夫耳聋有脓者。盖肾脏虚。劳伤血气。于津液相搏。热气乘之。则结聚于耳中。腐化脓
汁。气不开窍。则致人聋。
方
黄 丸（出圣济总录）治耳聋脓出。
黄 （锉） 升麻 栀子仁 犀角（镑） 玄参 芒硝（各一两半） 干姜（炮） 芍
药人参
（各
丸如梧
桐子
无
蔓荆子散（出直指方）治内热。耳出脓汁。
川升麻 木通 赤芍药 桑白皮（炒） 麦门冬（去心） 生地黄 前胡 甘菊 赤茯
苓
蔓荆
升气散 治气不升降。九窍闭塞。耳痛肿聋。耵聍底耳脓出。
川芎 白芷 香附 紫苏叶 陈皮 菖蒲 当归 防风 甘草（以上各等分） 上为捣
细。每
磁石汤（出千金方）治肾热。背急挛痛。耳脓血出。或生肉塞之。不闻人声。
磁石 白术 牡蛎（各五两） 甘草（一两） 葱白 生地黄汁（各一升） 芍药（四
两） 大
枣（
解疮散 治气虚热壅。或失饥冒暑。风热上壅。耳内闭痛。脓血流出。
赤芍药 白芍药（各半两） 木鳖子仁 当归 甘草 大黄汁〔各一两（升）〕 黄芩 防
风（
附子丸（一名矾石膏出圣济总录）治耳聋。出脓疼痛。并耵聍塞耳。
附子（炮去皮脐） 菖蒲（米泔浸一宿锉焙） 矾石（熬令汁枯） 蓖麻子仁 松脂（研
各一
两）
穿一
孔子令
亦瘥。
解仓饮子（出三因方）治气虚热壅。或失饥冒暑。风热上壅。耳内聋闭彻痛
。脓血流出。
赤芍药 白芍药（各半两） 当归 甘草（炙） 木鳖子（去壳） 大黄（蒸各一两） 上
为锉
散。
附子散（出圣惠方）治耳聋有脓。
附子（一两） 禹余粮（六铢） 伏龙肝 龙骨 釜底墨 乌贼骨（各半两） 上为末。
取如
皂荚
真龙骨散（出直指方）治脓耳方。
真龙骨 白矾（ ） 赤小豆 黄丹 乌贼骨〔各一两（分）〕 胭脂〔半两（分）〕 上
为
细
又方（出直指方）
明矾（ ） 黄丹（ ） 真蚌粉 烂石膏（新瓦上 出火毒） 真龙骨（各等分） 麝
香（少
许）
白矾散（一名松花散出圣惠方）治 聋。脓水不绝方。
白矾（半两烧灰） 马勃（一分） 木香（一分） 松脂〔一钱（分）〕 花胭脂（一
分） 上为
细末
治耳热出汁。（出直指方）
硝石 烂石膏 天花粉 防风（以上各一钱） 潮脑（少许） 上为末。掺耳立止。
治耳内脓血。（出直指方）
明白矾（ ） 黄虢丹（ ） 龙骨 胭脂（等分为末） 麝香（少许） 上研为细末。
用绵杖
缠干
鲤鱼脑方（出圣惠方）治肾热。耳脓血出溜。日夜不止。
鲤鱼脑（一枚） 鲤鱼肠（一具洗细切） 鲤鱼 （三斤） 乌麻子（熬令香一升） 上
先捣麻
子碎
作药
风冷
胚矾散（海上方）治耳中脓出。
白矾胚 乌贼骨（各一钱） 麝香（少许） 上为末。吹入耳内。次用绵杖缴脓汁。一
方乌
贼骨
治脓耳（出直指方）
蝎梢（七个去毒焙） 胭脂（半钱） 乳香 麝香（各少许） 上为细末。以挖子挑入
耳。
香附散 治耳内有脓水不干。
香附子末（三钱） 干胭脂（一钱） 密陀僧（一钱） 轻粉（少许） 上为细末。每
用少许。
吹入
矾石散 疗耳脓水通耳。
吴白矾（八分烧汁尽） 马勃（一分） 青木香〔三（二）分〕 松脂（四分） 上捣
末。先消
松脂
肉苁蓉方（出圣惠方）治耳聋。有脓水不绝。臭秽。
肉苁蓉 龙胆 白茅根（各一两） 上共烧为灰。研细。以少蜜和令匀。后入鲤鱼胆汁
三
枚。
愈。
治耳脓（出仁存方）
