论曰风聋者,本于足少阴经虚,风邪乘之,令气脉不通,风邪内鼓,则耳中引痛,牵及
头脑,甚者聋闭不通,故谓之风聋。
治风聋,飕飕如风雨钟磬声,或时出清水,或有脓汁,黄 汤方
黄 (锉一两半) 附子(炮裂去皮脐) 菖蒲(米泔浸一宿切各一两) 木通(锉二
两)
磁
茯
苓
上一十二味,粗捣筛,每服三钱匕,以水一盏半,入生姜三片,大枣一枚劈,同煎至七
分,去滓空心温服,日三。
治风聋菖蒲汤方
菖蒲(米泔浸一宿切四两) 木通(锉三两) 瞿麦(二两用穗) 白术(锉碎炒三两)
独
活(去芦头四两) 山芋(三两) 甘草(炙锉二两) 附子(炮裂去皮脐二两) 桂(去
粗皮三两)
杏仁(去皮尖双仁炒三两) 茯神(去木二两) 人参(三两) 前胡(去芦头三两) 石
膏(二
两) 磁石(火烧醋淬七遍二两)
上一十五味,锉如麻豆,每服三钱匕,以水一盏半,入竹叶七片,生姜一枣大切,葱白
一寸,同煎至七分,去滓温服。
治风聋,头目痛,天雄散方
天雄(炮裂去皮脐三两) 细辛(去苗叶三两) 山茱萸(五两) 干姜(炮二两) 山
芋(七
两)
上五味,捣为散,每服一钱匕,空心温酒调下,日二服。
治风聋,独活煮散方
独活(去芦头一两)
上一味,捣罗为散,每服二钱匕,以水酒各半盏,煎至七分,去滓空心服,以瘥为度,
时用水浸椒,煮令热,以布裹熨之。
治肾间风热,骨疼耳聋,及肾中实邪,苍耳酒方
苍耳(净拣) 防风(去叉) 恶实(炒各三两) 独活(去芦头) 木通(各二两) 生
地黄(
洗三两) 人参(一两) 薏苡仁(二两) 黄 (三两) 桂(去粗皮一两半) 白茯苓
(去黑皮二
两半)
上一十一味细锉,以酒一斗浸七日,空心饮之,初一盏日再,量性加至二三盏。
治风聋年久,鱼脑膏方
生鲤鱼脑(二两) 当归(切焙) 细辛(去苗叶) 白芷 附子(炮裂去皮脐) 菖
蒲(各半
两)
上六味,除鱼脑,捣罗为末,以鱼脑置银器中,入药在内,微火上煎候香滤去滓,倾入
瓷合中,候凝,如枣核大,绵裹塞耳中。
治风聋久不瘥者,塞耳,杏仁膏方
杏仁(去皮尖双仁别研) 蓖麻子(去皮各一两别研) 巴豆(去皮心别研一分) 食
盐(别
研二分) 附子(炮裂去皮脐一分) 桃仁(去皮尖双仁别研一两) 乳香(别研一分) 磁
石(火
烧醋淬一七遍一两) 木通(锉半两) 蜡(二两) 菖蒲(一两)
上一十一味,除别研外,捣罗为末,后入别研者相和,捣丸,拈如枣核大,绵裹塞耳中
,日四五易。
治风聋积久,及耳鸣,菖蒲散方
菖蒲(切) 附子(炮裂去皮脐各一分)
上二味,捣罗为散,每以一钱匕,绵裹塞两耳中。
治耳聋,牙关急,塞耳,附子方
附子(一枚生去皮)
上一味,以醋渍三两宿,令润透里,削一头尖,内耳中上灸二七壮,令气通耳中,即瘥
Discussion: Wind deafness (Fenglong) originates from deficiency of the Foot Shaoyin Meridian (Kidney Meridian), where wind pathogen takes advantage to invade, causing obstruction of Qi and blood vessels. The internal agitation of the wind pathogen causes pulling pain in the ears, radiating to the head; in severe cases, it leads to complete deafness and blockage, hence termed "Wind Deafness."
