论曰眼睑肿硬者，内因肝肺积热，上冲于目，外为风邪所搏，风热留结，在于睑 ，
血气不得宣流，故令肿硬，久不瘥者，多成风粟细疮，眵汁淹渍，浸坏眼目，先宜镰洗出毒
，然后以药攻治，则病可瘥。
治眼睑硬赤肿痛，黄 汤方
黄 （锉） 茺蔚子 麦门冬（去心焙各一两半） 地骨皮 玄参 黄芩（去黑心） 知
母（
焙各一两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓食后临卧温服，日三。
治眼睑硬刺痛肿赤，细辛散方
细辛（去苗叶半两） 人参 白茯苓（去黑皮） 五味子（各一两） 芎 本（去
苗土各
一两半）
上六味，捣罗为散，每服三钱匕，水一盏二分，煎至七分，和滓温服，早晚食前。
治眼睑肿硬，石决明散方
石决明（刮洗） 车前子 白茯苓（去黑皮） 五味子 人参 细辛（去苗叶各一两） 知
母
（焙二两）
上七味，捣罗为散，每服三钱匕，食后临卧，米饮调下，日三。
治眼睑肿硬刺痛，大黄桔梗散方
大黄（锉炒一两半） 桔梗（锉炒） 黄芩（去黑心） 玄参 羚羊角（镑） 人参 白
茯苓（
去黑皮各一两）
上七味，捣罗为散。每服一钱半匕，至二钱匕，食后临卧，米饮调下，日三。
治风热客搏，眼睑肿硬，洗眼秦皮汤方
防风（去叉） 秦艽（去苗土） 甘菊花（各二两） 蕤仁（汤浸去皮） 栀子仁 葳
蕤（各半
两） 竹叶（一握）
上七味，细锉令匀，每用一两，以水三盏，煎取一盏半，绵滤去滓，每暖洗讫避风。
治眼睑肿硬痒痛，洗眼防风汤方
秦皮 黄连（去须） 细辛（去苗叶各二两） 黄柏（半两） 青盐（一两）
上五味，锉令匀，每用一两，以水三盏，煎取一盏半，绵滤去滓，乘热通手洗眼了，
避风，日三，再暖洗之。
Discussion: Swelling and induration of the eyelids are caused by internal accumulation of heat in the Liver and Lung, which rushes upward to the eyes. Externally, this is compounded by invasion of Wind pathogen. The lingering and knotting of Wind-Heat in the eyelid region prevents the free flow of Blood and Qi, resulting in swelling and hardness. If left untreated for a long time, it often develops into small, millet-like sores (Feng Su), with ocular discharge (Chi) causing erosion and gradually damaging the eyes. Initially, it is advisable to use the Lianxi method (a specific washing technique) to expel toxins, followed by medicinal treatment, after which the disease can be cured.
Formula for treating hard, red, swollen, and painful eyelids: Huangqin Tang (Coptis Decoction)
Ingredients: Huangqin (Radix Scutellariae, chopped), Chongweizi (Fructus Viticis), Maidong (Rhizoma Ophiopogonis, heart removed and roasted, each 1.5 liang), Digupi (Cortex Lycii), Xuanshen (Radix Scrophulariae), Huangqin (Radix Scutellariae, black center removed), Zhimu (Rhizoma Anemarrhenae, roasted, each 1 liang).
The above seven herbs are coarsely crushed and sifted. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until reduced to 0.7 zhan, remove dregs, and take warm after meals and before bed, three times daily.
Formula for treating hard, stabbing pain, swollen, and red eyelids: Xixin San (Asarum Powder)
Ingredients: Xixin (Herba Asari, rhizomes and leaves removed, 0.5 liang), Renshen (Radix Ginseng), Baifuling (Poria, black skin removed), Wuweizi (Fructus Schisandrae, each 1 liang), Xiongqu (Radix Ligustici Wallichii), Bencao (Rhizoma Ligustici Chuanxiong, rhizomes and soil removed, each 1.5 liang).
The above six herbs are crushed and ground into powder. Take 3 qianbi per dose, add 1.2 zhan of water, decoct until reduced to 0.7 zhan, and take warm including dregs before morning and evening meals.
Formula for treating swollen and hard eyelids: Shijueming San (Concha Argo Powder)
Ingredients: Shijueming (Concha Argo, scraped and washed), Cheqianzi (Semen Plantaginis), Baifuling (Poria, black skin removed), Wuweizi (Fructus Schisandrae), Renshen (Radix Ginseng), Xixin (Herba Asari, rhizomes and leaves removed, each 1 liang), Zhimu (Rhizoma Anemarrhenae, roasted, 2 liang).
The above seven herbs are crushed and ground into powder. Take 3 qianbi per dose, after meals and before bed, mix with rice water to swallow, three times daily.
Formula for treating swollen, hard, and stabbing painful eyelids: Dahuang Jiegeng San (Rhubarb and Platycodon Powder)
Ingredients: Dahuang (Radix et Rhizoma Rhei, chopped and fried, 1.5 liang), Jiegeng (Radix Platycodonis, chopped and fried), Huangqin (Radix Scutellariae, black center removed), Xuanshen (Radix Scrophulariae), Lingyangjiao (Cornu Saigae Tataricae, shaved), Renshen (Radix Ginseng), Baifuling (Poria, black skin removed, each 1 liang).
The above seven herbs are crushed and ground into powder. Take 1.5 to 2 qianbi per dose, after meals and before bed, mix with rice water to swallow, three times daily.
Decoction for washing eyes to treat eyelid swelling and hardness caused by external invasion of Wind-Heat: Qinpi Tang (Bark of Fraxinus Decoction)
Ingredients: Fangfeng (Radix Saposhnikoviae, forked parts removed), Qinjiao (Radix Gentiana Macrophyllae, rhizomes and soil removed), Ganjuhua (Flos Chrysanthemi, each 2 liang), Ruiren (Semen Pruni Armeniacae, soaked in hot water and peeled), Zhiziren (Semen Gardeniae), Weirui (Rhizoma Polygonati Odorati, each 0.5 liang), Zhuye (Folium Bambusae, one handful).
The above seven herbs are finely chopped and mixed evenly. Use 1 liang per dose, add 3 zhan of water, decoct to obtain 1.5 zhan, filter through cotton cloth to remove dregs, and wash the eyes while warm, avoiding wind afterwards.
Decoction for washing eyes to treat eyelid swelling, hardness, itching, and pain: Fangfeng Tang (Saposhnikovia Decoction)
Ingredients: Qinpi (Cortex Fraxini), Huanglian (Rhizoma Coptidis, whiskers removed), Xixin (Herba Asari, rhizomes and leaves removed, each 2 liang), Huangbai (Cortex Phellodendri, 0.5 liang), Qingyan (Halitum, 1 liang).
The above five herbs are chopped and mixed evenly. Use 1 liang per dose, add 3 zhan of water, decoct to obtain 1.5 zhan, filter through cotton cloth to remove dregs. Wash the eyes while hot but comfortable to the touch, avoid wind, three times daily. Re-warm and wash again if necessary.