论曰睑生风粟者，上焦积热，肝经有风，传于心肺，冲发目 睑肉之间，故令上下涩痛
，如粟所隐，赤脉侵睛，泪眵交下，视物羞明，不KT 则磨隐睛轮，久生翳晕，宜镰洗与
药并
治眼睑生风粟，防风汤方
防风（去叉二两） 犀角（镑） 知母 黄芩（去黑心） 玄参（各一两） 桔梗（锉
炒） 羚羊
角（镑各一两半） 大黄（炒半两）
上八味，粗捣筛，每服一钱匕，水一盏，煎至五分，食后去滓温服，日再。
治眼生风粟，除热，知母汤方
知母 茺蔚子 人参 白茯苓（去黑皮） 大黄（锉炒） 五味子 黄芩（去黑心各一
两）
车前子（一两半） 芒硝（半两）
上九味，粗捣筛，每服一钱匕，水一盏，煎至五分，食后去滓温服。
治目睑生风粟，青葙子丸方
青葙子（二两半） 犀角（镑） 白茯苓（去黑心） 羌活（去芦头） 槐子 桑根白
皮（锉各
一两半） 麻黄（去根节一两一分） 羚羊角（镑三两） 大黄（炒一两）
上九味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，食前粥饮下、日再。
治眼睑生风粟，点眼蕤仁膏方
蕤仁（三两） 秦皮（锉一分） 黄连（去须） 海蛤 丹砂（研各半两） 龙脑（研
一钱）
上六味，除研者外，捣罗为末酥和，于铜器中煎，新绵滤过，入研者二味，拌令匀，置
瓷器中，每以一小豆大、点眼。
治眼生风粟疼痛，时有泪，细辛汤方
细辛（去苗叶） 玄参 五味子 人参 白茯苓（去黑皮） 防风（去叉） 车前子（各
一两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓食后临卧温服。
论述说：眼睑生出风粟（一种类似粟米的小颗粒状病变），是因为上焦积热，肝经有风邪，风热之邪传至心肺，冲击并发作于眼睑肌肉之间，所以上下眼睑感到涩痛，如同被粟米遮挡一般，赤色血脉侵入眼珠，眼泪和眼屎交替流出，视物时畏光，不揉搓则感觉异物磨擦黑睛，日久会生成翳膜和晕影，适宜采用镰洗法与药物同时治疗。
治疗眼睑生风粟的防风汤方：
防风（去叉，二两）、犀角（镑片）、知母、黄芩（去黑心）、玄参（各一两）、桔梗（锉碎炒制）、羚羊角（镑片，各一两半）、大黄（炒制，半两）。
以上八味药，粗捣筛过，每次服用一钱匕，用水一盏，煎煮至五分量，饭后去渣温服，每日两次。
治疗眼生风粟，清除热邪的知母汤方：
知母、茺蔚子、人参、白茯苓（去黑皮）、大黄（锉碎炒制）、五味子、黄芩（去黑心，各一两）、车前子（一两半）、芒硝（半两）。
以上九味药，粗捣筛过，每次服用一钱匕，用水一盏，煎煮至五分量，饭后去渣温服。
治疗目睑生风粟的青葙子丸方：
青葙子（二两半）、犀角（镑片）、白茯苓（去黑心）、羌活（去芦头）、槐子、桑根白皮（锉碎，各一两半）、麻黄（去根节，一两一分）、羚羊角（镑片，三两）、大黄（炒制，一两）。
以上九味药，捣碎罗筛成粉末，用炼蜜制成如梧桐子大小的丸剂，每次服用三十丸，饭前用粥饮送服，每日两次。
治疗眼睑生风粟的点眼蕤仁膏方：
蕤仁（三两）、秦皮（锉碎，一分）、黄连（去须）、海蛤、丹砂（研细，各半两）、龙脑（研细，一钱）。
以上六味药，除需要研细的药物外，其余捣碎罗筛成粉末，用酥油调和，在铜器中煎煮，用新棉过滤，加入已研细的两味药，搅拌均匀，置于瓷器中，每次取一小豆大小的药膏点入眼中。
治疗眼生风粟疼痛，时常流泪的细辛汤方：
细辛（去苗叶）、玄参、五味子、人参、白茯苓（去黑皮）、防风（去叉）、车前子（各一两）。
以上七味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至七分量，去渣后，饭后及临睡前温服。
Discourse states: When wind-grains (small, millet-like lesions) appear on the eyelids, it is due to accumulated heat in the Upper Jiao (Upper Burner), wind pathogen in the Liver Meridian, which transmits to the Heart and Lungs, rushing forth and erupting between the muscles of the eyelids. This causes a sensation of dryness and pain in both upper and lower eyelids, as if obscured by grains; red vessels invade the eyeball; tears and ocular discharge flow alternately; there is photophobia when viewing objects; without rubbing, there is a sensation of friction against the cornea (black pupil); over time, nebulae (corneal opacities) and halos may develop. It is appropriate to treat with leech-washing therapy combined with herbal medicine.
