夫肾气通于耳。足少阴肾之经。宗脉之所聚。劳动经血。而血气不足。宗脉则虚。风邪
乘虚
随脉入耳。与气相击。故为耳鸣。诊其右手脉寸口。名曰气口以前。脉浮则为阳。手阳
明大肠脉也。沉则为阴。手太阴肺脉也。阴阳俱虚者。此为血气虚损。宗脉不足。病苦耳鸣
嘈
膀
实则克消津液。故膀胱虚也。耳鸣不止。则变成聋也。
治耳中蝉鸣。干地黄散方。
熟干地黄（一两） 防风（一两去芦头） 桑耳（三分微炒） 枳壳（三分麸炒微黄去
瓤） 杏
仁（
槟榔
（三
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。食前温
服。
治耳虚聋及鸣。菖蒲酒方。
菖蒲（三分） 木通（三分锉） 磁石（二两捣碎水淘去赤汁） 防风（三分去芦头） 桂
心
（三分）
上件药。细锉。以酒一斗。用绵裹。浸七日后。每日空心暖饮一盏。晚再饮之。
治耳鸣。或因水入耳。葱涕丸方。
葱涕（半合） 木通（半两锉） 细辛（半细） 桂心（半两） 菖蒲（三分） 附子
（半两去皮
脐生
上件药。捣罗为末。以鹅脂并葱涕和丸。如枣核大。绵裹一丸纳耳中。日三度。旋用之。
治耳鸣塞耳方。
吴茱萸（一分） 巴豆（一分去皮脐） 干姜（一分炮裂锉） 菖蒲（一分） 细辛（一
分）
上件药。捣罗为末。以鹅脂和绵裹。塞于耳中。
治耳鸣兼聋。宜用此方。
当归（半两） 细辛 芎 防风（去芦头） 附子（生用） 白芷（以上各半两）
上件药。捣罗为末。以雄鲤鱼脑一斤。合煎。三上三下。膏香。去滓。以绵裹枣核大。
塞耳
又方。
雄鲤鱼脑（八两） 防风（去芦头） 菖蒲 细辛 附子（生用） 芎 （以上各半两）
上件药。捣罗为末。用鱼脑煎令稠。每取枣核大。绵裹纳耳中。
治耳中常有声哄哄者。塞耳葶苈丸方。
甜葶苈（一两长流水洗净微火熬捣为末） 山杏仁（半两汤浸去皮） 盐花（二钱）
上件药。同研了。更入腊月猪脂一钱。和研如泥。硬软得所。丸如枣核大。绵裹一丸。
纳耳
切毒
治耳鸣无昼夜方。
菖蒲（一分） 川乌头（一分去皮脐生用）
上件药。捣罗为末。用绵裹半钱。塞耳中。日再易之。
又方。
上以生肥地黄。截作段子。湿纸裹。微煨。纳耳中。
又方。
上以生乌头。削如枣核大。纳耳中。日一易之。
The Kidney Qi connects with the ears. The Foot-Shaoyin Kidney Meridian is the gathering point of many vessels. Labor and fatigue deplete the meridian blood and qi, leading to insufficiency of blood and qi, which causes the vessels to become empty. Pathogenic wind takes advantage of this deficiency, enters the ear along the vessels, and clashes with the body's righteous qi, thus causing tinnitus (ringing in the ears). Upon diagnosing the Cun Kou pulse (Radial artery at the wrist) on the right hand: a floating pulse indicates Yang, corresponding to the Hand-Yangming Large Intestine Meridian; a deep pulse indicates Yin, corresponding to the Hand-Taiyin Lung Meridian. If both Yin and Yang pulses are deficient, this signifies damage to blood and qi and insufficiency of the vessels. The patient suffers from noisy tinnitus. If pathogenic excess consumes body fluids, it leads to deficiency of the Bladder. Persistent tinnitus may eventually develop into deafness.
To treat tinnitus sounding like cicadas, use Gan Di Huang San (Rehmannia Root Powder):
Shu Di Huang (Prepared Rehmanniae Radix, 1 liang), Fang Feng (Saposhnikoviae Radix, 1 liang, remove rhizome head), Sang Er (Auricula Auricularia, 3 fen, lightly stir-fried), Zhi Qiao (Aurantii Fructus, 3 fen, bran-fried until slightly yellow, remove pith), Xing Ren (Prunus Armeniacae Semen, processed to remove skin and bitter kernels), Bing Lang (Arecae Semen, each 3 fen).
