《秘笈》云∶此证皆因脾胃壅热，兼受风湿，更加劳役辛苦，犯色冲风，日积月
累，外受风邪，内伏积热，胞睑之内变成风粟，故上下眼弦溃烂赤痛，泪出羞明，用
手拂拭不离，无分四季，宜胜风散加僵蚕、蝉蜕，或消风散。（川芎、羌活、防风、陈皮、甘草、
浓朴、藿香、荆芥、僵蚕、蝉蜕、白茯苓。）先以碧玉丹洗之，以琥珀散点之，始可愈也。
验方
净皮硝 当归 杏仁 铜青 川黄连（各六分）
上为末，井水小半杯浸，隔纸洗。
烂弦风眼 一妇患此用覆盆子叶旋采以手揉软，入口中咀嚼而留汁聚于小竹
筒内，外用旧皂纱蒙在患人眼上，用笔画双眸于纱上，然后将药汁滴渍眼下弦，转
盼间虫出纱外，有虫数十条，状如丝，色赤而长。复用前法滴上弦，又出虫数十条。
兼服清热消风活血之剂而愈。
烂弦赤眼，痘风火眼，百发百中井水河水各半坛，皂矾八两，铜青二两，埋
地中，用时取水洗之。日久者尤效。
烂弦风及痘风眼 杏仁三粒去皮、尖研烂，加铜绿黄豆大一块为末和匀，用
新青生绢包此二味，井水一酒杯，浸片时，待水中有绿色，不时洗眼。一日数次，数日后即好。
风赤倒睫烂弦眼 五倍子不拘多少为末，蜜水调敷。
红眼边 蛔虫洗净放磁盘内，竹刀
劈开，取蛔虫腹内水，点眼边。
又方 凤仙花洗净晾干捣烂。临卧敷眼胞上下，不过数次即愈。
洗方
芦甘石 川黄连（各五分） 铜绿（三分）
共槌碎，清水泡，露一宿。频洗三日愈。
烂弦迎风流泪
川黄连 明矾 赤芍 铜绿 防风 当归（各五分） 煎汤洗。
痘风烂弦流泪 头胎男子头一次脐屎，搽弦上。
又方
防风 山栀 皮硝 枯矾 铜绿（各五分）
用蚕茧五枚入药在内，仍用线缝好，以井水大半碗浸之。俟水现黄绿色，将碗重
汤炖热洗三五次，永不发。
又方
铅粉（二钱） 铜绿（一钱）
水调浓涂碗内，外用碗一个盛艾团烧着，以有药之碗盖上。俟艾烟烧尽，将药
刮下，每服新汲水调浓，临卧时以新笔蘸涂弦上即愈。
治残风烂眼膏 愈陈久愈效。
皮硝 潮脑 苏薄荷叶（不研） 明矾（各三钱）
将薄荷叠数层于碗内，前细末铺上，以小碗盖之，用面糊口，将碗置炭火上升一
炷香，放地上冷透开看，将碗内升药刮下。如前再升再刮，以黄色不用为度，加麝香、
冰片数厘，蜜调成膏点；或将此膏加芦甘石少许，以人乳浸黄连取汁调点亦妙。
拳毛倒睫门主论
李东垣曰∶倒睫拳毛由皮松弦紧，故
拳毛倒入，内刺睛珠，砂涩难开，眼胞赤
烂，痒而兼痛，乃脾经积热，肝风合邪上
壅所致。
《秘笈》云∶此证皆脾肺亏弱，又受心与小肠二经火克，肺属金，主一身之皮毛，目之上下睫之外，
亦其属也；小肠属火，与心相为表里，分上下而目之睫亦其属也。阳火内盛，致使上下眼皮内急外弛，时
常赤肿难开，其睫毛皆倒向里，睛珠受刺，渐生翳膜，羞明砂涩，生眵流泪。初服无比蔓荆子汤，（人参、
黄、当归、黄连、柴胡、干葛、蔓荆子、防风、细辛。）黄 防风丸，（人参、黄 、防风、干葛、细
辛、甘草、蔓荆子炼蜜丸，空心白汤送下。）点八宝散、琥珀散，兼碧玉丹洗之。如久病不能去，用灰膏
点去拳毛后退翳膜，但此膏极猛，点必得法方妙。若误着睛珠，必致伤损，不可轻施，慎之。
《秘笈》记载：这种病症都是因为脾胃积热，又兼受风湿侵袭，再加上劳累辛苦、房事过度且感受风邪，日积月累，导致外感风邪，内伏积热，眼睑内部形成风粟（眼睑边缘产生的小颗粒状病变），所以上下眼睑边缘溃烂、发红疼痛，流泪怕光，忍不住用手擦拭，不分四季都适用胜风散加僵蚕、蝉蜕，或者使用消风散。（药物组成：川芎、羌活、防风、陈皮、甘草、厚朴、藿香、荆芥、僵蚕、蝉蜕、白茯苓。）先用碧玉丹清洗患处，再用琥珀散点眼，这样才能痊愈。
验方
净皮硝、当归、杏仁、铜青、川黄连（各六分）
以上药材研为细末，用半杯井水浸泡，隔一层纸擦拭清洗眼部。
烂弦风眼：一位妇女患此病，用覆盆子叶随手采摘揉软，放入口中咀嚼保留汁液并聚集在小竹筒内，外用旧皂纱蒙在患者眼睛上，用笔画出双眼轮廓在纱上，然后将药汁滴渍在下眼睑边缘，眨眼之间就有虫子爬出纱外，有数十条虫子，形状像丝线，颜色赤红而长。再用同样的方法滴在上眼睑边缘，又爬出数十条虫子。同时服用清热、消风、活血的药物而痊愈。
烂弦赤眼、痘风火眼：百发百中的方子。取半坛井水和半坛河水，加入八两皂矾、二两铜青，埋在地中，用时取出水洗眼部。病程久者尤其有效。
烂弦风及痘风眼：杏仁三粒，去皮、尖后研烂，加入黄豆大的一块铜绿，研成细末和匀。用新的青色生绢包裹这两味药，放入一杯井水中浸泡片刻，待水中出现绿色时，不时用来洗眼。一日数次，数日后即可好转。
红眼边：将蛔虫洗净放在磁盘内，用竹刀劈开，取蛔虫腹内的液体，点涂在眼边。
又一方：凤仙花洗净晾干后捣烂。临睡前敷在上下眼睑上，不过几次就能痊愈。
洗方
炉甘石、川黄连（各五分）、铜绿（三分）
共同捣碎，用清水浸泡，露天放置一夜。频繁清洗，三日痊愈。
烂弦迎风流泪
川黄连、明矾、赤芍、铜绿、防风、当归（各五分）
煎汤清洗。
痘风烂弦流泪：头胎男子第一次排出的脐屎，涂抹在眼睑边缘。
又一方
防风、山栀、皮硝、枯矾、铜绿（各五分）
用五个蚕茧装入药物在内，仍用线缝好，用大半碗井水浸泡。等到水呈现黄绿色时，将碗放在热水中炖热，清洗三五次，永不复发。
又一方
铅粉（二钱）、铜绿（一钱）
用水调成浓稠状涂在碗内，外用另一个碗盛放艾团点燃，将有药的碗盖在上面。等到艾烟烧尽，将药刮下来，每次用新汲取的冷水调浓，临睡前用新毛笔蘸取涂抹在眼睑边缘即愈。
治残风烂眼膏：越陈久效果越好。
皮硝、潮脑（冰片）、苏薄荷叶（不研磨）、明矾（各三钱）
