一片片，几星星，翳青睛。引泪落，与丝HT 。夜而朝，右复左，主何经？木郁结，火飞腾，两相争。能急变，
不当明。雾笼花，云漏月，过平生。
此症黑睛有细颗，或白或微黄，或连缀，或丛萃，或散漫，或齐起，或先后逐渐相生。大该木火扰攘，亦目
疾所常见。乃时根据星月翳蚀主治，则聚者徐散，散者顿灭。若日长一日，合作一块，与数片赤脉缠贯，虽不类花
白、凝脂之善变。而自困、困医有必然者。相期淡泊宁静，毋为痰火所用。
目病如疮生，实邪显有名。肝强多落泪，血旺自羞灯，湿热弦眶烂，干风椒粟成； 头心有故，唇口土无情，
腰下三阴蕴，六阳顶上行，耳根征肾燥，鼻窍验金清，将次周身现，都来十二经。谨防精混浊，主治幸分明。
此症专为目病，目病后生疮反变幻而言。位次不等，大约总在睛之上下左右。盖君火郁邪，郁则血注，血注
则肌热，故发现皮肤。久则所注之血化为水，所郁之邪复滞水而成脓，故漫为湿烂。始生微痒为虚邪，肿痛赤热
为实邪，甚则寒热作而饮食减。不急治，恐浊气沁入目内而波及于珠。若但睑 有故，别无痒痛，此眵泪渍溢，
目愈自散。凡见疮生，不验部分形色，得自何来，将欲何往，与夫热淫、湿淫、血胜、风胜所致，概以三仙、五
虎等丹主之，治标不治本，不可谓之知医。治法∶采嫩桑叶、忍冬花、芙蓉根煎浓汤洗刮极久，以菜油调八宝丹
涂上，内服托里消毒饮或人参败毒散。如是半月三旬，许渠清净。或谓疮疡。因毒已见，似为重出。曰∶因毒与
自毒攸分，且兹理解通而不合掌。便重无碍，余仿此。
一片片，几星星，翳青睛。引泪落，与丝HT 。夜而朝，右复左，主何经？木郁结，火飞腾，两相争。能急变， 不当明。雾笼花，云漏月，过平生。
黑睛（角膜）上出现一片片、几点星状的病变，遮蔽了青黑色的眼珠。导致眼泪落下，伴有如丝线般的分泌物。病情夜间加重早晨减轻，或者右侧发作左侧复发，这主要属于哪一经的病变？这是由于肝木之气郁结，心火之气飞腾，两者相互争斗所致。这种病变化迅速，如果不及时辨明证候，后果不明。如同雾气笼罩花朵，云层遮挡月亮，可能伴随终身。
此症黑睛有细颗，或白或微黄，或连缀，或丛萃，或散漫，或齐起，或先后逐渐相生。大该木火扰攘，亦目 疾所常见。乃时根据星月翳蚀主治，则聚者徐散，散者顿灭。若日长一日，合作一块，与数片赤脉缠贯，虽不类花 白、凝脂之善变。而自困、困医有必然者。相期淡泊宁静，毋为痰火所用。
此病症表现为黑睛上有细小的颗粒，颜色有的白色，有的微黄；形态有的相连，有的聚集，有的分散，有的同时隆起，有的先后逐渐生成。大体上是由于木火之气扰乱所致，这也是眼科常见的疾病。如果当时能够根据“星月翳蚀”的理论进行主治，那么聚集的翳障会慢慢消散，分散的翳障会立即熄灭。如果病情一天比一天加重，融合成一块，并与几条赤脉（血管）缠绕贯穿，虽然不像花翳白陷、凝脂翳那样变化多端，但导致患者自身痛苦、医生治疗困难是必然的。希望患者保持心态淡泊宁静，不要受到痰火的干扰。
目病如疮生，实邪显有名。肝强多落泪，血旺自羞灯，湿热弦眶烂，干风椒粟成； 头心有故，唇口土无情， 腰下三阴蕴，六阳顶上行，耳根征肾燥，鼻窍验金清，将次周身现，都来十二经。谨防精混浊，主治幸分明。
眼部疾病如同皮肤生疮，实证邪气表现明显。肝气亢盛会导致流泪增多，血热旺盛自然会畏光怕灯，湿热之邪会导致眼眶边缘溃烂，干燥之风邪会导致眼睑长出如花椒粟粒般的颗粒；头部和心脏的病变有特定的征兆，嘴唇和口舌反映脾胃（土）的情况，腰部以下涉及三条阴经的蕴结，六条阳经之气向上行于头顶，耳根的状况可以验证肾脏是否燥热，鼻窍的清浊可以检验肺脏（金）的状态，这些症状即将在全身显现，都来源于十二经脉。务必谨防精气混浊，主治原则幸好已经明确。
此症专为目病，目病后生疮反变幻而言。位次不等，大约总在睛之上下左右。盖君火郁邪，郁则血注，血注 则肌热，故发现皮肤。久则所注之血化为水，所郁之邪复滞水而成脓，故漫为湿烂。始生微痒为虚邪，肿痛赤热 为实邪，甚则寒热作而饮食减。不急治，恐浊气沁入目内而波及于珠。若但睑 有故，别无痒痛，此眵泪渍溢， 目愈自散。凡见疮生，不验部分形色，得自何来，将欲何往，与夫热淫、湿淫、血胜、风胜所致，概以三仙、五 虎等丹主之，治标不治本，不可谓之知医。治法∶采嫩桑叶、忍冬花、芙蓉根煎浓汤洗刮极久，以菜油调八宝丹 涂上，内服托里消毒饮或人参败毒散。如是半月三旬，许渠清净。或谓疮疡。因毒已见，似为重出。曰∶因毒与 自毒攸分，且兹理解通而不合掌。便重无碍，余仿此。
这段文字专门针对眼部疾病，讲述眼病之后生疮反而变化多端的情况。病变位置高低不一，大约总是在眼球的上、下、左、右。大概是因为君火（心火）被邪气郁结，郁结则血液灌注，血液灌注则肌肉发热，所以表现在皮肤上。时间久了，灌注的血液化为水液，郁结的邪气又停滞在水液中形成脓液，所以弥漫成为湿烂。刚开始产生轻微瘙痒属于虚邪，红肿疼痛发热属于实邪，严重时甚至出现寒战发热而食欲减退。如果不及时治疗，恐怕浊气渗入眼内并波及到黑睛（晶状体/眼球核心）。如果只是眼睑有异常，没有其他瘙痒疼痛，这是眼屎泪水浸泡溢出，眼睛痊愈后自然消散。凡是见到生疮，如果不查验局部的颜色和形状，判断它从何而来，将要向何处发展，以及是由热邪、湿邪、血盛、风盛哪种因素导致，一概使用三仙丹、五虎丹等药物治疗，只治标不治本，不能称之为懂医术。治疗方法：采摘嫩桑叶、金银花、木芙蓉根煎煮浓汤，长时间清洗刮拭患处，用菜籽油调和八宝丹涂抹在上面，内服托里消毒饮或人参败毒散。像这样坚持半个月到一个月，允许其恢复清净。有人说是疮疡，因为毒邪已经显现，似乎又是严重的复发。我说：外因之毒与内因之毒有所区分，况且这里的理解通达但不合乎常规手掌（意指不合常理或需特殊辨析）。即使严重也无妨碍，其余情况仿照此理。
A patch here, a star there, obscuring the clear cornea. Tears flow down, accompanied by thread-like discharge. Worsening at night and improving in the morning, or affecting the right side then the left; which meridian does this primarily belong to? It is due to the stagnation of Wood (Liver) Qi and the soaring of Fire (Heart) Qi, with both contending. It can change rapidly; if not clearly diagnosed, the outcome is uncertain. Like fog shrouding flowers or clouds hiding the moon, it may persist for a lifetime.
