【方歌】眼丹眼胞上下生，红热肿痛软偏风，焮热紫硬偏于热，
荆防败毒服有功。
【注】此证由脾胃湿热，受风而成，红肿疼痛。若肿软下垂，
不能视物者，偏于风盛也，浮肿易消；若焮红色，紫坚
硬者，偏于热盛也，肿硬难消。初起俱宜荆防败毒散散
其风。口渴便燥者，宜内疏黄连汤泻其热；有日久消之
不应者，宜服透脓散，脓熟针之。肿用如意金黄散洗之
，溃用琥珀膏或白膏药贴之。此证宜速溃，迟则溃深穿
透眼胞，成瘘难敛。
方剂：荆防败毒散（见项部脑疽）
内疏黄连汤、如意金黄散、透脓散（俱见肿疡门）
琥珀膏（见头部发际疮）
白膏药（见溃疡门）
【方歌】针眼眼睫豆粒形，轻者洗消脓不成，甚则赤痛脓针愈，
砍后风侵浮肿生。
【注】此证生于眼皮毛睫间，由脾经风热而成，形如豆粒有尖
。初起轻者宜用如意金黄散，盐汤冲洗，脓不成即消矣
。风热甚者，色赤多痛，洗之不消，脓已成也，候熟针
之，贴黄连膏。亦有破后邪风侵入疮口，令人头面浮肿
、目赤涩痛者，外仍洗之，内服芎皮散即愈。
方剂：芎皮散
组成：川芎（二两）青皮（一两）
共为末，每服二钱，菊花汤调服。外以桔矾末，鸡
子清调敷肿处。又用南星末，同生地黄捣膏，贴太阳穴
自消。
【方歌】芎皮散内用川芎，青皮减半用最灵，为末菊花汤调服，
医治针眼自成功。
又方：如意金黄散（见肿疡门）
黄连膏（见鼻部鼻疮内）
[Prescription Verse] Yan Dan (Eyelid Carbuncle) arises on the upper and lower eyelids, presenting with redness, heat, swelling, and pain. If the swelling is soft and drooping, it indicates a predominance of Wind pathogen; if it is inflamed, red, purple, and hard, it indicates a predominance of Heat pathogen. Taking Jingfang Baidu San (Jingfang Decoction for Overcoming Toxins) yields effective results.
[Annotation] This condition is caused by Damp-Heat in the Spleen and Stomach combined with Wind invasion, manifesting as redness, swelling, and pain. If the swelling is soft and drooping, impairing vision, it suggests a predominance of Wind, where edema is easy to resolve; if it is inflamed, red, purple, and hard, it suggests a predominance of Heat, where swelling and hardness are difficult to dissipate. In the initial stage, Jingfang Baidu San should be used to disperse Wind. For those with thirst and dry stools, Neishu Huanglian Tang (Internal Purging Coptis Decoction) should be used to purge Heat. For cases that do not resolve after a long duration, Tounong San (Pus-Permeating Powder) should be taken, and once the pus matures, it should be punctured with a needle. For unbroken swelling, apply Ruyi Jinhuang San (Ruyi Golden Yellow Powder) for washing; for broken sores, apply Hupo Gao (Amber Ointment) or Baigaoyao (White Plaster). This condition requires early ulceration/drainage; delay may lead to deep penetration through the eyelids, forming a fistula that is difficult to heal.
Prescriptions: Jingfang Baidu San (see Neck Carbuncle section); Neishu Huanglian Tang, Ruyi Jinhuang San, Tounong San (all see Swelling Ulcer section); Hupo Gao (see Head Hairline Sores section); Baigaoyao (see Ulcer section).
[Prescription Verse] Zhen Yan (Stye) appears between the eyelashes in the shape of a bean grain. Mild cases can be washed away without pus formation; severe cases involve redness, pain, and require puncture once pus matures for healing. If Wind invades after incision, swelling may develop.
[Annotation] This condition occurs between the eyelid hairs and lashes, caused by Wind-Heat in the Spleen Meridian, resembling a bean grain with a pointed tip. In mild initial cases, apply Ruyi Jinhuang San and rinse with salt water; if pus has not formed, it will subside. If Wind-Heat is severe, with redness and significant pain, rinsing fails to resolve it, indicating mature pus; puncture when ready and apply Huanglian Gao (Coptis Ointment). In some cases, after rupture, evil Wind invades the wound, causing facial swelling and red, gritty eyes. Externally continue rinsing; internally take Xiongpi San (Ligusticum Peel Powder) for recovery.
Prescription: Xiongpi San
Composition: Chuanxiong Rhizome (2 liang), Qingpi (Green Tangerine Peel, 1 liang).
Grind into powder. Take 2 qian per dose, mixed with Chrysanthemum Tea. Externally, mix Jiefan Mo (Alum and Stibnite Powder) with egg white and apply to the swollen area. Alternatively, mix Nanxing Mo (Aricaemia Powder) with Shengdihuang (Rehmannia Root) to make a paste and apply to the Taiyang Acupoint (Ex-HN5) for spontaneous resolution.
[Prescription Verse] Xiongpi San contains Chuanxiong, with half the amount of Qingpi being most effective. Taken as powder mixed with Chrysanthemum Tea, it successfully treats Styes.
Alternative Prescription: Ruyi Jinhuang San (see Swelling Ulcer section); Huanglian Gao (see Nasal Sores section).