脾胃气虚，目紧皮缩，眼睑上小睫毛倒入眼中，谓之拳毛倒睫。补中益气汤加石斛、蝉
蜕、
，去壳为末，绵裹，左眼塞右鼻，右眼塞左鼻，数夜自愈。
一、有伏热内攻，阴气外行所致者，去其伏热，眼皮便宽，则毛立出，宜用升阳散火
汤，外治同上。
升阳散火汤
连翘 黄芩 蔓荆子 升麻 羌活 柴胡（各一钱五分） 归身（二钱） 生地（四钱） 甘
草（一钱生用）
上水煎，食后温服。
补中益气汤（通用三十。）
生睫边，形如豆粒有尖。以线针刺破即瘥，故俗名偷针，乃太阳经结热也。如刺后风邪
袭入疮口，面目浮肿，目赤涩痛者，用芎皮散二钱，菊花汤调下，覆头出汗即愈。
芎皮散
川芎（二两） 青皮（一两）
共为细末，每服二钱，菊花煎汤调服。
附方（存验。）
生南星末同生地黄捣膏，贴太阳穴，针眼自消。即刺后冒风亦可愈。
风热搏于眼胞，则患眼丹，红肿胀痛。风盛者肿软下垂，不能视物，用荆防败毒散散之
。热
欲溃者，按阳痈则例治之。然须速愈，若溃久溃深，亦能成漏。
荆防败毒散（通用四。）
仙方活命饮（通用一。）
眼皮上突出一红疤，悬如鱼胆，用过江蜘蛛丝（蜘蛛牵丝搭过屋者为过江。）缠之即脱。
又方用樱桃核磨水搽，渐渐自消。
Spleen and Stomach Qi deficiency causes the skin around the eyes to tighten and shrink, the eyelids to become small, and the eyelashes to turn inward into the eye; this is called "curled eyelash" (Quanmao Daojie). Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Dendrobii Caulis (Shihu) and Cicadae Periostracum (Chantui). Remove the shell of the cicada, grind it into powder, wrap it in cotton, insert into the right nostril for the left eye, or into the left nostril for the right eye. It will heal spontaneously after several nights.
One type is caused by latent heat attacking internally and Yin Qi moving externally. Once the latent heat is cleared, the eyelid skin relaxes and widens, allowing the lashes to stand upright. Shengyang Sanhuo Tang (Raise Yang and Disperse Fire Decoction) is appropriate, with external treatment as described above.
Shengyang Sanhuo Tang
Forsythiae Fructus (Lianqiao), Scutellariae Radix (Huangqin), Viticis Fructus (Manjingzi), Cimicifugae Rhizoma (Shengma), Notopterygii Rhizoma et Radix (Qianghuo), Bupleuri Radix (Chaihu) (each 1.5 qian), Angelicae Sinensis Radix (Guishen) (2 qian), Rehmanniae Radix Recens (Shengdi) (4 qian), Glycyrrhizae Radix et Rhizoma (Gancao, raw) (1 qian).
Decoct these ingredients in water and take warm after meals.
Buzhong Yiqi Tang (General Formula No. 30.)
Growth at the edge of the eyelashes, shaped like a bean with a sharp tip. Puncturing it with a thread needle leads to recovery, hence the common name "stealing needle" (Touzhen), which is due to heat accumulation in the Taiyang Meridian. If wind-pathogen invades the wound after puncturing, causing facial swelling, redness, and dry painful eyes, administer Xiongpi San (Pepper Bark Powder) 2 qian, taken with Chrysanthemi Flos (Juhua) decoction. Covering the head to induce sweating will lead to recovery.
Xiongpi San
Ligustici Chuanxiong Rhizoma (Chuanxiong) (2 liang), Citri Reticulatae Pericarpium Viride (Qingpi) (1 liang).
Grind together into fine powder. Take 2 qian per dose, mixed with Chrysanthemi Flos (Juhua) decoction.
Supplementary Formulas (Verified efficacy.)
Powder of Arisaematis Rhizoma Preparatum (Shengnanxing) pounded together with Rehmanniae Radix Recens (Shengdihuang) into a paste, applied to the Taiyang acupoint. The stye will resolve spontaneously. This also works if wind was caught after the needle puncture.
Wind-heat clashing in the eyelids results in "Eye Dan" (Yandan), characterized by redness, swelling, and pain. When wind is predominant, the swelling is soft and drooping, impairing vision; Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxicity) is used to dissipate it. When heat is about to suppurate, treat according to the protocols for Yang abscesses. However, rapid healing is required; if ulceration persists for a long time and becomes deep, it may form a fistula.
Jingfang Baidu San (General Formula No. 4.)
Xianfang Huoming Yin (Immortal Life Elixir Decoction) (General Formula No. 1.)
A red scar protrudes from the eyelid, hanging like a fish gallbladder. Wrap it with silk from a spider that has crossed over a roof ("cross-river spider silk"), and it will detach immediately. Another method uses water ground from Prunus pseudocerasus seeds (Yingtaohe) applied topically, which gradually resolves on its own.