论曰脏腑久积风热，内熏肝经，冲发于目，始则肿赤隐痛多泪，日久津液涩少，睑 皮
急，致睫拳倒刺，隐磨瞳仁，治法当起立毛睫，又刺太阳经令出血，及铍镰除其恶血，仍服
除风退热之剂。治眼睑紧急，倒睫拳挛，犀角芎 散方
犀角（镑） 芎 羚羊角（镑） 木香 槟榔（煨锉） 茯神（去木） 山芋 前胡
（去芦头）
牛膝（去苗） 桂（去粗皮） 枳壳（去瓤麸炒） 大黄（锉炒等分）
上一十二味，捣罗为散，每服三钱匕，空心食前，温酒调下。
治倒睫拳挛，眼如针刺，目系急碜，多生眵泪，木通汤方
木通（锉） 麦门冬（去心焙） 旋复花 黄芩（去黑心） 茯神（去木各一两） 大
黄（锉炒
三分）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至八分，投生地黄自然汁一合，更煎取沸
，入朴硝末一字，食后临卧温服。
治风热冲肝，目多倒睫，防风汤方
防风（去叉） 甘菊花 旋复花 决明子（微炒） 麦门冬（去心焙） 栀子仁 葳蕤 升
麻
秦皮（去粗皮锉） 黄连（去须） 甘草（炙等分）
上一十一味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后临卧温服。
治目渐致倒睫，隐涩疼痛，菊花散方
菊花 羚羊角（镑） 蔓荆实（各三分） 玄参（半两） 防风（去叉） 芍药（各一
两半） 子
芩（一两）
上七味，捣罗为散，每服二钱匕，水一盏，煎至六分，不去滓入马牙硝末一字打匀，食
后临卧温服。
治倒睫赤眼，疼痛不开，车前散方
车前子（二两） 马蹄决明（微炒） 蕤仁（各一两半） 龙胆 地肤子 菊花 甘草
（炙锉
各半两） 青葙子 山栀子仁（各一两） 前胡（去芦头三分）
上一十味，捣罗为散，每服二钱至三钱匕，空心粟米饮调下，食后，临卧再服。
治倒睫拳挛，隐磨瞳仁，决明丸方
决明子（微炒） 车前子 山栀子仁 枸杞子 熊胆汁（干者亦得各半两） 黄连（去
须）
牵牛子（炒熟） 甘草（炙锉各三分） 牛胆汁（半合） 猪胆汁（五枚）
上一十味，捣罗七味为末，及三味胆汁和丸，如梧桐子大，每服三十丸，食后温熟水下
，随胆汁多少，以丸得为度，如硬入炼蜜少许不妨。
治风热攻目，碜涩疼痛，致倒睫，洗眼蕤仁汤方
蕤仁秦皮（去粗皮锉） 防风（去叉各一两） 菊花 山栀子仁 葳蕤（各半两） 竹
叶（二
握）
上七味细锉，以水三升，煎取一升半，去滓乘热淋洗，冷即再暖，作三度使。
治倒睫拳挛，目 赤烂，二黄丸方
黄连（去须一两半） 大黄（锉炒一两） 细辛（去苗叶） 龙脑（各半两）
上四味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，食后临卧，温熟水下，日再
，小儿量减。
Commentary states: Wind-heat accumulates in the Zang-Fu organs for a long time, internally steaming the Liver Meridian (Liver Channel), and rushing to manifest in the eyes. Initially, there is swelling, redness, dull pain, and excessive tearing. Over time, body fluids become dry and scanty, causing the eyelid skin to tighten, resulting in curled and inverted eyelashes that rub against the cornea and pupil. The treatment method should aim to straighten the inverted eyelashes, puncture the Taiyang Meridian (Bladder Channel) to induce bleeding, use a Pi-Lian knife (a surgical blade) to remove bad blood, and administer formulas that dispel wind and clear heat.
Formula of Xijiao and Xiong for treating tight eyelids, inverted and curled eyelashes:
Rhinoceros Horn (sliced thin), Ligusticum Wallichii Rhizome (Chuanxiong), Antelope Horn (sliced thin), Aucklandia Root (Muxiang), Areca Seed (Binglang, baked and crushed), Poria Cocos (Fushen, woody core removed), Dioscorea Opposita (Shanyu), Peucedanum Root (Qianhu, radix removed), Achyranthes Bidentata Root (Niuxi, sprouts removed), Cinnamon Twig (Gui, outer bark removed), Aurantium Fructus (Zhike, pulp and bran removed), Rheum Palmatum Root (Dahuang, crushed and stir-fried; all in equal parts).
The above twelve ingredients are pounded and sifted into a powder. Take three Qianbi per dose, on an empty stomach or before meals, mixed with warm wine.
Tongue Decoction (Mutong Tang) for treating inverted and curled eyelashes, sensation of needles in the eyes, tension in the eye system, grittiness, excessive discharge and tearing:
Akebia Stem (Mutong, crushed), Ophiopogon Tuber (Mendong, heart removed and baked), Inula Flower (Xuanfuhua), Scutellaria Root (Huangqin, blackened center removed), Poria Cocos (Fushen, woody core removed, each 1 liang), Rheum Palmatum Root (Dahuang, crushed and stir-fried, 3 qian).
