论曰耳者心之寄窍，肾气所通也，腑脏和平，则其窍通而无碍，肾气既虚，风邪干之，
复以思虑劳心，气脉内结，不得疏通，则耳内浑 与气相击而鸣，或如钟磬雷鼓，或如蝉噪
，皆肾虚所致也。
治肾气虚弱，气奔两耳作声，甚则成聋，磁石散方
磁石（ 醋淬七遍） 熟干地黄（焙） 菖蒲（米泔浸一宿锉焙） 牡丹皮 白术（各
一两）
附子（炮裂去皮脐） 白茯苓（去黑皮）人参 芎 大黄（锉炒） 牡荆子（微炒） 桂
（去粗
皮） 当归（切焙） 桑螵蛸（切破炙各半两） 羊肾（一对薄切去筋膜炙干）
上一十五味，捣罗为散，每服一钱匕，温酒调下，日三，加至二钱匕，不拘时。
治耳内虚鸣，保命丸方
熟干地黄（焙） 肉苁蓉（酒浸切焙） 桂（去粗皮） 附子（炮裂去皮脐） 丁香 菟
丝子（
酒浸别捣） 人参（各一两） 白豆蔻（去皮） 木香 槟榔（锉） 甘草（炙各半两） 鹿
茸（去毛
酒浸一宿酥炙） 白茯苓（去黑皮） 蒺藜子（炒去角各三分）
上一十四味，将十三。味捣罗为末，入菟丝末再罗，炼白蜜丸如梧桐子大，每服十五丸
，空心食前，温酒下，渐加丸数。
治男子患耳内虚鸣，腰肾疼痛，髀膝风冷，食饮无味，肉苁蓉丸方
肉苁蓉（酒浸切焙） 石斛（去根） 白术 五味子 桂（去粗皮） 巴戟天（去心） 防
风（
去叉） 人参（各二两） 白茯苓（去黑皮） 泽泻 山茱萸（各三两） 熟干地黄（焙） 磁
石（
醋淬七遍各四两）
上一十三味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，空心食前服，温酒下。
治肾虚耳内作声，或如蝉噪，或如风水声，诊其左手尺脉微而细，右手关脉洪而大，是
其候也，石斛丸方
石斛（去根） 黄 （锉） 鹿茸（去毛酒浸一宿酥炙） 地骨皮 附子（炮裂去皮脐
各一两）
菟丝子（酒浸别捣） 山茱萸（各一两一分） 远志（去心） 熟干地黄（焙） 菖蒲（米
泔浸一
宿锉焙） 防风（去叉各三分） 桂（去粗皮半两） 玄参（一两）
上一十三味，将十二味捣罗为末，入菟丝子末，再罗，炼蜜丸如梧桐子大，每服三十
丸，空心温酒下，以瘥为度，此药妊娠人，去桂附，加蜀椒三分，丹参半两。
治肾虚耳数鸣而聋，补肾，黄 汤方
黄 （锉） 人参 紫菀（去土） 甘草（炙锉） 防风（去叉） 当归（切焙） 麦
门冬（去心
焙） 五味子（各一两） 干姜（炮） 桂（去粗皮各二两） 芎 （一两半）
上一十一味，粗捣筛，每服五钱匕，先以水三盏，煮羊肾一只，至一盏半，去肾下药，
入葱白三寸切，大枣三枚劈破，煎至八分，去滓空心食前温服。
治肾气虚弱，气奔两耳，鸣甚成聋，桑螵蛸散方
桑螵蛸（切破炙） 附子（炮裂去皮脐） 人参 白茯苓（去黑皮） 当归（切焙） 桂
（去粗
皮各半两） 熟干地黄（焙） 牡丹皮 白术（锉炒各一两） 羊肾（一对薄切去筋膜炙干）
上一十味，捣罗为散，每服一钱匕，空心食前，温酒调下日三，加至二钱匕。
治肾劳虚后，耳常闻钟磬风雨之声，补肾，鹿茸丸方
鹿茸（去毛酒浸一宿酥炙） 磁石（ 醋淬七遍） 枳实（去瓤麸炒各二两） 附子（炮
裂去
皮脐） 山芋 牡蛎（熬） 肉苁蓉（酒浸切焙各一两半） 五味子 巴戟天（去心各一两）
楮
实（炒别捣末三两）
上一十味，将九味捣罗为末，入楮实末，再罗令匀，炼蜜丸如梧桐子大，每服二十丸，
至三十丸，空心浸牛膝酒下。
治耳聋及耳鸣，菖蒲浸酒方
菖蒲（米泔浸一宿锉焙三分） 木通（一分锉） 桂（去粗皮） 磁石（碎绵裹各半两）
防风
（去叉） 羌活（去芦头各一两）
上六味， 咀，以酒一斗浸七日，每日空腹温饮一二盏。
治肾虚热毒，乘虚攻耳，致耳内常鸣如蝉声，不可专服补药，龙齿散方
龙齿 人参 远志（去心） 白茯苓（去黑皮） 麦门冬（去心焙各半两） 丹砂（研）
铁粉
（研末飞） 龙脑（研） 牛黄（研） 麝香（研各一分）
上一十味，捣研为散，再同研匀细，每服半钱匕，食后夜卧，温熟水调下，日三，病愈
即已。
治耳鸣，并水入耳，塞耳菖蒲丸方
菖蒲 独活（去芦头） 矾石（熬令汁枯各一两） 木通（锉） 细辛（去苗叶） 桂
（去粗皮
各三分） 附子（炮裂去皮脐一分） 当归（切焙） 甘草（炙各半两）
上九味，捣罗为末，旋以葱汁，同白鹅膏和丸，如枣核大，以绵裹内耳中，日三易之。
治耳内昼夜虚鸣，塞耳方
菖蒲 乌头（去皮脐生用各一两）
上二味为末，绵裹半钱匕，塞耳中，日再易之。
治肾气虚弱，风邪干之，上攻于耳，常作蝉鸣，以至重听，牛膝煎丸方
牛膝（去苗） 海桐皮（二味各半斤捣末用好酒五升与银石器内熬成膏） 香子（炒）
当
