风耳因肾脉虚而邪气乘之风入于耳经气痞塞而不宣谓之风聋宜用 芎辛散 清神散
耳因风热相搏与津液结聚成核塞于耳中令人暴聋宜用 清上祛风散 红绵散
脓耳因热气乘虚随脉入耳热聚不散常有脓水流出宜用 清上聪明散 蔓荆子散 犀角饮
子红绵散
气聋因肝气冲逆郁而不散耳内有声宜用 通气散 和剂流气饮 益气聪明散 龙荟丸
肾虚耳聋因色欲过度损伤精气阴水大亏 宜用 益气汤 苁蓉丸 菖蒲丸 地黄丸 补
肾丸
热聋因痰火风热膈间不和冲上攻耳令人肿痛宜用滚痰丸 清上祛风散 定志豁痰汤
治风耳虚鸣
白芷 苍术 陈皮 石菖蒲 细辛 浓朴 半夏 紫苏 官桂 木通 甘草 川芎
水二钟姜三片葱白二寸煎八分食后服
治风气上攻头目不清耳常重聪
甘菊花 僵蚕（各五钱） 羌活 荆芥 木通 防风（各四两） 木香（一钱） 石菖
蒲甘
草（
上为末每服二钱用茶清调下
治上焦耳鸣而聋及出脓水
甘草 升麻 木通 赤芍药 桑皮 麦门冬 前胡 生地黄 赤茯苓 菊花 蔓荆子
水二钟姜三片枣一枚煎八分不拘时服
风耳是由于肾脉虚弱，邪气乘虚而入，风气侵入耳经，导致气机痞塞、宣通不利，称为风聋。适宜使用芎辛散、清神散。
耳部因风热相互搏结，与津液凝聚成核，阻塞于耳中，使人突然耳聋。适宜使用清上祛风散、红绵散。
脓耳是由于热气乘虚随经脉入耳，热邪聚集不散，常有脓水流出。适宜使用清上聪明散、蔓荆子散、犀角饮、子红绵散。
气聋是由于肝气冲逆，郁结不散，耳内有声响。适宜使用通气散、和剂流气饮、益气聪明散、龙荟丸。
肾虚耳聋是由于色欲过度，损伤精气，阴水大亏。适宜使用益气汤、苁蓉丸、菖蒲丸、地黄丸、补肾丸。
热聋是由于痰火、风热在膈间不和，向上冲攻耳部，令人肿痛。适宜使用滚痰丸、清上祛风散、定志豁痰汤。
治疗风耳虚鸣：
白芷、苍术、陈皮、石菖蒲、细辛、浓朴、半夏、紫苏、官桂、木通、甘草、川芎。
用水二钟，生姜三片，葱白二寸，煎至八分，饭后服用。
治疗风气上攻，头目不清，耳常重听不明：
甘菊花、僵蚕（各五钱）、羌活、荆芥、木通、防风（各四两）、木香（一钱）、石菖蒲、甘草。
以上药物研为末，每次服用二钱，用茶汁调服。
治疗上焦耳鸣耳聋及流出脓水：
甘草、升麻、木通、赤芍药、桑皮、麦门冬、前胡、生地黄、赤茯苓、菊花、蔓荆子。
用水二钟，生姜三片，大枣一枚，煎至八分，不拘时候服用。
治疗风热上攻，耳内聋闭、肿痛、流脓出血：
犀角屑、石菖蒲、甘菊花、赤芍药、赤小豆、玄参、木通、甘草。
用水二钟，生姜三片，煎至八分，饭远时服用。
Wind ear is caused by the deficiency of the Kidney meridian, allowing pathogenic factors to take advantage of the weakness. Wind qi invades the ear meridian, causing Qi stagnation and obstruction, leading to impaired unblocking; this is termed wind deafness (Feng Long). It is suitable to use Xiongxin San (Xiongsin Powder) and Qingshen San (Qingshen Powder).
Deafness in the ear occurs when wind-heat contend with each other and condense with body fluids into nodules that block the ear canal, causing sudden deafness. It is suitable to use Qing Shang Qu Feng San (Qingshang Qufeng Powder) and Hongmian San (Hongmian Powder).
