夫劳聋者。肾气虚劳所致也。足少阴肾经。宗脉所聚。其气通于耳。肾气虚劳弱。宗脉
耗损
脏。
方
补肾石斛丸 治劳聋。耳中久聩聩。
石斛（去根） 附子（炮裂去皮脐） 肉苁蓉（酒浸一宿切焙） 山茱萸（洗微炒） 菟
丝子
（酒浸
炒黄色研
如泥纸
切焙）
芍药
丝子外。
为末。
肉苁蓉丸 治劳聋。肾虚损。腰脚无力。面黑体瘦。小便滑数。
肉苁蓉（一两酒浸一宿刮去粗皮炙干） 菖蒲（一两） 附子（一两炮裂去皮脐） 磁
石（一
两烧
（一两
酒浸
仲（一两
去粗
炼蜜
为丸
薯蓣丸 治劳聋。脏腑久虚。肾气不足。肌体羸瘦。腰脚无力。
薯蓣（一两） 熟干地黄（一两） 附子（一两炮裂去皮脐） 桂心（一两） 天门冬
（一两半
去心
酒浸一宿
刮去
子（一两
酒浸
匀。
炼蜜
地黄丸 治劳损耳聋。
大熟地黄（洗焙） 当归 川芎 辣桂 大川椒（出汗） 菟丝子（酒浸三日晒干捣末）
故
纸（
一两
（分）〕
服五
十丸。以
内补丸 治肾虚劳聋。
熟干地黄（焙） 附子（炮裂去粗皮脐） 桂（去粗皮） 肉苁蓉（酒浸一宿切焙） 鹿
茸（去
毛酒
远志
（去心
甘草水
煮三日
肉苁蓉丸 治劳聋。积久耳鸣。
补肾磁石汤 治劳聋。耳中聩聩然。
磁石（二两醋淬七遍） 山茱萸（洗炒） 芎 菖蒲（米泔浸一宿锉焙） 蔓荆子 茯
神
（去木）
门冬
（去心一
竹沥二合
蓖麻子丸 治劳聋。虚鸣塞耳。
熟干地黄散（出圣惠方）治劳聋。肾气不足。耳无所闻。
熟干地黄（一两半） 磁石（一两捣碎水冲去赤汁） 桂心（一两半） 人参（一两去
芦头）
附子
两） 白
茯苓
入
药五
菖蒲散（出圣惠方）治劳聋塞耳。
菖蒲（半两） 山茱萸（半两） 土瓜根（半两） 牡丹皮（半两） 牛膝（半两去苗）
附子
（半两
末。
每用半
又菖蒲散（出圣惠方）治劳聋。肾气损。耳无所闻。
菖蒲 菟丝子（酒浸三日曝干别捣为末） 附子（炮裂去皮脐） 山茱萸 桂心（各一
两）
肉苁
空心
及晚
菖蒲散 治劳聋积久。
羊肾附子丸（出圣惠方）治劳聋。
附子（一两炮裂焙去皮脐） 磁石（一两烧令赤醋淬七遍捣碎研水飞过） 牛膝（一两
去苗）
菟
两去
心
微火煎如膏。然后入药末。和捣二三百杵。丸如梧桐子大。空心及晚食前。温酒下三十丸。
盐汤下亦得。
塞耳硫黄散 治劳聋经久。
治劳聋滴耳。（出圣济总录）
以童子小便少许。灌入耳中即瘥。
Lao Er (Deafness due to Overwork) is a condition caused by deficiency and exhaustion of Kidney Qi. The Foot-Shaoyin Kidney Meridian is the gathering point of numerous vessels, and its Qi connects with the ears. When Kidney Qi becomes weak due to deficiency and overwork, the vessels gathered at the ears are also depleted.
Bushen Shihu Wan (Kidney-Nourishing Dendrobium Pill): Treats Lao Er. Symptoms include long-term tinnitus and muffled hearing in the ears.
Ingredients: Shihu (Dendrobii Caulis, remove roots), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and navel), Rongshu (Cibotii Rhizoma, soak in wine overnight, slice and bake), Shanzhuyu (Corni Fructus, wash and lightly stir-fry), Tusizi (Cuscutae Semen, soak in wine, stir-fry until yellow, grind into paste), Shaoyao (Paeoniae Radix). [Note: Original text is fragmented; implies grinding ingredients into powder.]
Rongshu Wan (Cibotium Pill): Treats Lao Er. Indicated for Kidney deficiency and damage, accompanied by weakness in the waist and legs, dark complexion, emaciation, and frequent, slippery urination.
Ingredients: Rongshu (Cibotii Rhizoma, 1 liang, soak in wine overnight, scrape off coarse bark, roast dry), Changpu (Acori Tatarinowii Rhizoma, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and navel), Cishi (Magnetitum, 1 liang, calcine red-hot... [text missing]), ... [Original text contains fragmented words like "soak in wine", "Zhong", "remove coarse", "refined honey", implying preparation steps or excipients].
Shuyu Wan (Dioscoreae Pill): Treats Lao Er. Indicated for long-term deficiency of Zang-Fu organs, insufficiency of Kidney Qi, emaciation of muscles and body, and weakness in the waist and legs.
