升桔汤 治耳内肿痛。三阳经风热也。再治面肿牙痛咽喉疳。
升麻（一钱） 桔梗（一钱五分） 昆布（二钱） 连翘（二钱） 胆草（一钱） 射干（一钱五分）
用水钟半。煎八分。食远服。外以军持露滴之。
军持露 治耳内痛引脑项者。
熊胆（分许） 冰片（少许）
凉水五七茶匙化开。滴入耳内。其冷如冰。其痛立止。少时倾出。三二次全愈。
或用铁店石池内磨刀水滴之。垂盆草取汁。尤佳。
芍药散 耳痛连头。流脓出血者。风热上壅也。
赤芍 白芍 川芎 当归 大黄 木鳖子 甘草（各一钱五分）
水二钟。煎八分。食远服。
加味凉膈散 耳湿肿痛 属少阳相火。宜治辛寒。
黄芩（一钱） 栀子（五分） 连翘（二钱） 薄荷（五分） 甘草（一钱） 朴硝（一钱） 大黄
防风（各一钱） 羌活（一钱）
水二钟。竹叶二十片。煎一钟。加蜂蜜少许。食后服。气闭者。加菊花、蔓荆子、石菖蒲。
黑疔生于耳内一点。疼如锥刺。痛引腮脑。破流血水。用前升桔汤、军持露等法治之。罔效者疔也。急服
蟾酥丸汗之。研蟾酥饼。水调滴于耳内。立效。一灸后溪穴七壮。（穴见灸门）
耳疳者。为耳内流出脓水臭秽也。书有云。出黄脓为 耳。红脓为风耳。白脓为缠耳。清脓为震耳。名虽
有五。其源则一。由足少阴虚热者。四物汤加丹皮、石菖蒲。及地黄丸滋补之。由手少阳风热者。蔓荆子
散、交感丹清之。
若小儿胎热。或洗浴入水。作痛生脓者。在初生月内者。则不必搽药。如治之早。则项下结肿。任其毒尽。
自安。至月外不瘥者。用红绵散搽之。
蔓荆子散 治耳出脓水。
蔓荆子 桑白皮 菊花 前胡 升麻 赤茯苓 赤芍药 生地 木通 甘草（炙等分）
用水二钟。煎八分。食远服。
滋阴地黄丸 治耳内虚鸣。脓汁不干者。
熟地（二两） 茯苓（八钱） 山萸（一两） 菊花（八钱） 丹皮（八钱） 黄柏（八钱）
何首乌（黑豆蒸六钱）
共为末。炼蜜为丸。梧子大。每服二三钱。空心淡盐汤送下。
交感丹 治耳疳。气不宣通。遂成聋 者。
香附（童便浸炒三钱） 黄连（二钱） 茯神（二钱） 甘菊（一钱） 桂心（一钱）
共为末。每服钱半。灯心汤下。
红绵散 治耳内流脓。肿痛已消。脓尚不止者。
枯白矾（三钱） 干胭脂（二钱） 麝香（二分）
共为末。罐收。先捻绵球。绞尽耳内湿脓。随用绵球蘸药送入耳底。自愈。
一用腊日枯矾。入猪胆内。阴干。吹用。一用杏仁炒黑为末。绵裹塞于耳内。日三四易。
一用鸡肫皮焙或文蛤末。吹之。 一用人牙 存性。去火毒为末。用少许。吹耳内。
一用陈年酱茄蒂。拧汁滴于耳内。
升桔汤：治疗耳内肿痛。此证属于三阳经受风热之邪所致。另外也可用于治疗面部肿胀、牙痛以及咽喉部的疳疮。
处方组成：升麻（一钱）、桔梗（一钱五分）、昆布（二钱）、连翘（二钱）、龙胆草（一钱）、射干（一钱五分）。
煎服方法：用水半钟，煎至八分量的药液，在饭后服用。外用军持露滴入耳中。
军持露：治疗耳内疼痛并牵引至脑部和颈项部的症状。
处方组成：熊胆（少许）、冰片（少许）。
使用方法：用凉水五到七茶匙将药物化开，滴入耳内。药液感觉冰冷，疼痛立即停止。过一会儿倒出。经过两三次使用即可痊愈。
或者使用铁匠铺石池中磨刀的水滴入，或者取垂盆草的汁液，效果更佳。
芍药散：治疗耳痛牵连头部，流出脓血的症状。此乃风热上壅所致。
处方组成：赤芍、白芍、川芎、当归、大黄、木鳖子、甘草（各一钱五分）。