密陀僧（一钱） 轻粉（半钱） 麝香（一字） 上为末。先以绵卷耳内脓。却掺入药
末。
治耳臭流脓。
杏仁（炒） 麝香（烧灰） 青布（烧灰二味为细末各等分） 上捣碎杏仁作一丸。用
新绵薄
网。
治耳内出脓。
竹蛀虫（不拘多少） 胭脂 麝香（各少许） 上为末。吹耳内。
三黄散 治耳内流脓。
雄黄 硫黄 雌黄 上等为细末。吹耳内贴之立止。
矾石散（出圣济总录）治耳聋。有脓水不止。
矾石（熬令汁枯一两） 铅丹（炒一钱） 上为末。每用半字掺入耳中。
地骨皮散（出圣济总录）
地骨皮（半两） 五倍子（一分） 上为末。每用少许。掺入耳中。
矾黄散（出圣济总录）治耳内脓水。疼痛不止。
矾石（晋州者熬令汁枯半两） 雄黄（好者一分） 上细研。每用手指甲挑半字。先以
绵杖
子拭耳内令干。却滴生麻油一二点。入耳内。仍以绵杖子惹药末在耳中。不拘久近。只一二
度瘥。
二圣散（出圣济总录）治耳内出脓水。
白附子（炮） 羌活（去芦头各一两） 上为细末。用猪肾羊肾各一只。切开。每只入
药末
半钱。不得着盐。湿纸裹煨熟。五更初。温酒嚼下。续吃粥压。
桂骨散（出圣济总录）治耳聋有脓。
桂（去粗皮） 乌鱼骨（各一两） 上捣为散。掺入耳中瘥。
麝香佛手散 治五般耳出脓血水者。
人牙（ 过存性出火气） 麝香（少许） 上为细末。吹耳内少许。即干。亦治小儿豆
疮出
现面靥者。酒调一字服之。即出。
红绵散 疗通耳脓水。
速效散（出圣济总录）治耳聋脓出。久不瘥。
用地龙一条。盛在白葱管内。当门挂阴干。同麝香少许。研为细散。掺在耳内。
治耳聋有脓。（出千金方）
捣桂和鲤鱼脑纳耳中。不过三四度瘥。
竹蛀屑方（出朱氏集验方）治耳内出脓。不拘男子妇人小儿皆可用之。效。
以竹蛀屑。入麝香少许。用杖子缴入耳中。或加胚子即胭脂膏少许。一方白矾为末同吹。
治耳疮黄脓出。（出经效济世方）
上烧白矾灰。研胡桃油调涂。
抵圣散（出疮科精要方）治耳中脓。经年不愈。及驴涎马汁。攻 疮疡骨疸疳
等疮。
白矾灰（一两） 乌鱼骨（三钱） 干胭脂 轻粉（各一钱） 乳香（一钱另研） 麝
香（少许）
上为细末。或掺或 。以膏贴之。如有耳脓者。用一字 耳中。
治耳出脓水不止。俗呼油耳。（出本事方）
上白矾烧烟。熏耳中令知。耳孔内知暖。虫自出妙。
麝红散（出杨氏家藏方）治脓耳。定疼痛。
蝎尾（七枚去毒焙干取末） 麝香（半钱别研） 上件并研令匀。每用以斡耳子。挑少
许入
耳中。日夜三四次用之。
治脓耳。
上用枣木内蛀虫屎。研入麝香少许。先以绵杖子捻干。吹药入耳。
Deafness accompanied by purulent discharge is caused by kidney deficiency. Labor and injury to blood and qi cause body fluids to interact with pathogenic factors. Heat pathogens invade and accumulate in the ear, rotting and transforming into pus. When the qi mechanism fails to open the orifices, deafness results.
