耳聋、耳鸣，有痰、有火、有气虚。耳聋，少阳、厥阴热多，皆属于火，宜开痰散风热，通圣散、滚痰丸之类。
大病后耳聋，须用补阴与降火，有阴火动而耳聋者，同法，四物汤加黄柏之类。一方，雄鼠胆汁滴入耳中。聋病必
用龙荟、四物养阴。亦有湿热痰者，槟榔、神芎。耳中哄哄然，亦是无阴者。耳因郁而聋，以通圣散，纳大黄用酒
煨，再用酒炒三次，然后入诸药，通用酒炒。多饮酒之人耳鸣，木香槟榔丸。耳鸣因酒过者，用大剂通圣散加枳
壳、柴胡、大黄、甘草、南星、桔梗、青皮、荆芥，不愈四
物汤。耳鸣必用当归声荟丸，食后服。气实人槟榔、神芎下之。耳湿肿痛，凉膈加酒炒大黄半两、酒浸黄芩、防
风、荆、羌，吹以脑多麝少，湿加白枯矾。耳脓不干，轻粉、黄柏末、海飘硝吹入。耳烂，贝母未干渗。耳中出
脓用桃花散，其方以枯白矾、胭脂各一钱，麝香一字，上末之，用绵杖子蘸药，捻之取干。耳热暴痛，枯白矾
吹入耳中，青箬烧灰，吹入尤妙。
酒 鼻，血热入肺，以四物汤加陈皮、酒红花、酒炒黄芩，煎，入好酒数滴就调，炒五灵脂末服之，效。又方∶
用桐油入黄连，以天吊藤烧油，热敷之。或问酒 病为名，必饮热酒所致乎？曰∶不然，非饮酒者亦病之。盖鼻者
肺之窍，而足阳明挟鼻上至目内 ，其位居面之中，中又属土，为呼吸气息出入之门户。然气血之精明，皆上注于面，
入于其窍，是故胃中湿热，与中焦所化之血，上输其肺，随呼吸之息，熏蒸鼻端，凝结皮肤，遂成红赤，甚则盈面
不独在鼻也。予尝用凌霄花为末，和密陀僧用唾调敷，甚验。又方用苍耳叶，酒蒸为末调服，最解热毒。治鼻渊，南
星、半夏、苍术、白芷、神曲、酒芩、辛夷、荆芥。鼻息肉，胃中有食积，热痰流注，治本当消食积，外以胡蝶矾二
钱，细辛一钱、白芷半钱，纳鼻中，每用少许。面鼻得冷而黑，须用清热化滞，滋生新血，血能自运，色乃可改，以四
物汤酒制过，加酒片芩、陈皮、生甘草、酒红花、生姜煎，下五灵脂末，饮之。气弱形肥者，加酒黄 亦效。
耳聋、耳鸣，病因包括痰浊、火邪和气虚。对于耳聋，若属少阳经和厥阴经热盛，皆归属于火证，治疗宜化痰并疏散风热，可用防风通圣散、滚痰丸等方剂。
大病之后出现耳聋，必须采用滋阴与降火的方法；若有因阴火妄动而导致耳聋的，也采用同样的方法，如四物汤加黄柏等方。另一偏方，将雄鼠胆汁滴入耳中。治疗聋病必定要使用龙胆泻肝汤（注：原文“龙荟”指龙胆泻肝汤或含龙胆、芦荟之方，此处依语境及后文“养阴”逻辑，结合朱丹溪学术思想，常指清肝火兼养阴，但原文仅提“龙荟”，故保留原意或译为相关方义，此处按字面及常见理解处理为含龙胆、芦荟类方药，但在实体提取时归为方剂概念），配合四物汤以滋养阴液。也有因湿热痰浊所致者，可用槟榔、神芎丸。耳中嗡嗡作响，也是由于阴液不足所致。耳朵因气机郁滞而致聋，用防风通圣散，其中大黄需用酒煨制，再用酒炒三次，然后加入其他药物，所有药物通用酒炒。经常饮酒的人出现耳鸣，用木香槟榔丸。因饮酒过量导致的耳鸣，用大剂量的防风通圣散，加入枳壳、柴胡、大黄、甘草、天南星、桔梗、青皮、荆芥，若无效则改用四物汤。耳鸣必定要用当归龙荟丸，饭后服用。体质壮实之人，用槟榔、神芎丸攻下。耳部湿肿疼痛，用凉膈散加酒炒大黄半两、酒浸黄芩、防风、荆芥、羌活，用药粉吹入耳中，脑麝比例多为冰片多麝香少，若湿气重加白枯矾。耳脓淋漓不干，用轻粉、黄柏末、海飘硝吹入耳中。耳部溃烂，用贝母末保持干燥渗湿。耳中流脓用桃花散，该方由枯白矾、胭脂各一钱，麝香一字组成，研成细末，用棉签蘸药捻入耳中，以吸干脓液。耳中热暴痛，将枯白矾吹入耳中，或用青箬烧成的灰吹入，效果更佳。
酒鼻，是因血热入肺，用四物汤加陈皮、酒红花、酒炒黄芩煎煮，调入好酒数滴，再服用炒五灵脂末，有效。另一方法：用桐油浸泡黄连，用天吊藤烧油，热敷患处。有人问酒鼻这个病名，一定是喝热酒导致的吗？回答说：不是这样，不喝酒的人也会得此病。因为鼻子是肺的窍道，足阳明胃经夹着鼻子向上至目内眦，其位置在面部中央，中央又属土，是呼吸气息出入的门户。然而气血的精微物质，都上注于面部，进入其窍道，所以胃中的湿热，以及中焦所化生的血液，上输于肺，随着呼吸的气息，熏蒸鼻端，凝结皮肤，于是形成红赤，严重时甚至满面通红，不仅仅在鼻子。我曾有用凌霄花研末，与密陀僧用唾液调和外敷，非常有效。另一方法用苍耳叶，酒蒸后研末调服，最能解热毒。治疗鼻渊，用天南星、半夏、苍术、白芷、神曲、酒黄芩、辛夷、荆芥。鼻息肉，是因为胃中有食积，热痰流注，治疗根本应当消除食积，外用胡蝶矾二钱、细辛一钱、白芷半钱，纳入鼻中，每次用少许。面部和鼻子遇冷变黑，必须用清热化滞、滋生新血的方法，血能自行运行，颜色才能改变，用四物汤酒制过，加酒片芩、陈皮、生甘草、酒红花、生姜煎煮，冲服五灵脂末饮用。气弱形体肥胖者，加酒制黄柏也有效。
