经谓肾开窍于耳。又谓心开窍于耳。解者谓心本开窍于舌，因舌无窍，故借窍
于耳。肺络会于耳。胆、三焦脉皆走耳前，入耳中，过耳后。胃脉上耳前，筋结耳
前。小肠、膀胱脉，俱结耳后完骨。胃之支脉亦过耳后。又《素问》谓心、肾、
肺、脾、胃五络，皆属之于耳中。又谓肝病气逆则耳聋。
耳聋，声有所蔽塞则不通，在外之蔽塞，与在内之蔽塞一也。内气本流通，何
以蔽塞？则风火痰血之为之也。在上为心肺之气，在下为肝肾之气，在中为脾胃之
气。气动而为火，火动而为风，壅于上焦，扰攘不清，则外入之声，为其所乱。若
更蒸液而痰凝，伤阴而血瘀，则耳窍蔽塞。甚则为痛为肿，结核停脓，不但聋
也。不甚则为鸣，气上出于耳而作响也。气上盛则鸣甚，不盛则鸣不甚。上焦气壅
属实，下焦气逆属虚，或阴虚而火上炎，或阳虚而火上浮也。中焦多属湿热，酒食
之所郁积也。各脏腑经脉，皆能动气生火作声，岂必拘定脉络通耳者乃然哉。此皆
言内气上壅者，若气虚下陷则亦聋。以清气自下，浊气自上，清不升则浊不降也。
更有老年精脱气衰，不能上通者，即无浊火上乱，而精气萎弱，既不上通，则窍遂
渐闭，如路久不行而茅塞也。亦有沉静之人，收视返听，精气退藏于密，而上窍亦
渐闭者，乃高寿之征也。明此义，而纷纷之说，皆一以贯之矣。耳聋治法∶热者犀
角饮子，大便秘者加大黄。壅热生风，犀角散。兼外风者，防风通圣散（见中风）。兼痰
者，滚痰丸。（见痰。）郁火，防风通圣散，加大黄酒煨，再用酒炒三次，又同各味通用
酒炒。加味逍遥散（见郁。）厥气上逆者，多见眩晕之证，沉香降气汤，苏子降气汤。甚
者吞养正丹（并见气），以镇坠之。肾水虚精脱者，必颧颊黑，六味地黄丸（见虚
损）、《本事》
地黄汤。（内有羌、防二味，为肾虚而兼受风邪也，无风邪者去之。）肾虚寒者，八味丸（
见虚损）、益肾散。
多恐为肝虚，四物汤（见血）加羌、防、柴胡、菖蒲、伏神。劳役伤，房劳伤，虚火上
炎，瘦悴昏 ，是为劳聋，益气聪明汤。耳者，宗脉之所附，脉虚而外风袭，使经
气闭塞，是为风聋，多见头痛，排风汤（见中风）、桂心散、磁石丸。气壅头目不清，清
神散。气闭不通，通气散。外治∶通神散、通耳法、追风散。甘遂半寸，绵裹插耳
中，口嚼甘草。苍术长七分，一头削尖，插耳内，一头平，安艾灸，觉耳中有热气，
效。久聋，萆麻子丸、胜金透关散。
耳鸣。经谓上气不足。又谓脑髓不足，则脑转耳鸣。皆精气虚弱之故也。王汝
言谓耳鸣甚者，多是痰火上升，又感恼怒而得。若肾虚而鸣者，其鸣不甚，当见劳
怯等证。薛立斋云∶若血虚有火，四物汤（见血）加山栀、柴胡。气虚，补中益气汤（见气）。
血气俱虚，八珍（见虚损）加柴胡。若怒而鸣，气实，小柴胡（见寒热）加芎、归、山栀；虚用
八珍加山栀。若午前甚者，阳气实，热也，小柴胡加黄连、山栀；阳气虚，补中益
气（见气）加柴胡、山栀。午后甚者，阴血虚也，四物（见血）加白术、茯苓。若肾虚火动，
哄哄然，胫酸，或痰盛作渴，必用地黄丸（见虚损）。甚者当镇坠，正元饮（见眩晕）咽黑
锡丹（见呃逆）。有热者，龙齿散。肾者，宗脉所聚，窍于耳。宗脉虚，风邪乘虚随脉入
耳，气与之搏而鸣。先用生料五苓散（见伤湿），加制枳壳、橘红、紫苏、生姜同煎，
吞青木香丸，（见气。）散邪疏风下气，续以归芎饮和养之。若更四肢抽掣痛，睡着
如打战鼓，耳内觉有风吹奇痒，黄 丸甚效。
耳肿痛生疮，鼠粘子汤、柴胡清肝饮。耳湿肿痛，凉膈散（见发热）加酒炒大黄、黄
芩，酒浸防风、荆芥、羌活。湿多，外用枯矾吹入耳中。耳湿结块，生猪脂、地
龙粪、釜下墨研末、葱汁和捏如枣核，绵裹入耳，润则换。耳干痛亦用此方。耳
痛如虫内走，蛇蜕灰吹入立愈。
耳。劳伤气血，热气乘虚入聚，则生脓汁也。内服柴胡聪耳汤、蔓荆子
散，外用红绵散。壮人积热者，玉屑无忧散送解毒雄黄丸，（并见咽喉。）下三四次效。
出脓，发灰吹之。耳脓溃烂，矾灰、铅丹吹。又方，陈皮烧灰一钱，轻粉三分，麝
五厘，吹入即干。耳出血，龙骨末吹即止。按初起忌敛涩，铅丹、矾不宜用，红棉
散亦勿用也。
耳痒。沈存中病赤目，百治不瘥，邱华问耳中痒否，痒是肾风，四生散（见中风）
二三服即瘥。如言服二次，目反大痛，更二服遂愈。以语孙和甫，孙曰∶尝见吕吉
甫目久病，服透冰丹乃瘥，透冰丹亦疗肾风也。《圣惠》云∶有耳痒直挑剔出血乃止者，
此肾虚浮毒上攻也，宜透冰丹。戒酒、面、鸡、猪之属一月，若不能戒者，
无效也。
虫入耳，生姜擦猫鼻即尿，取滴耳，虫即出。或用管入耳极力吸之。
蚁、蜈蚣入耳，生姜汁或蒜汁灌，或炙猪肉、鸡肉置耳边。苍蝇入耳，皂角子
虫研烂，生 血调灌耳中。蚤、虱入耳，菖蒲末炒，乘热棉裹着耳边。蜒蚰入耳，盐擦耳
内，或硼砂、胆矾等分为末吹，即化水。水入耳，薄荷汁点立效。耳中有物不能出，
弓弦头散处敷好胶，入耳中粘之，徐徐引出立效。百虫入耳，用茶油一滴
渗入耳内，即效而安。
经典医籍记载，肾开窍于耳。又记载心开窍于耳。解释者认为，心本开窍于舌，因舌无孔窍，故借窍于耳。肺的络脉会合于耳。胆、三焦的经脉都经过耳前，进入耳中，经过耳后。胃的经脉上行至耳前，筋结聚于耳前。小肠、膀胱的经脉，都结聚于耳后的完骨穴处。胃的支脉也经过耳后。另外《素问》记载，心、肾、肺、脾、胃五条络脉，都归属于耳中。又记载肝病气机逆乱则导致耳聋。