Formulas:
Huang Wan (Cinnamon Twig Pill) (from *Shengji Zonglu*), treating deafness with purulent discharge.
Ingredients: Huang (Cinnabar? Note: Original text likely implies a specific herb abbreviated or missing character, possibly referring to a mineral or herb starting with Huang, context suggests heat-clearing or detoxifying), Shengma (Cimicifugae Rhizoma), Zhizi Ren (Gardeniae Semen), Xijiao (Rhinocerotis Cornu), Xuanshen (Scrophulariae Radix), Mangxiao (Natrii Sulfas) (each 1.5 liang), Ganjiang (Zingiberis Rhizoma Preparatum), Shaoyao (Paeoniae Radix), Renshen (Ginseng Radix et Rhizoma). (Dosages for some ingredients are incomplete in the original text). Form pills the size of wutong seeds.
Wu Manjingzi San (No Vitex Powder) (from *Zhizhi Fang*), treating internal heat and purulent discharge from the ear.
Ingredients: Chuan Shengma (Cimicifugae Rhizoma), Mutong (Akebiae Caulis), Chi Shaoyao (Paeoniae Radix Rubra), Sangbaipi (Mori Cortex), Maimendong (Ophiopogonis Radix, heart removed), Shengdihuang (Rehmanniae Radix), Qianhu (Peucedani Radix), Ganju (Chrysanthemi Flos), Chi Fuling (Poria with Red Heart), Manjingzi (Viticis Fructus).
Shengqi San (Qi-Raising Powder), treating dysfunction of qi ascending and descending, obstruction of the nine orifices, ear pain, swelling, deafness, cerumen blockage, and purulent discharge from the ear.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Xiangfu (Cyperi Rhizoma), Zisuye (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Changpu (Acori Tatarinowii Rhizoma), Danggui (Angelicae Sinensis Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (all in equal proportions). Pound the above ingredients into fine powder. Take a certain amount (specific dosage missing in original).
Cishi Tang (Magnetite Decoction) (from *Qianjin Fang*), treating kidney heat, stiffness and spasmodic pain in the back, purulent bloody discharge from the ears, or growth of flesh blocking the ear canal causing hearing loss.
Ingredients: Cishi (Magnetitum), Baizhu (Atractylodis Macrocephalae Rhizoma), Muli (Concha Ostreae) (each 5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Congbai (Allii Fistulosi Bulbus), Shengdihuang汁 (Jus Rehmanniae Radix Recens) (each 1 sheng), Shaoyao (Paeoniae Radix) (4 liang), Dazao (Jujubae Fructus) (quantity incomplete).
Jiechuang San (Ulcer-Resolving Powder), treating qi deficiency with heat stagnation, or exposure to summerheat while hungry, leading to wind-heat congestion upward, causing ear closure, pain, and purulent bloody discharge.
Ingredients: Chi Shaoyao (Paeoniae Radix Rubra), Bai Shaoyao (Paeoniae Radix Alba) (each 0.5 liang), Mugubei Ren (Momordicae Semen), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang汁 (Jus Rhei Radix et Rhizoma) (each 1 liang), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix) (dosages incomplete).
Fuzi Wan (Aconite Pill) (also known as Fanshi Gao, from *Shengji Zonglu*), treating deafness, purulent discharge with pain, and cerumen blockage.
Ingredients: Fuzi (Aconiti Lateralis Radix Preparata, peeled and de-umbilicated), Changpu (Acori Tatarinowii Rhizoma, soaked in rice water overnight, chopped and dried), Fanshi (Alumen), Bimazi Ren (Ricini Semen), Songzhi (Pini Resina) (each 1 liang, pounded). Form pills the size of wutong seeds. Take several pills (quantity missing) with warm water. It can also cure other similar conditions.
Jiecang Yinzi (Ear-Cavity Infusion) (from *San Yin Fang*), treating qi deficiency with heat stagnation, or exposure to summerheat while hungry, leading to wind-heat congestion upward, causing severe deafness and pain, and purulent bloody discharge.
