手足破裂，破裂者干枯之象，气血不能荣养故也。因热肌骤被风寒所逼，凝滞血脉，以致皮肤渐枯渐槁，
乃生破裂；日袭
于风，风热相乘，故多作痛。以玉肌散洗擦，润肌膏润之，甚者兼服当归饮子为妙。
玉肌散（见雀斑门）
润肌膏（见白秃疮门）
当归饮子（见疥疮门）
眼丹脾经有风，胃经多热，共结为肿。风多者则浮肿易消，热甚者则坚肿难收。初起宜用金黄散敷之，有
表症者荆防败毒散，里症者清胃散加大黄利之，如后不散，必欲作脓，宜换膏贴之，脓成者即针。迟则眼头自
破，此乃晴明穴，内空难敛，成漏者多。
荆防散毒散（见时毒门）
清胃散（见牙缝出血门）
金黄散（见肿疡门）
黑子，痣名也。此肾中浊气混滞于阳，阳气收束，结成黑子，坚而不散。……宜细铜管将痣套入孔内，捻
六、七转，令痣入管，一拔便去。有痣浮浅不能拔者，用针挑损痣上，搽冰蛳散少许，糊纸盖之，三日自脱，
或灰米膏点之亦可，落后珍珠散干掺生皮而愈。忌酱、醋无斑。
灰米膏
用成块火灰碱水调稠，将白川米插入灰内，留半米在外，片时许，候米熟用米点痣上可落矣。
冰蛳散（见瘰 门）
珍珠散（见下疳门）
菌毒者，乃脾经蕴热凝结而成。其患眼胞内生出如菌，头大蒂小，渐长垂出；甚者眼翻流泪，亦致昏蒙。
治宜用软绵纸蘸水荫之眼胞上，少顷用左手大指甲佃于患根，右手以披针尖头齐根切下，血出不妨；随用翠云
靛磨浓涂之，其血自止。内服凉膈清脾饮二服，仍忌海腥、煎炒、椒、姜、火酒等件不发。
凉膈清脾饮
凉膈清脾饮薄荷 荆防生地石膏图
黄芩赤芍连翘等 甘草山栀岂可无
防风 荆芥 黄芩 石膏 山栀 薄荷 赤芍 连翘 生地（各一钱） 甘草（五分）
水二钟，灯心二十根，煎八分，食后服。
翠云靛
治眼胞菌毒，用针割后涂之。杭粉五两，铜绿末一两，轻粉一钱，共研极细。用黄连一两同川米百粒、水
一碗，煎一半，再熬折去二分，和药作锭阴干；临用清水少许净砚上磨浓，鸡翎蘸搽患上。又治烂弦风眼或暴
赤肿痛者，箍搽更效。
手足部位出现皮肤破裂，这种干枯开裂的现象，是因为气血无法滋养肌肤所致。由于热邪侵袭肌肤后突然遭受风寒逼迫，导致血脉凝滞，使得皮肤逐渐干枯萎缩，从而产生破裂；若日间反复受风邪侵袭，风与热相互搏结，因此疼痛感较为明显。治疗时可用玉肌散清洗擦拭患处，再涂抹润肌膏以滋润肌肤，病情严重者配合内服当归饮子效果更佳。
眼部发生丹毒（眼丹），多因脾经有风邪、胃经有多余热邪，两者结合导致局部肿胀。风邪偏盛者，浮肿容易消退；热邪炽盛者，坚硬肿胀难以消散。初起阶段宜用金黄散外敷；若伴有表证（如恶寒发热等），使用荆防败毒散；若伴有里证（如便秘、口渴等），使用清胃散并加入大黄以通利腑气；如果上述方法使用后肿块仍不消散，且必然化脓，则应更换膏药贴敷；脓液成熟时应立即针刺排脓。若拖延时间，眼睑内侧的晴明穴处可能会自行破溃，该部位内部空虚难以愈合，容易形成瘘管。
黑子，即痣。这是由于肾中浊气混杂停滞于阳气运行之处，阳气将其收束凝聚，形成了黑色的痣，质地坚硬且不消散。……适宜用细铜管将痣套入管内，旋转六至七圈，使痣进入管内，然后一拔即可去除。对于位置浮浅无法拔除的痣，可用针挑破痣体表面，涂抹少量冰蛳散，用纸糊覆盖，三天后自然脱落；或者使用灰米膏点涂也可。脱落后在新生皮肤上干撒珍珠散即可痊愈。忌食酱、醋，以免留下疤痕。
菌毒，是由于脾经蕴藏热邪凝结而成。其病症表现为眼睑内长出类似蘑菇状的赘生物，头大蒂小，逐渐生长垂出；严重时会导致眼睑外翻流泪，甚至引起视力模糊昏蒙。治疗时宜用软绵纸蘸水敷在眼睑上，片刻后用左手大拇指指甲掐住患部根部，右手持披针尖端齐根切断，出血无妨；随后用翠云靛研磨浓汁涂抹，血液自止。内服凉膈清脾饮两剂，并忌食海腥、煎炸炒制食物、花椒、生姜、白酒等易诱发疾病的食物。
Cracks on the hands and feet refer to the dry and cracked appearance, which is caused by the inability of Qi and Blood (vital energy and blood) to nourish the skin. When heat invades the muscles and is suddenly constrained by wind-cold, the blood vessels become stagnant, causing the skin to gradually wither and crack; if exposed to wind repeatedly during the day, wind and heat combine, resulting in significant pain. It is advisable to wash and rub the affected area with Yuji San (Jade Skin Powder), moisturize it with Runji Gao (Moisturizing Ointment), and for severe cases, taking Danggui Yinzi (Angelica Decoction) internally is beneficial.