煎服方法：用水两钟，煎至八分量的药液，在饭后服用。
加味凉膈散：治疗耳部湿气引起的肿痛。此证属于少阳相火亢盛，适宜用辛寒性质的药物治疗。
处方组成：黄芩（一钱）、栀子（五分）、连翘（二钱）、薄荷（五分）、甘草（一钱）、朴硝（一钱）、大黄、防风（各一钱）、羌活（一钱）。
煎服方法：用水两钟，加入二十片竹叶，煎至一钟量的药液，加入少许蜂蜜，饭后服用。若伴有气机闭塞者，加入菊花、蔓荆子、石菖蒲。
黑疔：生于耳内的一点部位，疼痛如锥刺般，疼痛牵引至腮部和脑部，破溃后流出血液和脓水。使用前方的升桔汤、军持露等方法治疗。如果无效，则确认为疔疮。此时应紧急服用蟾酥丸使其发汗，并将蟾酥饼研碎，用水调匀滴入耳内，立见疗效。另外可艾灸后溪穴七壮。（穴位详见灸门章节）
耳疳：指耳内流出臭秽的脓水。医书中有记载：流出黄色脓液称为“耳”，红色脓液称为“风耳”，白色脓液称为“缠耳”，清稀脓液称为“震耳”。名称虽有五种，但病源相同。如果是由于足少阴肾经虚热引起，可用四物汤加入牡丹皮、石菖蒲，以及地黄丸进行滋补治疗。如果是由于手少阳三焦经风热引起，可用蔓荆子散、交感丹进行清热治疗。
若是小儿胎热，或因洗浴时进水，导致疼痛生脓的情况，在出生一个月内者，不必涂抹药物。如果过早治疗，会导致颈部下方结肿，不如让毒素排尽，自然安宁。到了满月后仍未痊愈者，使用红绵散涂抹。
蔓荆子散：治疗耳内流出脓水。
处方组成：蔓荆子、桑白皮、菊花、前胡、升麻、赤茯苓、赤芍药、生地、木通、甘草（炙，等分）。
煎服方法：用水两钟，煎至八分量的药液，在饭后服用。
滋阴地黄丸：治疗耳内虚鸣，脓汁不干的症状。
处方组成：熟地黄（二两）、茯苓（八钱）、山茱萸（一两）、菊花（八钱）、牡丹皮（八钱）、黄柏（八钱）、何首乌（用黑豆蒸制六钱）。
制作方法与用法：共研为细末，炼蜜制成丸药，大小如梧桐子。每次服用二三钱，空腹时用淡盐汤送服。
交感丹：治疗耳疳，因气机不宣通而导致耳聋的症状。
处方组成：香附（用童便浸炒三钱）、黄连（二钱）、茯神（二钱）、甘菊（一钱）、桂心（一钱）。
制作方法与用法：共研为细末。每次服用钱半，用灯心草汤送服。
红绵散：治疗耳内流脓，肿痛已经消除但脓液仍不止止的症状。
处方组成：枯白矾（三钱）、干胭脂（二钱）、麝香（二分）。
制作方法与用法：共研为细末，装入罐中保存。先用棉球捻成球状，绞尽耳内的湿脓，随即用棉球蘸取药粉送入耳底，可自行痊愈。
其他用法：一种是用腊月采集的枯白矾，放入猪胆内，阴干后吹入耳中；一种是将杏仁炒黑研末，用棉包裹塞于耳内，每天更换三四次；一种是用鸡肫皮焙干或文蛤末，吹入耳中；一种是用人牙煅存性，去火毒后研末，取少许吹入耳内；一种是用陈年的酱茄子蒂，拧出汁液滴入耳内。
Shengjie Decoction (Ephedra and Platycodon Decoction): Treats swelling and pain in the ear. This condition is caused by Wind-Heat affecting the three Yang meridians. It can also be used to treat facial swelling, toothache, and gan sores (ulcers) of the throat.
