论曰久聋者，肾脏虚，血气不足，风邪停滞故也，足少阴经，宗脉所聚，其气通于耳，
若肾脏劳伤，宗脉虚损，血气既衰，风邪乘之，是为耳聋，积久不瘥，劳伤过甚，邪气留滞
，故为久聋也。
治久聋塞耳，磁石丸方
磁石（ 醋淬七遍研半两） 菖蒲 野狼牙 木通（锉） 食盐（研） 熏陆香（研） 松
脂（研）
杏仁（汤浸去双仁皮尖炒研） 蜡（熔入药捣） 巴豆（去皮壳炒研） 生地黄（洗研各
半两）
上一十一味，先捣前三味为末，次同研者药，捣三二百杵可丸，即丸如枣核大，绵裹塞
耳中，日一易。
治久聋不瘥，塞耳，木通丸方
木通（锉） 菖蒲 磁石（ 醋淬七遍研） 熏陆香（研） 杏仁（汤浸去双仁皮尖炒
研） 巴
豆（去皮壳炒研） 蜡（各半两） 附子（炮裂去皮脐一分）
上八味，除研外，捣罗为末，次将诸药入鹅膏，同捣可丸，拈如枣核大，绵裹塞耳中，
日一易。
治久聋耳鸣，塞耳，鱼脑膏方
生雄鲤鱼脑（二两） 当归（切焙） 菖蒲 细辛（去苗叶） 白芷 附子（炮裂去皮
脐各一分
）
上六味，除鱼脑外，并捣为末，先以鱼脑银石器内，慢火煎沸，滤去滓，次入药，再煎
成膏，以瓷合盛，每用枣核大，绵裹塞耳中。
治久聋塞耳，山茱萸丸方
山茱萸 干姜（炮） 巴豆（去皮壳炒别研各一两）
上三味，先捣前二味为末，入巴豆同研令匀，绞葱汁和丸，如枣核大，绵裹塞耳中，食
顷干即易新药塞之，凡如此五日当小愈，十日闻人声，瘥即止，常以发塞耳孔，避风。
治久聋，塞耳，麒麟竭丸方
麒麟竭（研） 铅丹（各二两半研） 硝石（研） 巴豆（去壳各一分研）
上四味，同研匀，蜜丸如枣核大，新绵裹内耳中，有脓出即拭去，别用新绵裹再内，避
风，以瘥为度。
治耳聋，不问久近，塞耳，蓖麻丸方
蓖麻子（去皮五十枚） 大枣（去核二十五枚）
上二味，先将枣捣烂，渐渐入蓖麻，杵得所，丸如枣核，内耳中，日一易。
治耳聋不问久近，塞耳，土瓜根方
湿土瓜根
上一味，截长半寸，塞耳中向上，以艾炷灸七壮，每日勿绝，以瘥为度。
治久聋，滴耳，鼠脂方
鼠脂（半合） 青盐（一钱） 蚯蚓（一条系头捻取汁）
上三味，以鼠脂蚯蚓汁，调青盐汤温，以绵蘸，侧卧捻滴耳中，继塞耳孔，即瘥。
治久聋，滴耳，水银方
水银（一分） 蚯蚓（生者一条）
上二味，就楼葱丛内，以一茎去尖头，入水银蚯蚓在内，即系却头，勿令倾出，候蚯蚓
化为水，即取滴耳中，立愈。
治久聋耵聍，灌耳，桂心膏方
桂（去粗皮二两） 野葛（一两）
上二味细锉，以铜器盛，入成炼鸡肪五两，微火煎三五沸，去滓密贮，勿令泄气，以
小竹筒盛，枣核大，火炙令热，仰倾灌耳中，十日耵聍自出，久聋者不过二十日瘥，乃以发
裹膏深塞之，勿使泄气，五日后去之。
Discourse states: Chronic deafness (long-term hearing loss) is caused by deficiency of the Kidney, insufficiency of Qi and Blood, and stagnation of Wind pathogen. The Foot-Shaoyin Kidney Meridian is where numerous vessels converge, and its Qi connects to the ear. If the Kidney is injured by overstrain, causing the Zong Mai (major converging vessels) to be deficient and damaged, and Qi and Blood to decline, Wind pathogen takes advantage of this to invade, resulting in deafness. If the condition persists without recovery, excessive strain causes pathogenic factors to remain stagnant, thus forming chronic deafness.
Formula for Ci Shi Wan (Magnetite Pill) for treating chronic deafness and ear blockage:
Ci Shi (Magnetite, calcined seven times in vinegar and ground, 0.5 liang), Chang Pu (Acori Tatarinowii Rhizoma), Ye Lang Ya (Radix Cynanchi Paniculati), Mu Tong (Caulis Akebiae, sliced), Yan Yan (Halitum, ground), Xun Lu Xiang (Boswelliae Resina, ground), Song Zhi (Pini Resina, ground), Xing Ren (Pruni Semen, soaked in hot water, skin and tips removed, stir-fried and ground), La (Beeswax, melted and mixed with herbs and pounded), Ba Dou (Crotonis Fructus, husked, stir-fried and ground), Sheng Di Huang (Rehmanniae Radix, washed and ground, each 0.5 liang).
The above eleven ingredients: First, pound the first three ingredients into powder. Then, mix with the other ingredients requiring grinding, and pound 200-300 times until suitable for pill formation. Shape into pills the size of a jujube pit. Wrap in cotton and insert into the ear. Change once daily.
