（目涩羞明附）
《千金》治目中眯不出方。
上以蚕沙一粒，吞之即出。
《千金翼》治眯目不明方。
上槌羊粗筋擘之，如被筋法，内筋口中熟嚼，擘眼内着瞳子睑上，以手当睑上轻 之。若有眯者，二七过
便出之。视眯当着筋出来即止，未出者复为之。此法常以平旦日未出时为之，以瘥为度。出讫，当以好
蜜注四 头，鲤鱼胆亦佳。若数 目痛，可间日 之。
《圣惠》灸法∶小儿目涩怕明，状如青盲。灸中渚二穴各一壮，在手小指次指本节后陷者中，炷如小麦大。
《巢氏病源》小儿耳聋候∶小儿患耳聋，是风入头脑所为者。手太阳之经，入于耳内，头脑有风，风邪随气
入乘其脉，与气相搏，风邪停积，即令耳聋。
《婴童宝鉴》小儿耳聋鸣， 耳痛不痛歌∶
太阳入耳损听聪，气滞时多耳必聋；鸣是风并气相系，痛应脑户有邪风。肾热郁蒸 耳患，日深疼痛出稠
脓；不有稠脓非此患，只缘滴水入其中。
《千金》治耳聋，干耵 不可出方。
上捣自死白项蚯蚓，安葱叶中，面封头蒸之令熟，并化为水。以汁滴入耳中，满即止，不过数度即挑易出，
瘥后发裹盐塞之。（《肘后》以疗蚺蜒入耳效。只以蚯蚓并盐一捻置葱筒中，须臾，亦化为水。）
《千金》又方
上灌酢，三年者最良。绵塞之，半日许必有物出。
《千金翼》治耳聋方。
生地黄（极粗大者，长一寸半） 杏仁（烧令黑） 巴豆（去皮，熬令紫色，各七枚） 印成盐（两颗） 头发（鸡
子大，炙之）
上五味捣作末，以发薄裹，内耳中一日一夜。若少损即抑之。直以发塞耳，耳中黄水及脓出渐渐有效，不
得更着。若未损，一宿后更内一日一夜，还去药，一根据前法。
《千金翼》又方
硫黄 雌黄（一云雄黄）
上二味等分末之。绵裹塞耳，数日闻声。
《千金翼》又方
上以童子尿灌耳中，三四度瘥。
《千金翼》赤膏主耳聋、齿痛方。
丹参（五两） 蜀椒（二升） 大黄 白术 细辛 芎 （各一两） 干姜（二两） 桂心（四寸） 大附子（炮
去皮） 巴豆（去皮。各十枚）
上一十味切，以淳苦酒渍一宿，内成煎猪膏三斤，着火上煎三上三下，药成去滓。可服可摩，耳聋者绵裹
膏内耳中，齿冷痛着齿间，诸痛皆摩。若腹中有病，以酒和服如枣许，咽喉痛，吞如枣核一枚。
《千金翼》治久聋方
成煎鸡肪（五两） 桂心 野葛（各二两）
上二味切，膏中铜器内微火煎三沸，去滓，密贮勿泄。以苇筒盛如枣核大，火炙令热，仰倾耳灌之。如此
十日耵聍自出，大如指长一寸，久聋不过三十日，以发裹膏深塞，勿使泄气，五日乃出之。
《千金翼》又方
上以器盛石盐，饭底蒸令消，以灌耳中验。
《圣惠》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（各一分） 川椒（十粒，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，用一大豆大点于耳中。
《圣惠》治小儿风热，两耳聋鸣方。
远志（去心） 甘草（炙微赤，锉） 柴胡（去苗） 菖蒲（各一分） 磁石（三分，捣碎，水淘去赤汁） 麦门
冬（半两，去心，焙）
上件药捣，细罗为散。每服以葱白汤调下半钱，日二服。量儿大小以意加减。
《圣惠》治小儿耳聋不瘥方。
甜葶苈 杏仁（汤浸去皮） 盐（各等分）
上件药研如膏，以少许猪脂和合，煎令稠。以绵裹如蕤核大塞耳中，日一易之。
《圣惠》又方
松脂 菖蒲（末） 乌油麻（各半两）
上件药相和捣熟，绵裹如一红豆大塞耳中，日一易之。
《圣惠》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。
《圣惠》又方
上取葱白，于 灰中煨令熟。以葱白头内耳中，日一易之。
《圣惠》又方
蓖麻子（十枚，去皮） 枣肉（七枚）
上件药同捣如膏。每取蕤核大，绵裹少许塞耳中，日一易之。
《圣惠》又方
上捣芥子令烂，以入乳和。绵裹少许塞耳中，日一易之。
张涣通鸣散方 治耳聋病。
菖蒲（一寸，九节者） 远志（去心。各一两） 柴胡（去苗） 麦门冬（去心） 防风（各半两） 细辛 甜葶
苈（各一分）
以上捣罗，并为细末，次入∶磁石（一分，捣碎，水淘去赤汁，研） 杏仁（二七粒，汤浸，去皮尖，研）
上件都研匀。每服半钱，煎葱白汤调下，日二服。量儿大小加减，乳食后。
长沙医者郑愈传 治沉耳麝香散方
麝香（少许） 白矾（一钱，火 ） 五倍子（二钱）
上件为末，纸捻子点入耳中少许。
(Attached: Dry Eyes and Photophobia)
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats the condition of foreign bodies in the eye that cannot be expelled.
