Trachoma belongs to pepper sores in Chinese medicine, and the TCM diagnosis and treatment is divided into wind-heat guest lid syndrome and blood-heat stasis syndrome. The clinical manifestations of trachoma are redness of the inner surface of the upper eyelid, blurred veins, fine particles, red color and firmness, prolapse of the red membrane over the black eyes, starburst cataracts at the end of the red veins, and scarring on the inner surface of the eyelid. 1. Wind-heat guest eyelid evidence manifested as eye slight heat discomfort, dryness and mucus, the treatment is to remove wind and clear heat, reduce redness and dissipate the knot, use Yin Qiao San plus subtraction. Yin Qiao San is composed of honeysuckle, forsythia, platycodon, mint and other medicines, with the efficacy of pungent cooling and penetrating the surface, clearing heat and removing toxins (removing heat and toxins from the body), contraindications and adverse reactions are not clear. 2. Blood heat and stasis syndrome is treated by clearing heat and cooling blood (to relieve blood heat by clearing heat), activating blood circulation and removing blood stasis (to promote blood circulation and eliminate blood stasis in the body), and using Qui Shao and Hong Hua San with additional subtractions. Gui Shao Hong Hua San is composed of Angelica sinensis, red peony, safflower, rhubarb, etc. It has the efficacy of nourishing blood and activating blood circulation, dispelling wind and clearing heat, and its contraindications and adverse reactions are not clear. If the patient suffers from trachoma, it is necessary to go to the ophthalmology department of the hospital in a timely manner, and Chinese medicine treatment is recommended under the guidance of a professional Chinese doctor to identify the evidence for treatment, and should not be self-medication.