肝者，将军之官，罢极之本。其藏血，其主筋，肝病则血病，筋失所养，眩掉强直，诸
证生
焉。要知此乃肝家自生之风，非外中之风也，治肝之法，可不以为先着耶?但东方木生于北
方水，使无此水，何以生之。使水不足，何以涵之。虚则补母，厥有深意。平昔嗜饮醪醴伤
阴，足间常患流火，行步振掉，皮肉干瘠，春来渐有眩晕之象，肝风勃勃内动，加以阴络之
血，又从痔孔内溢，淋漓不已，将何以荣筋泽肉乎。斯恙由来有自矣。目下年纪尚壮，犹可
撑持，过此以往，欲求良治，不可得也。
目得血而能视，黑轮上戴，日久涩痒羞明，弦烂流泪。眼科苦寒消散，屡服无功。可知
无形
之火，原非苦寒可折。王太仆云∶寒之不寒，是无水也，壮水之主，以镇阳光。小儿纯阳，
从钱氏六味地黄汤治法。囊缘血虚肝燥，目痛羞明，苦寒消散，阴气益弱。今年厥阴司天，
风木气王，秋深燥气倍张。肝藏血，其荣在爪，观其爪甲枯槁剥落，肝血内涸显然。前议壮
水，以平厥阳冲逆之威，继佐芍甘培土，酸味入阴，甘缓其急，交冬肾水主事，木得水涵，
庶可冀安。哭泣躁烦，究由脏燥。肝在窍为目，肺在声为哭。地黄滋肾生肝，二冬清肺润燥
，所加黑羊胆汁引之者，盖肝位将军，胆司决断，胆附肝叶之下，肝燥胆亦燥矣。故取物类
胆汁以济之，同气相求之义也。
安波按∶羊胆味苦，恐蹈前辙，不若以磁珠丸之磁石，其性能引铁制金，平木之义可
知也
。设肝胆得以有制，则其势不暇他顾，只可足以自守本位，济之以补益涵养。俾渴者得饮而
燥者润，冲逆之威下潜，则目疾释矣。
肝脏，是将军之官，也是人体耐受疲劳的根本。它贮藏血液，主管筋脉。肝病则导致血病，筋脉失去滋养，就会出现眩晕、震颤、僵硬和直挺等症状，各种病症由此产生。要知道这是肝脏自身产生的内风，并非外感的风邪，治疗肝病的方法，难道不应该作为首要考虑吗？但是东方木气生于北方水气，如果没有水，木如何生长？如果水不足，又怎能涵养木呢？虚证时补益其母脏（肾），其中蕴含着深意。
患者平素嗜好饮酒损伤阴液，足部常患流火（一种下肢红肿热痛的病症），行走时身体震颤摇晃，皮肤肌肉干枯消瘦。到了春天，逐渐出现眩晕的症状，肝风在体内蓬勃躁动。加之阴络中的血液，又从痔疮孔中溢出，淋漓不止，这样怎么能荣养筋脉、滋润肌肉呢？这个病由来已久是有原因的。眼下年纪还壮年，还可以支撑，过了这个阶段，想要寻求良好的治疗，就不可能了。
眼睛依靠血液才能视物。黑眼球上方（指眼睑或眼部周围）日久干燥发痒、怕光、眼角溃烂流泪。眼科医生使用苦寒消散的药物，多次服用都没有效果。可知无形的虚火，原本就不是苦寒药物可以折服的。王冰说：用寒凉药治不好热证，是因为阴虚（无水）。应当壮大肾水这一根本，以抑制亢盛的阳热。小儿属于纯阳之体，按照钱乙的六味地黄汤治法。囊缘（此处指眼周或相关部位）因血虚肝燥，眼睛疼痛、怕光，使用苦寒消散药物，使阴气更加虚弱。今年厥阴风木司天，风木之气旺盛，深秋时节燥气加倍张扬。肝藏血，其荣华表现在爪甲，观察其爪甲枯槁剥落，肝血内部枯竭显而易见。前面的建议是壮水，以平息厥阳冲逆的威势，接着辅助芍药甘草以培补脾胃，酸味入阴分，甘味缓解急迫。等到冬天肾水主事之时，木得到水的涵养，或许可以期望安宁。哭泣烦躁，终究是由脏腑干燥引起。肝开窍于目，肺的声音表现为哭。地黄滋补肾水以生肝木，天冬、麦冬清肺润燥，所加入的黑羊胆汁作为引经药，大概因为肝位如将军，胆负责决断，胆附在肝叶之下，肝燥则胆也燥。所以取动物类的胆汁来济助它，这是同气相求的道理。
安波按语：羊胆味道苦，恐怕会重蹈前辙（加重病情），不如使用磁珠丸中的磁石，其性能能够吸引铁并制约金，平抑肝木的意义就显而易见了。如果肝胆得以被制约，那么它们的势头就没有余力去顾及其他，只能足以守住本位，再辅以补益涵养。使得口渴者得到饮水，干燥者得到滋润，冲逆的威势向下潜降，那么眼疾就能解除。
The Liver is the official of the General, and it is the root of endurance. It stores blood and governs the sinews. When the liver is diseased, blood disorders occur; when the sinews lose nourishment, symptoms such as vertigo, tremors, stiffness, and rigidity arise, and various pathologies emerge. One must understand that this is wind generated internally from the liver itself, not wind invading from the exterior. Should not the methods for treating the liver be considered the primary approach? However, Wood of the East is born from Water of the North. Without this Water, how can Wood grow? If Water is insufficient, how can it nourish and contain Wood? Tonifying the mother organ in cases of deficiency holds profound significance.
