《巢氏病源》小儿耳鸣候∶手太阳之经脉入于耳内,小儿头脑有风者,风入乘其脉,与气相击,故令耳鸣。
则邪气与正气相搏,久即邪气停滞,皆成聋也。
《婴孺》治小儿耳目鸣日夜不止,菖乌散方
菖蒲 乌头(炒。各四分)
上为末,绵裹内耳中,日再。
《巢氏病源》小儿耳中风掣痛候∶小儿耳鸣及风掣痛,皆起于头脑有风,其风入经脉,与气相动而作,故令
掣痛。其风染而渐至,与正气相击、轻者动作几微,故但鸣也;其风暴至,正气又盛,相击〔二〕则甚,动作
病急,故掣痛也。若不止则风不散,津液壅聚,热气加之则生黄汁,甚者即有薄脓也。
《千金翼》治耳痛方。
附子(炮,去皮) 菖蒲
上二味等分,裹塞之。
《巢氏病源》小儿耳疮候∶疮生于小儿两耳,时瘥时发,亦有脓汁,此是风湿搏于血气所生,世亦呼之为月
蚀疮也。
《千金》治小儿耳疮方。
上烧马骨灰敷之。
《圣惠》又方
上烧鸡屎白,筒中吹之。《外台》∶《集验方》以鸡屎白敷之。
《圣惠》治小儿耳疮及头疮,口边肥疮、蜗疮,并宜用白矾散方。
白矾(烧灰) 蛇床子(各一两)
上件药同研细为散,干掺于疮上,立效。
《圣惠》治小儿耳内生疮汁出方。
白矾(灰,一钱) 麝香(一字)
上件药同研令细,少少掺于耳中。
《圣惠》治小儿因筑 损耳,耳内有疮汁出不止方。
上取胡桃捣肉取油用,滴耳中即止。
《圣惠》又方
上取肉机上垢敷之,良。
《谭氏殊圣》治小儿耳上生疮方。
上柏子叶不以多少,瓦上焙干,碾成细末。用轻粉、麝香不拘多少,同和匀。如疮干时,用生油调涂,如
疮湿时干掺。
张涣香矾散方 治耳疮。
白矾(一两,烧灰) 蛇床子(一分)
以上捣罗为细末,次用∶麝香(一钱,研令细)
上件再一处拌匀,用一字掺疮上。
《巢氏病源》中关于小儿耳鸣的论述:手太阳经脉进入耳内,如果小儿头脑受风邪侵袭,风邪侵入并乘袭其经脉,与体内之气相互搏击,从而导致耳鸣。
《婴孺方》治疗小儿耳目鸣响日夜不止的菖乌散方:
石菖蒲、乌头(炒制,各四分)
将上述药物研为细末,用棉布包裹后放入耳中,每日两次。
《巢氏病源》中关于小儿耳中风掣痛的论述:小儿耳鸣及风邪牵引引起的疼痛,都起因于头脑受风邪侵袭。风邪进入经脉,与气机相互激荡而发作,因此导致牵引性疼痛。风邪逐渐侵入,与正气相击,病情轻微时动作细微,所以仅表现为耳鸣;若风邪突然猛烈袭来,正气又旺盛,两者剧烈相击,病情急迫,所以出现牵引性疼痛。如果疼痛不止,则风邪不能消散,津液壅聚,再加上热气熏蒸就会生出黄色汁液,严重时甚至会有稀薄的脓液产生。
《千金翼方》治疗耳痛的方剂:
附子(炮制,去皮)、石菖蒲
将这两味药等分,包裹后塞入耳中。
《巢氏病源》中关于小儿耳疮的论述:疮疡生于小儿双耳,时好时发,也有脓汁流出,这是风湿之邪搏结于血气所生,世间也称之为月蚀疮。
《太平圣惠方》另一个方剂:
将鸡屎白烧制后,用筒状器具吹入耳中。《外台秘要》记载:《集验方》用鸡屎白敷在患处。
《太平圣惠方》治疗小儿耳疮及头疮、口边肥疮、蜗疮,均宜使用的白矾散方:
白矾(烧成灰)、蛇床子(各一两)
将上述药物共同研磨成细粉,干燥地撒在疮面上,立即见效。
《太平圣惠方》治疗小儿耳内生疮流汁的方剂:
白矾(烧成灰,一钱)、麝香(一字)
将上述药物共同研磨至极细,少量地撒入耳中。
《太平圣惠方》治疗小儿因掏挖损伤耳朵,耳内有疮汁流出不止的方剂:
取胡桃捣碎取油,滴入耳中即可停止。
《太平圣惠方》另一个方剂:
取肉机上积聚的污垢敷在患处,效果良好。
《谭氏殊圣》治疗小儿耳上生疮的方剂:
柏子叶不限多少,在瓦片上焙干,碾成细末。加入轻粉、麝香不拘多少,混合均匀。如果疮面干燥,用生油调和涂抹;如果疮面湿润,则直接干撒粉末。
张涣的香矾散方,治疗耳疮:
白矾(一两,烧成灰)、蛇床子(一分)
以上药物捣碎过筛成细末,另外准备:麝香(一钱,研磨极细)
将上述药物再次混合拌匀,用“一字”的量撒在疮面上。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) regarding the syndrome of tinnitus in children: The Hand-Taiyang meridian enters the interior of the ear. If a child's head and brain are affected by wind pathogens, the wind enters and attacks the meridian, striking against the body's qi, thus causing tinnitus.
