凡病有证，审视务须精详。各症有因，问切益宜端的。上医体天运，治将来；中工合时宜，验现下。在左主
血主阴，在右主阳主气。阳溢外发，势必暴而数变；阴盛内攻，祸少迟而延传。右传左，血气两争，阳盛则旦烦
夕静；左传右，风火交逼，阴虚每夜剧昼宁。肥人中缓，肌理纵，气不充固，不充则生寒，寒生湿，湿生痰，故
肥人多痰，而外邪易入；瘦人中燥，肌理微，血常枯涸，枯涸则生热，热生风，风生火，故瘦人多火，而内伤数
见。伤风者恶风，风伤卫，多发热头痛，自汗泣出，再伤暑兼恶热；伤寒者恶寒，寒伤荣，或暴赤肿痛，无汗涕
流，假恶谷兼夹食。诸痒属风，痒罢而痛不可忍，兹久风变热；诸痛属火，痛极加泪多头痛，此热盛生风。肿满
主湿，但湿淫上甚，时痒时痛便为淫热；收引为寒，倘 惕振掉，有热有汗当责风邪。要知邪轻则痒，邪重则痛。
病来亦痒，病去亦痒。大病后昏，精气未复；初针如 ，神水犹浑。隐隐涩痛，只为阴虚火动；绷绷紧急，多因
土燥风生。气滞弥漫，头奇痛，轮红于火，赤脉大小纵横，此凶妄之症，宜速针导；血瘀灌涨，视不见，泪热如
汤，碧水粘稠硬结，虽虚寒之人，切忌火攻。睛高而多紫脉，彼哉暴而间少；睑陷及有斑 ，之子虚与湿兼。兼
胎凝血气不行；因产决荣卫靡足。不行蕴热；不足增寒。是故，阳虚则外寒，盛则外热；阴虚则内热，盛则内寒。
风寒外薄，个中亦发火燥，而火燥之后卒又归于虚寒。此其大意
也。若夫病候既成，离宫虹现，火盛立贯风轮；干廓眵凝，气痿翻如泉出。彩云捧日，血为邪盛，非肝木之为魔；
白翳混珠，阳被阴抑，岂肺金不务德。气满则火天夺日；风高而春水扬波。赤丝撩乱暨木晕，泛火为殃；阴阳嫌
隙致气乖，流痛如刺。寒湿留中，而天水昏黄，不然，天五之土为火所焚，阳黄也，地二之火为水所溺，阴黄也；
风热不制，而 帏赤烂，否则，痰饮上甚转为热淫，湿而烂；津液内涸春气不潮，燥而烂。时见流星，色欲伤乎
肾气；偶出鲜血，邪火郁在肝经。豪士酒狂，湿热熏蒸，多赤黄瘀肉；骚人情侠，精血亏损，会昏惑生花。血溢
为疮，心火炽热及其子∶粟疮湿热黄而软，椒疮风热硬而红；热淫成漏，肝木强风游于脾；阴漏定南盈北竭，阳
漏拟中热外淫。迎风冷热泪流，肝虚引邪；无时左右泣出，肾衰发燥。火胀大头分风热、湿热，风胀痛，湿热虚
起，谨防睛凸与身灾；怕热羞明有血虚、火燥，火怕热，血虚羞明，须知脾实亦怕热。 肉本胃盛心劳，浪曰奇
经客热；目疡纵此轻彼重，总为五脏主邪。倒睫悬球，肺虚脾惫；口 睑动，血竭风生。偏正头痛，为风扰阴阳；
前后顶疼，盖邪居督任。至乃小儿疾作，荣卫无根。胎风兮赤烂；胎毒兮斑疮。血气虚而生风， 斜不免；风火
旺而停饮，翳障横生。痘疹多凶，浊气伤清和之气；疳积无治，生源失养化之源。白睛带朱霞一抹，心血妄行；
气轮变蓝靓八分，肝邪蒸逼。热郁风旋，看怒蟹横睛；血瘀火炽，恸海螺出壳。闭目不开筋纵乎；戴眼直视系绝
也。螈 翻腾，惊风天钓；辘轳转展，风火回旋。不动而黑睛自摇，知成疯痫；无故常肉轮连眨，欲作肝疳。他
如水轮散大，非风即痰热相催；金井敛小，乃神与精气有损。脑筋如拽，脱或偏视，预防反背；头痛似劈，寻而
鱼目，窃控长
垂。黄液上冲、白膜中蔽，实似胀而非脓，及鸡冠鱼子，壹皆火土作梗；凝脂翳变、花翳白陷，肥浮嫩而易长，
与大小雷头，当名风火挟痰。干涩为心肾烦躁，加痛则翳蚀；萤电因阴阳混淆，愈虚越夜光。视歧见妄，火退乃
复如初；天旋地倾，日久不能复转。冰壶秋月，虚潭成月，气结精伤；逆顺生翳，阴阳两翳，膏凝瘀滞。浮萍、
聚星之障，风热时来去，故时隐现；流金、偃月之说，寒湿在气轮，而交风轮。已蚌合，头更痛，则土木相持；
