凡耳中策策痛者，是风入肾经也。久则变恶寒发热，脊强背直如痉之状，曰黄耳伤寒。宜小
续命汤加僵蚕（泡焙）、天麻（酒焙）、羌、独，次用荆防败毒散加细辛、白芷、蝉蜕（去足翅）、
黄芩、赤芍、紫金皮。
小续命汤
防风 桂枝 麻黄 杏仁（泡，去皮、尖，研） 川芎（酒洗） 白芍（酒炒） 人参 甘草
黄芩（酒炒） 防己 附子（制。防己、附子少用。）
（按《素问》尺脉缓涩，谓解 。音亦，与此处所讲不同。）
解者，肌肉解散。 者，筋不束骨。其症似寒非寒，似热非热，四体骨节解散
懈堕，倦怠烦痛，饮食不美，食不知味，俗呼为痧病。《内经》名为解 。其原因或伤酒中湿，
感冒风寒，房事过多，妇人或经水不调，气血不和，皆能为此，似痧病实非痧病也。治宜先蘸热
水打其臂膊里面，或以麻蘸水刮之，刮打必皆令其皮红紫为度，更宜针刺十宣、委中二穴出血，
当服苏合香丸。
苏合香丸
麝香 沉香 丁香 檀香（白者） 香附 荜茇 白术 诃子（煨，去皮） 朱砂 青木香
乌犀角（各二钱） 薰陆香 龙脑（各一钱） 安息香（二钱，为末，用无灰酒熬膏） 苏合油
（入息香，内二钱）
共为细末，用安息膏并炼蜜丸如弹子，蜡包。用时温水化服一丸。（丸用蜡包，不出气为妙。）
凡是耳朵里感到阵阵刺痛的人，这是风邪侵入肾经所致。时间久了就会转变为怕冷发热、脊柱僵硬背部挺直如同痉挛的症状，这叫做黄耳伤寒。适宜使用小续命汤加入僵蚕（经过泡制焙干）、天麻（用酒焙干）、羌活、独活；其次使用荆防败毒散加入细辛、白芷、蝉蜕（去掉足和翅膀）、黄芩、赤芍、紫金皮。
小续命汤
防风 桂枝 麻黄 杏仁（浸泡，去皮和尖端，研磨） 川芎（用酒清洗） 白芍（用酒炒） 人参 甘草
黄芩（用酒炒） 防己 附子（炮制。防己、附子用量要少。）
（按：根据《素问》中尺脉缓涩，称为解𢢑（jiě xiè），读音为“亦”，与此处所讲的不同。）
解𢢑，是指肌肉解散松弛。𢢑，是指筋脉不能约束骨骼。其症状看起来像寒又不是寒，像热又不是热，四肢骨节松懈下垂，疲倦乏力且疼痛，食欲不佳，吃东西尝不出味道，俗称为痧病。《内经》称之为解𢢑。其原因或者是饮酒中湿邪，或者是感冒风寒，或者是房事过多，妇女可能是月经不调，气血不和，都能导致此病，看似痧病其实不是痧病。治疗适宜先用热水蘸着拍打手臂内侧，或者用麻布蘸水刮拭，刮打必须直到皮肤呈现红紫色为止，更适宜针刺十宣穴、委中穴使其出血，应当服用苏合香丸。
苏合香丸
麝香 沉香 丁香 檀香（白色的） 香附 荜茇 白术 诃子（煨制，去皮） 朱砂 青木香
乌犀角（各二钱） 薰陆香 龙脑（各一钱） 安息香（二钱，研成粉末，用不含灰的烈酒熬成膏） 苏合油
（加入安息香内，共二钱）
共同研磨成细末，用安息香膏和炼蜜制成如弹丸大小的药丸，用蜡包裹。使用时用温水化开服用一丸。（药丸用蜡包裹，以不泄露气味为妙。）
Whenever there is a prickling pain in the ears, it indicates that Wind pathogen has invaded the Kidney Meridian (Jingmai). After a long time, it may transform into aversion to cold and fever, with stiffness of the spine and straightness of the back resembling spasms; this is called Huang Er Shang Han (Yellow Ear Cold Damage). It is appropriate to use Xiao Xuming Tang (Minor Continuation Life Decoction) added with Jiang Can (Bombyx Batryticatus, processed by soaking and roasting), Tian Ma (Gastrodiae Rhizoma, roasted with wine), Qiang Huo (Notopterygii Rhizoma et Radix), and Du Huo (Angelicae Pubescentis Radix); subsequently, use Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Powder to Overcome Toxin) added with Xi Xin (Asari Radix et Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Chan Tui (Cicadae Periostracum, feet and wings removed), Huang Qin (Scutellariae Radix), Chi Shao (Paeoniae Radix Rubra), and Zi Jin Pi.
