四生散（见中风。）
透冰丹 治一切风毒上攻，头面肿痒，痰涎壅塞，心胸不利，口舌干涩，风毒下疰，腰
脚沉重，肿痛生疮，大便多秘，小便赤涩，及治中风瘫缓，一切风疾。
川大黄（去粗皮） 山栀子（去皮） 蔓荆子（去白皮） 白茯苓（去皮） 益智子（去皮） 威灵仙（去芦
头，洗，焙干） 白芷（各半两） 香墨（烧醋淬讫，细研） 麝香（研。各一钱） 茯神（去木，半两） 川乌（二两，
用河水浸半月，切作片，焙干，用盐炒） 天麻（去苗） 仙灵脾叶（洗，焙）
上为细末，炼蜜和如麦 相似，以真酥涂，杵臼捣万杵，如干，旋入蜜令得所，和
成剂，每服旋丸如梧子大，用薄荷自然汁同温酒化下两丸。如卒中风，涎潮昏塞，煎皂
荚、白矾汤，放温化四丸灌之。瘫缓风，每日服三五丸，渐觉有效。常服一丸，疏痰利
膈，用温酒下，食后服。小儿惊风，入腻粉少许，薄荷汁化下半丸，立效。治瘰 ，葱
汤下一丸。忌动风毒物。
柴胡聪耳汤（见前耳鸣条。）
通气散
郁李仁（去皮，研） 芍药 人参（各半两） 大黄 山芋 官桂（去皮。各一两） 槟榔（三枚） 牡
丹皮 木香 细辛（去苗） 炙甘草（各二钱半）
上为细末，研匀，每服一钱匕，空心温酒调服。
蔓荆子散 治内热耳出脓汁。
蔓荆子 赤芍药 生地黄 桑白皮 甘菊花 赤茯苓 川升麻 麦门冬（去心） 木通
前胡 炙甘草（各一钱）
水二盏，姜三片，红枣二枚，煎至一盏，食后服。
红绵散
白矾（二钱） 胭脂（二字）
上研匀，先用绵杖子展去脓及黄水尽，用别绵杖子引药入耳中，令到底，掺之即干。
松花散
枯矾（半两） 麻勃 木香 松脂 花胭脂（各二钱半）
上捣罗为末，每用先以绵杖子净拭后，用药吹入耳。
白莲散
枯矾 乌贼骨 黄连（去须） 龙骨（各一两）
上为细末，以绵裹枣核大，塞耳中，日三易。
麝香散
桑螵蛸（一个炙） 麝香（一字）
上为末，研令匀，每用半字掺耳，如有脓，先用绵杖子捻干。（一法，用麝香少，黄丹多，
研匀入耳。）
禹余粮丸
禹余粮（火烧醋淬七次） 乌贼鱼骨 釜底墨 伏龙肝（各二钱半） 生附子（一枚，去皮脐）
上件为末，以绵裹如皂角子大塞耳，日再易之。如不瘥者，内有虫也。
矾石散 治耳卒肿出脓并底耳，及治耳聋不瘥有虫。
上用枯矾研细，每以苇筒吹少许入耳中，日三四度，或以绵裹枣核大塞耳。一方，先
以干盐掺之，次入矾末尤妙。一方，先以纸缠去耳中汁，次以矾末粉耳中，次以食盐末
粉其上，食久乃起，不过再度永瘥。一方，不用盐。
又方 用商陆生者洗净，以竹刀削如枣核大，塞耳中。亦治耳内生疮。
葱诞膏 治耵聍塞耳聋，不可强挑。
葱汁（三合） 细辛（去苗） 附子（各二钱半，炮，
去皮）
上以细辛、附子为末，葱汁调令稀，灌入耳中。
又方
龙骨 枯矾 胭脂 海螵蛸（各等分） 麝香（少许）
上为细末，先缴耳净，将药干掺耳中。
菖蒲散
菖蒲（焙） 野狼毒 磁石（火 醋淬） 附子（炮，去皮） 枯矾（各半两）
上为细末，以羊髓和少许，绵裹塞耳中。
竹蛀散
苦竹蛀末 枯白矾（各二钱） 干胭脂（五分） 麝香（一钱）
上研极细，以绵杖子卷之，用鹅毛管轻吹一字入耳。
蝎倍散
全蝎（三钱，烧存性） 五倍子（一两，炒） 枯矾（一钱） 麝香（少许）
上为细末，研匀，每用少许吹入耳中。一方，加干胭脂。
立效散
陈橘皮（灯上烧黑，一钱，为末） 麝香（少许）
上研匀，每用少许，先以绵拭耳内，脓净上药。
治停耳方
麝香（炒，半钱） 蝉壳（半两，火烧存性）
上研极细，先用绵展耳内脓令净，吹入药，柱耳门不得动，追出恶物即愈。
又方
狗胆（一个，取汁） 枯矾（一钱，研）
上以腊猪脂调和，纳耳中，以绵塞之，不经三两上，除根。
香附散 用香附去毛，研为末，以绵杖送入耳。
附子丸 治耳聋出脓疼痛，及耵聍塞耳。
附子（炮，去皮脐） 菖蒲（米泔浸，焙） 枯白矾 蓖麻仁（另研） 松脂（各一两，研） 干胭脂（半两
）杏仁（二两，去皮脐尖双仁，炒，另研）
上为细末，研匀，熔黄蜡和捻，如枣核大，针穿一孔令透，塞耳中，日一换。
一方，治耵聍，不用黄蜡，只捣成膏，绵裹如枣核大，塞耳。
治耳脓
密陀僧（一钱） 轻粉（五分） 麝香（一字）
上为细末，先以绵拭耳内脓，却掺药。
三黄散 治耳内流脓。
雄黄 硫黄 雌黄（各等分）
上为细末，以少许吹入耳中。
二圣散 治耳内出脓水。
羌活 白附子（炮。各一两）
上为细末，用猪、羊肾各一只，切开，每只入药末五分，不得着盐，湿纸裹煨熟，五
更初温酒嚼下，续吃粥压之。
无忧散（按∶《儒门事亲》方，黄 、木通、桑白皮、陈皮各一两，胡椒、白术、木香各半两，牵牛
头末四两。俱为细末，每服三五钱，食后以姜汁调下。此所用，似是《局方》中玉屑无忧散；雄黄丸，
疑即解毒雄黄丸也。二方并见咽喉门。）
Sisheng San (See Stroke chapter.)
