经曰∶北方生寒，在脏为肾，在窍为耳。又曰∶肾气通于耳，肾和则耳能闻五音矣，故耳本属肾，耳珠前属
少阳胆经。小儿有因肾经气实，其热上冲于耳，遂使津液壅而为脓，或为清汁。亦有因沐浴水入耳中，灌为聋者，
内服蔓荆子散，外用龙骨散搽之。耳珠前后生疮，浸淫不愈者，名月蚀疮。俗谓以手指月，则令耳之前后生疮。
皆用外治之法，黄柏散搽之。
若耳中忽作大痛，如有虫在内奔走，或出血水，或干痛不可忍者，用蛇蜕散。
有忽然气塞耳聋，此由风入于脑，停滞于手太阳经。宜疏风清火，导赤散加防风，或通窍丸。
耳旁赤肿者，热毒也，若不急治，必成大痈，外用敷毒散，内服消毒饮。
蔓荆子散 治小儿肾气上冲，灌为 耳。
蔓荆子（一钱） 粉干葛（一钱） 赤芍药（一钱） 信前胡（一钱） 桑白皮（一钱） 淮木通（一钱）
怀生地（一钱） 杭麦冬（一钱） 赤茯苓（三钱） 绿升麻 小甘草（各五分） 灯芯（十茎）
水煎服。
龙骨散 治小儿 耳，流脓出汁，以此吹之。
石龙骨（ ） 明白矾（ ） 真铅丹（炒，以上各三钱） 胭脂胚（三钱） 当门子（五厘）
共为末，以绵展干耳内脓水，用小竹筒吹药入耳。
黄柏散 治小儿耳珠前后生疮，浸淫不愈。
川黄柏 白枯矾 海螵蛸 白滑石 石龙骨（各等分）
共为末，疮湿用干搽，疮干用猪油调搽。
蛇蜕散 治耳中痛不可忍，或出血水，或干痛。
用蛇蜕烧灰存性，为细末，鹅毛管吹入耳中，取蛇之善蜕，以解散郁火也。
导赤散 方见卷四啼哭门。
通窍丸 治小儿耳忽暴聋。
雄磁石（ ，一钱） 真麝香（五厘）
共为细末，以枣研烂，和为一丸，如枣核大，绵裹塞耳中。又以生铁一小块，热酒泡过，含口内，须臾气
即通矣。
敷毒散 治小儿耳旁赤肿热毒也，恐防作痈。
用绿豆粉不拘多少，以老醋调成膏，敷肿处，干则易之。
消毒散 治小儿耳旁赤肿，内服之药。
川羌活 北防风 片黄芩 净连翘 芽桔梗 官拣参 正川芎 当归尾 北柴胡（各七分） 小甘草（四分）
生姜一片，灯芯十茎，水煎服。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The North generates coldness, which corresponds to the Kidney (*Shen*) among the Zang organs, and to the ears (*Er*) among the sensory orifices. It further states: Kidney Qi connects with the ears; when Kidney Qi is harmonious, the ears can perceive the five tones. Therefore, the ears fundamentally belong to the Kidney, while the area anterior to the earlobe belongs to the Shaoyang Gallbladder Meridian. In children, some cases arise from excess Qi in the Kidney meridian, where heat rushes upward to the ears, causing body fluids to stagnate and transform into pus, or clear discharge. Other cases result from water entering the ear during bathing, leading to deafness. These are treated internally with Manjingzi San (Vitex Fruit Powder) and externally with Longgu San (Dragon Bone Powder). Sores appearing before and after the earlobe that ooze and fail to heal are named "Moon Erosion Sore" (*Yueshi Chuang*). Folklore attributes this to pointing at the moon with a finger. All such conditions are treated with external methods using Huangbai San (Phellodendron Bark Powder).
If severe pain suddenly occurs in the ear, as if insects are running inside, or if blood and fluid discharge occur, or if dry pain is unbearable, Shetui San (Snake Molt Powder) is used.
Sudden deafness due to Qi blockage results from Wind pathogen invading the brain and stagnating in the Hand-Taiyang Bladder Meridian. Treatment should focus on dispersing Wind and clearing Fire, using Daochi San (Guide Out Red Powder) added with Fangfeng (Saposhnikovia Root), or Tongqiao Wan (Orifice-Opening Pill).
