Key points for diagnosis
1. External Hordeolum
At the early stage, redness, swelling and pain occur in the skin of the palpebral margin with obvious tenderness, and induration in shape of a ripe wheat-seed may be palpated. If the condition is mild, all the symptoms may disappear themselves in a few days.  If the condition is severe, there may appear in 3 to 5 days a yellow pus head. When the pus head ruptures by itself, the pain may be alleviated, and the soreness and swelling will soon subside.

2. Internal Hordeolum
The clinical manifestations of internal hordeolum are not so severe as those of external one. Severe symptoms of the external canthus, however, may lead to ocular chemosis or even give rise to the prominence of bulbar conjunctiva out of the palpebral fissure. The surface of the palperbral conjunctiva is red or purple and prominent, with a yellow and white pus head in the middle. When the pus head ruptures itself from the conjunctiva and the pus is excreted, the condition of the disorder may be eased.

In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Dfferentiation", and then "Suit the Remedy to the Case". In order to gain a more definite and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, you're welcome to contact us.