If pathogenic factors contend with healthy qi, over time the pathogenic factors stagnate, eventually leading to deafness.
*Ying Ru Fang* (Formulas for Infants and Children) treats incessant ringing in the ears and eyes day and night in children with Changwu San (Calamus and Aconite Powder):
Rhizoma Acori Tatarinowii (Shichangpu), Rhizoma et Radix Aconiti Lateralis Preparata (Wutou, processed by frying; each 4 fen).
Grind the above into powder, wrap in cotton, and insert into the ear. Apply twice daily.
According to *Chao Shi Bing Yuan* regarding the syndrome of wind-stroke pulling pain in the ears of children: Tinnitus and wind-induced pulling pain in children both originate from wind affecting the head and brain. When wind enters the meridians and agitates with qi, it causes pulling pain. As wind gradually invades and contends with healthy qi, if the movement is slight, only tinnitus occurs; if wind strikes suddenly and violently while healthy qi is strong, the intense contention causes acute symptoms, resulting in pulling pain. If this continues without cessation, the wind will not dissipate, fluids will accumulate, and heat may transform them into yellow discharge; in severe cases, thin pus may form.
*Qianjin Yi Fang* (Supplement to Formulas Worth a Thousand Gold) treats ear pain:
Radix Aconiti Lateralis Preparata (Fuzi, processed and peeled), Rhizoma Acori Tatarinowii (Shichangpu).
Take equal parts of these two herbs, wrap them, and insert into the ear.
According to *Chao Shi Bing Yuan* regarding the syndrome of ear sores in children: Sores arise in both ears of children, recurring intermittently with purulent discharge. This is caused by wind-dampness contending with blood and qi, also known in common parlance as "moon erosion sore."
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats pediatric ear sores:
Apply burned horse bone ash topically.
*Tai Ping Sheng Hui Fang* (Holy惠民 Formularies of Taiping Era) offers another prescription:
Burn chicken excrement albus (Jishibai), and insufflate into the ear using a tube. *Waitai Miyao* records that *Ji Yan Fang* applies chicken excrement albus topically.
*Tai Ping Sheng Hui Fang* provides Bai Fan San (Alum Powder) for treating pediatric ear sores, scalp sores, impetigo around the mouth, and spider sores:
Alumen (Bai Fan, burned to ash), Fructus Cnidii (Shechuangzi; each 1 liang).
Grind the above ingredients finely together into a powder. Dust dry onto the sores for immediate effect.
*Tai Ping Sheng Hui Fang* treats children with sores inside the ear discharging fluid:
Alumen (Bai Fan, burned to ash, 1 qian), Moschus (Shexiang, 1 zi).
Grind the above ingredients finely together. Insufflate a small amount into the ear.
*Tai Ping Sheng Hui Fang* treats children whose ears were damaged by picking, causing continuous discharge of fluid from sores inside the ear:
Crush walnuts to extract oil, and drip into the ear to stop the discharge.
*Tai Ping Sheng Hui Fang* offers another prescription:
Apply the accumulated dirt from meat hooks topically; it is effective.
*Tan Shi Shu Sheng* treats sores growing on the ears of children:
Cupressi Folium (Baizi Ye), quantity unspecified. Bake dry on tiles and grind into fine powder. Mix with Mercurii Subchloridum (Qingfen) and Moschus (Shexiang), quantities unspecified. If the sore is dry, mix with raw oil for application; if wet, apply dry powder.
Zhang Huan's Xiang Fan San (Musk and Alum Powder) treats ear sores:
Alumen (Bai Fan, 1 liang, burned to ash), Fructus Cnidii (Shechuangzi, 1 fen).
Pulverize the above into fine powder. Separately prepare: Moschus (Shexiang, 1 qian, ground finely).
Mix all ingredients thoroughly and apply one "zi" dose to the sore.