小儿耳中出血，但用五色龙骨 研细末，吹入耳中即止。
小儿耳旁赤肿，皆属热毒，若不急治，必成大痈。内服柴胡、连翘、龙胆草、甘草，以泻胆火。外以绿豆粉
不拘多少，以老醋调成膏敷肿处，干则易之，而肿易消。
小儿耳珠前后生疮，浸淫不愈，名月蚀疮。皆用外治之法，但用黄柏、枯矾、滑石、龙骨、海螵蛸，各等分，
共为末。疮湿则用干捻，疮干则用猪油调涂，克日可愈。
小儿流涕腥臭，此胆移热于脑，名曰鼻渊，又名脑崩。古法用辛夷散（如辛夷仁、苍耳子、香白芷、薄荷、
黄连，共晒干为末），葱汤调下。
鼻渊经久不愈，则名控脑砂。古法用紫贝子、俗名南蛇牙齿，粤人名狗尾螺。以二三枚火 醋 为末，纸包
放地上去火毒，以丝瓜藤煎汤调药空心服。
〔真按〕鼻渊虽由胆热移脑，其实兼受风寒凝郁火邪而成。但用鲜鹅儿不食草，一名地胡椒，塞鼻，立刻
应效。或用老刀
豆，文火焙干为末，每次酒服三钱，重者不过三服即愈。
若控脑砂，则淋沥腥秽不止，脑亦时痛，或眩晕，必有虫蚀，且滤儿体已虚。仍用鲜草塞鼻数次，兼服益气
补中汤剂，方能痊愈。
小儿五岁积热，一时血随气行，得热妄动，溢出于鼻，名曰鼻衄。古法主加减地黄汤（如生地、黄芩、黑栀、
赤芍、白茅根），水煎温服。外用吹鼻散〔如炒黑栀仁、乱油发（等分）， 存性，共为末〕，以些微吹鼻中即止。
〔真按〕鼻血不止，轻者先用灯芯浸水塞鼻，内以麦冬、生地等分，煎服足已。若积热过重，止而复衄者，
则用生荷叶、生艾叶、柏子仁、山萸肉、丹皮、生地、莲肉、山药、泽泻，水煎服。外以炒黑栀、百草霜、 龙骨、
京墨、牡蛎、血余灰，吹鼻即止。如用茅花水蘸湿蘸药，搽入鼻孔更妙。
When a child's ear bleeds, simply grind Wuse Longgu (Five-Color Fossil Bone) into a fine powder and insufflate it into the ear to stop the bleeding.
Redness and swelling beside a child's ear are all attributed to heat-toxin. If not treated urgently, it will inevitably develop into a large carbuncle. Internally administer Chaihu (Bupleuri Radix), Lianqiao (Forsythiae Fructus), Longdancao (Gentianae Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) to drain Gallbladder fire. Externally apply Lvdoufen (Mung Bean Powder) in an unspecified amount, mixed with aged vinegar into a paste, and apply it to the swollen area. Change it when it dries up, and the swelling will easily subside.
Sores appearing before and after the earlobe of a child that ooze and do not heal are called Yueshi Chuang (Moon-Eclipse Sore). All should be treated externally using Huangbai (Phellodendri Cortex), Kufan (Alum), Huashi (Talcum), Longgu (Fossil Bone), and Haipiaoxiao (Sepiae Endoconcha), each in equal parts, ground together into a powder. If the sore is moist, apply the dry powder; if dry, mix with lard for application. It can be cured within a few days.
Profuse, foul-smelling nasal discharge in children indicates that Gallbladder heat has transferred to the brain, a condition known as Biyuan (Nasal Sinusitis), also called Naobeng (Brain Collapse). The ancient method uses Xinyi San (Magnolia Flower Powder) (containing Xinyiren (Magnoliae Flos), Cang'erzi (Xanthii Fructus), Xiangbaizhi (Angelicae Dahuricae Radix), Bohe (Menthae Haplocalycis Herba), and Huanglian (Coptidis Rhizoma), dried and ground together). Take it mixed with scallion soup.
If Biyuan persists for a long time without healing, it is called Kongnaoshasha (Controlling Brain Sand). The ancient method uses Zibeizi (Concha Meretricis), commonly known as Nanshen Yachi (South Snake Teeth), or Gouwailuo (Dog Tail Snail) in Guangdong. Take two or three pieces, stir-fry them with vinegar until powdered, wrap in paper, and place on the ground to remove fire toxicity. Decoct Siguanteng (Luffae Caulis) and take the medicine with the decoction on an empty stomach.
[True's Note] Although Biyuan originates from Gallbladder heat transferring to the brain, it actually involves wind-cold stagnation郁结 (stagnating) fire pathogen. Simply insert fresh E'erbushicao (Ranunculus ternatus) herb, also known as Dihujiao (Earth Pepper), into the nostril, and the effect will be immediate. Alternatively, use old Daodou (Broad Bean), roasted over gentle heat until dry, ground into powder, and taken with wine, three qian per dose. For severe cases, recovery occurs within no more than three doses.
If it is Kongnaoshasha, there will be continuous dripping of foul-smelling discharge, occasional headache or dizziness, likely due to worm erosion, and the child's constitution is already deficient. Continue inserting fresh herbs into the nostrils several times, and concurrently administer Yiqi Buzhong Tang (Qi-Replenishing and Middle-Supplementing Decoction) to achieve a cure.
Accumulated heat in a five-year-old child causes blood to follow qi movement; when agitated by heat, it overflows from the nose, a condition called Bini (Epistaxis). The ancient method primarily uses Jiadi Dihuang Tang (Modified Rehmannia Decoction) (containing Shengdi (Rehmanniae Radix), Huangqin (Scutellariae Radix), Heizhi (Charred Gardeniae Fructus), Chishao (Paeoniae Radix Rubra), and Baimaogen (Imperatae Rhizoma)). Decoct in water and take warm. Externally use Chuanbi San (Insufflation Powder) (such as charred Zhizi Ren (Gardeniae Semen) and Luanyoufa (Human Hair burned with oil), in equal parts, preserved for nature, ground together). Insufflate a small amount into the nose to stop bleeding.
[True's Note] For persistent epistaxis, mild cases should first have Dengxin (Junci Medulla) soaked in water inserted into the nose. Internally, equal parts of Maidong (Ophiopogonis Radix) and Shengdi (Rehmanniae Radix) should be decocted and taken. If accumulated heat is excessive, causing bleeding to stop and then recur, use Sheng Heye (Fresh Nelumbinis Folium), Sheng Aye (Fresh Artemisiae Argyi Folium), Baiziren (Semen Ziziphi Spinosae), Shanzhurou (Corni Fructus), Danpi (Moutan Cortex), Shengdi (Rehmanniae Radix), Lianrou (Nelumbinis Semen), Shanyao (Dioscoreae Rhizoma), and Zexie (Alismatis Rhizoma), decocted in water. Externally, use charred Zhizi (Gardeniae Fructus), Baicaoshuang (Herbal Ash), Longgu (Fossil Bone), Jingmo (Beijing Ink), Muli (Concha Ostreae), and Xueyuhui (Ash of Human Hair), insufflated into the nose to stop bleeding. It is even better to moisten the medicine with Maohua Shui (Floretus Nelumbinis Agmen Water) and apply it into the nostrils.