上以火照之，即向明出。
上以刀两口，于耳上相击作声，虫即走出。
上即闭气，气满即吐，复闭，取令出，或死耳中，徐徐以物钩出之。若积久不出者，取
新熟鸡肉安耳窍上，虫即出。
治百虫入耳不出。
白矾 雄黄（各半两）
上为细末，用香油调成膏，每用皂角子大塞耳，虫即出。
上用桃叶为枕，虫自鼻出，形如鹰嘴，人莫知其名。有人蚰蜒入耳，遇其极时，以头撞
柱，至血流不知，其痒不可忍。蚰蜒入耳，往往食髓至尽，又能孳生。凡虫麻油灌妙。
上以川椒为末一钱，醋半盏浸一宿，良久，方滴入耳中，其虫自出。
上以莴苣汁滴耳中，虫出，或以切熟猪心置耳中，留虫出路，虫自出。
治两耳虚聋。
白茯苓（二两） 山药（三两，炒） 杏仁（去皮尖，炒，一两半）
上为细末，以黄蜡二两熔和丸，如弹子大，每服一丸，食后细嚼，盐汤送下。
治耳聋。
石菖蒲（一寸） 巴豆（一粒，去壳） 全蝎（一个，去毒）
上为细末，葱涎和丸，枣核大，绵裹塞耳内。
鼻者，肺之通窍，主清气出入之道路。若气血和平，阴阳升降，则呼吸通和，荣卫行焉
，鼻和则知香臭矣。或六淫七情，内外伤感，又因饮食劳倦，因时鼻气不得宣通，清道壅塞
，其为病也。若积热客于阳明，遂以迫血妄行，自鼻孔中出，谓之衄。热则津液中干，冷则
脑髓流注，或风冷随气，入于经上，贯于脑下，注于鼻则涕下不能自收，谓之流涕。或冷滞
气塞，鼻则不闻香臭，于是为鼻 。血脉聚，日久缠绵，转加壅结，变生息肉。或气壅滞于
上为邪热，留伏不散，则为鼻疮，久则变为疳 ，腐溃汁臭，鼻之为病不过风热而流。河间
云∶鼻窒塞也，火主腹 肿胀，故热客阳明，而鼻中 胀，则鼻窒塞也。或谓寒主闭藏，妄
以鼻窒为寒者误也。盖阳气甚于上而侧卧，则上窍通利，而下窍闭塞者，谓阳明之脉，左右
相交，而左脉注于右窍，右脉注于左窍，故风热郁结，病偏于左，则上窍反塞之类也。所谓
鼽者，鼻出清涕也。夫五行之理微，则当其本化，甚则兼其鬼贼，故经曰∶亢则害，承乃制
也。《易》曰∶燥万物者，莫 乎火。以火炼金，热极而反化为水。反其热极，则反汗出也
。由是肝热甚则出泣，心热甚则出汗，脾热甚则出涎，肺热甚则出涕，肾热甚则出唾。经曰
∶鼻热甚出浊涕。又云∶胆移热于脑则辛 。鼻渊者，浊涕渗不止也。凡痰涎涕唾稠浊者，
火热极甚、销铄致之然也。或言鼽为肺寒者误也，但见鼽涕鼻窒，胃寒则甚，遂以为然，岂
知寒伤皮毛，则腠理闭密，热气怫郁，而痛愈甚也。及夫嚏者，鼻中因痒而气喷作于声也。
鼻为肺窍，痒为火化，心火邪热，干于阳明，发于鼻而痒，则嚏也。或故以物扰之，痒而嚏
者，扰痒属血，故或视目而嚏者，由目为五脏精华，太阳真火，晃耀于目，则心神躁乱，而
发热于上，则鼻中痒而嚏也。或伤寒病衰而或嚏者，由火热已退，而虚热为痒，痒发鼻则嚏
也。或风热上攻，头鼻壅滞，脉浮而无他证者，内药鼻中得嚏，则壅滞开通而愈也。或有痛
处，因嚏而痛，其不可忍者，因嚏之气攻冲结痛，而不得通利故也。三者之证，同为热也，
故为病不同，邪热所乘之经有异故也。鼻窒与嚏痒者，热客阳明，胃之经也；鼽涕者，热客
太阴，肺之经也。盖鼻者足阳明胃经所主，阳明之脉，左右相交，注于鼻孔。又鼻者肺之窍
，故肺气通于鼻，其邪热干于二经，发于鼻而为窒塞鼽涕之证，故经曰∶心肺有病，而鼻为
之不利也。治法观邪所中之何经，所治则不失矣。或因外冒风寒而痛转甚，遂作寒治，而用
温热之剂表散，获者偶尔所中，岂知寒覆于热，热郁气浊，清道不利，故有是证。可以辛甘
发散，腠理开通，结滞得散，阳热外泄，微者则已，甚者郁结不开，其病转加者，虽用退热
疏风辛凉之剂解之时，使结散热退，暂愈而已，全在乎验其内外结热之微甚，宜以辛温辛凉
之药可也。凡此诸证，全在医之识病，治之了然，无不瘥矣。
用火光照耀耳道，虫子就会向光亮处爬出。
用刀的两口在耳上方相互敲击发出声响，虫子就会爬出来。
立即屏住呼吸，气憋足后吐出，再屏息，迫使虫子出来；或者虫子死在耳中，慢慢用工具将其钩出。如果积存很久不出来，取新鲜熟鸡肉放在耳窍上，虫子就会出来。
治疗各种虫子进入耳中出不来的情况。
白矾、雄黄（各半两）
将上述药物研成细末，用香油调成膏状，每次取皂角子大小的药膏塞入耳内，虫子就会出来。
用桃叶做枕头，虫子会从鼻子出来，形状像鹰嘴，人们不知道它的名字。有人遇到蚰蜒进入耳朵，在极度瘙痒时，用头撞柱子，直到血流不止都不知道，那种痒痛难以忍受。蚰蜒进入耳中，往往会吃尽脑髓，又能繁殖。凡是虫类，用麻油灌耳即可解决。
将川椒研成末一钱，用半盏醋浸泡一夜，过一段时间后，滴入耳中，虫子自然出来。
将莴苣汁滴入耳中，虫子出来；或者将切开的熟猪心放置在耳中，留出虫子的出路，虫子自然会出来。
治疗双耳虚性耳聋。
白茯苓（二两）、山药（三两，炒制）、杏仁（去皮尖，炒制，一两半）
将上述药物研成细末，用二两熔化的黄蜡混合制成丸药，大小如弹子，每次服用一丸，饭后细细咀嚼，用盐汤送服。