耳聋，是指声音受到遮蔽堵塞而不通，外部的遮蔽堵塞与内部的遮蔽堵塞是一样的道理。体内的气原本流通顺畅，为什么会发生遮蔽堵塞呢？这是由风、火、痰、血等因素造成的。在上部涉及心肺之气，在下部涉及肝肾之气，在中部涉及脾胃之气。气运动则化为火，火运动则化为风，壅滞于上焦，扰乱不清，那么外界进入的声音，就会被其扰乱。如果进一步蒸腾津液而凝结成痰，损伤阴液而导致血瘀，就会使耳窍闭塞。严重时会出现疼痛肿胀，结核停聚脓液，不仅仅是耳聋。不严重时则出现耳鸣，是气从耳中溢出而发出声响。上部气盛则鸣响严重，气不盛则鸣响轻微。上焦气壅属实证，下焦气逆属虚证，或是阴虚导致火上炎，或是阳虚导致火上浮。中焦多属于湿热，是酒食郁积所致。各个脏腑的经脉，都能动气生火发声，难道一定要拘泥于脉络通达耳朵的才会这样吗？这些都是说内气上壅的情况，如果气虚下陷也会导致耳聋。因为清气自下上升，浊气自上下降，清阳不升则浊阴不降。更有老年人精气耗脱、元气衰微，不能上达耳窍的，即使没有浊火扰乱，但精气萎弱，既然不能上通，耳窍就逐渐闭塞，就像道路久无人走而被茅草堵塞一样。也有性情沉静的人，收视返听，精气退藏于密，而上窍也逐渐闭塞的，这是高寿的特征。明白了这个道理，各种纷繁杂乱的学说，都可以一以贯之了。耳聋的治疗方法：热证用犀角饮子，大便秘结者加大黄。壅热生风，用犀角散。兼有外风者，用防风通圣散（见中风篇）。兼有痰证者，用滚痰丸（见痰篇）。郁火，用防风通圣散，加大黄酒煨，再用酒炒三次，又同各药味通用酒炒。加味逍遥散（见郁证篇）。厥气上逆者，多见眩晕症状，用沉香降气汤，苏子降气汤。严重的吞服养正丹（并见气病篇），以镇坠之。肾水虚、精气耗脱者，必见面颊颧骨发黑，用六味地黄丸（见虚损篇）、《本事方》地黄汤（内有羌活、防风两味药，是为肾虚兼受风邪，若无风邪则去掉这两味药）。肾虚寒者，用八味丸（见虚损篇）、益肾散。
多恐为肝虚，用四物汤（见血证篇）加羌活、防风、柴胡、石菖蒲、茯神。劳役损伤，房劳损伤，虚火上炎，身体瘦弱憔悴、头晕目眩，这称为劳聋，用益气聪明汤。耳者，是宗脉所依附之处，脉虚而外风侵袭，使经气闭塞，这称为风聋，多见头痛，用排风汤（见中风篇）、桂心散、磁石丸。气壅头目不清，用清神散。气闭不通，用通气散。外治法：通神散、通耳法、追风散。甘遂半寸，用绵包裹插入耳中，口嚼甘草。苍术长七分，一头削尖，插入耳内，一头平，安放艾灸，感觉耳中有热气，即见效。久聋，用萆麻子丸、胜金透关散。
耳鸣。经典医籍记载上气不足。又记载脑髓不足，则头脑旋转、耳鸣。这都是精气虚弱的缘故。王汝言认为耳鸣严重的，多是痰火上升，又感受恼怒而得病。若是肾虚而耳鸣，其鸣响不严重，应当见到劳怯等证候。薛立斋说：若是血虚有火，用四物汤（见血证篇）加山栀、柴胡。气虚，用补中益气汤（见气病篇）。气血俱虚，用八珍汤（见虚损篇）加柴胡。若是发怒而耳鸣，气实，用小柴胡汤（见寒热篇）加川芎、当归、山栀；虚证用八珍汤加山栀。若是午前严重者，阳气实，属热，小柴胡汤加黄连、山栀；阳气虚，补中益气汤（见气病篇）加柴胡、山栀。午后严重者，属阴血虚，四物汤（见血证篇）加白术、茯苓。若是肾虚火动，嗡嗡作响，小腿酸软，或痰盛口渴，必须用地黄丸（见虚损篇）。严重的当用镇坠之法，正元饮（见眩晕篇）送服黑锡丹（见呃逆篇）。有热者，用龙齿散。肾者，是宗脉聚集之处，开窍于耳。宗脉虚，风邪乘虚随脉进入耳中，气与邪相搏而鸣响。先用生料五苓散（见伤湿篇），加制枳壳、橘红、紫苏、生姜同煎，吞服青木香丸（见气病篇），以散邪疏风下气，随后用归芎饮调和滋养。若更见四肢抽搐疼痛，睡着时如打战鼓，耳内觉得有风吹且奇痒，黄柏丸非常有效。
耳肿痛生疮，用鼠粘子汤、柴胡清肝饮。耳湿肿痛，用凉膈散（见发热篇）加酒炒大黄、黄芩，酒浸防风、荆芥、羌活。湿多，外用枯矾吹入耳中。耳湿结块，用生猪脂、地龙粪、锅底墨研末、葱汁调和捏如枣核大小，用绵包裹放入耳中，湿润则更换。耳干痛也用此方。耳痛如虫在耳内爬行，用蛇蜕灰吹入立即痊愈。
耳流脓。劳伤气血，热气乘虚入聚，则产生脓汁。内服柴胡聪耳汤、蔓荆子散，外用红绵散。壮实之人积热者，用玉屑无忧散送服解毒雄黄丸（并见咽喉篇），下三四次即效。出脓，用发灰吹之。耳脓溃烂，用矾灰、铅丹吹入。又一法，陈皮烧灰一钱，轻粉三分，麝香五厘，吹入即干。耳出血，用龙骨末吹入即止。按：初起忌用收敛涩滞之品，铅丹、明矾不宜用，红棉散也不要用。
耳痒。沈存中患赤眼，多种治疗不愈，邱华问他耳中是否痒，痒是肾风，用四生散（见中风篇）二三服即愈。照此服用两次，眼睛反而剧痛，再服两次遂痊愈。将此告诉孙和甫，孙说：曾见吕吉甫眼疾久治不愈，服用透冰丹才痊愈，透冰丹也是治疗肾风的。《圣惠方》说：有耳痒直挑剔出血才停止的，这是肾虚浮毒上攻，宜用透冰丹。戒酒、面食、鸡、猪等食物一个月，如果不能戒除，则无效。
虫入耳，用生姜擦猫鼻取尿，滴入耳中，虫即出来。或用管子插入耳中极力吸出。
蚁、蜈蚣入耳，用生姜汁或蒜汁灌入，或用烤猪肉、鸡肉放在耳边。苍蝇入耳，用皂角子虫研烂，用生人血调匀灌入耳中。蚤、虱入耳，将菖蒲末炒热，趁热用棉包裹贴在耳边。蜒蚰（蜗牛/蛞蝓）入耳，用盐擦耳内，或硼砂、胆矾等分为末吹入，即化为水。水入耳，用薄荷汁点入立即见效。耳中有异物不能取出，用弓弦头散敷在好胶上，放入耳中粘住，徐徐引出立即见效。百虫入耳，用茶油一滴渗入耳内，即见效而安宁。
The classics state that the Kidney opens into the ears. It is also stated that the Heart opens into the ears. Explainers argue that the Heart originally opens into the tongue; because the tongue lacks orifices, it borrows an orifice from the ear. The collaterals of the Lung converge at the ear. The meridians of the Gallbladder and Sanjiao (Triple Burner) all pass in front of the ear, enter the ear, and pass behind the ear. The meridian of the Stomach ascends to the front of the ear, and tendons knot at the front of the ear. The meridians of the Small Intestine and Bladder both knot at the Wanggu point behind the ear. Branches of the Stomach meridian also pass behind the ear. Furthermore, the *Suwen* states that the collaterals of the Heart, Kidney, Lung, Spleen, and Stomach all belong to the middle of the ear. It also states that when Liver Qi rebels, deafness occurs.
