小儿有耳中或鸣或痛者。由风邪入耳。与正气相干。搏于血气者。即为鸣。搏于经络者。即为痛也。
治耳中痛 以干百合为末。温水调下一钱。乳后。以柳树 虫。粪水化取汁。调白矾末少许。滴耳中为妙。
以盐二三升。蒸热包裹。以耳枕之。冷即易。亦治洪洪声。
治耳鸣如流水。或如风声。 以生乌头才撅得。乘湿削如枣核。塞耳中。旦用夜
易。夜用旦易。不过三日愈。及治耳痒。无。即用干者。
治耳中常鸣 以生地黄截塞病耳。数数易之。或以纸裹微煨用。
小儿有耳中肿。或生疮出脓汁者。由风湿相乘。入于耳。邪正相干。搏于气血。伤于经络。轻则为肿。重则
生疮。若津液结溃。变为脓血汁出。又有因水或眼泪入耳。停搏正气。亦为脓汁。俱名停耳。又名脓耳也。
龙朱散
治耳内肿。及生疮出脓汁。或只痒痛。虚鸣应耳中。一切诸病。悉皆主之。
龙脑（一字研） 朱砂（一钱研水飞） 竹箭干内 虫粪（三钱研） 坯子胭脂（半钱研） 麝香
（一字研）
上匀研细末。以斡耳子挑药入病耳中。如有脓水者。先以新绵捻子缠之净尽。方倾入药。每夜临卧时一次。
治耳中肿或生疮 以白矾烧灰研细。每用少许。以苇筒吹耳内。日三四次。或以绵裹塞耳中。生疮者胡桃油
调药着耳。
矾香散
治小儿 耳内生疮。或有脓汁。
白矾（一两烧灰） 蛇床子（一分为末）
上相和。入麝香末五分。同研细。每用一字。掺入病耳。
蓝花散
治如前。
红蓝花（一两洗焙干） 黄柏（一两锉） 乌鱼骨（半两） 黄芩（半两以上为末） 雄黄（半两研水飞）
麝香（一分研）
上拌匀。每用少许。以新绵子缠捻子 药塞耳中。一日二易。
麝香散
治如前。
蜘蛛（一个） 坯子胭脂 麝香（半字）
上晒极干。研匀细。每用半斡耳许。以鹅毛管吹入耳。
桃红散
治如前。
白矾（一钱烧灰） 坯子胭脂（一钱） 麝香（一字）
上研匀细。每用少许。以绵捻子榐耳中脓尽。掺药入耳内。
箭 散
治如前。
竹箭内蛀虫粪屑（二钱） 坯子胭脂（二钱） 凌霄花（干者二钱） 海螵蛸（二钱） 麝香（一字
研后入）
上为细末拌匀。每用时先以绵捻子榐耳中脓尽。乃以纸捻蘸药入耳中。日三。
红绵散
治如前。
信砒（一钱） 坯子胭脂（三钱） 麝香（一字）
上为末拌匀。以柳絮滚和匀。每用黄米许。掺入耳中。如绕耳生疮。脓汁不瘥者。以此敷疮上。纸片封之。
妙。
油引散
治如前。
石燕子（雌雄一对用砖垒一地炉木炭火 白色为末） 虢丹（飞等分） 腻粉 麝香（各少许量入）
上同研匀。先以绵捻子榐耳中脓汁尽时侧卧。掺药一字许。入耳中。以好油一滴引下。立效。
绵裹散
治如前。桂心一分。青羊屎一分。炒令转色。同末。每用一字。绵裹塞耳中。
治小儿 耳。脓汁出。以硫黄细研。每用少许。掺入耳中。日一次。夜一次。以白矾末一钱。麝香一字研
匀。少少掺入耳。以桑木上毒蜂房炙黄杵末。温酒调下半钱。空心。 以蚯蚓粪研细。吹耳中。极效。
治小儿耳上生疮 以鸡子白敷之。
Pediatric patients presenting with intermittent tinnitus or pain in the ear are suffering from wind-pathogen invading the ear, interfering with healthy qi. When this pathogenic factor clashes with blood and qi, it results in tinnitus; when it clashes with the meridians and collaterals, it results in pain.
Treatment for ear pain: Pulverize dried lily bulb (Baihe) into powder, mix with warm water to administer one qian orally after breastfeeding. Alternatively, collect feces of insects found on willow trees, dissolve them in water to extract juice, mix with a small amount of alum powder (Bai Fan), and drip into the ear for optimal effect.
Alternatively, heat two to three sheng of salt, wrap it in cloth, and use it as a pillow for the affected ear. Replace immediately when cool. This method also treats roaring sounds resembling flowing water.
Treatment for tinnitus sounding like flowing water or wind: Take fresh Aconitum carmichaelii root (Sheng Wutou) just broken off. While still moist, carve it into the shape of a jujube pit and insert it into the ear. Change morning to night, and night to morning. Recovery occurs within three days. This method also treats ear pruritus. If fresh Wutou is unavailable, dried Wutou may be used.
Treatment for chronic ear tinnitus: Insert cut fresh Rehmannia glutinosa root (Sheng Dihuang) into the affected ear, replacing frequently. Alternatively, wrap in paper and gently roast before use.