归（切焙） 赤箭 五加皮（锉） 赤芍药 桂（去粗皮） 麻黄（去根节） 地龙（炒） 木
香独
活（去芦头） 没药（研） 乳香（研） 防风（去叉） 骨碎补 麒麟竭 沉香（锉） 干
蝎（炒去
土） 天南星（生用各一两） 附子（炮裂去皮脐） 乌头（炮裂去皮脐） 楝实 芎 （各
二两）
麝香（研半两） 虎脑骨（四两酥炙）
上二十六味，捣研二十四味为末，入前膏内，和捣三千杵，丸如梧桐子大，每服十丸，
至十五丸，空心温酒，或盐汤下。
治肾虚耳鸣，地黄丸方
熟干地黄（焙三分） 黄 （锉焙） 山茱萸 桑根白皮（各二两） 黄连（去须） 羚
羊角屑
桂（去粗皮） 当归（切焙） 代赭（各一两） 芎 天雄（炮裂去皮脐各一两半）
上一十一味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，空心温酒下。
Commentary states: The ear is the external orifice of the Heart (Xin, Heart) and is connected to the Kidney Qi (Kidney Qi). When the Zang-Fu organs are harmonious, the orifice remains patent without obstruction; however, if Kidney Qi is deficient and Wind pathogen invades, compounded by excessive worry and mental labor that causes Qi and vessels to knot internally without unblocking, turbid sounds will arise within the ear, striking against the Qi to produce tinnitus. The sound may resemble bells, chimes, thunder drums, or cicada chirps; all are caused by Kidney deficiency.
For treating Kidney Qi deficiency where Qi rushes to both ears causing noise, severe cases leading to deafness: Cishi San (Magnetite Powder) prescription.
Cishi (Magnetite, calcined seven times in vinegar), Shudihuang (Prepared Rehmanniae Radix, dried), Changpu (Acori Tatarinowii Rhizoma, soaked overnight in rice wash water, sliced, and dried), Mudanpi (Moutan Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma) [each 1 liang];
Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and umbilicus removed), Baifuling (Poria with Hosta Root, black skin removed), Renshen (Ginseng Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Mujingszi (Vitexis Fructus, slightly stir-fried), Guizhi (Cinnamomi Ramulus, coarse bark removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Sangpiaoxiao (Spermium Mantidis, cut open, roasted, each half liang); Yangshen (Ovis/Caprae Ren, one pair, thinly sliced, sinews and fascia removed, roasted dry).
