脾为诸阴之首，统摄一身之血。在气为中气，在脏为心子。目之上睥属脾，下睥属胃。
上睥
内生红粒，名鱼子石榴，生红块，名鸡冠蚬肉。皆属风热，邪滞太阴，气血凝结所致。睥生
痰核，在皮里膜外，如樱如梅，由于气滞燥结，防有成疣之患。睛明穴有疮，名眼痈，日久
成管，名漏睛，属太阳郁热不宣。睥翻粘睑，属阳明胃火。上睥生肉粒，名偷针，下睥生肉
粒，名眼瘅。肿痛属风郁化火，不肿痛而时发时止，属劳伤心脾，肝木克土，是虚症也。上
睥宽纵，拳毛倒睫，红肿，属脾肺气虚挟风，不红痛，属中气下陷。下睥紧急，拳毛倒入，
属肝风克胃。下睥内生菌，属阳明湿火。两睥生癣，湿烂为风，焦枯为火，干涩属燥，脓窠
属湿。然有风中兼燥，火中兼风，湿中兼热，诸症宜细辨之。
肾为作强之官，伎巧出焉。应北方癸水，涵木制火，荣养血脉。瞳神内起星，邪郁肾阴
也。
五星撩乱，视物 ，水为火反克，虚实皆有也。瞳神细小，火搏水阴也。瞳神散大，气不
裹精也。瞳神发白，水源干涸所致。黑珠满红，名胭脂内障，属相火上浮，水不能制。若瞳
神亦红，名血灌瞳神，不治。瞳神泛白动跃，已成内障，亦不治。瞳神黄色如金，火亢水竭
，亦不治。有见火星飞扬者，心肾不交也。有见萤星满目者，肝肾不和也。有见白星绕乱者
，肺肾气虚也。有见黑花茫茫者，肾阳不藏也。视白为黄，视红为紫，视正为横，视定反动
，睁目头晕，此阴极阳飞症也。瞳神不大不小，其色不白不红，三光俱灭，真青盲也。法在
不治。以上诸条，皆精血失充之症，诚以水为天一所生，务宜滋养，水足精充，目疾自痊愈
矣。
脾是诸阴经的首领，统摄全身的血脉。在气机方面属于中气，在五脏关系中是心的子脏。眼睛的上眼睑归属于脾，下眼睑归属于胃。
上眼睑
内部生出红色颗粒，称为“鱼子石榴”；生出红色肿块，称为“鸡冠蚬肉”。这些都属于风热之邪，滞留于太阴经，导致气血凝结所致。眼睑内生出痰核，位于皮肤与膜之间，形状像樱桃或梅子，这是由于气滞和燥结引起，需防止演变为疣赘的病变。睛明穴处生疮，称为“眼痈”，日久形成瘘管，称为“漏睛”，属于太阳经郁热不得宣散所致。眼睑翻转粘连睑缘，属于阳明胃火炽盛。上眼睑生出肉粒，称为“偷针”；下眼睑生出肉粒，称为“眼瘅”。若伴有肿痛，属于风邪郁结化火；若不肿痛且时发时止，属于劳倦损伤心脾，肝木克制脾土，这是虚证的表现。上眼睑松弛宽大，出现倒睫拳毛、红肿，属于脾肺气虚兼夹风邪；若不红不痛，属于中气下陷。下眼睑紧缩紧急，倒睫向内，属于肝风克制胃腑。下眼睑内生菌状物，属于阳明湿火。双眼睑生出癣疾，湿烂属于风邪，焦枯属于火邪，干涩属于燥邪，脓疱属于湿邪。然而有风中兼燥、火中兼风、湿中兼热的情况，各种症状应当仔细辨别。
肾是作强之官，技巧由此产生。肾对应北方的癸水，具有涵养肝木以制约心火的作用，并能荣养血脉。瞳神内部出现星点状翳障，是邪气郁结于肾阴所致。视物模糊如五星凌乱，是由于水（肾）被火（心）反克，虚实两种证候都可能出现。瞳神缩小，是火邪搏结肾水阴液所致。瞳神散大，是气不能固摄精微所致。瞳神发白，是由于肾水水源干涸所致。黑珠（黑睛）布满红色血丝，称为“胭脂内障”，属于相火上浮，肾水不能制约所致。如果瞳神也发红，称为“血灌瞳神”，难以治愈。瞳神泛白且跳动不安，已成内障，也难以治愈。瞳神呈黄色如金，是火亢盛而肾水枯竭所致，也难以治愈。有的患者看到火星飞扬，这是心肾不交的表现。有的患者看到满眼萤虫飞舞，这是肝肾不和的表现。有的患者看到白色星点环绕混乱，这是肺肾气虚的表现。有的患者看到黑色花影茫茫，这是肾阳不能潜藏的表现。看白色物体为黄色，看红色物体为紫色，看直线为弯曲，看静止物体反而觉得在动，睁眼时头晕，这是“阴极阳飞”的病症。瞳神大小正常，颜色不白不红，但三光（瞳神、黑珠、白珠的光彩）全部消失，这是真正的“青盲”症，治疗方法在于无法治愈。以上各种条文，都是精血失于充养的病症，确实因为水是天一之气所生，务必加以滋养，只要肾水充足、精微充盈，眼病自然痊愈。
The Spleen is the head of all Yin meridians and governs the blood of the entire body. In terms of Qi mechanism, it belongs to Middle Qi (Zhong Qi); in the Five Zang organs relationship, it is the son of the Heart. The upper eyelid belongs to the Spleen, and the lower eyelid belongs to the Stomach.