Pediatric patients presenting with swelling in the ear, or sores discharging pus, are caused by the combination of wind-dampness invading the ear, where pathogenic factors interfere with healthy qi, clash with blood and qi, and damage the meridians. Mild cases present as swelling; severe cases develop sores. If body fluids coagulate and ulcerate, they transform into pus and blood discharge. Additionally, if water or tears enter the ear and stagnate, interfering with healthy qi, pus may also form. These conditions are collectively termed "Ting Er" (Stagnant Ear) or "Nong Er" (Pus Ear).
Long Zhu San (Dragon Pearl Powder)
Indicated for ear swelling, sores discharging pus, itching, pain, and tinnitus affecting the ear; it addresses all aforementioned ear disorders.
Brain Borneol (Long Nao, 1 zi, pulverized) Cinnabar (Zhu Sha, 1 qian, pulverized and washed with water) Insect feces from bamboo arrows (San Qian, pulverized) Pigment from坯 Zi (Ban Qian, pulverized) Musk (She Xiang, 1 zi, pulverized)
Grind all ingredients uniformly into fine powder. Use an ear pick to apply the medicine into the affected ear. If pus is present, first clean thoroughly with a new cotton wick, then instill the powder. Apply once nightly before sleep.
Treatment for ear swelling or sores: Calcine Alum (Bai Fan) to ash, grind finely. Apply a small amount using a reed tube to insufflate into the ear, three to four times daily. Alternatively, wrap in cotton and insert into the ear. For sores, mix the powder with Walnut Oil (H Tao You) and apply to the ear.
Fan Xiang San (Alum and Musk Powder)
Indicated for pediatric ear sores with pus discharge.
Calcined Alum (Bai Fan, 1 liang, calcined to ash) Cnidium Fruit (She Chuang Zi, 1 fen, powdered)
Mix ingredients, add Muskmelon Seed-derived Musk (She Xiang, 5 fen), grind uniformly. Apply one zi dose into the affected ear.
Lan Hua San (Blue Flower Powder)
Indicated as above.
Safflower (Hong Lan Hua, 1 liang, washed and dried) Phellodendron Bark (Huang Bo, 1 liang, chopped) Cuttlefish Bone (W Yu Gu, 0.5 liang) Scutellaria Root (Huang Qin, 0.5 liang, powdered above) Realgar (Xiong Huang, 0.5 liang, pulverized and washed with water) Musk (She Xiang, 1 fen, pulverized)
Mix uniformly. Apply a small amount using a new cotton wick inserted into the ear, changing twice daily.
She Xiang San (Musk Powder)
Indicated as above.
Spider (1 unit) Pigment from坯 Zi Musk (She Xiang, 0.5 zi)
Dry thoroughly, grind uniformly. Apply half an ear-pick dose, insufflating into the ear using a goose feather tube.
Tao Hong San (Peach Red Powder)
Indicated as above.
Calcined Alum (Bai Fan, 1 qian, calcined) Pigment from坯 Zi (1 qian) Musk (She Xiang, 1 zi)
Grind uniformly. Apply a small amount after clearing pus with a cotton wick, then sprinkle powder into the ear.
Jian Xiao San (Arrow Debris Powder)
Indicated as above.
Insect debris from bamboo arrows (2 qian) Pigment from坯 Zi (2 qian) Campsis Radix (Ling Xiao Hua, 2 qian, dried) Cuttlefish Bone (Hai Piao Xiao, 2 qian) Musk (She Xiang, 1 zi, added after pulverizing)
Grind into fine powder and mix. Before use, clear pus with a cotton wick, then insert a paper-wrapped applicator dipped in powder into the ear, three times daily.
Hong Mian San (Red Cotton Powder)
Indicated as above.
Arsenic Trioxide (Xin Pi, 1 qian) Pigment from坯 Zi (3 qian) Musk (She Xiang, 1 zi)
Grind into powder and mix uniformly with willow catkins. Apply a grain-sized amount into the ear. For periauricular sores with persistent pus, apply this powder to the sore and cover with paper for excellent effect.
You Yin San (Oil-Guiding Powder)
Indicated as above.
Stone Swallow Eggs (Shi Yan Zi, male and female pair, calcined in brick furnace with charcoal until white, powdered) Minium (Guo Dan, prepared by levigation, equal parts) Calomel (Ni Fen) Musk (She Xiang, small amounts as needed)
Grind uniformly. After clearing pus with a cotton wick, lie on the side, instill approximately one zi of powder into the ear, and guide downward with a drop of good oil for immediate effect.
Mian Guo San (Cotton-Wrapped Powder)
Indicated as above. Cinnamon Twig (Gui Xin, 1 fen) Goat Feces (Qing Yang Shi, 1 fen), stir-fried until color changes, ground together. Apply one zi dose wrapped in cotton into the ear.
Treatment for pediatric ear discharge: Pulverize Sulfur (Liu Huang) finely. Apply a small amount into the ear once daily and once at night. Also, mix Alum powder (Bai Fan, 1 qian) and Musk (She Xiang, 1 zi), grind uniformly, and sprinkle sparingly into the ear. Roast venomous bee nests from mulberry trees until yellow, crush into powder, and take half a qian mixed with warm wine on an empty stomach. Insufflate finely ground earthworm feces into the ear for extreme efficacy.
Treatment for sores on the pediatric ear: Apply egg white (Ji Zi Bai) topically.