夫患耳中策策痛者。皆风入于肾之经也。不治流入肾。则猝变脊强背直 也。若因痛而
肿。
其气
通。
方
生犀丸（出圣济总录）治耳中策策疼痛。
犀角（镑屑） 牛黄（研各一两） 防风（去叉半两） 白附子（炮） 乌蛇（酒浸去
皮骨炙）
天南
桂
（去
子大。
空心。酒下二十丸。
消毒膏 治诸般耳疾。疼痛不可忍者。
防风 大黄 栀子仁 黄芩 黄连（另为末） 杏仁 石菖蒲 当归 白芷〔以上各三
（二）
药慢
火煎
芍药散（出圣惠方）治热壅生风。耳内痛与头相连。脓血流出。
赤芍药 白芍药 川芎 当归 甘草 大黄 木鳖子（各半两） 上锉散。每服四钱煎。食
后
。临卧服。
香附膏（出圣济总录）治耳中疼痛。
附子（二枚去皮脐生用） 菖蒲 矾石（烧枯） 杏仁（汤浸去皮尖双仁炒各半两） 麝
香
（研二
捣膏
白龙散 治耳中猝然大痛。治疮生肌止痛。
滑石（一两研） 硼砂（三钱） 轻粉（一钱） 寒水石（四两烧半白研） 乌贼鱼骨
（一两研）
上
治耳痛。
黄芩（三钱） 木香（半钱） 桔梗（一钱） 甘草（一钱） 上作一服。水煎。去滓
服。
治耳内疼。
穿山甲〔一（二）个〕 土狗子（二个） 上将土狗子。夹在穿山甲内同炒。焦黄色为
度。
入麝
又方（出海上方）
以草乌削如枣核大。蘸生姜自然汁塞耳内。其痛立止。一方不用姜汁。
又方（出仁存方）
用 鱼血。滴数点入耳内愈。
白盐方（出危氏方）治耳聋疼痛。
百合散（出圣惠方）治耳聋疼痛。
用百合不拘多少。焙干为细散。食后。温水调下一钱匕。日三服为妙。
治耳内极痛方（出圣济总录）
用郁金末研细。每服用一字。以净水调。倾入耳内。却急倾出。
塞耳丹（出圣济总录）治耳猝疼痛不能忍。
木香散（出圣济总录）治耳风疼痛。久聋不通。
用木香捣罗为细散。用葱黄心截了尖。沾鹅脂在上。蘸木香散。深纳耳中。觉痛止。待
一时辰方取去。日三五次。
杏仁膏（出圣惠方）治耳中汁出。或痛有脓。
用杏仁炒令赤黑为末。研成膏。薄绵裹纳耳中。日三四度易之。或乱发裹塞之亦妙。一
方治耳猝痛。或有水出。用杏仁炒焦为末。葱涎搜和为丸。以绵裹塞耳中。熏耳亦可。又治
耳中肿。兼有脓。
柳根方（出本草）治耳痛有脓不出。及痈巴结聚。
以柳根细切。熟捶。封之帛掩。燥即易之。
治耳猝疼痛。（出本草）
以盐蒸熨之。
For those suffering from stabbing pain in the ear, it is all due to wind pathogen invading the Kidney meridian. If left untreated, the pathogen may flow into the Kidney, causing sudden stiffness of the spine and straightening of the back. If swelling occurs due to pain, and the qi mechanism is unobstructed, then use Shengxi Wan (Calf Horn Pill) [from *Shengji Zonglu*] to treat stabbing pain in the ear.
Rhinoceros Horn (sliced into flakes), 1 liang; Calculus Bovis (Niuhuang, 牛黄), 1 liang; Saposhnikoviae Radix (Fangfeng, 防风), half liang; Typhonii Rhizoma Praeparatum (Baifuzi, 白附子); Elap Carinatus (Wushe, 乌梢蛇), soaked in wine, skin and bones removed, roasted; Arisaema Cum Bile (Tiannanxing, 天南星), sliced and processed; Cinnamomi Ramulus (Guixin, 桂心), bark removed. The above herbs are pounded into fine powder, mixed with refined honey, and formed into pills the size of a wutong seed. Take 20 pills on an empty stomach, washed down with wine.
Xiaodu Gao (Disinfecting Ointment): Treats various ear diseases where pain is unbearable.
Saposhnikoviae Radix (Fangfeng, 防风), Rheum Palmatum (Dahuang, 大黄), Gardeniae Fructus (Zhizi Ren, 栀子仁), Scutellariae Radix (Huangqin, 黄芩), Coptidis Rhizoma (Huanglian, 黄连) [prepared separately as powder], Armeniacae Semen Amarum (Xingren, 杏仁), Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲), Angelicae Sinensis Radix (Danggui, 当归), Angelicae Dahuricae Radix (Baizhi, 白芷) [each 3 liang], Paeoniae Radix Rubra/Alba (Shaoyao, 芍药) [2 liang]. Simmer the herbs slowly over low heat to make an ointment.
Shaoyao San (Paeonia Powder) [from *Shenghui Fang*]: Treats heat accumulation generating wind, causing ear pain radiating to the head, with discharge of pus and blood.
