\r两睑粘睛图\p05-c20a7.bmp\r
两睑粘睛者，脾胃风虚，冷弱邪气聚于睑，致胞睑风赤湿烂，肝膈虚热眵粘四 ，夜睡
上下胞睑胶凝粘紧，血滞不散，久则渐生翳膜。治法∶宜阴一阳三吹点。若发年久，眼皮渐
长，虽不是拳毛倒睫，亦可夹起眼皮，使露黑睛，消散血气，睑积有瘀血，可 可洗，
烂痒者洗以碧天丹，每日侵晨用桑白皮入盐熏洗，或大寒后不落桑叶名为铁扇子煎洗极妙。
或菊花叶煎汤洗亦可。此乃发年久有此症，初发者无此病症耳。问曰∶眼患年久两睑粘而不
开明者何也？答曰∶脾胃受风冷所伤，邪气久积不散，致血气凝滞，久注不开，时自眵泪含
糊。治法∶年久，宜当归活血煎、神清散主之；近患，蝉花散、密蒙花散主之。若经久不愈
，久注不开眼皮长者，虽不是拳毛倒睫，亦可夹起眼皮，点用重药，片脑不用。
〔久患虚冷〕
当归活血煎 治风冷久积两睑粘眼，服之。
当归 黄 没药 川芎（血气旺者勿用） 苍术 荆芥 薄荷 熟地黄 羌活 菊花
麻黄
上等分为末，炼蜜为丸如弹子大。每食后细嚼一丸，清茶送下，日进三次。
〔久受风邪〕
神清散 治风毒伤胞睑，眼生翳膜，日渐细小，服之。
川芎 薄荷 羌活 附米 本 防风 荆芥 川乌 枳壳 石膏 白芷 甘草 细辛
麻黄（各等分）
上为末，每服三四钱，食后清茶葱白汤送下。
〔无疼痛时〕
蝉花散 治肝经蕴积热毒伤肝，上攻于目，赤肿多泪羞明，一切风毒伤肝，并皆治之。
谷精草（去土） 菊花 蝉蜕 羌活 甘草 蔓荆子 蒺藜 草决明 防风 川芎 栀子
仁密蒙花 黄芩 荆芥穗 木贼
上各等分为末。每服二钱，食后用清茶调服，或荆芥汤调服。
〔无痛有羞明时〕
密蒙花散 治眼羞明怕日，肝胆虚损，瞳仁不清，服之。
密蒙花 羌活 菊花 蔓荆子 青葙子 木贼 石决明 蒺藜 枸杞子
上各等分为末。每服三钱，食后清茶送下。脾胃虚者，加白术五分。
【两睑粘睛图】
眼睑粘连于眼球者，是由于脾胃风虚，冷弱邪气积聚于眼睑，导致胞睑发红、潮湿溃烂。肝膈有虚热，眼屎粘稠，夜间睡眠时上下眼睑胶着粘连紧密，血液运行滞涩不能消散，日久逐渐生成翳膜。治疗方法：适宜采用“阴一阳三吹点”法。若发病年久，眼皮逐渐增生变厚，虽然并非拳毛倒睫（睫毛向内卷曲刺入眼球），也可夹起眼皮，使黑睛（角膜）显露，以消散血气。眼睑积有瘀血者，可进行清洗；红肿瘙痒者用碧天丹清洗；每日清晨用桑白皮加盐熏洗，或在严寒之后未脱落的桑叶（名为铁扇子）煎水清洗，效果极佳。或用菊花叶煎汤清洗亦可。这是指发病年久出现此症状，初发者没有这种病症。问：眼患多年，两睑粘连而不张开明亮的原因是什么？答：脾胃受风冷所伤，邪气久积不散，导致血气凝滞，日久注结不开，时常伴有眼屎和泪水，视物模糊。治疗方法：病程年久的，宜用当归活血煎、神清散主治；新近患病的，用蝉花散、密蒙花散主治。若经久不愈，日久注结导致眼皮粘连增长者，虽然并非拳毛倒睫，也可夹起眼皮，点用重药，但不使用片脑（冰片）。
〔久患虚冷〕
当归活血煎：治疗风冷久积导致两睑粘连眼睛，服用此方。
药材：当归、黄芩、没药、川芎（气血旺盛者勿用）、苍术、荆芥、薄荷、熟地黄、羌活、菊花、麻黄。
以上药材等分为末，炼蜜制成如弹子大小的丸剂。每餐饭后细嚼一丸，用清茶送下，每日三次。
〔久受风邪〕
神清散：治疗风毒损伤胞睑，眼生翳膜，日渐细小，服用此方。
药材：川芎、薄荷、羌活、附子、藁本、防风、荆芥、川乌、枳壳、石膏、白芷、甘草、细辛、麻黄（各等分）。
以上药材研为末，每次服用三四钱，食后用清茶葱白汤送下。
〔无疼痛时〕
蝉花散：治疗肝经蕴积热毒损伤肝脏，上攻于目，导致眼部赤肿、多泪、羞明，一切风毒伤肝之症，皆能治疗。
药材：谷精草（去土）、菊花、蝉蜕、羌活、甘草、蔓荆子、蒺藜、草决明、防风、川芎、栀子仁、密蒙花、黄芩、荆芥穗、木贼。
以上药材各等分为末。每次服用二钱，食后用清茶调服，或用荆芥汤调服。
〔无痛但有羞明时〕
密蒙花散：治疗眼羞明怕日，肝胆虚损，瞳仁不清，服用此方。
药材：密蒙花、羌活、菊花、蔓荆子、青葙子、木贼、石决明、蒺藜、枸杞子。
以上药材各等分为末。每次服用三钱，食后清茶送下。脾胃虚弱者，加白术五分。
[Diagram of Eyelids Adhering to the Eye]
