眼睫毛倒入眼中央是也。
〔垣〕神效明目汤 治眼楞紧急，致倒睫拳毛损目，及上睑皆赤烂，睛亦疼痛昏暗，日则冷泪长流，夜
则眼眵满眼。
葛根（一钱半） 甘草根（炙，二钱） 防风根（一钱） 蔓荆子（五分） 细辛根（三分）
又一方，加黄 根（一钱）
上 咀，作一服，水一盏八分，煎至一盏，去渣，稍热临卧服效。
防风饮子 治倒睫拳毛。
黄连（炒） 甘草（炙） 人参（各一钱） 葛根 防风（各五分） 归身（一钱半） 细辛叶 蔓荆子（各三分）
上锉如麻豆大，都作一服，水二大盏，煎至一盏，去渣，温服食后。避风寒湿热处眠之。
神效黄 汤 治浑身麻木不仁，及两目紧急缩小，羞明畏日，或隐涩难开，或视物无力，睛痛昏花，手不得近，
或目少睛光，或目中热如火，服五六次神效。
黄 （二两） 人参（去芦，一两） 甘草（炙，一两） 蔓荆子（锉，二钱） 白芍药（一两） 陈皮
（去白，半两）
上 咀，每服四五钱，水一盏八分，煎至一盏，去渣，临卧稍热服。如小便淋涩。加泽泻五分。如有大热
证，加黄柏三钱，酒浸四次炒。如麻木不仁，虽有热不用黄柏，再加黄 一两。如眼缩小，去芍药，忌酒醋
湿面大料物葱韭蒜及淡渗生冷硬物。如麻木重甚者，加芍药一两，木通一两。
拨云汤 戊申六月，徐总管患眼疾，于上眼皮下出黑白翳二个，隐涩难开，两目紧急而无疼痛，两手
寸脉细紧，按之洪大无力，知足太阳膀胱为命门相火煎熬，逆行作寒水翳及寒膜遮睛，与下项一服神效。外
证呵欠，善悲健忘，嚏喷时自泪下，面赤而白，能食不大便，小便数而欠，气上而喘。
黄 （七分） 细辛叶（五分） 柴胡（七分） 生姜 荆芥（各一钱） 防风（一钱半） 羌活（一
钱半） 本（一钱） 甘草梢（一钱） 升麻（一钱） 葛根（五分） 川芎（五分） 知母（一钱）
黄柏（一钱半） 归身（一钱）
上锉如麻豆大，作一服，水二大盏，煎至一盏，稍热服。
连翘饮子 治目中溜火，恶日与火，隐涩，小角偏紧，久视昏花，迎风有泪。
蔓荆子 甘草 连翘（各三分） 柴胡（二分） 酒黄芩（五分） 生地（三分） 防风（五分） 人
参（三分） 黄 （五分） 红葵花（三分） 升麻（一钱） 归身（二分） 羌活（五分）
上 咀，每服五钱，水二盏，煎至一盏，去渣，稍热，食后服。
前一方治倒睫拳毛。后三方，治眼楞紧急缩小。眼楞紧缩小者，倒睫拳毛之渐也，故以其方附于后。盖
阳虚则眼楞紧急，阴虚则瞳子散大，故东垣治眼楞紧急，用参、 补气为君，佐以辛味疏散之，而忌芍药、
五味子之类酸收是也。治瞳子散大，用地黄补血为君，佐以酸味收敛之，而忌茺蔚子、青葙子之类是也。
治倒睫眼方，以无名异末，掺卷在纸中作捻子，点着，至药末处吹杀，以烟熏之，自起。
〔《本》〕治倒睫烂弦。
蚕砂（一两） 虢丹（五钱）
上二味，慢火熬成膏，入轻粉五分，熬黑色，逐时汤泡洗。
〔《瑞》〕青黛散 治眼倒睫极效。
刺 枣棘针 白芷 青黛
上各等分，为细末。左眼倒睫，口噙水，左鼻内搐之。右眼倒睫，右鼻内搐之。
〔《山》〕眼毛倒睫，摘去拳毛，用虱子血点入眼内，数次即愈。
〔垣〕眼生倒睫拳毛，由目紧急皮缩之致也。盖内伏热，攻阴气外行，当去其内热并火邪，使眼皮缓，则眼
毛立出，翳膜亦退。用手法攀出内睑向外，刺以三棱针，针出热血，以左爪甲迎住针缝，立愈。
眼睫毛向内倒插进入眼球中央，这就是所谓的“倒睫拳毛”。
〔李东垣〕神效明目汤：治疗眼睑边缘拘急紧张，导致睫毛内翻卷曲损伤眼睛，以及上眼睑全部红肿溃烂，黑睛也疼痛、视力昏暗，白天冷泪长流，晚上眼屎充满眼眶。
葛根（一钱半） 甘草根（炙，二钱） 防风根（一钱） 蔓荆子（五分） 细辛根（三分）
另一个方子，加黄芩根（一钱）。
以上药物切碎，作为一剂服用，用水一盏八分，煎煮至一盏，去渣，趁稍热时睡前服用，效果显著。
防风饮子：治疗倒睫拳毛。