未杯覆，睛先损，乃风火交并。此数者，皆难治之症也。且尤有甚焉者∶青盲、暴盲，百少三痊；乌风、绿风，
万无一治。内障乃七情潜伤；阴风则虚阳下陷。风轮稍破，有药难完，况且陷入下去；瞳子若焦，无方可救，漫
云突出眶来。所以翳赤如朱，都围紫筋缠绵；障滑如磁，周遭红色净尽。与夫能近怯远、能远怯近、气翳、气轮
落、神悴、神水枯、皮急、睑废者，不能治也。嗟夫！远年瞽目，针药能开，如无造化，唯唤奈何矣。务宜心细
眼明，知轻识重∶病端杂出，究合、传之变境；药饵不效，急苦、欲之先施。如土洁而干，绝无苔莓，何事崩裂；
脾温且浓，自然运气，哪得停痰。木喜条达，荫密则叶落虫生；火本发荣，蔽郁徒有烟无焰。金弗畏火，肺病故
不羞明；水可作镜，肾足准能照物。如此推类，左右逢原。原夫身之害，睛之损，由于渐，起于微。欲无其渐，
防制其微。补、和、攻、散，既了然于胸中，钩、割、针、烙，自无误于指下。指下既清，合明指面。左脉大数，
心火正旺；右脉如是，火又乘金。浮数微弦，风木方刚；弦而兼滑，木来克土。春夏独见沉小，寒阴不升肾水；
秋冬倍加弦数，阳水上挟木邪。沉迟本阴寒，涉缓可温散；浮数为阳热，如濡须清温。滑系热多痰盛；涩恐气滞
血枯。总之，病实脉实，胃气
冲和；病实脉虚，先调脾土。虚有五∶脉细、皮寒、气少、泄利、饮食不入，喜粥浆进而泻止；实有五∶脉盛、
皮热、腹胀、便秘、瞀闷谵言，期前后通而得汗。病在于阴，阳如虚者，从阴引阳，得阳则火下归原而阴自谐；
病在于阳，阴如虚者，从阳引阴，阴胜则生气于精而阳潜伏。在表勿攻里，恐邪乘虚陷入，开鬼门乃所以除风散
寒；在里休虚表，汗多常致亡阳，洁净府何莫非安神养血。痰燥治火，无效须理气；水饮理气，不及当补火。子
能令母实，泻子即急治其标；子能令母虚，补母正缓顾其本。神不足温以气，精不足滋以味。气亢血错行，理宜
泻火；阳衰阴随走，法用温中。毋致邪，毋失正，药斯当，而病斯起矣。略陈管见，编就兹篇。专是业者，请究
心焉。然而作家巨手，临症圆机，神而明之，又在乎人。
凡是疾病都有证候，审视时必须精细详尽。各种症状都有成因，问诊和切脉更加应当准确无误。高明的医生体察天道运行的规律，治疗尚未发生的疾病；一般的工匠顺应时宜，验证当下的病情。病位在左侧主要主血、主阴；在右侧主要主阳、主气。阳气外溢发散，势必猛烈且变化迅速；阴气内盛攻伐，祸患较少迟滞而容易蔓延传变。病邪从右传至左，气血相互争斗，若阳气偏盛则早晨烦躁、傍晚安静；从左传至右，风火交相逼迫，若阴虚则夜间病情加重、白天安宁。
肥胖之人中焦缓弱，肌理疏松，正气不充固，正气不充则生寒，寒生湿，湿生痰，所以肥胖的人多痰，而外邪容易侵入；消瘦之人中焦干燥，肌理致密细微，血液常枯涸，枯涸则生热，热生风，风生火，所以消瘦的人多火，而内伤多见。伤风的人怕风，风邪损伤卫气，多表现为发热头痛、自汗流泪，再次受伤兼夹暑邪则怕热；伤寒的人怕冷，寒邪损伤营气，或表现为突然红肿疼痛、无汗流涕，假若夹杂谷物饮食不当则兼夹食积。
各种瘙痒属于风邪，痒止后疼痛难以忍受，这是久风化热；各种疼痛属于火邪，痛极加上流泪多、头痛，这是热盛生风。肿胀满闷主湿，但湿气淫溢上行严重，时而痒时而痛便为湿热淫盛；筋脉收引属于寒邪，倘若惊恐震颤动摇，有热有汗应当归责于风邪。要知道邪气轻浅则痒，邪气深重则痛。病初起也痒，病将愈也痒。大病之后昏沉，是因为精气未恢复；初次针刺如蒙尘，神水仍然浑浊。隐隐涩痛，只是因为阴虚火动；绷绷紧急，多因脾土燥而生风。