**Decoction for Wind Deafness with Tinnitus like Wind/Rain/Bells and Drumming, or Discharge of Clear Fluid/Pus:**
* Huangqi (Astragali Radix, chopped, 1.5 liang)
* Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed)
* Shichangpu (Acori Tatarinowii Rhizoma, soaked overnight in rice wash water, sliced, each 1 liang)
* Mutong (Caulis Akebiae, chopped, 2 liang)
The above twelve ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi (approx. 9-10g). Boil with 1.5 sheng (approx. 300ml) of water, adding 3 slices of Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger) and one split Dazao (Jujubae Fructus, Jujube). Simmer until reduced to 7/10 volume. Strain and take warm on an empty stomach, three times daily.
**Shichangpu Decoction for Wind Deafness:**
* Shichangpu (Acori Tatarinowii Rhizoma, soaked overnight in rice wash water, sliced, 4 liang)
* Mutong (Caulis Akebiae, chopped, 3 liang)
* Qumai (Herba Dianthi, 2 liang, using the spikes)
* Baizhu (Atractylodis Macrocephalae Rhizoma, chopped, crushed, stir-fried, 3 liang)
* Duhuo (Radix Angelicae Pubescentis, removing the radix head, 4 liang)
* Shanyu (Dioscoreae Rhizoma, Yam, 3 liang)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, chopped, 2 liang)
* Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed, 2 liang)
* Guizhi (Cinnamomi Ramulus, Cinnamon Twig, removing rough bark, 3 liang)
* Xingren (Pruni Semen, removing skin and tips, double-kernel ones stir-fried, 3 liang)
* Fushen (Poria cum Radice Pinus, removing woody part, 2 liang)
* Renshen (Ginseng Radix, 3 liang)
* Qianhu (Peucedani Radix, removing radix head, 3 liang)
* Shigao (Gypsum Fibrosum, 2 liang)
* Cishi (Magnetitum, calcined by fire and quenched in vinegar seven times, 2 liang)
The above fifteen ingredients are chopped like hemp seeds. Each dose consists of 3 qianbi. Boil with 1.5 sheng of water, adding 7 leaves of Zhuye (Bambusae Folium, Bamboo Leaf), one piece of Shengjiang (Fresh Ginger, large as a jujube, cut), and 1 cun (approx. 3cm) of Congbai (Allii Cepae Bulbus, White Part of Scallion). Simmer until reduced to 7/10 volume. Strain and take warm.
**Tianxiong Powder for Wind Deafness with Head and Eye Pain:**
* Tianxiong (Aconiti Kusnezoffii Radix, roasted until cracked, skin and umbilicus removed, 3 liang)
* Xixin (Asari Radix et Rhizoma, removing seedlings and leaves, 3 liang)
* Shanzhuyu (Corni Fructus, 5 liang)
* Jiangtang (Zingiberis Rhizoma, dried ginger, roasted, 2 liang)
* Shanyu (Dioscoreae Rhizoma, Yam, 7 liang)
The above five ingredients are pounded into a powder. Each dose is 1 qianbi. Take on an empty stomach mixed with warm wine, twice daily.
**Duhuo Boiled Powder for Wind Deafness:**
* Duhuo (Radix Angelicae Pubescentis, removing the radix head, 1 liang)
The above single ingredient is pounded and sieved into a powder. Each dose is 2 qianbi. Boil with half a sheng of water and half a sheng of wine until reduced to 7/10 volume. Strain and take on an empty stomach. Continue until cured. Meanwhile, soak pepper in warm water, boil until hot, wrap in cloth, and apply as a hot compress.
