辘轳展转，在井之中，乃伊芳人目，视也从同，曷为从同，大风自东；辘轳展转，在井之上，乃伊芳人目，视翻而
仰，易为翻仰，旋风之象；彼辘者轳，知止能静，彼瞳者子，开闭不定。旋风乱地兮，吹目频眨。大风折木兮，
目绝命。
辘轳三章，专为脏气乖蹇，阴阳不和，中风中痰，并脱血脱气，致目直视、上视、紧闭、频眨、翻腾动摇而
作也。夫翻腾动摇，乃目不待心使，而自蓦然察上，蓦然察下，倏左倏右，或 或摇。此肝气违和，风邪搏击，
致筋脉振惕，双睛运动不定。倘牵拽成性，不为反顾，即为反背。倘惊搐不止，不为暴盲，则为青盲矣。夫紧闭、
频眨，乃目上纲属足太阳，下纲属足阳明，二经有热，则筋纵不开。又肝主风，胆主惊，阳火既明，惊风复吹，
目力自难两敌。若元病赤热，自有本症，不在此论。何为上视？精神昏沉，牙关紧合，手足螈 ，胸膈喉咽痰壅
盛，名为天钓，实是风
虚。然亦临时间，事不足虑。如久病、病笃上视者，则徐上徐下，下而复上，上而不能遽下，此肝脾将绝，即不
知医者，一望而知其病入膏肓也。何为直视？看物而睛轮不动，以烛照之不畏，物触之不眨。病至此，症已逆，
多不治。《经》曰∶太阳之脉，其终也，戴眼，反折，螈 。又曰∶少阳终者，百节纵，目HT 绝系。愚谓∶直视
不省事为心绝，不识人为肾绝，反折螈 为肝绝。盖邪风壅盛，塞其正气，邪盛则正脱，正脱则君主欠慧，而相
傅之治节不行，故三脏合病，如醉如痴，目盲早矣。易箦只在旦夕。是故直视、谵语、喘满者死，循衣摸床、惕
而发狂、微喘脉涩者死，听其辘轳展转，变为目科至败之症，不可复得耳。治法∶连上“阴阳邪风”，总于散阵
选方，继而或寒、或热、或攻、或补，间亦有奏效者。然须熟读头风篇并各阵方解，临事增减，如磁石引铁，自
然投合。故凡无一定治理，不言方。辘轳系深井汲水之车，上下左右，展转无时。诗以咏之，症以名之，所谓兴
而比也。集中多如此类，固知画虎类犬，然欲便记诵，又限于病情，药品未能一计工拙。风人词客，乞不以文害
辞，不以辞害志，则幸甚快甚。
辘轳在井中旋转，就像伊人的眼睛，视线跟随转动；为什么会跟随转动？因为大风从东方吹来。辘轳在井口旋转，就像伊人的眼睛，视线翻转向上；为什么会翻转向上？这是旋风的征象。那辘轳（井上汲水工具），知道停止并能保持静止；而那瞳子（眼球），开合不定。旋风扰乱地面，吹得眼睛频繁眨眼；大风折断树木，导致眼睛失去生命机能。
《辘轳》三章，专门针对脏气乖违阻滞、阴阳不和、中风中痰，以及脱血脱气，导致眼睛直视、上视、紧闭、频繁眨眼、翻腾动摇而作的论述。所谓翻腾动摇，是眼睛不听从心的支配，而突然猛然向上看，突然猛然向下看，忽然向左，忽然向右，或者震颤摇摆。这是肝气违和，风邪搏击，导致筋脉振动惊惕，双眼运动不定。如果牵拉成为习惯，不为回顾，就是反背（眼球向后偏斜）。如果惊厥抽搐不止，不是突发失明，就是青盲（视力逐渐丧失直至失明）。至于紧闭、频繁眨眼，是因为眼睑的上纲属于足太阳膀胱经，下纲属于足阳明胃经，这两条经脉有热，则筋脉松弛不能张开。另外，肝主风，胆主惊，阳火既已明亮，惊风又复吹袭，目力自然难以抗衡。如果是原本就有赤热病症，自有其本症，不在此讨论范围内。
什么是上视？精神昏沉，牙关紧闭，手足抽搐，胸膈喉咽痰液壅盛，名为“天钓”（一种小儿惊风病证），实际上是风虚所致。但这通常是临时发作，事情不值得忧虑。如果是久病、病势沉重出现上视的，则缓慢地上抬缓慢地下落，落下后又抬起，抬起后不能立即落下，这是肝脾之气将绝的表现，即使是不懂医术的人，一望便知病情已深入膏肓。
什么是直视？看东西时眼珠不动，用烛光照射它不畏惧，物体触碰它不眨眼。病到了这一步，症状已经逆乱，大多无法治愈。《内经》说：太阳经脉气终绝时，会出现戴眼（眼球固定向上凝视）、角弓反张、抽搐。又说：少阳经脉气终绝时，全身关节松弛，目系断绝。我认为：直视且不省人事是心气绝，不认识人是肾气绝，角弓反张伴抽搐是肝气绝。大概是因为邪风壅盛，堵塞了正气，邪气盛则正气脱，正气脱则君主之官（心）缺乏智慧，而相傅之官（肺）的治理节度不行，所以三脏合病，像喝醉了一样，像痴呆一样，目盲也就早早发生了。死亡就在旦夕之间。因此，出现直视、胡言乱语、气喘胸满的会死；循衣摸床、惊恐发狂、微喘脉涩的会死。听任那辘轳般的眼睛辗转反侧，变为眼科中最败坏的病症，就无法再恢复了。
治疗方法：连同前面的“阴阳邪风”，总括于散阵选方之中，继而或寒、或热、或攻、或补，间或也有奏效的。但是必须熟读头风篇以及各阵方的解说，临事增减药味，就像磁石吸引铁一样，自然投合。所以凡是没有什么一定治理原则的，就不列出具体方剂。辘轳是深井汲水的车，上下左右，旋转无时。用诗歌来咏叹它，用病症来命名它，这就是所谓的“兴而比”（先言他物以引起所咏之词，并加以比喻）。集中多有此类情况，固然知道画虎不成反类犬，但为了便于记诵，又受限于病情，药品未能一一计较工拙。希望风人词客们，不要因文辞损害原意，不要因辞藻损害主旨，那就非常幸运且痛快了。
The windlass rotates within the well, resembling the eyes of a beautiful woman (Yiren), whose gaze follows the movement; why does it follow? Because the great wind blows from the east. The windlass rotates above the well, resembling the eyes of a beautiful woman, whose gaze flips upward; why does it flip upward? This is the image of a whirlwind. That windlass knows when to stop and can remain still; but that pupil (eyeball) has uncertain opening and closing. A whirlwind disturbs the ground, causing frequent blinking of the eyes; a great wind breaks trees, leading to the loss of life function in the eyes.
