治心肾不足，诸虚耳聋。
熟地（四两，焙） 柏子仁（焙，去油） 人参（一两，焙） 石菖蒲（五钱，蜜酒拌，
焙） 远志肉（甘草炙，一两，焙） 五味子（七钱） 白茯神（一两，人乳拌炒） 山药（二
两，炒黄） 为末，蜜丸，早晚食前食远，白汤各服三钱。
治暴怒气闭肿胀。
茴香 石菖蒲 人参 延胡索 陈皮 木香（各一钱） 羌活 僵蚕 川芎 蝉蜕（各五
钱） 穿山甲（二钱） 甘草（一钱五分） 为末，酒调服。
治耳痛不可忍者，用磨刀铁浆滴入耳内即愈，神效。
耳诸方俱前耳病门参看。
鼻塞不闻香臭者，俗谓肺寒，而用解利辛温之药不效，殊不知多因肺经素有火邪，
故遇寒便塞也。治法清肺降火为主，佐以通气之剂。如原无鼻塞旧症，但一时偶感风寒
而致窒塞声重，或流清涕者，自作风寒治之。然气虚之人，气弱不能上升，则鼻塞
滞，所谓九窃不通，肠胃之所生也，多服补中益气汤自通。
肺开窍于鼻，阳明胃脉，亦挟鼻上行脑，为元神之府，鼻为命门之窍，人之中气
不足，清阳不升，则头为之倾，九窍为之不利。《经》曰∶天气通于肺。若肠胃无痰火
积热，则平常上升皆清气也。故十二经脉三百六十五络，其气血皆上升于面，而走空
窍，其宗气出于鼻而为臭，谓阳气宗气者，皆胃中生发之气也。若因饥饱劳役，损伤脾
胃，则生发之气弱，而营运之气不能上升，乃邪塞空窍，故鼻不利而不闻香臭也。治法
宜养胃实营气，阳气宗气上升则通矣。然《难经》云∶心主五臭，肺主诸气。鼻者，
肺窍也。反闻香臭者，何也？盖以窍言之肺也，以用言之心也。若因卫气失守，寒邪客
于头面，鼻亦受之，不能为用，是以不闻香臭矣。《经》云∶五气入鼻，藏于心肺，心
肺有病，鼻为不之利也。视听明而清凉，香臭辨而温暖，治法宜先散寒邪，后补胃气，
使心肺之气，得以交通，则鼻利而香臭闻矣。
鼻流浊涕不止者，名曰鼻渊。乃风热烁脑，而液下渗或黄或白，或带血如脓状，此
肾虚之症也。《经》曰∶脑渗为涕。又曰∶胆移热于脑。《原病式》曰∶如以火烁金，
热极则反化为水。然究其原，必肾阴虚而不能纳气归元，故火无所畏，上迫肺金，由是
津液之气，不得降下，并于空窍，转浊为涕，津液为之逆流矣。于是肾肝愈虚，有升
无降，有阳无阴，阴虚则病，阴绝则死，此最宜戒怒以养阳，绝欲以养阴，断爆炙，远
酒面，以防作热，然后假之良医，滋肾清肺为君，开郁顺气为臣，补阴养血为佐，俾火
息金清，降令肾行，气畅郁分，清窍无壅，阳开阴阖，相根据相附，脏腑各司乃藏，自换
以培其根，药饵以却其病。问有可愈者，苟或骄恣不慎，或误投凉药，虽仓扁不能使其
长生矣。
鼻为呼吸之门户，热气蒸于外则为肺风赤鼻，不独因于酒也。热气至于内，则为息
肉鼻疮，故 肉者，上焦积热，郁塞而生也。
凡鼻头白者，血亡出。赤者，血热也。盖面为阳中之阳，鼻居面中，一身之血，运
至面鼻，皆为至清至精之血。若血亡无以运，则色白而不荣，血热而沸腾，则独红而
且赤，盖肺之为脏，其位高，其体脆，性畏寒，又恶热，故多酒之人，酒气熏蒸，则为
鼻准赤，得热愈红，热血得冷则凝，污而不行，故色紫黑。其治之法，亡血者，温补
之；热血者，清利之；寒凝者，化滞生新，四物汤加酒芩、酒红花之类；气弱者，更加
（酒浸）黄 以运之，其酒 鼻，治法亦然也。久患鼻浓涕极臭者，即名脑漏。气虚
者，补中益气汤。阴虚者，麦味地黄汤。
治疗心肾亏虚，各种虚证引起的耳聋。
熟地黄（四两，焙干） 柏子仁（焙干，去油） 人参（一两，焙干） 石菖蒲（五钱，用蜜酒拌后焙干） 远志肉（甘草炙过，一两，焙干） 五味子（七钱） 白茯神（一两，用人乳拌炒） 山药（二两，炒至微黄）
研为细末，炼蜜为丸，早晚饭前或饭后较长时间服用，每次三钱，用温开水送服。
