逆顺生翳上下生，顺则下垂逆上冲，钩割后用知母饮，知味军芩车桔茺。
【注】逆顺生翳之证，从上垂下，侵入黑睛为顺，从下冲上，侵入黑睛为逆。顺则易
安，逆则难治。并宜手法钩割去其翳膜，后服知母饮子，清其内热。
知母饮子
知母（炒，二钱） 五味子（五分） 大黄（一钱） 黄芩（一钱） 车前子（二钱） 桔梗（一钱）
茺蔚子（二钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
风牵睑出睑皮翻，胞睑俱红眵泪涟。胃经积热肝风盛， 洗去瘀病可痊。后服黄 汤
蔚骨，防芩苓草大黄煎。
【注】风牵睑出之证，乃睑皮翻出向外，上下胞睑俱赤，眵泪淋漓，皆缘胃经积热，肝
有风邪。宜先用 洗去瘀，后服黄 汤，清热
散邪也。
黄 汤方
黄 （一钱） 茺蔚子（二钱） 地骨皮（一钱） 防风（一钱五分） 黄芩（一钱） 茯苓（一钱）
甘草（五分） 大黄（一钱）
上为粗末，以水二盏，煎至一盏，食后去渣温服。
椒疮风粟睑胞生，多泪难睁摩涩疼，脾经风热粟黄软，脾经湿热椒硬红。 洗后用清
脾饮，知母翘军生地风，黄芩元粉黄连桔，陈皮荆芥黑参灵。
【注】椒疮风粟之证，或起于睑边，或生于胞内，皆泪多难睁，沙涩摩睛疼痛。粟
疮如粟，其形黄软，属脾经风热而成；椒疮如椒，其形红硬，属脾经湿热而成。并宜 洗
出血，服除风清脾饮，椒疮倍芩连生地，风粟倍荆芥防风。
除风清脾饮
知母 连翘 大黄 生地黄 防风 黄芩 元明粉 黄连 桔梗 陈皮 荆芥穗 黑参（各等分）
上为粗末，以水二盏，煎至一盏，去渣食远温服。
The growth of corneal opacity (nebula) is categorized into favorable (Shun) and unfavorable (Ni) patterns, with variations in upper or lower onset. The favorable pattern presents as opacity descending from above, invading the black pupil (cornea); the unfavorable pattern presents as opacity rushing upward from below, invading the black pupil (cornea). The favorable pattern is easy to treat, whereas the unfavorable pattern is difficult to cure. Regardless of the pattern, surgical hooking and cutting should be employed first to remove the opacity membrane, followed by the administration of Zhi Mu Yin to clear internal heat.
Zhi Mu Yin Composition: Rhizoma Anemarrhenae (Chao, 2 qian), Fructus Schisandrae Chinensis (5 fen), Radix et Rhizoma Rhei (1 qian), Flos Scutellariae (1 qian), Semen Plantaginis (2 qian), Radix Platycodi (1 qian), Fructus Chorisporae (2 qian).
Grind the above ingredients into a coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm after meals.
Wind-induced Ectropion manifests as eversion of the eyelid skin, redness of both upper and lower eyelids, copious discharge, and continuous tearing. This condition arises from accumulated heat in the Stomach meridian and wind pathogen in the Liver. It is advisable to first wash away the stasis and pathological changes using topical washing, which leads to recovery. Subsequently, Huang Qi Tang should be administered to clear heat and disperse pathogens.
Huang Qi Tang Composition: Radix Astragali Membranacei (1 qian), Fructus Chorisporae (2 qian), Cortex Lycii (1 qian), Radix Saposhnikoviae (1.5 qian), Flos Scutellariae (1 qian), Poria (1 qian), Radix Glycyrrhizae (5 fen), Radix et Rhizoma Rhei (1 qian).
Grind the above ingredients into a coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm after meals.
Corn-like granules (Jiao Chuang) and millet-like grains (Feng Su) arise on the eyelids. Symptoms include excessive tearing, difficulty opening the eyes, friction sensation, and pain. Feng Su resembles millet, appearing yellow and soft, caused by wind-heat in the Spleen meridian; Jiao Chuang resembles pepper, appearing red and hard, caused by damp-heat in the Spleen meridian. Both conditions should first be treated with bloodletting/washing, followed by the administration of Chu Feng Qing Pi Yin. For Jiao Chuang, increase the dosage of Huang Qin, Huang Lian, and Sheng Di Huang; for Feng Su, increase the dosage of Jing Jie and Fang Feng.
Chu Feng Qing Pi Yin Composition: Rhizoma Anemarrhenae, Fructus Forsythiae, Radix et Rhizoma Rhei, Radix Rehmanniae Preparata, Radix Saposhnikoviae, Flos Scutellariae, Natrii Sulfas, Radix Coptidis, Radix Platycodi, Pericarpium Citri Reticulatae, Herba Schizonepetae, Radix Panacis Nigri (equal parts).
Grind the above ingredients into a coarse powder. Decoct with two cups of water until one cup remains. Strain and take warm at a time distant from meals.