〔《大》〕产后热闷，气上转而香港脚，其状热闷掣 ，惊悸心烦，呕吐气上，皆其候也，可服小续命汤二
三剂，必愈。又云∶寒中三阳，所患必冷，小续命加生姜汁最快。暑中三阴，所患必热，小续命汤去附子，减
桂心一半。大烦躁者，紫雪最良。如无紫雪，用真薄荷煎，冷水嚼下。（诸方必与四物汤各半服之。）
〔《保》〕夫耳者，以窍言之水也，以声言之金也，以经言之手足少阳俱会其中也。有从内不能听者主也，有
从外不能入者经也，有若蝉鸣者，若钟鸣者，有若火 状者，各随经见之，其间虚实不可不察也。假令
耳聋者，何谓治肺？肺主声，鼻塞者肺也。何谓治心？心主臭，如推此法，皆从受气于始。肾受气于巳，心受气于
亥，肝受气于申，肺受气于寅，脾受气于四季，此治法皆生长之道也。
〔罗〕经曰∶精脱者则耳聋。夫肾为足少阴之经，乃藏精而气通于耳，耳者宗脉之所聚也，若精气调和，
则肾脏强盛，耳闻五音。若劳伤气血，兼受风邪，损于肾脏而精脱者，则耳聋也。然五脏六腑十二经脉有络于
耳者，其阴阳经气有相并时，并则藏气逆，名之曰厥。厥气相搏，入于耳之脉，则令聋。其肾病精脱耳聋者，
其候颊颧色黑；手少阳之脉动，则气厥逆而耳聋者，其候耳内浑浑 也；手太阳厥而耳聋者，其候聋而耳内
气满也，宜以烧肾散主之。
〔《保命集》〕云∶耳以窍言之，肾水也。经云∶肾主耳。左脏为肾，左窍为耳。又云∶肾气通于耳，肾和则耳
能闻五音矣。又云∶精脱者耳聋，故罗谦甫以精脱耳聋之候，为颧颊色黑也。
烧肾散 治耳聋。（《宝鉴》方无巴戟。）
磁石（一两， ，醋 七次） 附子（一两，炮去皮脐） 巴戟（一两） 川椒（一两，去目及闭口者，微炒去汗）
上为散，每服用猪肾一枚，去筋膜，细切，葱白、韭白各一钱，入散药一钱，盐花一字和匀，用湿纸裹于
灰火内煨熟，空心细嚼，酒解薄粥下之，十日效。（《衍义》云∶磁石益肾气，肾虚而聋者用之。）
〔严〕苁蓉丸 治肾虚耳聋，或风邪入于经络，耳内虚鸣。
肉苁蓉（酒浸切，焙） 山茱萸（去核） 石龙芮 石菖蒲 菟丝子（酒浸，蒸焙） 羌活（去芦）
鹿茸（去毛，酒蒸焙） 石斛（去根） 磁石（ ，醋 ，水飞过） 附子（炮，去皮脐。各一两）
全蝎（去毒，七个） 麝香（一字，旋入）
上为末，炼蜜丸，桐子大。每服一百丸，空心盐酒、盐汤任下。
〔《圣》〕治肾气虚损耳聋。用鹿肾一对，去脂膜切，于豉汁中，入粳米二合和煮粥，入五味如法调和，空
腹食之，作羹及酒并得。
〔《本》〕地黄汤 治肾热听事不真。（方见后风热条。）
上方用地黄、磁石为君，补肾虚有热之剂也。
〔垣〕藏气法时论云∶肺虚则少气不能报息，耳聋嗌干。注云∶肺之络会于耳中，故聋，此说非也。盖气
虚必寒，盛则气血俱涩滞而不行也。耳者宗气也，肺气不行故聋也。
〔无〕蜡弹丸 治耳虚聋。
白茯苓（二两） 山药（炒，三两） 杏仁（炒，一两半去皮，尖）
上三味，研为末，和匀，用黄蜡一两，熔和为丸，如弹子大。盐汤嚼下。有人止以黄蜡细嚼，点好建茶送
下，亦效。（山药、茯苓、杏仁，皆入于太阳。山药大补阴气，惟杏仁利气，乃补中有通也。少气嗌干者，
门冬、人参、五味汤嚼下。）
经云∶肝虚则目KT KT 无所见，耳无所闻，善恐。治法用四物汤加防风、羌活、柴胡、菖蒲、茯神等分，煎
汤服二十余帖，却用杜壬姜蝎散开之。
本草云∶肝虚则生姜补之是也。
〔世〕治耳聋。九节菖蒲去须，切小块十两，苍术十两，水合浸于瓦罐中，七日取出，去苍术，单用菖蒲，
晒干，于糯米甑上蒸熟，晒干为末。糯米饮调，食后临卧服，效。
〔丹〕大病后耳聋，须用四物降火。阴虚火动耳聋者，亦如之。气逆耳聋有三，肝与手太阳少阳也。经云∶
肝气逆则头痛，耳聋不聪，颊肿。又云∶太阳所谓浮为聋者，皆在气也。罗谦甫云∶手太阳气厥而耳聋者，其
候聋而耳内气满也。手少阳气厥而耳聋者，其候耳内浑浑 。此皆气逆而聋也。治法宜四物汤吞
龙荟丸降火，及复元通气散调气是也。
〔丹〕耳聋必用四物龙荟养阴。
复元通气散 治气涩耳聋。（方见腹痈。）
〔丹〕耳聋有湿痰者，槟榔神芎丸下之。
大黄 黄芩（各二两） 牵牛 滑石（各四两） 加槟榔
滴水丸，每服十丸，每次加十丸，白汤下。
耳聋皆属于热，少阳厥阴热多，宜开痰散风热，通圣散、滚痰丸之类。耳因郁聋，以通圣散内加大
黄酒煨，再用酒炒三次后，入诸药，通用酒炒。
〔罗〕犀角散 治风毒壅热，胸心痰滞，两耳虚聋，头重目眩，神效。
犀角屑 甘菊花 前胡（去芦） 枳壳（麸炒，去穣） 菖蒲 羌活 泽泻 木通 生地（各半两）
麦门冬（二两，去心） 甘草（一钱炙）
上为散，每服三钱，水煎，食后温服。
茯神散 治上焦风热，耳忽聋鸣，四肢满急，昏闷不利。
茯神（一两） 羌活 柴胡 蔓荆子 薏苡仁 防风（去芦） 菖蒲 五味子 黄 （各半两）
甘草（一分，炙） 麦门冬（一两，去心） 薄荷（三钱）
上十二味为末，每服三钱，入生姜三片，煎至五分，食后温服。
〔《本》〕治男子二十岁，因疮毒后肾经热，右耳听事不真，每心中拂意，则转觉重，虚鸣疼痛，地黄汤。
生地（一两半） 枳壳 羌活 桑白皮（一两） 磁石（捣碎，水淘三二十次，去尽赤汗为度，二两）
甘草 防风 黄芩 木通（各半两）
上为粗末，每服四钱，用水煎去渣，日二三服，不拘时候。
〔无〕姜蝎散 治耳聋因肾虚所致，十年内一服愈。（出杜壬方。）
干蝎（四十九个，去茧，洗焙，去风热） 生姜（切片如蝎大，四十九片，开痰）
上二味，银石器内炒至干，为细末，向晚勿食，夜卧酒调作一服。至二更以来，徐徐尽量饮，五更耳中闻
百十攒笙响，便自此有闻。（一法五更浓煎葱白汤一盏服，先二日服黑锡丹，效。又蝎先用糯米半升同
炒，又用姜四十九片放蝎上同炒，去米、姜不用。）
〔《千》〕治耳聋。酒三升，渍牡荆子二升，碎之，浸七日，去渣，任性服尽，虽三十年亦瘥。
〔《素》〕南方赤色，入通于心，开窍于耳，藏精于心。（金匮真言论）
治肾虚寒，煨肾散、苁蓉丸。（并见虚实条。）
运气耳聋有四∶
一曰湿邪伤肾三焦聋。经云∶太阴在泉，湿淫所胜，民病耳聋，浑浑 ，治以苦热是也。
