〔丹〕金尚五郎耳肿痛,黄水出而臭。
桔梗 麻黄 羌活 大黄(酒炒,二钱) 木通 甘草 黄芩(一钱半)
上分三帖,热服。
耳湿肿痛,用凉膈散加酒炒大黄、黄芩、酒浸防风、荆芥、羌活服之。更以脑多麝少,湿加枯矾,吹入耳
中。
〔严〕犀角饮子 治风热上壅,两耳聋闭,门外肿痛,及脓水流出。
犀角(镑) 菖蒲 木通 玄参 赤芍 赤小豆 甘菊花(去梗。各一两) 甘草(半两,炙)
上 咀,每服四钱,用水二盏,生姜五片,煎八分,温服,不拘时。
〔无〕解热饮子 治气虚热壅,耳内聋闭彻痛,脓血流出。
赤芍 白芍(各半两) 当归 甘草(炙) 大黄(蒸) 木鳖子
上为锉散,每服四钱,水一盏,煎七分,食后临卧服。(详此方乃清凉饮子加木鳖也。)
运气耳痛皆属热。经云∶少阳之胜,耳痛,治以辛寒是也。
〔罗〕菖蒲挺子 治耳中痛。
菖蒲(一两) 附子(炮,去皮脐,半两)
上为细末,每用不以多少,油调滴耳内,效。一法用醋丸如杏仁大,绵裹置耳中,日三易。一法
捣菖蒲自然汁灌耳,神效。
又方 治耳痛。用食盐不以多少,炒热,用枣面蒸熟,青花布包定枕之,立效如神。
〔世〕又用油胡桃肉为末,狗胆汁和为丸,如桐子大。绵裹安耳中,痛立止。
〔《肘》〕疗耳内卒肿痛,出脓水不止方。矾石烧灰,加麝香,以笔管吹耳内,日三四度。
【丹溪】金尚五郎耳部肿痛,流出黄色脓水且气味臭秽。
桔梗 麻黄 羌活 大黄(酒炒,二钱) 木通 甘草 黄芩(一钱半)
以上药物分为三帖,热服。
耳部湿邪导致的肿痛,使用凉膈散加酒炒大黄、黄芩、酒浸防风、荆芥、羌活服用。再用脑麝(麝香为主,配少量冰片),若湿气重则加枯矾,研末吹入耳中。
【严用和】犀角饮子 治疗风热上壅,导致两耳闭塞不通,耳外肿痛,以及脓水流出。
犀角(镑片) 石菖蒲 木通 玄参 赤芍 赤小豆 甘菊花(去梗,各一两) 甘草(半两,炙)
以上药物切碎,每次服用四钱,用水二盏,生姜五片,煎至八分,温服,不拘时间。
【无名字医/或指某家】解热饮子 治疗气虚热壅,耳内聋闭并彻骨疼痛,脓血流出。
赤芍 白芍(各半两) 当归 甘草(炙) 大黄(蒸) 木鳖子
以上药物锉成散剂,每次服用四钱,水一盏,煎至七分,饭后临睡前服用。(详细考证此方乃清凉饮子加木鳖子而成。)
运气学说认为耳痛多属热证。《内经》云:少阳相火偏胜,会导致耳痛,治疗应用辛寒之法,正是此理。
【罗天益】菖蒲挺子 治疗耳中疼痛。
石菖蒲(一两) 附子(炮制,去皮脐,半两)
以上药物研为细末,每次用量不限,用油调匀滴入耳内,有效。另一种方法是用醋将药制成如杏仁大小的丸剂,用棉包裹置于耳中,每日更换三次。还有一种方法是捣取石菖蒲自然汁灌入耳中,效果极佳。
又一方 治疗耳痛。用食盐适量,炒热后,用枣面蒸熟,用青花布包好枕在头下,立即见效,神效。
【世传方】又用胡桃仁肉研为末,与狗胆汁混合制成丸剂,如梧桐子大小。用棉包裹放入耳中,疼痛立即停止。
[Danxi] Jin Shangwulang suffered from swelling and pain in the ears, with foul-smelling yellow discharge.