Ingredients: Chi Shaoyao (Paeoniae Radix Rubra), Bai Shaoyao (Paeoniae Radix Alba) (each 0.5 liang), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Mugubei (Momordicae Semen, shell removed), Dahuang (Rhei Radix et Rhizoma, steamed) (each 1 liang). Chop the above ingredients and make into a powder.
Fuzi San (Aconite Powder) (from *Shenghui Fang*), treating deafness with purulent discharge.
Ingredients: Fuzi (Aconiti Lateralis Radix Preparata) (1 liang), Yuyuliang (Halloysitum), Fulonggan (Caulis Arundinis Carbonatus), Longgu (Os Draconis), Fudimo (Carbon Fusilli), Wuzhegu (Sepiae Endoconcha) (each 0.5 liang). Pound into fine powder. Take an appropriate amount (method of application implied as insufflation).
Zhen Longgu San (True Dragon Bone Powder) (from *Zhizhi Fang*), a formula for otorrhea.
Ingredients: Zhen Longgu (Os Draconis), Baifan (Alumen, calcined), Chixiaodou (Phaseoli Angularis Semen), Huandan (Minium), Wuzhegu (Sepiae Endoconcha) (each 1 liang), Yanzhi (Vermilion/Carmine) (0.5 liang). Pound into fine powder.
Another Prescription (from *Zhizhi Fang*)
Ingredients: Mingfan (Alumen, calcined), Huandan (Minium), Zhen Bangfen (Concha Margaritifera), Lanshigao (Gypsum Fibrosum, fired on new tile to remove fire toxicity), Zhen Longgu (Os Draconis) (all in equal proportions), Shexiang (Moschus) (a small amount). Pound into fine powder.
Baifan San (White Alum Powder) (also known as Songhua San, from *Shenghui Fang*), treating deafness with continuous purulent discharge.
Ingredients: Baifan (Alumen, half liang, burned to ash), Bobo (Bletillae Rhizoma? Note: Usually refers to Marasmius or similar, context suggests drying agent), Muxiang (Aucklandiae Radix), Songzhi (Pini Resina), Hua Yanzhi (Flowered Carmine) (all in specified proportions). Pound into fine powder.
Treating Ear Heat with Discharge (from *Zhizhi Fang*)
Ingredients: Xiaoshi (Natrii Nitras), Lanshigao (Gypsum Fibrosum), Tianhuafen (Trichosanthis Radix), Fangfeng (Saposhnikoviae Radix) (each 1 qian), Chaonao (Borneolum Syntheticum) (a small amount). Pound into powder, insufflate into the ear to stop discharge immediately.
Treating Purulent Blood in the Ear (from *Zhizhi Fang*)
Ingredients: Ming Baifan (Alumen), Huang Guodian (Yellow Minium), Longgu (Os Draconis), Yanzhi (Carmine) (equal parts, made into powder), Shexiang (Moschus) (a small amount). Pound into fine powder. Use a cotton swab to clean the purulent blood from the ear.
Li Yu Nao Fang (Carp Brain Formula) (from *Shenghui Fang*), treating kidney heat with continuous day-and-night purulent bloody discharge from the ear.
Ingredients: Li Yu Nao (Cerebrum Cyprini Carassii) (one brain), Li Yu Chang (Intestinum Cyprini Carassii, washed and finely cut) (one set), Li Yu (Cyprinus Carpio) (3 jin), Wu Maziren (Semen Sesami Nigrum, fried until fragrant) (1 sheng). First pound the sesame seeds, then combine with other ingredients to prepare the medicine.
Feng Leng... (Text fragment, likely treating cold-wind related ear issues)
Pei Fan San (Alum Embryo Powder) (from *Haishang Fang*), treating purulent discharge from the ear.
Ingredients: Baifei Pei (Alumen Embryo?), Wuzhegu (Sepiae Endoconcha) (each 1 qian), Shexiang (Moschus) (a small amount). Pound into powder, insufflate into the ear. Then use a cotton swab to wipe away the pus. Another prescription uses only Wuzhegu.