Upper Eyelid
Red granules growing internally are named "Fish Roe Pomegranate" (Yuzi Shiliu); red masses growing internally are named "Chicken Comb Clam Meat" (Jiguan Xianrou). Both belong to Wind-Heat pathogenic factors, stagnating in the Taiyin meridian, causing condensation of Qi and Blood. Phlegm nodules growing within the eyelid, located between the skin and the fascia, resembling cherries or plums, result from Qi stagnation and dryness condensation; one must guard against the risk of becoming warts. Sores at the Jingming (BL1) acupoint are named "Eye Carbuncle" (Yanyong); if they persist for a long time and form fistulas, they are named "Leaking Eye" (Loujing), belonging to the failure of Sunyang meridian stagnant heat to disperse. Eyelid eversion with adhesion to the lid margin belongs to Yangming Stomach Fire. Flesh granules growing on the upper eyelid are named "Stealing Needle" (Touzhen); flesh granules growing on the lower eyelid are named "Eye Dan" (Yandan). Swelling and pain belong to Wind stagnation transforming into Fire; lack of swelling/pain with intermittent onset belongs to labor damaging the Heart and Spleen, with Liver Wood overacting on Earth, indicating a Deficiency syndrome. Upper eyelid laxity and widening, with inverted cilia and redness/swelling, belong to Spleen and Lung Qi deficiency with concomitant Wind; lack of redness/pain belongs to sinking of Middle Qi. Lower eyelid tightness and urgency, with inverted cilia turning inward, belong to Liver Wind overacting on the Stomach. Fungus-like growths internally in the lower eyelid belong to Yangming Damp-Fire. Tinea growing on both eyelids: wet erosion belongs to Wind, scorching/dryness belongs to Fire, dryness/astringency belongs to Dryness, and pustules belong to Dampness. However, there are cases where Wind combines with Dryness, Fire combines with Wind, and Dampness combines with Heat; various symptoms should be carefully differentiated.
The Kidney is the Official of Vigor, from which skill and dexterity emerge. It corresponds to the Gui Water of the North, nourishing Liver Wood to control Fire, and enriching the vessels and blood. Stars appearing internally within the pupil indicate pathogenic factors stagnating in Kidney Yin. Scattered vision like five chaotic stars, with blurred vision, indicates Water being counter-controlled by Fire, occurring in both Excess and Deficiency patterns. A small pupil indicates Fire combusting Kidney Water-Yin. A dilated pupil indicates Qi failing to envelop Essence. A white pupil results from the drying up of the Kidney Water source. Redness filling the black cornea is named "Rouge Internal Cataract" (Yanzhi Neizhang), belonging to Minister Fire floating upward, unable to be controlled by Water. If the pupil also turns red, it is named "Blood Pouring into the Pupil" (Xueguan Tongshen), which is incurable. A white, trembling pupil indicates an established internal cataract, also incurable. A golden-yellow pupil indicates excessive Fire and exhausted Water, also incurable. Seeing flying sparks indicates non-interaction between Heart and Kidney. Seeing eyes full of fireflies indicates disharmony between Liver and Kidney. Seeing chaotic white stars indicates Qi deficiency of Lung and Kidney. Seeing vast black flowers indicates failure of Kidney Yang to store. Seeing white as yellow, red as purple, straight as crooked, and stationary objects as moving, along with dizziness when opening the eyes, constitutes the syndrome of "Extreme Yin and Flying Yang" (Jiyin Yangfei). A pupil of normal size and color (neither white nor red), but with the extinction of the Three Lights (San Guang - referring to the luster of the pupil, cornea, and sclera), constitutes true "Green Blindness" (Qingmang), which is considered incurable. All the above items are syndromes of loss of essence and blood nourishment. Indeed, since Water is generated by Tianyi (One of Heaven), it is essential to nourish it; when Water is sufficient and Essence is abundant, eye diseases will naturally heal.