The above fifteen ingredients are crushed, sifted into a powder. Each dose is 1 qianbi (approx. 3-5g), taken with warm wine, three times daily. Dosage may be increased to 2 qianbi, at any time.
For treating empty ringing in the ears: Baoming Wan (Life-Preserving Pill) prescription.
Shudihuang (Prepared Rehmanniae Radix, dried), Roucongrong (Cistanche Deserticola, soaked in wine, sliced, and dried), Guizhi (Cinnamomi Ramulus, coarse bark removed), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and umbilicus removed), Dingxiang (Caryophylli Flos), Tusizi (Cuscutae Semen, soaked in wine and separately pounded), Renshen (Ginseng Radix et Rhizoma) [each 1 liang]; Baidoukou (Amomi Fructus Rotundus, skin removed), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, each half liang); Lurong (Cervi Cornu Pantotrichum, hair removed, soaked in wine overnight, roasted with butter), Baifuling (Poria with Hosta Root, black skin removed), Jilizi (Tribuli Fructus, stir-fried, spines removed, each 3 fen).
The above fourteen ingredients: thirteen are crushed, sifted into powder. Add the powdered Tusizi and sift again. Mix with refined white honey to form pills the size of Sophora seeds. Each dose is 15 pills, taken on an empty stomach before meals with warm wine. Gradually increase the number of pills.
For men suffering from empty ringing in the ears, accompanied by lumbar and kidney pain, wind-cold in thighs and knees, and loss of taste in food and drink: Roucongrong Wan (Cistanche Pill) prescription.
Roucongrong (Cistanche Deserticola, soaked in wine, sliced, and dried), Shihu (Dendrobii Caulis, roots removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Wuweizi (Schisandrae Fructus), Guizhi (Cinnamomi Ramulus, coarse bark removed), Bajitian (Morindae Officinalis Radix, heart removed), Fangfeng (Saposhnikoviae Radix, forked branches removed), Renshen (Ginseng Radix et Rhizoma) [each 2 liang]; Baifuling (Poria with Hosta Root, black skin removed), Zexie (Alismatis Rhizoma), Shanzhuyu (Corni Fructus) [each 3 liang], Shudihuang (Prepared Rehmanniae Radix, dried), Cishi (Magnetite, calcined seven times in vinegar, each 4 liang).
The above thirteen ingredients are crushed, sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Each dose is 30 pills, taken on an empty stomach before meals with warm wine.
For treating empty ringing in the ears due to Kidney deficiency, sounding like cicadas or wind/water, diagnosed by a faint and thin pulse at the left Chi position and a surging and large pulse at the right Guan position: Shihu Wan (Dendrobium Pill) prescription.
Shihu (Dendrobii Caulis, roots removed), Huangqi (Astragali Radix, sliced), Lurong (Cervi Cornu Pantotrichum, hair removed, soaked in wine overnight, roasted with butter), Digupi (Lycopii Cortex, root bark), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and umbilicus removed, each 1 liang);
Tusizi (Cuscutae Semen, soaked in wine and separately pounded), Shanzhuyu (Corni Fructus) [each 1 liang 1 fen], Yuanzhi (Polygalae Radix, heart removed), Shudihuang (Prepared Rehmanniae Radix, dried), Changpu (Acori Tatarinowii Rhizoma, soaked overnight in rice wash water, sliced, and dried), Fangfeng (Saposhnikoviae Radix, forked branches removed, each 3 fen), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Xuanshen (Scrophulariae Radix, 1 liang).
The above thirteen ingredients: twelve are crushed, sifted into powder. Add powdered Tusizi and sift again. Mix with refined honey to form pills the size of Sophora seeds. Each dose is 30 pills, taken on an empty stomach with warm wine, until cured. For pregnant women taking this medicine, remove Guizhi and Fuzi, add Shujiao (Zanthoxyli Pericarpium) 3 fen, Danshen (Salviae Miltiorrhizae Radix et Rhizoma) half liang.
For treating tinnitus and deafness due to Kidney deficiency, tonifying the Kidney: Huangqi Tang (Astragalus Decoction) prescription.