The above six ingredients are coarsely pounded and sieved. Take 5 Qianbi per dose, with 1.5 cups of water, decoct until 0.8 cup remains, add 1 he of fresh Rehmannia Root juice (Sheng Dihuang Ziran Zhi), boil again until bubbling, add 1 zi amount of Mirabilite powder (Piaoxiao), and take warm after meals and before retiring.
Fangfeng Decoction for treating wind-heat attacking the Liver, with many inverted eyelashes:
Saposhnikovia Root (Fangfeng, forked parts removed), Chrysanthemum Flower (Gan Juhua), Inula Flower (Xuanfuhua), Cassia Seed (Juemingzi, lightly stir-fried), Ophiopogon Tuber (Mendong, heart removed and baked), Gardenia Fruit (Zhizi Ren), Polygonatum Rhizome (Weirui), Cimicifuga Rhizome (Shengma), Fraxinus Bark (Qinpi, coarse bark removed and crushed), Coptis Rhizome (Huanglian, fibers removed), Licorice Root (Gancao, honey-fried; all in equal parts).
The above eleven ingredients are coarsely pounded and sieved. Take 5 Qianbi per dose, with 1.5 cups of water, decoct until 0.8 cup remains, strain, and take warm after meals and before retiring.
Juahua Powder for treating gradually developing inverted eyelashes, dull dryness and pain:
Chrysanthemum Flower (Juhua), Antelope Horn (Lingyangjiao, sliced thin), Vitex Fruit (Manjingzi, each 3 qian), Scrophularia Root (Xuanshen, 0.5 liang), Saposhnikovia Root (Fangfeng, forked parts removed), Peony Root (Shaoyao, each 1.5 liang), Scutellaria Root (Huangqin, 1 liang).
The above seven ingredients are pounded and sifted into a powder. Take 2 Qianbi per dose, with 1 cup of water, decoct until 0.6 cup remains, do not strain, add 1 zi amount of Sodium Sulfate (Mayaxiao), mix well, and take warm after meals and before retiring.
Cheqian Powder for treating inverted eyelashes, red eyes, pain preventing opening:
Plantago Seed (Cheqianzi, 2 liang), Cassia Seed (Matijueming, lightly stir-fried), Prunus Armeniaca Kernel (Ruiren, each 1.5 liang), Gentiana Root (Longdan), Kochia Fruit ( Difuzi), Chrysanthemum Flower (Juhua), Licorice Root (Gancao, honey-fried and crushed, each 0.5 liang), Celosia Seed (Qingxiangzi), Gardenia Fruit (Shanzhizi Ren, each 1 liang), Peucedanum Root (Qianhu, radix removed, 3 qian).
The above ten ingredients are pounded and sifted into a powder. Take 2 to 3 Qianbi per dose, mixed with millet drink on an empty stomach, and take again after meals and before retiring.
Jueming Pill for treating inverted and curled eyelashes rubbing against the cornea:
Cassia Seed (Juemingzi, lightly stir-fried), Plantago Seed (Cheqianzi), Gardenia Fruit (Shanzhizi Ren), Goji Berry (Gouqizi), Bear Gallbladder Juice (Xiongdan Zhi, dried is acceptable, each 0.5 liang), Coptis Rhizome (Huanglian, fibers removed), Pharbitis Seed (Qianniuzi, stir-fried until ripe), Licorice Root (Gancao, honey-fried and crushed, each 3 qian), Ox Gallbladder Juice (Niudan Zhi, 0.5 he), Pig Gallbladder Juice (Zhudan Zhi, 5 pieces).
The above ten ingredients: pound the first seven into powder, and mix with the three types of bile juices to form pills the size of Sophora seeds. Take 30 pills per dose, with warm boiled water after meals. Adjust the pill hardness according to the amount of bile; if too hard, add a little refined honey.
Rui Ren Decoction for washing eyes, treating wind-heat attacking the eyes, grittiness and pain leading to inverted eyelashes:
Prunus Armeniaca Kernel (Ruiren), Fraxinus Bark (Qinpi, coarse bark removed and crushed), Saposhnikovia Root (Fangfeng, forked parts removed, each 1 liang), Chrysanthemum Flower (Juhua), Gardenia Fruit (Shanzhizi Ren), Polygonatum Rhizome (Weirui, each 0.5 liang), Bamboo Leaves (Zhuye, two handfuls).
The above seven ingredients are finely crushed, decocted in 3 sheng of water until 1.5 sheng remains, strained, and used hot to wash the eyes. Re-warm if cooled. Use three times.
Erhuang Pill for treating inverted and curled eyelashes, red and ulcerated eyes:
Coptis Rhizome (Huanglian, fibers removed, 1.5 liang), Rheum Palmatum Root (Dahuang, crushed and stir-fried, 1 liang), Asarum Root (Xixin, sprouts and leaves removed), Borneol (Longnao, each 0.5 liang).
The above four ingredients are pounded and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, after meals and before retiring, with warm boiled water, twice daily. Reduce dosage for children.