Deafness refers to the obstruction of sound due to blockage; external blockage and internal blockage are essentially the same. Internal Qi should flow smoothly; why does it become blocked? This is caused by Wind, Fire, Phlegm, and Blood stasis. In the upper part, it involves the Qi of the Heart and Lung; in the lower part, the Qi of the Liver and Kidney; in the middle, the Qi of the Spleen and Stomach. When Qi moves, it transforms into Fire; when Fire moves, it generates Wind. If these obstruct the Upper Jiao and cause chaos, external sounds will be disturbed by them. If fluids are further steamed into Phlegm, and Yin injury leads to Blood stasis, the ear orifices become blocked. In severe cases, pain and swelling occur, with nodules forming and pus accumulating, resulting not only in deafness but also other symptoms. In milder cases, tinnitus occurs, which is sound produced by Qi escaping from the ear. When Qi is abundant in the upper body, tinnitus is severe; when not abundant, it is mild. Obstruction of Qi in the Upper Jiao belongs to Excess patterns; rebellion of Qi in the Lower Jiao belongs to Deficiency patterns, either due to Yin Deficiency causing Fire to flare upward, or Yang Deficiency causing Fire to float upward. The Middle Jiao often involves Damp-Heat, resulting from the accumulation of alcohol and food. Every organ's meridian can generate Qi, Fire, and sound; why must one strictly adhere to meridians connecting to the ear for this to happen? These statements refer to the obstruction of internal Qi rising upward. However, if Qi Deficiency causes sinking, deafness can also result. Since Clear Qi rises from below and Turbid Qi descends from above, if Clear Qi does not ascend, Turbid Qi cannot descend. Additionally, in elderly people, essence depletion and Qi decline prevent upward transmission. Even without turbid Fire disturbing, the withering of essence and Qi prevents upward passage, causing the orifices to gradually close, like a path overgrown with weeds due to disuse. There are also tranquil individuals who withdraw their senses and store their essence deeply; their upper orifices may gradually close, which is a sign of longevity. Understanding this principle unifies various conflicting theories. Treatment methods for deafness: