阴阳之用。互合成体。有如阳窍七。奇数也。而五脏开之。则主受。阴窍二。偶
数也。而六腑输之。则主化。然阳窍中。心肺为阴中之阳。则口鼻之气。升降
往来。无形而之有形矣。肾肝为阴中之阴。则耳目之窍。虚实交参。有形而
之无形矣。故五色则目收之。五味则舌辨之。五臭则鼻吸之。五音则耳纳
之。然目之光犹外发。木中有火也。耳之聪惟内受。水性润下也。恒见肾气
足者。耳中之墨充塞。而听愈聪。肾气虚者。耳中空窍无碍。而听愈背。明乎
此理。可见少阴之气。藏于耳中。而其外蔽者。则少阳之风火。扰乱相扇。驱
其外邪斯得矣。若夫肾气不充。少阴之脉不至。惟峻补真阴。入以镇坠之
品。则气不上乱。复其司听之职。则虚而能受。如空谷之音。附应立赴矣。不
知者。妄以外导法。欲令气通。则阴内阳外。岂能越出而失其常经乎。或又
曰。心开窍于舌。寄窍于耳。凡用心过度。火为之扰。然鸣则有之。聋则未也。
究之心肾不交。水不升故火不降耳。至痰火为患。耳如蝉鸣。降气则痰下。
益水则火息。亦不越摄气归元之旨也。
一色欲损肾。六味丸入杜仲牛膝沉香黄柏枸杞磁石。
一耳中干结。耳鸣而聋。柴胡聪耳汤。
一上焦热。耳鸣而聋。及出脓汁。蔓荆子散。耳痛生疮。黍粘子汤
一停耳。耳中有脓。用桑螵蛸炒。入六味丸。
柴胡聪耳汤
连翘（四钱） 柴胡（三钱） 炙甘草 当归 人参（各一钱） 水蛭（五分炒） 虻虫（三个去壳足炒） 麝香
（少许）
上除后三味别研外。作一服。加生姜三片。水煎去渣。入三味末再煎。食远服。
蔓荆子散
甘菊 蔓荆子 桑白皮 麦门冬 生地 赤茯苓 赤芍药 前胡（各一钱） 炙甘草 升麻 木通（各三分）
姜枣水煎。
黍粘子汤
昆布 苏木 生甘草 蒲黄 龙胆草（各二分） 黍粘子 连翘 生地 炙甘草 当归 黄芩 黄连（各三分） 柴
胡黄 （各四分） 桔梗（一钱半） 桃仁（三个去皮尖） 红花（少许）
水煎。
六味丸
怀熟地（八两） 山茱萸 淮山药（各四两） 牡丹皮 泽泻 茯苓（各三两） 磁石（一两醋 七次） 沉香（五
钱） 牛膝 杜仲（盐水炒） 枸杞子（各二两） 黄柏（一两盐水炒）
为末。添炼蜜糊丸。每服三钱。青盐汤下。
阴阳的作用，相互结合构成形体。阳窍有七个，是奇数，由五脏所开，主要功能是接受外界信息；阴窍有两个，是偶数，由六腑所输注，主要功能是转化精气。然而，在阳窍中，心和肺属于阴中之阳，所以口鼻之气升降往来，将无形之气转化为有形之质。肾和肝属于阴中之阴，所以耳目的孔窍虚实交错，将有形之质转化为无形之神。因此，五色由眼睛接收，五味由舌头辨别，五臭由鼻子吸入，五音由耳朵容纳。但是，眼睛的光芒向外发散，是因为木中有火；耳朵的听力只向内接受，是因为水性润下。经常见到肾气充足的人，耳中的耵聍（耳垢）充塞，但听力反而更加灵敏；肾气虚弱的人，耳中空窍无障碍，但听力反而减退。明白了这个原理，就可以知道少阴之气藏于耳中，而外部的遮蔽则是少阳的风火扰乱、相互煽动，驱除外邪即可治愈。如果肾气不充实，少阴经脉之气不至，只有峻补真阴，加入镇潜坠逆的药物，那么气就不会上乱，恢复其主管听力的职能，就能像空谷回音一样，声音一发出立刻得到回应。不了解这个道理的人，胡乱使用外导法，想要让气通畅，那么阴在内、阳在外，怎么能越出常道呢？又有人说：心开窍于舌，寄窍于耳。凡是用心过度，火就会扰动心神，然而耳鸣是有这种情况，耳聋则没有。究其根本，是心肾不交，水气不升导致火气不降罢了。至于痰火为患，耳朵像蝉鸣一样响，降气则痰下行，补水则火熄灭，也不超出摄气归元的宗旨。
一则因色欲损伤肾脏，用六味丸加入杜仲、牛膝、沉香、黄柏、枸杞、磁石。
一则耳中干燥结滞，耳鸣且耳聋，用柴胡聪耳汤。
一则上焦有热，耳鸣且耳聋，以及流出脓汁，用蔓荆子散；耳痛生疮，用黍粘子汤。
一则停耳（耳内积脓），耳中有脓，用桑螵蛸炒制，纳入六味丸中服用。
柴胡聪耳汤
连翘（四钱）、柴胡（三钱）、炙甘草、当归、人参（各一钱）、水蛭（五分，炒）、虻虫（三个，去壳足，炒）、麝香（少许）。
以上药物除后三种分别研成细末外，其余作为一剂服，加生姜三片，水煎煮去渣，加入三种药末再煎，饭后服用。
蔓荆子散
甘菊、蔓荆子、桑白皮、麦门冬、生地、赤茯苓、赤芍药、前胡（各一钱）、炙甘草、升麻、木通（各三分）。
用姜枣水煎煮。
黍粘子汤
昆布、苏木、生甘草、蒲黄、龙胆草（各二分）、黍粘子、连翘、生地、炙甘草、当归、黄芩、黄连（各三分）、柴胡黄（各四分）、桔梗（一钱半）、桃仁（三个，去皮尖）、红花（少许）。
水煎煮。
六味丸
怀熟地（八两）、山茱萸、淮山药（各四两）、牡丹皮、泽泻、茯苓（各三两）、磁石（一两，醋淬七次）、沉香（五钱）、牛膝、杜仲（盐水炒）、枸杞子（各二两）、黄柏（一两，盐水炒）。
研为细末，添加炼蜜制成糊丸。每次服用三钱，用青盐汤送服。
The functions of Yin and Yang interact to form the body. There are seven Yang orifices, which are odd numbers, opened by the Zang organs, primarily responsible for receiving [external stimuli]. There are two Yin orifices, which are even numbers, transported by the Fu organs, primarily responsible for transformation [of essence and qi]. However, among the Yang orifices, the