Toubing Dan (Ice-Penetrating Pill) Treats all kinds of wind-toxin attacking upward, causing swelling and itching of the head and face, phlegm-saliva obstruction, chest and heart discomfort, dryness and astringency of the mouth and tongue, wind-toxin settling downward, heaviness of the waist and legs, swelling, pain, and ulceration, frequent constipation, red and painful urination, as well as treating flaccid paralysis caused by stroke and all kinds of wind diseases.
Chuan Dahuang (Rhei Radix et Rhizoma, remove coarse skin) Shanzhizi (Gardeniae Fructus, remove peel) Manjingzi (Viticis Fructus, remove white skin) Bai Fuling (Poria, remove peel) Yizhiren (Alpiniae Oxyphyllae Fructus, remove peel) Weilingxian (Clematidis Radix et Rhizoma, remove rhizome head, wash, bake dry) Baizhi (Angelicae Dahuricae Radix, each half liang) Xiangmo (Incense Ink, burn in vinegar quench, then finely grind) Shexiang (Moschus, grind. Each one qian) Fushen (Poria with Hostwood, remove wood, half liang) Chuan Wutou (Aconiti Radix Lateralis Preparata, two liang, soak in river water for half a month, slice, bake dry, stir-fry with salt) Tianma (Gastrodiae Rhizoma, remove sprout) Xianlingpiye (Epimedii Folium, wash, bake)
The above are made into fine powder, mixed with refined honey to resemble wheat bran, coated with real butter, pounded in a mortar ten thousand times. If too dry, add honey as needed to achieve proper consistency. Form into pills the size of sophora seeds. Take two pills dissolved in fresh mint juice and warm wine. For sudden stroke with phlegm-turbidity and coma, decoct Sophorae Flavescentis Semen and Alumina, let cool, dissolve four pills and administer. For flaccid wind, take three to five pills daily until improvement is felt. For maintenance, take one pill to disperse phlegm and benefit the diaphragm, taken with warm wine after meals. For pediatric convulsions, add a small amount of Calomel, dissolve half a pill in mint juice for immediate effect. For scrofula, take one pill with green onion soup. Avoid wind-toxin inducing foods.
Chaihu Cong'er Tang (See Tinnitus section.)
