【因】 风热、气虚火升。肾寄窍于耳。
【证治】 风毒耳痛。全蝎一两、生姜二两，切作四框，同炒，去姜末之，汤
点耳。
耳脓出，用桑螵蛸（一个，火炙） 麝香（二分五厘）
糁之。又加枯矾吹之良。
虫入耳中，麻油灌。又，猫尿灌耳内好。
【因证】 鼻为肺之窍，同心肺，上病而不利也。有寒、有热。寒邪伤于皮毛，
气不利
而壅塞，热壅清道。酒渣鼻，乃血热入肺； 鼻息肉，乃肺气盛；鼻渊，胆移热于脑，则辛
鼻渊。
【治】 寒邪伤者，宜先散寒邪，后补卫气，使心肺之气交通，宜以通气汤。
羌活 独活 防风 葛根 升麻（各三钱） 川芎（一钱） 苍术 炙草（各三钱） 黄 （
四钱） 白芷（一钱） 黄连 黄柏
酒渣鼻方 四物汤 黄芩（酒炒） 红花
水煎服。
又方 乳香 硫黄（以萝卜内煨） 轻粉 乌头尖
酥调敷。
又方 鸭嘴、胆矾，敷。
鼻息肉 枯矾研为面脂，绵裹塞鼻，数目自消。
又方 瓜蒂末，绵囊裹塞亦可。木通、细辛、炮附子，蜜和，绵裹内鼻中，亦可
。
防风通圣散 加好三棱、山萸肉、海藻，并用酒浸，炒末，每一钱五分。
鼻渊 薄荷 黄连（二钱半） 通圣散（一两）
孩儿茶服。
【因证】 夫齿乃肾之标，骨之余。
上龈隶于坤土，足阳明之贯络也；下龈隶于庚金，手阳明之贯络也。
手阳明恶寒饮而喜热；足阳明喜寒饮而恶热。肾衰则豁，肾固则坚。大肠壅，齿乃为之
浮；大肠虚，齿为之宣露。热甚则齿动龈脱，作痛不已；寒邪、风邪客于脑，则脑痛、项筋
急粗露；疼痛 饵则缺，少而色变痒痛。
【治】 羌活散 麻黄（去根、节） 羌活（一钱半） 防风（三钱半） 细辛（五分）
升麻 柴胡（五分） 当归 苍术（五分） 白芷（三钱） 桂枝 黄连 骨灰（三钱）
上先以汤漱口净擦之。
牙疼方 土蒺藜（半两） 青盐（三钱）
浆水二碗，煎热服。
又方 乌头 熟艾 葱（三株） 川椒（十数粒）
上浓煎漱，有脓痰出而安。
治虫散气 草荜拨末 木鳖肉
上同研，搐鼻。
治风气走疰痛 本 剪草 细辛
热漱愈。
治骨槽风 皂角（不 ，去子） 杏仁（烧，存性）
上每味一两，入青盐一钱，揩用。
治风 牙 以北枣一枚，去核，入巴豆一粒，合成。文武火炙如炭，放地上良久
，研细，以纸捻入 孔十次。
【证治】 风毒引起的耳痛：取全蝎一两、生姜二两，切成四块框架状，一起炒制，去掉姜末，用汤药送服以治疗耳病。
耳中流脓：使用桑螵蛸（一个，火烤炙）、麝香（二分五厘），研粉撒入耳内。另外再加枯矾吹入耳内，效果良好。
虫子进入耳中：灌入麻油。另外，灌入猫尿到耳内也好。
【病因与证候】 鼻是肺的窍道，与心、肺相关，上部病变会导致气息不利。有寒证、有热证。寒邪损伤皮毛，气机不利而壅塞；热邪壅滞清窍。酒渣鼻，是由于血热入肺所致；鼻息肉，是由于肺气过盛所致；鼻渊，是胆经移热于脑，导致鼻中辛辣感及流浊涕。
【治疗】 寒邪伤者，应当先发散寒邪，后补益卫气，使心肺之气交通，适宜使用通气汤。
羌活、独活、防风、葛根、升麻（各三钱）、川芎（一钱）、苍术、炙甘草（各三钱）、黄芪（四钱）、白芷（一钱）、黄连、黄柏。
酒渣鼻方：四物汤加黄芩（酒炒）、红花。水煎服。
又一方：乳香、硫黄（在萝卜内煨制）、轻粉、乌头尖。用酥油调匀敷贴。
又一方：鸭嘴、胆矾，外敷。
鼻息肉：将枯矾研成细粉作为脂膏，用棉包裹塞入鼻孔，次数多了自然消退。
又一方：瓜蒂末，用棉囊包裹塞入也可。木通、细辛、炮附子，用蜂蜜调和，棉包裹塞入鼻中，也可以。
防风通圣散加好三棱、山萸肉、海藻，都用酒浸泡，炒干研末，每次服用一钱五分。
鼻渊：薄荷、黄连（二钱半）、防风通圣散（一两），配合孩儿茶服用。
【病因与证候】 牙齿是肾的外候，是骨头的余气所生。
上牙龈隶属于坤土，由足阳明胃经贯穿联络；下牙龈隶属于庚金，由手阳明大肠经贯穿联络。
手阳明大肠经厌恶寒饮而喜欢热饮；足阳明胃经喜欢寒饮而厌恶热饮。肾气衰败则牙齿松动稀疏，肾气坚固则牙齿坚实。大肠壅滞，牙齿就会浮动；大肠虚弱，牙齿就会显露牙根。热邪严重则牙齿动摇、牙龈脱落，疼痛不止；寒邪、风邪客居于脑部，则引起头痛、项部筋脉拘急且粗露；牙齿疼痛缺损，数量减少且颜色改变，发痒疼痛。
【治疗】 羌活散：麻黄（去根、节）、羌活（一钱半）、防风（三钱半）、细辛（五分）、升麻、柴胡（五分）、当归、苍术（五分）、白芷（三钱）、桂枝、黄连、骨灰（三钱）。
以上药物先用汤药漱口洗净擦净患处。
牙疼方：土蒺藜（半两）、青盐（三钱）。
用浆水二碗，煎热服用。
又一方：乌头、熟艾、葱（三株）、川椒（十数粒）。
以上药物浓煎后含漱，有脓痰排出后即可安宁。
治虫散气：草荜拨末、木鳖肉。
以上共同研磨，搐鼻吸入。
治风气走注疼痛：藁本、剪草、细辛。
用热汤含漱可愈。
治骨槽风：皂角（不破碎，去子）、杏仁（烧存性）。
以上每味一两，加入青盐一钱，揩擦使用。
治风牙痛：以北枣一枚，去核，放入巴豆一粒，合成团。用文武火烤成炭状，放在地上良久，研细，用纸捻蘸取塞入牙孔十次。
[Pathogenesis] Wind-heat invasion, or deficiency fire rising due to Qi deficiency. The Kidney opens into the ears.
