按脾喜燥恶湿。若内多湿热。外伤风邪。津液耗涩。膏血枯干。或内急外弛。以致生诸病。阳虚则为倒睫
等症。阴虚则为散大等症。大要湿热所侵者。以和解为要。阴阳偏胜者。滋荣调卫为先。
倒睫拳毛症。皆缘酒色沉。风霜皆不避。弦紧外皮松。致令毛倒入。扫翳渐侵瞳。既成难用药。夹敷少安宁。
调理如少缺。必定失光明。
此症皆由目病妄称火眼。不以为事。或酒或欲。或风霜劳苦。全不禁忌。致受风邪。皮松弦紧。毛渐倒睫。
未免泪出频频。拭擦不已。便自羞明。故毛渐侵睛。扫成云翳。以药治最难。不得已用法夹之。如夹定以
敷药为主。俟夹将落。即敷其痕。可保。不然依然复旧。其功费矣。宜服敷∶
石膏羌活散（治久痛患目。不睹光明。远年近日。内外气障。风热上攻。昏暗。拳毛倒睫之症。）
苍术（米泔浸炒） 羌活 密蒙花 白芷 石膏（ ） 麻子 木贼草 本 黄连（酒制） 细辛 家菊花 荆
芥川芎 甘草（各等分）
上为细末。每服二钱。食后临睡。蜜汤或清茶调服。
流气饮（治两目怕日。羞明。眵泪。瘾涩难开。睛赤疼痛。或生翳障。眼棱紧急。以致倒
睫拳毛。眼弦赤烂等症。）
荆芥 山栀 牛蒡子 蔓荆子 细辛 防风 白蒺藜 木贼草 玄参 人参 真川芎（各等分）
上锉剂。白水二钟。煎至八分。去滓。食后服。
紧皮膏
石燕（一对 末） 石榴皮 五倍子（各三钱） 黄连 明矾（各一钱） 刮铜绿（五分） 真阿胶 鱼胶 水胶
（各三钱）
以上除胶。六味共为末。用水三五碗。入大铜杓内。文火煎熬。以槐柳枝不住手搅为浓糊。将成膏。方入
冰麝各三分。研细搅匀。用瓷器内收贮。将新笔涂上下眼皮。每日涂三五次。干而复涂。毛自出矣。凉天
可行此法。三日见效。轻者三十日全出。重者。五十日向外矣。
五灰膏
荞麦（烧灰一升淋水） 锻石（风化者佳二两） 青桑柴（烧灰一升各淋水一碗同风化灰共熬干为
末听用） 白砒（三钱 研末） 白明矾（一两 烟尽为度研末）
上共研一处。水十碗。熬末至一碗。方入风化锻石搅匀。用新笔扫眼弦睫上。数次。毛即落。勿入眼内。
起睫膏
木鳖子（去壳一钱） 自然铜（制五分）
上捣烂。为条子。 鼻。又以石燕末。入片脑少许。研水调敷眼弦上。
（东垣云。眼生倒睫拳毛。而两目紧急。皮缩之所致也。盖内伏热攻。阴气外行。当去其内热并火邪。
眼皮缓则眼毛立出。翳膜立退。用手攀出内睑向外。速以三棱针出热血。以左手指甲迎右针锋。立愈。
山居方云。眼毛倒睫。拔去拳毛。用虱子血点数次。即愈。）
（按倒睫之症。系脾肺肝络凝滞。不能相生。以致眼皮宽纵。使毛内刺。令目不爽。病目者未免不频
频揩拭。里治未得除根。不得已必用夹治。毛向外生方妥。然今人岂无房欲劳冗。调摄失宜等情。眼内必生
翳障。瘀 红筋。眼弦上下。赤烂羞涩。眵泪等症。根据次点服施治。再无不愈者也。）
夹眼法
用老脆薄笔管竹破开做夹。寸许。将当归汁浸一周时候。再用龟板一个。开了。连皮裹之煮夹。皮烂。取
出阴干。以麝香拌之。夹眼则灵易好。夹时先翻转上睑看过。倘有瘀滞。即导平。血尽方可行夹。然夹不
可高硕。只在重弦。仔细看定。睫毛毫无倒入者。方着力扯紧。其夹外之肉。用小艾圆灸三壮。不可多灸。
恐溃。俟干夹脱下。用光粉调香油。逐早搽抹痕处。久则肉色如旧。
按：脾脏喜好干燥而厌恶潮湿。如果体内湿热蕴结，又外受风邪侵袭，导致津液耗损干涩，膏血枯竭干枯。或者出现内部拘急、外部松弛的情况，从而引发各种眼病。阳气虚弱则会出现倒睫等症状；阴气虚弱则会出现瞳孔散大等症状。治疗的大要在于：若是湿热所侵，以和解为关键；若是阴阳偏盛，以滋养荣血、调和卫气为先。
倒睫拳毛症（睫毛向内生长卷曲），都是由于沉溺酒色，不避风霜劳苦，导致眼睑皮肤松弛、睑弦紧绷，致使睫毛倒向眼球，逐渐形成翳障遮蔽瞳孔。一旦形成，用药难以治愈，采用夹治法能稍得安宁。若调理稍有缺失，必定会导致失明。
此症皆因将眼病妄称为“火眼”而不重视，或者饮酒纵欲，或者遭受风霜劳苦，完全不加禁忌，导致风邪入侵，眼皮松弛、睑弦紧绷，睫毛逐渐倒睫，难免频频流泪，擦拭不停，进而畏光羞明。因此睫毛逐渐侵入睛珠，扫擦形成云翳。用药物治疗最为困难，不得已才使用夹治法。如确定夹治，应以敷药为主。等到夹子即将脱落时，立即在痕迹处敷药，可以保全视力，不然依然恢复原状，之前的功夫就白费了。适宜服用和敷用的方剂如下：
石膏羌活散（治疗久痛患目，不见光明，多年或近期的内外气障，风热上攻，视物昏暗，拳毛倒睫等症。）
药材：苍术（米泔水浸泡后炒制）、羌活、密蒙花、白芷、石膏、麻子、木贼草、藁本、黄连（酒制）、细辛、家菊花、荆芥、川芎、甘草（各等分）。
制法与用法：以上药物研为细末。每次服用二钱，饭后临睡前，用蜜汤或清茶调服。
流气饮（治疗两目怕日，羞明，眼屎多流泪，隐涩难开，眼球红赤疼痛，或生翳障，眼棱紧急，以致倒睫拳毛，眼弦赤烂等症。）
药材：荆芥、山栀、牛蒡子、蔓荆子、细辛、防风、白蒺藜、木贼草、玄参、人参、真川芎（各等分）。
制法与用法：以上药物切碎成剂。用水二钟，煎至八分，去渣，饭后服用。
紧皮膏
药材：石燕（一对，研末）、石榴皮、五倍子（各三钱）、黄连、明矾（各一钱）、刮铜绿（五分）、真阿胶、鱼胶、水胶（各三钱）。
制法与用法：以上除胶类外的六味药共研为末。用水三五碗，放入大铜勺内，用文火煎熬，用槐柳枝不停地搅拌成浓糊。快要成膏时，加入冰片、麝香各三分，研细搅匀。用瓷器收贮。用新笔涂抹上下眼皮，每日涂三五次，干了再涂，睫毛自然长出。凉天可行此法，三日见效，轻者三十日全出，重者五十日向外生长。
五灰膏
