曾青散
雄黄(七钱半) 曾青(五钱) 黄芩(二钱半)
上为细末,研匀,每用少许,纳耳中。有脓汁,用绵杖子拭干用之。
黄连散
黄连(半两) 枯白矾(七钱半)
上为细末,每用少许,绵裹纳耳中。
柴胡栀子散(一名栀子清肝散) 治三焦及足少阳经风热,耳内作痒生疮,或出水疼痛,或
胸乳间作痛,或寒热往来。
柴胡 栀子(炒) 牡丹皮(各一钱) 茯苓 川芎 芍药 当归 牛蒡子(炒。各七分) 甘草(五分)
上水煎服。若太阳头痛,加羌活。
当归川芎散 治手足少阳经血虚疮证;或风热耳内痒痛,生疮出水;或头目不清,寒
热少食;或妇女经水不调,胸膈不利,腹胁
痞痛。
当归 川芎 柴胡 白术 芍药(各一钱) 山栀(炒,一钱二分) 牡丹皮 茯苓(各八分)
蔓荆子 甘草(各五分)
上水煎服。
若肝气不平寒热加地骨皮;肝气实加柴胡、黄芩;气血虚加参、 、归、地;脾虚
饮食少思加苓、术;脾虚胸膈不利加参、 ;痰滞胸膈不利加术、半;肝气不顺,胸膈不
利,或小腹痞满,或时攻痛,加青皮;肝血不足,胸膈不利;或小腹痞满,或时作痛,加
熟地;肝血虚寒,小腹时痛,加肉桂;日晡发热加归、地。
加味地黄丸 治肝肾阴虚疮证;或耳内痒痛出水;或眼昏,痰气喘嗽;或作渴发热,
小便赤涩等证。
干山药 山茱萸肉 牡丹皮 泽泻 白茯苓 熟地黄 生地黄 柴胡 五味子(各另
为末,等分)
上将二地黄掐碎,酒拌湿,杵膏,入前末和匀,加炼蜜为丸,如桐子大。每服百丸,
空心白汤下。不应,用加减八味丸。
立验散 治蚰蜒入耳。
川芎 白芷 夜明砂(炒) 猪牙皂角(炙) 南星(炮。各七钱半) 百部 白丁香 藜芦(各四
钱) 草乌(半两) 砒霜(另研) 荜茇(各二钱) 海金砂(二钱半)
上为细末,研匀,临时更用铅丹调色匀,瓷器收。如蚰蜒入耳,取少许,以醋一滴调
化,以细翎蘸药入耳窍,微吹令药气行,立出。药不得多,多即蚰蜒成水不出。如蝎螫,
先点少醋在螫处,掺药半字许,擦令热发即效。
Zengqing San (Zengqing Powder)
Realgar (37.5 qian) Cinnabarite (Wuwangshi, 曾青) (25 qian) Scutellariae Radix (Huangqin, 黄芩) (12.5 qian)
Grind the above ingredients into a fine powder and mix evenly. Use a small amount each time and insert it into the ear. If there is pus, wipe it dry with a cotton swab before applying the medicine.
Huanglian San (Coptis Powder)
Coptidis Rhizoma (Huanglian, 黄连) (0.5 liang) Calcined Alum (Kubaijian, 枯白矾) (37.5 qian)
Grind the above ingredients into a fine powder. Each time, take a small amount, wrap it in cotton, and insert it into the ear.
Chaihu Zhizi San (Bupleurum and Gardenia Powder), also known as Zhizi Qinggan San (Gardenia Liver-Clearing Powder). Treats wind-heat affecting the Sanjiao (Triple Burner) and Foot-Shaoyang Gallbladder Meridian, causing itching and sores in the ear, discharge with pain, pain between the chest and breasts, or alternating chills and fever.
Bupleuri Radix (Chaihu, 柴胡) Gardeniae Fructus (Zhizi, 栀子) [Stir-fried] Moutan Cortex (Mudanpi, 牡丹皮) (each 1 qian) Poria (Fuling, 茯苓) Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) Paeoniae Radix Alba (Shaoyao, 芍药) Angelicae Sinensis Radix (Danggui, 当归) Arctii Fructus (Niubangzi, 牛蒡子) [Stir-fried] Licorice Root (Gancao, 甘草) (each 0.7 qian; Gancao 0.5 qian)
Decoct in water and take orally. If accompanied by Taiyang headache, add Notopterygii Rhizoma et Radix (Qianghuo, 羌活).
Danggui Chuanxiong San (Angelica and Ligusticum Powder). Treats blood deficiency sores of the Hand-Shaoyang Sanjiao Meridian and Foot-Shaoyang Gallbladder Meridian; or wind-heat causing ear itching and pain, sores with discharge; or unclear head and eyes, alternating chills and fever, poor appetite; or irregular menstruation in women, chest and diaphragm discomfort, epigastric and hypochondriac fullness and pain.
