夫耳者。肾之候也。若肾气实则生热。热则上焦壅滞。经络痞塞。不得宣通。邪热之气。
入
治肾气实。上焦风热壅滞。耳暴聋。头重。羚羊角散方。
羚羊角屑（一两） 白术（三分） 防风（三分去芦头） 黄 （三分锉） 玄参（三
分） 泽泻
（三
上件药。捣筛为散。每服四钱。以水一中盏。入生地黄一两。竹叶二七片。同煎至六分。
去
治风毒壅热。胸心痰滞。两耳虚鸣。头重目眩。宜服犀角散方。
犀角屑（半两） 甘菊花（半两） 前胡（半两去芦头） 枳壳（半两麸炒微黄去瓤） 菖
蒲
（半两）
黄（半两）
甘草（
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。食后服。
治上焦风热。耳忽聋鸣。四肢满急。昏闷不利。宜服茯神散方。
茯神（一两） 羌活（半两） 蔓荆子（半两） 薏苡仁（半两） 黄 （半两锉） 防
风（半两
去芦
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。食后温
服。
治耳聋。不闻言语。利肾气。退热。羚羊角散方。
羚羊角屑（一两） 沙参（三分） 防风（三分去芦头） 木通（三分锉） 旋复花（半
两） 泽
泻（
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至五分。去滓。食后温
服。
治风热。毒瓦斯攻耳。暴聋。由肾气实热所致。宜服大黄丸方。
川大黄（半两炙碎微炒） 栀子仁（半两） 黄 （半两锉） 川升麻（半两） 川朴
硝（半两）
黄
飞过）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食后。以温水下三十丸。以利为度。
治暴热耳聋。心膈壅闷。宜服此方。
磁石（一两捣碎水淘去赤汁） 木通（一两锉） 防风（一两去芦头） 枳壳（三分麸
炒微黄
去瓤）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。空腹服。
又方。
栝蒌根（削令可入耳）
右以腊月猪脂。煎三五沸。取出。候冷。用塞耳中。日三易之。
The ear is the external manifestation of the Kidney. If Kidney Qi is excessive and generates internal heat, this heat causes stagnation in the Upper Jiao (Upper Burner), blocking the meridians and collaterals, preventing their free flow, allowing pathogenic heat to invade the ear orifice.
For sudden deafness and heavy head caused by excess Kidney Qi and stagnation of wind-heat in the Upper Jiao, use Lingyangjiao San (Antelope Horn Powder).
Lingyangjiao (Antelope Horn) (1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma) (3 fen) Fangfeng (Saposhnikoviae Radix) (3 fen, remove radicle) Huangqin (Scutellariae Radix) (3 fen, sliced) Xuanshen (Scrophulariae Radix) (3 fen) Zexie (Alismatis Rhizoma) (3 fen)
Crush and sieve the above herbs into a powder. Take 4 qian per dose. Add 1 zhong of water, 1 liang of Shengdihuang (Rehmanniae Radix), and 14 leaves of Zhuye (Bambusae Folium). Decoct together until reduced to 6 fen. Strain and discard the dregs.
For empty ringing in both ears, heavy head, and vertigo caused by wind-toxin stagnation transforming into heat and phlegm obstruction in the chest and heart, it is suitable to take Xijiao San (Rhinoceros Horn Powder).
Xijiao (Rhinocerotis Cornu) (0.5 liang) Ganjuhua (Chrysanthemi Flos) (0.5 liang) Qianhu (Peucedani Radix) (0.5 liang, remove radicle) Zhike (Aurantii Fructus) (0.5 liang, stir-baked with bran until slightly yellow, remove pith) Changpu (Acori Tatarinowii Rhizoma) (0.5 liang) Huangqin (Scutellariae Radix) (0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang)
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong of water. Decoct until reduced to 5 fen. Strain and take after meals.
For sudden deafness and tinnitus caused by wind-heat in the Upper Jiao, accompanied by fullness and tightness in the four limbs, and dizziness with discomfort, it is suitable to take Fushen San (Poria with Wood Powder).
Fushen (Poria with Pinus Root) (1 liang) Qianghuo (Notopterygii Rhizoma et Radix) (0.5 liang) Manjingzi (Vittaginis Fructus) (0.5 liang) Yiyiren (Coicis Semen) (0.5 liang) Huangqin (Scutellariae Radix) (0.5 liang, sliced) Fangfeng (Saposhnikoviae Radix) (0.5 liang, remove radicle)
Coarsely sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct until reduced to 5 fen. Strain and take warm after meals.
For deafness where one cannot hear speech, benefiting Kidney Qi and reducing heat, use Lingyangjiao San (Antelope Horn Powder).
Lingyangjiao (Antelope Horn) (1 liang) Shashen (Glehniae Radix) (3 fen) Fangfeng (Saposhnikoviae Radix) (3 fen, remove radicle) Mutong (Akebiae Caulis) (3 fen, sliced) Xuanfuhua (Inulae Flos) (0.5 liang) Zexie (Alismatis Rhizoma) (3 fen)
Coarsely sieve the above herbs into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 ban of Shengjiang (Zingiberis Rhizoma Recens). Decoct until reduced to 5 fen. Strain and take warm after meals.
For wind-heat, where toxic vapors attack the ear causing sudden deafness due to excess heat of Kidney Qi, it is suitable to take Dahuang Wan (Rhubarb Pill).
Chuan Dahuang (Rhei Radix et Rhizoma) (0.5 liang, stir-fried with honey until crushed and slightly fried) Zhizi Ren (Gardeniae Fructus) (0.5 liang) Huangqin (Scutellariae Radix) (0.5 liang, sliced) Chuan Shengma (Cimicifugae Rhizoma) (0.5 liang) Chuan Puxiao (Natrii Sulfas) (0.5 liang) Huangbai (Phellodendri Cortex) (0.5 liang, sublimated)
Grind the above herbs into fine powder. Mix with refined honey to form pills the size of Sophora seeds. After meals, swallow 30 pills with warm water. Use bowel evacuation as the endpoint.
For sudden deafness due to intense heat, with oppression and stuffiness in the heart and diaphragm, use this formula.
Cishi (Magnetitum) (1 liang, crushed, washed with water to remove red juice) Mutong (Akebiae Caulis) (1 liang, sliced) Fangfeng (Saposhnikoviae Radix) (1 liang, remove radicle) Zhike (Aurantii Fructus) (3 fen, stir-baked with bran until slightly yellow, remove pith)
Crush and sieve the above herbs into a powder. Take 5 qian per dose. Add 1 da zhong of water. Decoct until reduced to 5 fen. Strain and take on an empty stomach.
Another prescription.
Gualougen (Trichosanthis Radix) (sharpened to fit into the ear)
Take lard from the twelfth lunar month, boil for three to five boils, remove from heat, and let cool. Insert into the ear. Change three times daily.