药材：荞麦（烧灰一升，淋取汁水）、锻石（风化者佳，二两）、青桑柴（烧灰一升，各淋取汁水一碗，同风化灰一起熬干为末备用）、白砒（三钱，研末）、白明矾（一两，烟尽为度，研末）。
制法与用法：以上共同研一处。用水十碗，熬煮至剩下一碗，然后加入风化锻石搅匀。用新笔扫在眼弦睫毛上，数次后，睫毛即脱落。注意勿入眼内。
起睫膏
药材：木鳖子（去壳，一钱）、自然铜（制，五分）。
制法与用法：以上捣烂，做成条状，塞入鼻中。又以石燕末，加入少许片脑（冰片），研水调敷眼弦上。
（李东垣说：眼睛生出倒睫拳毛，且两眼紧急，是眼皮收缩所致。因为内有伏热攻冲，阴气外行，应当去除内热及火邪，眼皮舒缓则眼毛自然立出，翳膜立刻消退。用手攀出内睑向外，迅速用三棱针放出热血，用左手指甲迎住右针锋，立刻痊愈。山居方说：眼毛倒睫，拔去拳毛，用虱子血点数次，即愈。）
（按：倒睫之症，系脾肺肝经络凝滞，不能相生，以致眼皮宽纵，使睫毛向内刺，令目不爽利。患病者未免不频频揩拭，内服药物治疗未得除根，不得已必用夹治，睫毛向外生方才稳妥。然而今人岂无房事欲望、劳累冗杂，调摄失宜等情况？眼内必生翳障，瘀血红筋，眼弦上下，赤烂羞涩，眵泪等症状。根据次序点眼服药施治，再无不愈的。）
夹眼法
用老脆薄笔管竹破开做夹，长约寸许。将当归汁浸泡一周时间，再用龟板一个，剖开，连皮裹着夹子一起煮，直到皮烂，取出阴干，用麝香拌之，夹眼则灵验易好。夹时先翻转上睑看过，倘有瘀滞，即导平，血尽方可行夹。然而夹不可高硕，只在重弦（睑缘），仔细看定，睫毛毫无倒入者，方着力扯紧。其夹外之肉，用小艾圆灸三壮，不可多灸，恐溃烂。等到干夹脱下，用光粉调香油，逐早搽抹痕处，久则肉色如旧。
Translation:
According to traditional theory, the Spleen (Pi) prefers dryness and dislikes dampness. If there is internal accumulation of damp-heat, combined with external invasion of wind pathogen, body fluids are consumed and become dry, while essence and blood wither and dry up. Alternatively, internal tension with external laxity may occur, leading to various eye diseases. Yang deficiency manifests as symptoms such as trichiasis (inverted eyelashes); Yin deficiency manifests as symptoms such as pupil dilation. The general principle is: if invaded by damp-heat, reconciliation (harmonizing) is key; if there is excess or deficiency of Yin or Yang, nourishing Ying (nutritive) blood and regulating Wei (defensive) qi takes precedence.
Trichiasis and entropion (curling of eyelashes inward) are all caused by indulgence in alcohol and sexual activity, and failure to avoid wind, frost, fatigue, and hardship. This leads to loose outer skin of the eyelids and tightness of the eyelid margin, causing eyelashes to turn inward. As a scraping effect gradually invades the pupil, once formed, it is difficult to treat with medication alone; applying clamps provides some relief. If regulation is lacking, blindness will surely result.
