按∶肿胀有风热上攻，有燥火客邪；或黑珠疼甚；或白睛肿痛，皆因肝经实热，或移
热于肺，俱宜清火散风治之。
肿胀如杯目最疼，泪多怕热与羞明，若侵头脑连眶痛，木火为殃祸不轻，忽使睛中灌瘀
血，管教变症似风生。
此症谓目赤痛，睥胀如杯覆也。是邪火有余，肝木受克，而火不能生，故火邪反乘虚而
为炙燥之病，其珠必疼，而睥紧硬。若暴风客热而作痛者，必多热泪，而珠痛犹为稍缓。风
热外感易治，若木火内攻，则病退迟，重则瘀滞塞目，血灌睛中，而症变不测，须用开导。
轻则敷治而退，重则必须开导，若敷治不退，退而复返，开导不消，消而复痛连头脑，肿愈
高而睥愈实，此风热成毒也。宜服点∶
散热消毒饮子
牛蒡子（研炒） 羌活 黄连 黄芩 苏薄荷 防风 连翘（各等分）
上锉剂。白水二钟，煎至八分，去滓，食后服。
金丝膏 治风热上攻，目赤肿痛。
黄连（二两） 龙胆草 大黄 黄柏（去皮） 当归 山栀仁（各一两） 乳香（去油研） 硼砂（
明者） 灯心（各二钱半） 青竹叶（一百片） 大枣（二十枚，去核）
上用水五升，不拘冬夏，浸一时辰取出，于银石器内慢火熬。不令大沸，候滓尽汁出，下
火放冷，用绢绞取汁于无风尘处，澄一时辰去滓，于器内用慢火熬令减半，入白蜜半斤同搅
将有蜜者，以手挑起，有丝则止，放冷，再以夹绢袋滤过，用瓷盒盛之，每取一茶匙许，
研龙脑一字，极细，入膏同研一二千遍，令匀，取少许点之。
按语：肿胀（此处指眼部红肿）有因风热上攻所致，也有因燥火客邪所致；或者黑睛疼痛剧烈，或者白睛肿痛，这都是因为肝经实热，或者是热邪转移至肺脏，都应当采用清泻火热、疏散风邪的方法治疗。
眼部肿胀如杯状且最疼痛，流泪多、怕热且畏光，如果疼痛牵连头部和眼眶，这是木火为患，祸害不轻；忽然使眼中灌注瘀血，必然导致变症像中风一样发生。
此症称为目赤痛，眼睑肿胀如同倒扣的杯子。这是邪火有余，肝木受到克制，而火不能生发，所以火邪反而乘虚而入成为炙烤干燥的病证，黑珠必然疼痛，眼睑紧绷坚硬。如果是暴风客热引起的疼痛，必定眼泪多，黑珠疼痛稍微缓和。风热外感容易治疗，如果是木火内攻，则病退缓慢，重则瘀滞堵塞眼睛，血液灌注睛中，症状变化莫测，必须使用开导法（手术排脓或引流）。轻症用敷治可消退，重症必须开导，如果敷治不退，退了又复发，开导后不消散，消散后又疼痛牵连头部，肿得越高眼睑越坚实，这是风热成毒。适宜服用以下方剂：
散热消毒饮子
牛蒡子（研碎炒制） 羌活 黄连 黄芩 苏薄荷 防风 连翘（各等分）
以上药材切碎成剂。用白水两钟，煎煮至八分满，去渣，饭后服用。
金丝膏 治疗风热上攻，目赤肿痛。
黄连（二两） 龙胆草 大黄 黄柏（去皮） 当归 山栀仁（各一两） 乳香（去油研碎） 硼砂（透明的） 灯心（各二钱半） 青竹叶（一百片） 大枣（二十枚，去核）
以上用水五升，不拘冬夏，浸泡一个时辰后取出，在银器或石器内用慢火熬煮。不让其大沸，等待药渣尽、汁液出，离火放冷，用绢布绞取汁液在无风尘处，澄清一个时辰去渣，在器皿内用慢火熬令减半，加入白蜜半斤同搅，当挑起时有丝状物出现则停止，放冷，再用夹绢袋过滤，用瓷盒盛装。每次取一茶匙左右，研磨龙脑一字（极细），加入膏体中同研一二千遍，使其均匀，取少许点眼。
According to the commentary: Swelling (referring here to redness and swelling of the eye) can be caused by wind-heat attacking upwards, or by dry-fire pathogenic factors; or severe pain in the black pupil (cornea/pupil area), or swelling and pain of the white sclera. All these are due to excess heat in the Liver channel, or heat transferring to the Lung, and all should be treated with clearing fire and dispersing wind methods.