将薄荷叠数层放在碗内，将前面提到的细末铺在上面，用小碗盖住，用面糊封住口，将碗放在炭火上加热一炷香的时间，放到地上冷却后打开看，将碗内升华的药刮下。像这样再升华再刮取，以不再产生黄色药物为止，加入麝香、冰片几厘，用蜂蜜调成膏状点眼；或者将此膏加入少许炉甘石，用人乳浸泡黄连取汁调点也很好。
拳毛倒睫门主论
李东垣说：倒睫拳毛是因为眼皮松弛、眼睑边缘紧绷，所以睫毛向内卷曲刺入，内刺眼球，感觉砂涩难睁，眼睑红肿溃烂，痒而兼痛，这是脾经积热，肝风合邪上壅所致。
《秘笈》记载：这种病症都是脾肺亏弱，又受到心与小肠二经火气的克制，肺属金，主管全身的皮毛，眼睛上下睫毛的外部也属于肺所主；小肠属火，与心互为表里，分属上下，而眼睛的睫毛也属于小肠所主。阳火内盛，致使上下眼皮内部紧张外部松弛，时常红肿难睁，睫毛都倒向里面，眼球受刺，逐渐生出翳膜，怕光砂涩，分泌眵泪。初起服用无比蔓荆子汤，（药物组成：人参、黄芪、当归、黄连、柴胡、干葛、蔓荆子、防风、细辛。）以及黄防风丸，（药物组成：人参、黄芪、防风、干葛、细辛、甘草、蔓荆子，炼蜜为丸，空心时用白开水送服。）点用八宝散、琥珀散，兼用碧玉丹清洗。如果久病不能去除，用灰膏点去拳毛后退除翳膜，但这种膏药极其猛烈，点药必须得法才妙。如果误触眼球，必定造成损伤，不可轻易施用，务必谨慎。
According to the *Secret Manual* (Miji): This condition arises from damp-heat accumulation in the Spleen and Stomach, combined with invasion of Wind-Dampness. Furthermore, due to overexertion, sexual indiscretion, and exposure to Wind pathogens, day by day and month by month, external Wind evil invades while accumulated heat lurks internally. Within the eyelids, "Wind Millet" (small granular lesions on the eyelid margin) forms, causing ulceration, redness, pain, tearing, photophobia, and an urge to rub the eyes constantly, regardless of the season. It is advisable to use Shengfeng San (Winning Wind Powder) augmented with Jiangcan (Bombyx Batryticatus) and Chantui (Cicada Slough), or Xiaofeng San (Eliminating Wind Powder). (Ingredients: Chuanxiong Rhizoma, Qianghuo Notopterygii Rhizoma et Radix, Fangfeng Saposhnikoviae Radix, Chenpi Pericarpium Citri Reticulatae, Gancao Glycyrrhizae Radix et Rhizoma, Houpu Magnoliae Officinalis Cortex, Huoxiang Pogostemonis Herba, Jingjie Schizonepetae Spica, Jiangcan Bombyx Batryticatus, Chantui Cicadae Periostracum, Baifuling Poria.) First wash with Biyu Dan (Jade Green Pill), then apply Hupo San (Amber Powder). Only then can it be cured.
Prescription
Jingpixiao (Refined Saltpeter), Danggui Angelicae Sinensis Radix, Xingren Armeniacae Semen Amarum, Tongqing (Verdigris), Chuanhuanglian Coptidis Rhizoma (each 6 fen).
Grind into powder. Soak in half a cup of well water, wipe the eye through a layer of paper.