Angelicae Sinensis Radix (Danggui, 当归) Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) Bupleuri Radix (Chaihu, 柴胡) Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) Paeoniae Radix Alba (Shaoyao, 芍药) (each 1 qian) Gardeniae Fructus (Shanzhi, 山栀) [Stir-fried, 1.2 qian] Moutan Cortex (Mudanpi, 牡丹皮) Poria (Fuling, 茯苓) (each 0.8 qian) Vitex Fructus (Manjingzi, 蔓荆子) Licorice Root (Gancao, 甘草) (each 0.5 qian)
Decoct in water and take orally.
If liver qi stagnation with alternating chills and fever, add Lycii Cortex (Digupi, 地骨皮); if liver qi excess, add Bupleuri Radix (Chaihu, 柴胡) and Scutellariae Radix (Huangqin, 黄芩); if qi and blood deficiency, add Ginseng Radix (Renshen, 人参), [missing character], Angelicae Sinensis Radix (Danggui, 当归), and Rehmanniae Radix (Dihuang, 地黄); if spleen deficiency with poor appetite, add Poria (Fuling, 茯苓) and Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); if spleen deficiency with chest/diaphragm discomfort, add Ginseng Radix (Renshen, 人参) and [missing character]; if phlegm obstruction with chest/diaphragm discomfort, add Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) and Pinelliae Tuber (Banxia, 半夏); if liver qi stagnation with chest/diaphragm discomfort, lower abdominal fullness, or intermittent attacking pain, add Tangerine Green Peel (Qingpi, 青皮); if liver blood insufficiency with chest/diaphragm discomfort, lower abdominal fullness, or intermittent pain, add Prepared Rehmanniae Radix (Shudihuang, 熟地黄); if liver blood deficiency-cold with intermittent lower abdominal pain, add Cinnamon Twig (Rougui, 肉桂); if afternoon fever, add Angelicae Sinensis Radix (Danggui, 当归) and Rehmanniae Radix (Dihuang, 地黄).
Jiawei Dihuang Wan (Modified Rehmannia Pill). Treats liver-kidney yin deficiency sores; or ear itching, pain, and discharge; or blurred vision, phlegm with asthma and cough; or thirst with fever, red and scanty urination, etc.
Dioscoreae Rhizoma (Shanyao, 山药) Corni Fructus (Shanzhuyu, 山茱萸) Moutan Cortex (Mudanpi, 牡丹皮) Alisma Rhizoma (Zexie, 泽泻) White Poria (Baifuling, 白茯苓) Prepared Rehmanniae Radix (Shudihuang, 熟地黄) Raw Rehmanniae Radix (Shengdihuang, 生地黄) Bupleuri Radix (Chaihu, 柴胡) Schisandrae Fructus (Wuweizi, 五味子) (each ground separately into powder, equal parts)
First, crush the two types of Rehmannia, moisten with wine, pound into a paste, mix with the aforementioned powders, add refined honey to form pills, size similar to paulownia seeds. Take 100 pills each time, swallowed with plain warm water on an empty stomach. If ineffective, use Jiawei Bawei Wan (Modified Eight-Ingredient Pill).
Liyan San (Immediate Verification Powder). Treats centipedes/millipedes entering the ear.
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) Angelicae Dahuricae Radix (Baizhi, 白芷) Coleoptera Faeces (Yemingcha, 夜明砂) [Stir-fried] Gleditsiae Sinensis Fructus (Zhuyazaojiao, 猪牙皂角) [Roasted] Pinelliae Rhizoma (Nanxing, 南星) [Pounded] (each 37.5 qian) Stemona Radix (Baibu, 百部) Whitlock's Spermophilus Faeces (Baidingxiang, 白丁香) Veratrum Nigrum (Lilu, 藜芦) (each 4 qian) Aconitum Kusnezoffii Root (Caowu, 草乌) (0.5 liang) Realgar (Arsenic Trioxide, Pisuang, 砒霜) [Ground separately] Long Pepper Fruit (Bibo, 荜茇) (each 2 qian) Colocasia Seed (Haijinsha, 海金砂) (2.5 qian)
Grind the above ingredients into a fine powder and mix evenly. Temporarily mix with Lead Oxide (Qiandan, 铅丹) to adjust color uniformly, and store in porcelain containers. If a centipede enters the ear, take a small amount of powder, dissolve with one drop of vinegar, dip a fine feather into the medicated liquid, insert into the ear canal, and gently blow to disperse the medicinal vapor; the centipede will come out immediately. Do not use too much medicine, otherwise the centipede will dissolve into water and remain inside. For scorpion stings, first apply a little vinegar to the sting site, sprinkle about half a zi (approx. 0.3g) of powder, rub until heat develops for effectiveness.