**Cang'er Wine for Wind-Heat between Kidneys Causing Bone Pain and Deafness, and Excess Pathogens in Kidney:**
* Cang'er (Xanthii Fructus, cleaned and selected)
* Fangfeng (Saposhnikoviae Radix, removing forked roots)
* Eshi (Arctii Fructus, Burdock Fruit, stir-fried, each 3 liang)
* Duhuo (Radix Angelicae Pubescentis, removing radix head)
* Mutong (Caulis Akebiae, each 2 liang)
* Shengdihuang (Rehmanniae Radix, fresh, washed, 3 liang)
* Renshen (Ginseng Radix, 1 liang)
* Yiyiren (Coicis Semen, Job's Tears, 2 liang)
* Huangqi (Astragali Radix, 3 liang)
* Guizhi (Cinnamomi Ramulus, Cinnamon Twig, removing rough bark, 1.5 liang)
* Bai Fuling (Poria, removing black skin, 2.5 liang)
The above eleven ingredients are finely chopped and soaked in one dou (approx. 10 liters) of wine for seven days. Drink on an empty stomach. Start with one sheng, twice daily. Increase to 2-3 sheng based on tolerance.
**Fish Brain Ointment for Long-standing Wind Deafness:**
* Sheng Liyu Nao (Cyprini Carassii Capitis Cerebrum, Fresh Carp Brain, 2 liang)
* Danggui (Angelicae Sinensis Radix, sliced and baked)
* Xixin (Asari Radix et Rhizoma, removing seedlings and leaves)
* Baizhi (Angelicae Dahuricae Radix)
* Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed)
* Shichangpu (Acori Tatarinowii Rhizoma, each 0.5 liang)
Exclude the fish brain. Pound and sieve the other herbs into powder. Place the fish brain in a silver vessel, add the herb powder, and simmer over low heat until fragrant. Filter out the dregs, pour into a porcelain container, and let solidify. Form into pills the size of a jujube kernel. Wrap in cotton and insert into the ear.
**Almond Ointment for Insertion into Ear for Chronic Wind Deafness Not Healing:**
* Xingren (Pruni Semen, removing skin and tips, double-kernel ones separately ground)
* Bimazi (Ricini Semen, Castor Seed, removing skin, each 1 liang, separately ground)
* Badou (Crotonis Fructus, Croton Seed, removing skin and heart, separately ground, 1 fen)
* Shiyan (Sal, Salt, separately ground, 2 fen)
* Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed, 1 fen)
* Taoren (Persicae Semen, Peach Kernel, removing skin and tips, double-kernel ones separately ground, 1 liang)
* Ruxiang (Olibanum, Frankincense, separately ground, 1 fen)
* Cishi (Magnetitum, calcined by fire and quenched in vinegar seventeen times, 1 liang)
* Mutong (Caulis Akebiae, chopped, 0.5 liang)
* La (Beeswax, 2 liang)
* Shichangpu (Acori Tatarinowii Rhizoma, 1 liang)
Except for those requiring separate grinding, pound and sieve the remaining ingredients into powder. Mix with the separately ground ingredients, knead into pills, shape like a jujube kernel, wrap in cotton, and insert into the ear. Change 4-5 times daily.
**Shichangpu Powder for Long-standing Wind Deafness and Tinnitus:**
* Shichangpu (Acori Tatarinowii Rhizoma, sliced)
* Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and umbilicus removed, each 1 fen)
Pound and sieve the above two ingredients into powder. Take 1 qianbi per application, wrap in cotton, and insert into both ears.
**Fuzi for Insertion into Ear for Deafness and Jaw Stiffness:**
* Fuzi (Aconiti Lateralis Radix, raw, unprepared, one piece, skin removed)
Soak the single ingredient in vinegar for three nights until thoroughly moistened inside. Sharpen one end to a point. Insert into the ear. Apply moxibustion (Ai Moxa) for fourteen moxa cones (zhuang) on top to promote Qi flow into the ear, which will cure the condition.