气机阻滞弥漫，头部剧烈疼痛，白睛红赤如火，赤脉大小纵横交错，这是凶险妄作的病症，应当迅速针刺疏导；血瘀灌注胀满，视物不见，热泪如汤，黑睛（碧水）粘稠硬结，即使是虚寒体质的人，也切忌用火攻法。眼球突出且多有紫脉，那是暴病且间歇性减少；眼睑凹陷且有斑点，是子脏虚与湿邪兼杂。兼有胎毒导致凝血气不行；因为生产导致荣卫不足。气不行则蕴热；气不足则增寒。因此，阳虚则外寒，阳盛则外热；阴虚则内热，阴盛则内寒。风寒外迫，其中也会发生火燥，而在火燥之后最终又归于虚寒。这是其大概意思。
至于病候既成，离宫（目之上方/上胞）出现虹彩，火盛立刻贯穿风轮（黑睛）；干廓（眼眵）凝结，气痿翻转如泉水流出。彩云捧日，是血被邪气盛所扰，并非肝木作祟；白翳混珠，是阳气被阴气抑制，岂是肺金不务德行。气满则如火天夺日；风高则如春水扬波。赤丝撩乱及木晕，泛火为殃；阴阳嫌隙导致气乖，流痛如刺。寒湿留于中焦，而天水（黑睛/瞳神）昏黄，不然，天五之土被火所焚，为阳黄；地二之火被水所溺，为阴黄；风热不能制约，而帏（眼睑）赤烂，否则，痰饮上行转为热淫，湿而烂；津液内涸春气不潮，燥而烂。
时常看见流星，颜色欲伤肾气；偶尔出现鲜血，邪火郁滞在肝经。豪士饮酒狂放，湿热熏蒸，多生赤黄瘀肉；骚人情感侠义，精血亏损，会昏惑生花。血溢形成疮疡，心火炽热及其子脏；粟疮湿热呈黄色而软，椒疮风热呈红色而硬；热淫形成漏症，肝木强风游移于脾；阴漏定南盈北竭，阳漏拟中热外淫。迎风冷热泪流，是肝虚引邪；无时左右泣出，是肾衰发燥。火胀大头分风热、湿热，风胀痛，湿热虚起，谨防眼睛凸出与身体灾祸；怕热羞明有血虚、火燥，火怕热，血虚羞明，须知脾实也怕热。
胬肉本胃盛心劳，浪说奇经客热；目疡纵然此轻彼重，总为五脏主邪。倒睫悬球，是肺虚脾惫；口眼歪斜睑动，是血竭风生。偏正头痛，为风扰阴阳；前后顶疼，盖邪居督任二脉。至于小儿疾病发作，荣卫无根。胎风则赤烂；胎毒则斑疮。血气虚而生风，歪斜难免；风火旺而停饮，翳障横生。痘疹多凶，浊气伤清和之气；疳积无治，生源失养化之源。白睛带朱霞一抹，心血妄行；气轮变蓝靓八分，肝邪蒸逼。热郁风旋，看怒蟹横睛；血瘀火炽，恸海螺出壳。闭目不开是筋纵乎；戴眼直视系绝也。螈翻腾，惊风天钓；辘轳转展，风火回旋。不动而黑睛自摇，知成疯痫；无故常肉轮连眨，欲作肝疳。其他如水轮散大，非风即痰热相催；金井敛小，乃神与精气有损。脑筋如拽，脱或偏视，预防反背；头痛似劈，寻而鱼目，窃控长垂。
黄液上冲、白膜中蔽，实似胀而非脓，以及鸡冠鱼子，壹皆火土作梗；凝脂翳变、花翳白陷，肥浮嫩而易长，与大小雷头，当名风火挟痰。干涩为心肾烦躁，加痛则翳蚀；萤电因阴阳混淆，愈虚越夜光。视歧见妄，火退乃复如初；天旋地倾，日久不能复转。冰壶秋月，虚潭成月，气结精伤；逆顺生翳，阴阳两翳，膏凝瘀滞。浮萍、聚星之障，风热时来去，故时隐现；流金、偃月之说，寒湿在气轮，而交风轮。已蚌合，头更痛，则土木相持；未杯覆，睛先损，乃风火交并。这几种情况，都是难治的病症。况且还有更严重的：青盲、暴盲，百人中少有三痊；乌风、绿风，万无一治。内障乃七情潜伤；阴风则虚阳下陷。风轮稍破，有药难完，况且陷入下去；瞳子若焦，无方可救，漫云突出眶来。所以翳赤如朱，都围紫筋缠绵；障滑如磁，周遭红色净尽。与夫能近怯远、能远怯近、气翳、气轮落、神悴、神水枯、皮急、睑废者，不能治也。嗟夫！远年瞽目，针药能开，如无造化，唯唤奈何矣。务宜心细眼明，知轻识重：病端杂出，究合、传之变境；药饵不效，急苦、欲之先施。如土洁而干，绝无苔莓，何事崩裂；脾温且浓，自然运气，哪得停痰。