For Heat patterns, use Xijiao Yinzi (Rhinoceros Horn Decoction); if constipated, add Dahuang (Rhubarb). For obstructive Heat generating Wind, use Xijiao San (Rhinoceros Horn Powder). If accompanied by external Wind, use Fangfeng Tongsheng San (Saposhnikovia Decoction to Unblock the Hinderance) (see Stroke chapter). If accompanied by Phlegm, use Guntan Wan (Rolling Phlegm Pill) (see Phlegm chapter). For Stagnant Fire, use Fangfeng Tongsheng San, adding Dahuang stewed in wine, then stir-fried three times in wine, and finally stir-fried with other herbs in wine. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (see Stagnation chapter). For rebellious Jue Qi, often presenting with vertigo, use Chenxiang Jiangqi Tang (Aucklandia Descending Qi Decoction) or Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction). In severe cases, swallow Yangzheng Dan (Nourishing Righteousness Pill) (see Qi disorders chapter) to anchor and sink. For Kidney Water Deficiency and essence depletion, characterized by blackening of the cheekbones, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (see Deficiency and Damage chapter) or Dihuang Tang from *Ben Shi Fang* (Rehmannia Decoction from the Capable Formulas), which contains Qianghuo (Notopterygium) and Fangfeng (Saposhnikovia) for Kidney Deficiency complicated by Wind-Evil; remove these if no Wind-Evil is present. For Kidney Deficiency Cold, use Bawei Wan (Eight-Ingredient Pill) (see Deficiency and Damage chapter) or Yishen San (Kidney-Nourishing Powder).
Suspecting Liver Deficiency, use Siwu Tang (Four Substances Decoction) (see Blood chapter) plus Qianghuo, Fangfeng, Chaihu (Bupleurum), Shichangpu (Acorus), and Fushen (Poria with Hostwood). For damage from labor or sexual excess, with Deficient Fire flaring up, emaciation, and dizziness, termed "Labor Deafness," use Yiqi Congming Tang (Qi-Nourishing Brightening Decoction). The ear is where the Zong Mai (Gathering Vessels) attach. If vessels are deficient and external Wind attacks, blocking meridian Qi, it is termed "Wind Deafness," often accompanied by headache. Use Paifeng Tang (Wind-Expelling Decoction) (see Stroke chapter), Guixin San (Cinnamon Heart Powder), or Cishi Wan (Magnetite Pill). For Qi obstruction causing unclear head and eyes, use Qingshen San (Spirit-Clearing Powder). For Qi closure preventing flow, use Tongqi San (Unblocking Qi Powder). External treatments: Tongshen San (Spirit-Unblocking Powder), Tong'er Fa (Ear-Unblocking Method), Zhuifeng San (Wind-Chasing Powder). Gan