血滞脾家火。胞上起热疮。泪多并赤肿。沙擦最难当。或疼兼又痒。甚不便开张。可恶愚顽者。全凭出血良。
目睛惟仗血。血损目无光。轻时须善逐。重开过则伤。胞间红瘰瘰。风热是椒疮。
此症生于睥内。红而坚者是。有则沙擦难开。多泪而痛。人皆称粟疮。误矣。夫粟疮亦生在睥。但色黄软
而易散。此是坚而难散者。俗皆以龙须灯心等物。出血取效。殊不知目以血为荣。血损而光华有衰弱
之患。轻者只宜善治。至于瘰瘰连片。疙瘩高低不平。及血瘀滞者。不得已而导之。中病即止。不可太过。
过则血损。恐伤真水。难养神膏。大概用平熨之法。退而复来。乃内有瘀滞。方可量病渐导。若初治不可
轻为开导。过治恐有损也。不如谨始为妙。宜服∶
归芍红花散（治眼胞肿硬。内生疙瘩。）
当归 大黄 栀子仁 黄芩 红花（以上俱酒洗微炒） 赤芍药
甘草 白芷 防风 生地黄 连翘（各等分）
上为末。每服三钱。食远。白水煎服。
脾经多湿热。气滞血行迟。粟疮胞内起。粒粒似金珠。似脓脓不出。沙擦痛无时。睥急开张涩。须防病变之。
病来如软急。散亦不多时。
此症生于两睥之内。细颗黄而软者是。今人皆称椒疮为粟疮者。误矣。夫椒疮红而坚。有则硬睛。沙涩
不便。未至于急。若粟疮一见。目疼头痛者。必有变症。粟疮是湿热郁于土分。极重。但椒疮以风热为重。
二症虽皆生于睥内。属于血分。椒疮红坚易散。粟疮黄软不易散。故治亦不同。岂可概论哉。宜服∶
除风清脾饮
广陈皮 连翘 防风 知母 元明粉 黄芩 玄参 黄连 荆芥穗 大黄 桔梗 生地（各等分）
上锉剂。白水二钟。煎至八分。去滓。食远服。
血行瘀滞于脾，兼有脾火。眼睑上部生出热性疮疡。流泪增多且眼睑红肿，异物感强烈难以忍受。有时疼痛并伴有瘙痒，严重时眼睑难以睁开。令人厌恶的是那些愚昧顽固之人，完全依赖放血疗法以求见效。
眼睛的视觉功能全靠血液滋养。血液受损，眼睛就会失去光泽。病情轻时应当妥善疏导瘀血；若治疗过重，则会损伤正气。眼睑间出现红色颗粒状突起，这是风热引起的椒疮（沙眼）。
此症生于眼睑内部，颜色红且质地坚硬的是椒疮。若有此症，则感觉沙涩难开，多泪且疼痛。人们都称之为粟疮，这是错误的。夫粟疮也生在眼睑内，但颜色黄、质地软且容易消散。而椒疮是坚硬且难以消散的。世俗之人常用龙须草、灯心草等物刺破出血以取效，殊不知眼睛以血液为荣养，血液受损会导致视力光华衰弱。轻症只宜妥善调理。至于颗粒连成片、疙瘩高低不平及血瘀滞严重的情况，不得已才采用导引瘀血的方法。中病即止，不可过度。过度则损伤血液，恐怕伤及真阴（肾水），难以滋养神膏（晶状体/玻璃体）。大概使用平熨之法，退去后又复发，这是因为内有瘀滞，方可根据病情逐渐导引。若在初治时不可轻易进行放血导引，过度治疗恐怕会有损害。不如谨慎开始为好。适宜服用：归芍红花散（治疗眼睑肿胀坚硬，内生疙瘩。）当归 大黄 栀子仁 黄芩 红花（以上均用酒洗后微炒）赤芍药甘草白芷防风生地黄连翘（各等分）研为细末。每次服用三钱，饭后，用白开水煎服。
脾经多有湿热，气机阻滞导致血行迟缓。粟疮生于眼睑内部，颗粒状如金珠。看似有脓却排不出，沙涩疼痛无休止。眼睑紧急，睁眼涩痛，必须防止病变发生。病势来时如同急迫，消散也不久。
此症生于双眼睑内部，细小颗粒、黄色且柔软的是粟疮。如今人们常将椒疮误称为粟疮，这是错误的。夫椒疮色红且坚硬，发作时眼球僵硬，沙涩不便，尚未达到紧急程度。若一见粟疮，出现目疼头痛者，必然会有变症。粟疮是湿热郁结于脾土之分，极重；而椒疮以风热为重。两症虽都生于眼睑内，属于血分病变，但椒疮红坚易散，粟疮黄软不易散，故治疗方法也不同。岂可一概而论呢？适宜服用：除风清脾饮广陈皮连翘防风知母玄明粉黄芩玄参黄连荆芥穗大黄桔梗生地（各等分）切碎成剂。加水二钟，煎至八分，去渣，饭后服用。
Blood stasis in the Spleen with Fire. Heat sores arise on the upper eyelid. Excessive tearing, redness, and swelling. The sensation of sand rubbing is hardest to bear. Sometimes pain accompanies itching. Severe cases make it inconvenient to open the eyes. Disgusting are the ignorant and stubborn ones who rely entirely on bloodletting for efficacy.
