〔薛〕眉炼者，谓小儿两眉间生疮如疥癣，当求其因而药之。盖眉属胆经，若原
禀肝胆经热，或乳母肝胆经有热者，用柴胡栀子散。或乳母食浓味醇酒者，用加味
清胃散。或乳母有郁怒者，用加味逍遥散。俱与乳母服，子亦饮少许，仍参前证
主之。
〔田〕眉炼治法，用青金散敷之，如不愈，烧小麦存性，研细，好油调涂。
青金散 治小儿疥癣眉炼，或延及遍身瘙痒，或脓水淋漓，经年不愈。
松香（二两） 真蛤粉（五钱） 青黛（二钱五分）
上为末。用烛油调搽，或干糁之。或加轻粉、枯矾各三钱。以治前证及胎毒、疥
癞，尤效。
〔丹〕小儿耳后月蚀疮，蚯蚓粪烧，以猪油和敷。胡粉、鸡清和敷。黄连末敷。竹
叶烧末，猪脂和敷。
水银膏 治月蚀疮，多在两耳上及窍傍，随月虚盈。
水银（二钱半） 胡粉 松脂 黄连（去须，为末，各半两） 猪脂（四两）
上，先熬猪脂令沸，下松脂诸药末及水银搅令匀。瓷盒盛。先以盐汤洗净疮，
涂敷，日三五度。
胡粉散 治月蚀疮。
胡粉（炒，微黄） 白矾（ ） 虢丹（ ） 黄连（净） 轻粉（各二钱） 胭脂（一钱）
麝香（少许）
上末。先以温浆水入盐洗拭后掺药，如疮干，麻油调敷。
汤氏云∶耳有五般，常出黄脓者为停耳，出红脓者为脓耳，出白脓者为缠耳，
疳臭者为五耳，耳内虚鸣出青脓者为震耳。证虽五般，病源一也，皆由风水入耳而
因有积热上壅而成，若不早治，久则成聋，宜胭脂膏治之，仍服化痰退热等剂，即
愈也。
蔓荆子汤 治内热，耳出脓汁。
升麻 木通 麦门冬 赤芍药 生地黄 前胡 甘菊 甘草 桑白皮 赤茯苓 蔓荆子（各等分）
上，用姜枣水煎，食后服。
清上散 治上焦风热，耳出浓汁，头面疮疖，亦治胎热眼睛肿赤，粪色稠黄，肚热
啼哭，及身上红肿。
川郁金 甘草 北桔梗 天花粉 干葛 薄荷叶（各等分）
上为末，入蜜拌匀。白汤下三五七分或一钱。仍用艾叶煎浓汤，温浸足底，以
引其热下行。
当归龙荟丸 治肝胆风热，耳中鸣，出青脓，名曰震耳，大便秘，小便黄，常服，
宣通血气，调顺阴阳。
当归 龙胆草 柴胡（各一两） 青黛 胆星 大黄 芦荟（各五钱） 麝香（五分） 栀子 酒
黄芩 酒黄连 黄柏（各一两） 木香（二钱五分）
上为末，炼蜜丸，小豆大。每服二十丸，姜汤送下。
清黄散 治耳出黄脓，名曰 耳，内有风热，外为水湿所干，酝久而成。
防风 滑石（飞，五钱） 甘草（炙，一钱） 栀子（酒炒，三钱） 藿香 酒黄连（各二钱）
上为末。白汤调二钱，食后服。
清心丹 治耳出红脓，名曰脓耳，及舌上生疮如杨梅状者。
黄连（酒炒，三钱） 滑石（飞，六钱） 甘草 辰砂（飞，各一钱） 薄荷（六分）
犀角（镑屑，二钱）
上为末。每服一钱五分，蜜拌，薄荷汤下，夜再服。
清白散 治肺热痰火上壅，耳出白脓，名曰缠耳，兼治咳嗽。
桑白皮（蜜炒） 地骨皮（各三钱） 甘草（一钱） 贝母（二钱） 寒水石（ ，三钱）
天花粉 酒芩 天门冬（各一钱半）
上为末。以蜜水调，食后服。或白通草煎汤下，尤妙。
交感丹 治耳中疳臭，名曰五耳，或怒气上逆，上下不得宣通，遂成聋聩。
香附子（童便浸透，炒，三钱） 茯神 黄连（各二钱） 桂心 甘菊花（各一钱）
上为末。每服一钱五分，灯心汤下。
禹余粮丸 治 耳出脓水。
禹余粮（ ，醋 、七次） 海螵蛸（去背上硬骨） 百草霜 伏龙肝（各二钱五分）
大附子（去皮脐生用，一枚）
上，末。以绵裹如圆眼核大，安耳内，日再易之。如不瘥，乃有虫也。
龙骨散 治诸脓耳。
枯矾 龙骨 胭脂胚（各一钱） 麝香（少许）
为细末。以绵裹杖子，拭去耳中脓，再吹一字入耳中，日再。加海螵蛸一钱，
尤妙。
羊角散 治耳内脓汁不干。
山羊角，烧，存性，为末。每吹二三分入内，一日二次。三日全瘳。
滋阴地黄丸 治耳虚鸣，脓汁不干，肾阴不足。
熟地黄（一两） 白茯苓（四钱） 山茱萸（五钱） 甘菊（四钱） 牡丹皮（四钱） 何首乌
（黑豆、蒸三次） 黄柏（各四钱）
上为末，炼蜜丸，梧子大。每三五十丸。
白蔹散 治小儿冻耳成疮，或痒或痛。
黄柏 白蔹（各半两）