[Pattern and Treatment] Ear pain caused by wind-toxin: Take one tael of Scorpion (Quanxie), two taels of Fresh Ginger (Shengjiang), cut them into four frame-like pieces, stir-fry together, remove the ginger residue, and take with decoction to treat ear disease.
Purulent discharge from the ear: Use Mantis Egg Case (Sangpiaoxiao) (one piece, fire-roasted) and Musk (Shexiang) (2.5 fen), grind into powder and sprinkle into the ear. Additionally, blowing Calcined Alum (Kufan) into the ear is effective.
Insects entering the ear: Pour in Sesame Oil (Mayou). Alternatively, pouring cat urine into the ear is also good.
[Pathogenesis and Pattern] The nose is the orifice of the Lung, connected to the Heart and Lung; pathology in the upper orifices leads to impaired breathing. There are cold patterns and heat patterns. Cold pathogen damages the skin and hair, causing Qi stagnation and obstruction; heat pathogen obstructs the clear pathways. Rosacea (Jiuzha Bi) is caused by blood-heat entering the Lung; nasal polyps (Bixirou) are caused by excessive Lung Qi; sinusitis (Bi Yuan) occurs when Gallbladder heat transfers to the brain, causing a pungent sensation and turbid nasal discharge.
[Treatment] For those injured by cold pathogen, it is appropriate to first disperse the cold pathogen, then tonify Defensive Qi, allowing the Qi of the Heart and Lung to communicate. Tongqi Tang (Ventilation Decoction) is suitable.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma) (each 3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1 qian), Cangzhu (Atractylodis Rhizoma), Zhi Gancao (Prepared Licorice Root) (each 3 qian), Huangqi (Astragali Radix) (4 qian), Baizhi (Angelicae Dahuricae Radix) (1 qian), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex).
Rosacea Formula: Siwu Tang (Four Substances Decoction) plus Huangqin (Scutellariae Radix) (wine-fried), Honghua (Carthami Flos). Decoct in water and take orally.
Another formula: Ruxiang (Frankincense), Liuhuang (Sulfur) (roasted inside a radish), Qingfen (Calomel), Wutou Jian (Tip of Aconitum Carmichaelii Radix). Mix with butter/oil and apply topically.
