论曰耳者肾之候，心之寄窍，风热搏于经络，则耳中津液结聚，如麸片之状，久则丸结
不消，或似蚕蛹，致气窍不通，耵聍为聋。
治耵聍塞耳，矾石膏方
矾石（熬令汁尽三分） 附子（炮裂去皮脐一两） 菖蒲（半两） 杏仁（汤浸去皮尖
双仁炒
黄三两别研） 蓖麻仁（二两半别研） 松脂 烟脂（各三分）
上七味，捣研令匀，和如膏，以绵裹枣核大，塞耳中，常令相续，以瘥为度。
治耵聍塞耳聋，强坚不可挑，塞耳，猪脂膏方
生猪脂（一合） 釜下墨（半两研）
上二味，调和成膏，捏如枣核大，绵裹塞耳中。
治耵聍塞耳，坚强不可挑，灌耳，葱液膏方
葱汁（三合） 细辛（去苗叶） 附子（炮裂去皮脐各一分）
上三味，捣罗细辛附子为末，以葱汁调令稀，灌入耳中。
治耵聍塞耳聋，强坚不得出，黄连散方
黄连（去根须半两） 附子（炮裂去皮脐一分）
上二味，捣罗为散，每以少许渗入耳中。
治耵聍塞耳聋，强坚不可挑，灌耳地龙汁方
地龙（湿者五七条）
上一味研，取汁数滴入耳中，挑即自出。
论曰肾气通于耳，耳者肾之候，若其经为风邪所乘，毒瓦斯蕴结于耳中，以至脓汁俱出，
妨闷疼痛，谓之 耳。
治 耳，通气散方
郁李仁（去皮研半两） 木香（一分） 槟榔（锉三枚） 大黄（锉一两） 芍药（半
两） 细
辛（去苗叶一分） 人参（半两） 山芋 桂（去粗皮各一两） 甘草（炙锉） 牡丹皮（各
一分）
上一十一味，除郁李仁别研外，捣罗为散和匀，每服一钱匕，空心温酒调下。
治 耳出脓血，塞耳，白蔹散方
白蔹 黄连（去须） 龙骨 赤石脂 乌贼鱼骨（去甲各一两）
上五味，捣罗为散，先以绵拭脓干，用药一钱匕，绵裹塞耳中。
治 耳痒脓汁不止，塞耳，菖蒲散方
菖蒲（锉焙） 野狼毒 磁石（ 醋淬一七遍） 附子（炮裂去皮脐） 矾石（烧令汁尽
各半两
）
上五味，捣罗为散，以羊髓和少许，绵裹塞耳中。
治 耳出脓水，野狼牙散方
野狼牙 白蔹 竹中蛀屑（各一分）
上三味，捣罗为散，以少许渗入耳中。
治 耳，塞耳，菖蒲散方
菖蒲（锉焙） 桂（去粗皮） 野葛（等分）
上三味，捣罗为散，以雀脑髓和，绵裹枣核大，先灸耳中宛宛者七壮，后用药塞耳中，
日一易。
治 耳出脓，久不瘥者，有虫，塞耳，鲤鱼肠方
鲤鱼肠（一具细切） 醋（三合）
上二味合捣，布裹枣核大，塞耳中，食顷痛，即有虫出着布，即拔之，更易新者，虫尽
为度。
治 耳出脓汁，矾石散方
矾石（烧令汁尽研） 食盐（研各一分）
上二味，各细研为散，先以纸拈子拭去脓汁令干，次以盐渗之，次又以矾石渗之，日再
治 耳耳中痛，附子散方
附子（炮裂去皮脐一分） 黄连（去须半两）
上二味，捣罗为散，以少许渗耳中。
治 耳出脓水，红花散方
红蓝花（一分） 矾石（半两烧灰）
上二味，捣罗为散，以少许渗耳中。
治 耳出脓水，黄连散方
黄连（去须半两） 瓠子（干者一分）
上二味，捣罗为散，以少许渗耳中。
治 耳，耳中痛脓血出，塞耳，细辛散方
细辛（去苗锉） 附子（炮裂去脐皮各一分）
上二味，捣罗为散，以葱汁和一钱匕，绵裹塞耳中。
治 耳，塞耳，黄矾散方
黄矾（半两）
上一味，内瓶中，火烧令汁尽，细研为散，绵裹一钱匕，塞耳中。
治 耳出脓血，塞耳，桃仁方
桃仁（汤去皮尖双仁炒）
上一味，捣如泥，拈如枣核大，谷叶裹，塞耳中，或以故绯帛裹亦佳。
治 耳，耳中痛，脓血出，塞耳，桂膏方
桂（去粗皮半两）
上一味，捣罗为末，以鱼膏和，拈如枣核大，塞耳中。
治 耳，塞耳，雀脑方
五月五日雀脑
上一味，以绵裹少许，塞耳中。
又方
巴豆（去皮心二七粒）
上一味，以鸡卵一枚，破头作小窍，内巴豆尽，以纸封之，却安鸡窠中，候鸡抱卵日
余，卵雏出，取药绵裹少许，塞耳中。
又方
伏龙肝（细研半两）
上一味，以猪膏和，拈如枣核大，绵裹塞耳中，日再易，夜一易。
又方
中膏（车脂也）
上一味，绵裹枣核大，塞耳中。
又方
干蚯蚓（一两）
上一味，捣罗为末，绵裹枣核大，塞耳中。
又方
母鼠肝（一具）
上一味，旋取活鼠，乘肝热时，以枣核大，塞耳中。
又方
铛墨
上一味细研，先净拭去耳中脓，以少许糁耳中。
又方
茶笼上 屑（半两）
上一味，细研，渗满耳中。
又方
蒲黄（细研）
上一味，以一豆大渗耳中。
又方
生油（一合）
上一味，内葱管内，隔宿取出，滴耳中。
治 耳方
松脂
上一味，为末，渗耳中，脓止即瘥。
治 耳出脓，杏仁膏方
杏仁（不拘多少）
上一味，炒令赤，捣如膏，以绵裹塞耳中。
治 耳方
石首鱼（脑中枕子）
上一味，为末，渗耳中即瘥。
Discussion states: The ear is the external manifestation of the Kidney (Shen) and also a cavity where the Heart (Xin) resides. When wind-heat pathogens contend within the meridians, body fluids in the ear coagulate and accumulate, resembling bran flakes. Over time, these form hard nodules that do not dissipate, or resemble silkworm pupae, obstructing the qi passages. Cerumen (earwax) blockage leads to deafness.
