【方歌】皮翻证系眼胞翻，状如舌舐唇一般，翻因胞肿睫紧故，
血壅气滞胃经原。
【注】此证由胃经血壅气滞而成，小儿多有之。眼皮外翻，如
以舌舐唇之状。又如痘风眼烂，胞肿弦紧者，则眼皮亦
翻。治宜泻脾胃之积热，以泻黄散服之即愈。亦有内翻
者，即目科拳毛倒睫。弦弛不内外翻者，即目科胞垂难
视之证也。
方剂：泻黄散
组成：石膏（〔火段〕，五钱） 栀子仁（生，一两）
甘草（生，三两）
防风（酒拌，微炒香，二两）
豨莶草（酒蒸，晒干，四两）
共研细末，壮人二钱，弱人一钱，小儿六、七分，
白滚水调下。
【方歌】泻黄散治皮翻证，石膏栀子草防风，豨莶草同研细末，
滚水调下有奇功。
【方歌】漏睛疮在大眦生，肝热风湿病睛明，红肿痛溃脓稠易，
青黑脓稀难长平。
【注】此证生于目大眦，由肝热风湿病，发于太阳膀胱经睛明
穴。其穴之处，系藏泪之所，初起如豆如枣，红肿疼痛
，疮势虽小，根源甚深。溃破出粘白脓者顺；出青黑脓
或如膏者险。初宜服疏风清肝汤，溃后用黄灵药，捻入
疮口，兼贴万应膏，其口渐渐收敛。有脓从大眦内出者
，成漏难敛，亦有疮口过出泪液，以致内目干涩者，收
敛更迟；若溃断眼边弦者不治。
方剂：疏风清肝汤
组成：当归尾 赤芍
荆芥穗 防风
川芎 菊花
生栀子 薄荷（各一钱）
柴胡 连翘（去心）
金银花（二钱） 甘草（生，五分）
灯心五十寸，水煎，食远服。
【方歌】疏风清肝漏睛疮，又除肝热散风强，归芍银花芎菊草，
柴翘栀子薄荆防。
又方：黄灵药、万应膏（俱见溃疡门）
【方歌】皮翻证表现为眼睑外翻，形状如同用舌头舔嘴唇一般。眼睑外翻是因为眼睑肿胀、睫毛紧绷所致，其病机根源在于胃经的血行壅滞和气机郁滞。
【注】此证由胃经血行壅滞、气机郁滞而成，小儿多见。眼皮向外翻转，状如以舌舔唇之形。又如患痘风导致眼烂，若眼睑肿胀且睑弦紧绷，则眼皮也会外翻。治疗宜清泻脾胃的积热，服用泻黄散即可痊愈。也有眼睑向内翻转者，即眼科中的拳毛倒睫证。睑弦松弛或正常而无内外翻转者，即眼科中的胞垂难视证。
方剂：泻黄散
组成：石膏（煅，五钱） 栀子仁（生用，一两）
甘草（生用，三两）
防风（酒拌，微炒至香，二两）
豨莶草（酒蒸，晒干，四两）
共研为细末，体质强壮者服二钱，体弱者服一钱，小儿服六、七分，用白开水调服。
【方歌】泻黄散治疗皮翻证，含石膏、栀子、甘草、防风，与豨莶草同研为细末，用滚水调服有奇效。
【方歌】漏睛疮生于目内眦，由肝热风湿引起，病变部位在睛明穴。红肿疼痛，溃破后脓液稠厚者易愈；脓液青黑稀薄者难愈。
【注】此证生于目内眦，由肝热风湿所致，发于足太阳膀胱经的睛明穴。该穴位是泪液汇聚之处，初起时如豆如枣大小，红肿疼痛，虽然疮势看似不大，但病根很深。溃破后流出粘白色脓液者为顺证；流出青黑色脓液或如膏脂样物质者为险证。初期宜服用疏风清肝汤，溃破后用黄灵药捻条插入疮口，并兼贴万应膏，疮口可逐渐收敛。若有脓液从目内眦深处流出，形成瘘管难以愈合；也有因疮口过度流泪，导致眼球内部干涩的，收敛更慢；若溃烂切断眼睑边缘（睑弦），则属不治之症。
方剂：疏风清肝汤
组成：当归尾 赤芍
荆芥穗 防风
川芎 菊花
生栀子 薄荷（各一钱）
柴胡 连翘（去心）
金银花（二钱） 甘草（生用，五分）
灯心五十寸，加水煎煮，饭后服用。
【方歌】疏风清肝汤治疗漏睛疮，又能清除肝热、疏散风邪效力强，包含当归、芍药、银花、川芎、菊花、甘草，以及柴胡、连翘、栀子、薄荷、荆芥、防风。
[Verse] Pi Fan Zheng (Eyelid Eversion) manifests as eversion of the eyelids, resembling the shape of a tongue licking the lips. The eversion is caused by swelling of the eyelids and tightness of the eyelashes; its pathological origin lies in blood stasis and qi stagnation in the Stomach Meridian.
