羚羊角汤 治热毒风上冲，头目旋晕，耳内虚鸣。
羚羊角（二两） 菊花（三两） 防风 本 元参 黄芩 杏仁（去皮尖） 石菖蒲 炙甘
草（各一两）
每服五钱，水煎，食后温服。 一方有羌活，前胡。
耳者肾之窍，而胆与胃之脉所过之处也。故其病亦有数种，有气厥而聋者；有肾虚而聋
者；
有风火壅闭肿痛，或鸣或聋者；有热气乘虚，随脉入耳，而为脓耳者；有耳出津液，结核塞
耳，而为耵耳者。又有左聋、右聋、左右俱聋之异。左聋者，有所忿怒过极，则动少阳胆火
，故从左起，以龙荟丸主之。右聋者，多因色欲过度，致动少阴相火，故从右起，以六味地
黄丸主之。左右俱聋，因醇酒浓味无节，则动阳明胃火，故从中起，以通圣散、滚痰丸主之
。统三者而论之，忿怒致耳聋者为尤多也。
风聋者，经气虚而风乘之，正气不通，风邪内鼓，则耳中引痛，牵及头脑，甚者聋闭不
通也。
鱼脑膏 治风聋日久。
生鲤鱼脑（二两） 当归 细辛 附子（去皮脐） 白芷 菖蒲（各三两）
共为末，以鱼脑置银器中，入药在内，微火煮，候香去滓，入瓷盒中候凝，取如枣核大
，绵裹塞耳中。
一方 以竹筒盛鲤鱼脑，炊饮处蒸之令烊，置耳中。
一方 以鲤鱼胆汁滴入耳中。
久聋方
蓖麻子（二十一粒，去油） 远志 乳香 磁石（ ，各二钱） 皂角（半挺，煨去肉） 生
地龙（中者一条） 全蝎（二个，焙）
上为细末，入腊捣丸，拄入耳。
犀角饮子 治风与热合，上壅耳内，痛肿聋闭。
犀角 木通 石菖蒲 甘菊花 元参 赤芍 赤小豆（各二钱） 甘草（一钱，炙）
水二盅，生姜五片，煎一盅，不拘时服。若风热壅盛，便秘心烦者，宜防风通圣散。亦
有胃
中痰火壅热生风，上攻清道，因而耳鸣筑筑然，气闭而不通，鼻寒不利，口不知味，痰多膈
热不清，脉滑数大，或弦。《内经》所谓头痛耳鸣，九窍不利，肠胃之所生也。宜半夏曲、
橘红、甘菊、茯苓、甘草、知母、酒芩、麻黄、石膏、桔梗、桑皮之属。
鼠粘子汤 治风热壅盛，耳内生肿如樱桃，极痛。
连翘 黄芩（酒炒） 牛蒡子（炒） 元参 桔梗 栀子（炒） 生甘草 龙胆草（炒） 板蓝
根
上锉，水煎，食后服，随饮酒一二盏。
Lingyang Jiao Tang (Antelope Horn Decoction): Treats upward rushing of heat-toxic wind, causing vertigo of the head and eyes, and empty ringing in the ears.
[Ingredients] Lingyang Jiao (Antelope Horn), Juhua (Chrysanthemum Flower), Fangfeng (Saposhnikovia Root), Bencao (Ligusticum Chuanxiong Rhizome - *Note: Text says 'Ben', likely Ligusticum or similar*), Xuanshen (Scrophularia Root), Huangqin (Scutellaria Root), Xingren (Apricot Seed, peeled and tip removed), Shichangpu (Acorus Tatarinowii Rhizome), Zhigancao (Prepared Licorice Root) [each one liang].
[Usage] Take five qian per dose, decoct with water, take warm after meals. Another version includes Qianghuo (Notopterygium Root) and Qianhu (Peucedani Radix).
The ear is the opening of the Kidney (*Shen*) and is also the pathway through which the Gallbladder (*Dan*) and Stomach (*Wei*) meridians pass. Therefore, ear diseases manifest in several types: there is deafness caused by Qi rebellion; deafness due to Kidney deficiency; swelling, pain, tinnitus, or deafness caused by obstruction of Wind and Fire; suppurative otitis (*Nong Er*) caused by heat qi entering the ear via the meridions when deficiency exists; and cerumen impaction (*Ding Er*) caused by ear secretions forming nodules that block the ear canal. There are also differences between left-sided deafness, right-sided deafness, and bilateral deafness. Left-sided deafness often arises from extreme anger stirring up Shaoyang Gallbladder Fire, thus affecting the left side first; it is treated primarily with Longhui Wan (Dragon Bile Pill). Right-sided deafness is mostly due to excessive sexual desire stirring up Shaoyin Ministerial Fire, thus affecting the right side first; it is treated primarily with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). Bilateral deafness results from unregulated consumption of rich wine and heavy flavors, stirring up Yangming Stomach Fire, thus affecting both sides; it is treated primarily with Tongsheng San (Universal Salvation Powder) or Guntan Wan (Rolling Phlegm Pill). Generally speaking, deafness caused by anger is the most common among these three.
