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。
\r皮翻证图\p04-34a96.bmp\r
泻黄散
石膏（ ，五钱） 栀子仁（生，一两） 甘草（生，三两） 防风（酒拌，微炒香，二两）
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， 草同研细末，滚水调下有奇功。
漏睛疮在大 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 ，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 内出者，成漏难敛。亦有疮口过出泪液，以致目内干涩者，收敛更迟；若溃
断眼边弦者不治。
\r漏睛疮图\p04-34a97.bmp\r
疏风清肝汤
当归尾 赤芍 荆芥穗 防风 川芎 菊花 生栀 薄荷（各一钱） 柴胡 连翘（去心，各一钱
五分） 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。
黄灵药 万应膏（俱见溃疡门）
皮翻证表现为眼睑外翻，形状如同用舌头舔嘴唇一般。这种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结。
【注】此证由胃经血行壅滞、气机郁结而成，小儿多见。眼皮向外翻转，呈现如以舌舔唇之状。又如痘疹风邪导致的眼睑溃烂，若眼睑肿胀且边缘紧绷，则眼皮也会外翻。治疗应当清泻脾胃的积热，服用泻黄散即可痊愈。也有向内翻转的情况，即眼科所说的“拳毛倒睫”。若眼睑松弛或紧张但非内翻或外翻者，即眼科所说的“胞垂难视”之证。
皮翻证图\p04-34a96.bmp\
泻黄散
石膏（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） 藿香叶（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，石膏、栀子、甘草、防风，配伍藿香同研为细末，白开水调服有奇效。
漏睛疮生于目大眦（内眼角），由肝热兼风湿之邪引起，发病部位在足太阳膀胱经的睛明穴。该穴位是贮藏泪液之处，初起时如豆如枣大小，红肿疼痛，虽然疮势看似轻微，但病根很深。溃破后流出粘稠白色的脓液为顺证；流出青黑色脓液或如膏脂样物质则为险证。初期宜服用疏风清肝汤，溃破后用黄灵药捻条插入疮口，并配合贴敷万应膏，疮口会逐渐收敛愈合。若有脓液从大眦内部溢出，形成瘘管则难以收敛。也有因疮口过度流泪，导致眼内干涩的，收敛速度更慢；若溃烂切断眼睑边缘肌肉筋膜的，则属不治之症。
漏睛疮图\p04-34a97.bmp\
疏风清肝汤
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，各一钱五分） 金银花（二钱） 甘草（生用，五分）
灯心草五十寸，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、增强散风之力，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。
黄灵药、万应膏（均见溃疡门）
Pi Fan Zheng (Eyelid Eversion Syndrome) presents with eversion of the eyelids, resembling the shape of a tongue licking lips. This eversion is caused by swelling of the eyelids and tightness of the eyelashes, with its pathological origin lying in blood stasis and qi stagnation of the Stomach Meridian.
[Note] This syndrome results from blood stasis and qi stagnation in the Stomach Meridian, and is common in children. The eyelids evert outward, presenting a shape like a tongue licking lips. Similarly, in cases of wind-induced ulceration from smallpox/variolous diseases where the eyelids are swollen and tense at the margins, the eyelids may also evert. Treatment should focus on purging accumulated heat from the Spleen and Stomach; taking Xie Huang San (Poria and Gastrodia Decoction for Purging Heat) will lead to recovery. There are also cases of inward eversion, known in ophthalmology as "Quan Mao Dao Jie" (In-turned Eyelashes). Cases where the eyelid margin is either lax or tense but not inverted inward or outward correspond to the ophthalmological condition "Bao Chui Nan Shi" (Ptosis Hindering Vision).
Image: Pi Fan Zheng Diagram \p04-34a96.bmp\
Xie Huang San (Poria and Gastrodia Decoction for Purging Heat)
Shi Gao (Gypsum Fibrosum, 5 qian) Zhi Zi Ren (Gardeniae Fructus, raw, 1 liang) Gan Cao (Licorice Root, raw, 3 liang) Fang Feng (Saposhnikoviae Radix, mixed with wine, lightly stir-fried until fragrant, 2 liang) Huo Xiang Ye (Agastaches Herba, steamed with wine, sun-dried, 4 liang)
Grind all 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 plain boiled water and ingest.
[Prescription Song] Xie Huang San treats Pi Fan Zheng, combining Shi Gao, Zhi Zi, Gan Cao, and Fang Feng; grinding Huo Xiang Ye together into fine powder and mixing with boiled water yields miraculous effects.
Lou Jing Chuang (Leaking Eye Ulcer) occurs at the inner canthus (Da Zi), caused by Liver Heat combined with Wind-Dampness. It manifests at the Jing Ming acupoint of the Foot-Taiyang Bladder Meridian. This acupoint is the storage site for tears. Initially, it appears like a bean or date, with redness, swelling, and pain. Although the ulcer seems minor, the root cause is deep. If it ruptures and discharges thick white pus, it is a favorable sign (Shun); if it discharges dark green/black pus or pus resembling paste, it is a dangerous sign (Xian). In the early stage, Shu Feng Qing Gan Tang (Wind-Dispersing and Liver-Clearing Decoction) should be taken. After rupture, Huang Ling Yao (Yellow Spirit Medicine) strips should be inserted into the wound, accompanied by the application of Wan Ying Gao (Universal Ointment), allowing the wound to gradually contract and heal. If pus drains from within the inner canthus, forming a fistula, it becomes difficult to heal. In some cases, excessive tearing from the ulcer causes dryness inside the eye, slowing contraction further; if the ulcer destroys the eyelid margin muscles/tendons, it is considered incurable.
Image: Lou Jing Chuang Diagram \p04-34a97.bmp\
Shu Feng Qing Gan Tang (Wind-Dispersing and Liver-Clearing Decoction)
Dang Gui Wei (Angelicae Sinensis Radix, tail section), Chi Shao (Paeoniae Radix Rubra), Jing Jie Sui (Schizonepetae Spica), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Ju Hua (Chrysanthemi Flos), Sheng Zhi Zi (Gardeniae Fructus, raw), Bo He (Menthae Haplocalycis Herba) (each 1 qian) Chai Hu (Bupleuri Radix), Lian Qiao (Forsythiae Fructus, heart removed) (each 1.5 qian) Jin Yin Hua (Lonicerae Japonicae Flos, 2 qian) Gan Cao (Licorice Root, raw, 0.5 qian)
Deng Xin Cao (Junci Medulla, 50 cun), decocted in water. Take after meals.
[Prescription Song] Shu Feng Qing Gan Tang treats Lou Jing Chuang, clearing Liver Heat and strengthening Wind-dispersion; it contains Dang Gui, Shao Yao, Yin Hua, Xiong, Ju, Gan Cao, Chai Hu, Qiao, Zhi Zi, Bo He, Jing, and Fang.
Huang Ling Yao (Yellow Spirit Medicine), Wan Ying Gao (Universal Ointment) (See Section on Ulcers)