夫小儿耳聋者。是风入头脑所为。手太阳之经。入于耳内。头脑有风。风邪随气入乘其
脉。
治小儿耳聋。或因脑热。或因水入。或因吹着。并宜用此细辛膏方。
细辛 防风（去芦头） 川大黄（锉微炒） 黄芩（以上各一分） 川椒（半两去目） 蜡
（半
两）
上件药。细锉。用清麻油三合。煎药紫色。滤过。下蜡。候消为膏。每日三度。用一大
豆。
治小儿风热。两耳聋鸣方。
远志（去心） 菖蒲 柴胡（去苗） 甘草（炙微赤锉以上各一分） 磁石〔三两（分）
捣碎水
淘去
上件药。捣细罗为散。每服。以葱白汤调下半钱。日三服。量儿大小。以意加减。
治小儿耳聋不瘥方。
生地黄（一寸半） 杏仁（七枚汤浸去皮） 巴豆〔七枚去皮即成盐半两（钱）〕
上件药。捣碎同研。堪丸即丸。如蕤核大。用发薄裹。纳耳中。日一易之。若耳内痛。
有水
又方。
杏仁（汤浸去皮） 甜葶苈 盐（各等分）
上件药。捣研如膏。以少许猪脂。和合。煎令稠。以绵裹。如蕤核大。塞耳中。日一易
之。
又方。
松脂 菖蒲末 乌油麻（各半两）
上件药。相和。捣熟绵裹。如一豇豆大。塞于耳中。日一易之。
又方。
菖蒲末（一分） 杏仁（半两汤浸去皮尖双仁研如泥）
上相和。研令乳入。每用少许。绵裹内于耳中。日一易之。
又方。
上取葱白。于 灰中煨令熟。以葱白头内耳中。日三易之。
又方。
篦麻子（十枚去皮） 枣肉（七枚）
上件药。同捣如膏。每取蕤核大。绵裹内于耳中。日一易之。
又方。
上捣芥子令烂。以人乳和。绵裹少许。塞耳中。日一易之。
治小儿耳聋立效方。
上取自死白头地龙。内葱菜中。面裹蒸令熟。以汁沥着耳中。不过三度瘥。
Deafness in children is caused by wind pathogens invading the head and brain. The Hand-Taiyang meridian enters the interior of the ear. When wind affects the head, wind pathogens follow the Qi mechanism to invade its meridians.
To treat deafness in children, whether caused by heat in the brain, water entering the ear, or exposure to wind, this Xixin Gao (Asarum Ointment) formula is suitable.
Herbs: Asari Radix et Rhizoma (Xixin), Saposhnikoviae Radix (Fangfeng, 防风) [remove rhizome head], Rheum Palmatum Radix et Rhizoma (Chuan Dahuang, 川大黄) [minced and lightly stir-fried], Scutellariae Radix (Huangqin, 黄芩) [above three each 1 fen], Zanthoxyli Fructus (Chuan Jiao, 川椒) [0.5 liang, remove seeds], Beeswax (La, 蜡) [0.5 liang].
Preparation: Finely chop the above herbs. Use 3 he of clear sesame oil to decoct until the medicine turns purple. Filter and remove dregs. Add beeswax and melt to form an ointment. Apply three times daily, using a quantity equivalent to one soybean.
Formula for treating tinnitus and deafness in both ears due to wind-heat in children:
Herbs: Polygalae Radix (Yuanzhi, 远志) [remove heart], Acori Tatarinowii Rhizoma (Changpu, 菖蒲), Bupleuri Radix (Chaihu, 柴胡) [remove sprouts], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [stir-fried until slightly red and minced, above three each 1 fen], Magnetitum (Cishi, 磁石) [3 liang, crushed and washed with water to remove impurities].
Preparation: Crush the above herbs finely and pass through a fine sieve to make a powder. For each dose, mix half qian with scallion white decoction and administer orally. Take three times daily. Adjust dosage according to the child's age and condition.
Formula for treating persistent deafness in children that has not healed:
Herbs: Rehmanniae Radix Recens (Sheng Dihuang, 生地黄) [1.5 cun], Armeniacae Semen Amarum (Xingren, 杏仁) [7 kernels, soaked in hot water and peeled], Crotonis Fructus (Badou, 巴豆) [7 kernels, peeled and processed into salt 0.5 liang/qian].
Preparation: Crush and grind the above herbs together. Form into pills if possible, sized like a Prunus kernel. Wrap in thin hair and insert into the ear. Change once daily. If there is pain or discharge of fluid from the ear, manage separately.
Another formula:
Herbs: Armeniacae Semen Amarum (Xingren, 杏仁) [soaked in hot water and peeled], Descurainiae Semen seu Lepidii Semen (Tinglili, 甜葶苈), Sodium Chloride (Yan, 盐) [equal parts].
Preparation: Grind the above herbs into a paste. Mix with a small amount of lard and simmer until thick. Wrap in cotton cloth, size like a Prunus kernel, and insert into the ear. Change once daily.
Another formula:
Herbs: Rosin (Songzhi, 松脂), Powdered Acori Tatarinowii Rhizoma (Changpu Mo, 菖蒲末), Sesamum Indicum Oleiferrum Nigrum (Wuyouma, 乌油麻) [each 0.5 liang].
Preparation: Mix and pound thoroughly. Wrap in cotton cloth, size like a cowpea, and insert into the ear. Change once daily.
Another formula:
Herbs: Powdered Acori Tatarinowii Rhizoma (Changpu Mo, 菖蒲末) [1 fen], Armeniacae Semen Amarum (Xingren, 杏仁) [0.5 liang, soaked in hot water, peeled, removed of tips and twin kernels, ground into mud].
Preparation: Mix and grind until they fuse into a milky consistency. Take a small amount, wrap in cotton cloth, and insert into the ear. Change once daily.
Another formula:
Take scallion whites, roast them in ashes until cooked. Insert the tip of the scallion into the ear. Change three times daily.
Another formula:
Herbs: Ricini Semen (Bimazi, 篦麻子) [10 kernels, peeled], Date Flesh (Zaorou, 枣肉) [from 7 dates].
Preparation: Pound together into a paste. Take a quantity the size of a Prunus kernel, wrap in cotton cloth, and insert into the ear. Change once daily.
Another formula:
Pound Mustard Seed (Jiezi, 芥子) until broken down. Mix with human milk. Wrap a small amount in cotton cloth and insert into the ear. Change once daily.
Formula for immediate effect in treating deafness in children:
Take naturally deceased white earthworms (Dilong, 地龙). Place them among scallions and vegetables, wrap in dough, and steam until cooked. Extract the juice and drip it into the ear. It will heal within no more than three applications.