When the eye swelling is cup-shaped and most painful, with excessive tearing, aversion to heat, and photophobia, if the pain extends to the head and orbits, this is a calamity of Wood-Fire, which is not light; if sudden infusion of stasis blood occurs in the eye, it will inevitably lead to complications resembling wind-stroke.
This condition is called "red and painful eyes," where the eyelids swell like an inverted cup. This is due to excess pathogenic fire, with the Liver Wood being constrained, so Fire cannot generate properly; thus, Fire pathogen takes advantage of deficiency to become a scorching and drying disease. The black pupil must be painful, and the eyelids tight and hard. If the pain is caused by violent wind and guest heat, there will surely be abundant hot tears, and the pain in the black pupil will be slightly more relieved. Exogenous wind-heat is easy to treat; however, if internal attack by Wood-Fire occurs, the disease recedes slowly. In severe cases, stasis blocks the eye, blood infuses into the eyeball, and symptoms change unpredictably, requiring drainage/opening methods. Mild cases can be resolved with topical applications; severe cases require drainage. If topical application fails to resolve it, and it recurs after subsiding, or if drainage fails to eliminate it, and pain recurs extending to the head, with higher swelling and firmer eyelids, this indicates wind-heat transforming into toxicity. It is suitable to take the following prescription:
Sanre Xiaodu Yinzi (Heat-Dispersing and Toxin-Clearing Decoction)
Arctii Fructus (Niu Bang Zi, 牛蒡子) [crushed and stir-fried], Notopterygii Rhizoma et Radix (Qiang Huo), Coptidis Rhizoma (Huang Lian), Scutellariae Radix (Huang Qin), Menthae Haplocalycis Herba (Su Bo He), Saposhnikoviae Radix (Fang Feng), Forsythiae Fructus (Lian Qiao) [equal parts].
The above herbs are cut into pieces. Use two zhong of clear water, decoct until reduced to eight-tenths, remove dregs, and take after meals.
Jinsi Gao (Golden Thread Ointment) treats wind-heat attacking upwards, causing red, swollen, and painful eyes.
Coptidis Rhizoma (Huang Lian) [2 liang], Gentianae Radix (Long Dan Cao), Rheum Palmati Radix et Rhizoma (Da Huang), Phellodendri Cortex (Huang Bo) [peeled], Angelicae Sinensis Radix (Dang Gui), Gardeniae Fructus (Shan Zhi Ren) [1 liang each], Boswelliae Resina (Ru Xiang) [de-oiled and crushed], Borax (Peng Sha) [transparent type], Junci Medulla (Deng Xin) [2 qian 5 fen each], Young Bamboo Leaves (Qing Zhu Ye) [100 leaves], Jujubae Fructus (Da Zao) [20 fruits, pitted].
The above are soaked in five sheng of water, regardless of winter or summer, for one shichen (two hours), then removed. Slowly simmer in a silver or earthenware vessel. Do not allow vigorous boiling. Wait until the dregs are exhausted and juice is extracted, remove from fire, and let cool. Squeeze the juice through silk cloth in a dust-free place, clarify for one shichen, remove dregs, and simmer again in the vessel over low heat until reduced by half. Add half a jin of white honey and stir together. When lifting with hand, if threads form, stop heating. Let cool, then filter through a double-layered silk bag. Store in a porcelain box. Take about one tea spoonful each time, grind Borneolum Syntheticum (Long Nao) to a very fine powder (one zi amount), mix thoroughly with the ointment by grinding for one to two thousand times until uniform. Apply a small amount to the eye.