Redness and swelling beside the ear indicate Heat-Toxin. If not treated urgently, it will likely develop into a large carbuncle. Apply Fudu San (Toxin-Spreading Powder) externally and take Xiaodu Yin (Detoxification Decoction) internally.
**Manjingzi San (Vitex Fruit Powder)** treats pediatric ear disease caused by upward rushing of Kidney Qi.
Vitex Fruit (*Chuanjuzi*), one qian; Powdered Kudzu Root (*Fengegen*), one qian; Red Peony Root (*Chishaoyao*), one qian; Xin Qianhu (*Xinqianhu*), one qian; Mulberry White Bark (*Sangbaipi*), one qian; Huai Mutong (*Huaimutong*), one qian;
Huai Shengdi (*Huai Shengdihuang*), one qian; Hang Maidong (*Hang Maidong*), one qian; Red Poria (*Chifuling*), three qian; Green Cimicifuga (*Lvshengma*); Small Licorice Root (*Xiaogancao*), each five fen; Ruscus Rhizome (*Dengxincao*), ten stalks.
Decoct in water and take orally.
**Longgu San (Dragon Bone Powder)** treats pediatric ear disease with purulent discharge. Blow this powder into the ear.
Stone Dragon Bone (*Shilonggu*); Clear Alum (*Mingfan*); Real Lead Cinnabar (*Zhenqiandan*, stir-fried, three qian each above); Rouge Embryo (*Yanzhipei*), three qian; Camphor (*Dangmenzi*), five li.
Grind together into fine powder. First, use cotton to dry the pus in the ear, then use a small bamboo tube to blow the medicine into the ear.
**Huangbai San (Phellodendron Bark Powder)** treats sores before and after the earlobe in children that ooze and fail to heal.
Chuan Huangbai (*Chuan Huangbai*), Bai Kufan (*Bai Kufan*), Hai Piaoxiao (*Hai Piaoxiao*), Bai Huashi (*Bai Huashi*), Stone Dragon Bone (*Shilonggu*), equal parts.
Grind together into fine powder. For wet sores, apply dry powder; for dry sores, mix with pig fat and apply.
**Shetui San (Snake Molt Powder)** treats unbearable ear pain, or discharge of blood/fluid, or dry pain.
Burn snake molt until carbonized but retaining its nature, grind into fine powder, and blow into the ear using a goose feather tube. This utilizes the snake's ability to shed its skin to resolve stagnant Fire.
**Daochi San (Guide Out Red Powder)** See Volume 4, Crying Section.
**Tongqiao Wan (Orifice-Opening Pill)** treats sudden acute deafness in children.
Male Magnetite (*Xiong Cishi*, calcined, one qian); Real Musk (*Zhen Shexiang*), five li.
Grind into fine powder. Mash dates into a paste, mix with the powder to form a pill the size of a date pit. Wrap in cotton and insert into the ear. Additionally, take a small piece of raw iron, soak it in hot wine, and hold it in the mouth. After a moment, Qi flow will be restored.
**Fudu San (Toxin-Spreading Powder)** treats redness, swelling, and Heat-Toxin beside the ear in children, preventing carbuncle formation.
Use an appropriate amount of Mung Bean Flour (*Lvdoufen*), mix with aged vinegar to form a paste, and apply to the swollen area. Change when dry.
**Xiaodu San (Detoxification Powder)** internal medicine for pediatric redness and swelling beside the ear.
Chuan Qianghuo (*Chuan Qianghuo*), Bei Fangfeng (*Bei Fangfeng*), Pian Huangqin (*Pian Huangqin*), Jing Lianqiao (*Jing Lianqiao*), Ya Jiegeng (*Ya Jiegeng*), Guan Jian Shen (*Guan Jianren*), Zheng Chuanxiong (*Zheng Chuanxiong*), Dangguiwei (*Dangguiwei*), Bei Chaihu (*Bei Chaihu*), each seven fen; Small Licorice Root (*Xiaogancao*), four fen.
One slice of Fresh Ginger, ten stalks of Ruscus Rhizome. Decoct in water and take orally.