This condition often arises because eye diseases are wrongly called "fire eyes" and disregarded, or due to drinking, lust, exposure to wind and frost, and labor, without any abstinence. This results in wind pathogen invasion, loose eyelid skin, and tight eyelid margins, causing eyelashes to gradually invert. Frequent tearing and wiping inevitably follow, leading to photophobia (aversion to light). Consequently, eyelashes gradually invade the eyeball, creating cloud-like nebulae through friction. Medicinal treatment is most difficult; only when necessary is the clamping method used. If clamping is determined, topical application should be the primary method. When the clamp is about to fall off, apply medicine to the mark immediately to preserve vision; otherwise, the condition will revert, rendering previous efforts futile. Suitable formulas for oral administration and topical application are as follows:
Shigao Qianghuo San (Gypsum and Notopterygium Powder): Treats chronic eye pain, loss of vision, long-standing or recent internal and external Qi obstructions, wind-heat attacking upward, dim vision, entropion, and trichiasis.
Ingredients: Cangzhu (Atractylodis Rhizoma, soaked in rice water and stir-fried), Qianghuo (Notopterygii Rhizoma et Radix), Mimenghua (Flos Buddlejae), Baizhi (Angelicae Dahuricae Radix), Shigao (Gypsum Fibrosum), Maziren (Cannabis Fructus), Muzeicao (Equiseti Herba), Bencao (Ligustici Chuanxiong Rhizoma), Huanglian (Coptidis Rhizoma, wine-processed), Xixin (Asari Radix et Rhizoma), Jiajuhua (Chrysanthemi Flos), Jingjie (Schizonepetae Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Preparation and Administration: Grind into fine powder. Take 2 qian per dose after meals and before sleep, mixed with honey water or clear tea.
Liuxi Yin (Flowing Qi Decoction): Treats photophobia, aversion to light, excessive discharge and tearing, difficulty opening eyes due to itching and dryness, redness and pain of the eyeball, formation of nebulae, tightness of the eyelid margin leading to entropion and trichiasis, and redness and ulceration of the eyelid margin.
Ingredients: Jingjie (Schizonepetae Herba), Zhizi (Gardeniae Fructus), Niubangzi (Arctii Fructus), Manjingzi (Viticis Semen), Xixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Baijili (Tribuli Fructus), Muzeicao (Equiseti Herba), Xuanshen (Scrophulariae Radix), Renshen (Ginseng Radix), Zhen Chuanxiong (Ligustici Chuanxiong Rhizoma) in equal parts.
Preparation and Administration: Cut into pieces. Decoct with two zhong of water until reduced to eight fen. Strain and take after meals.
