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。日数深者虽不能即消，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。
\r眼胞痰核图\p04-34a93.bmp\r
化坚二陈丸
陈皮 半夏（制，各一两） 白茯苓（一两五钱） 甘草（生，三钱） 白僵蚕（炒，二两） 川黄连
（三钱）
共研细末，荷叶熬汤合丸，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。
贝叶膏（见溃疡门）
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。
\r椒疮图\p04-34a94.bmp\r
\r粟疮图\p04-34a95.bmp\r
【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，外以清凉丸洗之。
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。
清脾凉血汤
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） 浓朴（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，浓朴陈皮翘芍苍，蝉蜕黑参荆防草，白鲜皮与生大黄。
清凉丸（见菌毒）
眼胞痰核是由于湿气郁结所致，形成的结节形状像枣或豆子一样。它位于皮肤与肌肉之间，推动时可以移动，皮肤颜色正常，质地坚硬但不疼痛。
【注】这种病症结聚在上下眼睑内，处于皮里肉外的位置。大的结节如枣，小的如豆，推之可移动，肤色如常，表现为硬肿且不痛，这是由湿痰和气机郁滞引起的。适宜服用化坚二陈丸，外用生南星蘸醋磨成浓汁，频繁涂抹于眼皮上。病程较短者即可消散；病程较长者虽然不能立即消散，但经常涂抹可使皮肤变薄，轻微刮破后，用指甲挤出白色粉末状液体即可消除，最后贴上贝叶膏以收敛伤口。若从眼皮内部溃破则难以愈合。
化坚二陈丸
陈皮、半夏（制，各一两）、白茯苓（一两五钱）、甘草（生，三钱）、白僵蚕（炒，二两）、川黄连（三钱）。
以上药材共研为细末，用荷叶熬制的汤液调和制成丸药，大小如梧桐子。每次服用二钱，用白开水送服。
【方歌】化坚二陈丸能消痰，周身结核服用后痊愈，方中含陈皮、半夏、茯苓、甘草、僵蚕、荷叶和川黄连。
贝叶膏（见溃疡门）
椒疮和粟疮生于眼睑内部，脾胃血热是其根本原因。粟疮色黄质软，因湿气重而易于消散；椒疮色赤质硬，因热盛而难以消退。
【注】这两种病症都生长在眼睑内侧，虽然都是由脾胃血热引起，但粟疮偏向于湿气盛，所以颜色发黄、形态柔软，病情容易治愈；椒疮偏向于热邪盛，所以颜色发红、形态坚硬，疮疡难以消除。两者都适宜服用清脾凉血汤，外用清凉丸清洗。如果眼皮内有红丝堆积，说明血热且有瘀血，治疗方法是用灯草刮擦患处，令血液流出即可痊愈。
清脾凉血汤
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）、浓朴（姜炒）、甘草（生，各五分）。
加竹叶三十片，水煎煮，饭后服用。
【方歌】清脾凉血治疗椒疮和粟疮，方中含浓朴、陈皮、连翘、赤芍、苍术、蝉蜕、黑参、荆芥、防风、甘草、白鲜皮和生大黄。
清凉丸（见菌毒门）
Phlegm nodules on the eyelids arise from dampness stagnation, forming lumps shaped like dates or beans. Located between the skin and muscle, they are movable upon pushing, with normal skin color, hard texture, but no pain.
[Note] This condition forms in the upper and lower eyelids, situated between the skin and flesh. The larger lumps resemble dates, while smaller ones resemble beans; they are movable when pushed, with normal skin color, presenting as hard swelling without pain. It is caused by damp-phlegm and qi stagnation. It is suitable to take Huajian Erchen Wan (Hardness-Resolving Two-Chen Pill), and externally apply raw Arisaema Cum Bile (Sheng Nanxing) soaked in vinegar, ground into a thick paste, frequently applied to the eyelids. For cases of short duration, it will dissipate quickly; for long-standing cases, although it cannot dissipate immediately, frequent application will thin the skin. Gently scratch the surface, then use fingernails to squeeze out white powdery fluid, after which it will resolve. Apply Beiye Gao (Bay Leaf Ointment) to close the wound. If it ulcerates from inside the eyelid, healing is difficult.
Huajian Erchen Wan (Hardness-Resolving Two-Chen Pill)
Chenpi (Aged Tangerine Peel), Banxia (Prepared Pinellia Tuber, each 1 liang), Baifuling (White Poria, 1.5 liang), Gancao (Raw Licorice Root, 3 qian), Baijiangcan (Stiff Silkworm, stir-fried, 2 liang), Chuanlianhuan (Coptis Rhizome, 3 qian).
Grind all ingredients into fine powder, mix with decoction made from lotus leaves to form pills, sized like wutong seeds. Take 2 qian per dose, washed down with plain boiled water.
[Pill Song] Huajian Erchen Wan resolves phlegm, curing nodules throughout the body; it contains Chenpi, Banxia, Fuling, Gancao, Jiangcan, He Ye, and Chuan Lianhuang.
Beiye Gao (See Ulcer Section)
Jiaochuang (Granular Conjunctivitis) and Suchuang (Follicular Conjunctivitis) arise within the eyelids, with spleen-stomach blood heat as their root cause. Suchuang is yellow and soft due to dampness, making it easy to dissipate; Jiaochuang is red and hard due to heat, making it difficult to resolve.
[Note] Both conditions occur inside the eyelids and are caused by spleen-stomach blood heat. However, Suchuang leans towards excessive dampness, hence its yellow color and soft shape, making it easy to heal; Jiaochuang leans towards excessive heat, hence its red color and hard shape, making the sores difficult to eliminate. Both are suitable for taking Qingpi Liangxue Tang (Splea-Clearing Blood-Cooling Decoction) and externally washing with Qingliang Wan (Cooling Pill). If there are piled-up red filaments inside the eyelid, it indicates blood heat with stasis. The method is to scrape the affected area with a rush pith (Dengcao) until blood flows, which leads to recovery.
Qingpi Liangxue Tang (Splea-Clearing Blood-Cooling Decoction)
Jingjie (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), Chishao (Red Peony Root), Heishen (Black Ginseng), Chenpi (Aged Tangerine Peel), Chantui (Cicada Slough), Cangzhu (Atractylodes Rhizome, stir-fried), Baixianpi (Dictamnus Bark, each 1 qian), Lianqiao (Forsythia Fruit, heart removed), Shengdahuang (Raw Rhubarb Root, wine-washed), Houpo (Magnolia Bark, ginger-fried), Gancao (Raw Licorice Root, each 0.5 qian).
Add 30 bamboo leaves, decoct in water, and take after meals.
[Decoction Song] Qingpi Liangxue treats Jiaochuang and Suchuang; it contains Houpo, Chenpi, Lianqiao, Chishao, Cangzhu, Chantui, Heishen, Jingjie, Fangfeng, Gancao, Baixianpi, and Sheng Dahuang.
Qingliang Wan (Cooling Pill) (See Mycotoxin Section)