【方歌】目中努肉心火成，实火大眦色深红，小眦红丝淡虚火，
努肉时觉或胀疼。
【注】此证生于目两眦，瘀肉努出，时觉疼痛，总属心火所成
。然火有虚实，如大眦红肉色深红者，心经实火也，宜
黑参汤服之；小眦红丝色淡红者，心经虚火也，宜决明
散主之。外俱用清凉圆泡洗，久久自愈。
方剂：黑参汤
组成：黑参 苦参
栀子 菊花
黄连 枳壳（麸炒）
草决明 车前子
防风 大黄（炒）
升麻（各二钱）
水煎，食后服。
【方歌】黑参汤治大赀疼，内生努肉实火成，苦参栀菊黄连壳，
草决车防大黄升。
又方：决明散
组成：玉竹 黄连
枳壳（麸炒） 川芎
甘草（生） 羚羊角（镑，各一两）
车前子 青葙子
草决明（各五钱）
共研细末，每服三钱。食后服，卧时再用一服。
【方歌】决明努肉虚火攻，玉竹黄连枳壳芎，车前青葙羚羊草，
研末水调最有功。
又方：清凉图（见菌毒）
【方歌】鼻疽生于鼻柱间，肺经郁火发督原，坚硬色紫常木痛，
千金仙方托里痊。
【注】此证生于鼻柱，属督脉经，鼻为肺窍，故又属肺，由肺
经郁火凝结而成。坚硬色紫，时觉木痛。初宜服千金漏
芦汤，宣解郁毒；次用仙方活命饮，加栀子、木通、薄
荷、桔梗消之。若肿痛不减，势欲作脓，则宜托里透脓
汤主之。外治法按痈疽溃疡门。
方剂：千金漏芦汤
组成：漏芦（一两） 枳壳（麸炒，一两）
朴硝（一两） 大黄（一两五钱）
甘草（生，一两） 麻黄（一两）
黄芩（一两） 白蔹（一两）
连翘（去心，一两） 升麻（一两）
共研末，每用二钱，水一钟，姜三片，薄荷叶一钱
，煎五分温服，以取便利为度。
【方歌】千金漏芦湿疽发，色紫坚疼效更嘉，漏芦枳壳硝黄草，
麻芩白蔹翘升麻。
又方：仙方活命饮（见肿疡门）
托里透脓汤（见头部侵脑疽）
【方歌】眼中努肉（眼睑或球结膜上的增生组织）由心火引起，实火导致大眼角（内眦/外眦，此处指大眦即内眦或外眦中较红者，通常指内眦为心经所主，但中医常以内外眦分脏腑，大眦属小肠/心，小眦属心/小肠，此处依原文逻辑：大眦色深红为实火，小眦色淡红为虚火）颜色深红；小眼角颜色淡红且有血丝，属于虚火。努肉时常感到胀痛或疼痛。
【注】此病症生于眼睛的两个眼角，瘀滞的肉芽突出，时常感到疼痛，总归是由心火所致。然而火邪有虚实之分，如果大眼角红色的肉芽颜色深红，这是心经的实火，适宜服用黑参汤；如果小眼角红色的丝状物颜色淡红，这是心经的虚火，适宜以决明散为主治疗。外部都使用清凉圆浸泡清洗，久而久之自然痊愈。
方剂：黑参汤
组成：黑参、苦参、栀子、菊花、黄连、枳壳（麸炒）、草决明、车前子、防风、大黄（炒）、升麻（各二钱）。
水煎煮，饭后服用。
【方歌】黑参汤治疗大眼角疼痛，内生努肉由实火造成，方中含苦参、栀子、菊花、黄连、枳壳，以及草决明、车前子、防风、大黄、升麻。
又一方：决明散
组成：玉竹、黄连、枳壳（麸炒）、川芎、甘草（生用）、羚羊角（镑成细粉，各一两）、车前子、青葙子、草决明（各五钱）。
共同研磨成细末，每次服用三钱。饭后服用，睡觉时再服用一次。
【方歌】决明散治疗因虚火攻击导致的努肉，方中含玉竹、黄连、枳壳、川芎，以及车前子、青葙子、羚羊角、甘草，研成末用水调服功效显著。
【方歌】鼻疽生于鼻梁中间，由肺经郁火引发并涉及督脉本源，患处坚硬、颜色紫暗、经常感觉麻木疼痛，可用千金仙方通过托里法治愈。
【注】此病症生于鼻梁，属于督脉经络，鼻子是肺的窍道，所以又归属于肺，由肺经郁结之火凝结而成。患处坚硬、颜色紫暗，时常感觉麻木疼痛。初期适宜服用千金漏芦汤，宣散和解郁结之毒；随后使用仙方活命饮，加入栀子、木通、薄荷、桔梗来消除肿痛。如果肿痛不减轻，病情发展快要化脓，则适宜以托里透脓汤为主治疗。外部治疗方法参照痈疽溃疡门。
方剂：千金漏芦汤
组成：漏芦（一两）、枳壳（麸炒，一两）、朴硝（一两）、大黄（一两五钱）、甘草（生用，一两）、麻黄（一两）、黄芩（一两）、白蔹（一两）、连翘（去心，一两）、升麻（一两）。
共同研磨成末，每次取二钱，用水一钟，生姜三片，薄荷叶一钱，煎至五分量，温服，以大便通畅为度。
【方歌】千金漏芦汤治疗湿性鼻疽发病，颜色紫暗、坚硬疼痛效果更佳，方中含漏芦、枳壳、朴硝、大黄、甘草，以及麻黄、黄芩、白蔹、连翘、升麻。