When the eyelids adhere to the eyeball, it is caused by wind-deficiency in the Spleen and Stomach, with cold-weak pathogenic factors accumulating in the eyelids. This leads to redness, dampness, and ulceration of the palpebrae (eyelids). Deficient heat in the Liver and Diaphragm causes viscous ocular discharge. During sleep at night, the upper and lower eyelids become glued together tightly. Blood stasis fails to dissipate, and over time, a nebula (corneal opacity) gradually forms. Treatment method: It is suitable to use the "Yin One Yang Three Blow Point" technique. If the condition has persisted for years, the eyelids gradually thicken. Although this is not trichiasis (in-turned eyelashes), one can lift the eyelid to expose the cornea (black pupil) to dissipate blood qi. If there is blood stasis accumulated in the eyelids, washing is indicated; if there is swelling, itching, and erosion, wash with Bitian Dan (Blue Sky Powder). Every morning, fumigate and wash with Mulberry Bark (Morus Albae Cortex) mixed with salt. Alternatively, mulberry leaves that have not fallen after severe cold, known as "Iron Fan," decocted for washing, is extremely effective. Washing with a decoction of Chrysanthemum leaves is also acceptable. This refers to symptoms appearing after long-term illness; newly onset cases do not present these specific symptoms. Question: Why do eyes affected for many years have adherent eyelids that cannot open clearly? Answer: The Spleen and Stomach are injured by wind-cold. Pathogenic factors accumulate for a long time without dissipating, causing Qi and Blood stagnation. Over time, they knot and fail to open, accompanied by intermittent ocular discharge and tearing, resulting in blurred vision. Treatment method: For chronic conditions lasting years, Danggui Huoxue Decoction (Angelica Sinensis Blood-Invigorating Decoction) or Shenqing San (Divine Clarity Powder) should be used primarily. For recent onset, Chanhua San (Cicada Flower Powder) or Mimenghua San (Buddleja Officinalis Powder) should be used primarily. If the condition persists without cure, and long-term knotting causes eyelid adhesion and thickening, although it is not trichiasis, the eyelid can be lifted and strong medicated drops applied, but Borneol (Ice Camphor) should not be used.