二曰燥邪伤肝聋。经云∶岁余太过，燥气流行，肝木受邪，民病耳聋无所闻是也。
三曰火邪伤肺聋。经云∶岁火太过，炎暑流行，肺金受邪，民病耳聋是也。
四曰风火炎扰于上聋。经云∶少阳司天之政，风热参布，云物沸腾，民病聋瞑，三之气，炎暑至，民病热
中聋瞑，治以寒剂是也。
〔《本》〕治耳聋。用鼠胆一个，滴入耳中三次，立效。
〔《胜》〕治耳聋，立效。以干地龙入盐，贮在葱尾内，为水点之。
〔《千》〕治耳聋，以绵裹蛇膏塞耳中，神效。
〔世〕治耳聋久不闻者。
紧磁石（如豆大） 穿山甲（烧存性，为末，一字）
上用新绵裹了，塞于所患耳内，口中衔少生铁，觉耳内如风雨声即愈。甘草、甘遂各半寸，绵裹包插入
耳内，又将甘草嚼之，即通，妙。
〔罗〕通神丹 治耳聋。
阿魏 巴豆仁（七个） 安息香 桑白皮（各钱半） 朱砂（五分） 大蒜 蓖麻子仁（各七个）
上为细末，入二仁与蒜同捣烂为丸，如枣核大。每用一丸，绵裹内耳，如微痛则出。
〔世〕治耳聋久不效者。
大蒜一瓣，一头挖一坑子，用巴豆一粒，去皮膜，慢火炮去极热，入在蒜内，用新绵裹定塞耳中，不过三
次，效。
治耳聋。蓖麻子五十粒，去皮，枣子一个，同捣丸，如枣核大，更入小儿乳汁和，每用一丸，绵裹塞耳中，
觉热为度，一日一换。
〔《千》〕治耳聋。用骨碎补削作细条，火炮乘热塞耳。（本草云∶骨碎补破血治折伤有奇效。）
〔《外》〕治耳聋。以杏仁七个去皮，拍碎三分，以绵裹，于中着颗盐如小豆许，以器盛于饭甄中蒸之，候
饭熟取出，于患人侧卧，将一裹捻油汁滴入耳中。久之，又以一裹根据前法捻滴之。
〔世〕又方。用雄猫尿滴入耳中，左滴左，右滴右。如猫不能放尿，用姜擦其齿即有。
针灸耳聋有五法∶
其一取手足少阳手阳明。经云∶耳聋取手小指次指爪甲上与肉交者，先取手，后取足。又云∶三焦手少阳
之脉，是动则病耳聋，浑浑 ，视盛虚热寒陷下调之也。又云∶聋而不痛者，取足少阳，聋而痛者，取手阳
明。又云∶耳聋刺手阳明，不已，刺其通脉出耳前者。
其二取手阳明络。经云∶手阳明之别，名曰偏历，去腕三寸，别入太阴，实则龋聋，取之所别也。又云∶
邪客手阳明之络，令人耳聋，时不闻者，刺手大指次指爪甲上去端如韭叶各一 ，立闻。不已，刺中指爪甲上
与肉交者，立闻。其不时闻者，不可刺也。左刺右，右刺左。
其三取手太阳。经云∶手太阳之脉所生病者，耳聋目黄颊肿，视盛虚热寒陷下调之也。又云∶耳聋无闻，
取耳中是也。
其四取肝。经云∶肝虚则目KT KT 无所见，耳无所闻，善恐，取其经厥阴少阳。气逆则头痛，耳聋不聪，
颊肿，取血者是也。
其五取肺。经云∶肺虚则少气不能报息，耳聋嗌干，取其经太阴足太阳之外厥阴内血者是也。
耳有脓不可刺。经云∶耳痛不可刺者，耳中有脓。若有干膜耵聍，耳无闻也。
〔《竹》〕治耳聋。用苍术一块，长七分，将一头削尖，一头截平，将尖头插耳内，于平头上安箸头大艾炷
灸之，聋轻者七壮，重者十四壮。如觉耳内有热气者，效。
〔《玉》〕耳聋耳鸣，或疼或痒，或停耳∶听会（在耳珠前陷中，口衔尺方可下针，按入半寸，泻八吸） 翳风
（针入半寸，泻七吸）合谷 三里（泻）
〔《摘》〕又法∶翳风（在耳后陷后按之引耳中，令病患先以钱二十四文口咬，侧卧取之，针透口，令病患闭
口摇头，其怒气从耳出、）听会（法如前。）
〔世〕又法∶中渚、临泣。
〔《甲》〕耳聋，两颞 痛，中渚主之。耳 浑浑无所闻，外关主之。头重颔痛，引耳中哝哝嘈嘈，和
主之。聋，耳中癫溲，癫溲者若风状，听会主之。耳聋填填如无闻，哝哝嘈嘈若蝉鸣，听宫主之。聋，翳风及会
宗下空主之。耳聋，嘈嘈无所闻，天容主之。聋，耳中不通，合谷主之。耳聋无闻，天窗主之。
〔《脉》〕病若耳聋，脉反浮大而涩者死。（《千金翼》云∶脉大者生，沉逆细者难治。）
少阳终者，耳聋，百节尽纵，目系绝。（全文见诊生死。）
【《大》】产后出现热闷感，气机上逆并伴有香港脚（一种以足胫肿重、酸痛或麻木为特征的疾病），其症状表现为热闷牵掣、惊悸心烦、呕吐且气上冲，这些都是该病的征候。可以服用小续命汤两到三剂，必定痊愈。又说：寒邪侵入三阳经，所患之病必然偏冷，在小续命汤中加入生姜汁效果最快。暑邪侵入三阴经，所患之病必然偏热，用小续命汤去掉附子，将桂心减半。若出现极度烦躁，紫雪是最良的选择。如果没有紫雪，可用真薄荷煎煮，用冷水送服嚼碎。（所有方剂必须与四物汤各半量混合服用。）
【《保》】耳朵，从孔窍而言属水，从声音而言属金，从经络而言手足少阳经都汇聚于此。有因内部脏腑功能失调导致不能听见的，这主要责之于脏；有因外部邪气入侵导致声音不能进入的，这主要责之于经。有的像蝉鸣，有的像钟鸣，有的像火燃烧的样子，各自随所属经络的表现而不同，其中的虚实证候不可不仔细辨别。假如说耳聋要治肺，为什么？因为肺主声音，鼻塞也是肺的问题。为什么说治心？因为心主嗅觉，如果推究这种方法，都是从受气的源头说起。肾在巳时受气，心在亥时受气，肝在申时受气，肺在寅时受气，脾在四季末月受气，这些治法都是顺应生长之道。
【罗】经典记载：精气脱失的人会出现耳聋。肾是足少阴经，藏精且气通于耳，耳是众多经脉汇聚的地方。如果精气调和，肾脏强盛，耳朵就能听到五音。如果劳伤气血，兼受风邪，损伤肾脏导致精气脱失，就会出现耳聋。然而五脏六腑十二经脉中有络脉连接耳朵，当阴阳经气相并之时，如果相并则脏气逆乱，称为厥。厥气相互搏结，进入耳部的脉络，就会导致耳聋。肾病精气脱失导致的耳聋，其征候是脸颊颧骨部位色黑；手少阳经气机变动，导致气逆而耳聋的，其征候是耳内声音浑浑沉沉；手太阳经气逆而耳聋的，其征候是耳聋且耳内气满胀，适宜用烧肾散为主治疗。
【《保命集》】说：耳朵，从孔窍而言，属肾水。经典说：肾主耳。左边的脏是肾，左边的窍是耳。又说：肾气通于耳，肾气和顺则耳朵能听到五音。又说：精气脱失会导致耳聋，所以罗谦甫认为精气脱失导致耳聋的征候是颧颊部色黑。
烧肾散 治疗耳聋。（《宝鉴》方中无巴戟天。）
磁石（一两，煅，用醋淬七次） 附子（一两，炮制去皮脐） 巴戟天（一两） 川椒（一两，去目及闭口者，微炒去汗）