黄连（炒） 甘草（炙） 人参（各一钱） 葛根 防风（各五分） 当归身（一钱半） 细辛叶 蔓荆子（各三分）
以上药物锉碎如麻豆大小，全部作为一剂服用，用两大盏水，煎煮至一盏，去渣，饭后温服。睡觉时要避开风寒湿热之处。
神效黄耆汤：治疗全身麻木不仁，以及两眼拘急缩小，羞明畏日，或者感觉隐涩难以睁开，或者视物无力，眼睛疼痛昏花，手不敢靠近，或者眼中缺少神采，或者眼中感觉热如火烧，服用五六次后神效。
黄耆（二两） 人参（去芦头，一两） 甘草（炙，一两） 蔓荆子（锉，二钱） 白芍药（一两） 陈皮（去白瓤，半两）
以上药物切碎，每次服用四五钱，用水一盏八分，煎煮至一盏，去渣，睡前趁稍热服用。如果小便淋沥涩痛，加泽泻五分。如果有大热证，加黄柏三钱，用酒浸泡四次后炒制。如果麻木不仁，虽然有热但不用黄柏，再加黄耆一两。如果眼睛缩小，去掉芍药，忌食酒、醋、湿面、大料物、葱、韭、蒜以及淡渗生冷硬物。如果麻木沉重严重，加芍药一两，木通一两。
拨云汤：戊申年六月，徐总管患眼疾，在上眼皮下长出黑白翳膜两个，感觉隐涩难以睁开，两眼拘急但没有疼痛，两手寸脉细紧，重按洪大无力，这是足太阳膀胱经被命门相火煎熬，逆行形成寒水翳及寒膜遮蔽黑睛，给予下面这一剂，神效。外证表现为呵欠，容易悲伤健忘，打喷嚏时眼泪自落，面色赤中带白，能进食但不大便，小便频数且伴有气短，气上逆而喘。
黄耆（七分） 细辛叶（五分） 柴胡（七分） 生姜 荆芥（各一钱） 防风（一钱半） 羌活（一钱半） 藁本（一钱） 甘草梢（一钱） 升麻（一钱） 葛根（五分） 川芎（五分） 知母（一钱） 黄柏（一钱半） 当归身（一钱）
以上药物锉碎如麻豆大小，作为一剂服用，用两大盏水，煎煮至一盏，趁稍热服用。
连翘饮子：治疗眼中溜火（火热之邪游走），恶见日光与火光，感觉隐涩，眼角偏紧，久视昏花，迎风流泪。
蔓荆子 甘草 连翘（各三分） 柴胡（二分） 酒黄芩（五分） 生地黄（三分） 防风（五分） 人参（三分） 黄耆（五分） 红葵花（三分） 升麻（一钱） 当归身（二分） 羌活（五分）
以上药物切碎，每次服用五钱，用水两盏，煎煮至一盏，去渣，趁稍热，饭后服用。
前一方治疗倒睫拳毛。后三方，治疗眼睑边缘拘急缩小。眼睑边缘紧促缩小的，是倒睫拳毛的初期表现，所以将这些方子附在后面。大概是因为阳虚则眼睑边缘拘急，阴虚则瞳孔散大，所以李东垣治疗眼睑边缘拘急，用人参、黄耆补气为君药，佐以辛味药物疏散，而忌讳芍药、五味子等酸收敛涩的药物。治疗瞳孔散大，用地黄补血为君药，佐以酸味药物收敛，而忌讳茺蔚子、青葙子等药物。
治疗倒睫眼的方子，可以用无名异粉末，掺在纸中卷成捻子，点燃，到药末处吹灭，用烟熏眼睛，睫毛自然竖起。
〔《本草》〕治疗倒睫烂弦（眼睑边缘溃烂）。
蚕砂（一两） 铜青（五钱）
以上两味药，慢火熬成膏，加入轻粉五分，熬至黑色，随时用汤水浸泡清洗。
〔《瑞竹堂经验方》〕青黛散：治疗眼倒睫极有效。
刺蓟 枣棘针 白芷 青黛
以上各等分，研为细末。左眼倒睫，口中含水，向左鼻孔搐入药末。右眼倒睫，向右鼻孔搐入药末。
〔《山居四要》〕眼毛倒睫，摘去卷曲的睫毛，用虱子的血点入眼内，数次即愈。
〔李东垣〕眼睛生出倒睫拳毛，是由于眼部拘急皮肤收缩导致的。大概是因为内部潜伏热邪，攻冲阴气外行，应当去除内部热邪和火邪，使眼皮松弛，那么眼毛就会立刻出来，翳膜也会消退。用手将内眼睑向外牵引，用三棱针刺破，放出热血，用左手指甲按住针孔，立刻痊愈。
Eyelashes growing inward into the center of the eyeball is what is referred to as "inverted eyelashes and curled lashes" (Daojie Quanmao).
