三证皆生耳窍内，耳痔形如樱桃，亦有形如羊奶者；耳菌形如蘑菇，头大蒂小，耳梃
形如枣
皮破，偶一触犯，痛引脑巅。内俱用加味逍遥散，甚者，龙胆泻肝汤。外用鸡矢白炒研敷之
，或黄白散点之，渐渐消化。又方，以火酒滴入，仰之半时，即可钳出。
加味逍遥散（通用十六。）
龙胆泻肝汤（通用九。）
黄白散（见前鼻部鼻痔。）
生耳窍暗藏之处，色黑，形如椒目，疼如锥刺，引及腮脑，破流血水。急服夺命汤，外
用蟾酥、雄黄等分为末，水和浓，滴入耳内。
夺命汤（见发无定处疔疮。）
耳内不脓不肿，只作干痛，或作痒，或出水，或经年不愈，或交接便发，此皆肝肾二家
虚火为病，加减八味丸主之。
加减八味丸（通用四十六。）
耳鸣者，耳中有声，或若蝉鸣，或若钟鸣，或若火 然，或若流水声，或若簸米声，
或睡
外，止于窍中， 有声。格外入之者，为其内声所混，听之不清，服摄阴煎；脾胃弱者，
兼服补中益气汤。
一、有因怒而鸣者，乃三焦气逆，小柴胡汤加当归、川芎、山栀仁主之。
摄阴煎
活磁石（一两） 地黄 首乌 龟版 鳖甲（各五钱） 山茱萸肉 白芍 山药（各二钱）
五味子（一钱五分）
上水煎二次，去渣，食前温服。治元阴虚损、高年逆上之气，屡有奇效。如为丸，将方
内
补中益气汤（通用三十。）
小柴胡汤（通用十四。）
这三种病症都发生在耳窍内部。耳痔的形状像樱桃，也有形状像羊奶的；耳菌的形状像蘑菇，头大蒂小；耳梃（指耳内赘生物）形状像枣皮破裂，偶尔受到触碰，疼痛会牵引至头顶。内部治疗均使用加味逍遥散，病情严重的，使用龙胆泻肝汤。外部治疗用鸡矢白（鸡粪的白色部分）炒制后研末敷贴，或者用黄白散点涂，使其逐渐消散。又有另一种方法，将火酒滴入耳中，仰卧半小时，即可用钳子取出。
在耳窍隐蔽之处生长的，颜色黑，形状像花椒籽，疼痛如锥刺般，牵连到腮部和脑部，破溃后流出血水。需紧急服用夺命汤，外部用蟾酥、雄黄等分研成细末，用水调成浓汁，滴入耳内。
耳内不化脓也不肿胀，只是感到干燥疼痛，或者发痒，或者流出液体，或者多年不愈，或者性交后即发作，这都是肝肾两脏虚火致病，以加减八味丸为主治方剂。
耳鸣是指耳中有声音，有的像蝉鸣，有的像钟鸣，有的像火烧的声音，有的像流水声，有的像簸米声，或者睡觉时只在耳窍中有声音。如果是外界声音进入，因为被内部的声音混杂而听不清楚，服用摄阴煎；脾胃虚弱者，兼服补中益气汤。
一、有因愤怒而导致耳鸣的，这是三焦气机逆乱，用小柴胡汤加当归、川芎、山栀仁主治。
These three conditions all occur within the ear orifice. The *Erzhi* (Ear Polyp) resembles a cherry, and some resemble goat's milk; the *Erjun* (Ear Fungus) resembles a mushroom, with a large head and a small stalk; the *Erting* (Ear Growth) resembles the skin of a jujube that has broken open, and occasional contact causes pain radiating to the vertex of the head. Internally, *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder) is used for all cases; for severe cases, *Longdan Xiegan Tang* (Gentian Liver-Draining Decoction) is employed. Externally, *Jishi Bai* (White Part of Chicken Droppings) is stir-fried, ground into powder, and applied as a dressing, or *Huangbai San* (Yellow and White Powder) is dabbed on to gradually resolve the lesion. Another method involves dripping Huojiu (Fire Wine) into the ear; after lying supine for half an hour, it can be removed with forceps.
Those growing in the hidden recesses of the ear orifice are black in color and resemble peppercorn seeds. The pain is like needle insertion, radiating to the cheeks and brain, and upon rupture, blood and serum flow out. Urgently administer *Duoming Tang* (Life-Snatching Decoction). Externally, grind Chan Su (Toad Venom) and Xionghuang (Realgar) in equal parts into fine powder, mix with water to form a thick liquid, and drip into the ear.
When there is no pus or swelling in the ear, only dry pain, itching, discharge of fluid, chronic non-healing over years, or recurrence after sexual intercourse occurs, these are all caused by deficient fire in the Liver and Kidney. *Jiajian Bawei Wan* (Modified Eight-Ingredient Pill) is the primary treatment.
Tinnitus refers to sounds heard within the ear, which may resemble cicada chirping, bell ringing, burning, flowing water, or the sound of winnowing rice. Or, sounds are heard only within the orifice during sleep. If external sounds enter but are muddled by internal sounds, resulting in unclear hearing, *Sheyin Jian* (Yin-Nourishing Decoction) is administered; for those with weak Spleen and Stomach, *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) is taken concurrently.
1. Tinnitus caused by anger results from rebellious Qi in the Triple Burner, treated with *Xiao Chaihu Tang* (Minor Bupleurum Decoction) plus Dang Gui (Angelica Sinensis), Chuanxiong (Ligusticum), and Shanzhiren (Gardenia Seed).