以上研为散剂，每次服用一钱药散，配合猪肾一枚，去除筋膜，细切，加入葱白、韭白各一钱，与药散一钱、盐花一字混合均匀，用湿纸包裹在灰火中煨熟，空腹细细咀嚼，用酒送服薄粥，十日见效。（《衍义》说：磁石补益肾气，肾虚导致的耳聋使用它。）
【严】苁蓉丸 治疗肾虚耳聋，或者风邪侵入经络，耳内虚鸣。
肉苁蓉（酒浸切片，焙干） 山茱萸（去核） 石龙芮 石菖蒲 菟丝子（酒浸，蒸焙） 羌活（去芦头）
鹿茸（去毛，酒蒸焙） 石斛（去根） 磁石（煅，醋淬，水飞） 附子（炮制，去皮脐。各一两）
全蝎（去毒，七个） 麝香（一字，临用时加入）
以上研为末，炼蜜为丸，如梧桐子大。每次服用一百丸，空腹用盐酒或盐汤送下。
【《圣济总录》】治疗肾气虚损导致的耳聋。用鹿肾一对，去除脂膜切碎，在豆豉汁中，加入粳米二合和煮成粥，加入五味调料依法调和，空腹食用，做成羹或酒均可。
【《本草纲目》】地黄汤 治疗肾热导致听力不真。（方剂见后风热条。）
上方用地黄、磁石为君药，是补肾虚有热的方剂。
【李东垣】藏气法时论说：肺虚则少气不能深吸气，耳聋咽干。注释说：肺的络脉会合于耳中，所以聋，这种说法是不对的。大概气虚必生寒，气盛则气血俱涩滞而不行。耳是宗气所在，肺气不行故导致耳聋。
【朱丹溪】蜡弹丸 治疗耳虚聋。
白茯苓（二两） 山药（炒，三两） 杏仁（炒，一两半去皮尖）
以上三味，研为末，混合均匀，用黄蜡一两，熔化混合为丸，如弹子大。用盐汤送服咀嚼。有人只用黄蜡细细咀嚼，用好建茶送下，也有效。（山药、茯苓、杏仁，皆入太阳经。山药大补阴气，只有杏仁利气，这是补中有通。少气咽干的，用麦冬、人参、五味子汤送服咀嚼。）
经典说：肝虚则视物模糊无所见，耳无所闻，易恐惧。治法用四物汤加防风、羌活、柴胡、菖蒲、茯神等分，煎汤服用二十多帖，然后用杜壬姜蝎散开通。
本草说：肝虚则生姜补之是正确的。
【世传】治疗耳聋。九节菖蒲去须，切小块十两，苍术十两，水合浸于瓦罐中，七日取出，去掉苍术，单用菖蒲，晒干，在糯米甑上蒸熟，晒干为末。用糯米饮调服，食后临卧服，有效。
【丹溪】大病后耳聋，须用四物汤降火。阴虚火动导致耳聋的，也是如此。气逆导致的耳聋有三种，涉及肝与手太阳、手少阳经。经典说：肝气逆则头痛，耳聋不聪，颊肿。又说：太阳所谓浮为聋者，皆在气方面。罗谦甫说：手太阳气逆而耳聋的，其征候是耳聋且耳内气满胀。手少阳气逆而耳聋的，其征候是耳内声音浑浑沉沉。这都是气逆导致的耳聋。治法宜用四物汤吞服龙荟丸降火，以及复元通气散调气。
【丹溪】耳聋必用四物龙荟丸养阴。
复元通气散 治疗气涩耳聋。（方剂见腹痈条。）
【丹溪】耳聋有湿痰的，用槟榔神芎丸攻下。
大黄 黄芩（各二两） 牵牛 滑石（各四两） 加槟榔
滴水为丸，每次服用十丸，每次增加十丸，白开水送下。
耳聋皆属于热，少阳厥阴热多，适宜开痰散风热，用通圣散、滚痰丸之类。耳因郁怒致聋，在通圣散内加大黄酒煨，再用酒炒三次后，加入诸药，通用酒炒。
【罗谦甫】犀角散 治疗风毒壅热，胸心痰滞，两耳虚聋，头重目眩，神效。
犀角屑 甘菊花 前胡（去芦头） 枳壳（麸炒，去瓤） 菖蒲 羌活 泽泻 木通 生地（各半两）
麦门冬（二两，去心） 甘草（一钱炙）
以上研为散剂，每次服用三钱，水煎，食后温服。
茯神散 治疗上焦风热，耳忽聋鸣，四肢满急，昏闷不利。
茯神（一两） 羌活 柴胡 蔓荆子 薏苡仁 防风（去芦头） 菖蒲 五味子 黄芪（各半两）
甘草（一分，炙） 麦门冬（一两，去心） 薄荷（三钱）
以上十二味为末，每次服用三钱，加入生姜三片，煎至五分，食后温服。
【《本草纲目》】治疗男子二十岁，因疮毒后肾经热，右耳听力不真，每心中拂意，则转觉重，虚鸣疼痛，用地黄汤。
生地（一两半） 枳壳 羌活 桑白皮（一两） 磁石（捣碎，水淘三二十次，去尽赤汗为度，二两）
甘草 防风 黄芩 木通（各半两）
以上为粗末，每次服用四钱，用水煎去渣，日二三服，不拘时候。
【朱震亨】姜蝎散 治疗耳聋因肾虚所致，十年内一服愈。（出自杜壬方。）
干蝎（四十九个，去茧，洗焙，去风热） 生姜（切片如蝎大，四十九片，开痰）
以上二味，在银石器内炒至干，为细末，向晚勿食，夜卧酒调作一服。至二更以来，徐徐尽量饮，五更耳中闻百十攒笙响，便自此有闻。（一法五更浓煎葱白汤一盏服，先二日服黑锡丹，效。又蝎先用糯米半升同炒，又用姜四十九片放蝎上同炒，去米、姜不用。）
【《千金方》】治疗耳聋。酒三升，浸泡牡荆子二升，捣碎，浸七日，去渣，随意服尽，虽三十年亦瘥。
【《素问》】南方赤色，入通于心，开窍于耳，藏精于心。（金匮真言论）
治疗肾虚寒，用煨肾散、苁蓉丸。（并见虚实条。）
运气耳聋有四：
一曰湿邪伤肾三焦聋。经典说：太阴在泉，湿淫所胜，民病耳聋，浑浑沉沉，治以苦热是也。
二曰燥邪伤肝聋。经典说：岁余太过，燥气流行，肝木受邪，民病耳聋无所闻是也。
三曰火邪伤肺聋。经典说：岁火太过，炎暑流行，肺金受邪，民病耳聋是也。
四曰风火炎扰于上聋。经典说：少阳司天之政，风热参布，云物沸腾，民病聋瞑，三之气，炎暑至，民病热中聋瞑，治以寒剂是也。
【《胜之方》】治疗耳聋，立效。以干地龙入盐，贮在葱尾内，为水点之。
【世传】治疗耳聋久不闻者。
紧磁石（如豆大） 穿山甲（烧存性，为末，一字）
上用新绵裹了，塞于所患耳内，口中衔少生铁，觉耳内如风雨声即愈。甘草、甘遂各半寸，绵裹包插入耳内，又将甘草嚼之，即通，妙。
【罗谦甫】通神丹 治疗耳聋。
阿魏 巴豆仁（七个） 安息香 桑白皮（各钱半） 朱砂（五分） 大蒜 蓖麻子仁（各七个）
以上为细末，入二仁与蒜同捣烂为丸，如枣核大。每用一丸，绵裹内耳，如微痛则出。
【世传】治疗耳聋久不效者。
大蒜一瓣，一头挖一坑子，用巴豆一粒，去皮膜，慢火炮去极热，入在蒜内，用新绵裹定塞耳中，不过三次，效。
治疗耳聋。蓖麻子五十粒，去皮，枣子一个，同捣丸，如枣核大，更入小儿乳汁和，每用一丸，绵裹塞耳中，觉热为度，一日一换。