Heart and Lung belong to "Yang within Yin"; thus, the Qi of the mouth and nose ascends and descends, transforming formless Qi into tangible forms. The Kidney and Liver belong to "Yin within Yin"; thus, the orifices of the ears and eyes involve an interplay of deficiency and excess, transforming tangible forms into formless Spirit. Therefore, the five colors are received by the eyes, the five flavors are distinguished by the tongue, the five odors are inhaled by the nose, and the five tones are accepted by the ears. However, the light of the eyes radiates outward because Fire is contained within Wood; the acuity of the ears accepts inwardly because Water has the nature of moistening and flowing downward. It is commonly observed that those with sufficient Kidney Qi have earwax filling their ears, yet their hearing becomes more acute; whereas those with deficient Kidney Qi have unobstructed ear canals, yet their hearing becomes impaired. Understanding this principle reveals that the Qi of the Shaoyin [Lesser Yin] channel resides within the ears, while the external obstruction is caused by the disturbance and mutual agitation of Wind and Fire from the Shaoyang [Lesser Yang] channel; expelling the external pathogens achieves cure. If Kidney Qi is not充盈 (abundant) and the Qi of the Shaoyin meridian does not reach, one must vigorously tonify True Yin and administer substances with heavy, settling, and descending properties, so that Qi will not ascend chaotically, restoring its function of governing hearing, allowing it to receive like the echo of an empty valley, responding immediately to sound. Those who do not understand this foolishly employ external guiding methods to attempt to unblock Qi; however, with Yin inside and Yang outside, how can they transcend normal pathways? Others argue: The Heart opens into the tongue and its subsidiary orifice is the ear. Excessive mental labor disturbs Fire, causing tinnitus, but deafness does not occur. Ultimately, this is due to the failure of Heart-Kidney interaction, where Water fails to ascend, causing Fire to fail to descend. As for disorders caused by Phlegm-Fire, where the ears ring like cicadas, descending Qi causes Phlegm to move downward, and nourishing Water extinguishes Fire; this also adheres to the principle of gathering Qi and returning it to its origin.