This condition presents as fine granules on the cornea, varying in color from white to slightly yellow; they may be connected, clustered, scattered, raised simultaneously, or generated sequentially over time. Generally, this is caused by the disturbance of Wood and Fire Qi, and is also a common ophthalmic disease. If treated according to the principles of "Star and Moon Opacity Erosion" at the appropriate time, the clustered opacities will slowly disperse, and the scattered ones will vanish instantly. However, if the condition worsens day by day, merging into a single mass and intertwined with several red vessels (blood vessels), although it does not resemble the rapid changes seen in Flower Opacity White Depression or Purulent Corneal Ulcer, it inevitably leads to patient suffering and diagnostic difficulty for the physician. Patients are advised to maintain a淡泊 (indifferent/calm) and tranquil mindset, avoiding interference from Phlegm-Fire.
Ocular diseases manifest like sores, where Excess pathogens show distinct signs. Hyperactive Liver Qi causes excessive tearing; abundant Blood heat naturally leads to photophobia (aversion to light); Damp-Heat causes erosion of the orbital margins; Dry Wind results in the formation of granules resembling pepper seeds or millet grains. Head and Heart conditions have specific indications; lips and mouth reflect the state of Spleen/Stomach (Earth); below the waist involves the accumulation of the three Yin meridians; the six Yang meridians ascend to the top of the head. The root of the ear indicates Kidney dryness; nasal paturity tests Lung clarity (Metal). These symptoms eventually appear throughout the body, originating from the twelve meridians. One must carefully guard against the turbidity of Essence/Jing; fortunately, the main treatment principles are clear.
This section specifically addresses ocular diseases, discussing how sores appearing after eye diseases can be deceptive and variable. Lesions vary in position, generally located above, below, to the left, or right of the eyeball. This is because Ministerial Fire (Heart Fire) is constrained by pathogens; constraint leads to blood congestion; congestion causes muscle heat, thus manifesting on the skin. Over time, the congested blood transforms into fluid, and the constrained pathogens stagnate within the fluid to form pus, resulting in widespread damp erosion. Initial slight itching indicates Deficient pathogens; swelling, pain, redness, and heat indicate Excess pathogens; severely, chills and fever occur with reduced appetite. If not treated urgently, turbid Qi may penetrate into the eye and affect the lens/core. If only the eyelids are affected without other itching or pain, this is merely irritation from eye discharge and tears; the eyes will heal and dissipate naturally. Whenever sores appear, if one does not examine the local color and shape, determine their origin and progression, and identify whether they are caused by Heat, Dampness, Blood excess, or Wind excess, and instead uniformly prescribe pills such as Sanxian Dan or Wuhu Dan, treating only the branch (symptoms) and not the root (cause), this cannot be called medical knowledge. Treatment method: Collect tender mulberry leaves, honeysuckle flowers, and hibiscus roots, decoct into a strong soup, and wash/scrape the area thoroughly for a long time. Mix Babao Dan with rapeseed oil and apply topically. Internally administer Tuoli Xiaodu Yin or Renshen Baidu San. Persisting in this manner for half a month to a month allows for purification. Some argue these are sores; since toxins are visible, it seems like a severe recurrence. I reply: External toxins and internal toxins are distinct. Furthermore, this understanding is coherent though unconventional. Even if severe, it poses no harm; other cases follow this logic.