耳病乃三焦肝风妄动而成，大人有虚火、实火之分，小儿
有胎热、胎风之别。虚火者，耳内蝉鸣，或兼重听，出水作痒，外无 肿，此属虚火妄动之症也；四物汤加牡
丹皮、石菖蒲及肾气丸主之。实火者，耳根耳窍俱肿，甚则寒热交作，疼痛无时，宜柴胡清肝汤治之。又有耳
挺结于窍内，气脉不通，疼痛不止，以栀子清肝汤为治，外用黄线药插入挺肉缝傍，化尽乃愈。小儿胎热或浴
洗水灌窍中，亦致耳窍作痛生脓，初起月间，不必搽药，治早项内生肿，候毒尽自愈。如月外不瘥，以红绵散
治之则安矣。
红绵散
红绵散内用枯矾 麝香胭脂在其间
小儿耳内流脓疾 一掺将来换笑颜
治耳内流脓，肿痛已消，脓尚不止，方用此掺之。
枯矾（上白，三钱） 干胭脂（二钱） 麝香（一分五厘）
共研极细末，瓷罐收贮，先用绵裘绞尽耳内脓湿，绵裘滚药送入耳底自愈。
聪耳芦荟丸
聪耳芦荟丸木香 芩归胆草与大黄
山栀青黛南星等 柴麝青皮共此良
治肝胆有火，耳内蝉鸣，渐至重听不闻声息者。
芦荟 大黄（蒸熟） 青黛 柴胡（各五钱） 龙胆 当归 山栀 青皮 黄芩（各一两） 木香（二钱）
南星（三钱） 麝香（五分）
上为末，神曲糊为丸，绿豆大，每服二十一丸，食后姜汤送下，日服三次渐效。
柴胡清肝汤 栀子清肝汤（俱见鬓疽门）
四物汤（见溃疡门）
肾气丸（见肺痈门）
耳病是由于三焦和肝经的风邪妄动而形成的。成年人有虚火和实火的区分，小儿则有胎热和胎风的差别。
虚火型的症状是：耳内像蝉鸣一样作响，或者伴有听力下降（重听），耳道流水且发痒，外部没有肿胀，这属于虚火妄动的病症；治疗以四物汤（补血调血的基础方）加入牡丹皮、石菖蒲，并配合肾气丸为主治方剂。
实火型的症状是：耳根和耳窍全部肿胀，严重时出现寒战与发热交替发作，疼痛无时休止，适宜用柴胡清肝汤治疗。
又有耳挺（一种耳部赘生物或息肉）结聚在耳窍内部，导致气脉不通，疼痛不止，用栀子清肝汤治疗，外用黄线药插入耳挺肉缝旁边，将其腐蚀化尽后痊愈。
小儿因胎热，或者洗澡时水灌入耳窍中，也会导致耳窍疼痛并化脓。如果在发病初起的一个月内，不必涂抹药物，因为过早用药会导致颈部内生肿毒，等待毒气排尽后可自愈。如果一个月后仍未痊愈，用红绵散治疗即可安定。
红绵散
红绵散中含有枯矾、麝香和胭脂。
小儿耳内流脓的疾病，只需掺入此药，孩子便会转悲为喜。
本方用于治疗耳内流脓，肿痛已经消退，但脓液仍不止的情况，将药粉掺入患处。
配方：枯矾（上等白色者，三钱）、干胭脂（二钱）、麝香（一分五厘）。
共同研磨成极细的粉末，用瓷罐密封保存。先用棉絮绞干耳内的脓液和湿气，再将裹药的棉絮滚入耳底，即可自愈。
聪耳芦荟丸
聪耳芦荟丸含有木香、黄芩、当归、龙胆草和大黄，以及山栀、青黛、南星等，还有柴胡、麝香、青皮，共同发挥良效。
本方用于治疗肝胆有火，耳内蝉鸣，逐渐发展到听力下降甚至听不见声音的情况。
配方：芦荟、大黄（蒸熟）、青黛、柴胡（各五钱）、龙胆、当归、山栀、青皮、黄芩（各一两）、木香（二钱）、南星（三钱）、麝香（五分）。
以上药材研为粉末，用神曲糊制成梧桐子大小的丸药，每次服用二十一丸，饭后用姜汤送服，每日三次，逐渐见效。
Auricular diseases are caused by the reckless movement of wind in the Sanjiao (Triple Burner) and Liver meridians. In adults, there is a distinction between deficiency fire and excess fire; in children, there is a difference between fetal heat and fetal wind.
