《千金》治失欠，颊车蹉闪不合方
上，用一人以手指牵其颐，以渐推之，则复入矣。推当疾出指，恐误啮伤人指也。
又方 消蜡和水敷之
又方 治牙车急口眼根引舌不转方
牡蛎（熬） 伏龙肝 附子（炮去皮） 矾石（烧）
上四味，等分末之。以白酒和为泥，敷其上，干则易之，取瘥止。
《千金》灸法 失欠颊车蹉，灸背第五椎，一日二七壮，满三日未瘥，灸气冲二
百壮，胸前喉下甲骨中是，亦名气堂。
又灸足内踝上三寸宛宛中，或三寸五分，百壮三报，此三阴交穴也。
〔张涣〕小儿耳中诸病，由风入于脑，停积于手太阳之脉，则令耳聋。风与湿相
搏，则两耳生疮。又，儿稍大，见月初生，以手指之，则耳下生疮者，名月蚀疮。
又，乳母与儿洗浴，误令水入耳中，水湿停积，搏于血气，蕴结成脓，谓之 耳。
〔薛〕耳者，心肾之窍，肝胆之经也，心肾主内症精血不足，肝胆主外证风热有余，
或聋聩，或虚鸣者，禀赋虚也，或胀痛，或脓痒者，邪气客也，禀赋不足宜用六味
地黄丸（肾）。肝经风热宜用柴胡清肝散。若因血燥用栀子清肝散（发热）未应，佐以六味丸，
间服九味芦荟丸（疳）。若因肾肝疳热，朝用六味丸，夕用芦荟丸。若因食积内热，用
四味肥儿丸（疳）。若因乳母膏粱积热而致者，宜加味清胃散（齿痛）。脾经郁结而致者，加
味归脾汤（惊悸）。肝经怒火而致者，加味逍遥散（虚热），皆令乳母服之，兼与其儿少许。
不可专于治外，不惟闭塞耳窍，抑亦变生他证，延留日久，遂成终身之聩矣，慎之。
《宝鉴》歌云∶太阳入耳损听聪，气滞时多耳必聋，鸣是风并气相系，痛应脑户有邪
风，肾热郁蒸 耳患，日深疼痛出稠脓，不有稠脓非此患，只因滴水入其中。
《千金方》治疗因打哈欠导致颊车关节错位、嘴巴无法闭合的方子：
取一人用手指牵引其下颌，逐渐将其推回原位，即可复位。推入时动作要快，随即抽出手指，以免误伤咬到手指。
另一个方子：
将融化的蜡与水混合后敷在患处。
又一个方子：治疗牙关紧闭、口眼歪斜牵引舌头不能转动：
牡蛎（煅烧）、伏龙肝、附子（炮制并去皮）、矾石（烧制）。
以上四味药，等量研成细末。用白酒调和成泥状，敷在患处，干了就更换，直到痊愈为止。
《千金方》的灸法：
治疗因打哈欠导致的颊车关节错位，灸背部第五椎处，每日灸十四壮，若三天后未愈，再灸气冲穴二百壮，该穴位位于胸前喉下甲骨中间，也称作“气堂”。
又灸足内踝上三寸凹陷处，或三寸五分处，每处各灸一百壮，分三次施灸，此穴为三阴交穴。
〔张涣〕小儿耳部的各种疾病，多由风邪侵入脑部，停滞于手太阳经脉，从而导致耳聋。风邪与湿邪相互搏结，则双耳生疮。另外，幼儿稍大后，看见新月初升，用手指指向月亮，会导致耳下生疮，称为“月蚀疮”。此外，乳母给婴儿洗澡时，若不慎让水进入耳中，水湿停滞积聚，与气血相搏，蕴结化脓，称为“耳疳”（此处原文可能有缺字，通常指耳疳或类似病症，依文意译为耳部化脓性病变）。
〔薛己〕耳朵是心肾的窍道，也是肝胆的经络所在。心肾主管内在的精血不足之症，肝胆主管外在的风热有余之证。如果出现耳聋或耳鸣，属于先天禀赋虚弱；如果出现胀痛或流脓瘙痒，则是邪气客居所致。对于禀赋不足的，宜使用六味地黄丸（补肾）。肝经风热者，宜使用柴胡清肝散。若因血燥引起，使用栀子清肝散（清热）无效时，辅以六味地黄丸，间服九味芦荟丸（治疳积）。若因肝肾疳热所致，早晨服用六味地黄丸，晚上服用芦荟丸。若因食积内热所致，使用四味肥儿丸（治疳积）。若因乳母食用膏粱厚味积热而致病的，宜用加味清胃散（治齿痛）。因脾经郁结所致者，用加味归脾汤（治惊悸）。因肝经怒火所致者，用加味逍遥散（治虚热），这些药物都应由乳母服用，同时给婴儿少量服用。不可只专注于治疗外部症状，否则不仅会闭塞耳窍，还会引发其他病证，拖延日久，最终成为终身耳聋，务必谨慎。
《宝鉴》歌诀云：太阳经邪入耳损伤听力，气滞时常导致耳聋，耳鸣是风邪与气机相关联，疼痛应验于脑户穴有邪风侵袭，肾热郁蒸导致耳患，病情加深则疼痛并流出稠脓，若无稠脓则非此病，只因滴水进入耳中引起。
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) provides a formula for treating jaw dislocation and inability to close the mouth caused by yawning:
One person uses their fingers to pull the patient's chin, gradually pushing it back into place until it reduces. The finger should be withdrawn quickly after pushing to avoid accidental biting of the finger.