Jinpi Gao (Skin-Tightening Ointment)
Ingredients: Shiyan (Fossilized Elephant Bone, one pair, powdered), Shiliupi (Punicae Pericarpium), Wubeizi (Galla Chinensis) (each 3 qian), Huanglian (Coptidis Rhizoma), Mingfan (Alumen) (each 1 qian), Kuai Tonglv (Verdigris, scraped) (5 fen), Zhen Ejiao (Colla Corii Asini), Yujiao (Fish Maw Gelatin), Shuijiao (Gelatin derived from animal hide) (each 3 qian).
Preparation and Administration: Except for the gelatins, grind the other six ingredients into powder. Add three to five bowls of water into a large copper spoon. Simmer over gentle heat, stirring constantly with locust or willow branches until a thick paste forms. Just before becoming an ointment, add Bingpian (Borneolum Syntheticum) and Shexiang (Moschus), each 3 fen, finely ground and mixed evenly. Store in porcelain. Apply to upper and lower eyelids with a new brush, three to five times daily. Reapply when dry; eyelashes will naturally grow out. This method can be used in cool weather. Visible effects in three days; mild cases resolve in thirty days; severe cases show outward growth in fifty days.
Wuhui Gao (Five Ashes Ointment)
Ingredients: Qiaomai (Tartary Buckwheat Grain, burned to ash, one sheng, leached with water), Duanshi (Calculated Alum, weathered is best, 2 liang), Qingsangchai (Green Mulberry Firewood, burned to ash, one sheng, leached with water, one bowl, combined with weathered ash and boiled dry to powder for use), Baipi (Realgar, 3 qian, powdered), Bai Mingfan (White Alumen, 1 liang, smoked until complete, powdered).
Preparation and Administration: Grind together. Add ten bowls of water and boil down to one bowl. Then add weathered Duanshi and mix well. Sweep onto the eyelid margin and eyelashes with a new brush. After several applications, eyelashes will fall out. Avoid getting into the eye.
Qijie Gao (Eyelash-Raising Ointment)
Ingredients: Muguezi (Mucunae Semen, shell removed, 1 qian), Ziran Tong (Pyritum, processed, 5 fen).
Preparation and Administration: Pound into a paste, form into strips, and insert into the nose. Also, mix Shiyan powder with a small amount of Pian Nao (Borneolum Syntheticum), dilute with water, and apply to the eyelid margin.
(Li Dongyuan stated: Entropion and trichiasis with tight eyes are caused by contraction of the eyelid skin. Internal latent heat attacks, and Yin Qi moves externally. One must remove internal heat and fire pathogens. When the eyelid skin relaxes, eyelashes stand upright, and nebulae recede. Pull the inner eyelid outward manually, quickly puncture with a three-edged needle to release dark blood, and press the left fingernail against the right needle tip for immediate cure. The Mountain Dweller's Formula states: For inverted eyelashes, pluck the curled lashes, apply blood from lice several times, and it will heal.)
(Note: The condition of trichiasis is caused by stagnation in the meridians of the Spleen, Lung, and Liver, preventing mutual generation, resulting in lax eyelid skin that allows hairs to pierce inward, causing visual discomfort. Patients inevitably wipe their eyes frequently. Internal treatment fails to root out the disease; thus, clamping is necessary to ensure hairs grow outward. However, do modern people not suffer from sexual indulgence, fatigue, and improper regulation? These conditions inevitably cause nebulae, stasis, red veins, redness and ulceration of the eyelid margins, and tearing. Following this sequence of topical drops and oral medications, no case is incurable.)
Clamping Method for Eyes
Use old, brittle, thin bamboo tubes from writing brushes, split open to make clamps, about one cun long. Soak them in Danggui juice (Angelicae Sinensis Radix decoction) for a week. Then, take one turtle shell, split it, wrap the clamp in the skin, and boil until the skin rots. Remove, dry in shade, and mix with Shexiang (Moschus). Clamping becomes effective and easy. Before clamping, evert the upper eyelid to inspect. If there is stasis, drain it until blood is exhausted before proceeding. The clamp should not be high or bulky, but placed precisely on the heavy margin (eyelid edge). Carefully identify where eyelashes do not invert, then pull tightly. Apply three moxa cones (Zhuang) using small moxa rounds to the flesh outside the clamp. Do not over-moxibustion to avoid ulceration. When the dry clamp falls off, apply Guangfen (calamine) mixed with sesame oil to the marks every morning. Over time, the skin color returns to normal.