Paeoniae Radix Rubra (Chishaoyao, 赤芍药), Paeoniae Radix Alba (Baishaoyao, 白芍药), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Angelicae Sinensis Radix (Danggui, 当归), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Rheum Palmatum (Dahuang, 大黄), Momordicae Semen (Mubiezi, 木鳖子) [each half liang]. Coarsely crush the above herbs into a powder. Take 4 qian per dose, decoct in water, take after meals, and again before bedtime.
Xiangfu Gao (Cyperi Ointment) [from *Shengji Zonglu*]: Treats ear pain.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [2 pieces, skin and navel removed, used raw], Acori Tatarinowii Rhizoma (Changpu, 菖蒲), Alumen (Fanshi, 矾石) [burnt until dry], Armeniacae Semen Amarum (Xingren, 杏仁) [soaked in hot water, skin and tip removed, double-kernel ones stir-fried, each half liang], Moschus (Shexiang, 麝香) [ground, 2 fen]. Pound the above herbs into an ointment.
Bailong San (White Dragon Powder): Treats sudden severe pain in the ear; treats sores, promotes tissue regeneration, and relieves pain.
Talcum (Huashi, 滑石) [1 liang, ground]; Borax (Pengsha, 硼砂) [3 qian]; Calomelas (Qingfen, 轻粉) [1 qian]; Crysallopyrites (Hanhuishi, 寒水石) [4 liang, burnt until half-white, ground]; Sepiae Endoconcha (Wzieiyu Gu, 乌贼鱼骨) [1 liang, ground]. Grind the above herbs into fine powder and insufflate into the ear.
Huangqin San (Scutellaria Powder): Treats ear pain.
Scutellariae Radix (Huangqin, 黄芩) [3 qian]; Costi Radix (Muxiang, 木香) [half qian]; Platycodonis Radix (Jiegeng, 桔梗) [1 qian]; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [1 qian]. Prepare as one dose, decoct in water, strain, and drink.
Another prescription for treating inner ear pain:
Manis Pentadactyla (Chuanshanjia, 穿山甲) [1 or 2 scales]; Gryllus (Tougouzi, 土狗子) [2 insects]. First, sandwich the Gryllus between the Manis scales and stir-fry together until scorched yellow. Add a small amount of Moschus (Shexiang, 麝香), grind finely, and insufflate into the ear.
Another prescription [from *Haishang Fang*]:
Shape Saponis Radix (Caowu, 草乌) like a date pit, dip it in fresh ginger juice, and insert it into the ear. The pain will stop immediately. Another version does not use ginger juice.
Another prescription [from *Ren Cun Fang*]:
Use blood from Crucian Carp (Jiyu, 鲫鱼). Drip a few drops into the ear to cure.
Baiyan Fang (White Salt Prescription) [from *Wei Shi Fang*]: Treats deafness accompanied by pain.
Baihe San (Lily Powder) [from *Shenghui Fang*]: Treats deafness accompanied by pain.
Use Bulbus Lilii (Baihe, 百合) in any quantity, bake until dry, and grind into a fine powder. After meals, mix with warm water and take 1 qian-bi (a measure shaped like a ginseng slice). Taking it three times a day is optimal.
Prescription for treating extreme inner ear pain [from *Shengji Zonglu*]:
Use Curcumae Radix (Yujin, 郁金) powder, ground finely. For each dose, take an amount equivalent to "one character" (approx. 0.5-1g), mix with clean water, pour into the ear, and then quickly tilt it out.
Saier Dan (Ear-Plugging Pill) [from *Shengji Zonglu*]: Treats sudden unbearable ear pain.
Muxiang San (Costus Powder) [from *Shengji Zonglu*]: Treats wind-pain in the ear and long-standing deafness with obstruction.
Grind Costi Radix (Muxiang, 木香) into a fine powder. Cut off the tip of the yellow heart of Allium fistulosum (Conghuangxin, 葱黄心), apply goose fat on it, dip it into the Muxiang powder, and insert it deeply into the ear. Remove it after one shichen (2 hours) once the pain stops. Apply 3 to 5 times daily.
Xingren Gao (Apricot Kernel Ointment) [from *Shenghui Fang*]: Treats discharge from the ear, or pain with pus.
Stir-fry Armeniacae Semen Amarum (Xingren, 杏仁) until dark red/black, grind into powder, and process into an ointment. Wrap thinly in cotton silk and insert into the ear. Change 3-4 times daily. Alternatively, wrapping in loose hair is also effective. Another version for sudden ear pain or fluid discharge: fry Armeniacae Semen Amarum until scorched, grind into powder, mix with onion juice to form pills, wrap in cotton silk, insert into the ear, and fumigate the ear canal. It also treats ear swelling with pus.
Liugen Fang (Willow Root Prescription) [from *Bencao*]: Treats ear pain with pus that cannot drain, and abscesses with nodular accumulation.
Finely chop Willow Root (Liugen, 柳根), cook thoroughly, pound it, apply it to the affected area, cover with cloth, and replace when dry.
Treatment for sudden ear pain [from *Bencao*]:
Steam salt and apply it as a hot compress (fumigation/warming therapy).