Formula for Mu Tong Wan for treating persistent chronic deafness and ear blockage:
Mu Tong (Caulis Akebiae, sliced), Chang Pu (Acori Tatarinowii Rhizoma), Ci Shi (Magnetite, calcined seven times in vinegar and ground), Xun Lu E (Boswelliae Resina, ground), Xing Ren (Pruni Semen, soaked in hot water, skin and tips removed, stir-fried and ground), Ba Dou (Crotonis Fructus, husked, stir-fried and ground), La (Beeswax, each 0.5 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, 1 fen).
The above eight ingredients: Except for those to be ground, pound and sieve into powder. Then, place all drugs into E Gao (Goose fat or ointment base), pound together until suitable for pill formation. Shape into pills the size of a jujube pit. Wrap in cotton and insert into the ear. Change once daily.
Formula for Yu Nao Gao (Fish Brain Ointment) for treating chronic deafness, tinnitus, and ear blockage:
Sheng Xiong Li Yu Nao (Fresh male carp brain, 2 liang), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Chang Pu (Acori Tatarinowii Rhizoma), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Bai Zhi (Angelicae Dahuricae Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, each 1 fen).
The above six ingredients: Except for the fish brain, pound the rest into powder. First, place the fish brain in a silver or ceramic vessel, simmer slowly over low heat until boiling. Filter out the dregs. Then add the herbal powder and simmer again to form an ointment. Store in a porcelain container. For use, take an amount the size of a jujube pit, wrap in cotton, and insert into the ear.
Formula for Shan Zhu Yu Wan for treating chronic deafness and ear blockage:
Shan Zhu Yu (Corni Fructus), Gan Jiang (Zingiberis Rhizoma, processed), Ba Dou (Crotonis Fructus, husked, stir-fried and separately ground, each 1 liang).
The above three ingredients: First, pound the first two ingredients into powder. Add Ba Dou and grind evenly. Mix with Cong Zhi (Scallion juice) to form pills the size of a jujube pit. Wrap in cotton and insert into the ear. After the time it takes to eat one meal, if dry, replace with new medicine. Continue this for five days for slight improvement; after ten days, hearing of human voices should return. Stop when cured. Usually, plug the ear canal with hair to avoid wind.
Formula for Qi Lin Jie Wan for treating chronic deafness and ear blockage:
Qi Lin Jie (Santalum Rubrum, ground), Qian Dan (Lithargyri, each 2.5 liang, ground), Xiao Shi (Natrii Nitras, ground), Ba Dou (Crotonis Fructus, husked, each 1 fen, ground).
The above four ingredients: Grind uniformly. Form pills with honey the size of a jujube pit. Wrap in new cotton and insert into the ear. If pus discharges, wipe it clean, then insert another new cotton-wrapped pill. Avoid wind. Continue until cured.
Formula for Bi Ma Wan for treating deafness, regardless of duration, with ear blockage:
Bi Ma Zi (Ricini Semen, husked, 50 seeds), Da Zao (Jujubae Fructus, pitted, 25 pieces).
The above two ingredients: First, pound the dates until mushy. Gradually add the Bi Ma Zi and pound to the appropriate consistency. Shape into pills the size of a jujube pit. Insert into the ear. Change once daily.
Formula for Tu Gua Gen for treating deafness, regardless of duration, with ear blockage:
Shi Tu Gua Gen (Trichosanthes Radix, moist).
The above single ingredient: Cut into half-cun lengths. Insert upward into the ear. Moxibustion with Ai Zhu (Moxa cone) for seven moxas. Do not interrupt daily treatment. Continue until cured.
Formula for Shu Zhi for treating chronic deafness via ear dripping:
Shu Zhi (Mouse fat, 0.5 he), Qing Yan (Green salt, 1 qian), Er Dong (Earthworm, one piece, head tied and squeezed for juice).
The above three ingredients: Mix Shu Zhi and Er Dong juice with Qing Yan. Warm the mixture. Dip cotton in it, lie on the side, and drip into the ear. Immediately plug the ear canal. This will cure the condition.
Formula for Shui Yin for treating chronic deafness via ear dripping:
Shui Yin (Mercurius, 1 fen), Er Dong (Earthworm, live, one piece).
The above two ingredients: In a clump of Lou Cong (Allium hookeri or similar scallion), take one stem, remove the tip. Insert Shui Yin and the Earthworm inside. Tie the head immediately to prevent leakage. Wait until the Earthworm dissolves into liquid. Take this liquid and drip into the ear. Immediate cure is expected.
Formula for Gui Xin Gao for treating chronic deafness with cerumen (earwax) via ear irrigation:
Gui (Cinnamomi Cortex, remove rough bark, 2 liang), Ye Ge (Kadsurae Longipedunculati Fructus or similar, 1 liang).
The above two ingredients: Finely slice. Place in a copper vessel. Add 5 liang of refined Ji Fang (Chicken fat). Simmer gently over low heat for three to five boils. Filter out dregs and store tightly sealed to prevent loss of aroma. Load into a small bamboo tube. Heat an amount the size of a jujube pit over fire until warm. Tilt head back and irrigate into the ear. Cerumen will naturally discharge within ten days. For chronic deafness, cure occurs within twenty days. Afterwards, wrap the ointment in hair and deeply plug the ear to prevent leakage. Remove after five days.