Treating Otorrhea (from *Zhizhi Fang*)
Ingredients: Xie Shao (Scorpio Caudex, seven pieces, de-toxified and fried), Yanzhi (Carmine) (0.5 qian), Ruxiang (Olibanum), Shexiang (Moschus) (small amounts each). Pound into fine powder. Use an ear pick to apply into the ear.
Xiangfu San (Cyperus Powder), treating persistent wet purulent discharge in the ear.
Ingredients: Xiangfu Zi Mo (Powder of Cyperi Rhizoma) (3 qian), Gan Yanzhi (Dry Carmine) (1 qian), Mituo seng (Lithargyrum) (1 qian), Qingfen (Calomelas) (small amount). Pound into fine powder. Use a small amount each time, insufflate into the ear.
Fanshi San (Alum Stone Powder), treating purulent discharge flowing through the ear canal.
Ingredients: Wu Baifan (Alumen, 8 fen, burned until juice is gone), Bobo (Marasmius), Qingmuxiang (Aquilariae Lignum Resinatum) (2-3 fen), Songzhi (Pini Resina) (4 fen). Pound into powder. First melt the Songzhi.
Rou Congrong Fang (Cistanche Formula) (from *Shenghui Fang*), treating deafness with continuous, foul-smelling purulent discharge.
Ingredients: Rou Congrong (Cistanches Herba), Longdan (Gentianae Radix), Baimaogen (Imperatae Rhizoma) (each 1 liang). Burn all together to ash, pound into fine powder. Mix with a little honey. Add three bile sacs from a carp. Can cure the condition.
Treating Ear Pus (from *Ren Cun Fang*)
Ingredients: Mituo seng (Lithargyrum) (1 qian), Qingfen (Calomelas) (0.5 qian), Shexiang (Moschus) (1 zi). Pound into powder. First use a cotton roll to clean the pus from the ear, then insufflate the powder.
Treating Foul Smelling Ear Pus.
Ingredients: Xingren (Armeniacae Semen Amarum, fried), Shexiang (Moschus, burned to ash), Qingbu (Black Cloth, burned to ash). The two ashes are mixed in equal parts. Pound the apricot kernels into a pill, wrap in thin new cotton gauze.
Treating Purulent Discharge from the Ear.
Ingredients: Zhu Zhu Chong (Borer Worms of Bamboo, any quantity), Yanzhi (Carmine), Shexiang (Moschus) (small amounts each). Pound into powder, insufflate into the ear.
San Huang San (Three Yellows Powder), treating purulent discharge from the ear.
Ingredients: Xionghuang (Realgar), Huhuang (Orpiment), Cihuang (Orpiment). Pound high-quality ingredients into fine powder, insufflate into the ear and apply; stops immediately.
Fanshi San (Alum Stone Powder) (from *Shengji Zonglu*), treating deafness with continuous purulent discharge.
Ingredients: Fanshi (Alumen, boiled until dry, 1 liang), Qiandan (Minium, fried) (1 qian). Pound into powder. Each time take half a zi amount and insufflate into the ear.
Digupi San (Dogwood Root Bark Powder) (from *Shengji Zonglu*)
Ingredients: Digupi (Corni Fructus? Note: Usually Corni Fructus is Shan Zhu Yu, Digupi is Lycii Cortex. Text says Digupi which is Lycii Cortex), Wubeizi (Galla Chinensis) (half liang, 1 fen respectively). Pound into powder. Take a small amount each time, insufflate into the ear.
Fanhuan San (Alum and Realgar Powder) (from *Shengji Zonglu*), treating purulent discharge in the ear with unceasing pain.
Ingredients: Fanshi (from Jinzhou, boiled until dry, 0.5 liang), Xionghuang (Realgar, good quality) (1 fen). Pound finely. Each time use a fingernail to pick up half a zi amount. First wipe the ear dry with a cotton swab, then drip 1-2 drops of raw sesame oil into the ear. Use a cotton swab to introduce the powder into the ear. Regardless of duration, one or two applications will cure it.
Er Sheng San (Two Sages Powder) (from *Shengji Zonglu*), treating purulent discharge from the ear.