木喜条达，荫密则叶落虫生；火本发荣，蔽郁徒有烟无焰。金弗畏火，肺病故不羞明；水可作镜，肾足准能照物。如此推类，左右逢原。原夫身之害，睛之损，由于渐，起于微。欲无其渐，防制其微。补、和、攻、散，既了然于胸中，钩、割、针、烙，自无误于指下。指下既清，合明指面。左脉大数，心火正旺；右脉如是，火又乘金。浮数微弦，风木方刚；弦而兼滑，木来克土。春夏独见沉小，寒阴不升肾水；秋冬倍加弦数，阳水上挟木邪。沉迟本阴寒，涉缓可温散；浮数为阳热，如濡须清温。滑系热多痰盛；涩恐气滞血枯。总之，病实脉实，胃气冲和；病实脉虚，先调脾土。虚有五：脉细、皮寒、气少、泄利、饮食不入，喜粥浆进而泻止；实有五：脉盛、皮热、腹胀、便秘、瞀闷谵言，期前后通而得汗。病在于阴，阳如虚者，从阴引阳，得阳则火下归原而阴自谐；病在于阳，阴如虚者，从阳引阴，阴胜则生气于精而阳潜伏。在表勿攻里，恐邪乘虚陷入，开鬼门乃所以除风散寒；在里休虚表，汗多常致亡阳，洁净府何莫非安神养血。痰燥治火，无效须理气；水饮理气，不及当补火。子能令母实，泻子即急治其标；子能令母虚，补母正缓顾其本。神不足温以气，精不足滋以味。气亢血错行，理宜泻火；阳衰阴随走，法用温中。毋致邪，毋失正，药斯当，而病斯起矣。略陈管见，编就兹篇。专是业者，请究心焉。然而作家巨手，临症圆机，神而明之，又在乎人。
For all diseases, there are syndromes; examination must be precise and detailed. Each symptom has a cause; inquiry and pulse-taking should be accurate. The superior physician comprehends the movement of Heaven (natural laws) to treat future ailments; the average practitioner conforms to timely appropriateness to verify current conditions. On the left, it governs Blood and Yin; on the right, it governs Yang and Qi. When Yang overflows outward, it is inevitably violent and changes rapidly; when Yin is excessive internally, disaster is less likely to be delayed but spreads easily. Transmission from right to left involves contention between Qi and Blood; if Yang is excessive, there is restlessness in the morning and calmness in the evening. Transmission from left to right involves mutual pressure of Wind and Fire; if Yin is deficient, symptoms worsen at night and ease during the day.