Tongqi San
Yuliren (Prunus japonica seed, remove peel, grind) Shaoyao (Paeoniae Radix) Renshen (Ginseng Radix et Rhizoma, each half liang) Dahuang (Rhei Radix et Rhizoma) Shanyu (Dioscoreae Rhizoma) Guanzi Gui (Cinnamomi Cortex, remove peel. Each one liang) Binglang (Arecae Semen, three pieces) Mudanpi (Moutan Cortex) Muxiang (Aucklandiae Radix) Xixin (Asari Radix et Rhizoma, remove root head) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, each two qian half)
The above are made into fine powder, mixed evenly. Take one qian bi per dose, taken with warm wine on an empty stomach.
Manjingzi San Treats ear discharge of pus due to internal heat.
Manjingzi (Viticis Fructus) Chi Shaoyao (Paeoniae Radix Rubra) Sheng Dihuang (Rehmanniae Radix) Sangbaipi (Mori Cortex) Gan Juhua (Chrysanthemi Flos) Chi Fuling (Poria) Chuan Shengma ( Cimicifugae Rhizoma) Maidong (Ophiopogonis Radix, remove heart) Mutong (Akebiae Caulis)
Qianhu (Peucedani Radix) Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, each one qian)
Two zhan of water, three slices of ginger, two red dates, decoct to one zhan. Take after meals.
Hongmian San
Baifan (Alumen, two qian) Yanzhi (Vermilion, "two characters" indicates a small unspecified quantity)
Grind evenly. First use a cotton swab to wipe away all pus and yellow fluid. Use another cotton swab to introduce the medicine to the bottom of the ear; it will dry immediately.
Songhua San
Kufan (Calcined Alumen, half liang) Mabo (Cannabis Flower) Muxiang (Aucklandiae Radix) Songzhi (Pinus Resin) Hua Yanzhi (Flower Vermilion, each two qian half)
Pound and sieve into powder. Before each use, clean the ear with a cotton swab, then blow the medicine into the ear.
Bailian San
Kufan (Calcined Alumen) Hai Zhegu (Sepiae Endoconcha) Huanglian (Coptidis Rhizoma, remove whiskers) Longgu (Fossilia Ossis Mastodi et Scapulae, each one liang)
Make into fine powder. Wrap in cotton like a date pit, insert into the ear, change three times daily.
Shexiang San
Sangpiaoxiao (Bombyx Batryticatus, one piece, roasted) Shexiang (Moschus, one zi)
Make into powder, grind evenly. Use half a zi per application into the ear. If there is pus, first wipe dry with a cotton swab. (Another method: use less Shexiang and more Hongdan, grind evenly and apply to the ear.)
Yuyuliang Wan
Yuyuliang (Hematitum, fire-burned and vinegar-quenched seven times) Wuzeiyu Gu (Sepiae Endoconcha) Fudi Mo (Lini Corium) Fulonggan (Dragon's Liver, each two qian half) Sheng Fuzi (Aconiti Lateralis Radix Preparata, one piece, remove skin and navel)
Make into powder. Wrap in cotton like a soap bean, insert into the ear, change twice daily. If not cured, there are insects in the ear.
Fanshi San Treats sudden ear swelling with pus and basal lesions, and treats deafness unrelieved by insects.
Use Kufan ground fine. Blow a small amount into the ear using a reed tube, three to four times daily. Or wrap in cotton like a date pit and insert. One formula: first sprinkle dry salt, then apply alum powder, which is better. Another formula: first use paper to absorb ear fluid, then apply alum powder, then salt powder on top, leave for a long time before rising. No more than two applications for permanent cure. One formula does not use salt.
Another formula: Use fresh Shanglu, wash clean, shave with a bamboo knife to the size of a date pit, insert into the ear. Also treats ulcers inside the ear.
Congdan Gao Treats cerumen impaction causing deafness; do not force removal.
Congzhi (Allii Fistulosi Juice, three he) Xixin (Asari Radix et Rhizoma, remove root head) Fuzi (Aconiti Lateralis Radix Preparata, each two qian half, processed, remove skin)
Make Xixin and Fuzi into powder, mix with Congzhi to a thin consistency, instill into the ear.
Another formula
Longgu (Fossilia Ossis Mastodi et Scapulae) Kufan (Calcined Alumen) Yanzhi (Vermilion) Hai Piao Xiao (Sepiae Endoconcha, equal parts) Shexiang (Moschus, a little)
Make into fine powder. Clean the ear first, then sprinkle the dry medicine into the ear.
