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Sudden protrusion of the eyeball is a perilous and severe syndrome, similar to the previously described "spiral screw tip enlargement," both being inauspicious signs. This is caused by the accumulation of toxic wind in the five Zang organs, with extreme heat filling the eyes. Internally, it relates to the five Zang organs; externally, it corresponds to the Five Wheels (the flesh wheel, blood wheel, qi wheel, wind wheel, and water wheel of the eye). The Qi of the five Zang organs, attacked by toxins, assaults the pupils within the five wheels. Initially, there is numbness and pain, with excessive tearing. The disease progresses violently, and sudden changes are unpredictable. Only those proficient in the profound principles of *Longmu Lun* (Dragon Tree Treatise) can manage this condition. As the proverb says: "Eyes will not go blind if untreated," which refers precisely to this situation. If treated improperly, the condition may worsen significantly, causing harm rather than benefit. Treatment method: To stop boiling soup by stirring it is inferior to removing the firewood to extinguish the fire. Urgently administer Jiu Tiao San (Wine-Adjusted Powder) or Jiu Jian San (Wine-Decoction Powder) to disperse and retreat the toxic heat of the five Zang organs. Crush scallion white and mugwort leaves to apply hot compresses to the protruding areas of the five wheels to alleviate pain. Wash the eyes with decoctions of Bai Zhi (Angelicae Dahuricae Radix), Xi Xin (Asari Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Cang Zhu (Atractylodis Rhizoma), Ma Huang (Ephedrae Herba), Fang Feng (Saposhnikoviae Radix), and Qiang Huo (Notopterygii Rhizoma et Radix). At this stage, do not use eye drops. One should avoid meat and fish, rest properly, and avoid wind. If treatment is delayed, leading to suppuration or the eyeball protruding more than one cun high, at this critical juncture, one must puncture with a sharp needle to drain foul fluid; only then will the pain cease, and the protruding eyeball return to its normal position. This yields an effect without fault.

Jiu Tiao San (Wine-Adjusted Powder)
Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Ju Hua (Chrysanthemi Flos), Qiang Huo (Notopterygii Rhizoma et Radix), Sang Piao Xiao (Mantis Oötheca), Chong Wei Zi (Leonuri Fructus), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Mu Zei (Equiseti Herba).
Take equal parts of each. Decoct in water, and after meals, take warm with three cups of wine added.

Hard eyelids and hard eyeballs refer to a state where the eyelids and eyeballs are both numb, painful, dry, and difficult to move. This results from accumulated heat in the diaphragm region, upward congestion of Liver Wind, and stagnation of Qi and Blood, causing hardness in the eyes and eyelids. Individuals with abundant Blood and deficient Qi, or those who consume alcohol leading to dry stool constipation, are prone to this syndrome. It typically affects one eye first, then spreads to the other, gradually forming nebulae (opacities). Treatment method: At the onset, apply Mo Feng Gao (Wind-Rubbing Ointment) to massage away Wind pathogens and disperse circulating Qi and Blood. Alternatively, decoct Sheng Di Huang (Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chi Shao (Paeoniae Radix Rubra), Bai Zhi (Angelicae Dahuricae Radix), and Qiang Huo (Notopterygii Rhizoma et Radix) for fumigation and washing, three times daily. One should clear Heat from the Liver and diaphragm and use appropriate eye drops. If the condition persists for years, with blood stasis in the eyelids, specific washes are indicated. For opacities on the Black Cornea (Cornea), insufflation powders or eye drops may be used. Question: Why do eyelids and eyeballs become numb and immobile after prolonged eye disease? Answer: Because Qi and Blood have been invaded by pathogens, becoming stagnant and blocked. Treatment method: Use specific washes, administer Dang Gui Huo Xue Jian (Dang Gui Blood-Invigorating Decoction) and Zhu Yang He Xue Tang (Yang-Assisting and Blood-Harmonizing Decoction), and use potent eye drops mixed with pungent and hot ginger powder.

Dang Gui Huo Xue Tang (Dang Gui Blood-Invigorating Decoction) - Formula found under the section "Two Eyelids Adhering to Eyeball."
Zhu Yang He Xue Tang (Yang-Assisting and Blood-Harmonizing Decoction) - Formula found under the section "Shanghan Heat Syndrome."