[Li Dongyuan] Shenxiao Mingmu Tang (Divine Efficacy Brightening Eye Decoction): Treats urgency and tension at the eyelid margin, leading to inverted eyelashes and curled lashes damaging the eye, as well as redness and ulceration of the entire upper eyelid, pain in the cornea, dim vision, continuous flow of cold tears during the day, and excessive eye discharge filling the eye at night.
Puerariae Radix (Ge Gen) (1 qian 1/2), Roasted Licorice Root (Zhi Gan Cao Gen) (2 qian), Saposhnikoviae Radix (Fang Feng Gen) (1 qian), Viticis Fructus (Man Jing Zi) (5 fen), Asari Radix et Rhizoma (Xi Xin Gen) (3 fen).
Another prescription adds Scutellariae Radix (Huang Qin Gen) (1 qian).
Chop the above herbs, prepare as one dose, decoct with 1 liang 8 fen of water until reduced to 1 liang, remove dregs, and take while slightly warm before going to bed for good effect.
Fangfeng Yinzi (Saposhnikovia Decoction): Treats inverted eyelashes and curled lashes.
Scutellariae Radix (Huang Lian) (stir-fried), Licorice Root (Gan Cao) (roasted), Ginseng Radix (Ren Shen) (each 1 qian), Puerariae Radix (Ge Gen), Saposhnikoviae Radix (Fang Feng) (each 5 fen), Angelicae Sinensis Radix (Gui Shen) (1 qian 1/2), Asari Folium (Xi Xin Ye), Viticis Fructus (Man Jing Zi) (each 3 fen).
Chop the above herbs to the size of hemp seeds, prepare as one dose, decoct with two large liang of water until reduced to one liang, remove dregs, and take warm after meals. Avoid sleeping in places with wind, cold, dampness, or heat.
Shenxiao Huangqi Tang (Divine Efficacy Astragalus Decoction): Treats generalized numbness and insensitivity, as well as urgency and shrinking of both eyes, photophobia, difficulty opening due to astringency, weak vision, eye pain and blurriness where the hand cannot approach, lackluster eyes, or a sensation of heat like fire in the eyes. Taking it five or six times yields divine efficacy.
Astragali Radix (Huang Qi) (2 liang), Ginseng Radix (Ren Shen) (deprived of rhizome, 1 liang), Licorice Root (Gan Cao) (roasted, 1 liang), Viticis Fructus (Man Jing Zi) (chopped, 2 qian), White Peony Root (Bai Shao Yao) (1 liang), Tangerine Peel (Chen Pi) (deprived of white pith, half liang).
Chop the above herbs, take 4-5 qian per dose, decoct with 1 liang 8 fen of water until reduced to 1 liang, remove dregs, and take while slightly warm before bed. If there is dysuria with strangury, add Alismatis Rhizoma (Ze Xie) 5 fen. If there are signs of severe heat, add Phellodendri Cortex (Huang Bo) 3 qian, soaked in wine four times then stir-fried. If there is numbness and insensitivity, even if there is heat, do not use Huang Bo; instead, add more Huang Qi 1 liang. If the eyes are shrunken, remove Bai Shao Yao; avoid alcohol, vinegar, wet noodles, strong spices, scallions, leeks, garlic, and diuretic raw/cold/hard foods. If numbness is heavy and severe, add Bai Shao Yao 1 liang and Akebia Caulis (Mu Tong) 1 liang.
Boyun Tang (Cloud-Piercing Decoction): In the sixth month of Wushen year, Commander Xu suffered from an eye disease, developing two black-and-white nebulae under the upper eyelids, feeling astringent and difficult to open, with urgent but painless eyes. The cun pulse on both hands was fine and tight, but forceful and powerless upon deep pressure. This indicates that the Foot-Taiyang Bladder channel was scorched by the Ministerial Fire of the Gate of Life, reversing its flow to create cold-water nebulae and cold membranes obscuring the cornea. Prescribe the following single dose for divine efficacy. External symptoms include yawning, propensity to sadness and forgetfulness, tearing when sneezing, reddish yet pale complexion, ability to eat but constipation, frequent urination with shortness of breath, rebellious qi causing asthma.
