上以火照之,即向明出。
上以刀两口,于耳上相击作声,虫即走出。
上即闭气,气满即吐,复闭,取令出,或死耳中,徐徐以物钩出之。若积久不出者,取
新熟鸡肉安耳窍上,虫即出。
治百虫入耳不出。
白矾 雄黄(各半两)
上为细末,用香油调成膏,每用皂角子大塞耳,虫即出。
上用桃叶为枕,虫自鼻出,形如鹰嘴,人莫知其名。有人蚰蜒入耳,遇其极时,以头撞
柱,至血流不知,其痒不可忍。蚰蜒入耳,往往食髓至尽,又能孳生。凡虫麻油灌妙。
上以川椒为末一钱,醋半盏浸一宿,良久,方滴入耳中,其虫自出。
上以莴苣汁滴耳中,虫出,或以切熟猪心置耳中,留虫出路,虫自出。
治两耳虚聋。
白茯苓(二两) 山药(三两,炒) 杏仁(去皮尖,炒,一两半)
上为细末,以黄蜡二两熔和丸,如弹子大,每服一丸,食后细嚼,盐汤送下。
治耳聋。
石菖蒲(一寸) 巴豆(一粒,去壳) 全蝎(一个,去毒)
上为细末,葱涎和丸,枣核大,绵裹塞耳内。
鼻者,肺之通窍,主清气出入之道路。若气血和平,阴阳升降,则呼吸通和,荣卫行焉
,鼻和则知香臭矣。或六淫七情,内外伤感,又因饮食劳倦,因时鼻气不得宣通,清道壅塞
,其为病也。若积热客于阳明,遂以迫血妄行,自鼻孔中出,谓之衄。热则津液中干,冷则
脑髓流注,或风冷随气,入于经上,贯于脑下,注于鼻则涕下不能自收,谓之流涕。或冷滞
气塞,鼻则不闻香臭,于是为鼻 。血脉聚,日久缠绵,转加壅结,变生息肉。或气壅滞于
上为邪热,留伏不散,则为鼻疮,久则变为疳 ,腐溃汁臭,鼻之为病不过风热而流。河间
云∶鼻窒塞也,火主腹 肿胀,故热客阳明,而鼻中 胀,则鼻窒塞也。或谓寒主闭藏,妄
以鼻窒为寒者误也。盖阳气甚于上而侧卧,则上窍通利,而下窍闭塞者,谓阳明之脉,左右
相交,而左脉注于右窍,右脉注于左窍,故风热郁结,病偏于左,则上窍反塞之类也。所谓
鼽者,鼻出清涕也。夫五行之理微,则当其本化,甚则兼其鬼贼,故经曰∶亢则害,承乃制
也。《易》曰∶燥万物者,莫 乎火。以火炼金,热极而反化为水。反其热极,则反汗出也
。由是肝热甚则出泣,心热甚则出汗,脾热甚则出涎,肺热甚则出涕,肾热甚则出唾。经曰
∶鼻热甚出浊涕。又云∶胆移热于脑则辛 。鼻渊者,浊涕渗不止也。凡痰涎涕唾稠浊者,
火热极甚、销铄致之然也。或言鼽为肺寒者误也,但见鼽涕鼻窒,胃寒则甚,遂以为然,岂
知寒伤皮毛,则腠理闭密,热气怫郁,而痛愈甚也。及夫嚏者,鼻中因痒而气喷作于声也。
鼻为肺窍,痒为火化,心火邪热,干于阳明,发于鼻而痒,则嚏也。或故以物扰之,痒而嚏
者,扰痒属血,故或视目而嚏者,由目为五脏精华,太阳真火,晃耀于目,则心神躁乱,而
发热于上,则鼻中痒而嚏也。或伤寒病衰而或嚏者,由火热已退,而虚热为痒,痒发鼻则嚏
也。或风热上攻,头鼻壅滞,脉浮而无他证者,内药鼻中得嚏,则壅滞开通而愈也。或有痛
处,因嚏而痛,其不可忍者,因嚏之气攻冲结痛,而不得通利故也。三者之证,同为热也,
故为病不同,邪热所乘之经有异故也。鼻窒与嚏痒者,热客阳明,胃之经也;鼽涕者,热客
太阴,肺之经也。盖鼻者足阳明胃经所主,阳明之脉,左右相交,注于鼻孔。又鼻者肺之窍
,故肺气通于鼻,其邪热干于二经,发于鼻而为窒塞鼽涕之证,故经曰∶心肺有病,而鼻为
之不利也。治法观邪所中之何经,所治则不失矣。或因外冒风寒而痛转甚,遂作寒治,而用
温热之剂表散,获者偶尔所中,岂知寒覆于热,热郁气浊,清道不利,故有是证。可以辛甘
发散,腠理开通,结滞得散,阳热外泄,微者则已,甚者郁结不开,其病转加者,虽用退热
疏风辛凉之剂解之时,使结散热退,暂愈而已,全在乎验其内外结热之微甚,宜以辛温辛凉
之药可也。凡此诸证,全在医之识病,治之了然,无不瘥矣。
Illuminating the ear canal with fire, the insects will crawl towards the light.
