胞肉生疮，与胞肉胶凝、睑生风粟、两睑粘睛四症大同小异，此皆上胞下睑之病。然中
间分析治法，各有轻重、深浅， 洗、针烙不同。胞肉生疮者，此脾胃热毒，胞肉疙瘩或风
粟变而为疮，血热化脓，腐烂 臊，流汁流脓，浸渍黑睛生翳，眼如朱砂之色，此症虽
少，不可不知，治用阴二阳十药，日月、桑白皮煎汤，入枯矾盐化，番转眼皮，以鸽翎刷洗有
疮处，以血竭、乳香、没药、轻粉、密陀僧，或有疮处烙二三下无妨。
\r胞肉生疮图\p05-c20a14.bmp\r
问曰∶胞肉生疮，碍涩睛珠者何也？答曰∶胃得心热也。治宜泄心火解胃热，用八正散、
三黄汤之类，痛者用没药散，有疮处仍用 洗，点以清凉及重药，肉虚者宜烙，外用清
凉消毒膏敷之。
八正散 在前大 赤脉条下。
三黄汤 在前 肉条下。
〔血滞痛甚服〕
没药散 治心脾胃得热，致胞肉生疮。宜服。
大黄（多用） 真血竭（破积血、止痛、去赤） 没药（少） 朴硝（多）
上照多少加减为末。每服二三钱，食后用清茶调下。
睑生风粟者，睑间积血年久，致生风粟，与眵粘症同，眵粘者无风粟，故又作一症。胞
者上胞也，睑者下睑也，此脾胃壅热，致令胞睑之间，渐生风粟如米，甚如杨梅之状，摩擦
瞳仁，黑睛有翳。治法∶番转睑，风粟逐个用锋针密针三五度，亦烙更妙。睛有翳者，用阴三
阳五药吹点，二三夜吹一次，忌口，动风、动血之物莫吃可也。
\r睑生风粟图\p05-c20a15.bmp\r
问曰∶下睑生风粟如杨梅之状者何也？答曰∶脾得邪热，血滞不行，致生风粟。红蠹不
平，宜 洗，脾热用泻脾汤，久患宜烙，点用清凉可也。
泻脾汤
人参 黄芩 大黄 桔梗 白茯苓 芒硝 茺蔚子（二两） 白芍药（一两） 黑参（两半） 细辛
白芷（各一两）
上各等分加减。每服四五钱，水煎服。
Chancre of the eyelid flesh is similar to, yet slightly different from, gelatinous condensation of the eyelid flesh, wind millet on the eyelids, and adhesion of both eyelids to the eyeball. All these are diseases affecting the upper and lower eyelids. However, the analysis of treatment methods varies in severity and depth, involving different approaches such as washing, needling, and cauterization.
Chancre of the eyelid flesh arises from heat-toxin in the Spleen and Stomach. Granules within the eyelid (such as wind millet) transform into sores. Blood-heat generates pus, leading to rotting and foul odor, with discharge of fluid and pus. This infiltrates the cornea (black pupil), causing nebulae, and the eye takes on a cinnabar-red color. Although this condition is rare, it must be known. Treatment involves using "Yin Er Yang Shi" medicine. Decoct Ri Yue Cao (Hedyotis diffusa) and Sang Bai Pi (Morus Alba Root Bark), add Ku Fan (Alum) and salt until dissolved. Turn the eyelid inside out, brush the affected area with pigeon feathers, and then cauterize the sore two or three times using Xue Jie (Dragon's Blood), Ru Xiang (Frankincense), Mo Yao (Myrrh), Qing Fen (Calomel), and Mi Tuo Seng (Litharge).
Q: Why does chancre of the eyelid flesh cause obstruction and roughness of the eyeball? A: It is caused by the Stomach receiving Heart-fire. The treatment should vent Heart-fire and resolve Stomach-heat, using formulas such as Bazheng San (Eight-Justice Powder) or Sanhuang Tang (Three-Yellow Decoction). For pain, use Moyao San (Myrrh Powder). For sores, continue washing; apply cooling and potent drops. If the tissue is deficient, cauterization is suitable; externally apply Qingliang Xiaodu Gao (Cooling and Detoxifying Ointment).
Bazheng San (Eight-Justice Powder): Refer to the section on "Large Red Veins" earlier.
Sanhuang Tang (Three-Yellow Decoction): Refer to the section on "Eyelid Flesh" earlier.
[For severe pain due to blood stasis]
Moyao San (Myrrh Powder): Treats heat in the Heart, Spleen, and Stomach causing chancre of the eyelid flesh. Suitable for oral administration.
Da Huang (Rhubarb Root and Rhizome) (use more); Zhen Xue Jie (Sanguis Draconis) (breaks blood stasis, relieves pain, removes redness); Mo Yao (Myrrha) (use less); Pu Xiao (Natrii Sulfas) (use more).
Grind the above ingredients into powder according to proportions. Take 2–3 qian per dose, mixed with clear tea after meals.
Wind millet on the eyelids results from long-standing accumulation of blood within the eyelids, leading to the formation of wind millet. It is similar to the condition of sticky discharge (Chi Nian), but since Chi Nian lacks wind millet, it is classified as a separate syndrome. "Bao" refers to the upper eyelid, and "Jian" refers to the lower eyelid. This is caused by stagnant heat in the Spleen and Stomach, gradually producing wind millet resembling grains of rice between the eyelids, which may become severe and resemble bayberries. These rub against the pupil, causing nebulae on the cornea. Treatment method: Turn the eyelid inside out; densely prick each wind millet with a sharp needle three to five times, or cauterization is even better. For eyes with nebulae, apply "Yin San Yang Wu" medicine via insufflation once every two or three nights. Observe dietary restrictions; avoid foods that stir wind or activate blood.
Q: Why does wind millet resembling bayberries appear on the lower eyelid? A: It is caused by pathogenic heat invading the Spleen, leading to blood stasis and stagnation, resulting in wind millet. With redness and swelling unevenness, washing is suitable. For Spleen-heat, use Xi Pi Tang (Spleen-Draining Decoction). For chronic cases, cauterization is suitable; apply cooling drops.
Xi Pi Tang (Spleen-Draining Decoction)
Ren Shen (Ginseng Radix); Huang Qin (Scutellariae Radix); Da Huang (Rhei Radix et Rhizoma); Jie Geng (Platycodonis Radix); Bai Fu Ling (Poria); Mang Xiao (Natrii Sulfas); Chong Wei Zi (Leonuri Fructus) (2 liang); Bai Shao Yao (Paeoniae Radix Alba) (1 liang); Hei Shen (Adenophorae Radix) (0.5 liang); Xi Xin (Asari Radix et Rhizoma); Bai Zhi (Angelicae Dahuricae Radix) (each 1 liang).
Mix equal parts of the above ingredients, adjusting as needed. Take 4–5 qian per dose, decocted in water and taken orally.