三证皆生耳窍内，耳痔形如樱桃，亦有形如羊奶者；耳菌形如蘑菇，头大蒂小，耳梃
形如枣
皮破，偶一触犯，痛引脑巅。内俱用加味逍遥散，甚者，龙胆泻肝汤。外用鸡矢白炒研敷之
，或黄白散点之，渐渐消化。又方，以火酒滴入，仰之半时，即可钳出。
加味逍遥散（通用十六。）
龙胆泻肝汤（通用九。）
黄白散（见前鼻部鼻痔。）
生耳窍暗藏之处，色黑，形如椒目，疼如锥刺，引及腮脑，破流血水。急服夺命汤，外
用蟾酥、雄黄等分为末，水和浓，滴入耳内。
夺命汤（见发无定处疔疮。）
耳内不脓不肿，只作干痛，或作痒，或出水，或经年不愈，或交接便发，此皆肝肾二家
虚火为病，加减八味丸主之。
加减八味丸（通用四十六。）
耳鸣者，耳中有声，或若蝉鸣，或若钟鸣，或若火 然，或若流水声，或若簸米声，
或睡
外，止于窍中， 有声。格外入之者，为其内声所混，听之不清，服摄阴煎；脾胃弱者，
兼服补中益气汤。
一、有因怒而鸣者，乃三焦气逆，小柴胡汤加当归、川芎、山栀仁主之。
摄阴煎
活磁石（一两） 地黄 首乌 龟版 鳖甲（各五钱） 山茱萸肉 白芍 山药（各二钱）
五味子（一钱五分）
上水煎二次，去渣，食前温服。治元阴虚损、高年逆上之气，屡有奇效。如为丸，将方
内
补中益气汤（通用三十。）
小柴胡汤（通用十四。）
These three conditions all occur within the ear orifice. The *Erzhi* (Ear Polyp) resembles a cherry, and some resemble goat's milk; the *Erjun* (Ear Fungus) resembles a mushroom, with a large head and a small stalk; the *Erting* (Ear Growth) resembles the skin of a jujube that has broken open, and occasional contact causes pain radiating to the vertex of the head. Internally, *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder) is used for all cases; for severe cases, *Longdan Xiegan Tang* (Gentian Liver-Draining Decoction) is employed. Externally, *Jishi Bai* (White Part of Chicken Droppings) is stir-fried, ground into powder, and applied as a dressing, or *Huangbai San* (Yellow and White Powder) is dabbed on to gradually resolve the lesion. Another method involves dripping Huojiu (Fire Wine) into the ear; after lying supine for half an hour, it can be removed with forceps.
Those growing in the hidden recesses of the ear orifice are black in color and resemble peppercorn seeds. The pain is like needle insertion, radiating to the cheeks and brain, and upon rupture, blood and serum flow out. Urgently administer *Duoming Tang* (Life-Snatching Decoction). Externally, grind Chan Su (Toad Venom) and Xionghuang (Realgar) in equal parts into fine powder, mix with water to form a thick liquid, and drip into the ear.
When there is no pus or swelling in the ear, only dry pain, itching, discharge of fluid, chronic non-healing over years, or recurrence after sexual intercourse occurs, these are all caused by deficient fire in the Liver and Kidney. *Jiajian Bawei Wan* (Modified Eight-Ingredient Pill) is the primary treatment.
Tinnitus refers to sounds heard within the ear, which may resemble cicada chirping, bell ringing, burning, flowing water, or the sound of winnowing rice. Or, sounds are heard only within the orifice during sleep. If external sounds enter but are muddled by internal sounds, resulting in unclear hearing, *Sheyin Jian* (Yin-Nourishing Decoction) is administered; for those with weak Spleen and Stomach, *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) is taken concurrently.
1. Tinnitus caused by anger results from rebellious Qi in the Triple Burner, treated with *Xiao Chaihu Tang* (Minor Bupleurum Decoction) plus Dang Gui (Angelica Sinensis), Chuanxiong (Ligusticum), and Shanzhiren (Gardenia Seed).