Huangqi (Astragali Radix, sliced), Renshen (Ginseng Radix et Rhizoma), Ziwan (Asturi Radix, soil removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted and sliced), Fangfeng (Saposhnikoviae Radix, forked branches removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Maidong (Ophiopogonis Tuber, heart removed and dried), Wuweizi (Schisandrae Fructus) [each 1 liang]; Jiangjiang (Zingiberis Rhizoma, processed), Guizhi (Cinnamomi Ramulus, coarse bark removed, each 2 liang), Xiong (Ligustici Chuanxiong Rhizoma, 1.5 liang).
The above eleven ingredients are coarsely crushed and sieved. Each dose is 5 qianbi. First, boil one Sheep Kidney in 3 cups of water until reduced to 1.5 cups. Remove the kidney, add the herbs, 3 cun of chopped scallion white, and 3 halved jujubes. Decoct until 80% remains. Strain and take warm on an empty stomach before meals.
For treating Kidney Qi deficiency where Qi rushes to both ears, severe ringing leading to deafness: Sangpiaoxiao San (Spermium Mantidis Powder) prescription.
Sangpiaoxiao (Spermium Mantidis, cut open, roasted), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and umbilicus removed), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria with Hosta Root, black skin removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Guizhi (Cinnamomi Ramulus, coarse bark removed, each half liang), Shudihuang (Prepared Rehmanniae Radix, dried), Mudanpi (Moutan Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma, sliced and stir-fried, each 1 liang); Yangshen (Ovis/Caprae Ren, one pair, thinly sliced, sinews and fascia removed, roasted dry).
The above ten ingredients are crushed, sifted into a powder. Each dose is 1 qianbi, taken on an empty stomach before meals with warm wine, three times daily. Dosage may be increased to 2 qianbi.
For treating tinnitus hearing bell/chime/wind/rain sounds after Kidney fatigue and deficiency, tonifying the Kidney: Lurong Wan (Deer Horn Pill) prescription.
Lurong (Cervi Cornu Pantotrichum, hair removed, soaked in wine overnight, roasted with butter), Cishi (Magnetite, calcined seven times in vinegar), Zhishi (Aurantii Fructus, pith removed, bran-stir-fried, each 2 liang), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and umbilicus removed), Shanyao (Dioscoreae Rhizoma), Muli (Ostrea Concha, calcined), Roucongrong (Cistanche Deserticola, soaked in wine, sliced, and dried, each 1.5 liang), Wuweizi (Schisandrae Fructus), Bajitian (Morindae Officinalis Radix, heart removed, each 1 liang);
Chushi (Broussonetiae Fructus, stir-fried and separately pounded into powder, 3 liang).
The above ten ingredients: nine are crushed, sifted into powder. Add Chushi powder and sift again for uniformity. Mix with refined honey to form pills the size of Sophora seeds. Each dose is 20 to 30 pills, taken on an empty stomach soaked in Achyranthes bidentata wine.
For treating deafness and tinnitus: Changpu Infused Wine prescription.
Changpu (Acori Tatarinowii Rhizoma, soaked overnight in rice wash water, sliced, and dried, 3 fen), Mutong (Akebiae Caulis, 1 fen sliced), Guizhi (Cinnamomi Ramulus, coarse bark removed), Cishi (Magnetite, crushed, wrapped in cotton, each half liang);
Fangfeng (Saposhnikoviae Radix, forked branches removed), Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed, each 1 liang).
The above six ingredients are chopped and infused in 1 dou (approx. 10 liters) of wine for seven days. Drink 1-2 cups warm on an empty stomach daily.
For treating Kidney deficiency with heat-toxin attacking the ear due to deficiency, causing constant cicada-like tinnitus; do not solely use tonifying medicines: Longchi San (Dragon Tooth Powder) prescription.
Longchi (Dent Draconis et Ossis Mammothi), Renshen (Ginseng Radix et Rhizoma), Yuanzhi (Polygalae Radix, heart removed), Baifuling (Poria with Hosta Root, black skin removed), Maidong (Ophiopogonis Tuber, heart removed and dried, each half liang);
Dansha (Cinnabaris, ground), Tiefen (Ferrum Pulveratum, ground and floated), Naozhang (Borneolum Syntheticum, ground), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus, ground, each 1 fen).