Ingredients: Shengma (Rhizoma Cimicifugae), Jiegeng (Radix Platycodonis), Kunbu (Thallus Laminariae), Lianqiao (Fructus Forsythiae), Danshen (Radix Scutellariae Baicalensis - *Note: Text says Dancao/Longdan Cao*, Longdancao (Radix et Rhizoma Scutellariae), Shegan (Rhizoma Belamcandae).
Preparation and Administration: Use half a zhong of water, decoct until 80% remains. Take after meals. Externally, apply Junchi Lu (Junchi Dew) into the ear.
Junchi Lu (Junchi Dew): Treats ear pain radiating to the head and neck.
Ingredients: Xiongdan (Bile Ursi), Bingpian (Borneolum Syntheticum).
Usage: Dissolve in five to seven tea spoons of cool water and drip into the ear. The sensation is cold as ice, and pain stops immediately. Pour out after a short while. Two or three applications result in complete recovery.
Alternatively, use water from sharpening knives in an iron shop's stone pool, or extract juice from Chuanpencao (Sedum sarmentosum), which is even better.
Shaoyao Powder (Peony Powder): Treats ear pain radiating to the head with discharge of pus and blood. This is due to Wind-Heat obstructing upwards.
Ingredients: Chishao (Radix Paeoniae Rubra), Baishao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Dahuang (Radix et Rhizoma Rhei), Mubiezi (Semen Strychnos), Gancao (Radix Glycyrrhizae Preparata) (each 1 qian 5 fen).
Preparation and Administration: Use two zhongs of water, decoct until 80% remains. Take after meals.
Jiawei Liange San (Modified Cool Chamber Powder): Treats dampness-induced swelling and pain in the ear. This belongs to the category of Shaoyang Ministerial Fire; it should be treated with acrid-cold methods.
Ingredients: Huangqin (Radix Scutellariae), Zhizi (Fructus Gardeniae), Lianqiao (Fructus Forsythiae), Bohe (Herba Menthae), Gancao (Radix Glycyrrhizae Preparata), Pu Xiao (Natrii Sulfas), Dahuang (Radix et Rhizoma Rhei), Fangfeng (Radix Saposhnikoviae), Qianghuo (Rhizoma Notopterygii) (each 1 qian).
Preparation and Administration: Use two zhongs of water, add twenty leaves of Zhuye (Folium Bambusae), decoct until one zhong remains. Add a little honey and take after meals. If accompanied by Qi obstruction, add Juhua (Flos Chrysanthemi), Manjingzi (Fructus Viticis), and Shichangpu (Rhizoma Acori Tatarinowii).
Heiding (Black Carbuncle): Appears as a single spot inside the ear, painful like a needle prick, radiating to the cheek and brain. Upon rupture, it bleeds and discharges fluid. Treat with the aforementioned Shengjie Decoction and Junchi Lu. If ineffective, it is confirmed as a Ding (carbuncle). Urgently administer Chansu Wan (Toad Venom Pill) to induce sweating. Grind Chansu Bing (Toad Venom Cake), mix with water, and drip into the ear for immediate effect. Alternatively, moxa Houxi (SI3) acupoint seven moxa cones. (See Acupuncture section for acupoint details).