Eye Dan (Ocular Erysipelas) arises from wind in the Spleen Meridian and excessive heat in the Stomach Meridian, combining to cause swelling. If wind predominates, the edema subsides easily; if heat is severe, the firm swelling is difficult to resolve. In the initial stage, Jinhuang San (Golden Yellow Powder) should be applied externally. If exterior symptoms are present, Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Expel Toxins) is used; if interior symptoms are present, Qingwei San (Stomach-Clearing Powder) with added Dahuang (Rhubarb Root) to promote purgation is indicated. If the swelling does not subside with these treatments and suppuration becomes inevitable, a plaster should be changed and applied; once pus matures, it should be incised immediately. Delaying treatment may lead to spontaneous rupture at the Qiming acupoint (Ex-HN17) on the inner canthus. Since this area is hollow internally and difficult to heal, fistulas often form.
Heizi refers to moles. This condition occurs when turbid Qi from the Kidneys stagnates among the Yang Qi, which binds and condenses it into a black mole that is hard and unyielding. ... It is suitable to use a fine copper tube to encircle the mole, twist it six or seven times to draw the mole into the tube, and then pull it out completely. For moles that are superficial and cannot be pulled out, prick the surface of the mole with a needle, apply a small amount of Bing Si San (Ice Snail Powder), cover it with paste-coated paper, and it will naturally fall off after three days; alternatively, Huimi Gao (Ash Rice Paste) can be dabbed on it. After it falls off, sprinkle Zhenzhu San (Pearl Powder) on the new skin to heal. Avoid soy sauce and vinegar to prevent scarring.
Jun Du (Fungus Poison) is formed by the accumulation and coagulation of heat in the Spleen Meridian. The lesion manifests as a mushroom-like growth emerging from within the eyelid, with a large head and a small stalk, growing larger and hanging down over time. In severe cases, it causes eversion of the eyelid, tearing, and even blurred vision. Treatment involves placing soft cotton paper soaked in water on the eyelid. After a moment, use the thumbnail of the left hand to press at the root of the lesion, and use the tip of a scalpel held in the right hand to cut it off cleanly at the base; bleeding is acceptable. Immediately grind Cuiyun Dian (Emerald Cloud Indigo) into a thick paste and apply it to stop the bleeding. Internally, take Liangge Qingpi Yin (Cooling the Diaphragm and Clearing the Spleen Decoction) for two doses. Strictly avoid seafood, fried foods, Sichuan pepper, ginger, and alcoholic beverages to prevent recurrence.