[Formula Song] Pterygium (Pterygium) in the eye is caused by Heart Fire. Excess Fire presents with deep red color at the canthus major (medial/lateral canthus, specifically referring to the canthus associated with the Heart meridian), while deficiency Fire presents with pale red color and fine blood vessels at the canthus minor. The pterygium often feels distended or painful.
[Annotation] This condition arises at both canthi of the eye, with stasis-induced fleshy growth protruding and causing intermittent pain. It is generally attributed to Heart Fire. However, Fire can be either excess or deficiency. If the fleshy tissue at the canthus major is deep red, it indicates Excess Fire of the Heart Meridian, and Heishen Tang (Black Ginseng Decoction) should be administered. If the filamentous tissue at the canthus minor is pale red, it indicates Deficiency Fire of the Heart Meridian, and Jueming San (Cassia Seed Powder) should be used as the primary treatment. Externally, Qingliang Yuan (Cooling Round) decocted for washing should be applied; with prolonged use, it will heal spontaneously.
Formula: Heishen Tang (Black Ginseng Decoction)
Composition: Heishen (Radix Panacis Nigrae), Kushen (Cortex Phellodendri Chinensis), Zhizi (Fructus Gardeniae), Juhua (Flos Chrysanthemi), Huanglian (Rhizoma Coptidis), Zhike (Fructus Aurantii Immaturus, bran-fried), Caojueming (Semen Cassiae), Cheqianzi (Semen Plantaginis), Fangfeng (Radix Saposhnikoviae), Dahuang (Radix et Rhizoma Rhei Palmati, stir-baked), Shengma (Rhizoma Cimicifugae). Each ingredient weighs 2 qian.
Preparation: Decoct in water and take after meals.
[Formula Song] Heishen Tang treats pain at the canthus major, where internal pterygium is formed by Excess Fire. It contains Kushen, Zhizi, Juhua, Huanglian, Zhike, Caojueming, Cheqianzi, Fangfeng, Dahuang, and Shengma.
