实热生疮。有痛痒轻重不同。重则堆高浓。紫血脓烂。而腥臭如瘀滞之证。膏溷水浊。每
每流于睥 成疮。血散而疮自除。别无痛肿证者。轻而无妨。若火盛疮生。堆重带肿痛者。又当
急治。恐浊气沿入而病及于珠也。治宜泻心火。解热毒。有疮处仍用开导洗点。椒疮生于睥内。
累累如椒。红而坚者是也。有则砂擦难开。多泪而痛。今人皆呼为粟疮误矣。粟疮亦生在睥。但
色黄软而易散。此则坚而难散。医者卒以龙须出血取效。甚则累累连片。疙瘩不平。不得已而导。
中病即止。若退而复来者。乃内有瘀滞。必须再导。更服祛风热药以治其内。粟疮生于两睥。细
颗黄而软。若目病头疼者。必有变证。是湿热郁于土分。须服退湿热药。若睥生痰核者。乃痰因
火滞而结。生于上睥者多。屡有不治自愈。有恣嗜辛辣热毒。酒色斫丧之人。久而变为瘿漏重疾者有之。
木疳证 生于风轮者多。其色蓝绿青碧。有虚实之别。虚者大而昏花。实者小而涩痛。非比蟹
睛因破而出。乃自
然生者。大小不一。随其变长也。实者。泻青丸。虚者。通肝散。
火疳证 生于睥 及气轮。在气轮者。火邪克金。为害尤急。初起如椒疮瘤子一颗。小而圆
如小赤豆。次后渐大。痛者多。不痛者少。不可误认作轮上一颗如赤豆。为易消之证。此则从内
而生也。三黄汤、导赤散。分虚实治之。
土疳证 谓睥上生毒。俗呼偷针眼。有一目生又一目者。有止生一目者。有邪微不出脓血而
愈者。有犯辛热燥腻。风沙烟火。为漏为吊者。泻黄散。初起以 入大 内边泪堂窍中捻之。泪
出即消。无不立愈。
金疳证 初起与玉粒相似。生于睥内。必碍珠涩痛。以生障翳。生于气轮者。则有珠痛泪流
之苦。子后午前。阳分气升之时则重。午后入阴分。则病略宁。久而失治。违戒反触者。有变漏
之患。泻肺汤。
水疳证 忽然一珠。生于睥 气轮之间者多。若在风轮。目必破损。有虚实大小之殊。实者
小而痛甚。虚者大而痛缓。状如黑豆。亦有横长而圆者。头风人多有此患。清空膏、神芎丸选用。
此证与木疳相似。但部分稍异。色亦不同。黑者属水。青绿蓝碧者属木。久而失治。必变为漏。
以风郁久胜。精膏走散。随其所伤之络。结滞为疳。湿热相搏而为漏矣。
实热之邪导致生疮。其疼痛和瘙痒的程度有轻有重。病情重的，疮体堆高且充满浓稠液体，呈现紫色，伴有血脓溃烂，气味腥臭，类似于瘀滞的证候；膏液浑浊，水液污浊，常常流到眼睑（睥）上形成疮疡。若血液散行而疮自除，没有其他疼痛肿胀症状的，则较轻，无大妨碍。如果是火气旺盛导致的疮生，疮体堆叠厚重并带有肿痛，又应当紧急治疗，恐怕浊气沿入体内而病及眼球（珠）。治疗宜泻心火，解热毒，有疮处仍用开导洗点法。椒疮生于眼睑内，颗粒累累像花椒，颜色红且坚硬，有砂砾感擦磨难开，多流泪且疼痛。现在的人都误称为粟疮，这是错误的。粟疮也生在眼睑，但颜色黄软而易消散。此症则坚硬而难消散。医者曾用龙须出血疗法取效，严重时颗粒累累连成片，疙瘩不平，不得已才进行疏导，中病即止。如果消退后又复发，乃是内有瘀滞，必须再次疏导，并服用祛风热药以治其内。粟疮生于两眼睑，颗粒细小、黄色且柔软。如果出现目病伴头疼者，必有变证，这是湿热郁结于脾土之分，须服用退湿热药。如果眼睑生痰核，乃是痰因火滞而凝结，多生于上眼睑，屡次有不治自愈的情况。若有恣意嗜食辛辣热毒、酒色过度损伤身体的人，久而久之可能变为瘿漏重疾。
木疳证 多生于黑睛（风轮），其颜色呈蓝、绿、青、碧色，有虚实之别。虚证者疮体大而昏花，实证者小而涩痛。不同于蟹睛是因角膜破损后虹膜脱出所致，木疳是自然生长的。大小不一，随其变化而生长。实证用泻青丸，虚证用通肝散。
火疳证 生于眼睑（睥）及白睛（气轮）。在白睛部位者，因火邪克伐肺金，为害尤为急迫。初起时如一颗椒疮瘤子，小而圆如小赤豆，随后逐渐增大，疼痛的多，不痛的少。不可误认为白睛上一颗如赤豆般容易消除的证候，此症是从内部产生的。用三黄汤、导赤散，分虚实进行治疗。
土疳证 谓眼睑上生毒，俗呼偷针眼。有一只眼生后又另一只眼生的，也有只生一只眼的。有的邪气轻微不出脓血而自愈，有的因触犯辛热燥腻之物，或受风沙烟火刺激，转为漏症或吊睛。用泻黄散。初起时将药物捻成细条插入大眼角泪堂窍中，泪出即消，无不立即痊愈。
金疳证 初起与玉粒相似，生于眼睑内，必阻碍眼球转动且涩痛，以致生障翳。生于白睛（气轮）者，则有眼球疼痛、流泪之苦。子时至午前，阳气升发之时则病情加重，午后进入阴分，则病情略缓解。久而失治，违戒反触者，有变为漏症的隐患。用泻肺汤。
水疳证 忽然一颗疮珠，多生于眼睑与白睛之间。若在黑睛（风轮），眼睛必会破损。有虚实大小之区别。实证者小而痛甚，虚证者大而痛缓，形状如黑豆，也有横长而圆的。头风病患者多有此患。选用清空膏、神芎丸。此证与木疳相似，但部位稍异，颜色也不同。黑色属水，青绿蓝碧色属木。久而失治，必变为漏症。因风邪郁久胜复，精膏走散，随其所伤之络脉，结滞为疳，湿热相搏而为漏矣。