[Chronic Deficient Cold]
Danggui Huoxue Decoction (Angelica Sinensis Blood-Invigorating Decoction): Treats wind-cold accumulating for a long time causing eyelid adhesion. Take orally.
Ingredients: Angelicae Radix (Danggui), Scutellariae Radix (Huangqin), Myrrha (Moyao), Ligustici Chuanxiong Rhizoma (Chuanxiong) [Do not use if Qi and Blood are vigorous], Atractylodis Rhizoma (Cangzhu), Schizonepetae Spica (Jingjie), Menthae Haplocalycis Herba (Bohe), Rehmanniae Radix Praeparata (Shudihuang), Notopterygii Rhizoma et Radix (Qianghuo), Chrysanthemi Flos (Juhua), Ephedrae Herba (Mahuang).
Grind the above ingredients into powder equally. Form pills the size of a bullet using refined honey. Chew one pill finely after each meal, swallow with clear tea, three times daily.
[Long-term Wind Pathogen Exposure]
Shenqing San (Divine Clarity Powder): Treats wind-toxin injuring the palpebrae, forming corneal opacities that gradually shrink. Take orally.
Ingredients: Ligustici Chuanxiong Rhizoma (Chuanxuan), Menthae Haplocalycis Herba (Bohe), Notopterygii Rhizoma et Radix (Qianghuo), Aconiti Lateralis Radix Praeparata (Fuzi), Ligustici Wallichii Rhizoma (Gaben), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Aconiti Radix (Chuanwu), Aurantii Fructus (Zhike), Gypsum Fibrosum (Shigao), Angelicae Dahuricae Radix (Baizhi), Glycyrrhizae Radix et Rhizoma (Gancao), Asari Radix et Rhizoma (Xixin), Ephedrae Herba (Mahuang) [Equal parts].
Grind the above into powder. Take 3-4 qian per dose, swallow after meals with clear tea and scallion white soup.
[When There Is No Pain]
Chanhua San (Cicada Flower Powder): Treats heat-toxin accumulating in the Liver Meridian damaging the Liver, attacking upward to the eyes, causing redness, swelling, excessive tearing, and photophobia. It treats all wind-toxin injuries to the Liver.
Ingredients: Ostreae Concha (Gu Jingcao - note: typically refers to Ostreae Concha or similar, here likely Gujingcao/Gu Jing Cao), Chrysanthemi Flos (Juhua), Cicadae Periostracum (Chantui), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao), Viticis Fructus (Manjingzi), Tribuli Fructus (Jili), Cassiae Semen (Juemingzi), Saposhnikoviae Radix (Fangfeng), Ligustici Chuanxiong Rhizoma (Chuanxiong), Gardeniae Fructus (Zhizi), Buddlejae Flos (Mimenghua), Scutellariae Radix (Huangqin), Schizonepetae Spica (Jingshisui), Equiseti Herba (Muzei).
Grind the above ingredients into powder equally. Take 2 qian per dose, mix with clear tea after meals, or mix with Schizonepetae soup.
[When There Is No Pain But Photophobia Exists]
Mimenghua San (Buddlejae Flos Powder): Treats photophobia and fear of sunlight, deficiency damage of the Liver and Gallbladder, and unclear pupils. Take orally.
Ingredients: Buddlejae Flos (Mimenghua), Notopterygii Rhizoma et Radix (Qianghuo), Chrysanthemi Flos (Juhua), Viticis Fructus (Manjingzi), Celosiae Semen (Qingxiangzi), Equiseti Herba (Muzei), Argoconchae Concha (Shijueming), Tribuli Fructus (Jili), Lycii Fructus (Gouqizi).
Grind the above ingredients into powder equally. Take 3 qian per dose, swallow with clear tea after meals. For those with Spleen-Stomach deficiency, add Atractylodis Macrocephalae Rhizoma (Baizhu) 5 fen.