Another Formula: Jueming San (Cassia Seed Powder)
Composition: Yuzhu (Rhizoma Polygonati Odorati), Huanglian (Rhizoma Coptidis), Zhike (Fructus Aurantii Immaturus, bran-fried), Chuanxiong (Rhizoma Chuanxiong), Gancao (Radix Glycyrrhizae Uralensis, raw), Lingyangjiao (Cornu Saigae Tataricae, shaved powder), each weighing 1 liang; Cheqianzi (Semen Plantaginis), Qingxiangzi (Semen Celosiae), Caojueming (Semen Cassiae), each weighing 5 qian.
Preparation: Grind into a fine powder. Take 3 qian per dose. Take after meals, and take another dose before bedtime.
[Formula Song] Jueming San treats pterygium attacked by Deficiency Fire. It contains Yuzhu, Huanglian, Zhike, Chuanxiong, Cheqianzi, Qingxiangzi, Lingyangjiao, and Gancao. Taken as a powder mixed with water, it is highly effective.
Another Formula: Qingliang Yuan (See Section on Fungal Toxins)
[Formula Song] Nasal carbuncle (Nose Carbuncle) arises between the nasal bridge, originating from stagnant Fire in the Lung Meridian affecting the Du Mai (Governing Vessel). The lesion is hard, purple, and often feels numb and painful. It can be cured using Qianjin Xianfang via the method of supporting the interior.
[Annotation] This condition arises on the nasal bridge, belonging to the Du Mai (Governing Vessel) meridian. Since the nose is the orifice of the Lung, it also relates to the Lung. It is formed by the coagulation of stagnant Fire in the Lung Meridian. The lesion is hard, purple, and feels numb and painful. Initially, Qianjin Lulu Tang (Thoroughwort Decoction of the Thousand Gold Formulas) should be taken to disperse and resolve the stagnant toxin. Subsequently, Xianfang Huoming Yin (Immortal Formula for Preserving Life Decoction) should be used, added with Zhizi (Fructus Gardeniae), Mutong (Caulis Akebiae), Bohe (Herba Menthae Haplocalycis), and Jiegeng (Radix Platycodonis) to eliminate swelling. If swelling and pain do not subside and suppuration is imminent, Tuoli Tou Nong Tang (Decoction for Supporting the Interior and Expelling Pus) should be used as the primary treatment. External treatments follow the guidelines in the Section on Ulcers and Sores.
Formula: Qianjin Lulu Tang (Thoroughwort Decoction of the Thousand Gold Formulas)
Composition: Lulu (Radix Agrimoniae Pilosae, 1 liang), Zhike (Fructus Aurantii Immaturus, bran-fried, 1 liang), Pu Xiao (Natrii Sulfas, 1 liang), Dahuang (Radix et Rhizoma Rhei Palmati, 1.5 liang), Gancao (Radix Glycyrrhizae Uralensis, raw, 1 liang), Mahuang (Herba Ephedrae, 1 liang), Huangqin (Radix Scutellariae Baicalensis, 1 liang), Bailian (Bulbus Belamcandae, 1 liang), Lianqiao (Fructus Forsythiae, heart removed, 1 liang), Shengma (Rhizoma Cimicifugae, 1 liang).
Preparation: Grind into powder. Use 2 qian per dose with one zhong of water, three slices of ginger, and 1 qian of Bohe leaves. Decoct until five fen remains, and take warm. The goal is to achieve smooth bowel movements.
[Formula Song] Qianjin Lulu Tang treats wet nasal carbuncle onset; it is more effective for purple, hard, and painful lesions. It contains Lulu, Zhike, Pu Xiao, Dahuang, Gancao, Mahuang, Huangqin, Bailian, Lianqiao, and Shengma.
Another Formula: Xianfang Huoming Yin (Immortal Formula for Preserving Life Decoction) (See Section on Swollen Sores)
Tuoli Tou Nong Tang (Decoction for Supporting the Interior and Expelling Pus) (See Section on Head Abscesses Invading the Brain)