Ingredients: Shuyu (Dioscoreae Rhizoma, i.e., Shan Yao, 1 liang), Shudihuang (Rehmanniae Radix Praeparata, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, remove skin and navel), Guixin (Cinnamomi Cortex, 1 liang), Tiandong (Asparagi Radix, 1.5 liang, ... [text missing, mentions removing heart, soaking in wine]), ... [Subsequent ingredients and preparation process are severely fragmented].
Dihuang Wan (Rehmannia Pill): Treats deafness due to deficiency and damage.
Ingredients: Da Shudihuang (Rehmanniae Radix Praeparata, wash and bake), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Lagui (Cinnamomi Cortex, spicy variety), Dachuanjiao (Zanthoxyli Pericarpium, "sweat" treated), Tusizi (Cuscutae Semen, soak in wine for three days, sun-dry, grind to powder), Gubuzhi (Psoraleae Fructus, implied by "Gu Zhi"), ... [Text missing]. Dosage: Take 50 pills per dose.
Neibu Wan (Internal-Nourishing Pill): Treats Kidney deficiency Lao Er.
Ingredients: Shudihuang (Rehmanniae Radix Praeparata, baked), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove coarse skin and navel), Gui (Cinnamomi Cortex, remove coarse skin), Rongshu (Cibotii Rhizoma, soak in wine overnight, slice and bake), Lurong (Cervi Cornu Pantotrichum, remove hair, soak in wine... [text missing]), Yuanzhi (Polygalae Radix, remove heart, boil in Licorice water for three days)... [Subsequent preparation details are missing].
Rongshu Wan (Cibotium Pill): Treats Lao Er. Symptoms include chronic tinnitus resulting from long-standing accumulation.
Bushen Cishi Tang (Kidney-Nourishing Magnetite Decoction): Treats Lao Er. Symptoms include buzzing sounds in the ears and muffled hearing.
Ingredients: Cishi (Magnetitum, 2 liang, quench in vinegar seven times), Shanzhuyu (Corni Fructus, wash and stir-fry), Xiong (Chuanxiong Rhizoma), Changpu (Acori Tatarinowii Rhizoma, soak in rice washing water overnight, chop and bake), Manjingzi (Viticis Semen), Fushen (Poria with Hostwood, remove wood core), Tiandong (Asparagi Radix, remove heart), Zhuli (Bambusae Succus in Plastrum, 2 he). [Text here mixes decoction methods or adjuvants].
Bimazi Wan (Ricini Semen Pill): Treats Lao Er. Symptoms include deficiency-type tinnitus causing ear blockage.
Shudihuang San (Prepared Rehmannia Powder) [Source: *Taiping Shenghui Fang*]: Treats Lao Er. Indicated for insufficiency of Kidney Qi and inability to hear.
Ingredients: Shudihuang (Rehmanniae Radix Praeparata, 1.5 liang), Cishi (Magnetitum, 1 liang, crush, wash with water to remove red juice), Guixin (Cinnamomi Cortex, 1.5 liang), Renshen (Ginseng Radix, 1 liang, remove rhizome head), Fuzi (Aconiti Lateralis Radix Praeparata, ... [text missing]), Baifuling (Poria, ... [text missing]). Usage: Grind into powder, take ... [text missing].
Changpu San (Acorus Powder) [Source: *Taiping Shenghui Fang*]: Treats ear blockage due to Lao Er.
Ingredients: Changpu (Acori Tatarinowii Rhizoma, 0.5 liang), Shanzhuyu (Corni Fructus, 0.5 liang), Tugua Gen (Trichosanthes Thunbergiana Radix, 0.5 liang), Mudanpi (Moutan Cortex, 0.5 liang), Niuxi (Achyranthis Bidentatae Radix, 0.5 liang, remove tips), Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang... [text missing]). Usage: Grind into powder, use half ... [text missing].
Another Changpu San [Source: *Taiping Shenghui Fang*]: Treats Lao Er. Indicated for damage to Kidney Qi and inability to hear.
Ingredients: Changpu (Acori Tatarinowii Rhizoma), Tusizi (Cuscutae Semen, soak in wine for three days, sun-dry, grind separately to powder), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and navel), Shanzhuyu (Corni Fructus), Guixin (Cinnamomi Cortex, each 1 liang), Rongshu (Cibotii Rhizoma)... [text missing]. Usage: Take on an empty stomach and before evening meal... [text missing].
Changpu San: Treats chronic Lao Er.
Yangshen Fuzi Wan (Sheep Kidney and Aconite Pill) [Source: *Taiping Shenghui Fang*]: Treats Lao Er.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, process, bake, remove skin and navel), Cishi (Magnetitum, 1 liang, calcine red-hot, quench in vinegar seven times, crush, grind, purify by water flotation), Niuxi (Achyranthis Bidentatae Radix, 1 liang, remove tips), Tusizi (Cuscutae Semen, ... [text missing]). Preparation: Simmer over low heat until paste-like, then add powdered herbs, beat and pound 200-300 times, form into pills the size of paulownia seeds. Usage: Take 30 pills with warm wine on an empty stomach and before evening meals. Salt water decoction may also be used.
Sai Er Liuhuang San (Ear-Blocking Sulfur Powder): Treats long-standing Lao Er.
Dripping Ear Formula for Treating Lao Er [Source: *Jisheng Fang* / *Shengji Zonglu*]:
Pour a small amount of urine from a healthy young boy into the ear; this will cure the condition.