[Commentary] This condition arises from blood stasis and qi stagnation in the Stomach Meridian and is common in children. The eyelids evert outward, taking on a shape similar to a tongue licking the lips. Similarly, in cases of smallpox-related eye ulcers, if the eyelids are swollen and the eyelid margins are tense, the eyelids will also evert. Treatment should focus on purging accumulated heat from the Spleen and Stomach; administering Xie Huang San (Elixir to Drain the Yellow) will lead to recovery. There are also cases of inward eversion, known in ophthalmology as Quan Mao Dao Jie (In-turned Eyelashes). Cases with lax or normal eyelid margins without eversion correspond to Bao Chui Nan Shi (Ptosis Hindering Vision) in ophthalmology.
Formula: Xie Huang San (Elixir to Drain the Yellow)
Composition: Shi Gao (Calcined Gypsum, 5 qian), Zhi Zi Ren (Raw Gardenia Seed, 1 liang), Gan Cao (Raw Licorice Root, 3 liang), Fang Feng (Saposhnikovia Root, wine-mixed, lightly fried until fragrant, 2 liang), Xi Xian Cao (Siegesbeckiae Herba, wine-steamed, sun-dried, 4 liang).
Grind all ingredients into a fine powder. Adults with strong constitutions take 2 qian, those with weak constitutions take 1 qian, and children take 6-7 fen. Mix with boiling water and swallow.
[Verse] Xie Huang San treats Pi Fan Zheng (Eyelid Eversion); it contains Gypsum, Gardenia, Licorice, and Saposhnikovia. When ground together with Siegesbeckiae Herba into a fine powder and taken with boiling water, it yields miraculous results.
[Verse] Lou Jing Chuang (Chronic Dacryocystitis/Canthal Ulcer) arises at the inner canthus, caused by Liver Heat and Wind-Dampness, affecting the Jing Ming (BL1) acupoint of the Foot-Taiyang Bladder Meridian. It presents with redness, swelling, and pain; if it ulcerates with thick pus, it heals easily. If the pus is thin and green-black, healing is difficult.
[Commentary] This lesion occurs at the inner canthus, resulting from Liver Heat and Wind-Dampness, manifesting at the Jing Ming (BL1) acupoint of the Foot-Taiyang Bladder Meridian. This point is where tears gather. Initially, it appears like a bean or date, with redness, swelling, and pain. Although the visible sore may seem small, the root cause is deep. If it ulcerates and discharges sticky white pus, it is a favorable sign (Shun); if it discharges green-black pus or a paste-like substance, it is dangerous (Xian). In the early stage, administer Shu Feng Qing Gan Tang (Decoction to Dispel Wind and Clear the Liver). After ulceration, insert Huang Ling Yao (Yellow Spirit Medicine) strips into the wound and apply Wan Ying Gao (Universal Ointment) externally, allowing the wound to gradually contract. If pus drains from deep within the inner canthus, forming a fistula that is hard to heal, or if excessive tearing causes dryness inside the eye, healing is delayed further. If the ulceration severs the eyelid margin (Lian Xian), it is incurable.
Formula: Shu Feng Qing Gan Tang (Decoction to Dispel Wind and Clear the Liver)
Composition: Dang Gui Wei (Tail of Angelica Sinensis Root), Chi Shao (Red Peony Root), Jing Jie Sui (Schizonepeta Spikelet), Fang Feng (Saposhnikovia Root), Chuan Xiong (Ligusticum Rhizome), Ju Hua (Chrysanthemum Flower), Sheng Zhi Zi (Raw Gardenia Fruit), Bo He (Mentha Haplocalyx) (each 1 qian), Chai Hu (Bupleurum Root), Lian Qiao (Forsythia Fruit, heart removed), Jin Yin Hua (Honeysuckle Flower, 2 qian), Gan Cao (Raw Licorice Root, 5 fen), Deng Xin (Juncus Medulla, 50 cun). Decoct in water and take after meals.
[Verse] Shu Feng Qing Gan Tang treats Lou Jing Chuang (Chronic Dacryocystitis/Canthal Ulcer), effectively clearing Liver Heat and dispersing Wind. It includes Angelica Tail, Peony, Honeysuckle, Ligusticum, Chrysanthemum, and Licorice, along with Bupleurum, Forsythia, Gardenia, Mentha, Schizonepeta, and Saposhnikovia.
Another Formula: Huang Ling Yao (Yellow Spirit Medicine) and Wan Ying Gao (Universal Ointment) (see Chapter on Ulcers).