Sui (Kansui Root), half a cun, wrapped in cotton and inserted into the ear, while chewing Gancao (Licorice). Cangzhu (Atractylodes Rhizome), seven fen long, sharpened at one end for insertion, flat at the other for moxibustion; effective when heat is felt in the ear. For chronic deafness, use Bimazi Wan (Euphorbia Seed Pill) or Shengjin Touguan San (Gold-Overcoming Unblocking Powder).
Tinnitus. The classics state insufficient Qi on top. Also, insufficiency of Brain Marrow causes dizziness and tinnitus. Both are due to weakness of essence and Qi. Wang Ruyan states that severe tinnitus is mostly due to Phlegm-Fire ascending, combined with anger. If tinnitus is due to Kidney Deficiency, the ringing is mild, accompanied by signs of consumption. Xue Lizhai says: If Blood Deficiency with Fire, use Siwu Tang plus Zhizi (Gardenia) and Chaihu. If Qi Deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If both Qi and Blood are deficient, use Bazhen Tang (Eight Treasures Decoction) plus Chaihu. If anger-induced tinnitus indicates Qi Excess, use Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Xiong (Ligusticum) and Gui (Angelica); for Deficiency, use Bazhen Tang plus Zhizi. If worse in the morning, Yang Qi is Excess and Hot; use Xiao Chaihu Tang plus Huanglian (Coptis) and Zhizi; if Yang Qi is Deficient, use Buzhong Yiqi Tang plus Chaihu and Zhizi. If worse in the afternoon, Yin Blood is Deficient; use Siwu Tang plus Baizhu (Atractylodes Macrocephala) and Fuling (Poria). If Kidney Deficiency with Fire stirring, causing buzzing sounds and sore calves, or excessive phlegm with thirst, Dihuang Wan (Rehmannia Pill) is essential. In severe cases, use anchoring methods: Zhengyuan Yin (Origin-Supporting Drink) swallowing Heixi Dan (Black Tin Pill). For Heat, use Longchi San (Dragon Bone Powder). The Kidney is where Zong Mai gather, opening into the ears. If Zong Mai are deficient, Wind-Evil enters the ear along the vessels, and Qi struggles with the pathogen causing tinnitus. First use Shengliao Wuling San (Raw Formula Five-Ling Powder) plus Zhi Zhike (Prepared Aurantium), Juhong (Citrus Peel), Zisu (Perilla), and Shengjiang (Fresh Ginger) decocted together, swallowing Qingmuxiang Wan (Aquilaria Pill) to dispel pathogens, diffuse Wind, and direct Qi downward. Follow with Guixiong Yin (Angelica and Ligusticum Drink) to harmonize and nourish. If accompanied by limb spasms and pain, shivering during sleep, and wind-like itching in the ear, Huangbo Wan (Phellodendron Pill) is very effective.