One case involves Kidney damage due to sexual excess; treat with Liuwei Wan (Six-Ingredient Pill with Rehmanniae) added with Duzhong (Eucommiae Cortex), Niuxi (Achyranthis Bidentatae Radix), Chenxiang (Aquilariae Lignum), Huangbai (Phellodendri Cortex), Gouqi (Lycii Fructus), and Cishi (Magnetitum).
One case involves dryness and impaction in the ear, with tinnitus and deafness; treat with Chaihu Cong'er Tang (Bupleurum Ear-Auditing Decoction).
One case involves Heat in the Upper Jiao, with tinnitus, deafness, and discharge of pus; treat with Manjingzi San (Vitex Powder); for ear pain and sores, use Shunianzi Tang (Arctii Decoction).
One case involves Ting'er [accumulation of pus in the ear], with pus in the ear; use Sangpiaoxiao (Mantis Egg Case) stir-fried, incorporated into Liuwei Wan.
Chaihu Cong'er Tang (Bupleurum Ear-Auditing Decoction)
Qiaoyao (Forsythiae Fructus) (4 qian), Chaihu (Bupleuri Radix) (3 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix) (each 1 qian), Shuizhi (Hirudo) (0.5 qian, stir-fried), Mengchong (Ophryognathia), shells and legs removed, stir-fried (3 pieces), Shexiang (Moschus) (a small amount).
All ingredients except the last three are ground separately into fine powder. Combine the remaining ingredients as one dose, add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, strain, then add the three powdered medicines and decoct again. Take after meals.
Manjingzi San (Vitex Powder)
Ganju (Chrysanthemi Flos), Manjingzi (Viticis Fructus), Sangbaipi (Mori Cortex), Maimendong (Ophiopogonis Radix), Shengdi (Rehmanniae Radix), Chi Fuling (Poria with Red Core), Chi Shaoyao (Paeoniae Radix Rubra), Qianhu (Peucedani Radix) (each 1 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Shengma (Cimicifugae Rhizoma), Mutong (Akebiae Caulis) (each 0.3 qian).
Decoct in water with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus).
Shunianzi Tang (Arctii Decoction)
Kunbu (Laminariae Thallus), Sumu (Sappan Lignum), Sheng Gancao (Glycyrrhizae Radix), Puhuang (Typhae Pollen), Longdancao (Gentianae Radix) (each 0.2 fen), Shunianzi (Arctii Fructus), Qiaoyao (Forsythiae Fructus), Shengdi (Rehmanniae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (each 0.3 fen), Chaihu Huang (Bupleuri Radix) (each 0.4 fen), Jiegeng (Platycodonis Radix) (1.5 qian), Taoren (Persicae Semen), peeled and tips removed (3 pieces), Honghua (Carthami Flos) (a small amount).
Decoct in water.
Liuwei Wan (Six-Ingredient Pill with Rehmanniae)
Huai Shudi (Rehmanniae Radix Praeparata) (8 liang), Shanzhuyu (Corni Fructus), Huaishanyao (Dioscoreae Rhizoma) (each 4 liang), Mudanpi (Moutan Cortex), Zexie (Alismatis Rhizoma), Fuling (Poria) (each 3 liang), Cishi (Magnetitum) (1 liang, quenched in Vinegar seven times), Chenxiang (Aquilariae Lignum) (5 qian), Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex, stir-fried in Brine), Gouqizi (Lycii Fructus) (each 2 liang), Huangbai (Phellodendri Cortex, stir-fried in Brine) (1 liang).
Grind into fine powder, add refined honey to make paste pills. Take 3 qian per dose, washed down with Qingyan Tang (Green Salt Decoction).