夫肝胆之中。久积风热。邪毒之气。上蒸于睑。遂令上睑自然垂下。盖合不开。此皆风
热相
治眼睑垂肿。口干。心躁。头疼。宜服羚羊角散方。
羚羊角屑 黄连（去须） 木通（锉） 赤芍药 防风（去芦头） 黄芩 甘草（炙微
赤锉各
三分）
上件药。捣粗罗为散。每服三钱。以水一中盏。入竹叶二七片。煎至六分。去滓。每于
食后
治眼睑垂肿疼痛。大黄散方。
川大黄（锉碎微炒） 栀子仁 井泉石 秋桑叶 甘草（炙微赤锉） 决明子（以上各
三分）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。
治热毒攻。眼睑垂肿痛。秦皮散方。
秦皮（一两） 黄连（一两去须） 栀子仁（三分） 川大黄（半两锉碎微炒） 细辛
（半两）
蛇衔
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。竹叶二七片。煎至六分。
去滓
治眼睑风毒所攻。下垂覆盖瞳仁。宜服茺蔚散方。
茺蔚子 防风（去芦头） 羌活 蔓荆子 甘菊花 玄参 细辛 车前子 黄芩 川大
黄
（锉
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。每于食后温服。
治眼热毒。睑肿垂遮睛。洗眼汤方。
苦竹叶 黄连（去须） 黄柏 栀子仁（各一两） 蕤仁（半两汤浸去赤皮）
上件药。细锉。以水三大盏。煎至一盏半。去滓。澄清。温温洗眼。日五七度洗之。
又方。
川大黄（一两锉碎微炒） 苦竹叶（一握） 甘草（一两锉） 郁金（一两） 腻粉（二
钱）
上件药。先捣三味为散。入腻粉竹叶。以水三大盏。煎至一盏半。去滓澄清。温温洗眼。
日
治眼肿生翳。睑垂。疼痛难开。熨眼药饼子方。
川大黄 郁金 黄连（去须各一两）
上件药。捣罗为末。用醋粟米饴。和捣药五钱。捏如饼子。用手帕子裹。不住手熨之妙。
Generally, when wind-heat pathogens accumulate in the Liver and Gallbladder for a long time, the pathogenic toxic qi steams upward to the eyelids, causing the upper eyelid to naturally droop and preventing the eyes from opening. This is primarily due to the interaction of wind and heat.
For treatment of ptosis (drooping eyelid) and swelling accompanied by dry mouth, mental restlessness, and headache, the Lingyangjiao San (Antelope Horn Powder) formula is suitable.
Ingredients: Lingyangjiao Xie (Horn powder of Saiga Antelope), Huanglian (Rhizoma Coptidis, remove rootlets), Mutong (Caulis Akebiae, sliced), Chishao Yao (Radix Paeoniae Rubra), Fangfeng (Radix Saposhnikoviae, remove radicle head), Huangqin (Radix Scutellariae), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and sliced, each 3 fen).
Preparation and Administration: The above ingredients are coarsely ground and sieved to make a powder. Take 3 qian per dose. Add one zhong of water and fourteen leaves of Zhuye (Bamboo Leaf). Decoct until the volume reduces to six-tenths. Strain the dregs. Take warm after meals.
For ptosis and swelling with pain, use Dahuang San (Rhubarb Powder) formula.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei, sliced and lightly stir-fried), Zhizi Ren (Semen Gossypii Herbacei), Jingquanshi (Alumen), Qiu Sangye (Folium Mori autumnal), Gancao (Radix Glycyrrhizae, honey-fried until slightly red and sliced), Juemingzi (Semen Cassiae, each of the above 3 fen).
Preparation and Administration: The above ingredients are finely ground and sieved to make a powder. Take 3 qian per dose. Add one zhong of water. Decoct until the volume reduces to six-tenths. Strain the dregs. Take warm after meals.
For ptosis and swelling caused by attacking heat-toxin, use Qinpi San (Cortex Fraxini Powder) formula.
Ingredients: Qinpi (Cortex Fraxini, 1 liang), Huanglian (Rhizoma Coptidis, 1 liang, remove rootlets), Zhizi Ren (Semen Gossypii Herbacei, 3 fen), Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, sliced and lightly stir-fried), Xixin (Radix Asari, 0.5 liang), Sheyan (Herba Siegesbeckiae, 0.5 liang).
Preparation and Administration: The above ingredients are coarsely ground and sieved to make a powder. Take 3 qian per dose. Add one zhong of water, half a liang of Shengjiang (Rhizoma Zingiberis Recens), and fourteen leaves of Zhuye (Bamboo Leaf). Decoct until the volume reduces to six-tenths. Strain the dregs. Take warm after meals.
For ptosis covering the pupil due to wind-toxin attacking the eyelids, the Chongwei San (Leonurus Seed Powder) formula is suitable.
Ingredients: Chongweizi (Fructus Leonuri), Fangfeng (Radix Saposhnikoviae, remove radicle head), Qianghuo (Rhizoma et Radix Notopterygii), Manjingzi (Fructus Viticis Negundo), Gan Juhua (Flos Chrysanthemi Indici), Xuanshen (Radix Scrophulariae), Xixin (Radix Asari), Cheqianzi (Semen Plantaginis), Huangqin (Radix Scutellariae), Chuan Dahuang (Radix et Rhizoma Rhei, sliced, equal parts).
Preparation and Administration: The above ingredients are finely ground and sieved to make a powder. Take 4 qian per dose. Add one zhong of water. Decoct until the volume reduces to six-tenths. Strain the dregs. Take warm after meals.
For eye heat-toxin causing eyelid swelling, ptosis, and obscuring the visual axis, use Xiyan Tang (Eye-Washing Decoction) formula.
Ingredients: Ku Zhuye (Bitter Bamboo Leaf), Huanglian (Rhizoma Coptidis, remove rootlets), Huangbai (Cortex Phellodendri), Zhizi Ren (Semen Gossypii Herbacei, each 1 liang), Ruiren (Semen Pruni Armeniacae, 0.5 liang, soaked in hot water to remove red skin).
Preparation and Administration: Finely slice the above ingredients. Add three zhong of water. Decoct until the volume reduces to one and a half zhong. Strain the dregs and clarify the liquid. Wash the eyes while warm. Perform this five to seven times daily.
Another prescription.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, sliced and lightly stir-fried), Ku Zhuye (Bitter Bamboo Leaf, one handful), Gancao (Radix Glycyrrhizae, 1 liang, sliced), Yujin (Radix Curcumae Longae, 1 liang), Nin Fen (Calomel, 2 qian).
Preparation and Administration: First, grind the first three ingredients into a powder. Add Nin Fen and Zhuye. Add three zhong of water. Decoct until the volume reduces to one and a half zhong. Strain the dregs and clarify the liquid. Wash the eyes while warm. Perform this multiple times daily.
For eyelid swelling with nebula formation, ptosis, and severe pain making it difficult to open the eyes, use Yiyan Yao Bingzi (Eye-Iridging Medicinal Cake) formula.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei), Yujin (Radix Curcumae Longae), Huanglian (Rhizoma Coptidis, remove rootlets, each 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with Cu (Vinegar) and Sumi Yi (Malt Sugar made from millet). Knead 5 qian of the mixture into cake shapes. Wrap the cakes in handkerchiefs and continuously apply them to the eyes for irigation/thermotherapy. This method is highly effective.