暴聋者，猝然闭塞无闻，肾气虚脱则有之，亦或三焦气逆、气郁而然者。其证必哄哄 ，
胀闷烦热，四物汤加柴胡、山栀。中气弱者，加减归脾汤。亦或肝胆风热上攻而然者，其证
必兼头痛，小柴胡汤加川芎、归身、山栀仁。亦或因损伤、挖伤、雷炮震伤，患 耳溃脓
不止等证而聋者，则宜用开通之法。如肾亏精脱，或年衰，或病后，或劳倦过度，或大恐气
结，渐至耳聋者，须大培根本，用八珍汤、地黄丸、补中益气汤之类。然多难愈。
开通法
一、用酒浸针砂一日，至晚去砂，将酒含口中。取活磁石一块塞耳，左聋塞左，右聋塞
右，此导气古法也。
一、用巴豆一粒去心皮，斑蝥一枚去翅足，二物合捣，绵裹塞耳中，再易，甚效。
一、用大蒜一瓣，中剜一孔，以巴豆一粒去皮膜，入蒜内慢火炮极熟，用新棉包定，塞
耳中，三次效。
一、用全蝎四十九枚，以生姜浓片如数，铺锅内，置蝎于其上，轻烙姜片至黄色，取蝎
去毒
愈。
四物汤（通用二十三。）
小柴胡汤（通用十四。）
补中益气汤（通用三十。）
生耳后缝间，延及耳折上下，色红如刀裂之状，时流黄水，乃胆脾湿热，用穿粉散搽之
即愈。
轻粉（隔纸微炒研） 穿山甲（炙） 铅粉 黄丹（各三钱，飞用）
上共研细末，香油调搽。
附方（存验。）
胡黄连
上一味，研细末，麻油调搽。
暴聋，是指突然发生耳部闭塞、听不见声音的症状。这种情况可能是由于肾气虚脱所致，也可能是因为三焦气机逆乱、气机郁滞而造成的。其症状必然伴有耳鸣声如轰鸣、耳内胀闷烦热，治疗可用四物汤加入柴胡、山栀。若中气虚弱者，使用加减归脾汤。也有因肝胆风热上攻头部而导致耳聋的，其症状必然兼有头痛，治疗可用小柴胡汤加入川芎、当归身、山栀仁。也有因外伤、挖伤、雷击或炮震等损伤，导致患耳溃烂流脓不止从而引起耳聋的，则适宜采用开通耳窍的方法。如果是因肾精亏损、精气外脱，或者年老体衰，或者大病之后，或者过度劳累，或者极度恐惧导致气机结滞，逐渐发展为耳聋的，必须大力培补根本，可使用八珍汤、地黄丸、补中益气汤之类的方剂。然而这类情况大多难以治愈。
开通法：
第一法，用酒浸泡针砂一天，到晚上取出砂粒，将酒含在口中。取一块活磁石塞入耳中，左耳聋塞左耳，右耳聋塞右耳，这是导引气机的古法。
第二法，用一粒巴豆去掉心皮，一枚斑蝥去掉翅膀和足，将这两味药一起捣碎，用棉布包裹后塞入耳中，更换数次，效果很好。
第三法，用一瓣大蒜，中间挖一个孔，放入一粒去皮的巴豆，与蒜一起在锅中用慢火烤至极熟，用新棉花包好，塞入耳中，使用三次见效。
第四法，用全蝎四十九枚，准备同等数量的生姜浓片铺在锅底，将蝎子放在姜片上，轻轻烘烤姜片至变黄，取出蝎子（去毒）后使用即可痊愈。
四物汤（通用方二十三。）
小柴胡汤（通用方十四。）
补中益气汤（通用方三十。）
生发于耳后缝隙之间，蔓延至耳廓上下，颜色红得像刀割裂开的样子，时常流出黄色液体，这是由于胆脾湿热所致，使用穿粉散涂抹患处即可痊愈。
轻粉（隔纸微炒后研细） 穿山甲（炙） 铅粉 黄丹（各三钱，水飞处理后使用）
以上药物共同研成细末，用香油调和后涂抹。
附方（留存验证有效。）
胡黄连
以上一味药，研成细末，用麻油调和后涂抹。
Sudden deafness refers to the sudden onset of ear blockage and loss of hearing. This condition may be caused by the depletion of Kidney Qi, or it may result from the rebellion of Sanjiao Qi and Qi stagnation. The symptoms must include roaring tinnitus, a sensation of fullness, distension, irritability, and heat in the ears. Treatment involves Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus). For those with weak Middle Qi, Jiaguan Guipi Tang (Modified Guipi Decoction) is used. In cases where Liver-Gallbladder Wind-Heat attacks upward causing deafness, the symptoms are necessarily accompanied by headache; treatment involves Xiaochaihu Tang (Minor Bupleurum Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma), Guishen (Angelicae Sinensis Radix), and Shanzhiren (Gardeniae Semen). Deafness may also result from trauma, such as injury, digging wounds, or shock from lightning and artillery, leading to continuous ulceration and pus discharge from the affected ear; in such cases, methods for unblocking the auditory orifices are appropriate. If deafness develops gradually due to Kidney Essence deficiency and essence leakage, advanced age, post-illness debility, excessive labor and fatigue, or severe fear causing Qi knotting, it is necessary to strongly tonify the root. Formulas such as Bazhen Tang (Eight Treasures Decoction), Dihuang Wan (Rehmannia Pill), and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. However, these conditions are often difficult to cure.
Methods for Unblocking the Orifice:
1. Soak Zhen Sha (Magnetitum prepared with wine) in wine for one day. At night, remove the magnetite and hold the wine in the mouth. Insert a piece of Huo Cishi (Live Magnetite) into the ear; if the left ear is deaf, insert it into the left ear, and if the right ear is deaf, insert it into the right ear. This is an ancient method for guiding Qi.
2. Use one seed of Badou (Crotonis Fructus), removing the heart and skin, and one Banmao (Mylabris), removing wings and feet. Pound these two substances together, wrap them in cotton, and insert into the ear. Change frequently; this is very effective.
3. Take one clove of Dasuan (Garlic), hollow out a hole in the center, place one peeled Badou (Crotonis Fructus) inside, and slowly roast it in a pan until thoroughly cooked. Wrap it in new cotton and insert into the ear. It becomes effective after three uses.
4. Use forty-nine Quanxie (Scorpio). Prepare an equal number of thick slices of Shengjiang (Zingiberis Rhizoma Recens) to line the bottom of a pan. Place the scorpions on the ginger slices and lightly roast until the ginger turns yellow. Remove the scorpions (to eliminate toxicity) and use.
Siwu Tang (General Formula 23.)
Xiaochaihu Tang (General Formula 14.)
Buzhong Yiqi Tang (General Formula 30.)
A lesion arising in the crease behind the ear, extending to the upper and lower parts of the auricle, appearing red like a knife-cut wound, and intermittently discharging yellow fluid, is caused by Damp-Heat in the Gallbladder and Spleen. Apply Chuanfen San (Chuanxin Powder) topically for immediate cure.
Qingfen (Calomelas, lightly stir-fried between paper and ground) Shanjia (Pangolin Scale, roasted) Qianfen (Lead Carbonate) Huangdan (Minium, each 3 qian, processed by water flotation).
Grind all ingredients into a fine powder. Mix with Xiangyou (Sesame Oil) and apply topically.
Supplementary Formula (Retained for verification.)
Huhuanglian (Coptidis Rhizoma)
Grind this single ingredient into a fine powder. Mix with Mayou (Hemp Seed Oil) and apply topically.