Purulent ear disease (Nong Er) occurs when heat pathogens invade the ear via the meridians due to deficiency, where heat gathers and does not dissipate, often resulting in the discharge of purulent fluid. It is suitable to use Qing Shang Cong Ming San (Qingshang Congming Powder), Man Jing Zi San (Manjingzi Powder), Xi Jiao Yin (Xi Jiao Decoction), and Zi Hongmian San (Zi Hongmian Powder).
Qi deafness (Qi Long) is caused by the counterflow and depression of Liver Qi, which fails to dissipate, resulting in sounds within the ear. It is suitable to use Tong Qi San (Tongqi Powder), He Ji Liu Qi Yin (Heji Liqi Decoction), Yi Qi Cong Ming San (Yiqi Congming Powder), and Long Hui Wan (Longhui Pill).
Kidney deficiency deafness is caused by excessive sexual activity damaging essence and Qi, leading to a severe depletion of Yin water. It is suitable to use Yi Qi Tang (Yiqi Decoction), Cong Rong Wan (Congrong Pill), Chang Pu Wan (Changpu Pill), Di Huang Wan (Dihuang Pill), and Bu Shen Wan (Bushen Pill).
Heat deafness is caused by phlegm-fire and wind-heat disrupting harmony in the diaphragm region, rushing upward to attack the ears, causing swelling, pain, and deafness. It is suitable to use Gun Tan Wan (Guntan Pill), Qing Shang Qu Feng San (Qingshang Qufeng Powder), and Ding Zhi Huo Tan Tang (Dingzhi Huotan Decoction).
Treating wind ear with deficiency tinnitus:
Angelicae Dahuricae Radix (Baizhi), Atractylodis Rhizoma (Cangzhu), Citri Reticulatae Pericarpium (Chenpi), Acori Tatarinowii Rhizoma (Shichangpu), Asari Radix et Rhizoma (Xixin), Magnoliae Officinalis Cortex (Noufu), Pinelliae Rhizoma Preparatum (Banxia), Perillae Folium (Zisu), Cinnamomi Cortex (Guigui), Akebiae Caulis (Mutong), Glycyrrhizae Radix et Rhizoma (Gancao), Ligustici Chuanxiong Rhizoma (Chuanxiong).
Use two zhong of water, three slices of fresh ginger, and two cun of scallion white. Decoct until reduced to eight parts. Take after meals.
Treating wind-qi attacking upward, causing unclear head and eyes, and heavy/hearing-impaired ears:
Chrysanthemi Flos (Juhua), Bombyx Batryticatus (Jiangcan) (each 5 qian), Notopterygii Rhizoma et Radix (Qianghuo), Schizonepetae Spica (Jingjie), Akebiae Caulis (Mutong), Saposhnikoviae Radix (Fangfeng) (each 4 liang), Aquilariae Lignum Resinatum (Muxiang) (1 qian), Acori Tatarinowii Rhizoma (Shichangpu), Glycyrrhizae Radix et Rhizoma (Gancao).
Grind the above into powder. Take 2 qian per dose, mixed with tea infusion.
Treating upper jiao tinnitus and deafness with purulent discharge:
Glycyrrhizae Radix et Rhizoma (Gancao), Cimicifugae Rhizoma (Shengma), Akebiae Caulis (Mutong), Paeoniae Radix Rubra (Chishao), Morus Cortex (Sangpi), Ophiopogonis Tuber (Mendong), Peucedani Radix (Qianhu), Rehmanniae Radix Recens (Shengdihuang), Poria (Chifuling), Chrysanthemi Flos (Juhua), Viticis Fructus (Manjingzi).
Use two zhong of water, three slices of fresh ginger, and one jujube. Decoct until reduced to eight parts. Take at any time.
Treating wind-heat attacking upward, causing ear blockage, deafness, swelling, pain, purulent discharge, and bleeding:
Rhinocerotis Cornu (Xijiao), Acori Tatarinowii Rhizoma (Shichangpu), Chrysanthemi Flos (Juhua), Paeoniae Radix Rubra (Chishao), Phaseoli Semen (Chixiaodou), Scrophulariae Radix (Xuanshen), Akebiae Caulis (Mutong), Glycyrrhizae Radix et Rhizoma (Gancao).
Use two zhong of water, three slices of fresh ginger. Decoct until reduced to eight parts. Take far from meals.