或问∶耳中生毒何如？曰∶耳中所患不同，皆由足少阴、手少阳二经，风热上壅而
然。其证有五∶曰停耳，亦曰耳湿，常出黄脓。有耳风毒，常出红脓。有缠耳，常出白
脓。有耳疳，生疮臭秽。有震耳，耳内虚鸣，常出清脓。虽有五般，其源一也，皆不寒热。
有耳蕈、耳痔，则不作脓，亦不寒热，外无
臃肿，但耳塞不通。以上缠绵不已，令人耳聋，活命饮、黄连消毒饮治之。若寒热间作，
内外红肿疼痛日增者，为耳痈，用活命饮加升麻、桔梗、紫金丹、乌金散；壮实者，一
粒金丹下之。若寒热大作，痛楚难禁者疔也，作疔治之。
〔东垣〕黍粘子汤 治耳内痛，生疮。
桔梗（半两） 柴胡 黄 （各三分） 连翘 黄芩 黍粘子 当归梢 生地黄 黄连（各二
分） 蒲黄 甘草（炙） 草龙胆 昆布 苏木 生甘草（各一分） 桃仁（一钱） 红花（少许）
上件锉如麻豆大。作一服，水二大盏，煎至一盏。去渣；少热服，食后，忌寒药利大
便。
〔罗〕 治耳内生疮者，为足少阴是肾之经也，其气通于耳，其经虚，风热乘之随脉
人于耳，兴气相搏，故令耳门生疮也，曾青散主之。
曾青散 治耳内有恶疮。
雄黄（七钱） 曾青（半两） 黄芩（二钱半）
上件捣为细末，研匀。每用少许纳耳中。有脓出，即以绵杖子拭干用之。
黄连散
黄连（半两） 白矾（枯，七钱半）
上捣为细末。每用少许，绵裹纳耳中。
余详杂病第八，耳门。
有人问：耳朵里长毒疮是怎么回事？回答说：耳朵里的病变各不相同，都是由足少阴肾经和手少阳三焦经的风热上壅所致。其症状主要有五种：一是停耳，也叫耳湿，经常流出黄脓；二是耳风毒，经常流出红脓；三是缠耳，经常流出白脓；四是耳疳，生疮且气味臭秽；五是震耳，耳内空虚鸣响，经常流出清稀的脓液。虽然分为这五种情况，但病源是一样的，都不伴有寒热症状。还有耳蕈、耳痔，则不化脓，也不伴有寒热，外部没有肿胀，只是耳道堵塞不通。以上这些病症缠绵难愈，会导致耳聋，可用活命饮、黄连消毒饮治疗。如果寒热交替发作，内外红肿疼痛日益加重，这是耳痈，用活命饮加升麻、桔梗、紫金丹、乌金散治疗；体质壮实的人，用一粒金丹攻下。如果寒热剧烈发作，疼痛难以忍受，这是疔疮，按疔疮治疗。
〔李东垣〕黍粘子汤 治疗耳内疼痛，生疮。
桔梗（半两） 柴胡 黄芪（各三分） 连翘 黄芩 黍粘子 当归梢 生地黄 黄连（各二分） 蒲黄 甘草（炙） 草龙胆 昆布 苏木 生甘草（各一分） 桃仁（一钱） 红花（少许）
将上述药材锉碎如麻豆大小。作为一剂服用，加水两大盏，煎至一盏。去渣滓；趁温热服用，饭后服，忌用寒凉药物通大便。
〔罗天益〕治疗耳内生疮，是因为足少阴是肾的经脉，其气通于耳，经脉虚弱时，风热乘虚而入，随经脉进入耳中，与正气相搏结，所以导致耳门生疮，主要用曾青散治疗。
曾青散 治疗耳内有恶疮。
雄黄（七钱） 曾青（半两） 黄芩（二钱半）
将上述药材捣成细末，研匀。每次取少量纳入耳中。如果有脓液流出，即用棉签拭干后再用药。
黄连散
黄连（半两） 白矾（枯，七钱半）
将上述药材捣成细末。每次取少量，用棉包裹后纳入耳中。
其余详细内容参见杂病第八卷，耳门篇。
A question was asked: "What is the condition of sores developing inside the ear?" The answer was: "The ailments in the ear vary, but all are caused by the upward congestion of Wind-Heat (Wind-Heat) in the Foot-Shaoyin Kidney Meridian and the Hand-Shaoyang Sanjiao Meridian. There are five types of symptoms: one is Ting Er (Stagnant Ear), also known as Er Shi (Ear Dampness), which frequently discharges yellow pus; two is Er Feng Du (Ear Wind-Toxin), which frequently discharges red pus; three is Chan Er (Entangling Ear), which frequently discharges white pus; four is Er Gan (Ear Fungus/Gangrene), characterized by sores with a foul odor; five is Zhen Er (Shocking Ear), characterized by empty ringing in the ear and frequent discharge of clear pus. Although there are these five variations, their source is the same, and none involve chills or fever. Additionally, there are Er Xun (Ear Mushroom) and Er Zhi (Ear Hemorrhoid), which do not produce pus nor involve chills or fever, and present with no external swelling, only blockage and obstruction in the ear canal. These conditions above, if lingering and unceasing, can lead to deafness. They should be treated with Huoming Yin (Life-Saving Decoction) or Huanglian Xiaodu Yin (Coptis Detoxification Decoction). If chills and fever occur intermittently, and