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This syndrome is caused by robust Qi and Blood, with deep accumulation of heat-toxin. The urination and defecation are obstructed, leaving the fire-toxin nowhere to dissipate. It stagnates and surges upward, attacking the eyes over a long period, causing the eye collaterals to be pulled tight. Consequently, the cornea (black pupil) turns inward from the front, and the inner surface turns outward. This is a perilous and abnormal condition. Urgent treatment should focus on dispersing wind-heat, unblocking the Sanjiao (Triple Burner), and promoting the flow of urine and stool. Only then can the hardness subside, the eyeball return to its normal position, and the pupil restore itself. Some patients may recover after pus discharges after a long duration, while others may suffer from eyeball rupture and bleeding, which damages the eye. Early treatment is essential. It is advisable to wash the eyes with water infused with Baiyu Ding (White Jade Tablet) or Zhibao Dan (Precious Treasure Pill).

This syndrome arises from excessive Liver Fire, which steams and injures the bile. As the bile circulates abnormally, the fire enters the Kidney Meridian and has no place to dissipate. Thus, the cornea and pupil protrude and become hard to resolve. Alternatively, there may be a thin white membrane with a sharp tip protruding outward like the point of a jujube pit, enclosing foul fluid internally. While the fire-toxin has not yet dissipated, treatment should involve dispersing and clearing the fire, harmonizing the blood, and detoxifying, administered gradually for recovery. If the Qi and Blood stabilize but the meridians become cold, it becomes an incurable disease. In such cases, more water should be used to soak Baiyu Ding for washing the eyes, and the formula "Zhenren Chui Chong Jie Zhang" (Real Person Blowing and Pushing to Remove Obstruction) should be employed to dissipate the heat and restore health.

In this condition, the nebula (corneal opacity) is high and dense, piling up above the pupil and shrouding it without opening. First, administer Qishi Zhou (Goji and Shihujia Porridge) to nourish Stomach Qi. Once the Stomach Qi is strong, it naturally generates Qi and Blood. The essence of Qi and Blood rises to nourish the eyes, stirring up and expelling pathogenic heat, thereby loosening the fixed nebula. Subsequently, take Siwu Tang (Four Substance Decoction) with modifications to ensure sufficient and flowing Qi and Blood. Continue using Qianghuo Shengfeng Tang (Notopterygium Decoction to Overcome Wind) for dispersion, and apply Saowu Dan (Mist-Sweeping Pill) as eye drops. For old, dense membranes that are difficult to resolve, use Pig Liver Preserved Meat combined with the "Zhenren Chui Chong" method for complete recovery. If redness appears, immediately use cold-natured herbs to descend the fire; otherwise, the nebula will not recede, and the heat-toxin will be forced to remain in the meridians, unable to exit. Eventually, the toxin will enter the Shengao (divine paste, referring to deep ocular tissues), causing a lifelong disease. Apply Saowu Dan as eye drops; during the blowing/pushing procedure, apply Saibao Dan (Treasure-Competing Pill) and Yinshen Dan (Spirit-Guiding Pill) (formulas found in Volume 2).

This syndrome occurs because Heart Fire suppresses Lung Metal, and Lung Metal suppresses Liver Wood. This leads to vigorous Liver Fire and insufficient Blood to nourish the sinews, resulting in sinus contraction and inability to extend, hence presenting these symptoms. Initially, administer Qianghuo Shengfeng Tang and apply Saowu Dan as eye drops. Then, take Xieqing Wan (Draining Green Pill) to clear Liver Fire and nourish Liver Blood. This will prevent limb contraction and cure the eye disease. Apply Baiyu Ding, Yuanling Dan, Saowu Dan, and Zhibao Dan as eye drops, or use them in large quantities for soaking water to wash the eyes.