bubble_chart Concept

Eyelid contusion pain refers to the swelling and pain caused by blunt trauma to the eyelid, resulting in blood escaping from the vessels and local static blood stagnation.

This condition is described in Zhengzhi Zhunsheng. Zabing as "accidentally being struck by an object, causing blood to stagnate between the eyelid and the eye, leading to distending pain. If not treated promptly, the swelling may extend into the eyeball, causing static blood to flood the eye, potentially damaging the eye." Other conditions such as "swelling like a cup" and "hard eyelid with eye pain" are not caused by trauma and are therefore not discussed in this section. For injuries to the eyeball or hyphemia, please refer to the relevant sections.

bubble_chart Pattern Analysis

1. Early Stage︰Blunt ocular trauma within 24 hours. Eyelid swelling with localized bluish-purple bruising. The injured eye is painful and difficult to open, hyperemia of the ocular conjunctiva, excessive tearing, blurred vision. The tongue coating and pulse may appear normal or show a wiry pulse. Within one day after the injury, eyelid swelling and pain with localized purplish-red bruising indicate early-stage orbital contusion pain. Treatment should focus on cooling blood and stopping bleeding to reduce swelling. Administer Unprocessed Rehmannia Root orally and apply Yilv San externally. Cold compresses can also be used to stop bleeding and relieve pain.
2. Late Stage [Third Stage]︰There is a history of blunt ocular trauma, more than one day after the injury. The swelling and bruising pain in the eye have slightly subsided, and the eyelid skin appears dark blue or slightly purplish-black. More than a day after the injury, the eyelid swelling has slightly decreased, and the local bluish-purple color has deepened compared to before, or turned from bluish-purple to black, indicating the late stage [third stage] of eyelid bruising pain. Treatment should focus on invigorating blood and resolving stasis, with internal administration of Peach Kernel, Carthamus and Four-Ingredient Decoction or Vision-Improving Blood-Dropping Beverage minus Anemarrhena; external application of Seven-Li-Weight Powder. Local hot compresses can help relieve pain and reduce swelling.

The condition of ecchymosis and pain in the eyelid is caused by trauma to the eyelid, leading to damage of the collaterals and blood overflow, which then stagnates and fails to circulate. The duration since the injury varies, and the bleeding may either have stopped or not yet ceased. In the early stage, the focus is on stopping bleeding and reducing swelling. In the late stage [third stage], once the bleeding has stopped, it is necessary to break stasis and disperse swelling. Therefore, distinguishing the stages is crucial. This condition has the potential to heal on its own, but this should not lead to the neglect of active treatment to prevent the development of other complications.

bubble_chart Documentation

1. Zhengzhi Zhunsheng．Palpebral Blood Stasis and Pain Due to Trauma: "The symptoms are similar to those of swelling like a cup being overturned. The external treatments, including opening, guiding, and applying remedies, are also the same, but the internal treatments differ. Swelling like a cup being overturned is caused by internal fire rising and then becoming congested, whereas this condition is caused by external impact, leading to stagnation and blockage of the meridians, which then affects the eye. Alternatively, it may be due to pre-existing phlegm-fire and wind pathogens, which are easily agitated and take advantage of a deficiency to cause illness. Therefore, it is necessary to examine the physical signs and treat accordingly based on the affected meridians.