上为末。先以汤洗疮后，用生油调涂。
【薛己】眉炼，是指小儿两眉之间生出类似疥癣的疮疡，应当探究其病因并用药治疗。因为眉毛归属于胆经，如果是先天禀赋导致肝胆经有热，或者乳母肝胆经有热，使用柴胡栀子散。如果乳母食用了浓味食物和醇酒，使用加味清胃散。如果乳母有情志郁结愤怒的情况，使用加味逍遥散。这些方剂都让乳母服用，婴儿也饮用少量，同时参考前文所述证候进行主治。
【田氏】眉炼的治疗方法，使用青金散外敷；如果不见好转，将小麦烧至存性（保留药性），研成细粉，用好油调和后涂抹。
青金散：治疗小儿疥癣、眉炼，或者蔓延至全身瘙痒，或者脓水淋漓，多年不愈。
松香（二两） 真蛤粉（五钱） 青黛（二钱五分）
以上药物研为末。用烛油调和搽涂，或者干撒其上。也可以加入轻粉、枯矾各三钱。用来治疗上述证候及胎毒、疥癞，尤其有效。
【丹波氏】小儿耳后的月蚀疮，可用蚯蚓粪烧灰，以猪油和匀敷贴。也可用胡粉、鸡蛋清调和敷贴。黄连末敷贴。竹叶烧成灰，与猪脂调和敷贴。
水银膏：治疗月蚀疮，多发生在两耳上方及耳窍旁边，随月亮盈亏变化而发作。
水银（二钱半） 胡粉 松脂 黄连（去须，研为末，各半两） 猪脂（四两）
以上药物，先熬煮猪脂至沸腾，加入松脂、诸药末及水银，搅拌均匀。盛于瓷盒中。先用盐汤洗净疮口，再涂敷，每日三到五次。
胡粉散：治疗月蚀疮。
胡粉（炒至微黄） 白矾（ ） 虢丹（ ） 黄连（净选） 轻粉（各二钱） 胭脂（一钱）
麝香（少许）
以上药物研为末。先用温浆水加盐清洗擦拭患处后再撒药，如果疮面干燥，用麻油调和敷贴。
汤氏说：耳病有五类，常流出黄脓的叫停耳，流出红脓的叫脓耳，流出白脓的叫缠耳，有疳臭气味的是五耳，耳内虚鸣且流出青脓的叫震耳。证候虽然分为五类，但病源相同，都是由风水侵入耳中，因积热上壅而成。如果不尽早治疗，日久会导致耳聋，宜用胭脂膏治疗，同时服用化痰退热等药剂，即可痊愈。
蔓荆子汤：治疗内热，耳中流出脓汁。
升麻 木通 麦门冬 赤芍药 生地黄 前胡 甘菊 甘草 桑白皮 赤茯苓 蔓荆子（各等分）
以上药物，用姜枣水煎煮，饭后服用。
清上散：治疗上焦风热，耳中流出浓汁，头面部疮疖，也治疗胎热引起的眼睛肿赤，粪便色稠黄，肚热啼哭，以及身上红肿。
川郁金 甘草 北桔梗 天花粉 干葛 薄荷叶（各等分）
以上药物研为末，加入蜂蜜拌匀。用白开水送服三五七分或一钱。同时用艾叶煎浓汤，温热浸泡足底，以引热下行。
当归龙荟丸：治疗肝胆风热，耳中鸣响，流出青脓，名为震耳，大便秘结，小便黄，常服可宣通血气，调顺阴阳。
当归 龙胆草 柴胡（各一两） 青黛 胆星 大黄 芦荟（各五钱） 麝香（五分） 栀子 酒黄芩 酒黄连 黄柏（各一两） 木香（二钱五分）
以上药物研为末，炼蜜为丸，如小豆大小。每次服用二十丸，姜汤送下。
清黄散：治疗耳中流出黄脓，名为停耳，内有风热，外受水湿所困，酝酿而成。
防风 滑石（飞研，五钱） 甘草（炙，一钱） 栀子（酒炒，三钱） 藿香 酒黄连（各二钱）
以上药物研为末。用白开水调服二钱，饭后服用。
清心丹：治疗耳中流出红脓，名为脓耳，以及舌上生出如杨梅状疮疡者。
黄连（酒炒，三钱） 滑石（飞研，六钱） 甘草 辰砂（飞研，各一钱） 薄荷（六分）
犀角（镑成屑，二钱）
以上药物研为末。每次服用一钱五分，拌蜂蜜，薄荷汤送下，夜间再服一次。
清白散：治疗肺热痰火上壅，耳中流出白脓，名为缠耳，兼治咳嗽。
桑白皮（蜜炒） 地骨皮（各三钱） 甘草（一钱） 贝母（二钱） 寒水石（ ，三钱）
天花粉 酒芩 天门冬（各一钱半）
以上药物研为末。用蜜水调和，饭后服用。或用白通草煎汤送下，尤为奇妙。
交感丹：治疗耳中疳臭，名为五耳，或因怒气上逆，上下气机不得宣通，遂成聋聩。
香附子（童便浸透，炒，三钱） 茯神 黄连（各二钱） 桂心 甘菊花（各一钱）
以上药物研为末。每次服用一钱五分，灯心草汤送下。
禹余粮丸：治疗停耳流出脓水。
禹余粮（煅，醋淬七次） 海螵蛸（去除背上硬骨） 百草霜 伏龙肝（各二钱五分）
大附子（去皮脐生用，一枚）