【《千金方》】治疗耳聋。用骨碎补削作细条，火炮乘热塞耳。（本草说：骨碎补破血治折伤有奇效。）
【《外台秘要》】治疗耳聋。以杏仁七个去皮，拍碎三分，以绵裹，于中着颗盐如小豆许，以器盛于饭甄中蒸之，候饭熟取出，于患人侧卧，将一裹捻油汁滴入耳中。久之，又以一裹根据前法捻滴之。
【世传】又方。用雄猫尿滴入耳中，左滴左，右滴右。如猫不能放尿，用姜擦其齿即有。
针灸耳聋有五法：
其一取手足少阳手阳明。经典说：耳聋取手小指次指爪甲上与肉交者，先取手，后取足。又说：三焦手少阳之脉，是动则病耳聋，浑浑沉沉，视盛虚热寒陷下调之也。又说：聋而不痛者，取足少阳，聋而痛者，取手阳明。又说：耳聋刺手阳明，不已，刺其通脉出耳前者。
其二取手阳明络。经典说：手阳明之别，名曰偏历，去腕三寸，别入太阴，实则龋聋，取之所别也。又说：邪客手阳明之络，令人耳聋，时不闻者，刺手大指次指爪甲上去端如韭叶各一 ，立闻。不已，刺中指爪甲上与肉交者，立闻。其不时闻者，不可刺也。左刺右，右刺左。
其三取手太阳。经典说：手太阳之脉所生病者，耳聋目黄颊肿，视盛虚热寒陷下调之也。又说：耳聋无闻，取耳中是也。
其四取肝。经典说：肝虚则视物模糊无所见，耳无所闻，善恐，取其经厥阴少阳。气逆则头痛，耳聋不聪，颊肿，取血者是也。
其五取肺。经典说：肺虚则少气不能深吸气，耳聋咽干，取其经太阴足太阳之外厥阴内血者是也。
耳有脓不可刺。经典说：耳痛不可刺者，耳中有脓。若有干膜耵聍，耳无闻也。
【《竹》】治疗耳聋。用苍术一块，长七分，将一头削尖，一头截平，将尖头插耳内，于平头上安箸头大艾炷灸之，聋轻者七壮，重者十四壮。如觉耳内有热气者，效。
【《玉》】耳聋耳鸣，或疼或痒，或停耳∶听会（在耳珠前陷中，口衔尺方可下针，按入半寸，泻八吸） 翳风（针入半寸，泻七吸）合谷 三里（泻）
【《摘》】又法∶翳风（在耳后陷后按之引耳中，令病患先以钱二十四文口咬，侧卧取之，针透口，令病患闭口摇头，其怒气从耳出、）听会（法如前。）
【《甲乙经》】耳聋，两颞 痛，中渚主之。耳 浑浑无所闻，外关主之。头重颔痛，引耳中哝哝嘈嘈，和 主之。聋，耳中癫溲，癫溲者若风状，听会主之。耳聋填填如无闻，哝哝嘈嘈若蝉鸣，听宫主之。聋，翳风及会宗下空主之。耳聋，嘈嘈无所闻，天容主之。聋，耳中不通，合谷主之。耳聋无闻，天窗主之。
【《脉经》】病若耳聋，脉反浮大而涩者死。（《千金翼》说：脉大者生，沉逆细者难治。）
少阳终者，耳聋，百节尽纵，目系绝。（全文见诊生死。）
[From *Da*] Postpartum heat oppression, with qi rebelling upward and accompanied by Hongxiangjiao (a disease characterized by swelling, heaviness, soreness, or numbness in the lower legs), presents with symptoms such as heat oppression and pulling sensations, palpitations, restlessness, irritability, vomiting, and upward rushing of qi. These are all indications of this condition. One may take Xiaoxuming Tang (Minor Continuation Life Decoction) for two to three doses, and it will surely heal. It is also said: When cold pathogen invades the Three Yang meridians, the disease must be cold; adding Ginger Juice to Xiaoxuming Tang acts fastest. When summer-heat pathogen invades the Three Yin meridians, the disease must be hot; use Xiaoxuming Tang removing Fuzi (Prepared Aconite Lateral Root) and reducing Guixin (Cinnamon Bark) by half. For severe restlessness, Zixue (Purple Snow) is best. If Zixue is unavailable, decoct genuine Bohe (Menthae Haplocalycis Herba) and swallow the residue with cold water. (All formulas must be taken mixed equally with Siwu Tang [Four Substances Decoction].)
