Eye drops are actually eye secretions, most of us have eye drops, so do newborns, and it is mostly normal to have eye drops. Since the nasolacrimal duct (the channel for excreting tears) of infants is not yet completely open, tears are produced in the eyes and recycled in the nose. These tears accumulate in the eyes and evaporate with water to form a sticky secretion, which is what we see as the baby’s “eye stool”. This is not much related to what we usually call “fire”. If there is a lot of eye boogers, it is not a fire, but the baby’s eyes may have a problem. 1, conjunctivitis eyes like an open window, newborn baby immune function is not perfect, in the birth or after the birth of improper eye care, viruses, bacteria into the eyes, may cause conjunctival inflammation, or baby cold, can lead to infants with increased eye secretions, eyelid conjunctiva congestion and other conjunctivitis symptoms, serious will also lead to eyelid skin red swelling. 2, neonatal dacryocystitis neonatal dacryocystitis is a common problem in pediatric ophthalmology, this is due to the lower end of the nasolacrimal duct embryonic residual membrane is not degenerated, blocking the lower end of the nasolacrimal duct caused by the problem, there are very few due to the child itself bony nasolacrimal duct dysplasia or narrow caused. The nasolacrimal duct is not open, resulting in the accumulation of tears and bacteria in the lacrimal sac, and in some cases secondary to lacrimal sac inflammation, leading to increased eye discharge. The onset of dacryocystitis is usually 1 to 7 days after birth or a little later, for infants and toddlers, it is mainly manifested as a lot of eye stool, slightly older infants can be accompanied by tearing, that is, in the case of not crying, can see the eyes involuntarily tearing, squeezing the tear sac area when there is often a purulent discharge out. This disease is often mistaken for “fire” or misdiagnosed as conjunctivitis. 3, neonatal pus leak eye, also known as gonococcal conjunctivitis, caused by gonococcal infection, mostly due to the mother suffering from gonorrhea, newborns are infected when passing through the birth canal, usually both eyes at the same time, manifested as acute purulent conjunctival inflammation. If not treated properly, corneal ulcers may occur, leading to corneal perforation and even the risk of blindness. Some babies with incomplete facial bone development, especially those with wide and flat nasal bridges, have upper eyelid skin that extends down to the inner corner of the eye, covering part of the corner tissue and even part of the sclera, causing the eyelid lashes to push inward, causing the eye to be stimulated by friction and discomfort, resulting in symptoms such as more tears and secretions, which are relatively rare. What should I do if I have a lot of eye discharge? If your eyes are fine, simply wipe them off. In the case of conjunctivitis, the symptoms are usually short term, such as excessive eye discharge, conjunctival congestion and eyelid swelling. In contrast, nasolacrimal duct obstruction is characterized by frequent tearing, discharge, and conjunctival congestion. If you press the lacrimal sac area by hand or flush the tear duct, there will be yellow or white sticky purulent discharge overflowing from the tear dots. The symptoms improve slightly when antibiotic eye drops are ordered, but the discharge is very likely to increase again after stopping the medication. Nasolacrimal duct obstruction In the fetal period, the end of the baby’s nasolacrimal duct have a layer of mucous membrane flap (called Hasner flap) closed, when born by the role of the birth canal pressure, etc., can automatically rupture, the tear duct through the. However, in some newborns, the Hasner flap does not open after birth because of the thick membranes, and the tear ducts do not open naturally. In addition, some babies suffer from intrauterine infections during pregnancy, and the tear ducts are stimulated by inflammation and form narrow adhesions, or due to congenital malformations of the nasolacrimal ducts and other factors, which can also cause tear duct obstruction. This is called “congenital lacrimal duct obstruction” or “congenital nasolacrimal duct obstruction”. This is a common disease in infants and young children, the incidence of full-term infants is about 6%. Tear duct obstruction treatment 1, nasal massage: there are two methods of massage: the first, if the baby has purulent secretions inside the eyes, parents can use the index finger finger pressed on the root of the baby’s nose and the middle of the eye canthus, the direction of the eye squeeze, you can see the pus flowing from the corner of the eye, wipe the baby clean, and point with antibiotic eye drops; the second technique is in this position, from the top to the bottom of the tear sac area. Hopefully, it will flush out that membrane of the nasolacrimal duct. The general rule is to massage 3 to 4 times a day, with 5 to 10 presses each time. After the massage, wipe the tears and secretions, and then point the medicine. 2.Lacrimal duct irrigation: It is suitable for children who have been ineffective by massage method and can be performed in outpatient clinic. 3.Lacrimal tract exploration: If the pressure flushing is still ineffective for 2~3 times, and the child is more than 3 months old, then lacrimal tract exploration can be performed. Tear duct irrigation and exploration is a kind of surgical operation with both diagnostic and therapeutic effects. Any child with a clear diagnosis or suspected lacrimal obstruction can undergo tear duct irrigation or exploration surgery without contraindications (e.g. fever, respiratory tract infection, etc.). At present, the success rate of lacrimal duct exploration for neonatal nasolacrimal duct obstruction is high, but a small number of children may have recurrence and need to be operated again due to rough adhesions caused by long-term inflammation of the lacrimal duct before surgery, or heavy inflammation of the nasolacrimal duct after surgery and improper care. The term “fire” is a folk term, also known as “heat”, from the theory of Chinese medicine, it is considered to be the result of the imbalance of the body’s yin and yang, in order to feel the external evil, or the body’s functional activity is hyperactive, there will be heat symptoms of yang and yin, specific symptoms such as eye redness and swelling, corners of the mouth specific symptoms such as red and swollen eyes, erosion of the corners of the mouth, yellow urine, toothache, sore throat, etc. It is generally believed that real fire (real heat) is mostly caused by the internal invasion of fire and heat or spicy food, while excessive mental stimulation and dysfunctional activities of the internal organs can also cause real fire. Deficiency fire (deficiency heat) is mostly caused by internal injury and strain, such as long-term illness, depletion of essence, excessive strain, can lead to internal heat due to dysregulation of internal organs and deficiency of yin and blood, and internal heat can then turn into deficiency fire. The causes of “fire” (heat evidence) can be summarized into five aspects: ① external fire and heat; ② cold evil into the heat; ③ the seven emotions, depression and heat; ④ poor diet, accumulation of heat; ⑤ room strain and injury, robbing Yin and fluid. Please remember: if your baby has a health problem, don’t use fire to say, it will be a mistake. If your baby has a lot of eye boogers, don’t think it’s a fire, it’s your baby’s eyes that may have a problem.