Fangfeng Decoction for treating wind-grains on the eyelids:
Saposhnikoviae Radix (Fangfeng, 2 liang, cleaned of cross-branches), Rhinocerotis Cornu (Xijiao, shaved), Anemarrhenae Rhizoma (Zhimu), Scutellariae Radix (Huangqin, 1 liang, cleaned of black heart), Scrophulariae Radix (Xuanshen, 1 liang), Platycodonis Radix (Jiegeng, 1 liang, sliced and stir-fried), Saigae Tataricae Cornu (Lingyangjiao, 1.5 liang, shaved), Rhei Radix et Rhizoma (Dahuang, 0.5 liang, stir-fried).
The above eight herbs are coarsely crushed and sifted. For each dose, take one qianbi (approx. 3-5g), add one zhan (approx. 200ml) of water, decoct until reduced to five fen (approx. 100ml), remove the dregs, and take warm after meals, twice daily.
Zhimu Decoction for treating wind-grains in the eye and eliminating heat:
Anemarrhenae Rhizoma (Zhimu), Viticis Fructus (Chongweizi), Ginseng Radix et Rhizoma (Renshen), Poria (Baifuling, 1 liang, cleaned of black skin), Rhei Radix et Rhizoma (Dahuang, 1 liang, sliced and stir-fried), Schisandrae Fructus (Wuweizi), Scutellariae Radix (Huangqin, 1 liang, cleaned of black heart), Plantaginis Semen (Cheqianzi, 1.5 liang), Natrii Sulfas (Mangxiao, 0.5 liang).
The above nine herbs are coarsely crushed and sifted. For each dose, take one qianbi, add one zhan of water, decoct until reduced to five fen, remove the dregs, and take warm after meals.
Qingxiangzi Pill for treating wind-grains on the eyelids:
Celosiae Semen (Qingxiangzi, 2.5 liang), Rhinocerotis Cornu (Xijiao, shaved), Poria (Baifuling, cleaned of black heart), Notopterygii Rhizoma et Radix (Qianghuo, cleaned of rhizome head), Sophorae Flavescentis Semen (Huai Zi), Morus Albae Cortex Radicis (Sangbaipipi, 1.5 liang, sliced), Ephedrae Herba (Mahuang, 1.1 liang, cleaned of roots and nodes), Saigae Tataricae Cornu (Lingyangjiao, 3 liang, shaved), Rhei Radix et Rhizoma (Dahuang, 1 liang, stir-fried).
The above nine herbs are crushed, sieved into powder, and mixed with refined honey to form pills the size of paulownia seeds. Take thirty pills before meals, washed down with porridge drink, twice daily.
Ruiren Ointment for applying to the eyes to treat wind-grains on the eyelids:
Pruni Armeniacae Semen (Ruiren, 3 liang), Fraxini Cortex (Qinpi, 1 fen, sliced), Coptidis Rhizoma (Huanglian, cleaned of whiskers), Concha Arcae (Hai Ge), Cinnabaris (Dansha, 0.5 liang, ground), Borneolum Syntheticum (Longnao, 1 qian, ground).
For the above six herbs, except those requiring grinding, crush and sieve into powder. Mix with butter (Su), decoct in a copper vessel, filter through new cotton cloth, then add the two ground ingredients, mix evenly, and store in a porcelain container. Apply a small amount the size of a soybean to the eye.
Xixin Decoction for treating painful wind-grains in the eye with frequent tearing:
Asari Radix et Rhizoma (Xixin, cleaned of seedlings and leaves), Scrophulariae Radix (Xuanshen), Schisandrae Fructus (Wuweizi), Ginseng Radix et Rhizoma (Renshen), Poria (Baifuling, 1 liang, cleaned of black skin), Saposhnikoviae Radix (Fangfeng, cleaned of cross-branches), Plantaginis Semen (Cheqianzi, 1 liang).
The above seven herbs are coarsely crushed and sifted. For each dose, take five qianbi, add one and a half zhan of water, decoct until reduced to seven fen, remove the dregs, and take warm after meals and before retiring.