治疗耳聋。
石菖蒲（一寸）、巴豆（一粒，去壳）、全蝎（一个，去毒）
将上述药物研成细末，用葱汁调和制成丸药，大小如枣核，用棉布包裹塞入耳内。
鼻是肺的通窍，主管清气出入的道路。如果气血平和，阴阳升降正常，那么呼吸通畅调和，营卫之气运行，鼻子灵敏就能辨别香臭了。如果是六淫七情，内外感伤，又因饮食劳倦，导致鼻气不能宣通，清道壅塞，这就形成了疾病。如果积热客居在阳明经，逼迫血液妄行，从鼻孔中流出，称为衄血。热则津液干枯，冷则脑髓流注，或者风冷随气侵入经脉上行，贯通脑部下方，注入鼻中则鼻涕流出不能自收，称为流涕。或者冷气滞塞，鼻窍不通，闻不到香臭，于是形成鼻窒。血脉聚结，日久缠绵，转而更加壅结，变生息肉。或者气壅滞于上化为邪热，留伏不散，就形成鼻疮，久了变为疳蚀，腐烂流汁发臭，鼻部的疾病不过是风热流注所致。河间说：鼻窒塞也，火主腹部肿胀，所以热客阳明，鼻中肿胀，就是鼻窒塞。有人说寒主闭藏，错误地把鼻窒当作寒证。因为阳气盛于上部而侧卧时，上窍通利，下窍闭塞的，是因为阳明之脉左右相交，左脉注入右窍，右脉注入左窍，所以风热郁结，病偏于左侧，则上窍反而堵塞之类。所谓鼽，是鼻出清涕。五行之理微妙，轻微时当其本化，严重时兼及其鬼贼，所以经书说：亢则害，承乃制。《易经》说：燥万物者，莫熯乎火。用火炼金，热极反而化为水。反其热极，则反而出汗。因此肝热甚则流泪，心热甚则出汗，脾热甚则流涎，肺热甚则流涕，肾热甚则吐唾。经书说：鼻热甚则出浊涕。又说：胆移热于脑则辛頞。鼻渊，是浊涕渗出不止。凡是痰涎涕唾稠浊的，都是火热极甚，销铄所致。有人说鼽是肺寒，这是错误的，只是见到鼽涕鼻窒，胃寒则严重，就认为是这样，哪里知道寒伤皮毛，腠理闭密，热气怫郁，疼痛更严重呢。至于嚏，是鼻中因痒而气喷发声。鼻为肺窍，痒为火化，心火邪热干犯阳明，发于鼻而痒，就打喷嚏。或者故意用物扰动，痒而打喷嚏的，扰痒属血，所以看眼睛打喷嚏的，是因为目为五脏精华，太阳真火，晃耀于目，则心神躁乱，发热于上，则鼻中痒而打喷嚏。或者伤寒病衰时而打喷嚏的，是由火热已退，虚热致痒，痒发于鼻则打喷嚏。或者风热上攻，头鼻壅滞，脉浮而无其他症状的，内服药使鼻中得嚏，则壅滞开通而痊愈。或者有痛处，因打喷嚏而痛，其不可忍受的，是因打喷嚏的气攻冲结痛，而不能通利的原因。这三种证候，同为热证，所以发病不同，邪热所乘的经络有差异的缘故。鼻窒与嚏痒，是热客阳明，胃的经络；鼽涕，是热客太阴，肺的经络。大概鼻是足阳明胃经所主，阳明之脉左右相交，注入鼻孔。又鼻是肺之窍，所以肺气通于鼻，其邪热干犯这两条经络，发于鼻而为窒塞鼽涕的证候，所以经书说：心肺有病，而鼻为之不利也。治法观察邪气所中的何经，所治就不会失误了。或者因为外冒风寒而疼痛转甚，遂按寒证治疗，使用温热之剂表散，偶尔获效，哪里知道寒覆于热，热郁气浊，清道不利，所以有此证。可以用辛甘发散，腠理开通，结滞得散，阳热外泄，轻微的就好了，严重的郁结不开，病情转加重的，虽然用退热疏风辛凉之剂解之时，使结散热退，暂时痊愈而已，全在于验证其内外结热的微甚，适宜用辛温辛凉的药物即可。所有这些证候，全在于医生识病，治疗了然，没有不痊愈的。
Illuminating the ear canal with fire, the insects will crawl towards the light.
Striking two knife edges together above the ear to make a sound, the insects will crawl out.
Immediately hold your breath; when the breath is full, exhale, then hold it again to force the insect out; or if the insect dies in the ear, slowly hook it out with an instrument. If it has been lodged for a long time without coming out, place fresh cooked chicken meat on the ear opening, and the insect will come out.
Pouring sesame oil mixed with rice straw ash juice into the ear, the insect will come out.
To treat various insects entering the ear that cannot exit:
Bai Fan (Alumen), Xiong Huang (Realgar) (each half liang).