Sores caused by excess heat. The severity of pain and itching varies. In severe cases, the sores are elevated and filled with thick pus, appearing purple with bloody purulent decay, emitting a foul odor similar to blood stasis syndromes; the exudate is turbid and muddy, often flowing onto the eyelids (Pi) to form ulcers. If the blood disperses and the sore heals spontaneously without other painful swelling symptoms, it is mild and harmless. However, if fire-heat is excessive causing sores that are piled up, heavy, and accompanied by pain and swelling, urgent treatment is required to prevent turbid qi from entering internally and affecting the eyeball (Zhu). Treatment should focus on draining Heart Fire and resolving heat toxicity. For areas with sores, opening and guiding wash/drop methods should still be used. Jiao Chuang (Pepper Sores) occur inside the eyelids, appearing as clusters like peppercorns, red and firm, causing a gritty sensation difficult to open, with excessive tearing and pain. People today mistakenly call this Su Chuang (Millet Sores), which is incorrect. Su Chuang also occurs on the eyelids but is yellow, soft, and easily dissipates. In contrast, Jiao Chuang is hard and difficult to dissipate. Physicians have achieved success using bleeding therapy with dragon whiskers. In severe cases, they cluster into sheets with uneven nodules, necessitating drainage when unavoidable; stop once the disease is addressed. If it recurs after subsiding, it indicates internal blood stasis, requiring repeated drainage and administration of wind-heat dispelling herbs to treat the interior. Su Chuang appears on both eyelids as fine, yellow, and soft granules. If eye disease is accompanied by headache, there must be transformation of the syndrome, indicating damp-heat stagnating in the Spleen/Earth division, requiring damp-heat clearing herbs. If phlegm nodules appear on the eyelids, it is due to phlegm binding with fire-stagnation, mostly occurring on the upper eyelid; many cases heal spontaneously without treatment. However, those who indulge in spicy, hot-toxic foods, alcohol, and sexual excess may, over time, develop serious conditions like Ying Lou (Goiter/Fistula).
