as easy as turning over one's palm. After stabilizing the needle, administer Zhengrong Tang (Straightening Decoction), sleep with a high pillow. Then decoct and take Renshen Yangrong Tang (Ginseng Nourishing the Perfection Decoction) for two or three doses, and recovery will be immediate. The needling techniques must be newly taught during clinical practice; written words cannot replace oral instruction. City physicians are ignorant of this, referring to Qingmang Internal Obstruction (Green Cataract) as Tongshen Fanbei (Pupil Reversal). Alas! Is this truly Tongshen Fanbei?
When the Metal Wheel (Sclera) is naturally level, the Water Wheel (Cornea/Pupil) shines bright. When the Wind Wheel (Cornea) tilts halfway, the Fire Wheel (Iris) steams under heat. Though Liver Pathogens attack, the Kidney essence remains peaceful. Do not allow the tip to grow abnormally, damaging the True Essence.
At the onset, the eye appears unnatural, with no other visible abnormalities inside or out. Within one or two days, the contours of the Wind Wheel (Cornea) bulge obliquely on the left, right, upper, or lower side, hence the name "Spring Water Raising Waves." This is due to Kidney Pathogens steaming upward and Gallbladder Fire pressing internally. Fortunately, Xun Wind (Wind Qi) has not moved violently, so the condition has not fully erupted. If Wood excess generates Fire, swelling often occurs from above, accompanied by twisted vessels. Once Fire excess generates Wind, redness, pain, and tearing will inevitably occur, with head pain feeling like bursting. Urgently use Xiling Xiaoyao San (Rhinoceros Horn and Antelope Horn Soothing Liver Powder), Guishao Dihuang Wan (Angelica and Peony Rehmannia Pill), or temporarily add Zimu and Huangbai, administering them day and night alternately. If delayed even slightly, the swelling will gradually rise and sharpen. At the extreme, the Water Wheel becomes invisible, the Shen Gao (Vitreous Humor) dies, commonly known as "Field Spiral Top." Even skilled practitioners would find it hopeless.
The sorrowful pupil stares fixedly without turning; Yang Pathogens are hyperactive, and Wind-Heat joins in.
This condition presents with neck stiffness, ruddy and dry complexion, eyes hot like fire, swelling within the eyelids preventing opening and closing. It resembles fierce deities in wild temples or the eyes of fish transformed in flower vases—protruding and fixedly stagnant—hence named "Fish Eyes Not Sleeping at Night." This results from Yang Pathogens being hyperactive and harmful, Wind-Heat obstructing, lower orifices blocked, and upper orifices also sealed. The eye either protrudes or retracts rapidly. Quickly perform bloodletting via Bian stones (stone needles) at critical acupoints: Baihui (GV20), Taiyang (EX-HN5), both eyelids, and Shangxing (GV23). Subsequently, use Huanglian Jiedu Tang (Coptis Detoxification Decoction) to clear heat toxins, and Yiwu Dahuang Wan (Single Rhubarb Pill) or Sanyou Wan (Three Friends Pill) to purge with cold properties. There may still be hope for rescue, but the situation remains perilous.