《素问》阴阳应象大论曰∶肾主耳，在窍为耳。《灵枢》脉度篇曰∶肾气通于耳。
肾和，则耳能闻五音矣。五阅五使篇曰∶耳者，肾之官也。金匮真言又曰∶南方赤
色，入通于心，开窍于耳。是耳一也，为两脏共开之窍，岂非心肾交通，水火相济
之义乎？若二脏不和，虚实寒热，皆能上致耳疾。即经络之过于耳者，亦皆能作疾。
如《灵枢》经脉篇曰∶小肠手太阳之脉，入耳中，其病耳聋。三焦手少阳之脉，从
耳后，入耳中，出走耳前，其病耳聋浑浑 。大肠手阳明之别脉，入耳，合宗脉，实则龋聋。
口问篇曰∶耳中，宗脉之所聚也。胃中空，则宗脉虚。虚则下溜而脉竭，故上虚而鸣。选方四首。
清神散 治风气壅上，头目不清，耳常重听。
僵蚕 菊花（各一两） 荆芥 羌活 木通 川芎 香附 防风 菖蒲 甘草（各二钱）
为末。每三钱，食后临卧茶清下。
磁石汤 治肾虚耳聋，面黑，饥不欲食，腰胁背痛。
磁石 五味子 杜仲 白术 白石英（各二钱） 黄 白茯苓（各一钱）
水煎服。
益肾散 治肾虚耳聋。
磁石 巴戟 沉香 菖蒲 川椒（各一两）
为末。每二钱，用猪肾一枚，细切，和以葱、盐并药，用湿纸十重包裹，煨熟。空心细嚼，酒下。
犀角饮子 治风热上壅，耳聋肿痛，脓水流出。
犀角 菖蒲 木通 玄参 赤芍药 赤小豆 甘菊花（各五分） 甘草（二分半）
姜煎，温服。
《素问·阴阳应象大论》中说：肾主宰耳朵，在体窍中表现为耳。《灵枢·脉度篇》说：肾气通达于耳。
肾气调和，那么耳朵就能听到五音了。《灵枢·五阅五使篇》说：耳是肾的外候官窍。《素问·金匮真言论》又说：南方赤色，内通于心，开窍于耳。这样看来，耳这一个器官，却是心、肾两脏共同开窍之处，这难道不是体现了心肾相交、水火既济的道理吗？如果心、肾两脏不和，无论是虚证、实证、寒证、热证，都能向上导致耳部疾病。即使是经过耳朵的经络，也都能引发疾病。
如《灵枢·经脉篇》说：手太阳小肠经的经脉，进入耳中，其病症为耳聋。手少阳三焦经的经脉，从耳后进入耳中，走出耳前，其病症为耳聋且声音浑浊不清。手阳明大肠经的别络，进入耳中，与宗脉相合，实证时会出现龋齿和耳聋。
《灵枢·口问篇》说：耳中，是宗脉汇聚的地方。胃气空虚，则宗脉虚弱。虚弱则气血下溜而脉气衰竭，所以上部空虚而出现耳鸣。此处选取方剂四首。
清神散：治疗风气壅滞上行，头目昏沉不清爽，耳朵经常听力减退（重听）。
药材：僵蚕、菊花（各一两）；荆芥、羌活、木通、川芎、香附、防风、石菖蒲、甘草（各二钱）。
制法用法：研为细末。每次服用三钱，饭后临睡前用茶汁送服。
磁石汤：治疗肾虚导致的耳聋，面色发黑，饥饿但不想进食，腰胁及背部疼痛。
药材：磁石、五味子、杜仲、白术、白石英（各二钱）；黄芪、白茯苓（各一钱）。
制法用法：加水煎煮后服用。
益肾散：治疗肾虚导致的耳聋。
药材：磁石、巴戟天、沉香、石菖蒲、川椒（各一两）。
制法用法：研为细末。每次服用二钱，取猪肾一枚，切成细丝，加入葱、盐和药末混合，用十层湿纸包裹，煨熟。空腹细细咀嚼，用酒送服。
犀角饮子：治疗风热上壅，耳聋肿痛，有脓水流出。
药材：犀角、石菖蒲、木通、玄参、赤芍药、赤小豆、甘菊花（各五分）；甘草（二分半）。
制法用法：加生姜煎煮，温服。
The *Yin Yang Ying Xiang Da Lun* (Great Treatise on Yin and Yang Corresponding to Images) of the *Su Wen* (Basic Questions) states: The Kidney governs the ear, manifesting as the orifice of the ear. The *Mai Du Pian* (Chapter on Pulse Lengths) of the *Ling Shu* (Spiritual Pivot) states: Kidney Qi connects with the ear. When Kidney Qi is harmonious, the ear can perceive the five tones. The *Wu Yue Wu Shi Pian* (Chapter on Five Observations and Five Orifices) states: The ear is the official organ of the Kidney. The *Jin Gui Zhen Yan* (True Words of the Golden Casket) further states: The red color of the South enters into communication with the Heart, opening at the orifice of the ear. Thus, although it is one organ, the ear serves as the shared orifice for two Zang organs; does this not embody the principle of the interaction between Heart and Kidney, and the mutual assistance of Water and Fire? If these two organs are not in harmony, whether due to deficiency, excess, cold, or heat, all can lead upward to cause ear diseases. Even the meridians that pass through the ear can give rise to pathology. For instance, the *Jing Mai Pian* (Chapter on Meridians) of the *Ling Shu* states: The meridian of the Hand-Taiyang Small Intestine enters the middle of the ear; its disease is deafness. The meridian of the Hand-Shaoyang Sanjiao (Triple Burner) goes from behind the ear, enters the middle of the ear, and emerges anterior to the ear; its disease is