In the past, the patient indulged in wine and spirits, damaging Yin fluids. He frequently suffered from "flowing fire" (a condition characterized by redness, swelling, heat, and pain in the lower limbs) in his feet, experienced tremors while walking, and had dry, emaciated skin and muscles. As spring arrived, he gradually developed symptoms of vertigo. Liver wind stirred vigorously within. Additionally, blood from the yin collaterals leaked from the hemorrhoidal orifices, dripping incessantly. How could this possibly nourish the sinews and moisten the flesh? This ailment has its origins. Currently, his age is still vigorous, and he can still endure. Beyond this point, seeking effective treatment will be impossible.
The eyes see because they receive blood. The upper part of the black pupil (referring to the eyelids or surrounding eye area) has become dry, itchy, photophobic, and prone to angular blepharitis with tearing over a long period. Ophthalmic treatments using bitter-cold dispersing agents have been taken repeatedly without effect. It can be known that formless deficient fire cannot be subdued by bitter-cold herbs. Wang Bing stated: "If cold does not cure cold [heat], it is due to lack of water. Strengthen the master of water to suppress the sunlight." Children possess pure Yang constitution; therefore, treat according to Qian Yi's Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia). Blood deficiency and liver dryness cause eye pain and photophobia; bitter-cold dispersing agents further weaken Yin Qi. This year, Jueyin Wind-Wood governs the climate, and the Wind-Wood Qi is prosperous. In late autumn, Dryness Qi expands doubly. The Liver stores blood, and its flourishing manifests in the nails. Observing his brittle and peeling nails clearly indicates internal depletion of Liver blood. The previous proposal was to strengthen Water to calm the aggressive counter-flow of Jueyang. Subsequently, assist Shaoyao Gancao Decoction (Peony and Licorice Decoction) to cultivate Earth. Sour flavors enter Yin, and sweet flavors relieve urgency. When Winter arrives and Kidney Water takes charge, Wood will be nourished by Water, and peace may hopefully be achieved. Crying and restlessness ultimately stem from organ dryness. The Liver opens into the eyes, and the Lung's sound is crying. Shudi (Prepared Rehmannia Root) nourishes Kidney Water to generate Liver Wood; Dongguandong (Tianmen Dong and Maidong) clears the Lung and moistens dryness. The added black sheep gallbladder bile serves as a guiding agent. Since the Liver occupies the position of the General and the Gallbladder governs decision-making, and the Gallbladder attaches beneath the liver lobes, when the Liver is dry, the Gallbladder is also dry. Thus, taking animal gallbladder bile to aid it follows the principle of seeking resonance among similar entities.
An Bo's commentary: Sheep gallbladder bile is bitter, which risks repeating previous mistakes. It would be better to use Magnetite (Cishi, Magnetitum) from Cizhu Wan (Magnetite Pill). Its nature can attract iron and control Metal, revealing the meaning of subduing Wood. If the Liver and Gallbladder are controlled, their momentum will have no leisure to attend to other matters and will only suffice to guard their proper positions. Assisted by tonification and nourishment, those who are thirsty will obtain drink, and those who are dry will be moistened. As the aggressive counter-flow subsides downward, the eye disease will be resolved.