Er GAN (Ear Gan): Refers to the discharge of foul-smelling pus and water from the ear. Medical texts state: Yellow pus indicates "Er" (Ear disease); red pus indicates "Feng Er" (Wind Ear); white pus indicates "Chan Er" (Coiling Ear); clear pus indicates "Zhen Er" (Vibrating Ear). Although there are five names, the source is the same. If caused by Deficient Heat of the Foot-Shaoyin (Kidney) meridian, treat with Siwu Tang (Four Substances Decoction) added with Mudanpi (Cortex Moutan) and Shichangpu (Rhizoma Acori Tatarinowii), along with Dihuang Wan (Rehmannia Pill) for nourishment. If caused by Wind-Heat of the Hand-Shaoyang (Sanjiao) meridian, clear it with Manjingzi San (Vitex Fruit Powder) and Jiaogan Dan (Interacting Pill).
If it is infantile fetal heat, or pain and pus formation due to water entering during bathing, for infants within their first month of life, do not apply external medicine. If treated too early, it may cause submandibular swelling. It is better to let the toxin exhaust itself and heal naturally. For those beyond one month who have not recovered, apply Hongmian San (Red Cotton Powder).
Manjingzi San (Vitex Fruit Powder): Treats ear discharge of pus and water.
Ingredients: Manjingzi (Fructus Viticis), Sangbaipi (Cortex Mori Radicis), Juhua (Flos Chrysanthemi), Qianhu (Radix Peucedani), Shengma (Rhizoma Cimicifugae), Chi Fuling (Poria cum Ligno Rubrum), Chishao (Radix Paeoniae Rubra), Shengdi (Radix Rehmanniae Preparata), Mutong (Caulis Akebiae), Gancao (Radix Glycyrrhizae Preparata) (equal parts, roasted).
Preparation and Administration: Use two zhongs of water, decoct until 80% remains. Take after meals.
Ziyin Dihuang Wan (Nourishing Yin Rehmannia Pill): Treats tinnitus in the ear and persistent non-drying pus.
Ingredients: Shudi (Radix Rehmanniae Preparata, 2 liang), Fuling (Poria, 8 qian), Shanzhuyu (Fructus Corni, 1 liang), Juhua (Flos Chrysanthemi, 8 qian), Mudanpi (Cortex Moutan, 8 qian), Huangbai (Cortex Phellodendri, 8 qian), Heshouwu (Radix Polygoni Multiflori Preparata, steamed with black soybeans, 6 qian).
Preparation and Administration: Grind into powder, form pills with refined honey, size of wutong seeds. Take 2-3 qian per dose, on an empty stomach with light salt water.
Jiaogan Dan (Interacting Pill): Treats Er Gan where Qi is not circulating freely, leading to deafness.
Ingredients: Xiangfu (Rhizoma Cyperi Preparated with child's urine, 3 qian), Huanglian (Rhizoma Coptidis, 2 qian), Fushen (Poria cum Radix Pinelliae, 2 qian), Ganju (Flos Chrysanthemi Indici, 1 qian), Guixin (Cortex Cinnamomi, 1 qian).
Preparation and Administration: Grind into powder. Take 1.5 qian per dose, with Dengxincao Tang (Juncus Decoction).
Hongmian San (Red Cotton Powder): Treats ear discharge where swelling and pain have subsided but pus continues.
Ingredients: Ku Bai Fan (Alumen Ustums, 3 qian), Gan Yanzhi (Dry Carmine, 2 qian), Shexiang (Moschus, 2 fen).
Preparation and Administration: Grind into powder, store in a jar. First, roll cotton into a ball and squeeze out wet pus from the ear. Then, dip the cotton ball in the medicine and insert it to the bottom of the ear for self-healing.
Other methods: One method uses Alumen collected on the last day of the lunar year, placed inside a pig gallbladder, dried in shade, and insufflated. Another method uses fried black almond powder wrapped in cotton and inserted into the ear, changed 3-4 times daily. Another uses baked chicken gizzard skin or Wen Ge (Clam Shell) powder insufflated. Another uses human teeth calcined to preserve nature, removing fire toxicity, ground into powder, and a small amount insufflated into the ear. Another uses stalks of aged sauce eggplants, wrung for juice and dripped into the ear.