Deafness and tinnitus may be caused by phlegm, fire, or qi deficiency. In cases of deafness where heat is predominant in the Shaoyang (Lesser Yang) and Jueyin (Terminal Yin) channels, all are attributed to fire. The treatment should focus on resolving phlegm and dispersing wind-heat. Formulas such as Fangfeng Tongsheng San (Windproof Unblocking Powder) or Guntan Wan (Rolling Phlegm Pill) are suitable.
For deafness occurring after a severe illness, yin-nourishing and fire-descending methods must be employed. If deafness is caused by the stirring of deficient fire (Yin Huo), the same method applies, such as using Siwu Tang (Four Substances Decoction) with added Huangbai (Phellodendri Cortex). Another prescription involves dripping bile from a male rat into the ear. Treating deafness invariably requires formulas containing Longdan (Gentianae Radix) and Lvhui (Aloe), combined with Siwu Tang (Four Substances Decoction) to nourish yin. In cases caused by damp-heat and phlegm, Binglang (Arecae Semen) and Shenxiong Wan (Divine Xion Pill) may be used. A humming sensation in the ears also indicates a deficiency of yin. For deafness resulting from qi stagnation, Fangfeng Tongsheng San (Windproof Unblocking Powder) is used; the Dahuang (Rhei Radix et Rhizoma) should be simmered in wine, then stir-fried with wine three times before adding other herbs, with all ingredients generally processed with wine. Tinnitus in individuals who consume excessive alcohol can be treated with Muxiang Binglang Wan (Aucklandia and Areca Seed Pill). For tinnitus caused by overindulgence in alcohol, a large dose of Fangfeng Tongsheng San (Windproof Unblocking Powder) is prescribed with additional Zhike (Aurantii Fructus), Chaihu (Bupleuri Radix), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Tiannanxing (Arisaematis Rhizoma), Jiegeng (Platycodonis Radix), Qingpi (Citri Reticulatae Pericarpium Viride), and Jingjie (Schizonepetae Spica). If ineffective, switch to Siwu Tang (Four Substances Decoction). Tinnitus generally requires Danggui Longhui Wan (Angelica and Aloe Pill), taken after meals. For individuals with excess constitution, Binglang (Arecae Semen) and Shenxiong Wan (Divine Xion Pill) are used for purgation.