For Lanxian Fengyan (Ulcerative Blepharitis): A woman suffering from this used leaves of Fupenzi (Rubus chingii), freshly picked and softened by hand, chewed in the mouth to retain the juice collected in a small bamboo tube. An old gauze impregnated with soap was placed over the patient's eye, with outlines of both eyes drawn on the gauze. The medicinal juice was then dripped onto the lower eyelid margin. In the blink of an eye, worms emerged outside the gauze, numbering dozens, thread-like, red and long. The same method was applied to the upper eyelid margin, yielding another dozens of worms. She recovered after taking decoctions for clearing heat, eliminating wind, and invigorating blood.
For Lanxian Chiyan (Red Marginal Ulcerative Blepharitis) and Doufeng Huoyan (Smallpox-related Fire Eye): A highly effective prescription. Take half a jar of well water and half a jar of river water, add 8 liang of Zaojian (Alum Vitriol) and 2 liang of Tongqing (Verdigris), bury underground. When needed, take out to wash the eyes. Especially effective for chronic cases.
For Lanxian Feng and Doufeng Yan: 3 Xingren (Armeniacae Semen Amarum), peeled and de-seeded, ground into paste. Add a piece of Tongqing (Verdigris) the size of a soybean, grind into fine powder and mix evenly. Wrap these two ingredients in new green silk, soak in one wine-cup of well water for a while. When the water turns green, wash the eyes occasionally. Several times a day; improvement occurs after several days.
For Fengchi Daojie Lanxian Yan (Wind-induced Redness, Trichiasis, and Ulcerative Blepharitis): Wubeizi (Galla Chinensis), any amount, ground into powder. Mix with honey water and apply externally.
For Hong Yanbian (Red Eyelid Margin): Wash Ascaris lumbricoides, place on a porcelain plate, split open with a bamboo knife. Take the fluid from inside the worm's abdomen and apply to the eyelid margin.
Another Prescription: Wash and dry Fengxianhua (Impatiens balsamina), crush into paste. Apply to upper and lower eyelids before sleep. Healing occurs within a few applications.
Washing Formula
Luganshi (Calamina), Chuanhuanglian Coptidis Rhizoma (each 5 fen), Tongqing (Verdigris) (3 fen).
Crush together, soak in clear water, leave exposed overnight. Wash frequently; cure in three days.
For Lanxian Yingfeng Liulei (Ulcerative Blepharitis with Tearing upon Wind Exposure)
Chuanhuanglian Coptidis Rhizoma, Mingfan (Alumen), Chishao Paeoniae Radix Rubra, Tongqing (Verdigris), Fangfeng Saposhnikoviae Radix, Danggui Angelicae Sinensis Radix (each 5 fen).