Deficiency fire manifests as tinnitus (ringing in the ears like cicadas), possibly accompanied by hearing loss (heavy hearing), otorrhea with itching, and no external swelling; this belongs to the syndrome of reckless movement of deficiency fire. It is primarily treated with Siwu Tang (Four Substances Decoction) added with Mudanpi (Cortex Moutan Radicis) and Shichangpu (Rhizoma Acori Tatarinowii), along with Shenqi Wan (Kidney Qi Pill).
Excess fire manifests as swelling of both the root of the ear and the auditory canal; in severe cases, alternating chills and fever occur, with ceaseless pain. It should be treated with Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction).
There is also a condition where an "Erting" (auricular polyp/protrusion) forms inside the auditory canal, blocking the qi and blood vessels, causing unceasing pain. This is treated with Zhizi Qinggan Tang (Gardenia Liver-Clearing Decoction). Externally, Huangxian Yao (Yellow Thread Medicine) is inserted into the crevice beside the polyp flesh until it is completely dissolved and healed.
In children, fetal heat or water entering the auditory canal during bathing can also cause auricular pain and suppuration. If treated within the first month of onset, topical medication is not necessary; premature application may cause swelling in the neck region. One should wait for the toxin to exhaust itself, after which it will heal spontaneously. If it does not resolve after a month, treating it with Hongmian San (Red Cotton Powder) will bring relief.
Hongmian San (Red Cotton Powder)
Hongmian San contains Kufan (Alumen), Shexiang (Moschus), and Yanzhi (Rose Carmine).
For the disease of purulent otorrhea in children, applying this powder once will turn their frown into a smile.
This formula is used to treat purulent otorrhea where swelling and pain have subsided but pus continues to flow. The powder is applied to the affected area.
Ingredients: Kufan (superior white grade, 3 qian), Gan Yanzhi (Dry Rose Carmine, 2 qian), Shexiang (Moschus, 1.5 fen).
Grind all ingredients into an extremely fine powder and store in a porcelain jar. First, use cotton wool to squeeze out the pus and dampness from the ear. Then, roll the medicated cotton wool and insert it to the bottom of the ear for spontaneous healing.
Cong'er Lvhui Wan (Aloe Ear-Enhancing Pill)
Cong'er Lvhui Wan contains Muxiang (Aucklandiae Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Longdancao (Gentianae Radix), and Dahuang (Rhei Radix et Rhizoma), as well as Shanzhi (Gardeniae Fructus), Qingdai (Indigo Naturalis), Nanting (Arisaematis Rhizoma Preparatum), along with Chaihu (Bupleuri Radix), Shexiang (Moschus), and Qingpi (Citri Reticulatae Pericarpium Viride), which together provide excellent efficacy.
This formula treats conditions where there is fire in the Liver and Gallbladder, manifesting as tinnitus that gradually progresses to hearing impairment or deafness.
Ingredients: Lvhui (Aloe, 5 qian), Dahuang (steamed, 5 qian), Qingdai (Indigo Naturalis, 5 qian), Chaihu (Bupleuri Radix, 5 qian), Longdan (Gentianae Radix, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Shanzhi (Gardeniae Fructus, 1 liang), Qingpi (Citri Reticulatae Pericarpium Viride, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Muxiang (Aucklandiae Radix, 2 qian), Nanting (Arisaematis Rhizoma Preparatum, 3 qian), Shexiang (Moschus, 5 fen).
Grind the above ingredients into powder, mix with paste made from Shenqu (Massa Medicata Fermentata), and form pills the size of mung beans. Take 21 pills per dose, washed down with ginger decoction after meals, three times daily. Efficacy will gradually appear.
Chaihu Qinggan Tang (Bupleurum Liver-Clearing Decoction) and Zhizi Qinggan Tang (Gardenia Liver-Clearing Decoction) (both see section on Temporal Furuncle/Bin Ju).
Siwu Tang (Four Substances Decoction) (see section on Ulcerative Sores/Kui Yang).
Shenqi Wan (Kidney Qi Pill) (see section on Lung Abscess/Fei Yong).