Mu Gan Syndrome (Wood Galactophore/Corneal Ulcer): Mostly arises on the Wind Wheel (Feng Lun, cornea). Its color is blue, green, cyan, or azure. There are deficiency and excess patterns. Deficiency presents as large and blurry vision; excess presents as small and aching/painful. Unlike Xie Jing (Crystal Pupil/Iris Prolapse) which results from corneal perforation, Mu Gan grows naturally. Sizes vary, growing according to changes. Excess pattern uses Xie Qing Wan (Drain Green Pill); deficiency pattern uses Tong Gan San (Unblock Liver Powder).
Huo Gan Syndrome (Fire Galactophore/Scleral Nodule): Arises on the eyelids (Pi) and Qi Wheel (Qi Lun, sclera). When on the Qi Wheel, fire pathogen attacks Metal (Lung), causing particularly urgent harm. Initially, it resembles a single pepper-like nodule, small and round like a red bean, gradually enlarging. Pain is common, absence of pain is rare. Do not mistake it for a benign red-bean-like spot on the wheel that is easy to resolve; this condition originates internally. Treat with San Huang Tang (Three Yellows Decoction) and Dao Chi San (Guide Out Red Powder), differentiating between deficiency and excess.
Tu Gan Syndrome (Earth Galactophore/Stye): Refers to toxins arising on the eyelids, commonly called Tou Zhen Yan (Stealing Needle Eye). It may affect one eye then the other, or only one eye. Some resolve mildly without pus or blood; others, triggered by spicy, hot, dry, or greasy foods, or exposure to wind, sand, smoke, and fire, transform into fistulas or ptosis. Use Xie Huang San (Drain Yellow Powder). At onset, roll the medication into a thin strip and insert it into the inner canthus lacrimal punctum. Once tears flow, it resolves, ensuring immediate cure.
Jin Gan Syndrome (Metal Galactophore/Conjunctival Follicle): Initially resembles Yu Li (Jade Grain), arising inside the eyelids, obstructing the eyeball causing grittiness and pain, leading to nebula formation. When arising on the Qi Wheel (sclera/conjunctiva), it causes eyeball pain and tearing. Symptoms worsen during Zi hour to noon (Yang phase, Qi rising) and alleviate after noon entering Yin phase. Long-term neglect or violation of dietary/lifestyle restrictions risks transformation into a fistula. Use Xie Fei Tang (Drain Lung Decoction).
Shui Gan Syndrome (Water Galactophore/Episcleral Nodule): A sudden nodule arises, mostly between the eyelids and Qi Wheel (sclera). If on the Feng Lun (cornea), the eye will likely be damaged. There are differences in deficiency/excess and size. Excess is small and very painful; deficiency is large and less painful. Shape resembles a black bean, sometimes horizontally elongated and round. Patients with chronic headaches often suffer from this. Selectively use Qing Kong Gao (Clear Sky Ointment) or Shen Xiong Wan (Divine Achyranthes Pill). This syndrome is similar to Mu Gan but differs slightly in location and color. Black belongs to Water; blue/green/cyan/azure belongs to Wood. Long-term neglect inevitably leads to fistula formation. Due to prolonged wind stagnation overcoming the body, essence and fluid scatter, following injured collaterals, stagnating to form Gan, where damp-heat intertwines to create fistulas.