此症或眼皮上下。生出一小核是也。乃脾胃痰气所致。上睑属脾经。下睑属胃经。若结成小核。红而自
破。不药而愈。若坚白不破。久则如杯如拳。而成瘤矣。若初起小核时。即先用细艾如粟米壮放患上。令
患目者卧榻紧闭目。以隔蒜片灸三四壮。外将膏药贴之。又用紫背天葵子连叶二两煮酒 一壶半。
皂角子二三粒泡热研细。饮酒时搽疣上自消。
凡是睥生痰核。痰火结滞所成。皮外觉肿如豆。睥内坚实有形。或有不治自愈。或有壅结为瘿。甚则流脓
出血。治之各不同名。此火土之燥。毋向外求情。若能知劫治。顷刻便清平。
此症乃睥外皮内。生颗如豆。坚而不疼。火重于痰者。其色红紫。乃痰因火滞而结。此生于上睥者多。屡
有不治自愈。有恣辛辣热毒酒色斫丧之人。久而变为瘿漏重疾者。治亦不同。若初起知劫治之法。则
顷刻而平复矣。宜服∶
防风散结汤
玄参（一钱） 前胡 赤芍药 黄芩 桔梗 防风 土贝母 苍术 白芷 陈皮 天花粉（各八分）
上锉剂。白水二钟。煎至八分。去滓。食后热服。
清胃汤（治眼胞红硬。此阳明经积热。平昔饮酒过多。而好食辛辣炙爆之味所致也。）
山栀仁（炒黑） 枳壳 苏子（各六分） 石膏（ ） 川黄连（炒） 陈皮 连翘
归尾 荆芥穗 黄芩 防风（各八分） 甘草（生三分）
上锉剂。白水二钟。煎至一钟。去滓。热服。
这种病症表现为眼皮上下长出一颗小硬结，这是由脾胃痰气阻滞所致。上眼睑归属于脾经，下眼睑归属于胃经。如果结成的小核发红且自行破溃，即使不治疗也能痊愈；如果质地坚硬、颜色发白且不破溃，时间久了就会像杯子或拳头一样大，形成肿瘤。如果在初起小核时，立即用细艾绒如粟米大小放在患处，让患者卧床闭眼，隔蒜片艾灸三四壮，外用膏药贴敷，同时用紫背天葵子（带叶）二两与半壶酒同煮，将二三粒皂角子泡热后研成细末，饮酒时涂抹在疣上，即可自行消除。
凡是眼睑生出痰核，都是由痰火结滞所造成。皮外感觉肿胀如豆粒，眼睑内部坚实有形。有的可以不治自愈，有的则壅结成为瘿病，严重时甚至流脓出血，治疗方法各不相同。这是由于火土燥热所致，不必向外寻求情志因素。如果能知道迅速截断治疗的方法，顷刻间就能清平恢复。
这种病症是眼睑外皮内长出一颗如豆粒大小的硬结，坚硬但不疼痛。如果是火邪重于痰邪的，颜色呈红紫色，这是痰因火邪阻滞而凝结而成。这种情况多生于上眼睑，屡次有不治自愈的情况。也有那些放纵辛辣、热毒、酒色损伤身体的人，久而久之变为瘿漏重疾，治疗方法也不同。如果在初起时就知道截断治疗的方法，顷刻间就能平复。适宜服用：
防风散结汤
玄参（一钱） 前胡 赤芍药 黄芩 桔梗 防风 土贝母 苍术 白芷 陈皮 天花粉（各八分）
以上药材切碎，用水两钟煎至八分，去渣，饭后热服。
清胃汤（治疗眼睑红硬，此症由阳明经积热引起，平时饮酒过多，且喜好食用辛辣炙烤食物所致。）
山栀仁（炒黑） 枳壳 苏子（各六分） 石膏（缺量） 川黄连（炒） 陈皮 连翘 归尾 荆芥穗 黄芩 防风（各八分） 甘草（生三分）
以上药材切碎，用水两钟煎至一钟，去渣，热服。
This condition manifests as a small nodule growing on the upper or lower eyelids, caused by phlegm and qi stagnation in the spleen and stomach. The upper eyelid belongs to the Spleen Meridian, while the lower eyelid belongs to the Stomach Meridian. If the formed nodule is red and ruptures spontaneously, it may heal without medication. However, if it remains hard and white without rupturing, over time it may enlarge like a cup or fist, forming a tumor. At the initial stage when the small nodule appears, apply fine moxa cones the size of millet grains to the affected area. Have the patient lie in bed with eyes closed, and perform moxibustion through garlic slices for three to four cones. Apply an external plaster externally. Additionally, boil two taels of *Zi Bei Tian Kui Zi* (including leaves) with half a pot of wine. Soak two or three seeds of *Zao Jiao Zi* (Gleditsia Sinensis Fruit), heat them, grind them into fine powder, and apply this mixture to the wart while drinking the wine to facilitate spontaneous resolution.
Any phlegma nodule arising in the eyelids is formed by the stagnation of phlegm and fire. Externally, it feels swollen like a bean; internally within the eyelid, it is firm and palpable. Some cases may resolve spontaneously without treatment, while others may accumulate and form goiter-like swellings (*ying*), and in severe cases, even suppurate or bleed. Treatments vary accordingly. This arises from the dryness of Fire and Earth; one should not seek causes solely in emotional factors externally. If one can employ methods to rapidly intercept and treat the condition, peace and clarity can be restored almost instantly.
This condition involves a bean-sized nodule growing inside the outer skin of the eyelid, which is hard but painless. When Fire pathogen predominates over Phlegm, the color is red-purple, indicating that Phlegm has condensed due to Fire stagnation. This type occurs frequently in the upper eyelid and often resolves spontaneously. However, individuals who indulge excessively in spicy, hot-toxic foods, alcohol, and sexual excesses may, over time, develop serious conditions such as goiter and fistulas, requiring different treatments. If interception and treatment methods are employed at the onset, recovery can be achieved almost instantly. It is suitable to take:
Fangfeng Sanjie Tang (Wind-Dispersing Nodule-Resolving Decoction)
*Xuanshen* (Scrophulariae Radix, 1 qian), *Qianhu* (Peucedani Radix), *Chishao Yao* (Paeoniae Radix Rubra), *Huangqin* (Scutellariae Radix), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Tubei Mu (Fritillariae Thunbergii Bulbus), Cangzhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Chenpi (Citri Reticulatae Pericarpium), Tianhuafen (Trichosanthis Radix) (each 8 fen).
Crush these ingredients into coarse powder. Add two zhong of clear water, decoct until eight fen remain, strain, and take warm after meals.
Qingwei Tang (Stomach-Clearing Decoction) [Indicated for redness and hardness of the eyelids, caused by accumulated heat in the Yangming Meridian, typically resulting from excessive alcohol consumption and a preference for spicy, roasted, or fried foods.]
Shanzhi Ren (Gardeniae Semen, stir-fried until black), Zhike (Aurantii Fructus), Suzi (Perillae Fructus) (each 6 fen), Shigao (Gypsum Fibrosum, dosage unspecified), Chuan Huanglian (Coptidis Rhizoma, stir-fried), Chenpi (Citri Reticulatae Pericarpium), Lianqiao (Forsythiae Fructus), Guiwei (Angelicae Sinensis Radix), Jingjie Sui (Schizonepetae Spica), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix) (each 8 fen), Gancao (Licorice Root, raw, 3 fen).
Crush these ingredients into coarse powder. Add two zhong of clear water, decoct until one zhong remains, strain, and take warm.