For swollen, painful ears with sores, use Niubangzi Tang (Arctium Decoction) or Chaihu Qinggan Yin (Bupleurum Liver-Clearing Drink). For damp-swollen painful ears, use Liangge San (Cool the Chest Powder) plus wine-fried Dahuang and Huangqin (Scutellaria), wine-soaked Fangfeng, Jingjie (Schizonepeta), and Qianghuo. If Dampness is heavy, blow Gufan (Alum) into the ear externally. For damp masses in the ear, mix fresh pig fat, earthworm feces, soot from the pot bottom, and scallion juice into a date-seed-sized ball, wrap in cotton, and insert; replace if wet. This formula is also used for dry painful ears. For ear pain feeling like insects crawling, blow Shed Snake Ash for immediate relief.
Ear discharge (Otorrhea). Damage to Qi and Blood allows Heat to enter and accumulate, producing pus. Internally take Chaihu Cong'er Tang (Bupleurum Ear-Brightening Decoction) or Manjingzi San (Vitex Powder). Externally apply Hongmian San (Red Cotton Powder). For robust individuals with accumulated Heat, send down Jiedu Xionghuang Wan (Detoxifying Realgar Pill) using Yuxie Wuyou San (Jade Dust Carefree Powder) as a vehicle; 3-4 bowel movements indicate efficacy. For pus discharge, blow Hair Ash. For ulcerated ear pus, blow Fanhui (Alum Ash) and Qiandan (Lead Tetroxide). Another method: burn Chenpi (Tangerine Peel) to ash (1 qian), mix with Qingfen (Calomel, 3 fen) and Shexiang (Musk, 5 li), and blow in to dry immediately. For ear bleeding, blow Longgu Ash (Dragon Bone) to stop it. Note: At onset, avoid astringents; do not use Qiandan or Alum, nor Hongmian San.
Ear Itch. Shen Cunzhong suffered from red eyes unresponsive to treatment. Qiu Hua asked if his ears itched; itch indicates Kidney Wind. Two to three doses of Sisheng San (Four Freshs Powder) cured him. After two doses, his eyes hurt severely; after two more, he was cured. Sun Hefu said: Lü Jifu had chronic eye disease cured by Toubing Dan (Ice-Penetrating Pill), which also treats Kidney Wind. *Shenghui Fang* states: Some have ear itch stopping only after picking until bleeding; this is Floating Toxin attacking upward due to Kidney Deficiency, suitable for Toubing Dan. Abstain from alcohol, wheat products, chicken, and pork for one month; otherwise, ineffective.
Insect in Ear. Rub cat's nose with fresh ginger to collect urine, drip into ear to expel insect. Or use a tube to suction out.
Ants/Centipedes in Ear. Pour ginger juice or garlic juice, or place roasted pork/chicken near the ear. Fly in Ear. Grind soap bean insect, mix with human blood, and drip into ear. Fleas/Lice in Ear. Stir-fry Acorus powder, wrap in hot cotton, and press against ear. Slug/Snail in Ear. Rub ear with salt, or blow equal parts Borax and Chalcanthite powder to dissolve it. Water in Ear. Drip mint juice for immediate effect. Foreign Body in Ear. Apply good glue to the tip of a bowstring, insert into ear to stick to object, and slowly pull out. Hundred Insects in Ear. Drip one drop of tea oil into ear for immediate relief.