Complementary and Alternative Healing University
中藥詞典    Chinese Herb Dictionary      

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Hordeolum (sty) 麥粒腫

Translated and Edited by: Joe Hing Kwok Chu

External washing and steaming method:

da huang 30 g, jin yin hua 30 g, gan cao  15 g,  ju hua 15 g, bo he 30 g (packed separately, and put in after water is boiling during the last stage)

Wash all herbs. Boil with water except bo he. After water is boiling drop in bo he. Turn off stove. Steam the affected eye(s) with the steam from the herbs, once a day, 5 minutes each time.

If the above method does not not solve the problem, use the following method:

huang lian 30 g. Soak in water for one hour. Heat with high heat until boiling; then simmer till small amount. Use a clean brush to apply to the affected eye(s) lid. Do not let the solution contact the eyes if the equipments are not sterilized.

外用薰洗方：
 大黃 一兩   金銀花一兩   甘 草五錢  菊 花 五錢 薄荷 一兩 (另包後下)

用法：
煮開之後以蒸汽薰眼睛，一日一次，每次五分鐘以上。

如果還是不行，用一兩的 黃 蓮 ，泡水一小時，大火滾後小火慢慢熬，熬到極少的 量，去渣取汁，以乾淨的毛筆沾取藥汁，塗在眼皮外面，不是裡面的麥粒腫上， 沒事多塗幾次，不要太多汁流到眼睛，因為不是無菌處理, 要小心。

以上外治方法來源﹕ 藥師．中醫師   陳俊哲

內治法：
①風熱外侵：瞼部腫物初起，局部微有紅腫痒痛，伴頭痛，發熱，全身不適等，舌苔薄白，脈浮數。
治法：疏風清熱。
處方：金銀花，連翹15克，桔梗12克，薄荷6克(後煎)，淡竹葉10克，甘草6克，防風 10克，天花粉12克，牛蒡子10克，蘆根10克。
中成藥：銀翹解毒丸。
②熱毒壅盛：眼瞼紅腫痛難睜。兼有口亁，頭痛，發燒，尿黃，便秘，舌苔黃，舌質紅，脈數有力。 治法：瀉火解毒。
方藥：穿山甲12克，梔子10克，連翹15克，黃連10克，黃芩10克，白芷10克，天花粉12克，皂角刺12 克，歸尾12克，甘草6克，赤芍12克，金銀花各15克，大黃5克，芒硝10克。
中成藥：連翹敗毒丸或牛黃解毒丸

Modern treatment

Treatment of internal hordeola is oral antibiotics which could include dicloxacillin 250mg PO Q6H, erythromycin or tetracycline 250mg PO QID or amoxacillin 500mg PO TID for 10 days. Cold compresses will help to suppress inflammation.

Topical antibiotics are usually ineffective.

Incision and drainage can be performed if needed.

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