For treating cerumen blocking the ear, use the Fan Shi Gao Formula (Alum Ointment):
Fan Shi (Calcined Alum, 3 fen until juice is dry), Fu Zi (Prepared Aconite Root, peeled and umbilicus removed, 1 liang), Chang Pu (Acorus Rhizome, 0.5 liang), Xing Ren (Bitter Apricot Seed, soaked in hot water, peeled, tip removed, twin kernels discarded, stir-fried until yellow, 3 liang, separately ground), Bi Ma Ren (Castor Bean Seed, 2.5 liang, separately ground), Song Zhi (Pine Resin), Yan Zhi (Soot from chimney, each 3 fen).
Crush and grind the above seven ingredients evenly, mix into an ointment. Wrap in cotton to the size of a jujube pit, insert into the ear, replace frequently, until healed.
For treating cerumen blocking the ear causing deafness, which is hard and cannot be picked out, use the Zhu Zhi Gao Formula (Pig Fat Ointment):
Sheng Zhu Zhi (Fresh Pig Fat, 1 he), Fu Xia Mo (Soot from the bottom of the cauldron, 0.5 liang, ground).
Mix the above two ingredients into an ointment, shape into a jujube pit size, wrap in cotton, and insert into the ear.
For treating cerumen blocking the ear, hard and unpickable, using irrigation, use the Cong Ye Gao Formula (Scallion Juice Ointment):
Cong Zhi (Scallion Juice, 3 he), Xi Xin (Asarum Root, remove seedlings and leaves), Fu Zi (Prepared Aconite Root, peeled and umbilicus removed, each 1 fen).
Grind Xi Xin and Fu Zi into fine powder with the above three ingredients. Dilute with scallion juice and irrigate into the ear.
For treating cerumen blocking the ear causing deafness, hard and unremovable, use the Huang Lian San Formula (Coptis Powder):
Huang Lian (Coptis Rhizome, remove rootlets, 0.5 liang), Fu Zi (Prepared Aconite Root, peeled and umbilicus removed, 1 fen).
Grind the above two ingredients into a powder. Insert a small amount into the ear each time.
For treating cerumen blocking the ear causing deafness, hard and unpickable, using earthworm juice irrigation, use Di Long Zhi Formula (Earthworm Juice):
Di Long (Pheretima Earthworm, 5-7 fresh ones).
