谓目珠不正，人虽要转而目不能转。乃风热攻脑，筋络被其牵缩紧急，吊偏珠子，是以不能运转。
甚则其中自闻刮眙，有声时响。血分有滞者，目亦赤痛。失治者，有反背之患。与双目睛通初起，状
相似而不同。
因六气偏胜，风热搏急，其珠斜翻侧转，白向外而黑向内也。药不能疗，止用拨治，须久久精熟，
能识其向入何 ，或带上带下之分，然后拨之，则疗在反掌。否则患者徒受痛楚，医者枉费心机。今
人但见目盲内障，或目损风水二轮，坏而膏杂，白掩黑者，皆呼为瞳神反背，谬矣。夫反背、实是斜
翻乌珠向内，岂有珠正向外，而可谓之反背者哉。
风轮破碎，内中膏汁叠出也。不治者，甚则膏尽珠HT 。有因自破牒出，而火气得以舒泄，内外不
治，致气定而胀出不收者。有医以寒凉逐退内火，外失平治，滞定为凸起者，乃不治之病。初起由风
热攻击，及撞损真膏等害，血气瘀滞亢极，攻碎神珠，神珠之中膏汁，俱已溃烂而出，纵有妙手，不
复可救，但可免其HT 凸而已。珠上膏水斑杂结为翳，状如白混障者，南人呼为白果。即华元化复生，
何能为也。
视瞳神深处，有气一道，隐隐袅袅而动，状若明镜远照一缕清烟也。患头风痰
火病，郁久火胜搏激，动其络中真一之气，游散飘耗，急宜治之。动而定后光冥者，内证成矣。
所谓“目珠不正”，是指人的头部虽然想要转动，但眼球却无法随之转动。这是由于风热之邪侵袭脑部，导致筋络受到牵拉收缩而变得紧急僵硬，将眼球吊偏，因此眼球不能灵活运转。
病情严重时，患者甚至会在眼中听到类似刮擦的声音，有时还会发出声响。如果血分中有瘀滞，眼睛也会发红疼痛。若不及时治疗，会有眼球完全翻转（反背）的隐患。这与双目瞳孔初起时的症状相似，但本质不同。
这是因为六气中某一种偏盛，风热搏结急迫，导致眼球斜向翻转，眼白向外、黑睛向内。药物无法治愈，只能采用拨治法，必须经过长期练习达到精熟，能够识别其偏向哪个方向，或者是在上方还是下方，然后进行拨正，这样治疗就能在翻掌之间完成。否则，患者只会徒受痛苦，医生也白费心思。现在的人只要看到眼睛失明有内障，或者眼睛受损导致黑白二轮损坏、浑浊混杂、白膜遮盖黑睛的情况，都称之为瞳神反背，这是错误的。所谓的“反背”，实际上是黑睛斜翻向内，怎么会有眼球正常向外，却称之为反背的呢？
所谓“风轮破碎”，是指内部的黑睛膏汁层层溢出。如果不治疗，严重时会导致膏液耗尽，眼球塌陷萎缩。有的因为黑睛自行破裂流出，使得火气得以舒泄，内外都不加治疗，导致气机停滞而肿胀凸起无法收回。有的医生用寒凉药驱逐内火，外部失去平衡调理，导致停滞之气变成凸起，这也是不治之症。初起时由风热攻击，以及撞击损伤真膏等危害，导致血气瘀滞亢盛至极，攻碎神珠，神珠内部的膏汁全部溃烂溢出，即使有妙手神医，也无法挽救，只能避免眼球塌陷和凸起而已。眼球上的膏水斑杂凝结成翳，形状像白内障一样的，南方人称为“白果”。即使是华元化复活，又能有什么办法呢？
观察瞳孔深处，有一条气隐隐约约袅袅飘动，形状就像明镜远照时一缕清烟一样。患有头风痰火病，郁积日久火气旺盛搏结激荡，扰动经络中的真气，使其游散消耗，应当紧急治疗。如果波动平息后视力依然昏暗不明，说明内证已经形成。
It is referred to as "misalignment of the eyeball," meaning that although the person attempts to turn their head, the eyeball cannot follow. This occurs when wind-heat attacks the brain, causing the meridians and collaterals to be pulled, contracted, and tense, thereby displacing the eyeball, which results in an inability to rotate freely.
In severe cases, one may hear a scraping sound within the eye, occurring intermittently. If there is blood stasis, the eye will also appear red and painful. If left untreated, there is a risk of the eyeball turning completely backward (fanbei). This condition resembles the initial stage of bilateral pupil abnormalities but differs in nature.
This is caused by the excess of one of the six qi, where wind-heat binds tightly, causing the eyeball to tilt and flip sideways, with the sclera facing outward and the iris/pupil facing inward. Medication cannot cure this; only manual manipulation (bo zhi) can be used. One must practice for a long time to become proficient, able to identify the direction of deviation or whether it is displaced upward or downward, before performing the manipulation. Then, the treatment can be completed easily ("in the turning of a palm"). Otherwise, the patient suffers pain in vain, and the physician wastes effort. Nowadays, people mistakenly call any case of blindness with internal cataracts, or damage to the wind-wheel and water-wheel (sclera and cornea/iris), where the tissues are ruined, mixed turbidity, and white covers black, as "pupil fanbei." This is erroneous. "Fanbei" actually refers to the dark part of the eye tilting inward; how can an eyeball facing outward normally be called "fanbei"?
"Fenglun破碎" (Shattering of the Wind Wheel) refers to the internal aqueous humor/juice of the cornea overflowing layer by layer. If untreated, in severe cases, the juice will be exhausted, leading to the collapse and atrophy of the eyeball. Some cases involve spontaneous rupture and discharge, allowing fire qi to dissipate; if neither internal nor external conditions are treated, the qi stagnates, causing swelling and protrusion that cannot retract. In some instances, physicians use cold-cooling herbs to drive away internal fire, neglecting external balance, resulting in stagnant qi becoming a fixed protrusion; this is also incurable. Initially, it arises from wind-heat attack or physical trauma damaging the true juice, causing extreme hyperactivity of blood and qi stasis, which shatters the divine pearl. The juice inside the divine pearl has all ulcerated and exited. Even with skilled hands, it cannot be saved; one can only prevent collapse and protrusion. The juice and fluid on the eyeball mix and form nebulae (yi), resembling a white cataract; southerners call this "white fruit." Even if Hua Yuanhua were reborn, what could he do?
Observing deep within the pupil, a stream of qi moves faintly and curlingly, resembling a wisp of clear smoke reflected in a distant bright mirror. Patients suffering from head wind-phlegm-fire diseases, where stagnation leads to excessive fire over time, agitate the true qi within the collaterals, causing it to scatter and dissipate. Urgent treatment is required. If, after the movement subsides, vision remains dim and obscure, it indicates that an internal syndrome has formed.