1. What was the main etiology of the recurrence of hordeola in this case?

2. What details warrant attention regarding the care for this case?

3. In this case, the hordeolum did not form pus until five days after the recurrence. Why?

1. The main etiology of the study case stems from the patient’s food preferences which led to weakness of the spleen and stomach and weakness of the wei qi. This weakness led to food accumulation in the spleen and stomach that transformed to heat causing latent heat to ascend and attack the eyelid.

2. Care should emphasize strengthening the spleen and stomach, as well as supplementing qi to prevent the recurrence of hordeola. Attention should be paid to correcting unhealthy eating habits.

3. The characteristics of this case indicate that the visible symptoms were excessive, while the root cause was deficiency. This is the clinical manifestation of spleen deficiency with stagnation and weakness of wei qi. The patient only had slight localized redness and swelling, which proved difficult to resolve; this indicated that the upright qi was insufficient to ward off the pathogenic qi.