Grind the single ingredient to extract juice. Instill several drops into the ear; it will naturally come out when picked.
Discussion states: Kidney qi connects to the ear; the ear is the external manifestation of the Kidney. If the meridians are invaded by wind pathogens, toxic vapors accumulate in the ear, leading to the discharge of pus and fluid, causing obstruction, stuffiness, and pain. This condition is referred to as "Er" (Ear disease/purulent otitis).
For treating this ear condition, use the Tong Qi San Formula (Qi-Circulating Powder):
Yu Li Ren (Bush Cherry Pit, peeled and ground, 0.5 liang), Mu Xiang (Costus Root, 1 fen), Bing Lang (Areca Nut, crushed, 3 pieces), Da Huang (Rhubarb Root, crushed, 1 liang), Shao Yao (Peony Root, 0.5 liang), Xi Xin (Asarum Root, remove seedlings and leaves, 1 fen), Ren Shen (Ginseng Root, 0.5 liang), Shan Yu (Chinese Yam, Gui (Cinnamon Bark, remove rough bark, each 1 liang), Gan Cao (Licorice Root, roasted and crushed), Mu Dan Pi (Moutan Cortex, each 1 fen).
Process the above eleven ingredients: except for Yu Li Ren which is ground separately, crush and sieve the rest into a powder and mix evenly. Take one qian bi (measure) per dose, mixed with warm wine, taken on an empty stomach.
For treating the ear discharging pus and blood, use the Bai Lian San Formula (Ampelopsis Powder):
Bai Lian (Ampelopsis Rhizome), Huang Lian (Coptis Rhizome, remove rootlets), Long Gu (Fossilized Bones), Chi Shi Zhi (Red Halloysite), Hai Zhe Gu (Cuttlefish Bone, remove shell, each 1 liang).
Grind the above five ingredients into a powder. First wipe the pus dry with cotton. Take one qian bi of medicine, wrap in cotton, and insert into the ear.
For treating the ear itching with continuous pus discharge, use the Chang Pu San Formula (Acorus Powder):
Chang Pu (Acorus Rhizome, crushed and roasted), Ye Lang Du (Stemona Root), Ci Shi (Magnetite, quenched in vinegar seven times), Fu Zi (Prepared Aconite Root, peeled and umbilicus removed), Fan Shi (Calcined Alum, until juice is dry, each 0.5 liang).
Grind the above five ingredients into a powder. Mix with sheep marrow and a small amount of powder, wrap in cotton, and insert into the ear.
For treating the ear discharging pus and water, use the Ye Lang Ya San Formula (Wild Wolf Tooth Powder):
Ye Lang Ya (Stemona Root), Bai Lian (Ampelopsis Rhizome), Zhu Zhong Zhu Xie (Woodworm frass from bamboo, each 1 fen).
Grind the above three ingredients into a powder. Insert a small amount into the ear.
For treating this ear condition, use the Chang Pu San Formula (Acorus Powder):
Chang Pu (Acorus Rhizome, crushed and roasted), Gui (Cinnamon Bark, remove rough bark), Ye Ge (Kadsura Vine, equal parts).
Grind the above three ingredients into a powder. Mix with quail brain marrow. Shape into a jujube pit size. First moxa the depression in the ear seven moxibustion cones. Then insert the medicine into the ear. Change once daily.
For treating the ear discharging pus, chronic cases not healing with worms present, use the Li Yu Chang Formula (Carp Intestine):
Li Yu Chang (Carp Intestine, one set, finely cut), Cu (Vinegar, 3 he).
Mash the above two ingredients together. Wrap in cloth to the size of a jujube pit and insert into the ear. After a short while, pain occurs, and worms emerge sticking to the cloth. Pull it out, replace with a new one, until all worms are expelled.
For treating the ear discharging pus, use the Fan Shi San Formula (Alum Powder):
Fan Shi (Calcined Alum, ground), Yan Shi (Rock Salt, ground, each 1 fen).
Grind the above two ingredients finely into powder. First use a paper twist to wipe the pus dry. Then instill salt, followed by alum powder. Treat twice daily.
For treating ear pain, use the Fu Zi San Formula (Aconite Powder):
Fu Zi (Prepared Aconite Root, peeled and umbilicus removed, 1 fen), Huang Lian (Coptis Rhizome, remove rootlets, 0.5 liang).
