Spleen Earth deficiency leads to a shortage of spirit and vitality. Moreover, Water belongs to the Taiyang (Greater Yang) channel; its Qi generates Liver Wood. When Liver Wood is excessive, it generates Wind. The interaction between Wind and Dampness causes photophobia and aversion to bright light. Apply Zhenzhu Hupo Ye Gao (Pearl and Amber Liquid Ointment) topically, and administer Chai Hu San (Bupleurum Powder) and Tui Xue San (Blood-Resolving Powder) orally.
Chai Hu San: Composed of Chai Hu (Bupleuri Radix), Ju Hua (Chrysanthemi Flos), Yuan Shen (Scrophulariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Di Gu Pi (Lycii Cortex), Chi Shao (Paeoniae Radix Rubra), Huang Qin (Scutellariae Radix), and Ling Yang Jiao (Capris Cornu). These are ground into a fine powder and taken with warm water.
Question 37: What is the cause of seeing black spots before the eyes, accompanied by tearing and difficulty in opening them? Answer: Deficiency of the Liver Meridian, internal contraction of Wind-Heat attacking the eyes upward, or sudden redness, swelling, and pain due to abnormal circulation of Qi and Blood. It is appropriate to apply Tui Yun San (Cloud-Pushing Powder) [prescription see Question 14] topically and take Ming Mu Liu Qi Yin (Bright-Eye Qi-Circulating Decoction) orally.
Question 38: What is the cause of a gritty sensation in the eyes, tearing, and ulceration with redness and pain at the eyelid margins? Answer: It is appropriate to manually evert the eyelids and gently puncture the pustules with a needle, repeating this three or four times. It is appropriate to take Qing Du San (Toxin-Clearing Powder) orally and apply Tui Yun San (Cloud-Pushing Powder) [prescription see Question 14] topically.