以上药物研为末。用棉布包裹如桂圆核大小，放入耳内，每日更换两次。如果不好转，说明有虫。
龙骨散：治疗各种脓耳。
枯矾 龙骨 胭脂胚（各一钱） 麝香（少许）
研为细末。用棉裹杖子，拭去耳中脓液，再吹入一字量的药粉入耳中，每日两次。加入海螵蛸一钱，尤为奇妙。
羊角散：治疗耳内脓汁不干。
山羊角，烧至存性，研为末。每次吹入二三分到耳内，一日两次。三日即全愈。
滋阴地黄丸：治疗耳虚鸣，脓汁不干，肾阴不足。
熟地黄（一两） 白茯苓（四钱） 山茱萸（五钱） 甘菊（四钱） 牡丹皮（四钱） 何首乌（黑豆蒸三次） 黄柏（各四钱）
以上药物研为末，炼蜜为丸，如梧桐子大小。每次服用三五十丸。
白蔹散：治疗小儿冻耳成疮，或痒或痛。
黄柏 白蔹（各半两）
以上药物研为末。先用汤水洗疮后，用生油调和涂抹。
[Xue] Mei lian (Eyebrow eczema) refers to sores appearing between the eyebrows of infants, resembling scabies or tinea. One should seek the cause and treat accordingly. The eyebrows belong to the Gallbladder Meridian. If there is inherent heat in the Liver and Gallbladder meridians due to constitutional factors, or if the wet nurse has heat in these meridians, Chaihu Zhizi San (Bupleurum and Gardenia Powder) should be used. If the wet nurse consumes rich flavors and strong wine, Jiawei Qingwei San (Modified Stomach-Clearing Powder) is indicated. If the wet nurse suffers from emotional depression and anger, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is prescribed. These formulas are taken by the wet nurse, and the infant drinks a small amount as well, while also addressing the primary syndrome as described previously.
[Tian] The treatment for mei lian involves applying Qingjin San (Blue Gold Powder). If it does not heal, wheat is burnt until the carbon remains (preserving its nature), ground into fine powder, and mixed with good oil for topical application.
Qingjin San: Treats infantile scabies, tinea, and mei lian, or itching spreading over the whole body, or weeping pus that persists for years without healing.
Songxiang (Pine Resin, 2 liang) Zhen Gafen (True Clam Shell Powder, 5 qian) Qingdai (Indigo Naturalis, 2.5 qian)
