肾与三焦湿火上腾，使耳中气脉阻闭，或先干痒有日，继而 疼异常，初生小红肉，逐
渐塞满窍内，甚至拖出耳外，时流臭血水，名曰耳痔。正如湿地热蒸而生菌也。宜针刺出
污血水，搽 砂散（方见后），内服龙胆泻肝汤（方见后）。
鼻为肺窍，天气通于肺经，以胆移热于脑，则辛额鼻渊。乃外由风寒侵入脑户，蕴
久化热生痔，不闻香臭，甚而外挂。先以针刺破，随将棉花蘸 砂散塞鼻中。五日一次，
渐化为水而消。此如炉火上炎，而成煤也。内服羚羊角散（方见后），防面赤肿起火走串。若
鼻流清涕为脑寒，治宜温散，但生半鼻者可治，倘由鼻渊而成者，难消尽矣。
亏弱之体，太历辛苦，或病后未曾复元，气血不充，肺主气，脾统血，肺虚气不外护，
脾虚血失中守。若阴络一伤，逼血上溢，清道而出，以补肺益脾饮（方见后），二帖自已。
时行厉气，遏于胆胃二经，致耳下浮肿不坚，或由左串右，或由右串左，外宜贴清
凉膏药，内进普济消毒饮（方见后）。若化热成脓，
按痈疽治法。倘误用火针必赤肿可畏。若耳根痰肿，至数日后多坚大，不能左右相串。
痹者，闭也。风寒湿外受，则经络闭塞，四末失其滋养，手足麻木缓纵，周身酸痛。有
因劳伤筋骨而成者，有因坐卧湿地者，有因浸入凉水者，有因冲犯雨雪者，皆宜针灸多
次，内常服祛风湿活血脉药酒，痛处常贴膏药。迁连之病，亦有治之不应成废疾者。痹
脉沉缓或涩，先宜辨明。
肾与三焦（六腑之一，主持诸气，疏通水道）的湿火向上蒸腾，导致耳中的气脉阻塞闭滞。或者先出现干痒多日，继而疼痛异常，初生时像小红肉一样的赘生物，逐渐塞满耳窍内部，甚至拖出耳外，时常流出臭秽的血水，这种病症名为耳痔。这正如在潮湿的地面上热气蒸腾而生长出菌类一样。适宜用针刺排出污血水，外搽砂散（方剂见后），内服龙胆泻肝汤（方剂见后）。
鼻是肺的窍道，天气通过鼻与肺经相通。如果胆经的热邪移注于脑，就会导致额部辛辣感及鼻渊（以流浊涕为主症的疾病）。这是由于外感风寒侵入脑户穴所在部位，蕴积日久化热而生痔，导致不闻香臭，严重时甚至会向外突出。先用针刺破患处，随即用棉花蘸取砂散塞入鼻中。每五日一次，逐渐化为水液而消散。这如同炉火向上炎上，从而形成煤垢一样。内服羚羊角散（方剂见后），以防止面部赤肿、火热之邪走窜扩散。如果鼻流清涕则是脑寒所致，治疗适宜温散，但仅生于半侧鼻部的可以治愈，倘若是由鼻渊演变而成的，则难以完全消除。
身体亏弱之人，过度经历辛苦劳作，或者病后尚未恢复元气，气血不充足。肺主气，脾统血，肺气虚则气不能在外护卫体表，脾气虚则血失去在中焦的守摄。如果阴络（分布于体内的脉络）受损，逼迫血液上溢，从清道（指呼吸道等清净之道）而出，服用补肺益脾饮（方剂见后），两帖即可痊愈。
时行厉气（具有强烈传染性的致病邪气），郁遏在胆经和胃经，导致耳下浮肿且按之不坚硬，有时由左侧串至右侧，有时由右侧串至左侧。外部适宜贴敷清凉膏药，内部进服普济消毒饮（方剂见后）。如果化热成脓，按照痈疽的治疗方法处理。倘若误用火针，必然会导致红肿可怕。如果是耳根痰肿，经过数日后大多变得坚硬肿大，不能左右相互串动。
痹（Bi Syndrome，指因风、寒、湿等邪气闭阻经络引起的肢体关节疼痛、麻木等症状），就是闭塞的意思。风寒湿邪气从外部侵袭，导致经络闭塞，四肢末端失去滋养，出现手足麻木、松弛无力，周身酸痛。有的因为劳损伤及筋骨而形成，有的因为坐卧湿地所致，有的因为浸入凉水所致，有的因为冲犯雨雪所致，这些都适宜多次针灸，内部常服用祛风湿活血脉的药酒，疼痛处经常贴敷膏药。这是一种迁延难愈的疾病，也有治疗无效而成为废疾的情况。痹证的脉象多为沉缓或涩，治疗前应先辨别清楚。
The damp-heat and fire of the Kidney and Sanjiao (Triple Burner, a fu-organ responsible for governing qi and unblocking water passages) ascend, causing obstruction and blockage of the qi vessels in the ear. Alternatively, dryness and itching may persist for days, followed by exceptional pain. Initially, small red fleshy growths appear, gradually filling the ear canal, and even protruding outside the ear, occasionally discharging foul-smelling bloody fluid. This condition is named Ear Hemorrhoid (Er Zhi). It is just like fungi growing on hot, steaming wet ground. It is advisable to use acupuncture to drain the dirty blood and fluid, apply Sand San (Sand Powder, formula see later) externally, and internally administer Longdan Xiegan Tang (Gentian Liver-Draining Decoction, formula see later).
The nose is the orifice of the Lung; atmospheric qi connects with the Lung meridian through the nose. If heat from the Gallbladder transfers to the brain, it causes a pungent sensation in the forehead and Bi Yuan (Nasal Sinusitis/Orifice Disorder, characterized by turbid nasal discharge). This occurs when external wind-cold invades the area of the Naohu acupoint, accumulates over time, transforms into heat, and generates hemorrhoids, resulting in loss of smell, and in severe cases, outward protrusion. First, puncture