[From *Bao*] The ear, when referred to as an orifice, belongs to Water; when referred to to sound, it belongs to Metal; when referred to by meridians, both the Hand-Shaoyang and Foot-Shaoyang converge there. There are cases where one cannot hear due to internal dysfunction, which primarily concerns the Zang organs; there are cases where sound cannot enter due to external invasion, which primarily concerns the meridians. Some sounds resemble cicadas, some resemble bells, some resemble fire burning; each manifests according to its associated meridian. The deficiency and excess patterns therein must not fail to be examined. Suppose deafness is treated via the Lung? Why? Because the Lung governs sound, and nasal congestion is also a Lung issue. Why treat the Heart? Because the Heart governs smell. If we deduce from this method, it all stems from the origin of receiving Qi. The Kidney receives Qi at Si hour, the Heart at Hai hour, the Liver at Shen hour, the Lung at Yin hour, and the Spleen at the four seasons' end months. These treatment methods follow the Dao of growth.
[Luo] The Classics state: Those who lose Jing essence suffer from deafness. The Kidney is the Foot-Shaoyin meridian, storing Jing essence and connecting Qi to the ear. The ear is the gathering place of numerous vessels. If Jing and Qi are harmonious, the Kidneys are strong, and the ears can hear the five tones. If labor and injury damage Qi and Blood, combined with wind pathogen invasion, damaging the Kidneys and causing loss of Jing essence, deafness occurs. However, among the Five Zang and Six Fu organs and the Twelve Primary Meridians, there are collaterals connecting to the ear. When Yin and Yang meridian Qi merge, if they merge excessively, Zang Qi rebels, termed Jue (reversal). Jue Qi contends and enters the vessels of the ear, causing deafness. For Kidney disease causing Jing loss and deafness, the sign is black color on the cheeks and zygomatic arches; for Hand-Shaoyang meridian movement causing Qi reversal and deafness, the sign is a muffled sensation in the ears; for Hand-Taiyang meridian reversal causing deafness, the sign is deafness with a feeling of fullness in the ears. Shao Shen San (Burned Kidney Powder) should be used as the main treatment.
[From *Baoming Ji*] It says: The ear, referred to as an orifice, is Kidney Water. The Classics say: The Kidney governs the ear. The left Zang is the Kidney, the left orifice is the ear. It also says: Kidney Qi connects to the ear; when Kidney Qi is harmonious, the ears can hear the five tones. It also says: Loss of Jing essence causes deafness. Therefore, Luo Qianfu considers the sign of Jing loss causing deafness to be black color on the cheeks and zygomatic arches.
Shao Shen San treats deafness. (The formula in *Baojian* lacks Bajitian.)
