【方歌】眼胞痰核湿气郁，核结如枣如豆形，皮里肉外推之动，
皮色如常硬不疼。
【注】此证结于上下眼胞，皮里肉外，其形大者如枣，小者如
豆，推之移动，皮色如常，硬肿不疼，由湿痰气郁而成
。宜服化坚二陈丸，外用生南星蘸醋磨浓，频涂眼皮，
日数浅者即消。日数深者虽不能消，常涂令皮薄，微微
拨损，以手指甲挤出如白粉汁即消，贴贝叶膏收口。从
眼皮里溃破者难敛。
方剂：化坚二陈丸
组成：陈皮 半夏（制，各一两）
白僵蚕（炒，二两） 白茯苓（一两五钱）
甘草（生，三钱） 川黄连（三钱）
共研细末，荷叶叶汤合丸，如梧桐子大。每服二钱
，白滚水送下。
【方歌】化坚二陈丸消痰，周身结核服更痊，陈皮半夏茯苓草，
僵蚕荷叶川黄连。
又方：贝叶膏（见溃疡门）
【方歌】椒疮粟疮生胞里，脾胃血热是根苗，粟疮黄软湿易散，
椒疮赤硬热难消。
【注】此二证生于眼胞之里，虽皆由脾胃血热所致。然粟疮偏
于湿盛，故色黄形软，其证易愈；椒疮偏于热盛，故色
赤形硬，其疮难消。俱宜服清脾凉血汤，外以清凉圆洗
之。若眼皮里有红丝堆累者，乃血热有瘀也，法以灯草
刮疮处，令血出即愈。
方剂：清脾凉血汤
组成：荆芥 防风
赤芍 黑参
陈皮 蝉蜕
苍术（炒） 白鲜皮（各一钱）
连翘（去心） 生大黄（酒洗，各一钱五分）
厚朴（姜炒） 甘草（生，各五分）
竹叶三十片，水煎，食远服。
【方歌】清脾凉血椒粟疮，厚朴陈皮翘芍苍，蝉蜕黑参荆防草，
白鲜皮与生大黄。
又方：清凉圆（见菌毒）
【方歌】眼胞痰核由湿气郁结所致，结节形状像枣或豆，位于皮下肉外，推动时可移动，皮肤颜色正常，质地坚硬且不疼痛。
【注】此病证结于上下眼睑，位于皮下与肌肉之间，大的如枣，小的如豆，推之可移动，皮肤颜色正常，坚硬肿胀但不疼痛，是由湿痰和气机郁滞形成的。适宜服用化坚二陈丸，外用生南星蘸醋磨成浓汁，频繁涂抹眼皮，病程短者即可消除。病程长者虽然不能消除，但常涂可使皮肤变薄，微微刮破表皮，用手指甲挤出如白粉状的汁液即可消除，然后贴敷贝叶膏以收敛伤口。从眼皮内部溃破的难以愈合。
方剂：化坚二陈丸
组成：陈皮、半夏（制，各一两）、白僵蚕（炒，二两）、白茯苓（一两五钱）、甘草（生，三钱）、川黄连（三钱）。
共研为细末，用荷叶汤和药丸，大小如梧桐子。每次服用二钱，用温开水送服。
【方歌】化坚二陈丸能消痰，周身结核服用后更痊愈，方含陈皮、半夏、茯苓、甘草，以及僵蚕、荷叶、川黄连。
又一方：贝叶膏（见溃疡门）
【方歌】椒疮和粟疮生于眼睑内部，脾胃血热是其根源，粟疮色黄质软因湿盛而易消散，椒疮色赤质硬因热盛而难消除。
【注】这两种病证都生于眼睑内侧，虽然都是由脾胃血热引起。但是粟疮偏向于湿邪盛，所以颜色黄、形态软，病情容易治愈；椒疮偏向于热邪盛，所以颜色红、形态硬，疮疡难以消除。都适宜服用清脾凉血汤，外用清凉圆清洗。如果眼皮里有红丝堆积，这是血热有瘀血的表现，治疗方法是用灯草刮擦患处，令血液流出即可痊愈。
方剂：清脾凉血汤
组成：荆芥、防风、赤芍、黑参、陈皮、蝉蜕、苍术（炒）、白鲜皮（各一钱）、连翘（去心）、生大黄（酒洗，各一钱五分）、厚朴（姜炒）、甘草（生，各五分）。
加竹叶三十片，水煎，饭后服用。
【方歌】清脾凉血治疗椒疮和粟疮，方含厚朴、陈皮、连翘、赤芍、苍术，以及蝉蜕、黑参、荆芥、防风、甘草，还有白鲜皮和生大黄。
又一方：清凉圆（见菌毒门）
[Prescription Verse] Phlegm nodules on the eyelids are caused by dampness stagnation; the nodules resemble dates or beans in shape. Located between the skin and flesh, they move upon pushing, with normal skin color, hardness, and no pain.
