论曰五聋不同，曰风聋，曰干聋，曰劳聋，曰虚聋，曰 聋，是也，肾气通于耳，足少
阴其经也，经虚受风邪，及劳伤血气，停滞津液，皆能致聋，惟所受不同，故其证各异，葛
氏所谓风聋者痛掣，干聋者生耵聍，劳聋者出黄汁，虚聋者肃肃作声， 聋者脓汁出，可不
辨哉。
治五聋鸣闹，不闻人声，出黄水，黄 汤方
黄 （锉一两半） 附子（炮裂去皮脐一两） 菖蒲（米泔浸一宿锉碎焙干一两） 磁
石（醋
淬一七遍三两） 木通（锉） 白茯苓（去黑皮） 五味子 熟干地黄（焙） 防风（去叉）
玄参
人参（各一两一分） 杜仲（去粗皮炙锉一两）
上一十二味，锉如麻豆，每服五钱匕，以水一盏半，生姜半分拍碎，大枣二枚劈破，同
煎至一盏，去滓温服，续吃羊肾粥助之，日四五服，不计时候。
治风聋，雄黄散方
雄黄（半两研） 丹砂（三分研） 丁香（一分） 桂（去粗皮一分） 干蝎（去足炒
半两） 乌
蛇（酒炙用肉半两） 硫黄（一分研） 天麻 人参（各半两） 山芋（一分） 天南星（炮
三分）
白附子（炮一分） 麝香（三分研） 槟榔（三枚煨锉） 木香（一分） 麻黄（去根节半
两）
上一十六味，捣研为散，再罗令匀，每服二钱匕，温酒调服。
治劳聋，内神丸方
熟干地黄（焙） 桂（去粗皮各一两） 山芋（一两半） 附子（炮裂去皮脐一两） 柴
胡（去
苗三分） 远志（半两去心） 胡黄连（一分） 钟乳（二两鹅管者） 鹿茸（去毛酒炙） 肉
苁蓉
（酒浸切焙各一两） 人参（三分） 白茯苓（去黑皮一分） 细辛（去苗叶半两）
上一十三味，先用甘草水煮钟乳三日，研三日了后，方捣诸药为末，却与钟乳同研二日
，用细绢罗过，炼蜜和丸，梧桐子大，每日空心，用温酒下二十丸，日再服。
治干聋生耵聍（上都挺下乃挺切耳垢也）不可出方
蚯蚓（不以多少）
上一味，取自死者，安葱叶中，面封头蒸之令熟，去面取出，捣研如泥取汁灌耳中满，
即不过数灌，即挑易出，瘥后发裹盐塞之。
治 聋有脓散方。
乌贼骨 釜底墨 龙骨 伏龙肝（各半两） 附子（一两） 禹余粮（六铢）
上六味，捣罗为细末，取皂荚子大，绵裹内耳中，日一易取瘥，不瘥者必有虫，加麝香
一豆大。
治 聋脓水不绝，宜用此方。
白矾（半两烧灰） 麻勃（一分） 木香（一分） 松脂（一分） 花烟脂（一分）
上五味，捣罗为细末，每用时，先以绵子净拭脓后，满耳填药效。
治耳聋，气塞不通，时作声，用附子方法
生附子（尖一枚削作小枣核大）
上一味，以绵裹置耳内。
It is stated that the five types of deafness are distinct: wind deafness, dry deafness, labor-induced deafness, deficiency deafness, and purulent deafness. The Qi of the Kidney connects to the ears, and the Foot-Shaoyin (Kidney) meridian is the relevant channel. When the meridian is deficient and exposed to wind pathogens, or when labor damages Qi and Blood causing stagnation of Body Fluids, all can lead to deafness. Because the etiology differs, the symptoms vary. As Ge Shi described, wind deafness presents with pain and pulling sensations; dry deafness produces earwax (cerumen); labor-induced deafness discharges yellow fluid; deficiency deafness manifests as a rustling sound in the ears; and purulent deafness involves the discharge of pus. How can these not be distinguished?
