有为风寒所袭而聋者，有心气不足而聋者，当服一醉膏，滚酒下，汗出而愈。若多酒色人，肾虚而致聋蔽
者，宜先服延寿丹半斤，后服一醉膏。若实聋则难治。（肾开窍于耳，又胃之宗气别走于耳，故耳聋一证属虚
者多，今言心气不足，而用一醉膏，此理未解。又云实聋者难治，尚俟细参。琦按∶人于六十外，精神强健，
不减少壮，而惟耳重听，乃肾气固藏之征，多主老寿不须医治。此书所谓若实聋则难治者，当是指此一种。）
若山居人，溪涧中，有姜理石，饮其水，令人生瘿瘤，服消风散。（当是消瘿散。）初者服姜附汤。若血
瘿、血瘤则不可治，妄治害人。
三虫者，蛔虫，蛲虫，寸白虫也。幼时多食生冷硬物，
及腥厌之物，久之生虫。若多食牛肉，则生寸白。其蛔虫长五六寸，发则令人心痛，吐清水，贯心则死。寸白
虫如葫芦子，子母相生，长二三寸，发则令人腹痛。蛲虫细如发，随气血周游遍身，出皮肤化为疯癞，住腹中，
为蛲瘕，穿大肠为痔漏，俱宜服安虫散。若人谷道痒痛，当用轻粉少许服之，来日虫尽下，寸白虫亦能下。
治验
一妇人病腹胀诸药不效，余令解腹视之，其皮黄色光如镜面，乃蛲瘕也。先炙牛肉一斤，令食后用生麻油
调轻粉五分服之，取下蛲虫一合，如线如须状，后服安虫散而愈。
Some cases of deafness are caused by invasion of wind-cold, while others result from insufficiency of Heart Qi. In such cases, Yizui Gao (Intoxicating Paste) should be taken with warm wine; recovery occurs upon sweating. For individuals who indulge excessively in alcohol and sexual activity, leading to Kidney deficiency-induced hearing impairment, it is advisable to first take half a jin of Yanshou Dan (Longevity Pill), followed by Yizui Gao. However, deafness due to excess patterns is difficult to treat. (The Kidneys open into the ears, and the Zong Qi [Gathering Qi] of the Stomach also branches to the ears; therefore, most cases of deafness belong to deficiency patterns. The mention here of Heart Qi insufficiency treated with Yizui Gao is unclear in its rationale. The statement that excess deafness is hard to treat requires further examination. Note by Qi: When a person over sixty remains vigorous and strong like a young adult but suffers only from diminished hearing, this is a sign of solidified Kidney Qi and often indicates longevity, requiring no treatment. The book’s statement "excess deafness is difficult to treat" likely refers to this specific condition.)
For those living in mountainous areas, drinking water from streams containing Jiangli Stone can cause goiter or tumors. Xiao Feng San (Wind-Dispersing Powder) should be administered (likely referring to Xiaoying San, Goiter-Resolving Powder). In early stages, Jiang Fu Tang (Ginger and Aconite Decoction) is taken. Blood goiters and blood tumors cannot be treated; reckless treatment may prove fatal.
The "Three Worms" refer to Ascaris lumbricoides (Roundworm), Enterobius vermicularis (Pinworm), and Taenia saginata/pork tapeworm (Inch-white worm). Excessive consumption of raw, cold, hard foods, as well as greasy or unpalatable substances during childhood, leads to worm infestation over time. Heavy beef consumption specifically generates Inch-white worms. Roundworms are five to six cun long; when active, they cause heart pain and vomiting of clear fluid, and death ensues if the worm penetrates the heart. Inch-white worms resemble gourd seeds, reproducing parent-to-offspring, measuring two to three cun long; their activation causes abdominal pain. Pinworms are fine as hair, circulating throughout the body with Qi and Blood; if residing in the skin, they transform into leprosy-like conditions; if lodged in the abdomen, they form Pinworm Masses (Nuo Jia); if penetrating the large intestine, they cause hemorrhoids and fistulas. All these conditions are suitable for treatment with An Chong San (Worm-Anchoring Powder). If the anus itches and hurts, a small amount of Calomel (Qing Fen) should be ingested; the next day, all worms will be expelled, including the Inch-white worms.
Clinical Case:
A woman suffered from abdominal distension, to which various medicines were ineffective. I instructed her to expose her abdomen for examination. Her skin was yellow and shiny like a mirror surface, indicating a Pinworm Mass. First, one jin of roasted beef was prepared for her to eat. Afterward, she took five fen of Calomel mixed with raw sesame oil. She passed one he of pinworms, thread-like in appearance. Subsequently, she took An Chong San and recovered.