夫耳者肾之候也。若肾气实则生热。热则上焦壅滞。经络痞塞。不得宣通。邪热之气。
入于耳脉。则令四肢满急。腰背强直。胸胁切痛。好忘不安。耳无所闻也。
方
犀角散（出圣惠方）治风毒壅热。胸心痰滞。两耳虚聋。头重目眩。
犀角屑 甘菊花 前胡（去芦头） 枳壳（麸炒微黄去瓤） 菖蒲（各半两） 麦门冬
（一两
去心）
每服三钱。
水一
茯神散（出圣惠方）治上焦风热。耳忽聋鸣。四肢满急。昏闷不利。宜服。
茯神（一两） 羌活 蔓荆子 薏苡仁 防风（去芦头） 黄 （锉各半两） 菖蒲（半
两）
麦门冬（一两去心焙） 五味子（半两） 甘草（一分炙微赤锉） 上为散。每服三钱。水
一中盏。
入
羚羊角散（出圣惠方）治耳聋不闻言语。利肾气退热。
羚羊角屑（一两） 沙参（三分） 防风（去芦头） 木通〔锉各三两（分）〕 旋复
花（半两）
泽
服三钱。
水一中盏。生姜半分。煎至五分。去滓。食后温服。
羚羊角散（出圣惠方）治肾气实。上焦风热壅滞。耳暴聋头重。
羚羊角屑（一两） 白术（三分） 防风（去芦头） 黄 （锉） 玄参 泽泻 赤茯
苓（各三
分）
生地
黄一两。竹叶二十七片。同煎至六分。去滓。食后温服。
大黄丸（出圣惠方）治风热毒瓦斯。攻耳暴聋。由肾气实热所致。
川大黄（锉碎微炒） 栀子仁 黄 （锉） 川升麻 川朴硝 黄连（去须） 生干地
黄玄
参（
每
服
磁石散（出圣惠方）治暴热耳聋。心膈壅闷。宜服此方。
磁石（一两捣碎水淘去赤汁） 木通（锉一两） 防风（一两去芦头） 枳壳（三分麸
炒微黄
去瓤）
空
心温服。
The ear is the external manifestation of the Kidney. If Kidney Qi is excessive, it generates heat. Heat causes stagnation in the Upper Jiao (Upper Burner), leading to obstruction and blockage of the meridians, preventing free circulation. When pathogenic heat enters the meridians of the ear, it results in fullness and urgency in the four limbs, stiffness and rigidity of the waist and back, severe pain in the chest and hypochondrium, forgetfulness, restlessness, and deafness.
Prescriptions:
Xijiao San (Rhinoceros Horn Powder) [from *Shenghui Fang*]: Treats wind-toxin and stagnant heat, phlegm-stagnation in the chest and heart, bilateral deficiency-type deafness, heavy head, and dizziness.
Ingredients: Rhinoceros Horn Shavings (Xijiao Xie), Chrysanthemum Flower (Gan Juhua), Peucedanum Root (Qianhu, de-radicled), Aurantium Fruit (Zhike, bran-fried until slightly yellow and de-pithed), Acorus Tatarinowii Rhizome (Changpu, each 0.5 liang), Ophiopogon Tuber (Maimendong, 1 liang, de-core).
Usage: Take 3 qian per dose. Decoct with one zhan of water.
Fushen San (Poria Cocos Powder) [from *Shenghui Fang*]: Treats wind-heat in the Upper Jiao, sudden deafness and tinnitus, fullness and urgency in the four limbs, and mental confusion with obstruction. Suitable for this condition.
Ingredients: Poria Cocos with Hostwood (Fushen, 1 liang), Notopterygium Rhizome (Qianghuo), Vitex Fruit (Manjingzi), Coix Seed (Yiyiren), Saposhnikovia Root (Fangfeng, de-radicled), Astragalus Root (Huangqi, sliced, each 0.5 liang), Acorus Tatarinowii Rhizome (Changpu, 0.5 liang), Ophiopogon Tuber (Maimendong, 1 liang, de-core and baked), Schisandra Berry (Wuweizi, 0.5 liang), Licorice Root (Gancao, 1 fen, honey-fried until slightly red and sliced).
Usage: Grind into a powder. Take 3 qian per dose. Decoct with one zhong zhan of water, add half a zhan of fresh ginger, boil down to five parts, strain, and take warm after meals.
Lingyangjiao San (Antelope Horn Powder) [from *Shenghui Fang*]: Treats deafness where speech cannot be heard, benefits Kidney Qi, and clears heat.
Ingredients: Antelope Horn Shavings (Lingyangjiao Xie, 1 liang), Codonopsis Root (Shashen, 3 fen), Saposhnikovia Root (Fangfeng, de-radicled), Akebia Stem (Mutong, sliced, each 3 liang), Inula Flower (Xuanjinhua, 0.5 liang), Alisma Rhizome (Zexie, 3 liang).
Usage: Take 3 qian per dose. Decoct with one zhan of water, add half a zhan of fresh ginger, boil down to five parts, strain, and take warm after meals.
Lingyangjiao San (Antelope Horn Powder) [from *Shenghui Fang*]: Treats excess Kidney Qi with stagnant wind-heat in the Upper Jiao, causing sudden deafness and heavy head.
Ingredients: Antelope Horn Shavings (Lingyangjiao Xie, 1 liang), Atractylodes Macrocephala Rhizome (Baizhu, 3 fen), Saposhnikovia Root (Fangfeng, de-radicled), Astragalus Root (Huangqi, sliced), Scrophularia Root (Xuanshen), Alisma Rhizome (Zexie), Red Poria (Chifuling, each 3 fen), Rehmannia Root (Sheng Dihuang, 1 liang), Bamboo Leaves (Zhuye, 27 leaves).
Usage: Decoct together until six parts remain, strain, and take warm after meals.
Dahuang Wan (Rhubarb Pill) [from *Shenghui Fang*]: Treats sudden deafness caused by wind-heat toxic qi attacking the ears, resulting from excess heat in Kidney Qi.
Ingredients: Rheum Palmatum Rhizome (Chuan Dahuang, sliced, crushed, and lightly fried), Gardenia Seed (Zhizi Ren), Scutellaria Root (Huangqin, sliced), Cimicifuga Rhizome (Chuan Shengma), Mirabilite (Chuan Puxiao), Coptis Rhizome (Huanglian, de-sinewed), Dried Rehmannia Root (Sheng Gan Dihuang), Scrophularia Root (Xuanshen, equal parts).
Usage: Take appropriate amount per dose (text fragmentary).
Cishi San (Magnetite Powder) [from *Shenghui Fang*]: Treats sudden deafness due to intense heat, and oppression/stuffiness in the heart and diaphragm. Suitable for this prescription.
Ingredients: Magnetite (Cishi, 1 liang, crushed and washed with water to remove red juice), Akebia Stem (Mutong, sliced, 1 liang), Saposhnikovia Root (Fangfeng, 1 liang, de-radicled), Aurantium Fruit (Zhike, 3 fen, bran-fried until slightly yellow and de-pithed).
Usage: Grind into a powder. Take warm on an empty stomach.