羚羊角汤 治热毒风上冲，头目旋晕，耳内虚鸣。
羚羊角（二两） 菊花（三两） 防风 本 元参 黄芩 杏仁（去皮尖） 石菖蒲 炙甘
草（各一两）
每服五钱，水煎，食后温服。 一方有羌活，前胡。
耳者肾之窍，而胆与胃之脉所过之处也。故其病亦有数种，有气厥而聋者；有肾虚而聋
者；
有风火壅闭肿痛，或鸣或聋者；有热气乘虚，随脉入耳，而为脓耳者；有耳出津液，结核塞
耳，而为耵耳者。又有左聋、右聋、左右俱聋之异。左聋者，有所忿怒过极，则动少阳胆火
，故从左起，以龙荟丸主之。右聋者，多因色欲过度，致动少阴相火，故从右起，以六味地
黄丸主之。左右俱聋，因醇酒浓味无节，则动阳明胃火，故从中起，以通圣散、滚痰丸主之
。统三者而论之，忿怒致耳聋者为尤多也。
风聋者，经气虚而风乘之，正气不通，风邪内鼓，则耳中引痛，牵及头脑，甚者聋闭不
通也。
鱼脑膏 治风聋日久。
生鲤鱼脑（二两） 当归 细辛 附子（去皮脐） 白芷 菖蒲（各三两）
共为末，以鱼脑置银器中，入药在内，微火煮，候香去滓，入瓷盒中候凝，取如枣核大
，绵裹塞耳中。
一方 以竹筒盛鲤鱼脑，炊饮处蒸之令烊，置耳中。
一方 以鲤鱼胆汁滴入耳中。
久聋方
蓖麻子（二十一粒，去油） 远志 乳香 磁石（ ，各二钱） 皂角（半挺，煨去肉） 生
地龙（中者一条） 全蝎（二个，焙）
上为细末，入腊捣丸，拄入耳。
犀角饮子 治风与热合，上壅耳内，痛肿聋闭。
犀角 木通 石菖蒲 甘菊花 元参 赤芍 赤小豆（各二钱） 甘草（一钱，炙）
水二盅，生姜五片，煎一盅，不拘时服。若风热壅盛，便秘心烦者，宜防风通圣散。亦
有胃
中痰火壅热生风，上攻清道，因而耳鸣筑筑然，气闭而不通，鼻寒不利，口不知味，痰多膈
热不清，脉滑数大，或弦。《内经》所谓头痛耳鸣，九窍不利，肠胃之所生也。宜半夏曲、
橘红、甘菊、茯苓、甘草、知母、酒芩、麻黄、石膏、桔梗、桑皮之属。
鼠粘子汤 治风热壅盛，耳内生肿如樱桃，极痛。
连翘 黄芩（酒炒） 牛蒡子（炒） 元参 桔梗 栀子（炒） 生甘草 龙胆草（炒） 板蓝
根
上锉，水煎，食后服，随饮酒一二盏。
羚羊角汤：治疗热毒风邪上冲，导致头部和眼睛旋转眩晕，耳内空虚鸣响。
[组成] 羚羊角（二两），菊花（三两），防风，藁本，玄参，黄芩，杏仁（去皮尖），石菖蒲，炙甘草（各一两）。
[用法] 每次服用五钱，用水煎煮，饭后温服。另一版本方剂中含有羌活、前胡。
耳朵是肾的窍道，同时也是胆经和胃经经脉经过的地方。因此耳部的疾病也有几种类型：有因气机逆乱而致聋的；有因肾虚而致聋的；有因风火壅闭导致肿痛，或耳鸣或耳聋的；有因热气乘虚而入，随经脉进入耳中，形成脓耳的；有因耳内分泌津液，结成结核堵塞耳道，形成耵聍栓塞的。又有左耳聋、右耳聋、双耳皆聋的区别。左耳聋者，多因极度愤怒，触动少阳胆火，所以从左耳开始发病，用龙荟丸主治。右耳聋者，多因房事过度，触动少阴相火，所以从右耳开始发病，用六味地黄丸主治。双耳皆聋者，因饮酒无度、饮食肥厚油腻没有节制，触动阳明胃火，所以从中间（双耳）开始发病，用通圣散、滚痰丸主治。综合这三种情况来看，因愤怒导致耳聋的情况最为多见。
风聋，是由于经络之气虚弱，风邪乘虚侵袭，正气不通，风邪在体内鼓动，导致耳中牵引疼痛，牵连到头脑，严重时会耳聋闭塞不通。
鱼脑膏：治疗风聋日久不愈。
[组成] 生鲤鱼脑（二两），当归，细辛，附子（去皮脐），白芷，石菖蒲（各三两）。
[制法与用法] 共同研为细末，将鱼脑放入银器中，加入药物，用微火煮，待闻到香味后去除药渣，倒入瓷盒中等待凝固，取如枣核大小的药团，用棉布包裹塞入耳中。
另一方法：用竹筒盛放鲤鱼脑，在蒸煮饮食处蒸使其融化，滴入耳中。
再一方法：将鲤鱼胆汁滴入耳中。
久聋方：
[组成] 蓖麻子（二十一粒，去油），远志，乳香，磁石（煅），各二钱；皂角（半挺，煨去肉），生地黄龙（中等大小一条），全蝎（二个，焙干）。
[用法] 上述药物研为细末，加入蜂蜡捣制成丸，插入耳中。
犀角饮子：治疗风与热结合，上壅于耳内，导致疼痛肿胀、耳聋闭塞。
[组成] 犀角，木通，石菖蒲，甘菊花，玄参，赤芍，赤小豆（各二钱），甘草（一钱，炙）。
[用法] 水两盅，生姜五片，煎至一盅，不拘时候服用。如果风热壅盛，大便秘结心烦者，宜用防风通圣散。也有因胃中痰火壅热生风，上攻清窍，因而出现耳鸣声音急促，气机闭塞不通，鼻寒不利，口不知味，痰多膈热不清，脉象滑数大，或弦。《内经》所说的头痛耳鸣，九窍不利，是由肠胃产生的。适宜使用半夏曲、橘红、甘菊、茯苓、甘草、知母、酒炒黄芩、麻黄、石膏、桔梗、桑白皮等药物。
鼠粘子汤：治疗风热壅盛，耳内生肿如樱桃般大小，极其疼痛。
[组成] 连翘，黄芩（酒炒），牛蒡子（炒），玄参，桔梗，栀子（炒），生甘草，龙胆草（炒），板蓝根。
[用法] 上述药物切碎，用水煎煮，饭后服用，服药后随即饮用一二杯酒。