Cishi (Magnetitum, 1 liang, calcined, quenched seven times in vinegar) Fuzi (Prepared Aconite Lateral Root, 1 liang, processed, skin and umbilicus removed) Bajitian (Morindae Officinalis Radix, 1 liang) Chuanjiao (Sichuan Pepper, 1 liang, remove eyes and closed-mouth ones, lightly stir-fry to remove moisture)
Grind the above into powder. For each dose, use one pig kidney, remove fascia, cut finely, add Congbai (Scallion White) and Jiubai (Leek White), each 1 qian, mix with 1 qian of the powder and a pinch of Yanhua (Salt Flower). Wrap in wet paper and bake in ash fire until cooked. Chew thoroughly on an empty stomach, wash down with thin porridge and wine. Effective within ten days. (*Yanyi* states: Cishi benefits Kidney Qi; use it for deafness caused by Kidney deficiency.)
[Yan] Congrong Wan (Cistanche Pill) treats Kidney deficiency deafness, or wind pathogen entering the meridians causing empty ringing in the ears.
Roucongrou (Cistanches Stem, soaked in wine, sliced, dried) Shanzhuyu (Corni Fructus, pitted) Shilongrui (Lysimachiae Herba) Shichangpu (Acori Tatarinowii Rhizoma) Tusizi (Cuscutae Semen, soaked in wine, steamed and dried) Qianghuo (Notopterygii Rhizoma et Radix, radix removed)
Lurong (Deer Antler without hair, steamed in wine and dried) Shihu (Dendrobii Caulis, roots removed) Cishi (Magnetitum, calcined, quenched in vinegar, washed in water) Fuzi (Prepared Aconite Lateral Root, processed, skin and umbilicus removed. Each 1 liang)
Quanxie (Full Scorpion, detoxified, 7 pieces) Shexiang (Moschus, 1 zi, added just before use)
Grind the above into powder, mix with refined honey to form pills the size of Sophora seeds. Take 100 pills each time on an empty stomach, washed down with salt wine or salt water.
[From *Shengji Zonglu*] Treats deafness due to Kidney Qi deficiency and damage. Use one deer kidney, remove fat membrane, cut into pieces, cook with soybean ferment juice and 2 he of glutinous rice into congee. Add five flavors (seasonings) appropriately. Eat on an empty stomach. Can be made into soup or wine.
[From *Bencao Gangmu*] Dihuang Tang (Rehmannia Decoction) treats unclear hearing due to Kidney heat. (Formula see Wind-Heat section below.)
The above formula uses Dihuang (Rehmanniae Radix) and Cishi (Magnetitum) as sovereign herbs; it is a formula tonifying Kidney deficiency with heat.
[Li Dongyuan] In *Zangqi Fashi Lun*, it says: Lung deficiency leads to shortness of breath and inability to take deep breaths, deafness, and dry throat. The annotation says: The Lung's collaterals meet in the ear, hence deafness. This statement is incorrect. Generally, Qi deficiency leads to cold; excess leads to stagnation of Qi and Blood. The ear is the residence of Zong Qi (Gathering Qi); when Lung Qi does not flow, deafness results.
[Zhu Danxi] La Wan (Wax Pill) treats empty deafness.
Baifuling (Poria, 2 liang) Shanyao (Chinese Yam, stir-fried, 3 liang) Xingren (Apricot Seed, stir-fried, remove skin and tips, 1.5 liang)
Grind the above three ingredients into powder, mix evenly. Melt 1 liang of yellow wax and mix to form pills the size of bullet shots. Chew and wash down with salt water. Some people only chew yellow wax finely and wash down with good Jian tea; this is also effective. (Shanyao, Baifuling, and Xingren all enter the Taiyang channel. Shanyao greatly tonifies Yin Qi; only Xingren moves Qi, representing tonification with unblocking. For shortness of breath and dry throat, wash down with Maidong, Renshen, and Wuweizi decoction.)
The Classics state: Liver deficiency leads to blurred vision and inability to see, inability to hear, and fearfulness. Treatment uses Siwu Tang (Four Substances Decoction) plus Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix), Shichangpu (Acori Tatarinowii Rhizoma), and Fushen (Poria with Hostwood) in equal parts. Decoct and drink for over twenty doses, then use Du Ren Jiangxie San (Du Ren Ginger and Scorpion Powder) to open the orifices.
The Materia Medica states: For Liver deficiency, ginger tonifies it; this is correct.
[Worldly Transmission] Treats deafness. Remove whiskers from Nine-Jie Changpu (Acori Tatarinowii Rhizoma), cut into small pieces (10 liang). Mix with Cangzhu (Atractylodis Rhizoma, 10 liang). Soak in water in a clay jar for seven days. Remove Cangzhu, keep only Changpu. Dry it, steam it over glutinous rice in a steamer, dry again, and grind into powder. Mix with glutinous rice drink. Take after meals and before bed. Effective.
[Danxi] After severe illness, deafness requires Siwu Tang (Four Substances Decoction) to descend fire. For deafness caused by Yin deficiency and fire hyperactivity, the same applies. There are three types of Qi-reversal deafness, involving the Liver, Hand-Taiyang, and Hand-Shaoyang meridians. The Classics state: Liver Qi rebellion causes headache, deafness and dullness, and swollen cheeks. It also states: What the Taiyang calls "floating causes deafness" all relates to Qi. Luo Qianfu said: For Hand-Taiyang Qi reversal causing deafness, the sign is deafness with ear fullness. For Hand-Shaoyang Qi reversal causing deafness, the sign is muffled hearing in the ears. All these are Qi-reversal deafness. Treatment should use Siwu Tang (Four Substances Decoction) swallowed with Longhui Wan (Dragon Gallbladder Pill) to descend fire, and Fuyuan Tongqi San (Restoring Origin and Promoting Qi Circulation Powder) to regulate Qi.
[Danxi] Deafness must use Siwu Longhui Wan (Four Substances Dragon Gallbladder Pill) to nourish Yin.
Fuyuan Tongqi San (Restoring Origin and Promoting Qi Circulation Powder) treats Qi-stagnation deafness. (Formula see Abdominal Abscess section.)
[Danxi] For deafness with damp-phlegm, use Binglang Shenxiong Wan (Areca Nut and Xiong Formula Pill) to purge.
Dahuang (Rhei Radix et Rhizoma) Huangqin (Scutellariae Radix) (Each 2 liang) Qianniu (Pharbitidis Semen) Huashi (Talcum) (Each 4 liang) Add Binglang (Arecae Semen)
Make pills with water drops. Take 10 pills each time, increasing by 10 pills per dose, washed down with white water.