Crush the above ingredients and sieve them coarsely to make a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.5 zhong. Strain and take warm before meals.
To treat deafness due to deficiency and tinnitus, use Chang Pu Jiu (Acorus Wine):
Chang Pu (Acori Tatarinowii Rhizoma, 3 fen), Mu Tong (Akebiae Caulis, 3 fen, sliced), Ci Shi (Magnetitum, 2 liang, crushed and washed with water to remove red juice), Fang Feng (Saposhnikoviae Radix, 3 fen, remove rhizome head), Gui Xin (Cinnamomi Ramulus Cortex, 3 fen).
Finely slice the above ingredients, wrap in cotton cloth, and soak in 1 dou of wine for seven days. Drink one zhan warm on an empty stomach daily, and another zhan in the evening.
To treat tinnitus, or tinnitus caused by water entering the ear, use Cong Ti Wan (Scallion Juice Pills):
Cong Ti (Scallion Juice, 0.5 he), Mu Tong (Akebiae Caulis, 0.5 liang, sliced), Xi Xin (Asari Radix et Rhizoma, 0.5 liang), Gui Xin (Cinnamomi Ramulus Cortex, 0.5 liang), Chang Pu (Acori Tatarinowii Rhizoma, 3 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, 0.5 liang, peel and remove umbilical scar, raw).
Pulverize the above ingredients. Mix with goose fat and scallion juice to form pills the size of jujube pits. Wrap one pill in cotton cloth and insert into the ear. Apply three times daily as needed.
For tinnitus, use this Ear-Plugging Formula:
Wu Zhu Yu (Evodiae Fructus, 1 fen), Ba Dou (Crotonis Fructus, 1 fen, peel and remove umbilical scar), Gan Jiang (Zingiberis Rhizoma, 1 fen, roasted and sliced), Chang Pu (Acori Tatarinowii Rhizoma, 1 fen), Xi Xin (Asari Radix et Rhizoma, 1 fen).
Pulverize the above ingredients. Mix with goose fat, wrap in cotton cloth, and plug into the ear.
For tinnitus accompanied by deafness, use this formula:
Dang Gui (Angelicae Sinensis Radix, 0.5 liang), Xi Xin (Asari Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix, remove rhizome head), Fu Zi (Aconiti Lateralis Radix Praeparata, raw), Bai Zhi (Angelicae Dahuricae Radix; all above 0.5 liang).
Pulverize the above ingredients. Combine with 1 jin of male carp brain and decoct. Stir up and down three times until fragrant and pasty. Strain. Wrap in cotton cloth the size of a jujube pit and insert into the ear.
Another prescription:
Male Carp Brain (8 liang), Fang Feng (Saposhnikoviae Radix, remove rhizome head), Chang Pu (Acori Tatarinowii Rhizoma), Xi Xin (Asari Radix et Rhizoma), Fu Zi (Aconiti Lateralis Radix Praeparata, raw), Xiong (Ligustici Chuanxiong Rhizoma; all above 0.5 liang).
Pulverize the above ingredients. Decoct with fish brain until thick. Take an amount the size of a jujube pit, wrap in cotton cloth, and insert into the ear.
For constant buzzing sound in the ears, use Ting Li Wan (Descurainiae Semen Plug Pill):
Tian Ting Li (Descurainiae Semen, 1 liang, washed with running water, dried over low heat and pulverized), Shan Xing Ren (Prunus Armeniacae Semen, 0.5 liang, soaked in hot water and peeled), Yan Hua (Halitum, 2 qian).
Grind these ingredients together. Add 1 qian of lard rendered in the twelfth lunar month. Grind until smooth and paste-like, adjusting consistency appropriately. Form pills the size of jujube pits. Wrap one pill in cotton cloth and insert into the ear.
For tinnitus occurring day and night:
Chang Pu (Acori Tatarinowii Rhizoma, 1 fen), Chuan Wu Tou (Aconiti Kusnezoffii Radix, 1 fen, peel and remove umbilical scar, raw).
Pulverize the above ingredients. Wrap 0.5 qian in cotton cloth and plug into the ear. Change twice daily.
Another prescription:
Take fresh, fatty Rehmannia root, cut into segments, wrap in wet paper, and gently roast. Insert into the ear.
Another prescription:
Take raw Aconite, carve into the shape of a jujube pit, and insert into the ear. Change once daily.