Lingyang Jiao Tang (Antelope Horn Decoction): Treats upward rushing of heat-toxic wind, causing vertigo of the head and eyes, and empty ringing in the ears.
[Ingredients] Lingyang Jiao (Antelope Horn), Juhua (Chrysanthemum Flower), Fangfeng (Saposhnikovia Root), Bencao (Ligusticum Chuanxiong Rhizome - *Note: Text says 'Ben', likely Ligusticum or similar*), Xuanshen (Scrophularia Root), Huangqin (Scutellaria Root), Xingren (Apricot Seed, peeled and tip removed), Shichangpu (Acorus Tatarinowii Rhizome), Zhigancao (Prepared Licorice Root) [each one liang].
[Usage] Take five qian per dose, decoct with water, take warm after meals. Another version includes Qianghuo (Notopterygium Root) and Qianhu (Peucedani Radix).
The ear is the opening of the Kidney (*Shen*) and is also the pathway through which the Gallbladder (*Dan*) and Stomach (*Wei*) meridians pass. Therefore, ear diseases manifest in several types: there is deafness caused by Qi rebellion; deafness due to Kidney deficiency; swelling, pain, tinnitus, or deafness caused by obstruction of Wind and Fire; suppurative otitis (*Nong Er*) caused by heat qi entering the ear via the meridions when deficiency exists; and cerumen impaction (*Ding Er*) caused by ear secretions forming nodules that block the ear canal. There are also differences between left-sided deafness, right-sided deafness, and bilateral deafness. Left-sided deafness often arises from extreme anger stirring up Shaoyang Gallbladder Fire, thus affecting the left side first; it is treated primarily with Longhui Wan (Dragon Bile Pill). Right-sided deafness is mostly due to excessive sexual desire stirring up Shaoyin Ministerial Fire, thus affecting the right side first; it is treated primarily with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). Bilateral deafness results from unregulated consumption of rich wine and heavy flavors, stirring up Yangming Stomach Fire, thus affecting both sides; it is treated primarily with Tongsheng San (Universal Salvation Powder) or Guntan Wan (Rolling Phlegm Pill). Generally speaking, deafness caused by anger is the most common among these three.