The above ten ingredients are crushed and ground into powder, then mixed thoroughly. Each dose is half a qianbi, taken after meals and before sleep with warm boiled water, three times daily. Discontinue when cured.
For treating tinnitus and water entering the ear blocking it: Saier Changpu Wan (Ear-Stopping Acorus Pill) prescription.
Changpu (Acori Tatarinowii Rhizoma), Duhuo (Angelicae Pubescentis Radix, rhizome removed), Fanshi (Alumen, boiled until juice dries, each 1 liang), Mutong (Akebiae Caulis, sliced), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Guizhi (Cinnamomi Ramulus, coarse bark removed, each 3 fen), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and umbilicus removed, 1 fen), Danggui (Angelicae Sinensis Radix, sliced and dried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, each half liang).
The above nine ingredients are crushed, sifted into powder. Mix with scallion juice and Bai'e'gao (White Goose Fat) to form pills the size of a date pit. Wrap in cotton and insert into the ear. Change three times daily.
For treating day-and-night empty ringing in the ears: Ear-Stopping Prescription.
Changpu (Acori Tatarinowii Rhizoma), Wutou (Aconiti Radix, skin and umbilicus removed, raw use, each 1 liang).
The above two ingredients are made into powder. Wrap half a qianbi in cotton and insert into the ear. Change twice daily.
For treating Kidney Qi deficiency where Wind pathogen invades and attacks upward to the ear, causing constant cicada-like tinnitus and eventually heavy hearing: Niuxi Jian Wan (Achyranthes Decoction Pill) prescription.
Niuxi (Achyranthis Bidentatae Radix, seedlings removed), Haitongpi (Sapij Cortex, these two each half jin are pounded into powder, cooked into paste with 5 sheng of good wine in silver/copper vessel); Xiangzi (Foeniculi Fructus, stir-fried), Danggui (Angelicae Sinensis Radix, sliced and dried), Chijian (Gastrodiae Rhizoma), Wujia pi (Acanthopanacis Cortex, sliced), Chishao (Paeoniae Radix Rubra), Guizhi (Cinnamomi Ramulus, coarse bark removed), Mahuang (Ephedrae Herba, roots and joints removed), Dilong (Pheretima, stir-fried), Muxiang (Aucklandiae Radix), Duhuo (Angelicae Pubescentis Radix, rhizome removed), Moyao (Myrrha, ground), Ruxiang (Olibanum, ground), Fangfeng (Saposhnikoviae Radix, forked branches removed), Gusuibu (Drynariae Rhizoma), Qilinjie (Santalum Rubrum), Chenxiang (Aquilariae Lignum Resinatum, sliced), Ganxie (Scorpio, stir-fried and cleaned of soil), Tiannanxing (Arisomatis Rhizoma, raw use, each 1 liang), Fuzi (Prepared Aconiti Lateralis Radix, cracked, skin and umbilicus removed), Wutou (Aconiti Radix, cracked, skin and umbilicus removed), Lianshi (Meliae Fructus), Xiong (Ligustici Chuanxiong Rhizoma) [each 2 liang];
Shexiang (Moschus, ground, half liang), Hunaogu (Cruris Tigridis Os, 4 liang, roasted with butter).
The above twenty-six ingredients: twenty-four are crushed and ground into powder. Add the previously prepared paste and knead/thousand-beat 3000 times. Form pills the size of Sophora seeds. Each dose is 10 to 15 pills, taken on an empty stomach with warm wine or salt water.
For treating tinnitus due to Kidney deficiency: Dihuang Wan (Rehmannia Pill) prescription.
Shudihuang (Prepared Rehmanniae Radix, dried, 3 fen), Huangqi (Astragali Radix, sliced and dried), Shanzhuyu (Corni Fructus), Sanggenbaitu (Mori Cortex, root bark, each 2 liang), Huanglian (Coptidis Rhizoma, whiskers removed), Lingyangjiaoxie (Saigae Tataricae Cornu), Guizhi (Cinnamomi Ramulus, coarse bark removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Daizhe (Haematitum, each 1 liang), Xiong (Ligustici Chuanxiong Rhizoma), Tianxiong (Aconiti Radix Preparata, cracked, skin and umbilicus removed, each 1.5 liang).
The above eleven ingredients are crushed, sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Each dose is 30 pills, taken on an empty stomach with warm wine.