Grind the above herbs into fine powder, mix with sesame oil to form a paste. Each time, take an amount the size of a soap nut seed and insert it into the ear; the insect will come out.
Using peach leaves as a pillow, the insect will exit through the nose, shaped like an eagle's beak, whose name people do not know. When someone encounters a house centipede entering the ear, during extreme itching, they may hit their head against a pillar until blood flows without realizing it, as the itch is unbearable. A house centipede entering the ear often consumes the brain marrow completely and can reproduce. For all such insects, pouring hemp oil into the ear resolves the issue.
Mixing chicken heart blood with raw oil and dripping it into the ear, the insect will come out.
Taking one qian of Chuan Jiao (Sichuan Pepper) powder, soaked in half a zhan of vinegar overnight, after some time, drip it into the ear, and the insect will naturally exit.
Dropping lettuce juice into the ear causes the insect to exit; or placing cut cooked pig heart in the ear, leaving an exit path for the insect, so it comes out naturally.
Grinding Chang Pu (Acorus tatarinowii) into powder, stir-frying it, and wrapping it in cotton while hot to apply to the side of the ear.
To treat bilateral deficiency-type deafness:
Bai Fu Ling (Poria cocos), Shan Yao (Dioscorea opposita) (three liang, stir-fried), Xing Ren (Prunus armeniaca) (deprived of skin and tips, stir-fried, one and a half liang).
Grind the above herbs into fine powder, melt two liang of yellow beeswax and mix to form pills the size of a bullet. Take one pill per dose, chew thoroughly after meals, and swallow with salt water.
To treat deafness:
Shi Chang Pu (Rhizoma Acori Tatarinowii) (one cun), Ba Dou (Seminar Crotonis Tiglii) (one grain, shell removed), Quan Xie (Scorpio) (one piece, toxicity removed).
Grind the above herbs into fine powder, mix with scallion juice to form pills the size of a jujube pit, wrap in cotton, and insert into the ear.