治疗因暴怒导致的气机闭塞、肿胀。
小茴香 石菖蒲 人参 延胡索 陈皮 木香（各一钱） 羌活 僵蚕 川芎 蝉蜕（各五钱） 穿山甲（二钱） 甘草（一钱五分）
研为细末，用酒调服。
治疗耳痛剧烈难以忍受的，用磨刀产生的铁浆滴入耳内即可痊愈，效果神奇。
治疗耳朵的其他方剂均参考前面的耳病章节。
鼻塞闻不到香臭的人，俗称为肺寒，使用辛温解表的药物无效，殊不知多是因为肺经素有火邪，所以遇到寒冷就鼻塞。治疗方法以清肺降火为主，辅以通气的药剂。如果原本没有鼻塞的旧疾，只是偶尔一时感受风寒导致鼻塞声重，或者流清涕的，自然按照风寒治疗。然而气虚的人，气弱不能上升，则鼻塞滞涩，所谓九窍不通，是肠胃的问题，多服用补中益气汤自然通畅。
肺开窍于鼻，足阳明胃经的脉气，也挟鼻上行至脑，脑为元神之府，鼻为命门之窍，人的中气不足，清阳之气不升，则头部倾斜，九窍不利。《内经》说：天气通于肺。如果肠胃没有痰火积热，那么平常上升的都是清气。所以十二经脉三百六十五络，其气血都上升于面部，运行到空窍，宗气出于鼻而辨别气味，所说的阳气、宗气，都是胃中生发之气。如果因为饥饱劳役，损伤脾胃，则生发之气虚弱，营运之气不能上升，于是邪气堵塞空窍，所以鼻子不利且闻不到香臭。治疗方法宜养胃充实营气，阳气宗气上升则通畅了。然而《难经》说：心主五臭，肺主诸气。鼻，是肺的窍。为什么反而能闻香臭呢？从窍来说属于肺，从功能来说属于心。如果因为卫气失守，寒邪客居头面，鼻也受邪，不能发挥作用，所以闻不到香臭。《内经》说：五气入鼻，藏于心肺，心肺有病，鼻就不利。视听力清明而清凉，辨别香臭而温暖，治疗方法宜先散寒邪，后补胃气，使心肺之气得以交通，则鼻利而能闻香臭了。
鼻流浊涕不止的，名叫鼻渊。这是风热灼烧脑部，津液下渗，颜色或黄或白，或带血如脓状，这是肾虚的症状。《内经》说：脑渗为涕。又说：胆移热于脑。《原病式》说：如同用火烤金，热极则反化为水。然而究其根源，必定是肾阴虚而不能纳气归元，所以火无所畏惧，上迫肺金，由此津液之气，不得降下，并于空窍，转浊为涕，津液为之逆流了。于是肾肝更加虚弱，有升无降，有阳无阴，阴虚则病，阴绝则死，这最宜戒怒以养阳，断绝欲望以养阴，停止吃爆炒炙烤的食物，远离酒面，以防产生热邪，然后借助良医，以滋肾清肺为君药，开郁顺气为臣药，补阴养血为佐药，使得火息金清，降令肾行，气畅郁分，清窍无壅塞，阳开阴阖，相互依附，脏腑各司其职，自然更换以培其根本，用药以去除疾病。问是否有可愈者，假如骄纵不慎，或者误投凉药，即使是仓公、扁鹊也不能使其长生。
鼻是呼吸的门户，热气蒸腾于外则为肺风赤鼻，不仅仅因为喝酒。热气至于内，则为息肉鼻疮，所以息肉，是上焦积热，郁塞而生成的。
凡是鼻头发白的，是失血。发红的，是血热。因为面部是阳中之阳，鼻居于面中，全身的血液，运至面鼻，都是至清至精的血。如果失血无法运送，则色白而不荣润；血热沸腾，则独红且赤。肺作为脏器，其位置高，其体脆，性畏寒，又恶热，所以多酒之人，酒气熏蒸，则为鼻准发红，得热更红，热血遇冷则凝结，污浊而不行，所以色紫黑。其治疗方法，失血的，温补它；血热的，清利它；寒凝的，化滞生新，用四物汤加酒炒黄芩、酒浸红花之类；气弱的，再加（酒浸）黄芪来推动它，那种酒渣鼻，治疗方法也一样。长期患鼻流浓涕极臭的，名叫脑漏。气虚的，补中益气汤。阴虚的，麦味地黄汤。
Treats deficiency of the Heart and Kidney, and deafness caused by various deficiency syndromes.