Changpu San
Changpu (Acori Tatarinowii Rhizoma, baked) Ye Langdu (Euphorbiae Humifusae Radix) Cishi (Magnetitum, fire-calcined and vinegar-quenched) Fuzi (Aconiti Lateralis Radix Preparata, processed, remove skin) Kufan (Calcined Alumen, each half liang)
Make into fine powder, mix with sheep marrow, wrap in cotton and insert into the ear.
Zhu Zhu San
Ku Zhu Zhu Mo (Powder from bitter bamboo borings) Ku Baifan (Calcined White Alum, each two qian) Gan Yanzhi (Dry Vermilion, five fen) Shexiang (Moschus, one qian)
Grind extremely fine. Roll onto a cotton swab, gently blow one zi into the ear using a goose feather tube.
Xiebei San
Quanxie (Scorpio, three qian, burned to retain nature) Wubeizi (Gallae Chinensis, one liang, stir-fried) Kufan (Calcined Alumen, one qian) Shexiang (Moschus, a little)
Make into fine powder, grind evenly. Blow a small amount into the ear. One formula adds Gan Yanzhi.
Lixiao San
Chen Ju Pi (Citri Reticulatae Pericarpium, burned black over lamp, one qian, make into powder) Shexiang (Moschus, a little)
Grind evenly. Use a small amount, first wipe ear pus with cotton, then apply medicine when pus is clean.
Formula for Ting'er (Ear Discharge)
Shexiang (Moschus, stir-fried, half qian) Chan Qiao (Cicadae Periostracum, half liang, burned to retain nature)
Grind extremely fine. First wipe ear pus clean with cotton, blow medicine in, plug the ear opening without moving, expelling foul matter leads to cure.
Another formula
Gou Dan (Canis Gallus, one, extract juice) Kufan (Calcined Alumen, one qian, grind)
Mix with lard from winter pig, insert into ear, plug with cotton. After two or three applications, the root cause is removed.
Xiangfu San Remove hairs from Xiangfu, grind into powder, insert into ear with cotton swab.
Fuzi Wan Treats deafness with pus discharge and pain, and cerumen impaction.
Fuzi (Aconiti Lateralis Radix Preparata, processed, remove skin and navel) Changpu (Acori Tatarinowii Rhizoma, soaked in rice water, baked) Ku Baifan (Calcined White Alum) Bimaren (Ricini Semen, grind separately) Songzhi (Pinus Resin, each one liang, grind) Gan Yanzhi (Dry Vermilion, half liang) Xingren (Armeniacae Semen, two liang, remove skin, navel, pointed end, double kernels, stir-fry, grind separately)
Make into fine powder, mix evenly. Melt yellow wax and knead into pills the size of a date pit. Pierce a hole through with a needle, insert into ear, change once daily.
One formula for cerumen: do not use yellow wax, just pound into paste, wrap in cotton like a date pit, insert.
Treating Ear Pus
Mituo Seng (Lithargyrum, one qian) Qingfen (Calomel, five fen) Shexiang (Moschus, one zi)
Make into fine powder. First wipe ear pus with cotton, then sprinkle medicine.
Sanhuang San Treats ear pus discharge.
Xionghuang (Realgar) Huhuang (Sulfur) Cihuang (Orpiment, equal parts)
Make into fine powder. Blow a small amount into the ear.
Ersheng San Treats ear discharge of pus and water.
Qianghuo (Notopterygii Rhizoma et Radix) Baifuzi (Gastrodiae Rhizoma, processed. Each one liang)
Make into fine powder. Take one pig kidney and one sheep kidney, cut open, put five fen of powder into each, do not add salt, wrap in wet paper and roast. Chew at dawn with warm wine, follow with porridge to suppress.
Wuyou San (Note: Formula from *Rumen Shiqin*: Huangqi, Mutong, Sangbaipi, Chenpi each one liang, Hu jiao, Baizhu, Muxiang each half liang, Qianniutoumo four liang. All made into fine powder. Take three to five qian per dose, taken with ginger juice after meals. The one used here seems to be Yuxie Wuyou San from *Ju Fang*; Xionghuang Wan is suspected to be Jiedu Xionghuang Wan. Both formulas appear in the Throat section.)