the lesion with acupuncture, then soak cotton in Sand San and pack it into the nose. Repeat once every five days, allowing it to gradually transform into fluid and dissipate. This is akin to coal forming from upward-rising furnace fire. Internally administer Lingyangjiao San (Antelope Horn Powder, formula see later) to prevent facial redness and swelling, and the spreading of fire pathogenic factors. If clear mucus flows from the nose, it indicates Cold of the Brain; treatment should focus on warming and dispersing. If it affects only half of the nose, it is curable; however, if it arises from Bi Yuan, it is difficult to completely eliminate.
In individuals with deficient and weak constitutions who have undergone excessive hardship, or those whose qi and blood are insufficient after illness without full recovery: The Lung governs Qi, and the Spleen controls Blood. When Lung Qi is deficient, it fails to protect the exterior; when Spleen Qi is deficient, Blood loses its containment within the middle jiao. If the Yin collaterals are injured, forcing blood to overflow upwards and exit through the clear pathways (respiratory tract), administer Bufei Yipi Yin (Lung-Nourishing and Spleen-Benefiting Drink, formula see later); two doses will suffice for recovery.
Seasonal pestilential qi (highly contagious pathogenic factors) stagnates in the Gallbladder and Stomach meridians, causing non-firm swelling below the ear, which may shift from left to right or right to left. Externally, apply Qingliang Gaoyao (Cooling Plaster); internally, administer Puji Xiaodu Yin (Universal Relief Detoxification Drink, formula see later). If heat transforms into pus, treat according to the methods for Carbuncles and Ulcers. Mistaken use of fire needles will inevitably cause terrifying redness and swelling. If phlegm swelling occurs at the root of the ear, after several days it usually becomes hard and large, unable to shift side to side.
Bi (Obstruction Syndrome) refers to blockage. External invasion by wind, cold, and dampness leads to the closure of meridians and collaterals, depriving the four extremities of nourishment, resulting in numbness and flaccidity of the hands and feet, and generalized soreness and pain. Some cases arise from labor injuring muscles and bones; some from sitting or lying on wet ground; some from immersion in cold water; some from exposure to rain and snow. All such cases benefit from repeated acupuncture and moxibustion, regular internal consumption of wine that dispels wind-dampness and activates blood vessels, and frequent application of plasters to painful areas. This is a lingering disease; there are cases where treatment fails, leading to permanent disability. The pulse in Bi syndrome is typically deep, slow, or choppy; differentiation must be clarified first.