Grind all ingredients into powder. Mix with candle oil for application, or sprinkle dry powder directly. Alternatively, add Qinfen (Calomel) and Kufan (Alum calcined), each 3 qian. This is particularly effective for treating the aforementioned conditions, fetal toxins, and scabies.
[Danbo] For "moon-erosion sore" (perforated ear ulcer) behind the ears of children, burnt earthworm feces can be mixed with lard for application. Hu Fen (Lead Carbonate) mixed with egg white can be applied. Huanglian (Coptis Rhizome) powder can be applied. Burnt bamboo leaf powder mixed with pig fat can be applied.
Shuiyin Gao (Mercury Ointment): Treats moon-erosion sores, often occurring above both ears and around the auditory meatus, fluctuating with the waxing and waning of the moon.
Shuiyin (Mercury, 2.5 qian) Hu Fen (Lead Carbonate) Songzhi (Pine Rosin) Huanglian (Coptis Rhizome, de-stemmed and powdered, 0.5 liang each) Zhuzhi (Pig Fat, 4 liang)
First, boil the pig fat until bubbling. Add pine rosin, the powdered herbs, and mercury, stirring until uniform. Store in a porcelain jar. Wash the sore with salt water first, then apply the ointment, three to five times daily.
Hufen San (Lead Carbonate Powder): Treats moon-erosion sores.
Hufen (Lead Carbonate, stir-fried until slightly yellow) Bai Fan (Alum) Guo Dan (Red Lead Oxide) Huanglian (Coptis Rhizome, cleaned) Qinfen (Calomel) (each 2 qian) Yanzhi (Vermilion/Carmine, 1 qian)
Shexiang (Musk, a little)
Grind all into powder. First wash and wipe the area with warm rice water containing salt, then sprinkle the medicine. If the sore is dry, mix with sesame oil for application.