Wind deafness occurs when the Qi of the meridians is deficient and Wind pathogen takes advantage of this; when righteous Qi is blocked and Wind evil drums internally, it causes pulling pain in the ear radiating to the head, and in severe cases, leads to complete deafness and blockage.
Yunao Gao (Fish Brain Ointment): Treats chronic wind deafness.
[Ingredients] Sheng Liyu Nao (Raw Carp Brain), Danggui (Angelica Sinensis Radix), Xixin (Asarum Root), Fuzi (Prepared Aconite Lateralis Radix, peeled and navel removed), Baizhi (Angelica Dahurica Root), Changpu (Acorus Tatarinowii Rhizome) [each three liang].
[Preparation and Usage] Grind all into fine powder. Place the carp brain in a silver vessel, add the herbs, simmer over low heat until fragrant, remove dregs, pour into a porcelain container to cool and solidify. Take a piece the size of a jujube pit, wrap in cotton, and insert into the ear.
Another method: Place carp brain in a bamboo tube, steam it where food is being cooked until melted, and drip into the ear.
Another method: Drip carp bile into the ear.
Formula for Chronic Deafness:
[Ingredients] Bamazi (Castor Seed, twenty-one grains, oil removed), Yuanzhi (Polygala Root), Ruxiang (Frankincense), Cishi (Magnetite, calcined) [each two qian]; Zaojiao (Gleditsia Sinensis Fruit, half a pod, baked to remove flesh), Sheng Dilong (Live Earthworm, medium size, one), Quanxie (Whole Scorpion, two, roasted).
[Usage] Grind the above into fine powder, mix with beeswax to form pills, and insert into the ear.
Xijiao Yinzi (Rhino Horn Drink): Treats combination of Wind and Heat obstructing the ear, causing pain, swelling, deafness, and blockage.
[Ingredients] Xijiao (Rhinoceros Horn - *Note: Substitute with Water Buffalo Horn in modern practice*), Mutong (Akebia Stem), Shichangpu (Acorus Tatarinowii Rhizome), Gan Juhua (Chrysanthemum Flower), Xuanshen (Scrophularia Root), Chishao (Red Peony Root), Chixiaodou (Adzuki Bean) [each two qian], Zhigancao (Prepared Licorice Root) [one qian].
[Usage] Decoct with two sheng of water and five slices of fresh ginger until one sheng remains. Take at any time. If Wind-Heat is abundant with constipation and irritability, use Fangfeng Tongsheng San (Saposhnikovia Universal Salvation Powder). There are also cases where Phlegm-Fire in the Stomach generates Wind, attacking the clear orifices, resulting in buzzing tinnitus, Qi blockage, nasal coldness and obstruction, loss of taste, excessive phlegm, chest heat, slippery-rapid-large or wiry pulse. As stated in the *Neijing*: "Headache and tinnitus, and dysfunction of the nine orifices, are generated by the intestines and stomach." Suitable herbs include Banxia Qu (Pinellia Fermented Paste), Juhong (Tangerine Peel), Ganju (Chrysanthemum), Fuling (Poria), Gancao (Licorice), Zhimu (Anemarrhena Rhizome), Jiu Huangqin (Wine-fried Scutellaria Root), Mahuang (Ephedra Herb), Shigao (Gypsum Fibrosum), Jiegeng (Platycodon Root), Sangbai (Mulberry Root Bark).
Niuzaozi Tang (Burdock Seed Decoction): Treats abundant Wind-Heat causing ear swelling like a cherry, with extreme pain.
[Ingredients] Lianqiao (Forsythia Fruit), Huangqin (Scutellaria Root, wine-fried), Niuzaozi (Burdock Fruit), Xuanshen (Scrophularia Root), Jiegeng (Platycodon Root), Zhizi (Gardenia Fruit, fried), Sheng Gancao (Raw Licorice Root), Longdancao (Gentiana Root), Banlangen (Isatis Root).
[Usage] Coarsely crush the herbs, decoct with water, take after meals, followed by one or two cups of wine.