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[Chapter 60: Hard Eyelids and Eye Pain with External Obstruction]
When the eye disease first occurs, the eyelids are red, swollen, and distended; they are swollen and hard to open, accompanied by tearing and pain. It usually starts in one eye and then spreads to affect both eyes, gradually forming nebulae (opacities on the cornea or lens), leading to dim vision. This is caused by the accumulation of wind-toxin in the liver within the diaphragm area, rushing upward into the eyes. One should use a lancet to wash away the blood stasis, followed by taking Xiegan San (Drain Liver Powder) and applying Zhong Gao (Swelling Ointment). Precautions should be strictly observed during treatment.

Poem says:
Eyelids red and swollen, eyeballs sore and painful,
Wind from liver and diaphragm brings heat rushing up.
Cheek swelling treated with ointment and internal medicine,
Gently washed with a lancet to cut off its trace.
Do not let it flare up and generate floating nebulae,
Seeking a doctor later would be a waste of effort.
If careful precautions are taken for three to five days,
One can handle worldly matters with ease.

Xiegan San (Drain Liver Powder)
Dahuang (Rhei Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Mangxiao (Natrii Sulfas), Cheqianzi (Plantaginis Semen), Chongweizi (Leonuri Fructus), Huangqin (Scutellariae Radix), Tiandong (Asparagi Radix) (each 1 liang), Heishen (Polygonati Odorati Rhizoma) (1.5 liang).
Grind the above ingredients into powder. Take 1 qian of the powder with 1 cup of water, decoct until 0.5 cup remains. Strain and take warm after meals.

Zhong Gao (Swelling Ointment)
Daizheshi (Haematitum), Huangla (Cera Flava) (each 0.5 liang), Cima Mo (Magnetitum Pulveratum), Mayou (Sesami Oleum) (1 liang), Nifen (Calomelas) (a small amount), Huangbai (Phellodendri Cortex) (1 liang).
Grind the above ingredients into powder. Add oil and wax in a crucible and boil together to form an ointment. Apply to the eyelids.

[Chapter 61: Eye Pain Like Needle Pricking with External Obstruction]
When this eye disease first occurs, there is mild headache and dizziness, the eye tendons are often tense, there is astringent pain at night, tearing makes it difficult to open the eyes, and it feels as if there is external obstruction causing needle-like pricking sensations. This is due to latent toxin in the heart, with hot qi stagnating in the diaphragm area. Gradually, obstructions and nebulae form, covering the eye and causing traction. For such symptoms, one should first take Xiexin Tang (Drain Heart Decoction), then Bogan San (Tonify Liver Powder), along with bloodletting using a lancet. Fire needle therapy at Taiyang (Ex-HN5) acupoint yields immediate effect.

Poem says:
Suddenly pain in the eye like a needle prick,
Heat toxin hides and lingers in the heart.
Causing both eyes and tendons to become tense,
Urgency leads to invasive pain.
Puncture Taiyang (Ex-HN5) and Yangbai (GB14) acupoints,
Drink decoctions to promote circulation and irrigate/wash.
Astringency and difficulty opening stem from inside the eyelids,
Bloodletting with a blade can stop it immediately.

Xiexin Tang (Drain Heart Decoction)
Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Zhi Mu (Anemarrhenae Rhizoma) (each 1 liang), Madouling (Aristolochiae Fructus), Heishen (Polygonati Odorati Rhizoma) (each 1.5 liang), Fangfeng (Saposhnikoviae Radix) (2 liang).
Grind the above ingredients into powder. Take 1 qian of the powder with 1 cup of water, decoct until 0.5 cup remains. Strain and take warm after meals.

Bogan San (Tonify Liver Powder)
Renshen (Ginseng Radix), Fuling (Poria), Wuweizi (Schisandrae Chinensis Fructus), Xiongqiong (Ligustici Chuanxiong Rhizoma), Bencao (Ligustici Sinensis Rhizoma) (each 1 liang), Chongweizi (Leonuri Fructus), Xixin (Asari Radix et Rhizoma) (each 1.5 liang).
Grind the above ingredients into powder. Take 1 qian daily on an empty stomach, mixed with rice soup.