Ingredients: Baifuzi (Typhonii Rhizoma, prepared), Qianghuo (Notopterygii Rhizoma et Radix, remove root head) (each 1 liang). Pound into fine powder. Take one pig kidney and one sheep kidney, slice open. Put half a qian of powder into each. Do not add salt. Wrap in wet paper and bake/roast until cooked. At dawn (wugeng), chew and swallow with warm wine. Follow with porridge to settle.
Guigu San (Cinnamon Bone Powder) (from *Shengji Zonglu*), treating deafness with purulent discharge.
Ingredients: Gui (Cinnamomi Ramulus, remove rough bark), Wuyu Gu (Cutla Sepiae? Note: Likely refers to Cuttlefish bone, same as Wuzhegu) (each 1 liang). Pound into powder, insufflate into the ear to cure.
Shexiang Foshou San (Musk Buddha's Hand Powder), treating five types of ear discharge of pus, blood, and water.
Ingredients: Ren Ya (Human Tooth, calcined to retain efficacy, remove fire toxicity), Shexiang (Moschus) (small amount). Pound into fine powder, insufflate a small amount into the ear to dry it. Also treats facial marks left after smallpox in children. Take one zi amount mixed with wine to induce eruption/resolution.
Hongmian San (Red Cotton Powder), treating purulent discharge flowing through the ear.
Suxiao San (Rapid Effect Powder) (from *Shengji Zonglu*), treating deafness with purulent discharge that has not healed for a long time.
Take one earthworm, place it inside a white scallion tube, hang it at the door to dry in the shade. Grind with a small amount of Shexiang (Moschus) into a fine powder, insufflate into the ear.
Treating Deafness with Purulent Discharge (from *Qianjin Fang*)
Grind Gui (Cinnamomi Ramulus) and mix with Carp Brain, insert into the ear. Three or four applications will cure it.
Zhu Zhu Xie Fang (Borer Waste Formula) (from *Zhu Shi Ji Yan Fang*), treating purulent discharge from the ear. Suitable for men, women, and children. Effective.
Use borer waste from bamboo, add a small amount of Shexiang (Moschus), insert into the ear with a stick. Alternatively, add a small amount of Pei Zi (Embolized Alum/Carmine paste). Another prescription uses powdered Baifan (Alumen) for insufflation.
Treating Ear Ulcer with Yellow Pus (from *Jing Xiao Ji Shi Fang*)
Burn Baifan (Alumen) to ash, grind, and mix with Walnut Oil for topical application.
Disengaging Holy Powder (from *Chuang Ke Jing Yao Fang*), treating ear pus that persists for years. Also treats ulcers, bone carbuncles, and gan sores caused by donkey saliva or horse sweat.
Ingredients: Baifan Hui (Ash of Alumen) (1 liang), Wuyu Gu (Cutla Sepiae) (3 qian), Gan Yanzhi (Dry Carmine), Qingfen (Calomelas) (each 1 qian), Ruxiang (Olibanum, 1 qian, separately ground), Shexiang (Moschus) (small amount). Pound into fine powder. Insufflate or apply with ointment. For ear pus, insufflate one zi amount into the ear.
Treating Continuous Purulent Discharge from the Ear, Commonly Called "Oily Ear" (from *Ben Shi Fang*)
Burn Baifan (Alumen) until smoke is produced, fumigate the ear until sensation is felt. When warmth is felt in the ear canal, parasites will exit naturally; this is excellent.
Shehong San (Musk and Carmine Powder) (from *Yang Shi Jia Cang Fang*), treating otorrhea and relieving pain.
Ingredients: Xie Wei (Scorpio Caudex, seven pieces, de-toxified, fried, and powdered), Shexiang (Moschus) (0.5 qian, separately ground). Grind uniformly. Each time use an ear pick to apply a small amount into the ear. Use 3-4 times daily.
Treating Otorrhea.
Use the above method. Take worm castings from jujube wood, grind with a small amount of Shexiang (Moschus). First dry the ear with a cotton swab, then insufflate the medicine.