These three chapters on the "Windlass" are specifically dedicated to discussing conditions where visceral qi is disordered and obstructed, yin and yang are disharmonious, stroke with phlegm obstruction occurs, or there is depletion of blood and qi, resulting in staring straight ahead, upward gazing, tight closure, frequent blinking, and rolling/trembling movements of the eyes. The so-called rolling and trembling refers to the eyes moving spontaneously without being commanded by the heart, suddenly looking up, suddenly looking down, suddenly turning left, suddenly turning right, or twitching and shaking. This indicates liver qi disharmony and wind pathogen attacking, causing tendons and vessels to tremble and startle, leading to unstable eye movements. If this pulling becomes habitual, failing to look back, it results in retroversion (eyes deviated backward). If convulsions do not cease, it leads either to sudden blindness or to Qingming (progressive vision loss until blindness). As for tight closure and frequent blinking, it is because the upper eyelid margin belongs to the Foot-Taiyang Bladder Channel, and the lower eyelid margin belongs to the Foot-Yangming Stomach Channel; heat in these two channels causes tendons to relax and fail to open. Furthermore, the Liver governs wind, and the Gallbladder governs fright; if Yang fire is bright and wind-fright blows again, visual strength naturally struggles to resist. If there is originally redness and heat, there is its own primary syndrome, which is not discussed here.
What is upward gazing? It involves mental confusion, locked jaw, twitching of hands and feet, and excessive phlegm accumulation in the chest, diaphragm, throat, and pharynx. This is named "Tiandiao" (a type of pediatric convulsive disorder), essentially caused by wind deficiency. However, this usually occurs temporarily and is not a matter for grave concern. If upward gazing occurs in chronic illness or severe disease, with slow rising and falling, rising then falling again, and inability to fall quickly after rising, this indicates the impending exhaustion of Liver and Spleen qi. Even those unfamiliar with medicine can see at a glance that the disease has penetrated to the deepest level (Gao-Huang).
What is staring straight ahead? It involves looking at objects while the eyeballs remain immobile; they do not shrink from candlelight, nor blink when touched by objects. When the disease reaches this stage, the symptoms have become adverse, and most cases are incurable. The *Classic* states: "When the Taiyang channel ends, one experiences Daiyan (fixed upward gaze), opisthotonos, and convulsions." It also says: "When the Shaoyang channel ends, the joints become flaccid, and the eye system severs." I believe: staring straight ahead with loss of consciousness indicates Heart qi exhaustion; failure to recognize people indicates Kidney qi exhaustion; opisthotonos with convulsions indicates Liver qi exhaustion. Generally, this is because evil wind is abundant and blocks righteous qi; when evil is strong, righteous qi departs; when righteous qi departs, the Monarch (Heart) lacks wisdom, and the Chancellor (Lung) fails in its regulatory functions. Thus, the three Zang organs suffer combined disease, resembling drunkenness or dementia, and blindness occurs early. Death is imminent. Therefore, those with staring straight ahead, delirious speech, and wheezing with chest fullness will die; those who grasp at clothes and beds, startle and go mad, with slight wheezing and choppy pulse will die. Allowing the windlass-like eyes to roll about transforms into the most disastrous syndrome in ophthalmology, which cannot be recovered.
Treatment methods: Together with the preceding "Yin-Yang Evil Wind," they are generally addressed in the selection of formulas from the "Scattering Array." Subsequently, treatments may be cooling, warming, purging, or tonifying, occasionally achieving efficacy. However, one must thoroughly study the Head Wind chapter and the explanations of formulas in each array, adjusting them according to the situation, just as lodestone attracts iron, naturally fitting the condition. Therefore, where there is no fixed treatment principle, no specific formula is given. The windlass is a cart for drawing water from deep wells, rotating up, down, left, and right without ceasing. Poetry sings of it, and the syndrome is named after it, employing the rhetorical device of "Xing Bi" (evoking imagery to introduce the subject and draw comparisons). There are many such instances in this collection. Although I know that attempting to paint a tiger may result in something resembling a dog, the aim is to facilitate memorization, constrained by the complexity of diseases and medicines, unable to calculate every detail perfectly. I beg scholars and poets not to let literary embellishment obscure the meaning, nor let rhetoric distort the intent, which would be a source of great joy and relief.