Take one grain of silkworm sand (Can Sha), swallow it, and the foreign body will be expelled immediately.
*Qianjin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold) treats the condition of eyes obscured by foreign bodies with blurred vision.
Pound sheep tendons until they are coarse and split them. Process the tendon as described for tendon preparation, place it in the mouth, and chew thoroughly. Remove the softened tendon and place it on the eyelid near the pupil. Gently press the eyelid with your hand. If there is a sensation of a foreign body, after fourteen repetitions of pressing, it will be expelled. Observe whether the foreign body comes out with the tendon; stop if it does, and repeat if it does not. This method should preferably be performed at dawn before sunrise, continuing until recovery. After expulsion, instill good honey into the corners of the eyes; carp bile is also effective. If eye pain occurs frequently, use this method every other day.
*Shenghui Fang* (Holy Healing Formulas) Moxibustion method: For children with dry, photophobic eyes resembling Qing Mang syndrome (blindness with clear cornea), moxibustion is applied to Zhongzhu (TE17). Two sessions per acupoint. The acupoint is located in the depression proximal to the metacarpophalangeal joint between the fourth and fifth fingers. The moxa cone should be the size of a wheat kernel.
*Zhubing Yuanhou Lun* (Source Book of Diseases and Syndromes) Syndrome of Pediatric Deafness: Pediatric deafness is caused by wind pathogen invading the head. The Hand-Taiyang meridian enters the ear. When wind resides in the head, the wind pathogen follows the Qi mechanism, invades the meridians, and contends with healthy Qi. Accumulation of wind pathogen leads to deafness.
*Yingtong Baojian* (Precious Mirror for Infants and Children) Song on Pediatric Deafness, Tinnitus, and Ear Pain:
Wind entering the ear damages hearing; Qi stagnation often causes deafness. Tinnitus results from the interaction of wind and Qi. Pain indicates wind pathogen at Naohu (GV19). Kidney heat steaming upward causes ear disorders; over time, pain intensifies and thick pus discharges. Absence of thick pus rules out this condition; it is merely due to water entering the ear.
*Qianjin Fang* treats deafness caused by impacted cerumen (earwax) that cannot be removed.
Crush naturally deceased white-necked earthworms, place them inside scallion leaves, seal the head with paper, and steam until cooked and liquefied. Instill the juice into the ear until full, then stop. Within a few applications, the cerumen can be picked out. After recovery, wrap salt in hair and insert it into the ear. (*Zhouhou Beiji Fang* notes this is effective for snakes or insects entering the ear. Simply place an earthworm and a pinch of salt in a scallion tube; within moments, it liquefies.)
*Qianjin Fang*, Another Prescription
Instill vinegar; aged vinegar is best. Plug the ear with cotton wool. Within half a day, foreign matter will likely emerge.
*Qianjin Yi Fang* treats deafness.
Raw Rehmannia Root (Sheng Dihuang) (very large, 1.5 cun long), Almond (Xingren) (burnt until black), Croton Seed (Baidu) (peeled, fried until purple, seven seeds each), Seal Salt (Yin Cheng Yan) (two pieces), Human Hair (size of a chicken egg, roasted).
Pound these five ingredients into powder. Wrap in thin hair mesh and insert into the ear for one day and night. If slight discomfort occurs, press gently. Plugging the ear directly with hair allows yellow fluid and pus to drain gradually, showing effect; no further application is needed. If not expelled, leave for another day and night after one night's rest, then remove the medicine and follow the previous method entirely.
*Qianjin Yi Fang*, Another Prescription
Sulfur (Liu Huang), Orpiment (Ci Huang) (or Realgar/Xiong Huang).
Grind these two ingredients in equal parts into powder. Wrap in cotton and insert into the ear. Hearing returns after several days.
*Qianjin Yi Fang*, Another Prescription
Instill urine from a prepubertal boy into the ear. Three to four applications lead to recovery.
*Qianjin Yi Fang* Red Ointment treats deafness and toothache.
Salvia Root (Danshen) (five liang), Sichuan Pepper (Shujiao) (two sheng), Rhubarb (Dahuang), Atractylodes Macrocephala (Baizhu), Asarum (Xixin), Ligusticum Chuanxiong (Chuanxiong) (one liang each), Dried Ginger (Ganjiang) (two liang), Cinnamon Twig Heart (Guixin) (four cun), Large Prepared Aconite Root (Da Fuzi) (prepared, peeled), Croton Seed (Baidu) (peeled, ten seeds each).