Obese individuals have a lax middle jiao, loose muscle texture, and insufficient Qi consolidation; insufficiency generates Cold, Cold generates Dampness, and Dampness generates Phlegm. Thus, obese people tend to have much Phlegm, making them susceptible to external pathogens. Emaciated individuals have dry middles, fine and tight muscle textures, and often withered Blood; withering generates Heat, Heat generates Wind, and Wind generates Fire. Thus, emaciated people tend to have much Fire, making internal injuries common. Those with Wind-Cold invasion fear wind; Wind damages Wei (Defensive) Qi, causing fever, headache, spontaneous sweating, and tearing. Secondary invasion by Summerheat adds heat aversion. Those with Cold damage fear cold; Cold damages Ying (Nutritive) Qi, potentially causing sudden redness, swelling, pain, anhidrosis, and runny nose. False aversion to grain may involve food retention.
All itching belongs to Wind; after itching subsides, unbearable pain indicates prolonged Wind transforming into Heat. All pain belongs to Fire; extreme pain with excessive tearing and headache indicates excessive Heat generating Wind. Swelling and fullness indicate Dampness; however, if Dampness overflows upward severely, alternating itching and pain signifies excessive Heat. Tendon retraction indicates Cold; if accompanied by fright, tremors, heat, and sweating, blame should be placed on Wind pathogen. Know that mild pathogens cause itching, while heavy pathogens cause pain. Itching occurs both at the onset and resolution of disease. After severe illness, dizziness indicates unrepaid Jing (Essence) and Qi; initial acupuncture feels like obstruction, and Shen Water remains turbid. Hidden astringent pain is due to Yin deficiency and Fire agitation; tension and urgency are often caused by Spleen Earth dryness generating Wind.
Qi stagnation spreading causes severe head pain, red sclera like fire, and crisscrossing red vessels; this is a dangerous syndrome requiring rapid acupuncture to guide. Blood stasis causing distension leads to blindness, hot tears like soup, and viscous, hard black cornea; even in deficiency-cold constitutions, moxibustion/fire therapy is strictly contraindicated. Protruding eyes with many purple vessels indicate acute intermittent conditions; sunken eyelids with spots indicate deficiency of the Zang organs combined with Dampness. Congenital blood coagulation impedes Qi flow; childbirth depletes Ying and Wei. Impeded flow breeds Heat; insufficiency increases Cold. Therefore, Yang deficiency causes exterior Cold, Yang excess causes exterior Heat; Yin deficiency causes interior Heat, Yin excess causes interior Cold. External contraction of Wind-Cold can trigger internal Fire-Dryness, which eventually returns to deficiency-cold. This is the general principle.
Once pathological states form, "Li Palace" (upper eyelid area) shows iridescence; excessive Fire penetrates the Wind Wheel (cornea). Dry secretion condensation, Qi flaccidity flipping like spring water. "Colorful clouds holding the sun" indicates Blood disturbed by excessive pathogens, not necessarily Liver Wood demonization. "White nebula mixing with the pearl" indicates Yang suppressed by Yin, not necessarily Lung Metal failing in virtue. Qi fullness is like Fire stealing the Sun; high Wind is like Spring Water raising waves. Chaotic red filaments and wood halos bring Fire disasters; Yin-Yang rifts cause Qi deviation, flowing pain like needles. Cold-Damp staying in the middle causes Tian Shui (pupil/cornea) to turn yellow; otherwise, Earth (Spleen) burned by Fire causes Yang Jaundice; Fire drowned by Water causes Yin Jaundice. Uncontrolled Wind-Heat causes eyelid redness and erosion; otherwise, Phlegm-Fluid rising transforms into Heat-Damp erosion. Internal depletion of fluids and lack of Spring Qi causes dry erosion. Seeing meteors frequently suggests Kidney Qi injury; occasional fresh blood indicates Pathogenic Fire stagnating in the Liver channel.
