The other day at the clinic, a 4-year-old child had a red and swollen right eyelid for 2 days, and his mother said, “His right eye was a little red the day before yesterday, so I thought it was a mosquito bite and applied a little windex, which didn’t go well, and today it’s swollen this big.” I examined her and told her, “This is endophthalmitis, also known as mydriasis, or needle’s eye in Chinese medicine, and commonly known as stealing needles.” A patient who was next to me said, “It doesn’t matter, I had it when I was little and my mother squeezed it for me and it cleared up.” I told her: you can’t just squeeze it! Blepharitis is a common purulent inflammation of the eyelid, most often caused by staphylococcal infection. Those occurring within the lid gland are called endophthalmitis (internal mydriasis), while inflammation occurring in the Zeis gland, eyelash follicle, or its accessory gland, the Moll gland, is called exophthalmitis (external mydriasis). Internal blepharitis is characterized by flushing, swelling, and pain of the eyelid skin, and may be characterized by a limited hard nodule palpable under the eyelid skin, which is painful to the touch and may become purulent after 2 to 3 days, with yellow pus spots that may ulcerate. External blepharitis is seen at the lid margin at the base of the eyelashes, with initial diffuse redness and swelling, and hard nodules with tenderness can be palpated at the lid margin. Reactive edema of the bulbar conjunctiva is seen near the outer canthus of the lesion. In children, the elderly, and patients with chronic wasting diseases such as diabetes mellitus who have low resistance, the inflammatory response to blepharitis is severe and can easily develop into eyelid cellulitis. Some children with poor health can have recurrent episodes. The first affiliated hospital of Hunan University of Traditional Chinese Medicine, Ophthalmology Zhang Mingliang Treatment: (1). The initial cold compress can be applied. When the hard nodes are not softened, wet and hot compresses can be applied 3 to 4 times a day for 15 minutes each time. (2). Our hospital has Ruyi ointment applied externally for 6 hours each time. (3) Topical application of levofloxacin eye solution (cream). (4). Treatment with bloodletting from the tip of the affected ear, about 30 drops of blood for the first time. (5) Recurrent blepharitis can be treated with azithromycin 0.5g,1st time/day for 3 days. For children, 10mg/kg once/day on day 1 (maximum dose not to exceed 0.5g a day) and 5mg/kg once on days 2-5. (Maximum dose not to exceed 0.25g a day). Eating can affect the absorption of azithromycin, so it needs to be taken orally 1 hour before or 2 hours after meal. (7). Chinese herbal medicine: honeysuckle 15g wild chrysanthemum 15g Zingiber officinale 15g dandelion 15g raw astragalus 15g yellow essence 10g, 1 dose/day, decoction in water. Take 5 doses. (8). After suppuration, incision is made to drain the pus. The incision for external blepharitis is made on the skin surface, parallel to the lid margin to reduce scar formation. For internal blepharitis, the incision is made on the conjunctival surface, perpendicular to the lid margin. Guo XG:Senior Daily:(2014.05.09) reported:Isoniazid is the oldest drug in the treatment of tuberculosis, and the dosage is 4-10 mg/per kg body weight/day, divided into 3 oral doses daily, and is usually cured in about 3 days. Do not apply hot compresses, and there is no need to apply external compresses or use other antibiotics. If the abscess has become septic, apply it at the beginning of the septic process without incision and it will heal in about a week and the abscess will be absorbed. It is important to note that blepharitis should not be squeezed or picked with an unsterilized needle or incised prematurely because the eyelid is richly vascularized and its veins are connected to the orbital and facial veins, and there is no venous valve to stop its blood flow back, and it is connected to the cranial veins. The author saw a 10-year-old boy who had an ulcerated blepharitis for the first time, which was healed by his mother after a little squeezing. The second time he had blepharitis, his mother wanted to cure it sooner and squeezing caused endophthalmitis, resulting in blindness in his right eye. Therefore, blepharitis is a small disease with high risk and should not be squeezed. If an abscess has formed and pus spots appear, you should go to the hospital to have the abscess incised and drained, or if the abscess is self-penetrating, you can gently swab it away with clean cotton. The following points should be noted to prevent blepharitis: (1). Pay attention to eye hygiene, keep your eyes clean, and don’t rub your eyes with dirty hands or wipe them with dirty objects. Some children often rub their eyes with their hands, which is an itchy eye, and parents should take them for timely treatment. (2). Pay attention to rest and regular life, and keep enough sleep. (3). Eat more fruits and vegetables, less spicy, barbecue and stimulating food, and avoid partial food. (4). Timely correction of refractive error. (5). If blepharitis recurs, massage the local eyelids and orbits with clean hands at regular intervals to keep the ducts of the glands on the eyelids clear, to promote the discharge of their secretions, and to increase local blood circulation. (6). Stubborn recurring cases can be injected with their own vaccine, and should be checked for diabetes mellitus. Chinese herbal medicine can be taken Astragalus membranaceus 15g Fangfeng 10g Atractylodes macrocephala 10g. 1 dose daily with water decoction.