The nose is the open passage of the Lung, governing the pathway for the entry and exit of clear Qi. If Qi and Blood are harmonious, and Yin and Yang ascend and descend normally, respiration will be smooth and harmonious, Ying and Wei Qi will circulate, and the nose will be sensitive enough to distinguish odors. However, if affected by the Six Evils or Seven Emotions, both internally and externally, compounded by dietary irregularities and overwork, causing nasal Qi to fail to diffuse and unblock, leading to obstruction of the clear pathways, disease arises. If accumulated heat lodges in the Yangming channel, forcing blood to flow recklessly, bleeding from the nostrils occurs, termed "Nu" (epistaxis). Heat dries up body fluids, while cold causes brain marrow to flow down; or wind-cold follows Qi entering the meridians upwards, penetrating below the brain, and injecting into the nose, causing rhinorrhea that cannot be controlled, termed "Liu Ti" (runny nose). Or due to cold stagnation and Qi blockage, the nose loses the sense of smell, forming "Bi Zhi" (nasal congestion). Blood vessels gather, lingering for days, becoming more obstructed, transforming into polyps. Or Qi stagnates upwards transforming into evil heat, remaining latent and undissipated, forming "Bi Chuang" (nasal sores); over time, it becomes "Gan" (ulceration), rotting and discharging foul-smelling fluid. Nasal diseases are merely due to wind-heat flow. He Jian stated: Bi Zhi is nasal obstruction. Fire governs abdominal swelling; thus, when heat lodges in Yangming, swelling in the nose causes Bi Zhi. Some mistakenly attribute Bi Zhi to cold because cold governs closure and storage. This is incorrect. When Yang Qi is excessive in the upper part and one lies on one side, the upper orifice opens while the lower closes because the Yangming meridians cross left and right; the left meridian injects into the right orifice, and the right into the left. Thus, if wind-heat stagnates, favoring the left side, the upper orifice may become blocked. "Qiu" refers to clear discharge from the nose. The principles of the Five Elements are subtle; when mild, they follow their original transformation; when severe, they involve their destructive elements. Hence, the classics say: "Excess brings harm, control follows." The I Ching says: "Nothing dries the ten thousand things more than fire." Using fire to smelt metal, extreme heat transforms it back into water. Extreme heat leads to sweating. Therefore, excessive Liver heat causes tearing, Heart heat causes sweating, Spleen heat causes salivation, Lung heat causes rhinorrhea, and Kidney heat causes spitting. The classics state: "Excessive nasal heat produces turbid discharge." It also says: "When Gallbladder heat transfers to the brain, the nose feels pungent." "Bi Yuan" (nasal sinusitis) is characterized by continuous leakage of turbid discharge. All thick and turbid phlegm, saliva, and discharge are caused by extreme heat consuming and melting them. Saying Qiu is due to Lung cold is wrong; merely seeing rhinorrhea and nasal congestion, and noting that Stomach cold worsens it, leads to this misconception. One fails to realize that cold injuring the skin and hair closes the interstices, trapping heat, making pain worse. As for sneezing ("Ti"), it is air spraying from the nose due to itching. The nose is the orifice of the Lung; itching is a manifestation of Fire. Heart fire and evil heat invade the Yangming, manifesting as nasal itching, causing sneezing. Or, deliberately disturbing the nose causes itching and sneezing; disturbance-related itching belongs to Blood. Sneezing upon looking at bright eyes occurs because the eyes contain the essence of the five Zang organs and the true Fire of the Taiyang; brightness agitates the Heart Spirit, generating heat upwards, causing nasal itching and sneezing. Sneezing during the decline of a Shanghan (cold damage) disease occurs because the fierce heat has receded, leaving deficient heat that causes itching; nasal itching triggers sneezing. If wind-heat attacks upwards, causing head and nasal congestion, with a floating pulse but no other symptoms, taking internal medicine to induce sneezing opens the congestion and cures the condition. Pain exacerbated by sneezing, which is unbearable, is due to the force of sneezing attacking and knotting, preventing free flow. These three conditions are all heat patterns, hence different manifestations due to invasion of different meridians. Bi Zhi and itchy sneezing involve heat lodging in the Yangming (Stomach meridian); Qiu and rhinorrhea involve heat lodging in the Taiyin (Lung meridian). Generally, the nose is governed by the Foot-Yangming Stomach Meridian, which crosses left and right and injects into the nostrils. Also, the nose is the orifice of the Lung, so Lung Qi connects to the nose. Evil heat invading these two meridians manifests as nasal obstruction, rhinorrhea, etc., hence the classics say: "When the Heart and Lung have disease, the nose becomes obstructed." Treatment depends on observing which meridian the pathogen has invaded, ensuring correct therapy. Sometimes, external wind-cold exacerbates pain, leading to misdiagnosis as cold and treatment with warming/dispersing agents, occasionally effective. However, this masks heat under cold; heat stagnates, Qi becomes turbid, and clear pathways are obstructed. Use acrid-sweet dispersing agents to open interstices, scatter stagnation, and release Yang heat. Mild cases resolve; severe cases with unresolved stagnation may worsen. Even using cooling/wind-dispersing agents only temporarily relieves symptoms by clearing heat and resolving stagnation. Success depends entirely on assessing the severity of internal/external heat stagnation and using appropriate acrid-warm or acrid-cool herbs. Ultimately, medical success relies on accurate diagnosis and clear understanding of treatment, ensuring recovery.