Master Tang stated: There are five types of ear diseases. Those constantly discharging yellow pus are called Ting Er (Stopping Ear); those discharging red pus are called Nong Er (Pus Ear); those discharging white pus are called Chan Er (Entangling Ear); those with a foul, gangrenous odor are called Wu Er (Five Ear); and those with empty ringing in the ear and discharging blue-green pus are called Zhen Er (Shocking Ear). Although the syndromes differ in appearance, the pathological origin is the same: wind-water invading the ear leading to accumulated heat obstructing upwards. If not treated early, it may lead to deafness. It is advisable to treat with Yanzhi Gao (Vermilion Ointment) and simultaneously administer formulas for resolving phlegm and clearing heat, which will result in recovery.
Manjingzi Tang (Vitex Decoction): Treats internal heat causing purulent discharge from the ear.
Shengma (Cimicifugae Rhizoma) Mutong (Akebiae Caulis) Maimendong (Ophiopogonis Tuber) Chi Shaoyao (Red Peony Root) Sheng Dihuang (Rehmanniae Radix) Qianhu (Peucedani Radix) Ganju (Chrysanthemi Flos) Gancao (Licorice Root) Sangbaipi (Morus Alba Bark) Chi Fuling (Poria with Red Host) Manjingzi (Viticis Fructus) (equal parts)
Decoct with ginger and jujube water; take after meals.
Qingshang San (Upper-Clearing Powder): Treats wind-heat in the Upper Jiao, purulent ear discharge, carbuncles and sores on the head and face. It also treats eye swelling and redness due to fetal heat, thick yellow stool, abdominal heat with crying, and generalized red swelling.
Chuan Yujin (Curcumae Radix) Gancao (Licorice Root) Bei Jiegeng (Platycodonis Radix) Tianhuafen (Trichosanthis Radix) Gange (Kudzu Root) Boheye (Menthae Haplocalycis Folium) (equal parts)
Grind into powder, mix evenly with honey. Take 3-5 fen or 1 qian with plain boiled water. Additionally, decoct mugwort leaves in strong tea, soak the soles of the feet in the warm liquid to guide the heat downward.
Danggui Longhui Wan (Angelica and Aloe Pill): Treats wind-heat in the Liver and Gallbladder, tinnitus, discharge of blue-green pus named Zhen Er, constipation, and yellow urine. Regular use promotes blood and qi circulation and harmonizes Yin and Yang.
Danggui (Angelica Sinensis Radix) Longdancao (Gentianae Radix) Chaihu (Bupleuri Radix) (each 1 liang) Qingdai (Indigo Naturalis) Danning (Arisaema cum Bile) Dahuang (Rhei Radix et Rhizoma) Lvhua (Aloe) (each 5 qian) Shexiang (Musk) (0.5 qian) Zhizi (Gardeniae Fructus) Jiu Huangqin (Scutellariae Radix, wine-fried) Jiu Huanglian (Coptidis Rhizoma, wine-fried) Huangbai (Phellodendri Cortex) (each 1 liang) Muxiang (Aucklandiae Radix) (2.5 qian)
Grind into powder, make pills with refined honey, size of adzuki beans. Take 20 pills per dose, washed down with ginger soup.
Qinghuang San (Yellow-Clearing Powder): Treats discharge of yellow pus from the ear, named Ting Er. It results from internal wind-heat combined with external dampness, fermenting over time.
Fangfeng (Saposhnikoviae Radix) Huashi (Talcum, levigated, 5 qian) Gancao (Licorice Root, honey-fried, 1 qian) Zhizi (Gardeniae Fructus, wine-fried, 3 qian) Huoxiang (Agastaches Herba) Jiu Huanglian (Coptidis Rhizoma, wine-fried) (each 2 qian)
Grind into powder. Mix 2 qian with plain boiled water and take after meals.
Qingxin Dan (Heart-Clearing Pill): Treats discharge of red pus from the ear, named Nong Er, and sores on the tongue resembling bayberries.
Huanglian (Coptidis Rhizoma, wine-fried, 3 qian) Huashi (Talcum, levigated, 6 qian) Gancao (Licorice Root) Chen Sha (Cinnabar, levigated) (each 1 qian) Bohe (Menthae Haplocalycis Folium) (0.6 qian)
Xijiao (Rhinocerotis Cornu, shaved) (2 qian)
Grind into powder. Take 1.5 qian per dose, mixed with honey, washed down with mint tea. Take again at night.
