内障由来十六般 学医人子审须看 分明一一知形状 不针方可得安然
若将针法同图翳 误损神光取瘥难 冷热先明虚与实 调和四体持安然
不然气闷违将息 呕逆劳神翳却翻 咳嗽振头皆未得 多惊先服镇惊丸
若求凉药银膏等 用意临时体候看 老翳细针粗薄嫩 针形不可一般般
病虚新产怀娠月 下手应知将息难 不雨不风兼告日 清斋三日在针前
安心定意行医道 念佛亲姻莫杂喧 患者向明盘膝坐 提师腰带在心安
针者但行贤哲行 恻隐之情实善缘 有血莫针须住手 裹封如旧再开看
忽然惊振医重十 服药三旬见朗然 七日解封虽见物 花生水动莫他言
还睛丸散坚心服 百日分明复旧根
内障金针针了时 医师言语要深知 绵包黑豆如球子 眼上安排绵系之
头安枕上须要稳(上一作豆) 仰卧三朝莫厌迟 封后忽然微有疼
脑风牵动莫他疑 或针或烙根据经法 痛极仍将火熨之 拟吐白梅含咽汁
吐来仰卧却从伊芳 起则恐因遭努力 虽然希有也须知 七朝豉粥温温食
震着牙关事不宜 大小便时须缓缓 无令自起与扶持 高声叫唤言多后
惊动晴轮见雪飞 如此志心三十日 渐渐出外认亲知 狂心莫忆阴阳事
夫妇分床百日期 一月不须临面洗 针痕温着痛凝凝 五辛酒面周年断
服药平除病本基
内障眼病由来有十六种,学医之人必须仔细审视。清楚地了解每一种的形态特征,不轻易施针才能确保患者安然无恙。
如果将金针针刺法与图治翳障的方法混同,会误损患者的神光(视力),导致治愈困难。必须先辨明寒热虚实,调和四肢身体以维持安康。
否则会导致气机郁闷、违背调养原则,出现呕吐逆气、劳损心神使翳障翻转。咳嗽、头部震颤等情况都不适宜施针,若患者易受惊吓,应先服用镇惊丸。
若寻求使用凉性药物如银膏等,需根据临时的病情体候来斟酌运用。老年的翳障用细针,粗厚者用薄针,嫩薄的则不同,针具形制不可一概而论。
对于正气虚弱、刚生产完或怀孕月份的患者,下手治疗应知道调养护理十分困难。选择无雨无风且吉日良辰的日子,在施针前三天清心斋戒。
安心定意地行医道,念佛时亲属姻亲不要喧哗杂扰。患者面向明亮处盘膝而坐,医生整理腰带内心安定。
施针者只遵循贤哲的行为准则,怀有恻隐之心实为善缘。若有出血倾向必须停手,包扎封固如同旧法,再打开查看。
忽然发生惊厥震颤,医生责任重大,服药三十天可见明朗清晰。七天后解封虽能看见物体,但若眼中似有花生水动之感,切勿随意言语干扰。
坚持服用还睛丸散,百日之后分明恢复原有根基。
内障金针针刺完毕后,医师的言语嘱咐要深刻理解。用绵包黑豆如球状,安排在眼睛上并用绵线系好。
头部安放在枕头上必须稳固(上一版本作豆状支撑),仰卧三天不要嫌时间迟缓。包扎后忽然轻微疼痛,
若是脑风牵动不必怀疑其他原因。或者施针或者烙烫依据经典法则,疼痛剧烈时仍用火熨之法缓解。想吐时含咽白梅汁,
吐出后继续仰卧顺从医嘱。起身恐怕因为用力过度,虽然罕见但也需知晓。七天内食用温热的豉粥。
震动牙关的事情不宜做,大小便时要缓慢,不要让患者自行起身或搀扶。高声叫唤、言语过多之后,
会惊动眼球导致视物模糊如雪飞。如此专心致志三十日,渐渐走出门外辨认亲友。狂躁之心不要回忆阴阳之事,
夫妇分床睡一百天。一个月不需要洗脸靠近面部,针痕温热疼痛凝结,五辛、酒、面类食物一年都要断绝,
服药平和地除去疾病的根本基础。
There are sixteen types of internal cataracts; medical practitioners must examine them carefully. Clearly understanding the morphology of each one ensures safety without needling.
Confusing needle techniques with methods for treating visual obstructions (Yi) may damage Shen Guang (spiritual light/vision), making recovery difficult. One must first clarify cold, heat, deficiency, and excess, harmonizing the four limbs to maintain peace.
Otherwise, Qi stagnation and improper care may lead to vomiting, mental fatigue, and reversal of the opacity. Coughing or head tremors indicate unsuitability for needling; if the patient is prone to fright, Zhenjing Wan (Calming Fright Pill) should be administered first.
When seeking cooling agents like Yin Gao (Silver Paste), one must assess the condition at the time. For old opacities, use fine needles; for thick ones, thin needles; for tender ones, different approaches apply. Needle shapes must not be uniform.
For patients with deficiency, postpartum women, or those in pregnancy, handling requires great caution in care. Choose days without rain or wind, and observe a pure fast for three days before needling.
Practice medicine with a calm and focused mind; avoid noise from relatives during chanting. The patient sits cross-legged facing brightness; the practitioner adjusts their belt and steadies their heart.
The practitioner follows the conduct of sages, guided by compassion—a true good karma. If bleeding occurs, stop immediately; re-bandage as before and inspect again.
If sudden convulsions occur, the physician bears heavy responsibility; after thirty days of medication, clarity may return. After seven days, upon unbandaging, although objects may be seen, if there is a sensation of movement like flowers in water, do not speak unnecessarily.
Persistently take Huanjing Wan/San (Restore Vision Pill/Powder); after one hundred days, vision will clearly recover its original foundation.
After the golden needle treats internal cataracts, the physician's instructions must be deeply understood. Wrap black beans in cotton like a ball, place it on the eye, and secure it with cotton ties.
Ensure the head rests steadily on the pillow (some versions mention bean support); lie supine for three days without impatience. If slight pain occurs after bandaging,
do not doubt if it is caused by Brain Wind (Nao Feng). Follow classic methods for needling or cauterization; if pain is extreme, apply hot compresses.
To relieve nausea, hold and swallow juice from dried plum (Bai Mei); after vomiting, continue lying supine as instructed. Rising may cause strain, so though rare, this must be known.
For seven days, consume warm soybean porridge. Avoid clenching teeth; defecate and urinate slowly; do not rise independently or rely on support.
Shouting or excessive talking may disturb the eyeball, causing visual disturbances like flying snow. Maintain this devotion for thirty days, then gradually go outside to recognize acquaintances.
Avoid recalling yin-yang matters when the mind is restless; sleep separately from spouse for one hundred days. Do not wash the face near the eyes for one month.
As the needle site remains warm and painful, abstain from five pungent spices, alcohol, and wheat products for a year. Take mild medications to eliminate the root of the disease.