Wine-drinkers suffer from damp-heat steaming, producing red-yellow fleshy growths; those with emotional excess suffer from Jing-Blood depletion, leading to visual hallucinations. Blood extravasation forms sores due to blazing Heart Fire affecting its offspring; millet sores are yellow and soft due to Damp-Heat; pepper sores are red and hard due to Wind-Heat. Heat excess forms fistulas where strong Liver Wind wanders to the Spleen; Yin fistulas are defined by southern fullness and northern exhaustion; Yang fistulas mimic central heat and external excess. Tears flowing with wind-cold or heat indicate Liver deficiency attracting pathogens; constant tearing day and night indicates Kidney decline causing dryness. Fire swelling of the head distinguishes between Wind-Heat and Damp-Heat; Wind causes distending pain, Damp-Heat arises from deficiency, beware of eye protrusion and bodily disaster. Heat aversion and photophobia distinguish Blood deficiency and Fire dryness; while Fire fears heat and Blood deficiency fears light, note that Spleen excess also fears heat.
Pterygium stems from Stomach excess and Heart labor, wrongly attributed to odd meridians' guest heat. Eye ulcers vary in severity but are governed by the Five Zang organs. Trichiasis and hanging spheres indicate Lung deficiency and Spleen fatigue; mouth and eyelid twitching indicate Blood exhaustion and Wind generation. Migraine and frontal headaches result from Wind disturbing Yin and Yang; occipital and vertex pains indicate pathogens residing in the Du and Ren meridians. In children, disease onset lacks root in Ying and Wei. Fetal Wind causes redness and erosion; fetal toxin causes macules and sores. Qi and Blood deficiency generates Wind, leading to deviation; vigorous Wind-Fire retains fluids, causing nebulae. Chickenpox and smallpox are often ominous, as turbid Qi harms clear harmony; malnutrition without treatment loses the source of nourishment. A smear of vermilion on the white sclera indicates reckless Heart Blood flow; blue tint on the Qi wheel indicates Liver pathogen steaming. Heat stagnation and Wind whirling resemble angry crabs across the eye; Blood stasis and blazing Fire resemble grieving sea snails emerging from shells. Inability to open eyes indicates tendon relaxation; staring upward indicates meridian severance. Convulsions and rolling eyes indicate convulsive wind and heavenly hook; rolling eyeballs indicate Wind-Fire rotation. Black cornea shaking without movement indicates epilepsy; frequent blinking of the flesh wheel indicates impending Liver malnutrition.
