\r耳风毒\p04-a41a77.bmp\r
王肯堂曰∶耳风毒,耳中常出红脓,此足少阴、手少阳二经风热上壅而成。(《准绳》)
胡公弼曰∶耳风毒,即耳门毒。(《青囊》)
又曰∶耳之上下前后,皆属少阳,最不可破。如毒一有溃破,便要仔细详审,不可轻忽。
窦汉卿曰∶耳风毒受在心肾,气不流行,壅在心经,致伤于耳。
王肯堂曰∶耳蕈、耳痔,则不作脓,亦不作寒热,外无壅肿。但耳塞不通,缠绵
不已,令人耳聋。(《准绳》)
陈实功曰∶又有耳挺,结于窍内,气脉不通,疼痛不止,当用白降丹点之,化
尽乃愈。(《正宗》)
窦汉卿曰∶耳痔、耳蕈,先用针刺破,用红玉膏点之,耳胀痛,用虎耳草汁滴入
耳内,痛即止。
汪省之曰∶耳挺治以栀子清肝汤,外以白降丹或线蘸药插入挺肉缝内,化尽自愈。(《理例》)
\r耳蕈 耳痔\p04-a41a78.bmp\r
《易》说∶卦坎为耳痛。
王肯堂曰∶脑里虚疡,(虚疡者即无名肿毒之谓。)耳中疼痛,不可当者。(《准绳》)
冯氏曰∶耳痛、耳鸣、耳痒、耳脓、耳疮,亦当从少阴正窍分寒热虚实而治之,不
可专作火与外邪。凡耳鸣,以手按之而不鸣,或少减者,真虚也;手按之而愈鸣者,
火实也。昔王万里时患耳痛,魏文靖公劝以服青盐鹿茸煎雄附为剂,且言此药非为
君虚损服之,曷不观易之坎为耳痛,坎水藏在肾,开窍于耳,在志为恐,恐则伤肾
故耳痛。气阳运动常显,血阴流行常幽,血在形如水在天地之间,故坎为血卦,是经
中已着病证矣。竟饵之而愈。(《锦囊》)
Ear Wind-Toxin
Wang Kentang stated: Ear wind-toxin refers to the condition where red pus frequently discharges from the ear. This is caused by wind-heat pathogenic factors obstructing upwards in the Foot-Shaoyin Kidney Meridian and Hand-Shaoyang Sanjiao Meridian. (*Yixue Zhunsheng*)
Hu Gongbi stated: Ear wind-toxin is also known as Ermen toxin (Toxin at the Ear Gate). (*Qingnuang*)
He further stated: The upper, lower, anterior, and posterior parts of the ear all belong to the Shaoyang meridian and must not be easily ruptured. If the toxin once ulcerates, the condition must be carefully examined; it should not be treated lightly or negligently.
Dou Hanqing stated: Ear wind-toxin affects the Heart and Kidney. When Qi circulation is stagnant and obstructs in the Heart Meridian, it injures the ear.
Wang Kentang stated: Ear mushroom (Er Xun) and ear hemorrhoid (Er Zhi) do not suppurate, nor are they accompanied by aversion to cold or fever, and there is no external swelling or congestion. However, the ear feels blocked and unpatent, the course is lingering and unceasing, leading to deafness. (*Yixue Zhunsheng*)
Chen Shigong stated: There is also a condition called "Er Ting" (Ear Pillar), which forms inside the ear orifice. Due to the obstruction of Qi and blood vessels, pain persists incessantly. It should be treated with Baijiang Dan (White Reduction Paste) applied topically until the lesion is completely dissolved for recovery. (*Waike Zhengzong*)
Dou Hanqing stated: For treating ear hemorrhoid and ear mushroom, first puncture them with an acupuncture needle, then apply Hongyu Gao (Red Jade Ointment). If the ear feels distended and painful, drip juice of *Pilea cantoniensis* (Huercao) into the ear canal; the pain will cease immediately.
Wang Shengzhi stated: Er Ting is treated internally with Zhizi Qinggan Tang (Gardenia Liver-Clearing Decoction). Externally, Baijiang Dan (White Reduction Paste) or a thread dipped in the medicine is inserted into the fissures of the growth until it dissolves and heals spontaneously. (*Lili*)
Ear Mushroom, Ear Hemorrhoid
The *I Ching* states: The trigram Kan represents ear pain.
Wang Kentang stated: Brain deficiency ulcers (deficiency ulcers refer to unnamed swellings and toxins) cause severe ear pain that is unbearable. (*Yixue Zhunsheng*)
Feng Shi stated: Ear pain, tinnitus, ear itching, otorrhea, and ear sores should also be treated by distinguishing between cold, heat, deficiency, and excess based on the Shaoyin proper orifice. One cannot exclusively attribute them to fire pathogens or external evils. Generally, if tinnitus ceases or diminishes when pressed by hand, it indicates true deficiency; if tinnitus intensifies upon pressing, it indicates fire excess. In the past, Wang Wanli suffered from ear pain. Wei Wenjing advised him to take a decoction prepared with Green Salt, Deer Antler, Realgar, and Aconite. He remarked that this prescription was not intended for sovereign deficiency but pointed out the *I Ching* principle that "Kan represents ear pain." Kan water resides in the Kidney, opens into the ears, and corresponds to the emotion of Fear. Fear injures the Kidney, thus causing ear pain. Qi, being Yang, moves and manifests openly; Blood, being Yin, circulates and remains hidden. Blood within the body is like water within heaven and earth; therefore, Kan is the trigram of Blood, indicating that pathology has already manifested in these meridians. Ultimately, he took the medicine and recovered. (*Jinnang*)