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Wind red sore

风赤疮痍 〔風赤瘡痍〕 fēng chì chuāng yí

Also wind red sore disease. A disease of the eyelid or eyelid rim characterized by redness, blisters, erosion, and soreness, itching, and ulceration. Wind red sore is caused by spleen-lung wind-heat, damp-heat congestion, or by wind-fire attacking the upper body.

Patterns

Spleen-lung wind-heat (脾肺风热 pí fèi fēng rè) patterns arise when wind-damp is contracted in the presence of damp-heat brewing in the stomach and spleen so that wind, dampness, and heat bind in the eye. Such patterns are marked by swelling and itching, reddening of the skin, and a small number of papules exuding sticky fluid.

Medicinal therapy: Clear the spleen and lung and eliminate wind. Use Wind-Eliminating Spleen-Clearing Beverage (除风清脾饮 chú fēng qīng pí yǐn).

Wind-heat-damp toxin congestion (风热湿毒壅盛 fēng rè shī dú yōng shèng) causes the eyes to be sore, swollen, and scorching hot with a cluster of vesicles (or pustules), which can rupture and ulcerate to give off a fishy odor and exude sticky fluid.

Medicinal therapy: Dispel wind and eliminate dampness; drain fire and resolve toxin. Use Dampness-Eliminating Decoction (除湿汤 chú shī tāng). The heat-clearing toxin-resolving power of this formula can be enhanced by adding smooth greenbrier root (Smilacis Glabrae Rhizoma, 土茯苓 tǔ fú líng), lonicera (Lonicerae Flos, 金银花 jīn yín huā), dandelion (Taraxaci Herba, 蒲公英 pú gōng yīng), and violet (Violae Herba, 紫花地丁 zǐ huā dì dīng).

Wind-fire attacking the upper body (风火伤上攻 fēng rè shàng gōng): An acute, severe form of wind red sore can arise when wind evil stirs heart fire and wind-fire attack the upper body and bind in the eyelid. The eyelid is swollen and red as if smeared with cinnabar, with unsufferable scorching pain, and with local necrosis and ulceration. When wind is prevalent, swelling is pronounced; when heat is prevalent, redness, heat, and pain are more pronounced.

Medicinal therapy: Clear heat, drain fire, and resolve toxin. Use the Universal Aid Toxin-Dispersing Beverage (普济消毒饮 pǔ jì xiāo dú yǐn) from Medical Formulas Gathered and Explained (医方集解 yī fāng jí jiě). Topical: In all cases, Rub-On Medicinal Formula (擦药方 cā yào fāng) can be applied to clear heat and resolve toxin, and to eliminate dampness and relieve pain.

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