Platycodonis Radix (Jiegeng), Ephedrae Herba (Mahuang), Notopterygii Rhizoma et Radix (Qianghuo), Rhei Radix et Rhizoma (Dahuang, stir-fried with wine, 2 qian), Akebiae Caulis (Mutong), Glycyrrhizae Radix et Rhizoma (Gancao), Scutellariae Radix (Huangqin, 1.5 qian).
Divide into three doses, take hot.
For ear swelling and pain due to dampness, use Liangge San (Cooling the Diaphragm Decoction) added with Dahuang stir-fried with wine, Huangqin, Fangfeng soaked in wine, Jingjie, and Qianghuang taken orally. Additionally, mix Muscone (Nao She, primarily musk with a small amount of borneol); if dampness is heavy, add Alum (Kufan), grind into powder, and insufflate into the ear.
[Yan Yonghe] Xijiao Yinzi (Rhinoceros Horn Drink) treats wind-heat obstructing upwards, causing bilateral deafness and blockage, swelling and pain outside the ear, and purulent discharge.
Rhinoceri Cornu (Xijiao, sliced), Acori Tatarinowii Rhizoma (Changpu), Akebiae Caulis (Mutong), Scrophulariae Radix (Xuanshen), Paeoniae Radix Rubra (Chishao), Phaseoli Semen Adzukii (Chixiaodou), Chrysanthemi Flos (Ganjuhua, stems removed, each 1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 0.5 liang, honey-fried).
Cut the herbs finely. Each dose uses 4 qian, boiled with 2 cups of water and 5 slices of Zingiberis Rhizoma Recens (Shengjiang) until reduced to 80%. Take warm, at any time.
[Wu] Jiere Yinzi (Heat-Resolving Drink) treats qi deficiency with heat obstruction, causing deafness and blockage in the ears with piercing pain, and discharge of pus and blood.
Paeoniae Radix Rubra (Chishao), Paeoniae Radix Alba (Baishao, each 0.5 liang), Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Rhei Radix et Rhizoma (Dahuang, steamed), Strychni Semen (Mubiezi).
Grind into coarse powder. Each dose uses 4 qian, boiled with 1 cup of water until reduced to 70%. Take after meals and before bedtime. (Note: This formula is essentially Qingliang Yinzi [Cooling and Clearing Drink] plus Mubiezi.)
According to the theory of Six Qi (Yunqi), ear pain generally belongs to heat. The Classic states: "When Shaoyang (Gallbladder/Triple Burner) is excessive, it causes ear pain; treat with pungent-cold methods." This is correct.
[Luo Tianyi] Changpu Tingzi (Acorus Stick) treats pain in the ear.
Acori Tatarinowii Rhizoma (Changpu, 1 liang), Aconiti Lateralis Radix Praeparata (Fuzi, processed, skin and bud removed, 0.5 liang).
Grind into fine powder. Use an appropriate amount, mix with oil, and drip into the ear. Effective. Another method: make pills the size of almond kernels using vinegar, wrap in cotton, and place in the ear, changing three times daily. Another method: crush Changpu to extract natural juice and instill into the ear; this is miraculous.
Another prescription for treating ear pain: Use an appropriate amount of common salt, stir-fry until hot, steam with jujube paste until cooked, wrap in blue-and-white porcelain-patterned cloth, and use as a pillow. Immediate effect, miraculous.
[Worldly/Popular Prescription] Also, use walnut kernel meat ground into powder, mixed with gallbladder bile of dog to form pills the size of paulownia seeds. Wrap in cotton, place in the ear, and pain stops immediately.
[Zhouhou Beiji Fang (Handbook of Prescriptions for Emergencies)] Prescription for sudden swelling and pain in the ear with continuous purulent discharge. Calcine alum until ash, add muscone, and insufflate into the ear using a pen tube, 3-4 times daily.