Dilated water wheel indicates either Wind or Phlegm-Heat urging; constricted golden well indicates damage to Spirit and Essence/Qi. Brain-like pulling sensation, deviation, or drooping requires prevention of reversal; splitting headache seeks fish-eye signs, controlling long drooping. Yellow fluid rushing upward and white membrane covering the center indicate true distension rather than pus; chicken-comb and fish-egg formations are all caused by Fire and Earth obstruction. Lipoid keratitis and flower-shaped white depression are fleshy, tender, and grow easily; large and small thunder-head nebulae are named Wind-Fire combining with Phlegm. Dryness indicates Heart-Kidney irritability; added pain causes nebula erosion. Flickering vision results from Yin-Yang confusion, worsening at night with deficiency. Diplopia and delusions return to normal after Fire subsides; vertigo and tilting earth do not recover after long periods. Ice pot and autumn moon, empty pool reflecting moon, indicate Qi knot and Essence injury. Reverse and smooth nebula formation, Yin-Yang double nebula, and paste stagnation. Floating duckweed and gathering star obstructions come and go with Wind-Heat, appearing intermittently; flowing gold and crescent moon theories involve Cold-Damp in the Qi wheel interacting with the Wind wheel. Closed clamshell with increased headache indicates Wood-Earth standoff; overturned cup before eye damage indicates Wind-Fire combination. These are difficult-to-treat syndromes. Worse still: Blindness (Qing Mang) and sudden blindness rarely heal one in three; Black Wind and Green Wind have no cure among ten thousand cases. Internal cataracts are secretly damaged by Seven Emotions; Yin Wind involves sinking of deficient Yang. Slight breakage of the Wind Wheel makes medicine ineffective, let alone sinking deeper; scorched pupil means no prescription can save, nor can protrusion into the orbit be managed. Thus, red nebula like vermilion surrounded by purple veins; smooth obstruction like porcelain with pure red surroundings. Near-sightedness, far-sightedness, Qi nebula, Qi wheel collapse, spirit exhaustion, Shen Water dryness, skin tightness, and eyelid paralysis are untreatable. Alas! Long-term blindness cannot be opened by acupuncture or herbs; without destiny, only helplessness remains. One must be careful-eyed, knowing light and heavy: diverse disease origins require studying combination and transmission variations; ineffective medication requires urgent bitter and acrid therapies first. Like clean dry soil without moss, why would it crack? Warm and thick Spleen naturally moves Qi, how could Phlegm stop? Wood likes free flow; dense shade causes leaf fall and worm generation; Fire likes flourishing; suppression yields smoke without flame. Metal does not fear Fire, so Lung disease does not necessarily cause photophobia; Water acts as a mirror, sufficient Kidney can surely illuminate objects. By such analogy, one finds the source everywhere. Originally, bodily harm and eye damage occur gradually, starting from the minute. To avoid gradual harm, prevent the minute. Supplement, harmonize, attack, and disperse are clear in mind; hook, cut, needle, and cauterize are error-free under fingers. With clear fingers, combine bright face. Left pulse large and rapid indicates Heart Fire旺盛; right pulse similar indicates Fire attacking Metal. Floating, rapid, slightly wiry indicates young Wind Wood; wiry and slippery indicates Wood overcoming Earth. Deep and small only in spring/summer indicates Cold-Yin not rising and Kidney Water; extra wiry and rapid in autumn/winter indicates Yang Water carrying Wood pathogen up. Deep and slow is originally Yin-Cold, involving slackness allows warm dispersal; floating and rapid is Yang-Heat, like moist need clearing and warming. Slippery relates to Heat and much Phlegm; choppy fears Qi stagnation and Blood dryness. In short, excess disease with excess pulse indicates harmonious Stomach Qi; excess disease with deficiency pulse requires first regulating Spleen Earth. Deficiency has five: thin pulse, cold skin, little Qi, diarrhea, inability to eat, preferring gruel to stop diarrhea. Excess has five: strong pulse, hot skin, abdominal distension, constipation, dizziness and delirium, expecting bowel/bladder opening and sweating. Disease in Yin with apparent Yang deficiency: draw Yang from Yin; obtaining Yang returns Fire to origin and Yin harmonizes. Disease in Yang with apparent Yin deficiency: draw Yin from Yang; Yin excess generates Qi from Essence and Yang hides. Exterior disease: do not attack interior, lest pathogen sinks into deficiency; opening ghost gates removes Wind and scatters Cold. Interior disease: do not falsely treat exterior, excessive sweating causes Yang loss; cleansing the water house calms Spirit and nourishes Blood. Dry Phlegm treats Fire; ineffective, regulate Qi. Fluid retention regulates Qi; insufficient, tonify Fire. Son makes Mother excess, draining Son treats branch urgently; Son makes Mother deficiency, tonifying Mother attends to root slowly. Spirit insufficiency warmed by Qi; Essence insufficiency nourished by Flavor. Qi hyperactivity and Blood misdirection require draining Fire; Yang decline and Yin following require warming Middle. Do not allow pathogens, do not lose righteousness, medicine is appropriate, and disease rises. Briefly stating insights, compiled in this chapter. Specialists, please study it carefully. However, master physicians, with flexible clinical wisdom, divine understanding depends on the person.