Cut the ten ingredients. Soak in pure vinegar overnight. Add three jin of rendered lard. Boil over fire with three up-and-down cycles. Strain when ready. Can be taken orally or rubbed externally. For deafness, wrap ointment in cotton and insert into the ear. For cold toothache, apply between teeth. For various pains, rub and massage. For abdominal disease, mix with wine and take a date-sized amount. For sore throat, swallow one date-seed-sized piece.
*Qianjin Yi Fang* treats chronic deafness.
Rendered Chicken Fat (Cheng Jian Jifang) (five liang), Cinnamon Twig Heart (Guixin), Wild Kadsura Stem (Yege) (two liang each).
Cut the two ingredients. Simmer gently in copper vessel with fat for three boils. Strain and store tightly sealed. Load reed tube with amount the size of a date seed. Heat over fire. Tilt head and instill into ear. Do this for ten days; cerumen will self-expel, appearing finger-thick and one cun long. Chronic deafness resolves within thirty days. Wrap ointment in hair, insert deeply, prevent air leakage, and remove after five days.
*Qianjin Yi Fang*, Another Prescription
Place rock salt in a container, steam over rice until melted, and instill into the ear. Verified effective.
*Shenghui Fang* treats pediatric deafness caused by brain heat, water entry, or wind exposure. Use this formula: Asarum Ointment.
Asarum (Xixin), Saposhnikovia Root (Fangfeng) (remove rhizome), Rhubarb (Dahuang) (crushed, lightly fried), Scutellaria Root (Huangqin) (one fen each), Sichuan Pepper (Chuanjiao) (ten grains, remove seeds), Beeswax (Banliang).
Finely chop herbs. Fry in three he of clarified sesame oil until purple. Filter and add wax. Melt to form ointment. Apply three times daily, using one soybean-sized amount per instillation.
*Shenghui Fang* treats pediatric deafness and tinnitus due to wind-heat.
Polygala Root (Yuanzhi) (remove heart), Licorice Root (Gancao) (honey-fried, slightly red, crushed), Bupleurum Root (Chaihu) (remove radix), Acorus Rhizome (Changpu) (one fen each), Magnetite (Cishi) (three fen, crushed, washed to remove red juice), Ophiopogon Tuber (Mendong) (half liang, remove heart, dried).
Pound and sieve finely into powder. Take half qian, mixed with scallion white decoction, twice daily. Adjust dosage according to child's age.
*Shenghui Fang* treats persistent pediatric deafness.
Sweet Descurainia Seed (Tiantingli), Almond (Xingren) (soaked in hot water, peeled), Salt (equal parts).
Grind into paste. Mix with small amount of pork fat. Cook until thick. Wrap in cotton like a rui nut size and insert into ear. Change daily.
*Shenghui Fang*, Another Prescription
Pine Resin (Songzhi), Acorus Rhizome (Changpu) (powder), Black Sesame (Wyouma) (half liang each).
Mix and pound熟ly. Wrap in cotton like a red bean size and insert into ear. Change daily.
*Shenghui Fang*, Another Prescription
Acorus Rhizome (Changpu) (powder, one fen), Almond (Xingren) (half liang, soaked, peeled, de-cambered, ground to paste).
Mix and grind until milky. Take small amount, wrap in cotton, insert into ear. Change daily.
*Shenghui Fang*, Another Prescription
Take scallion white, roast in ashes until cooked. Insert scallion head into ear. Change daily.
*Shenghui Fang*, Another Prescription
Castor Seed (Bimazi) (ten grains, peeled), Date Flesh (Zaorou) (seven fruits).
Pound together into paste. Take amount the size of a rui nut, wrap in cotton, insert into ear. Change daily.
*Shenghui Fang*, Another Prescription
Pound mustard seed until mushy. Mix with milk. Wrap in cotton, insert into ear. Change daily.
Zhang Huan's Tongming San treats deafness.
Acorus Rhizome (Changpu) (one cun, nine-jointed), Polygala Root (Yuanzhi) (remove heart, one liang each), Bupleurum Root (Chaihu) (remove radix), Ophiopogon Tuber (Mendong) (remove heart), Saposhnikovia Root (Fangfeng) (half liang each), Asarum (Xixin), Sweet Descurainia Seed (Tiantingli) (one fen each).
Pound and sieve into fine powder. Then add: Magnetite (Cishi) (one fen, crushed, washed, ground), Almond (Xingren) (fourteen grains, soaked, peeled, de-cambered, ground).
Grind uniformly. Take half qian, mixed with scallion white decoction, twice daily. Adjust based on age. Administer after milk/food.
Zheng Yu, physician of Changsha, transmits Shexiang San for impacted cerumen.
Musk (Shexiang) (small amount), Alum (Baifan) (one qian, calcined), Chinese Gall (Wubeizi) (two qian).
Grind into powder. Dip paper twist in powder and insert small amount into ear.