deafness with a muffled sensation. The collateral branch of the Hand-Yangming Large Intestine enters the ear and joins the Zong Mai (Gathering Vessels); in excess conditions, it causes toothache and deafness. The *Kou Wen Pian* (Chapter on Questions of the Mouth) states: The middle of the ear is where the Zong Mai gather. When the Stomach is empty, the Zong Mai become deficient. Deficiency leads to downward sinking and exhaustion of the vessels, thus causing tinnitus due to upper deficiency. Four selected formulas are presented below.
Qingshen San (Clear Spirit Powder): Treats wind-pathogen stagnating and ascending, causing cloudiness of the head and eyes, and persistent hearing loss (heavy hearing).
Ingredients: Biancan (Bombyx Batryticatus), Juhua (Chrysanthemi Flos) (each 1 liang); Jingjie (Schizonepetae Spica), Qianghuo (Notopterygii Rhizoma et Radix), Mutong (Akebiae Caulis), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiangfu (Cyperi Rhizoma), Fangfeng (Saposhnikoviae Radix), Shichangpu (Acori Tatarinowii Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Preparation and Administration: Pulverized into powder. Take 3 qian each time, administered after meals and before sleep with clear tea water.
Cishi Tang (Magnetite Decoction): Treats deafness due to Kidney deficiency, dark complexion, hunger without desire to eat, and pain in the waist, hypochondrium, and back.
Ingredients: Cishi (Magnetitum), Wuweizi (Schisandrae Chinensis Fructus), Duzhong (Eucommiae Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Bai Shiy ing (Quartzum Album) (each 2 qian); Huangqi (Astragali Radix), Baifuling (Poria) (each 1 qian).
Preparation and Administration: Decocted in water and taken orally.
Yishen San (Benefit Kidney Powder): Treats deafness due to Kidney deficiency.
Ingredients: Cishi (Magnetitum), Bajitian (Morindae Officinalis Radix), Chenxiang (Aquilariae Lignum Resinatum), Shichangpu (Acori Tatarinowii Rhizoma), Chuanjiao (Zanthoxyli Pericarpium) (each 1 liang).
Preparation and Administration: Pulverized into powder. Take 2 qian each time. Use one pig kidney, finely sliced, mixed with scallion, salt, and the medicine. Wrap tightly in ten layers of wet paper and bake until cooked. Chew thoroughly on an empty stomach and swallow with wine.
Xijiao Yinzi (Rhino Horn Infusion): Treats wind-heat stagnating and ascending, causing deafness, swelling, pain, and discharge of pus.
Ingredients: Xijiao (Rhinocerotis Cornu), Shichangpu (Acori Tatarinowii Rhizoma), Mutong (Akebiae Caulis), Xuanshen (Scrophulariae Radix), Chi Shaoyao (Paeoniae Radix Rubra), Chixiaodou (Phaseoli Semen Rubrum), Gan Juhua (Chrysanthemi Indici Flos) (each 5 fen); Gancao (Glycyrrhizae Radix et Rhizoma) (2.5 fen).
Preparation and Administration: Decocted with ginger, taken warm.