Striking two knife edges together above the ear to make a sound, the insects will crawl out.
Immediately hold your breath; when the breath is full, exhale, then hold it again to force the insect out; or if the insect dies in the ear, slowly hook it out with an instrument. If it has been lodged for a long time without coming out, place fresh cooked chicken meat on the ear opening, and the insect will come out.
Pouring sesame oil mixed with rice straw ash juice into the ear, the insect will come out.
To treat various insects entering the ear that cannot exit:
Bai Fan (Alumen), Xiong Huang (Realgar) (each half liang).
Grind the above herbs into fine powder, mix with sesame oil to form a paste. Each time, take an amount the size of a soap nut seed and insert it into the ear; the insect will come out.
Using peach leaves as a pillow, the insect will exit through the nose, shaped like an eagle's beak, whose name people do not know. When someone encounters a house centipede entering the ear, during extreme itching, they may hit their head against a pillar until blood flows without realizing it, as the itch is unbearable. A house centipede entering the ear often consumes the brain marrow completely and can reproduce. For all such insects, pouring hemp oil into the ear resolves the issue.
Mixing chicken heart blood with raw oil and dripping it into the ear, the insect will come out.
Taking one qian of Chuan Jiao (Sichuan Pepper) powder, soaked in half a zhan of vinegar overnight, after some time, drip it into the ear, and the insect will naturally exit.
Dropping lettuce juice into the ear causes the insect to exit; or placing cut cooked pig heart in the ear, leaving an exit path for the insect, so it comes out naturally.
Grinding Chang Pu (Acorus tatarinowii) into powder, stir-frying it, and wrapping it in cotton while hot to apply to the side of the ear.
To treat bilateral deficiency-type deafness:
Bai Fu Ling (Poria cocos), Shan Yao (Dioscorea opposita) (three liang, stir-fried), Xing Ren (Prunus armeniaca) (deprived of skin and tips, stir-fried, one and a half liang).
Grind the above herbs into fine powder, melt two liang of yellow beeswax and mix to form pills the size of a bullet. Take one pill per dose, chew thoroughly after meals, and swallow with salt water.
To treat deafness:
Shi Chang Pu (Rhizoma Acori Tatarinowii) (one cun), Ba Dou (Seminar Crotonis Tiglii) (one grain, shell removed), Quan Xie (Scorpio) (one piece, toxicity removed).
Grind the above herbs into fine powder, mix with scallion juice to form pills the size of a jujube pit, wrap in cotton, and insert into the ear.
