The skin around the eyes is hot and painful according to the specific causes of general treatment, drug treatment, common causes are trauma, herpes blepharitis, skin allergies. 1. Trauma: the skin around the eyes if there are scratches, abrasions, bumps and bruises, the local will be manifested as redness, pain, at this time available saline for rinsing, and disinfected with povidone-iodine, usually about 3 days can be relieved. 2. Herpes blepharitis: Herpes virus infection of the facial nerve can cause herpes blepharitis, causing pain around the eyes with small blisters, can be treated with antiviral drugs (such as ganciclovir ophthalmic ointment), and usually pay attention to strengthening exercise to enhance physical fitness. 3. Skin allergy: people with allergies can have allergic reactions to the skin around the eyes after contact with allergens, which can also manifest as hot and spicy pain, at this time, they should avoid contact with allergens and take anti-allergy drugs (such as loratadine). Hot and painful skin around the eyes may also be related to other causes, it is recommended to consult a doctor in time to clarify the cause, and standardized treatment under the guidance of the doctor. In addition, the medications mentioned above should also be used under medical supervision.