厥聋者，经脉气厥耳聋也。巢氏云∶脏腑气逆，名之为厥。厥气相搏，入于耳之脉，则
令聋。手少阳之脉动而气厥者，其候耳内KT KT 也；手太阳厥而耳聋者，其候聋而耳内气满。
然厥聋之候，大都肝胆气逆所致，其症必起于卒暴之间，盖肝胆并善逆，而其气多暴也，以
龙荟丸泻肝胆，降逆气，中有辛香，并能通窍也。
龙荟丸
当归（焙） 龙胆草（酒洗） 山栀（炒） 黄连 黄柏 黄芩（各一两） 大黄 芦荟 青黛
（各半两） 木香（二钱半） 麝香（五分，另研）
炼蜜丸桐子大，姜汤下，二三十丸。便不坚者去大黄。一方无黄连、黄柏，有青皮、柴
胡、胆星。
秘传降气汤，加石菖蒲，治气壅耳聋，大有神效。（方见气门。）
肾藏精而气通于耳，肾虚精少，其气不通于上，则耳聋不聪。经云∶精脱者耳聋是也。
其候颊颧色黑，瘦悴力疲，昏昏愦愦，因劳则甚，亦谓之劳聋。
肉苁蓉丸
肉苁蓉（酒浸一宿，切焙） 附子（去皮脐） 山茱萸（炒） 桂心 巴戟天（去心） 石斛（
去根） 干熟
地（焙） 泽泻 菟丝子（酒浸一宿，别研） 人参 白茯苓 蛇床子（炒） 牡丹皮 当归（酒
浸）
菖蒲（米泔浸一宿） 炙草 黄 远志 芍药 防风（各一两） 羊肾（一对，去筋膜，炙）
蜜丸，梧子大，每服二十丸，食后温酒下，渐加至三十丸，日三。一方有干姜、
细辛，酒糊丸亦得。
益肾散 治肾虚耳聋。
磁石（制） 巴戟 川椒（各一两） 沉香 石菖蒲（各半两）
上为细末，每服二钱。用猪肾一具，细切，和以葱白，少许盐并药，湿纸十重裹，煨令
香熟，空心嚼以酒送下。一方有附子无沉香、菖蒲。
大安肾丸，加磁石、羌活、石菖蒲良。（丸见喘门。）
忆有戈雨亭令郎，十余岁，痘后耳渐重听。日甚一日，几与聋无异。业师薛一瓢诊之云
∶此
必痘涉肾经，幸而收功者，所以告乏，日甚一日，为之图惟于六味丸方中，加入盐水炒紫
衣核桃肉三两，盐水炒杜仲三两，石菖蒲二两，蜜丸开水下，服一料而愈。（鹤年）
Jue deafness (Deafness due to Qi reversal) refers to deafness caused by the reversal of Qi in the meridians. Chao Yuanfang stated: When the Qi of the Zang-Fu organs reverses upward, it is called "Jue" (reversal). When Jue Qi contends and invades the meridians entering the ear, it causes deafness. If the Qi of the Hand-Shaoyang meridian moves and reverses, the symptom is a buzzing sound in the ears; if the Hand-Taiyang meridian reverses causing deafness, the symptom is deafness accompanied by a sensation of fullness of Qi in the ear. However, the symptoms of Jue deafness are mostly caused by the reversal of Liver and Gallbladder Qi. The onset is usually sudden, as the Liver and Gallbladder are prone to Qi reversal, and their Qi tends to be violent. Treatment can employ Longhui Wan (Dragon Brain Pill) to purge the Liver and Gallbladder and descend rebellious Qi; the formula contains acrid and aromatic herbs that can unblock orifice.
Longhui Wan (Dragon Brain Pill)
Danggui (Baked Angelicae Sinensis Radix), Longdancao (Wine-washed Gentianae Radix), Shanzhi (Stir-fried Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix) (each 1 liang), Dahuang (Rhei Radix et Rhizoma), Lvhui (Aloe), Qingdai (Indigo Naturalis) (each 0.5 liang), Muxiang (Aucklandiae Radix) (2.5 qian), Shexiang (Moschus) (5 fen, separately ground).