Decoct and wash.
For Doufeng Lanxian Liulei (Smallpox-related Ulcerative Blepharitis with Tearing)
Apply the first umbilical stool (Qishi) from a first-born male infant to the eyelid margin.
Another Prescription
Fangfeng Saposhnikoviae Radix, Shanzhi Gardeniae Fructus, Pixiao (Saltpeter), Kufan (Burnt Alumen), Tongqing (Verdigris) (each 5 fen).
Place five silkworm cocoons containing the herbs, sew shut with thread. Soak in more than half a bowl of well water. When the water turns yellow-green, warm the bowl in hot water bath. Wash 3-5 times; it will never recur.
Another Prescription
Qianfen (Lead White) (2 qian), Tongqing (Verdigris) (1 qian).
Mix with water to form a thick paste, coat the inside of a bowl. Place a ball of mugwort (Ai) in an outer bowl and ignite it. Cover with the medicine-coated bowl. When the smoke burns out, scrape off the sublimated medicine. Each time, mix thickly with fresh cold water. Before sleep, dip a new brush and apply to the eyelid margin. Cure.
Ointment for Treating Canine Distichiasis and Ulcerative Eye Disease: The older, the better.
Pixiao (Saltpeter), Chaonao (Borneolum Syntheticum), Subohoye (Menthae Haplocalycis Herba - not ground), Mingfan (Alumen) (each 3 qian).
Layer Mentha leaves at the bottom of a bowl, spread the fine powder on top. Cover with a smaller bowl, seal edges with flour paste. Place on charcoal fire for the duration of one incense stick. Cool on the ground. Scrape the sublimated product from the inner bowl. Repeat sublimation and scraping until no yellow substance remains. Add Musk (Shexiang) and Borneolum Syntheticum (Bingpian) in minute amounts. Form ointment with honey for application. Alternatively, add a little Calamina (Luganshi) to this ointment, soak Coptidis Rhizoma (Huanglian) in human milk to extract juice, and use for application. Also excellent.
Main Discussion on Daojie Quanmao (Trichiasis and Rolled Eyelashes)
Li Dongyuan stated: Trichiasis and rolled eyelashes occur because the skin is loose while the eyelid margin is tight, causing lashes to roll inward and pierce the eyeball. This causes a gritty sensation, difficulty opening the eye, redness, swelling, ulceration of the eyelids, itching mixed with pain. This is caused by accumulated heat in the Spleen channel and upward congestion due to Liver Wind combining with pathogenic factors.
The *Secret Manual* states: This condition results from deficiency and weakness of the Spleen and Lungs, further exacerbated by Fire from the Heart and Small Intestine channels suppressing them. The Lung belongs to Metal and governs the skin and hair of the whole body; the exterior of the upper and lower eyelashes also belongs to the Lung. The Small Intestine belongs to Fire and has an interior-exterior relationship with the Heart; dividing upper and lower, the eyelashes also belong to the Small Intestine. Excessive internal Yang Fire causes tension internally and flaccidity externally in the upper and lower eyelids, leading to frequent redness, swelling, difficulty opening, and lashes turning inward. The eyeball is pierced, gradually forming nebula (corneal opacity), photophobia, grittiness, discharge, and tearing. Initially, administer Wubi Manjingzi Tang (Peerless Manjingzi Decoction). (Ingredients: Renshen Ginseng Radix, Huangqi Astragali Radix, Danggui Angelicae Sinensis Radix, Huanglian Coptidis Rhizoma, Chaihu Bupleuri Radix, Gange Puerariae Lobatae Radix, Manjingzi Viticis Fructus, Fangfeng Saposhnikoviae Radix, Xixin Asari Radix et Rhizoma.) Also use Huangfeng Wan (Astragalus and Saposhnikovia Pills). (Ingredients: Renshen Ginseng Radix, Huangqi Astragali Radix, Fangfeng Saposhnikoviae Radix, Gange Puerariae Lobatae Radix, Xixin Asari Radix et Rhizoma, Gancao Glycyrrhizae Radix et Rhizoma, Manjingzi Viticis Fructus. Processed with refined honey into pills. Take on an empty stomach with plain boiled water.) Apply Babao San (Eight-Treasure Powder) and Hupo San (Amber Powder), and wash with Biyu Dan (Jade Green Pill). If the disease is chronic and cannot be removed, use Huigao (Ash Ointment) to cauterize the rolled lashes and remove nebula. However, this ointment is extremely potent; application must be precise to be effective. If it accidentally touches the eyeball, it will cause damage. Do not use lightly. Be cautious.