The eyeball relies solely on Blood. If Blood is damaged, the eye loses luster. In mild cases, careful evacuation is required; if treatment is excessive, it causes injury. Red nodules between the eyelids indicate Jiaochuang (Phacochroma/Sand Eye) caused by Wind-Heat.
This condition arises inside the eyelid; those that are red and firm are Jiaochuang. With this condition, there is a gritty feeling making opening difficult, accompanied by excessive tearing and pain. People all call it Suchuang (Granular Eyelid), which is mistaken. Indeed, Suchuang also grows in the eyelid, but its color is yellow and soft, and it disperses easily. This one [Jiaochuang] is firm and hard to disperse. Common people use Dragon Whisker Grass or Rush Pith to pierce and bleed for effect, not knowing that the eye takes Blood as its nourishment. Damaged Blood leads to weakness in the visual brilliance. Mild cases should only be treated carefully. As for nodules connecting in patches, lumps uneven in height, and severe blood stasis, one must reluctantly employ drainage methods. Stop when the disease is addressed; do not go too far. Going too far damages Blood, fearing injury to True Water (Kidney Yin), making it difficult to nourish the Shen Gao (Shen Gao/Glassy Body). Generally, using a soothing compress method, if it recurs after subsiding, it is due to internal stasis. Only then can one gradually guide based on the illness. If at initial treatment, one does not lightly perform drainage, excessive treatment may cause harm. It is better to be cautious from the start. Suitable to take: Guizhi Honghua San (Cinnamon Twig and Red Flower Powder) (Treats eyelid swelling and hardness, internal lumps.) Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma), Zhizi Ren (Gardeniae Semen), Huangqin (Scutellariae Radix), Honghua (Carthami Flos) (All above washed with wine and slightly stir-fried), Chishaoyao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Shengdihuang (Rehmanniae Radix), Lianqiao (Forsythiae Fructus) (Equal parts). Grind into powder. Take three qian each time, far from meals, decocted in white water and taken orally.
The Spleen Meridian often has Damp-Heat. Qi stagnation causes slow Blood circulation. Suchuang arises inside the eyelid, granular like golden pearls. Looks like pus but pus does not come out. Gritty pain without cease. Eyelid tension,涩 (astringency/stiffness) when opening. Must prevent pathological changes. When the disease comes, it feels urgent, but disperses not for long.
This condition arises inside both eyelids; fine, yellow, and soft granules are Suchuang. Nowadays, people mistakenly call Jiaochuang "Suchuang." Indeed, Jiaochuang is red and firm; when present, the eyeball becomes stiff, gritty and inconvenient, but not yet urgent. If Suchuang appears, and there is eye pain and headache, there must be pathological changes. Suchuang is Damp-Heat郁 (stagnating) in the Earth component (Spleen), extremely heavy. But Jiaochuang emphasizes Wind-Heat. Although both conditions arise inside the eyelid and belong to the Blood aspect, Jiaochuang is red, firm, and easy to disperse; Suchuang is yellow, soft, and hard to disperse. Thus, treatments differ. How can they be generalized? Suitable to take: Chufeng Qingpi Yin (Wind-Expelling and Spleen-Clearing Decoction) Guangchenpi (Citri Reticulatae Pericarpium), Lianqiao (Forsythiae Fructus), Fangfeng (Saposhnikoviae Radix), Zhimu (Anemarrhenae Rhizoma), Yuanmingfen (Natrii Sulfas), Huangqin (Scutellariae Radix), Xuanshen (Scrophulariae Radix), Huanglian (Coptidis Rhizoma), Jingjiesui (Schizonepetae Spica), Dahuang (Rhei Radix et Rhizoma), Jiegeng (Platycodonis Radix), Shengdi (Rehmanniae Radix) (Equal parts). Cut into pieces. Add two zhong of white water, decoct until eight fen remains. Remove dregs. Take far from meals.