Made into pills the size of tung tree seeds with refined honey. Take with ginger decoction, 20-30 pills per dose. Remove Dahuang if stool is not hard. Another version excludes Huanglian and Huangbai, adding Qingpi (Citri Reticulatae Pericarpium), Chaihu (Bupleuri Radix), and Dansheng (Arisaematis Cum Bile).
Mich transmitted Jiangqi Tang (Descending Qi Decoction) added with Shichangpu (Acori Tatarinowii Rhizoma) treats deafness due to Qi stagnation, with great efficacy. (Formula see Qi Gate section.)
The Kidney stores Essence, and its Qi connects to the ear. When Kidney deficiency leads to scant Essence, the Qi cannot ascend to the ear, resulting in deafness and poor hearing. The Classics state: "Loss of Essence causes deafness." The symptoms include black discoloration of the cheeks and zygomatic arches, emaciation, fatigue, mental confusion, and worsening upon exertion; this is also called Lao deafness (Deafness due to overwork).
Roucongrong Wan (Cistanche Pill)
Roucongrong (Soaked in wine overnight, sliced and baked), Fuzi (Processed Aconiti Lateralis Radix Praeparata, skin and navel removed), Shanzhuyu (Stir-fried Corni Fructus), Guixin (Cinnamomi Cortex), Bajitian (Morindae Officinalis Radix, heart removed), Shihu (Dendrobii Caulis, roots removed), Gan Shudi (Baked Prepared Rehmanniae Radix), Zexie (Alismatis Rhizoma), Tusizi (Cuscutae Semen, soaked in wine overnight, separately ground), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Chuangszi (Cnidii Fructus, stir-fried), Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix, soaked in wine), Changpu (Acori Tatarinowii Rhizoma, soaked in rice water overnight), Zhigancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Huangqi (Astragali Radix), Yuanzhi (Polygalae Radix), Shaoyao (Paeoniae Radix), Fangfeng (Saposhnikoviae Radix) (each 1 liang), Yangshen (Sheep Kidney, one pair, remove fascia, roast).
Made into pills the size of tung tree seeds with honey. Take 20 pills per dose after meals with warm wine, gradually increasing to 30 pills, three times daily. Another version includes Ganjiang (Zingiberis Rhizoma) and Xixin (Asari Radix et Rhizoma); making pills with wine paste is also acceptable.
Yishen San (Kidney-Benefiting Powder) treats Kidney deficiency deafness.
Cishi (Hematitum, processed), Bajitian (Morindae Officinalis Radix), Chuanjiao (Szechwan Pepper Fruit) (each 1 liang), Chenxiang (Aquilariae Lignum Resinatum), Shichangpu (Acori Tatarinowii Rhizoma) (each 0.5 liang).
Grind all into fine powder. Take 2 qian per dose. Use one pig kidney, finely chopped, mixed with scallion white, a little salt, and the medicine. Wrap tightly in ten layers of wet paper and bake until fragrant and cooked. Chew on an empty stomach and swallow with wine. Another version includes Fuzi but excludes Chenxiang and Shichangpu.
Da'an Shen Wan (Great Peace Kidney Pill) added with Cishi (Hematitum), Qianghuo (Notopterygii Rhizoma et Radix), and Shichangpu (Acori Tatarinowii Rhizoma) is effective. (Pill see Asthma Gate section.)
I recall the son of Mr. Ge Yuting, who was in his teens. After suffering from smallpox, his hearing gradually deteriorated. Day by day it worsened, becoming almost indistinguishable from deafness. His teacher, Xue Yupiao, diagnosed: "This must be because the smallpox affected the Kidney meridian. Fortunately, it resolved, but the Kidney Qi is deficient, hence the progressive worsening. I will plan treatment based on Liuwei Wan (Six-Ingredient Pill with Rehmannia)." He added 3 liang of walnut meat (purple coat) stir-fried with salt water, 3 liang of Duzhong (Eucommiae Cortex) stir-fried with salt water, and 2 liang of Shichangpu (Acori Tatarinowii Rhizoma). Made into pills with honey, taken with boiled water. One course cured him. (Recorded by Henian)