逆顺生翳上下生，顺则下垂逆上冲，钩割后用知母饮，知味军芩车桔茺。
【注】逆顺生翳之证，从上垂下，侵入黑睛为顺，从下冲上，侵入黑睛为逆。顺则易
安，逆则难治。并宜手法钩割去其翳膜，后服知母饮子，清其内热。
知母饮子
知母（炒，二钱） 五味子（五分） 大黄（一钱） 黄芩（一钱） 车前子（二钱） 桔梗（一钱）
茺蔚子（二钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
风牵睑出睑皮翻，胞睑俱红眵泪涟。胃经积热肝风盛， 洗去瘀病可痊。后服黄 汤
蔚骨，防芩苓草大黄煎。
【注】风牵睑出之证，乃睑皮翻出向外，上下胞睑俱赤，眵泪淋漓，皆缘胃经积热，肝
有风邪。宜先用 洗去瘀，后服黄 汤，清热
散邪也。
黄 汤方
黄 （一钱） 茺蔚子（二钱） 地骨皮（一钱） 防风（一钱五分） 黄芩（一钱） 茯苓（一钱）
甘草（五分） 大黄（一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
椒疮风粟睑胞生，多泪难睁摩涩疼，脾经风热粟黄软，脾经湿热椒硬红。 洗后用清
脾饮，知母翘军生地风，黄芩元粉黄连桔，陈皮荆芥黑参灵。
【注】椒疮风粟之证，或起于睑边，或生于胞内，皆泪多难睁，沙涩摩睛疼痛。粟
疮如粟，其形黄软，属脾经风热而成；椒疮如椒，其形红硬，属脾经湿热而成。并宜 洗
出血，服除风清脾饮，椒疮倍芩连生地，风粟倍荆芥防风。
除风清脾饮
知母 连翘 大黄 生地黄 防风 黄芩 元明粉 黄连 桔梗 陈皮 荆芥穗 黑参（各等分）
上为粗末，以水二盏，煎至一盏，去渣食远温服。
翳膜生长有逆证与顺证之分，且位置有上生与下生之别。顺证表现为翳膜从上方向下垂坠，侵入黑睛（角膜）；逆证表现为翳膜从下方往上冲犯，侵入黑睛。顺证容易治疗，逆证难以治愈。无论顺逆，均宜先用手法钩割去除翳膜，随后服用知母饮，以清除体内热邪。
知母饮方剂组成：知母（炒制，二钱）、五味子（五分）、大黄（一钱）、黄芩（一钱）、车前子（二钱）、桔梗（一钱）、茺蔚子（二钱）。
以上药材捣成粗末，用水两盏，煎煮至一盏，饭后去渣温服。
风牵睑出症表现为眼睑皮翻出，上下眼睑均发红，眼屎多且流泪不止。此病因胃经积热、肝经风盛所致。宜先用药物清洗去除瘀滞病变，即可痊愈。随后服用黄芪汤，以清热散邪。
黄芪汤方剂组成：黄芪（一钱）、茺蔚子（二钱）、地骨皮（一钱）、防风（一钱五分）、黄芩（一钱）、茯苓（一钱）、甘草（五分）、大黄（一钱）。
以上药材捣成粗末，用水两盏，煎煮至一盏，饭后去渣温服。
椒疮和风粟生于眼睑胞睑部位，症状为多泪、难睁眼、摩擦感及疼痛。粟疮形态如粟米，色黄质软，属于脾经风热所致；椒疮形态如花椒，色红质硬，属于脾经湿热所致。均宜先清洗出血，然后服用除风清脾饮。其中，椒疮需加倍使用黄芩、黄连和生地黄；风粟需加倍使用荆芥和防风。
除风清脾饮方剂组成：知母、连翘、大黄、生地黄、防风、黄芩、元明粉、黄连、桔梗、陈皮、荆芥穗、黑参（各等分）。
以上药材捣成粗末，用水两盏，煎煮至一盏，去渣后在远离进食时间温服。
The growth of corneal opacity (nebula) is categorized into favorable (Shun) and unfavorable (Ni) patterns, with variations in upper or lower onset. The favorable pattern presents as opacity descending from above, invading the black pupil (cornea); the unfavorable pattern presents as opacity rushing upward from below, invading the black pupil (cornea). The favorable pattern is easy to treat, whereas the unfavorable pattern is difficult to cure. Regardless of the pattern, surgical hooking and cutting should be employed first to remove the opacity membrane, followed by the administration of Zhi Mu Yin to clear internal heat.
Zhi Mu Yin Composition: Rhizoma Anemarrhenae (Chao, 2 qian), Fructus Schisandrae Chinensis (5 fen), Radix et Rhizoma Rhei (1 qian), Flos Scutellariae (1 qian), Semen Plantaginis (2 qian), Radix Platycodi (1 qian), Fructus Chorisporae (2 qian).
Grind the above ingredients into a coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm after meals.
Wind-induced Ectropion manifests as eversion of the eyelid skin, redness of both upper and lower eyelids, copious discharge, and continuous tearing. This condition arises from accumulated heat in the Stomach meridian and wind pathogen in the Liver. It is advisable to first wash away the stasis and pathological changes using topical washing, which leads to recovery. Subsequently, Huang Qi Tang should be administered to clear heat and disperse pathogens.
Huang Qi Tang Composition: Radix Astragali Membranacei (1 qian), Fructus Chorisporae (2 qian), Cortex Lycii (1 qian), Radix Saposhnikoviae (1.5 qian), Flos Scutellariae (1 qian), Poria (1 qian), Radix Glycyrrhizae (5 fen), Radix et Rhizoma Rhei (1 qian).
Grind the above ingredients into a coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm after meals.
Corn-like granules (Jiao Chuang) and millet-like grains (Feng Su) arise on the eyelids. Symptoms include excessive tearing, difficulty opening the eyes, friction sensation, and pain. Feng Su resembles millet, appearing yellow and soft, caused by wind-heat in the Spleen meridian; Jiao Chuang resembles pepper, appearing red and hard, caused by damp-heat in the Spleen meridian. Both conditions should first be treated with bloodletting/washing, followed by the administration of Chu Feng Qing Pi Yin. For Jiao Chuang, increase the dosage of Huang Qin, Huang Lian, and Sheng Di Huang; for Feng Su, increase the dosage of Jing Jie and Fang Feng.
Chu Feng Qing Pi Yin Composition: Rhizoma Anemarrhenae, Fructus Forsythiae, Radix et Rhizoma Rhei, Radix Rehmanniae Preparata, Radix Saposhnikoviae, Flos Scutellariae, Natrii Sulfas, Radix Coptidis, Radix Platycodi, Pericarpium Citri Reticulatae, Herba Schizonepetae, Radix Panacis Nigri (equal parts).
Grind the above ingredients into a coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm at a time distant from meals.