Deafness all belongs to Heat; Shaoyang and Jueyin have more heat. It is suitable to resolve phlegm and scatter wind-heat. Use Tongsheng San (Universal Salvation Powder) or Guntan Wan (Rolling Phlegm Pill) and similar formulas. For deafness due to depression/stagnation, add Dahuang (Rhei Radix et Rhizoma) to Tongsheng San, stir-fried in wine, then stir-fried three more times in wine, then add other herbs. Generally stir-fried in wine.
[Luo Qianfu] Xijiao San (Rhinoceros Horn Powder) treats wind-toxin congestion and heat, chest/heart phlegm stagnation, bilateral empty deafness, heavy head, dizzy eyes. Divine effect.
Xijiao (Rhinoceri Cornu, shaved) Ganjuhua (Chrysanthemi Flos) Qianhu (Peucedani Radix, radix removed) Zhike (Aurantii Fructus, bran-fried, pulp removed) Changpu (Acori Tatarinowii Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Zexie (Alismatis Rhizoma) Mutong (Akebiae Caulis) Shengdi (Rehmanniae Radix) (Each half liang)
Maidong (Ophiopogonis Radix, 2 liang, heart removed) Gancao (Licorice Root, 1 qian, roasted)
Grind the above into powder. Take 3 qian each time, decoct in water, take warm after meals.
Fushen San (Poria with Hostwood Powder) treats Upper Jiao wind-heat, sudden deafness and tinnitus, fullness and urgency in limbs, dizziness and obstruction.
Fushen (Poria with Hostwood, 1 liang) Qianghuo (Notopterygii Rhizoma et Radix) Chaihu (Bupleuri Radix) Manjingzi (Viticis Folium) Yiyiren (Coicis Semen) Fangfeng (Saposhnikoviae Radix, radix removed) Changpu (Acori Tatarinowii Rhizoma) Wuweizi (Schisandrae Fructus) Huangqi (Astragali Radix) (Each half liang)
Gancao (Licorice Root, 1 fen, roasted) Maidong (Ophiopogonis Radix, 1 liang, heart removed) Bohe (Menthae Haplocalycis Herba, 3 qian)
Grind the above twelve ingredients into powder. Take 3 qian each time, add 3 slices of fresh ginger, decoct until reduced to 0.5 portion, take warm after meals.
[From *Bencao Gangmu*] Treats a 20-year-old man whose right ear hears unclearly due to post-boil Kidney meridian heat. Whenever he feels frustrated internally, the hearing becomes heavier, with empty ringing and pain. Use Dihuang Tang (Rehmannia Decoction).
Shengdi (Rehmanniae Radix, 1.5 liang) Zhike (Aurantii Fructus) Qianghuo (Notopterygii Rhizoma et Radix) Sangbaipi (Mori Cortex, 1 liang) Cishi (Magnetitum, crushed, washed in water 30-20 times until red sweat is gone, 2 liang)
Gancao (Licorice Root) Fangfeng (Saposhnikoviae Radix) Huangqin (Scutellariae Radix) Mutong (Akebiae Caulis) (Each half liang)
Grind into coarse powder. Take 4 qian each time, decoct in water, remove dregs. Take 2-3 times daily, anytime.
[Zhu Zhenheng] Jiangxie San (Ginger and Scorpion Powder) treats deafness caused by Kidney deficiency, curable with one dose even if present for ten years. (From Du Ren's formula.)
Ganxie (Dried Scorpion, 49 pieces, remove cocoon, wash and dry, dispel wind-heat) Shengjiang (Fresh Ginger, 49 slices the size of scorpions, resolve phlegm)
Stir-fry the above two ingredients in a silver or ceramic vessel until dry, grind into fine powder. Do not eat in the evening. At night, mix with wine as one dose. By the second watch (9-11 PM), drink slowly to capacity. By the fifth watch (3-5 AM), hear the sound of hundreds of sheng pipes playing, and hearing will return. (Another method: Drink a cup of strong scallion white decoction at the fifth watch. Take Heixi Dan (Black Tin Pill) two days prior. Effective. Another method: Stir-fry scorpions with half a sheng of glutinous rice first. Then place 49 ginger slices on top of scorpions and stir-fry together. Discard rice and ginger.)
[From *Qianjin Fang*] Treats deafness. Use 3 sheng of wine to soak 2 sheng of Mujingzi (Vitex fruit), crush them, soak for seven days, remove dregs. Drink freely until finished. Even if present for thirty years, it will heal.
[From *Suwen*] Southern Red Color enters and communicates with the Heart, opens into the Ear, and stores Essence in the Heart. (*Jinkui Zhenyan Lun*)
Treat Kidney deficiency cold with Weishen San (Roasted Kidney Powder) and Congrong Wan (Cistanche Pill). (See Deficiency-Excess section.)
There are four types of Luck-based (Yunqi) deafness:
First, Dampness pathogen damages Kidney and Triple Burner causing deafness. The Classics state: When Taiyin is in the fountain position, excessive dampness causes people to suffer from deafness, muffled hearing; treat with bitter-hot herbs.
Second, Dryness pathogen damages Liver causing deafness. The Classics state: When the year is excessive, Dryness Qi prevails, Liver Wood suffers evil, people suffer from deafness and inability to hear.
Third, Fire pathogen damages Lung causing deafness. The Classics state: When Year Fire is excessive, hot summer prevails, Lung Metal suffers evil, people suffer from deafness.
Fourth, Wind and Fire flare up disturbing the upper body causing deafness. The Classics state: When Shaoyang governs Heaven's policy, wind and heat distribute together, clouds and things boil, people suffer from deafness and blindness. During the third Qi period, hot summer arrives, people suffer from middle heat, deafness, and blindness; treat with cold agents.
[From *Bencao Gangmu*] Treats deafness. Use one rat gallbladder, drip into the ear three times. Immediate effect.
[From *Shengzhifang*] Treats deafness, immediate effect. Put dried Earthworm (Di Long) with salt into the tail of a green onion, extract the water, and drip into the ear.
[From *Qianjin Fang*] Treats deafness. Wrap Snake Grease in cotton and insert into the ear. Divine effect.
[Worldly Transmission] Treats long-standing deafness.