Another formula:
Apply melted wax mixed with water to the affected area.
Yet another formula: For treating trismus (lockjaw), facial deviation pulling the tongue so that it cannot move:
Calcined Oyster Shell (*Concha Ostreae*), Long Earth from the Hearth (*Fulonggan*), Processed Aconite Root (*Radix Aconiti Lateralis Preparata*), Calcined Alum (*Alumen*).
Grind the above four herbs into equal parts into a fine powder. Mix with white wine to form a paste, apply to the affected area, replace when dry, and continue until cured.
Moxibustion method from *Qianjin Fang*:
For jaw dislocation caused by yawning, moxa the fifth thoracic vertebra on the back, fourteen moxa cones per session, twice daily. If not cured after three days, moxa the Qichong (Stomach 30) point two hundred times. This point is located in the middle of the bone below the throat on the chest, also known as "Qitang".
Also moxa the depression three cun above the medial malleolus of the foot, or three cun and five fen, one hundred moxa cones per location, administered in three sessions. This point is Sanyinjiao (Spleen 6).
[Zhang Huan] Various diseases of the ears in children are caused by wind pathogen entering the brain and stagnating in the Hand-Taiyang meridian, leading to deafness. When wind and dampness interact, sores may appear in both ears. Furthermore, when children are slightly older and see the new moon, pointing at it with their finger can cause sores under the ear, named "Moon Erosion Sores" (Yueshi Chuang). Additionally, if bathwater accidentally enters the child's ear while the wet nurse is bathing them, the retained water and dampness interact with blood and qi, accumulating and forming pus, referred to as "Er Gan" (Ear Fungus/Parasite disease).
[Xue Ji] The ears are the orifices of the Heart and Kidney, and belong to the meridians of the Liver and Gallbladder. The Heart and Kidney govern internal conditions of essence and blood deficiency; the Liver and Gallbladder govern external conditions of excess wind-heat. Deafness or tinnitus indicates congenital deficiency. Pain, swelling, or purulent itching indicate pathogenic invasion. For congenital deficiency, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) should be used to tonify the Kidney. For Liver meridian wind-heat, Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) is appropriate. If caused by blood dryness, Zhizi Qinggan San (Gardenia Liver-Clearing Powder) should be used; if ineffective, supplement with Liuwei Dihuang Wan, and intermittently administer Jiuwei Lushui Wan (Nine-Ingredient Aloe Pill) for infantile malnutrition (Gan syndrome). If due to Liver-Kidney Gan heat, take Liuwei Dihuang Wan in the morning and Lushui Wan in the evening. If due to food stagnation generating internal heat, Siwei Fei'er Wan (Four-Ingredient Fat-Nourishing Pill) is used. If caused by accumulated heat from the wet nurse's rich diet, Jiawei Qingwei San (Modified Stomach-Clearing Powder) is indicated. If due to Spleen meridian constraint, Jiawei Guipi Tang (Modified Restore the Spleen Decoction) is used. If due to Liver fire anger, Jiawei Xiaoyao San (Modified Free Wanderer Powder) is used. These medications should be taken by the wet nurse, who should also give small amounts to the infant. Do not focus solely on treating external symptoms, as this will only block the ear orifice and induce other syndromes. Prolonged neglect leads to lifelong deafness; proceed with caution.
The song from *Baojian* states: Taiyang pathogen entering the ear damages hearing; frequent Qi stagnation often causes deafness. Tinnitus is linked to wind and Qi interaction. Pain corresponds to evil wind at Naohu. Kidney heat steaming causes ear disorders; deepening illness brings pain and thick pus. Without thick pus, it is not this disorder; it arises simply from water droplets entering the ear.