Another formula: Yazu (Duck Beak), Danfan (Alumen), apply topically.
Nasal Polyps: Grind Calcined Alum (Kufan) into fine powder as an ointment, wrap in cotton, and insert into the nostril; repeated applications will cause them to disappear naturally.
Another formula: Gouti End (Seed of Momordica Cochinchinensis), wrapped in cotton and inserted into the nostril. Mutong (Akebiae Caulis), Xixin (Asari Radix et Rhizoma), Pao Fuzi (Prepared Aconitum Lateralis Radix), mixed with honey, wrapped in cotton and inserted into the nostril; this is also effective.
Fangfeng Tongsheng San (Wind-Protecting Universal Powder) plus Sanleng (Sparganii Rhizoma), Shanyurou (Corni Fructus), Haizao (Sargassum), all soaked in wine, stir-fried until dry, ground into powder, take 1.5 qian each time.
Sinusitis (Bi Yuan): Bohe (Menthae Haplocalycis Herba), Huanglian (Coptidis Rhizoma) (2.5 qian), Fangfeng Tongsheng San (1 liang), taken with Hai'ercha (Child's Tea).
[Pathogenesis and Pattern] Teeth are the external manifestation of the Kidney and the surplus of bone.
The upper gums belong to Kun Earth, connected by the Foot-Yangming Stomach Meridian; the lower gums belong to Geng Metal, connected by the Hand-Yangming Large Intestine Meridian.
The Hand-Yangming Large Intestine Meridian dislikes cold drinks and likes hot drinks; the Foot-Yangming Stomach Meridian likes cold drinks and dislikes hot drinks. When Kidney essence declines, teeth become loose and sparse; when Kidney essence is solid, teeth are firm. When the Large Intestine is obstructed, teeth feel loose; when the Large Intestine is deficient, tooth roots are exposed. Severe heat causes teeth to shake and gums to recede, resulting in unceasing pain; if cold or wind pathogens lodge in the head, it causes headache and stiffness and prominence of neck tendons; dental caries and loss occur, with reduced number, color changes, itching, and pain.
[Treatment] Qianghuo San (Notopterygium Powder): Mahuang (Ephedrae Herba) (remove roots and nodes), Qianghuo (Notopterygii Rhizoma et Radix) (1.5 qian), Fangfeng (Saposhnikoviae Radix) (3.5 qian), Xixin (Asari Radix et Rhizoma) (0.5 qian), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix) (0.5 qian), Danggui (Angelicae Sinensis Radix), Cangzhu (Atractylodis Rhizoma) (0.5 qian), Baizhi (Angelicae Dahuricae Radix) (3 qian), Guizhi (Cinnamomi Ramulus), Huanglian (Coptidis Rhizoma), Guhui (Bone Ash) (3 qian).
First, rinse and wipe the area clean with decoction.
Toothache Formula: Tu Jili (Tribuli Fructus) (half tael), Qingyan (Green Salt) (3 qian).
Decoct in two bowls of Jiangshui (Fermented Rice Water) until hot and take orally.
Another formula: Wutou (Aconiti Radix), Shu Ai (Artemisiae Argyi Folium), Congbai (Allii Fistulosi Bulbus) (three stalks), Chuanjiao (Zanthoxyli Pericarpium) (more than ten grains).
Decoct strongly for gargling; relief comes when pus and phlegm are discharged.
Formula for expelling gas/toxins from insects: Bibo (Piperis Longi Fructus) powder, Muguo Rou (Myristicae Semen flesh).
Grind together and insufflate into the nose.
Formula for treating wind-pathogen migrating pain: Gaoben (Ligustici Wallichii Rhizoma et Radix), Jiancao (Polygoni Avicularis Herba), Xixin (Asari Radix et Rhizoma).
Gargle with hot decoction to cure.
Formula for treating Bone-Cavity Wind (Osteomyelitis of jaw): Zaojiao (Gleditsiae Sinensis Spina) (do not crush, remove seeds), Xingren (Pruni Armeniaci Semen Amarum) (burn to retain nature).
Take one tael of each ingredient, add one qian of Green Salt, and rub onto the affected area.
Formula for treating Wind Toothache: Take one northern date (Zaoren), remove the pit, insert one seed of Badou (Crotonis Tiglii Semen), form into a ball. Roast over mild to strong fire until charred, place on the ground for a while, grind into fine powder, dip a paper twist into it, and insert into the tooth cavity ten times.