*Shu Di Huang* (Rehmanniae Radix Praeparata) (4 liang, roasted), *Bai Zi Ren* (Biota Seed) (roasted, oil removed), *Ren Shen* (Ginseng Radix et Rhizoma) (1 liang, roasted), *Shi Chang Pu* (Acori Tatarinowii Rhizoma) (5 qian, mixed with honey wine and roasted), *Yuan Zhi Rou* (Polygalae Radix flesh) (processed with Licorice, 1 liang, roasted), *Wu Wei Zi* (Schisandrae Fructus) (7 qian), *Bai Fu Shen* (Poria with Hostwood) (1 liang, stir-fried with human milk), *Shan Yao* (Dioscoreae Rhizoma) (2 liang, stir-fried until yellow).
Grind into fine powder, make pills with honey. Take 3 qian each morning and evening before or long after meals, washed down with warm water.
Treats swelling and qi obstruction caused by sudden anger.
*Xiang Hui* (Foeniculi Fructus), *Shi Chang Pu* (Acori Tatarinowii Rhizoma), *Ren Shen* (Ginseng Radix et Rhizoma), *Yan Hu Suo* (Corydalis Rhizoma), *Chen Pi* (Citri Reticulatae Pericarpium), *Mu Xiang* (Aucklandiae Radix) (each 1 qian), *Qiang Huo* (Notopterygii Rhizoma et Radix), *Jiang Can* (Bombyx Batryticatus), *Chuan Xiong* (Chuanxiong Rhizoma), *Chan Tui* (Cicadae Periostracum) (each 5 qian), *Chuan Shan Jia* (Manis Squama) (2 qian), *Gan Cao* (Glycyrrhizae Radix et Rhizoma) (1.5 qian).
Grind into fine powder, take mixed with wine.
For unbearable ear pain, apply grinding-iron slurry (rust water from sharpening knives) into the ear canal; it cures immediately with miraculous effect.
Refer to the preceding Ear Disease section for other formulas treating ears.
Nasal congestion with loss of smell is commonly called "Lung Cold," but treatment with acrid-warm exterior-releasing herbs often fails. This is actually due to latent fire pathogen in the Lung Meridian, causing congestion upon exposure to cold. The treatment principle focuses on clearing the Lung and descending fire, assisted by agents that unblock qi. If there is no history of nasal congestion, but it occurs suddenly due to wind-cold invasion, resulting in stuffiness, heavy voice, or clear rhinorrhea, treat it as Wind-Cold. However, in persons with Qi deficiency, weak Qi fails to ascend, leading to nasal stagnation. As stated, "obstruction of the nine orifices" arises from the intestines and stomach; frequent use of *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) will naturally restore patency.
