眼丹眼胞上下生，红热肿痛软偏风， 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 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，成漏难敛。
\r眼丹图\p04-34a91.bmp\r
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）
针眼眼睫豆粒形，轻者洗消脓不成，甚则赤痛脓针愈，破后风侵浮肿生。
【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。
\r针眼图\p04-34a92.bmp\r
芎皮散
川芎（二两） 青皮（一两）
共为末，每服二钱，菊花汤调服。
外以枯矾末，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。
如意金黄散（见肿疡门）
黄连膏（见鼻部鼻疮内）
Yandan (Eyelid Carbuncle) manifests as redness, heat, swelling, and pain in the upper and lower eyelids. If the swelling is soft and drooping, it indicates a predominance of Wind pathogen; if the color is red-purple and the texture is hard, it indicates a predominance of Heat pathogen. In such cases, administering Jingfang Baidu San (Aster and Saposhnikovia Decoction for Overcoming Toxins) can be effective.
[Note] This condition arises from Damp-Heat in the Spleen and Stomach combined with Wind invasion, presenting with redness, swelling, and pain. If the swelling is soft and drooping, impairing vision, it signifies a predominance of Wind, where edema is easy to resolve; if the color is red-purple and the texture is hard, it signifies a predominance of Heat, where swelling and induration are difficult to dissipate. At the initial stage, Jingfang Baidu San should be used to disperse Wind. If accompanied by thirst and dry stool, Neishu Huanglian Tang (Internal Draining Coptis Decoction) should be used to purge Heat; if the condition persists for a long time without resolving, Tou Nong San (Decoction for Promoting Pus Formation) should be taken, and once the pus matures, it should be punctured with a needle. For unruptured swelling, Yiru Jinhuang San (Aurora and Golden Yellow Powder) should be washed/applied; after rupture, Hupo Gao (Amber Ointment) or Bai Gaoyao (White Plaster) should be applied. This condition should be induced to rupture quickly; delay may lead to deep penetration through the eyelid, forming a fistula that is difficult to heal.
Zhenyan (Stye) presents as a bean-sized lump at the eyelash margin. In mild cases, washing can prevent pus formation and cause resolution; in severe cases, redness, pain, and pus formation occur, requiring puncture for healing; after rupture, Wind invasion may cause swelling.
[Note] This condition occurs between the eyelid hairs and lashes, caused by Wind-Heat in the Spleen Meridian, resembling a bean with a pointed tip. In mild initial cases, Yiru Jinhuang San should be used, rinsed with salt water, which resolves the condition before pus forms. If Wind-Heat is severe, with redness and significant pain, washing fails to resolve it, indicating pus has formed; once mature, it should be punctured, and Huanglian Gao (Coptis Ointment) applied. In some cases, after rupture, evil Wind invades the wound, causing facial swelling and red, gritty, painful eyes; external washing should continue, and Xiongpi San (Ligusticum and Tangerine Peel Powder) should be taken internally for recovery.
Xiongpi San
Chuanxiong Rhizoma (Liangqian, 2 liang) Qingpi Pericarpium Citri Reticulatae Viride (1 liang)
Grind into fine powder. Take 2 qian per dose, mixed with Chrysanthemi Flos (Ju Hua) decoction.
Externally, use Mume Fructus Calcined (Kufan) powder mixed with Albumen Ovum (Jidan Qing) applied to the swollen area.
Alternatively, use Arisaematis Rhizoma (Nanxing) powder mashed with Rehmanniae Radix Preparata (Sheng Dihuang) into a paste, applied to Taiyang acupoint for spontaneous resolution.
[Prescription Verse] Xiongpi San contains Chuanxiong, with half the amount of Qingpi being most effective; powdered and taken with Ju Hua decoction, it successfully treats Zhenyan.
Yiru Jinhuang San (See Swelling and Ulcer Section)
Huanglian Gao (See Nasal Ulcer Section)