Qingbai San (White-Clearing Powder): Treats Lung heat with phlegm-fire obstructing upwards, causing discharge of white pus from the ear, named Chan Er. Also treats cough.
Sangbaipi (Mori Cortex, honey-fried) Digupi (Lycii Cortex) (each 3 qian) Gancao (Licorice Root) (1 qian) Beimu (Fritillariae Bulbus) (2 qian) Hanshuishi (Calcitum) (3 qian)
Tianhuafen (Trichosanthis Radix) Jiu Qin (Scutellariae Radix, wine-fried) Tianmendong (Asparagi Tuber) (each 1.5 qian)
Grind into powder. Mix with honey water and take after meals. Or take with decoction of Tongcao (Tetrapanacis Medulla), which is especially excellent.
Jiaogan Dan (Mutual-Induction Pill): Treats gangrenous odor in the ear, named Wu Er. It can also treat deafness caused by upward reversal of anger Qi, preventing the free flow of Qi above and below.
Xiangfu (Cyperi Rhizoma, soaked in child's urine, stir-fried, 3 qian) Fushen (Poria with Pine Root) Huanglian (Coptidis Rhizoma) (each 2 qian) Guixin (Cinnamomi Ramulus) Gan Juhua (Chrysanthemi Flos) (each 1 qian)
Grind into powder. Take 1.5 qian per dose, washed down with Centella asiatica (Dengxin Cao) tea.
Yuyuliang Wan (Halloysitum Pill): Treats Ting Er discharging pus and water.
Yuyuliang (Halloysitum, calcined, quenched in vinegar seven times) Haipiaoxiao (Sepiae Endoconcha) Baicaoshuang (Carbonized Grass) Fulonggan (Haematitum) (each 2.5 qian)
Da Fuzi (Aconiti Lateralis Radix Preparata, raw, peeled, de-navel, 1 piece)
Grind into powder. Wrap in cotton like a longan pit, place inside the ear, change twice daily. If it does not improve, it indicates the presence of insects.
Longgu San (Dragon Bone Powder): Treats various forms of purulent otitis.
Kufan (Alum calcined) Longgu (Dinosaur Bone) Yanzhi Pei (Vermilion Precipitate) (each 1 qian) Shexiang (Musk, a little)
Grind into fine powder. Use a cotton-wrapped stick to wipe away pus from the ear, then blow one 'zi' amount of powder into the ear, twice daily. Adding 1 qian of Haipiaoxiao is especially excellent.
Yangjiao San (Goat Horn Powder): Treats persistent purulent discharge from the ear.
Shanyangjiao (Capra Hircus Cornu), burnt until carbon remains, ground into powder. Blow 2-3 fen into the ear each time, twice daily. Complete recovery in three days.
Ziyin Dihuang Wan (Nourishing Yin Rehmannia Pill): Treats empty ringing in the ear and persistent purulent discharge due to Kidney Yin deficiency.
Shu Dihuang (Prepared Rehmanniae Radix) (1 liang) Bai Fuling (Poria, 4 qian) Shanzhuyu (Corni Fructus) (5 qian) Ganju (Chrysanthemi Flos) (4 qian) Mudanpi (Moutan Cortex) (4 qian) Heshouwu (Polygoni Multiflori Radix, steamed three times with black soybeans) Huangbai (Phellodendri Cortex) (each 4 qian)
Grind into powder, make pills with refined honey, size of wutong seeds. Take 30-50 pills per dose.
Bailian San (Bletilla Powder): Treats chilblains on the ears of infants turning into sores, characterized by itching or pain.
Huangbai (Phellodendri Cortex) Bailian (Bletillae Rhizoma) (each 0.5 liang)
Grind into powder. First wash the sore with hot water, then mix with raw oil for topical application.