For damp swelling and pain in the ear, Liangge San (Cool the Chest Powder) is modified with Jiuchao Dahuang (Wine-fried Rhei Radix et Rhizoma, 0.5 liang), Jiuqin Huangqin (Wine-soaked Scutellariae Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), and Qianghuo (Notopterygii Rhizoma et Radix). The powder is insufflated into the ear, typically with more Borneolum Syntheticum (Bingpian) and less Moschus (Shexiang). If dampness is heavy, Bai Kufan (White Alum) is added. For persistent otorrhea, Qingfen (Calomel), Huangbai (Phellodendri Cortex) powder, and Haipiao Xiao (Cuttlebone Ash) are insufflated. For ear ulceration, Beimu (Fritillariae Bulbus) powder is used to keep the area dry and absorb exudate. For pus discharge from the ear, Taohua San (Peach Blossom Powder) is applied. This formula consists of Ku Baifan (Calcined White Alum) and Yanzhi (Cinnabar), each 1 qian, and Shexiang (Moschus), 1 zi. The mixture is powdered, applied with a cotton swab, and gently twisted to dry the discharge. For sudden hot pain in the ear, Ku Baifan (Calcined White Alum) is insufflated. Alternatively, ash from burning Qingruo (Indigofera Leaf Sheath) insufflated into the ear yields excellent results.
Alcoholic rhinitis (Jiu Bi) is caused by blood heat entering the Lung. It is treated with Siwu Tang (Four Substances Decoction) plus Chenpi (Tangerine Peel), Jiuhonghua (Wine-processed Carthami Flos), and Jiuchao Huangqin (Wine-fried Scutellariae Radix). The decoction is mixed with a few drops of good wine, and fried Wulingzhi (Trogopterori Faeces) powder is taken orally, which is effective. Another method involves soaking Huanglian (Coptidis Rhizoma) in Tongyou (Tung Oil), heating the oil prepared with Tiandiao Teng (Trichosanthes Vine), and applying it as a warm compress. When asked if alcoholic rhinitis is necessarily caused by drinking hot wine, the answer is no; non-drinkers can also suffer from this condition. The nose is the orifice of the Lung, and the Foot-Yangming Stomach channel runs alongside the nose up to the inner canthus. Located in the center of the face, which corresponds to Earth, the nose serves as the portal for breath and qi. However, the essence of qi and blood ascends to the face and enters its orifices. Therefore, damp-heat in the Stomach and blood transformed in the Middle Jiao ascend to the Lung, and through respiration, steam and熏蒸 (vaporize) the nasal tip, condensing on the skin to cause redness. Severe cases result in facial erythema, not limited to the nose. I have successfully used Lingxiaohua (Campsis Grandiflora Flower) powder mixed with Miduoseng (Lead Monoxide) and saliva for topical application. Another method uses Cang'er Ye (Xanthii Folium), steamed in wine and powdered for oral administration, which effectively clears heat and toxicity. To treat Biyuan (Nasal Sinusitis), use Tiannanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Cangzhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Shenqu (Massa Medicata Fermentata), Jiuqin (Wine-processed Scutellariae Radix), Xinyi (Magnoliae Flos), and Jingjie (Schizonepetae Spica). For nasal polyps, caused by food retention in the Stomach and flow of hot phlegm, the root treatment involves resolving food retention. Externally, Hudie Fan (Butterfly Alum), Xixin (Asari Radix et Rhizoma), and Baizhi (Angelicae Dahuricae Radix) are insufflated into the nose, using small amounts each time. If the face and nose turn dark upon exposure to cold, heat-clearing, stasis-resolving, and new blood-generating methods are required. Once blood circulation improves, the complexion will change. Use Siwu Tang (Four Substances Decoction) processed with wine, plus Jiupian Huangqin (Wine-processed Scutellariae Radix), Chenpi (Tangerine Peel), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Jiuhonghua (Wine-processed Carthami Flos), and Shengjiang (Zingiberis Rhizoma Recens) decocted together, with Wulingzhi (Trogopterori Faeces) powder taken with the drink. For those with weak qi and obesity, adding Jiuhuangbo (Wine-processed Phellodendri Cortex) is also effective.