Li, female, 26 years old, breastfeeding, went to the doctor for the first time on May 10, 2022, because of "local redness, swelling and pain on the lower eyelid of the right eye for 3 days". 3 days ago, there was no obvious inducement, and the localized swelling of the lower eyelid of the right eye suddenly appeared, with severe itching, reddish, burning around the lower eyelid, pain and refusal to press. Specialist examination: VOD: 0.6, VOS: 1.0, swelling and compression of the bulbar conjunctiva near the puncta of the inner canthus of the right lower eyelid, redness around the lower eyelid, swelling, high skin temperature, palpable induration, and obvious tenderness (Figure 1), No pustular ulceration, hyperemia on the nasal side of the bulbar conjunctiva, transparent cornea, middle deep anterior chamber, atrial flash (-), round pupil, about 3*3mm, sensitive to direct light reflex, transparent crystal, optic papilla color positive side clear, C/D=0.3, the fovea reflex exists, the retina is flat, the left eye is (-), the tongue is red, the fur is thin and yellow, and the pulse is floating. Past history: breastfeeding for 3 months. Diagnosis of western medicine: right eyelid gland inflammation;diagnosis of traditional Chinese medicine: awn of wheat in the right eye (wind-heat guest eyelid syndrome). Pathogenesis: windheat evil first invades the eyelids, stays in the local veins, qi and blood are not smooth, and the hair is the main disease. Therapeutic principles: dispelling wind and clearing heat, reducing swelling and dissipating stagnation. Acupuncture method: local centro-square needling, Exercise acupuncture method in TaiYang acupiont.The specific operation is as follows: a) Flush: 0.9% sodium chloride injection 100ML, flush the conjunctival sac.
b)Disinfection: Povidone-iodine is used for local routine disinfection, and the inside and outside of the eyelids must be strictly disinfected.
c)Acupuncture operation: wear sterile gloves, use a needle of 0.30mm×25mm, and a temple of 0.30mm×40mm.