Wind deafness occurs when the Qi of the meridians is deficient and Wind pathogen takes advantage of this; when righteous Qi is blocked and Wind evil drums internally, it causes pulling pain in the ear radiating to the head, and in severe cases, leads to complete deafness and blockage.
Yunao Gao (Fish Brain Ointment): Treats chronic wind deafness.
[Ingredients] Sheng Liyu Nao (Raw Carp Brain), Danggui (Angelica Sinensis Radix), Xixin (Asarum Root), Fuzi (Prepared Aconite Lateralis Radix, peeled and navel removed), Baizhi (Angelica Dahurica Root), Changpu (Acorus Tatarinowii Rhizome) [each three liang].
[Preparation and Usage] Grind all into fine powder. Place the carp brain in a silver vessel, add the herbs, simmer over low heat until fragrant, remove dregs, pour into a porcelain container to cool and solidify. Take a piece the size of a jujube pit, wrap in cotton, and insert into the ear.
Another method: Place carp brain in a bamboo tube, steam it where food is being cooked until melted, and drip into the ear.
Another method: Drip carp bile into the ear.
Formula for Chronic Deafness:
[Ingredients] Bamazi (Castor Seed, twenty-one grains, oil removed), Yuanzhi (Polygala Root), Ruxiang (Frankincense), Cishi (Magnetite, calcined) [each two qian]; Zaojiao (Gleditsia Sinensis Fruit, half a pod, baked to remove flesh), Sheng Dilong (Live Earthworm, medium size, one), Quanxie (Whole Scorpion, two, roasted).
[Usage] Grind the above into fine powder, mix with beeswax to form pills, and insert into the ear.
Xijiao Yinzi (Rhino Horn Drink): Treats combination of Wind and Heat obstructing the ear, causing pain, swelling, deafness, and blockage.
[Ingredients] Xijiao (Rhinoceros Horn - *Note: Substitute with Water Buffalo Horn in modern practice*), Mutong (Akebia Stem), Shichangpu (Acorus Tatarinowii Rhizome), Gan Juhua (Chrysanthemum Flower), Xuanshen (Scrophularia Root), Chishao (Red Peony Root), Chixiaodou (Adzuki Bean) [each two qian], Zhigancao (Prepared Licorice Root) [one qian].
[Usage] Decoct with two sheng of water and five slices of fresh ginger until one sheng remains. Take at any time. If Wind-Heat is abundant with constipation and irritability, use Fangfeng Tongsheng San (Saposhnikovia Universal Salvation Powder). There are also cases where Phlegm-Fire in the Stomach generates Wind, attacking the clear orifices, resulting in buzzing tinnitus, Qi blockage, nasal coldness and obstruction, loss of taste, excessive phlegm, chest heat, slippery-rapid-large or wiry pulse. As stated in the *Neijing*: "Headache and tinnitus, and dysfunction of the nine orifices, are generated by the intestines and stomach." Suitable herbs include Banxia Qu (Pinellia Fermented Paste), Juhong (Tangerine Peel), Ganju (Chrysanthemum), Fuling (Poria), Gancao (Licorice), Zhimu (Anemarrhena Rhizome), Jiu Huangqin (Wine-fried Scutellaria Root), Mahuang (Ephedra Herb), Shigao (Gypsum Fibrosum), Jiegeng (Platycodon Root), Sangbai (Mulberry Root Bark).
Niuzaozi Tang (Burdock Seed Decoction): Treats abundant Wind-Heat causing ear swelling like a cherry, with extreme pain.
[Ingredients] Lianqiao (Forsythia Fruit), Huangqin (Scutellaria Root, wine-fried), Niuzaozi (Burdock Fruit), Xuanshen (Scrophularia Root), Jiegeng (Platycodon Root), Zhizi (Gardenia Fruit, fried), Sheng Gancao (Raw Licorice Root), Longdancao (Gentiana Root), Banlangen (Isatis Root).
[Usage] Coarsely crush the herbs, decoct with water, take after meals, followed by one or two cups of wine.