Astragali Radix (Huang Qi) (7 fen), Asari Folium (Xi Xin Ye) (5 fen), Bupleuri Radix (Chai Hu) (7 fen), Fresh Ginger (Sheng Jiang), Schizonepetae Spica (Jing Jie) (each 1 qian), Saposhnikoviae Radix (Fang Feng) (1 qian 1/2), Notopterygii Rhizoma et Radix (Qiang Huo) (1 qian 1/2), Ligustici Rhizoma et Radix (Ben) (1 qian), Licorice Root Tip (Gan Cao Shao) (1 qian), Cimicifugae Rhizoma (Sheng Ma) (1 qian), Puerariae Radix (Ge Gen) (5 fen), Chuanxiong Rhizoma (Chuan Xiong) (5 fen), Anemarrhenae Rhizoma (Zhi Mu) (1 qian), Phellodendri Cortex (Huang Bo) (1 qian 1/2), Angelicae Sinensis Radix (Gui Shen) (1 qian).
Chop the above herbs to the size of hemp seeds, prepare as one dose, decoct with two large liang of water until reduced to one liang, and take while slightly warm.
Lianqiao Yinzi (Forsythia Decoction): Treats "sliding fire" in the eyes, aversion to sunlight and fire, astringency, tightness at the outer canthus, blurriness after prolonged viewing, and tearing upon exposure to wind.
Viticis Fructus (Man Jing Zi), Licorice Root (Gan Cao), Forsythiae Fructus (Lian Qiao) (each 3 fen), Bupleuri Radix (Chai Hu) (2 fen), Scutellariae Radix (Huang Qin) (wine-processed, 5 fen), Rehmanniae Radix (Sheng Di) (3 fen), Saposhnikoviae Radix (Fang Feng) (5 fen), Ginseng Radix (Ren Shen) (3 fen), Astragali Radix (Huang Qi) (5 fen), Hibisci Rosa-Sinensis Flos (Hong Kui Hua) (3 fen), Cimicifugae Rhizoma (Sheng Ma) (1 qian), Angelicae Sinensis Radix (Gui Shen) (2 fen), Notopterygii Rhizoma et Radix (Qiang Huo) (5 fen).
Chop the above herbs, take 5 qian per dose, decoct with two liang of water until reduced to one liang, remove dregs, and take while slightly warm after meals.
The first formula treats inverted eyelashes and curled lashes. The latter three formulas treat urgency and shrinking of the eyelid margin. Urgency and shrinking of the eyelid margin are precursors to inverted eyelashes and curled lashes; hence, these formulas are appended afterwards. Generally, Yang deficiency leads to urgency of the eyelid margin, while Yin deficiency leads to dilation of the pupil. Therefore, Li Dongyuan treats urgency of the eyelid margin using Ren Shen and Huang Qi to tonify Qi as sovereign drugs, assisted by acrid herbs to disperse, avoiding sour-astringent herbs like Bai Shao Yao and Wu Wei Zi. To treat dilated pupils, he uses Shu Di Huang to nourish Blood as sovereign drug, assisted by sour herbs to astringe, avoiding herbs like Wygwiae Fructus (Chong Wei Zi) and Celosiae Semen (Qing Xiang Zi).
For treating inverted eyelashes, use powder of Wumingyi (a mineral), roll it in paper to make a taper, ignite it, extinguish it when reaching the herb powder, and smoke the eye with the fumes; the eyelashes will naturally stand up.
[Bencao] Treats inverted eyelashes and blepharitis (rotten eyelid margins).
Bombyx Batryticatus (Can Sha) (1 liang), Verdigris (Guo Dan) (5 qian).
Slowly boil the above two ingredients into a paste, add Calomelas (Qing Fen) 5 fen, boil until black, and wash frequently with soup water.
[Ruizhutang Jingyanfang] Qingdai San (Indigo Powder): Extremely effective for inverted eyelashes.
Cirsii Japonici Herba (Ci Ji), Ziziphi Spinosae Spina (Zao Ji Zhen), Angelicae Dahuricae Radix (Bai Zhi), Indigo Naturalis (Qing Dai).
Grind equal parts into fine powder. For left eye inverted lashes, hold water in mouth and insufflate into the left nostril. For right eye inverted lashes, insufflate into the right nostril.
[Shanjusi Yao] For inverted eyelashes, pluck out the curled lashes, apply blood from lice into the eye; it heals after several applications.
[Li Dongyuan] Inverted eyelashes and curled lashes arise from urgency and skin contraction of the eye. Internally latent heat attacks the outward flow of Yin Qi. One must clear internal heat and fire pathogens to relax the eyelids, allowing eyelashes to emerge and nebulae to recede. Manually pull the inner eyelid outward, puncture with a triangular needle to release bright red blood, and press the needle hole immediately with the thumbnail of the left hand; it heals instantly.