internal and external redness, swelling, and pain increase daily, it is an Er Yong (Ear Carbuncle). It should be treated with Huoming Yin (Life-Saving Decoction) plus Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), Zijin Dan (Purple Gold Pill), and Wujin San (Black Gold Powder); for those with robust constitution, Yili Jin Dan (One-Pill Golden Pill) should be used to purge. If chills and fever are severe and pain is unbearable, it is a Ding Chuang (Carbuncle/Furuncle), and it should be treated as such.
[Li Dongyuan] Shuniangzi Tang (Buddleja Seed Decoction) treats pain inside the ear and the development of sores.
Jiegeng (Platycodonis Radix) (half tael), Chaihu (Bupleuri Radix), Huangqi (Astragali Radix) (each 3 fen), Lianqiao (Forsythiae Fructum), Huangqin (Scutellariae Radix), Shuniangzi (Buddlejae Semen), Danggui Shao (Angelicae Sinensis Radix tip), Shengdihuang (Rehmanniae Radix), Huanglian (Coptidis Rhizoma) (each 2 fen), Puhuang (Typhae Pollen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Caolongdan (Gentianae Macrophyllae Radix), Kunbu (Eckloniae Thallus), Sumu (Sappan Lignum), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) (each 1 fen), Taoren (Persicae Semen) (1 qian), Honghua (Carthami Flos) (a small amount).
Crush the above ingredients to the size of hemp seeds. Prepare as one dose, add two large cups of water, and decoct until one cup remains. Strain the dregs; take warm after meals. Avoid cold-natured herbs that promote bowel movements.
[ Luo Tianyi ] Treating sores developing inside the ear: This occurs because the Foot-Shaoyin is the meridian of the Kidney, and its qi connects to the ear. When the meridian is deficient, Wind-Heat takes advantage of this deficiency, enters the ear along the meridian, and contends with the body's Qi, thus causing sores at the Er Men (Ear Gate). The primary treatment is Zengqing San (Azurite Powder).
Zengqing San (Azurite Powder) treats malignant sores inside the ear.
Xionghuang (Realgar) (7 qian), Zengqing (Azurite) (half tael), Huangqin (Scutellariae Radix) (2.5 qian).
Pound the above ingredients into a fine powder and mix evenly. Use a small amount each time and insert it into the ear. If pus discharges, wipe dry with a cotton swab before applying.
Huanglian San (Coptis Powder)
Huanglian (Coptidis Rhizoma) (half tael), Baifan (Alumen, calcined) (7.5 qian).
Pound the above ingredients into a fine powder. Each time, use a small amount, wrap in cotton, and insert into the ear.
For further details, refer to Volume 8 of Miscellaneous Diseases, section on Er Men (Ear Gate).