Grind the above two ingredients into a powder. Insert a small amount into the ear.
For treating the ear discharging pus and water, use the Hong Hua San Formula (Safflower Powder):
Hong Lan Hua (Carthamus Flower, 1 fen), Fan Shi (Calcined Alum, turned to ash, 0.5 liang).
Grind the above two ingredients into a powder. Insert a small amount into the ear.
For treating the ear discharging pus and water, use the Huang Lian San Formula (Coptis Powder):
Huang Lian (Coptis Rhizome, remove rootlets, 0.5 liang), Hu Zi (Dried Bottle Gourd Fruit, 1 fen).
Grind the above two ingredients into a powder. Insert a small amount into the ear.
For treating this ear condition, with ear pain and discharge of pus and blood, use the Xi Xin San Formula (Asarum Powder):
Xi Xin (Asarum Root, remove seedlings and crush), Fu Zi (Prepared Aconite Root, peel and umbilicus removed, each 1 fen).
Grind the above two ingredients into a powder. Mix one qian bi with scallion juice, wrap in cotton, and insert into the ear.
For treating this ear condition, use the Huang Fan San Formula (Yellow Alum Powder):
Huang Fan (Yellow Alum, 0.5 liang).
Place the single ingredient in a bottle, burn until juice is dry, grind finely into powder. Wrap one qian bi in cotton and insert into the ear.
For treating the ear discharging pus and blood, use the Tao Ren Formula (Peach Kernel):
Tao Ren (Peach Kernel, soaked, peeled, tip removed, twin kernels discarded, stir-fried).
Grind the single ingredient into a paste. Shape into a jujube pit size, wrap in grain leaves, and insert into the ear. Wrapping in old red silk is also acceptable.
For treating this ear condition, with ear pain and discharge of pus and blood, use the Gui Gao Formula (Cinnamon Ointment):
Gui (Cinnamon Bark, remove rough bark, 0.5 liang).
Grind the single ingredient into powder. Mix with fish fat. Shape into a jujube pit size and insert into the ear.
For treating this ear condition, use the Que Nao Formula (Quail Brain):
Que Nao (Quail Brain, collected on the fifth day of the fifth lunar month).
Wrap a small amount in cotton and insert into the ear.
Another prescription:
Ba Dou (Croton Seed, peel and heart removed, 14 seeds).
Take one chicken egg, break a small hole at the top, insert all Ba Dou seeds, seal with paper, and place back in the hen's nest. Wait for the chick to hatch after more than a day of incubation. Take the medicine, wrap in cotton, and insert into the ear.
Another prescription:
Fu Long Gan (Dragon's House Soil/Cauldron Soot, finely ground, 0.5 liang).
Mix with pig fat. Shape into a jujube pit size, wrap in cotton, and insert into the ear. Replace twice daily, and once at night.
Another prescription:
Zhong Gao (Axle Grease).
Wrap to the size of a jujube pit in cotton and insert into the ear.
Another prescription:
Gan Qiu Yin (Dried Earthworm, 1 liang).
Grind into powder. Wrap to the size of a jujube pit in cotton and insert into the ear.
Another prescription:
Mu Shu Gan (Mother Rat Liver, one piece).
Take a live rat freshly. While the liver is still hot, shape into a jujube pit size and insert into the ear.
Another prescription:
Dang Mo (Iron Pot Soot).
Grind finely. First clean the pus from the ear, then sprinkle a small amount into the ear.
Another prescription:
Cha Long Shang Chen (Dust from Tea Basket, 0.5 liang).
Grind finely and fill the ear.
Another prescription:
Pu Huang (Typha Pollen, finely ground).
Instill an amount the size of a bean into the ear.
Another prescription:
Sheng You (Raw Oil, 1 he).
Place in a scallion tube, leave overnight, take out, and drip into the ear.
Formula for treating ear disease:
Song Zhi (Pine Resin).
Grind into powder and instill into the ear. Healing occurs when pus stops.
For treating the ear discharging pus, use the Xing Ren Gao Formula (Apricot Ointment):
Xing Ren (Bitter Apricot Seed, any quantity).
Stir-fry until red, grind into ointment. Wrap in cotton and insert into the ear.
Formula for treating ear disease:
Shi Shou Yu (Largehead Hairtail/Hydrophorus Fish, Otoliths/Brain Stone).
Grind into powder and instill into the ear. Healing occurs immediately.