For treating the five types of deafness presenting with tinnitus, inability to hear human voices, and discharge of yellow fluid, use Huangfu Tang (Cinnamon Twig and Aconite Decoction):
Cinnamomi Ramulus (Crushed, 1.5 liang), Fuzii (Processed, skin and umbilicus removed, 1 liang), Shichangpu (Soaked overnight in rice washing water, crushed, dried, 1 liang), Cishi (Quenched in vinegar seven times, 3 liang), Tongcao (Crushed), Poria (Black skin removed), Schisandrae Fructus, Rehmanniae Radix Praeparata (Dried), Fangfeng (Branches removed), Scrophulariae Radix, Ginseng (Each 1.1 liang), Eucommiae Cortex (Rough bark removed, processed and crushed, 1 liang).
The above twelve herbs are crushed to the size of hemp seeds. Each dose consists of 5 qianbi. Add 1.5 zhan of water, half a fen of crushed fresh ginger, and two cracked jujubes. Simmer until reduced to one zhan, strain, and take warm. Follow with mutton kidney porridge for assistance. Take 4-5 times daily, at any time.
For treating wind deafness, use Xionghuang San (Realgar Powder):
Xionghuang (Ground, 0.5 liang), Zhusha (Ground, 3 fen), Dingxiang (1 fen), Guixin (Bark removed, 1 fen), Bianzhong (Feet removed, fried, 0.5 liang), Wushe (Fried in wine, meat only, 0.5 liang), Liuhuang (Ground, 1 fen), Tianma, Renshen (Each 0.5 liang), Shanyao (1 fen), Tiannanxing (Processed, 3 fen), Baifuzi (Processed, 1 fen), Shexiang (Ground, 3 fen), Binglang (Roasted and crushed, 3 pieces), Muxiang (1 fen), Mahuang (Roots and joints removed, 0.5 liang).
The above sixteen herbs are pounded and ground into powder, then sifted to ensure uniformity. Each dose is 2 qianbi, taken with warm wine.
For treating labor-induced deafness, use Neishen Wan (Inner Spirit Pill):
Rehmanniae Radix Praeparata (Dried), Guixin (Bark removed, each 1 liang), Shanyao (1.5 liang), Fuzii (Processed, skin and umbilicus removed, 1 liang), Chaihu (Sprouts removed, 3 fen), Yuanzhi (Heart removed, 0.5 liang), Huhuanglian (1 fen), Baitongshuang (White Stalactite, 2 liang, from goose tube), Lurong (Hair removed, wine-fried), Roucongrong (Wine-soaked, sliced, dried, each 1 liang), Renshen (3 fen), Poria (Black skin removed, 1 fen), Xixin (Sprouts and leaves removed, 0.5 liang).
The above thirteen herbs: First, boil Baitongshuang in licorice water for three days, grind for three days. Then pound the other herbs into powder. Mix with the ground Baitongshuang and grind together for two more days. Sift through fine silk. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills on an empty stomach daily with warm wine, twice a day.
For treating dry deafness with cerumen impaction (where it cannot be easily removed):
Earthworm (Any amount).
Take dead earthworms, place them inside scallion leaves, seal the ends with dough, and steam until cooked. Remove the dough, pound into a paste, extract the juice, and instill into the ear until full. Within a short time, the cerumen will detach and can be easily removed. After healing, wrap salt in hair and insert into the ear.
For treating purulent deafness with pus discharge, use this powder:
Haidaima (Cuttlefish bone), Fudimo (Soot from the pot bottom), Longgu (Dragon bone), Fulonggan (Cooked long earth), (Each 0.5 liang), Fuzii (1 liang), Yuyuliang (6 zhu).
The above six herbs are pounded and sifted into a fine powder. Form a dose the size of a soap bean seed, wrap in cotton, and insert into the ear. Change once daily until healed. If not healed, parasites may be present; add Shexiang (Musk) the size of a bean.
For treating purulent deafness with continuous pus discharge, use this formula:
Binfan (Calcined to ash, 0.5 liang), Mabo (Hemp pollen, 1 fen), Muxiang (1 fen), Songzhi (Pine resin, 1 fen), Huayanzi (Flower tobacco resin, 1 fen).
The above five herbs are pounded and sifted into a fine powder. Before use, first clean the pus with a cotton swab, then pack the ear fully with the medicine.
For treating deafness due to Qi obstruction with intermittent sounds, use this method with Fuzii:
Sheng Fuzii (Raw Aconite, tip of one piece, carved to the size of a small date pit).
Wrap the single herb in cotton and place it inside the ear.