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Wind-Induced Strabismus: Although similar to wind-induced eyelid deviation (a syndrome caused by wind pathogen invading the eyelids), strabismus arises from deficiency of the Spleen and Stomach, excessive sexual activity leading to accumulation of toxic heat in the Spleen and Stomach, and excessive phlegm during sleep. Alternatively, it may result from sitting or lying down in the wind after overeating or drinking alcohol, causing sudden wind invasion on either side of the face, leading to facial paralysis with mouth and eye deviation. The eyes present with internal redness and itching, frequent trembling, proliferation of blood vessels, inability of the pupil to dilate normally, blurred vision, and even hemiplegia. Treatment method: Immediately apply Mofeng Gao (Wind-Moving Ointment) to massage the face. Then, use a sand bow to scrape the affected side where the wind pathogen resides; scraping can be extended to the arms or the entire body, once daily. Crush magnetite (Ci Shi, Magnetitum) in a large blue porcelain bowl, mix with an appropriate amount of flour paste to form a cake, heat it, and apply it to the opposite side of the nose—apply left for right deviation, right for left deviation. Remove the medication once the mouth and eye are pulled back to normal alignment. Acupuncture moxibustion can also be applied to Jiache (ST6, Jawbone) and Ermen (TE21, Ear Gate) acupoints; these should be located with the mouth open. Additionally, treat Taiyang (EX-HN5, Temple), Renzhong (GV26, Philtrum), and Chengjiang (CV24, Chin Groove); treat the contralateral side for ipsilateral lesions (left lesion treated on right, right lesion on left). Recent onset is easier to cure; long-standing cases are difficult to treat.

Question: What causes the eyes to look obliquely or deviate? Answer: This is caused by the Liver Meridian being pulled by wind pathogen, resulting in flaccidity and restricted movement of the tendons. Treatment method: Moxibustion should be used to disperse the wind pathogen. Internally administer Yeguang Liuhong Wan (Night-Shining Willow Red Pill) containing Quanxie (Scorpio), Baifuzi (Aconiti Kusnezoffii Rhizoma), Nanxing (Arisaematis Rhizoma Praeparatum), and Banxia (Pinelliae Rhizoma). Externally apply Mofeng Gao to guide and disperse the pathogen; the eyeball will likely return to normal position.

Moxibustion Acupoints: Taiyang (EX-HN5), Jiache (ST6), Ermen (TE21), Tinghui (GB2), Erjian (EX-HN6), Fengchi (GB20). One session per acupoint.
Yeguang Liuhong Wan: Formula found in the previous chapter on needle syndromes.
Mofeng Gao: Formula also found in the previous section on syndromes.

Traumatic Rupture by Object: There is no internal disease; the etiology involves three external factors. A healthy individual accidentally suffers trauma from an object, such as being struck, falling, or colliding, injuring the eyelids. Accumulated blood appears purple and blue. If the sclera (Bai Ren, White Essence) is ruptured but the outer hard shell remains intact, this is not severely harmful. However, if the "Three Wind Wheels" (referring to the cornea and surrounding structures) are ruptured, with blood flooding the pupil and mixing with the Five Wheels, this is the most severe and dangerous condition.

Pain, aversion to light, dryness, and difficulty opening the eye. Treatment method: Administer Jiu Tiao San (Wine-Adjusted Powder) and apply hot compresses of scallion and mugwort. Alternatively, crush fresh Rehmanniae Radix (Sheng Dihuang, Fresh Rehmannia Root) into a paste, heat it, and apply as a compress, changing once daily to dissipate blood stasis. If fresh Rehmannia is unavailable, use Hibiscus mutabilis leaf (Furong Ye); if leaves are unavailable, use the root. Remove soil and coarse skin, use only the white inner bark, crush, heat, and apply. If the eye socket is bruised black, crush fresh radish and apply as a protective compress. Strictly observe rest, avoid wind, and adhere to dietary restrictions: avoid foods that stir wind or move blood, and do not consume meat from female animals. Recent trauma is easy to treat; if blood coagulates and does not dissipate after a long time, especially without pain, it is difficult to treat.

Question: Why does trauma without prior internal disease lead to opacity (Yi)? Answer: This is due to external injury, with no damage to the internal organs. Treatment method: In the initial stage, focus on dispersing blood stasis. For severe pain, use Moyao San (Myrrh Powder) to stop pain. If blood stasis dissipates but results in the formation of a white opacity, it becomes an incurable condition.

Moyao San: Formula found in the previous section on swelling of the caruncle/flesh.