之，待火欲至耳，急除去，当有恶物出在残纸上，日一角，用了以蜡塞定。
又方 用甘遂半寸，绵裹插两耳中，却将甘草口中嚼。
又方 用生菖蒲捩汁，滴耳中。
通耳丹 治耳聋。
安息香 桑白皮 阿魏（各一两半） 朱砂（半钱）
上用巴豆七个，蓖麻仁七个，大蒜七个，研烂，入药末和匀，枣核大，每用一丸，绵
裹内耳中，如觉微痛即出之。
又方 用驴生脂和生姜熟捣，绵裹塞耳。一方，有川椒，无生姜。
又方 用附子，以醇醋煮一宿，削如枣核，以绵裹塞耳中。一方，治风聋，仍灸上
星二七壮，令气通耳中即愈。
又方 取龟一枚，安于盒中，荷叶上养之，专看叶上有尿，收取滴耳中。一方，用
秦龟雄者，置碗或盘内，以镜照之，龟见镜中影，往往淫发而失溺，急以物收取用之。又
一法，以纸炷火上 热，以点其尻，亦能失尿。
又方 以干地龙入盐，贮在葱尾内，为水点之；一方为末，用绵裹如枣核大塞耳中；
一方用白颈者，安葱叶中，面对头，蒸熟化为水，以滴耳中。
蓖麻子丸 治久聋。
蓖麻子（二十一个，去油用） 皂角（煨，取肉，半锭） 生地龙（中者一条） 全蝎（二个。焙） 远志（去
心） 磁石（火 醋淬七次，研细水飞） 乳香（各二钱）
上为细末，以黄蜡熔和为丸，塞耳中。
又方
天雄（二钱五分） 附子（一枚）
上为细末，将鸡子开一孔，取去黄，用清和药，仍入壳中封固，令鸡抱之，俟雏出
药成，取出，以绵裹塞耳中，取瘥为度。
又方通气散
穿山甲 蝼蛄（各半两） 麝香（一钱）
上为细末，以葱涎和剂塞耳；或为细末。葱管盛少许，放耳中。
又方
水银（二钱半） 蚯蚓（中者一条）
上就楼葱丛内，以一茎去尖头，入水银。蚯蚓在内，即紧却头，勿令倾出，候蚓化为
水，滴入耳中。
又方 用大蒜一瓣，一头剜一坑子，以巴豆一粒去皮，慢火炮令极热，入在蒜内，以
新绵裹定，塞耳中。
胜金透关散
川乌头（一个，炮） 细辛（各二钱） 胆矾（半钱） 鼠胆（一具）
上为细末，用鼠胆调和匀，再焙令干，研细，却入麝香半字，用鹅毛管吹入耳中，吹
时口含茶清，待少时。
蒲黄膏 治卒耳聋。
细辛 蒲黄（各一分） 曲末 杏仁（汤浸，去皮尖双仁。各三分）
上为末，研杏仁如膏，和捻如枣核大，绵裹塞耳中，日一易。
龙脑膏
龙脑（一钱二分，研） 椒目（半两，捣末） 杏仁（二钱半，去皮）
上件捣研合匀，绵裹枣核大，塞耳中，日二易。
治暴耳聋 用鸡心槟榔一个，以刀子从脐剜取一窍，如钱眼大，实以麝香，坐于所
患耳内，从上以艾炷灸之，不过二三次效。
(Continuing from the previous text) When the moxa fire is about to reach the ear, remove it immediately. Usually, foul matter will be discharged onto the residual paper. Use once daily, and seal with wax after application.
Another prescription: Use Banisteriopsis sibirica (Gansui) half an inch long, wrapped in cotton, inserted into both ears, while chewing Licorice Root (Gancao) in the mouth.
Another prescription: Extract juice from fresh Acorus tatarinowii (Shichangpu), and drip into the ear.
Tong'er Dan (Ear-Opening Pill): Treats deafness.
Benzoin (Anxi Xiang), Mulberry Root Bark (Sangbaipi), Ferula assa-foetida (Awei) (each 1 liang 5 qian), Cinnabar (Zhusha) (0.5 qian).
Take seven seeds of Croton tiglium (Badou), seven Semen Ricini (Bimaren), and seven cloves of garlic, grind them into a paste, mix with the medicinal powders evenly, and form pills the size of a jujube pit. Use one pill each time, wrap in cotton, insert into the ear. If slight pain is felt, remove it immediately.
Another prescription: Mix fat from donkey (Lüshengzhi) with fresh ginger, cook and pound thoroughly, wrap in cotton, and insert into the ear. Another version contains Zanthoxylum bungeanum (Chuanjiao) instead of fresh ginger.