The nose is the open passage of the Lung, governing the pathway for the entry and exit of clear Qi. If Qi and Blood are harmonious, and Yin and Yang ascend and descend normally, respiration will be smooth and harmonious, Ying and Wei Qi will circulate, and the nose will be sensitive enough to distinguish odors. However, if affected by the Six Evils or Seven Emotions, both internally and externally, compounded by dietary irregularities and overwork, causing nasal Qi to fail to diffuse and unblock, leading to obstruction of the clear pathways, disease arises. If accumulated heat lodges in the Yangming channel, forcing blood to flow recklessly, bleeding from the nostrils occurs, termed "Nu" (epistaxis). Heat dries up body fluids, while cold causes brain marrow to flow down; or wind-cold follows Qi entering the meridians upwards, penetrating below the brain, and injecting into the nose, causing rhinorrhea that cannot be controlled, termed "Liu Ti" (runny nose). Or due to cold stagnation and Qi blockage, the nose loses the sense of smell, forming "Bi Zhi" (nasal congestion). Blood vessels gather, lingering for days, becoming more obstructed, transforming into polyps. Or Qi stagnates upwards transforming into evil heat, remaining latent and undissipated, forming "Bi Chuang" (nasal sores); over time, it becomes "Gan" (ulceration), rotting and discharging foul-smelling fluid. Nasal diseases are merely due to wind-heat flow. He Jian stated: Bi Zhi is nasal obstruction. Fire governs abdominal swelling; thus, when heat lodges in Yangming, swelling in the nose causes Bi Zhi. Some mistakenly attribute Bi Zhi to cold because cold governs closure and storage. This is incorrect. When Yang Qi is excessive in the upper part and one lies on one side, the upper orifice opens while the lower closes because the Yangming meridians cross left and right; the left meridian injects into the right orifice, and the right into the left. Thus, if wind-heat stagnates, favoring the left side, the upper orifice may become blocked. "Qiu" refers to clear discharge from the nose. The principles of the Five Elements are subtle; when mild, they follow their original transformation; when severe, they involve their destructive elements. Hence, the classics say: "Excess brings harm, control follows." The I Ching says: "Nothing dries the ten thousand things more than fire." Using fire to smelt metal, extreme heat transforms it back into water. Extreme heat leads to sweating. Therefore, excessive Liver heat causes tearing, Heart heat causes sweating, Spleen heat causes salivation, Lung heat causes rhinorrhea, and Kidney heat causes spitting. The classics state: "Excessive nasal heat produces turbid discharge." It also says: "When Gallbladder heat transfers to the brain, the nose feels pungent." "Bi Yuan" (nasal sinusitis) is characterized by continuous leakage of turbid discharge. All thick and turbid phlegm, saliva, and discharge are caused by extreme heat consuming and melting them. Saying Qiu is due to Lung cold is wrong; merely seeing rhinorrhea and nasal congestion, and noting that Stomach cold worsens it, leads to this misconception. One fails to realize that cold injuring the skin and hair closes the interstices, trapping heat, making pain worse. As for sneezing ("Ti"), it is air spraying from the nose due to itching. The nose is the orifice of the Lung; itching is a manifestation of Fire. Heart fire and evil heat invade the Yangming, manifesting as nasal itching, causing sneezing. Or, deliberately disturbing the nose causes itching and sneezing; disturbance-related itching belongs to Blood. Sneezing upon looking at bright eyes occurs because the eyes contain the essence of the five Zang organs and the true Fire of the Taiyang; brightness agitates the Heart Spirit, generating heat upwards, causing nasal itching and sneezing. Sneezing during the decline of a Shanghan (cold damage) disease occurs because the fierce heat has receded, leaving deficient heat that causes itching; nasal itching triggers sneezing. If wind-heat attacks upwards, causing head and nasal congestion, with a floating pulse but no other symptoms, taking internal medicine to induce sneezing opens the congestion and cures the condition. Pain exacerbated by sneezing, which is unbearable, is due to the force of sneezing attacking and knotting, preventing free flow. These three conditions are all heat patterns, hence different manifestations due to invasion of different meridians. Bi Zhi and itchy sneezing involve heat lodging in the Yangming (Stomach meridian); Qiu and rhinorrhea involve heat lodging in the Taiyin (Lung meridian). Generally, the nose is governed by the Foot-Yangming Stomach Meridian, which crosses left and right and injects into the nostrils. Also, the nose is the orifice of the Lung, so Lung Qi connects to the nose. Evil heat invading these two meridians manifests as nasal obstruction, rhinorrhea, etc., hence the classics say: "When the Heart and Lung have disease, the nose becomes obstructed." Treatment depends on observing which meridian the pathogen has invaded, ensuring correct therapy. Sometimes, external wind-cold exacerbates pain, leading to misdiagnosis as cold and treatment with warming/dispersing agents, occasionally effective. However, this masks heat under cold; heat stagnates, Qi becomes turbid, and clear pathways are obstructed. Use acrid-sweet dispersing agents to open interstices, scatter stagnation, and release Yang heat. Mild cases resolve; severe cases with unresolved stagnation may worsen. Even using cooling/wind-dispersing agents only temporarily relieves symptoms by clearing heat and resolving stagnation. Success depends entirely on assessing the severity of internal/external heat stagnation and using appropriate acrid-warm or acrid-cool herbs. Ultimately, medical success relies on accurate diagnosis and clear understanding of treatment, ensuring recovery.