The Lung opens into the nose. The Stomach Meridian of Foot-Yangming also runs alongside the nose up to the brain, which is the mansion of the Primordial Spirit. The nose is the aperture of the Gate of Life. When the Middle Qi is insufficient and Clear Yang fails to ascend, the head tilts and the nine orifices become dysfunctional. The Classics state: "Heavenly Qi connects with the Lung." If the intestines and stomach lack phlegm-fire and accumulated heat, what ascends normally is pure Qi. Thus, the Qi and Blood of the twelve meridians and 365 collaterals all ascend to the face and flow into the orifices. The Pectoral Qi emerges from the nose to perceive odors. It is said that Yang Qi and Pectoral Qi are both the generating Qi arising from the Stomach. If dietary irregularities or overwork damage the Spleen and Stomach, the generating Qi becomes weak, and transporting Qi cannot ascend. Consequently, pathogenic factors block the orifices, causing nasal obstruction and loss of smell. The treatment should nourish the Stomach and strengthen Ying Qi; when Yang Qi and Pectoral Qi ascend, patency is restored. However, the *Nan Jing* states: "The Heart governs the five odors, and the Lung governs all Qi." The nose is the aperture of the Lung. Why does it perceive odors? Structurally, it belongs to the Lung; functionally, it belongs to the Heart. If Defensive Qi fails to hold, and Cold Pathogen lodges in the head and face, affecting the nose, it loses its function, resulting in anosmia. The Classics say: "Five Qi enter the nose and are stored in the Heart and Lung. If the Heart and Lung have disease, the nose becomes obstructed." Clear vision and hearing bring coolness; distinguishing odors brings warmth. The treatment should first disperse Cold Pathogen, then tonify Stomach Qi, allowing Heart and Lung Qi to communicate, thereby restoring nasal patency and smell perception.
Continuous flow of turbid nasal discharge is called Bi Yuan (Sinusitis/Nasal Fistula). This results from Wind-Heat scorching the brain, causing fluids to seep downward; the discharge may be yellow, white, or bloody like pus. This is a symptom of Kidney Deficiency. The Classics state: "Brain fluid seeps out as mucus." Also: "Gallbladder transfers Heat to the Brain." The *Yuan Bing Shi* states: "Like fire smelting metal, extreme Heat transforms back into Water." Investigating the root, it is invariably Kidney Yin Deficiency failing to grasp Qi and return it to its source. Thus, Fire acts without restraint, pressing upward on Lung Metal. Consequently, the Qi of body fluids cannot descend but instead accumulates in the orifices, turning turbid into mucus, causing body fluids to flow in reverse. This further depletes the Liver and Kidney, creating a state of ascending only without descending, Yang without Yin. Yin Deficiency leads to disease; Yin exhaustion leads to death. One must strictly avoid anger to nourish Yang, abstain from desires to nourish Yin, stop eating fried/roasted foods, and avoid alcohol and wheat to prevent generating Heat. Then, relying on a skilled physician, use Kidney-Nourishing and Lung-Clearing herbs as Sovereign, Qi-Unblocking and Regulating herbs as Minister, and Yin-Nourishing and Blood-Tonifying herbs as Assistant. This extinguishes Fire, clears Metal, allows the Descending Function of the Kidney to operate, promotes smooth Qi flow, resolves stagnation, clears the orifices, balances Yin and Yang opening/closing, ensures mutual support, and enables organs to perform their storage functions. Naturally, the root is cultivated, and medication eliminates the disease. If one is arrogant, careless, or mistakenly uses cooling herbs, even Cang Gong or Bian Que cannot prolong life.
The nose is the gateway for respiration. Heat steaming externally causes Lung-Wind Red Nose (Rhynophyma), not solely due to alcohol consumption. Heat reaching internally causes nasal polyps and sores. Polyps arise from accumulated Heat in the Upper Jiao and stagnation.
A pale nose indicates blood loss. A red nose indicates Blood Heat. The face is Yang within Yang, and the nose sits in the center of the face. All blood in the body transported to the face and nose is extremely pure and refined. If blood is lost and cannot transport, the color becomes pale and dull. If Blood Heat boils, the color becomes distinctly red. The Lung is a high-positioned, fragile organ that fears Cold and dislikes Heat. Therefore, in those who drink heavily, alcohol fumes cause the nasal tip to redden; with more heat, it turns redder. Hot blood congeals when cooled, becoming stagnant and dark, resulting in a purple-black color. Treatment methods: For blood loss, warm and tonify; for Blood Heat, clear and drain; for Cold Congestion, resolve stasis and generate new tissue, using *Si Wu Tang* (Four Substances Decoction) plus Wine-Fried Huang Qin (Scutellariae Radix) and Wine-Soaked Hong Hua (Carthami Flos); for Qi weakness, add Wine-Soaked Huang Qi (Astragali Radix) to promote movement. The treatment for alcoholic rhinophyma follows the same principles. Long-standing cases with thick, foul-smelling nasal discharge are named Nao Lou (Brain Leakage). For Qi Deficiency, use *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction). For Yin Deficiency, use *Mai Wei Di Huang Tang* (Lycium and Schisandra Rehmannia Pill).