Jinci Shi (Compact Magnetite, bean-sized) Chanshanjia (Pangolin Scale, burned to retain character, ground into powder, 1 zi)
Wrap the above in new cotton, insert into the affected ear. Hold a little raw iron in the mouth. When a wind/rain sound is felt in the ear, it heals. Gancao (Licorice Root) and Gansui (Kansui Radix), each half cun, wrapped in cotton, inserted into the ear. Also chew Gancao root. Immediately unblocks. Wonderful.
[Luo Qianfu] Tongshen Dan (Spirit-Unblocking Pill) treats deafness.
awei (Ferulae Resina) Badouren (Crotonis Fructus Seed, 7 pieces) Anshixiang (Benzoin Resin) Sangbaipi (Mori Cortex) (Each 1.5 qian) Zhusha (Cinnabar, 5 fen) Dasuan (Garlic) Bamazi Ren (Ricini Semen, 7 pieces)
Grind into fine powder. Mash the two seeds and garlic together into a paste, form pills the size of date pits. Use one pill each time, wrap in cotton, insert into ear. Remove if slight pain occurs.
[Worldly Transmission] Treats deafness unresponsive to long-term treatment.
One clove of garlic, dig a pit in one end. Place one peeled Croton seed (Badou) inside. Slowly roast to remove extreme heat. Insert into the garlic pit. Wrap tightly in new cotton and insert into the ear. Not more than three times needed for effect.
Treat deafness. Fifty Bamazi Ren (Ricini Semen), peeled. One date. Mash together into pills the size of date pits. Mix with infant breast milk. Use one pill each time, wrap in cotton, insert into ear. Stop when heat is felt. Change once daily.
[From *Qianjin Fang*] Treats deafness. Cut Gusuibu (Drynariae Rhizoma) into thin strips. Roast in fire and insert into ear while hot. (Materia Medica states: Gusuibu breaks blood and treats fractures with miraculous effect.)
[From *Waitai Miyao*] Treats deafness. Take seven Apricot Seeds (Xingren), remove skin, crush into three parts. Wrap in cotton. Place a salt grain the size of a small bean inside. Steam in a vessel placed in a rice steamer until rice is cooked. Remove. Have patient lie on side. Squeeze oil juice from one wrap into the ear. After a while, squeeze juice from the second wrap using the same method.
[Worldly Transmission] Another formula. Drop male cat urine into the ear. Left ear gets left drop, right ear gets right drop. If cat cannot urinate, rub its teeth with ginger to induce urination.
Acupuncture has five methods for deafness:
First, select Hand-Shaoyang, Foot-Shaoyang, and Hand-Yangming. The Classics state: For deafness, select the point where the nail meets the flesh on the fourth finger of the hand. Treat hand first, then foot. It also states: The Hand-Shaoyang Sanjiao meridian, when moved, causes deafness and muffled hearing; adjust based on excess/deficiency, heat/cold, sinking/rising. It also states: Deafness without pain, select Foot-Shaoyang; deafness with pain, select Hand-Yangming. It also states: For deafness, needle Hand-Yangming. If ineffective, needle the meridian that emerges before the ear.
Second, select Hand-Yangming collateral. The Classics state: The collateral of Hand-Yangming is named Pianli, three cun from the wrist, diverging into Taiyin. Excess causes dental caries and deafness; select the divergent point. It also states: Evil invading Hand-Yangming collateral causes deafness and intermittent hearing loss. Needle one cun away from the tip of the nail on the second finger of the hand. Hearing returns immediately. If ineffective, needle the point where the nail meets the flesh on the middle finger. Hearing returns immediately. For those who do not hear intermittently, do not needle. Needle left side for right side symptoms, right for left.
Third, select Hand-Taiyang. The Classics state: Diseases generated by Hand-Taiyang meridian include deafness, yellow eyes, and swollen cheeks; adjust based on excess/deficiency, heat/cold, sinking/rising. It also states: For deafness with no hearing, select points in the ear.
Fourth, select Liver. The Classics state: Liver deficiency leads to blurred vision, inability to hear, and fearfulness. Select the meridians of Jueyin and Shaoyang. Qi rebellion causes headache, deafness and dullness, swollen cheeks. Select blood points.
Fifth, select Lung. The Classics state: Lung deficiency leads to shortness of breath, inability to take deep breaths, deafness, and dry throat. Select the blood points of Taiyin, outside Foot-Taiyang, inside Jueyin.
If there is pus in the ear, do not needle. The Classics state: Ear pain that cannot be needled indicates pus in the ear. If there is dry membrane or cerumen, the ear cannot hear.
[From *Zhu*] Treats deafness. Use a piece of Cangzhu (Atractylodis Rhizoma), 7 fen long. Sharpen one end, flatten the other. Insert the sharp end into the ear. Place moxa cone the size of chopstick head on the flat end and moxa. Seven moxa cones for mild deafness, fourteen for severe. Effective if heat is felt in the ear.
[From *Yu*] Deafness, tinnitus, pain, itching, or stopped hearing: Tinghui (In the depression in front of the tragus, needle after holding a ruler in mouth, insert 0.5 cun, reduce eight inhalations) Yifeng (Insert 0.5 cun, reduce seven inhalations) Hegu Zusanli (Reduce)
[From *Zhai*] Another method: Yifeng (In the depression behind the ear, press to draw sensation into ear. Ask patient to bite 24 coins, lie on side, needle through mouth, ask patient to shake head with closed mouth, anger Qi exits from ear) Tinghui (Method as above.)
[Worldly Transmission] Another method: Zhongzhu Linqi.
[From *Jia Yi Jing*] Deafness, bilateral temporal pain, Zhongzhu governs. Ears muffled and unable to hear, Waiguan governs. Heavy head, chin pain, radiating to ear with mumbling noise, He governs. Deafness, ear feels like wind, Tinghui governs. Deafness, filled and unable to hear, mumbling like cicadas, Tinggong governs. Deafness, Yifeng and Huizhong lower void governs. Deafness, noisy and unable to hear, Tianrong governs. Deafness, ear blocked, Hegu governs. Deafness with no hearing, Tianchuang governs.
[From *Mai Jing*] If disease is deafness, but pulse is floating, large, and choppy, death ensues. (*Qianjin Yi* states: Large pulse indicates survival; sinking, reverse, and fine pulse indicates difficult treatment.)
When Shaoyang ends, there is deafness, all joints relax completely, and eye connections sever. (Full text see Diagnosing Death/Life.)