Xiao Xuming Tang (Minor Continuation Life Decoction)
Fang Feng (Saposhnikoviae Radix) Gui Zhi (Cinnamomi Ramulus) Ma Huang (Ephedrae Herba) Xing Ren (Armeniacae Semen Amarum, soaked, skin and tips removed, ground) Chuan Xiong (Ligustici Chuanxiong Rhizoma, washed with wine) Bai Shao (Paeoniae Radix Alba, stir-fried with wine) Ren Shen (Ginseng Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma)
Huang Qin (Scutellariae Radix, stir-fried with wine) Fang Ji (Stephaniae Tetrandrae Radix) Fu Zi (Aconiti Lateralis Radix Praeparata. Fang Ji and Fu Zi should be used in small amounts.)
(Note: According to *Su Wen* (Basic Questions), slow and choppy pulse at the Cun position refers to Jie Xie (jiě xiè), pronounced "yi", which differs from what is discussed here.)
Jie Xie refers to the loosening and relaxation of muscles. Xie refers to tendons failing to bind the bones. The symptoms resemble cold but are not cold, resemble heat but are not heat; the four limbs and joints feel loose and sagging, accompanied by fatigue, weakness, and pain. Appetite is poor, and food lacks flavor. This is commonly known as Sha Bing (Sha Disease). *Nei Jing* (Inner Canon) calls it Jie Xie. Causes include dampness retained from alcohol consumption, contraction of Wind-Cold, excessive sexual activity, or in women, irregular menstruation leading to disharmony of Qi and Blood. All these can cause this condition. Although it resembles Sha Disease, it is not Sha Disease. Treatment should first involve slapping the inner arms with hot water-soaked cloth, or scraping with a hemp cloth dipped in water. Slapping and scraping must continue until the skin turns red and purple. Additionally, pricking Shi Xuan (Ten Extremities) and Wei Zhong (Bladder 40) acupoints to bleed is advisable. One should take Su He Xiang Wan (Styrax Pills).
Su He Xiang Wan (Styrax Pills)
She Xiang (Moschus) Chen Xiang (Aquilariae Lignum Resinatum) Ding Xiang (Syzygii Flos) Tan Xiang (Santalum Album Lignum, white variety) Xiang Fu (Cyperi Rhizoma) Bi Bo (Long Pepper Fruit) Bai Zhu (Atractylodis Macrocephalae Rhizoma) He Zi (Terminalia Chebulae Fructus, roasted, skin removed) Zhu Sha (Cinnabaris) Qing Mu Xiang (Vladimiriae Root)
Wu Xi Jiao (Rhinocerotis Cornu, each 2 qian) Xun Lu Xiang (Olibanum) Long Nao (Borneolum Syntheticum, each 1 qian) An Xi Xiang (Styrax, 2 qian, powdered, boiled into paste with pure strong wine) Su He You (Styrax Oil)
(Added to Xun Lu Xiang, total 2 qian)
Grind all into fine powder. Use An Xi Xiang paste and refined honey to make pills the size of bullet seeds, wrapped in wax. When using, dissolve one pill in warm water and take orally. (It is ideal for the pills to be wrapped in wax to prevent leakage of aroma.)