[Note] This condition forms in the upper and lower eyelids, between the skin and muscle. Large ones resemble dates, small ones resemble beans; they move when pushed, with normal skin color, hard swelling, and no pain. It is formed by damp-phlegm and qi stagnation. It is suitable to take Huajian Erchen Wan (Hardness-Dissolving Two-Chen Pill). Externally, apply raw Arisaema Cum Bile (Sheng Nánxīng) dipped in vinegar, ground into a thick paste, frequently applied to the eyelids. For cases of short duration, it will disappear immediately. For long-standing cases, although it may not disappear, frequent application can thin the skin. Gently scratch the surface, then squeeze out white powder-like fluid with fingernails to resolve it, followed by applying Beiye Gao (Banyan Leaf Plaster) to close the wound. Cases ulcerating from inside the eyelid are difficult to heal.
Prescription: Huajian Erchen Wan (Hardness-Dissolving Two-Chen Pill)
Ingredients: Chenpi (Aged Tangerine Peel), Banxia (Prepared Pinellia Rhizome, 1 liang each), Baijiangcan (Cultured Silkworm, stir-fried, 2 liang), Baifuling (Poria, 1.5 liang), Gancao (Raw Licorice Root, 3 qian), Chuanlianhuan (Coptis Rhizome, 3 qian).
Grind all into fine powder, mix with Lotus Leaf Decoction to form pills the size of Sophora seeds. Take 2 qian per dose, washed down with warm boiled water.
[Prescription Verse] Huajian Erchen Wan eliminates phlegm; for nodules throughout the body, taking it brings further recovery. It contains Chenpi, Banxia, Fuling, Gancao, Jiangcan, He Ye, and Chuan Lianhuang.
Another Prescription: Beiye Gao (See Ulcer Section)
[Prescription Verse] Jiaochuang (Pepper Granuloma) and Suchuang (Millet Granuloma) arise within the eyelids; spleen-stomach blood heat is their root. Suchuang is yellow and soft due to excess dampness, making it easy to dissipate; Jiaochuang is red and hard due to excess heat, making it difficult to eliminate.
[Note] These two conditions occur inside the eyelids. Although both are caused by spleen-stomach blood heat, Suchuang leans towards excess dampness, hence yellow color and soft shape, making it easy to cure; Jiaochuang leans towards excess heat, hence red color and hard shape, making the sores difficult to eliminate. Both are suitable for Qingpi Liangxue Tang (Spleen-Clearing Blood-Cooling Decoction), externally washed with Qingliang Yuan (Cooling Round Powder). If there are piled-up red filaments inside the eyelid, this indicates blood heat with stasis. The method is to scrape the affected area with a rush stem until blood flows out, which leads to healing.
Prescription: Qingpi Liangxue Tang (Spleen-Clearing Blood-Cooling Decoction)
Ingredients: Jingjie (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Chishao (Red Peony Root), Heishen (Black Ginseng/Codonopsis), Chenpi (Aged Tangerine Peel), Chantui (Cicada Slough), Cangzhu (Atractylodes Rhizome, stir-fried), Baixianpi (Dictamnus Bark, 1 qian each), Lianqiao (Forsythia Fruit, heart removed), Sheng Dahuang (Raw Rhubarb Root, wine-washed, 1.5 qian each), Houpo (Magnolia Bark, ginger-stir-fried), Gancao (Raw Licorice Root, 0.5 qian each).
Add 30 leaves of Zhuye (Bamboo Leaves), decoct in water, and take after meals.
[Prescription Verse] Qingpi Liangxue treats Jiaochuang and Suchuang; it contains Houpo, Chenpi, Lianqiao, Chishao, Cangzhu, Chantui, Heishen, Jingjie, Fangfeng, Gancao, Baixianpi, and Sheng Dahuang.
Another Prescription: Qingliang Yuan (See Mycotoxin/Toxic Section)