Another prescription: Use Aconitum carmichaelii (Fuzi), boil in pure vinegar overnight, shape like a jujube pit, wrap in cotton, and insert into the ear. Another version for treating wind-deafness also includes moxibustion on Shangxing GV23 (14 moxa cones), until qi flows into the ear, then it heals.
Another prescription: Take one turtle, place it in a box, raise it on lotus leaves. Observe carefully for urine on the leaves, collect it, and drip into the ear. Another version uses male Qin turtle, placed in a bowl or plate, illuminated by a mirror. Seeing its reflection often induces mating behavior and urination; collect urgently for use. Another method involves heating a paper wick over fire and touching the tail, which also induces urination.
Another prescription: Place dried Earthworm (Dilong) with salt inside the root end of green onion, let it turn into water, and drip into the ear. Another version grinds it into powder, wraps in cotton like a jujube pit, and inserts into the ear. Another method uses white-necked earthworms, places them in green onion leaves facing the patient's head, steams until liquefied, and drips into the ear.
Bimazi Wan (Castor Bean Pill): Treats chronic deafness.
Semen Ricini (Bimazi) (21 seeds, oil removed), Gleditsia sinensis (Zaojiao) (roasted, flesh only, half a ding), Fresh Earthworm (Dilong) (one medium-sized), Full Scorpion (Quanxie) (2 specimens, roasted), Polygala tenuifolia (Yuanzhi) (heart removed), Magnetite (Cishi) (heated and quenched in vinegar seven times, ground fine and wet-processed), Frankincense (Ruxiang) (each 2 qian).
Grind all into fine powder, mix with melted yellow beeswax to form pills, and insert into the ear.
Another prescription:
Aconitum kusnezoffii (Tianxiong) (2.5 qian), Aconitum carmichaelii (Fuzi) (one piece).
Grind into fine powder. Make a hole in an egg, remove the yolk, mix the powder with egg white, return to the shell, seal tightly, and let a hen incubate. When chicks hatch, the medicine is ready. Remove, wrap in cotton, and insert into the ear. Continue until cured.
Another prescription: Tongqi San (Qi-Unblocking Powder)
Scale Pangolin (Chuanshanjia), Mole Cricket (Lougu) (each 0.5 liang), Moschus (Shexiang) (1 qian).
Grind into fine powder, mix with green onion juice to form a paste for insertion into the ear; or grind into powder, fill a small amount into a green onion tube, and place in the ear.
Another prescription:
Mercurius (Shuiyin) (2.5 qian), Earthworm (Dilong) (one medium-sized).
In a clump of Allium tuberosum (Jiucai/Conyza), take one stem, remove the tip, insert mercury and earthworm inside. Tighten the head immediately to prevent leakage. Wait until the earthworm liquefies, then drip into the ear.
Another prescription: Take one clove of garlic, carve a small cavity at one end. Place one peeled seed of Croton tiglium (Badou), slowly roasted until very hot, into the garlic. Wrap in new cotton, secure, and insert into the ear.
Shengjin Touguan San (Golden Victory Gate-Penetrating Powder)
Aconitum carmichaelii (Chuanwutou) (one piece, processed), Asarum heterotropoides (Xixin) (each 2 qian), Chalcanthite (Danfan) (0.5 qian), Rat Gallbladder (Shudan) (one).
Grind into fine powder, mix evenly with rat gallbladder juice, dry again, grind fine, then add half a zi of Moschus (Shexiang). Blow into the ear using a goose feather tube. While blowing, hold clear tea liquor in the mouth and wait for a moment.
Puhuang Gao (Polygonatum Paste): Treats sudden deafness.
Asarum heterotropoides (Xixin), Polygonum multiflorum (Puhuang) (each 1 fen), Qu (fermented grain powder), Almond (Xingren) (soaked in hot water, skin and tips removed, double kernels, each 3 fen).
Grind into powder. Grind almonds into a paste, mix and roll into pills the size of a jujube pit, wrap in cotton, insert into the ear, change once daily.
Longnao Gao (Borneol Ointment)
Borneolum Syntheticum (Longnao) (1.2 qian, ground), Seed of Zanthoxylum bungeanum (Jiaomu) (0.5 liang, pounded to powder), Almond (Xingren) (2.5 qian, peeled).
Pound and grind all ingredients together evenly. Wrap in cotton like a jujube pit, insert into the ear, change twice daily.
Treatment for sudden deafness: Take one Areca catechu (Binlang) shaped like a chicken heart. Carve a hole from the navel area, size of a coin eye. Fill with Moschus (Shexiang). Place in the affected ear. Perform moxibustion with moxa cones on top. Effect usually seen within two or three treatments.