听会二穴,在耳前陷中,张口得之,动脉应手,各灸五壮,主耳聋无所闻,甲乙经云∶
手少阳脉气所发也。
下关二穴,主 耳,甲乙经云∶在客主人下,耳前动脉下空下廉合口有穴,张口而闭,
足阳明少阳之会,各灸三壮,炷以小箸头为之。
耳鸣,百会及颔厌颅囟天窗大陵偏历前谷后溪主之。
耳痛聋鸣,上关主之,刺不可深。
耳聋鸣,下关及阳溪关冲腋门阳谷主之。
耳鸣聋,头颔痛,耳门主之。
聋耳中颠飕颠飕若风者,听会主之。
耳聋无闻,天窗主之。
耳聋KT KT 无所闻,天容主之。
耳中生风,耳鸣耳聋时不闻,商阳主之。
耳聋,两颞 痛,中渚主之。
耳 淳淳,聋无所闻,外关主之。
猝气聋,四渎主之。
作泥饼子,浓半分,复耳上,四边,勿令泄气,以箸刺泥饼,作一小孔,以艾灸之百壮,
候耳中痛不可忍,即侧耳倾却黄水,出尽即瘥,若泥干,数易之,治耳病,又截箭 二寸,
纳耳中,以面拥四畔,勿令泄气,灸 筒上七壮,又捣豉作饼,填耳内,以地黄长五六分,
削一头令尖,纳耳中,与豉饼底齐,饼上着楸叶盖之,剜一孔如箸头,透饼于上,灸三壮。
凡口鼻出血不止,名脑衄,灸上星五十壮,入发际一寸是。
涕出不止,灸鼻两孔与柱齐,七壮。
鼻中息肉,灸上星二百壮,穴在直鼻入发际一寸,又灸兵上星两旁相去三寸,各一百壮。
鼻衄而痒,灸足大趾节横理三毛中,十壮,剧者百壮,衄不止灸之,并治阴卵肿,又灸
风府一穴四壮,不止再灸,又灸涌泉二穴,各百壮。
衄而不 血流,取足太阳,大衄 取手太阳,不已刺腕骨下,不已刺 中出血。
鼻鼽衄,上星主之,先取 ,后取天牖风池。
鼻管疽发为厉鼻,脑空主之。
鼻鼽不利,窒涸气寒, 僻多 ,鼽衄有痈,迎香主之。
鼽衄 出,中有垂痈宿肉,窒洞不通,不知香臭,素 主之。
鼻衄窒口僻,清 出不可止,鼽有痈,禾 主之。
鼻鼽不得息,不收 ,不知香臭,及衄不止,水沟主之。
鼻中息肉不利,鼻头 额中痛,鼻中蚀疮,龈交主之。
听会穴有两个,位于耳前凹陷处,张口时即可找到,按压有动脉搏动感,每穴各灸五壮,主治耳聋完全听不见声音。《甲乙经》记载:这是手少阳三焦经脉气所发散的穴位。
下关穴有两个,主治耳部疾病(注:原文此处缺字,据上下文及常规针灸学知识,通常指耳鸣、耳聋或耳痛等耳疾),《甲乙经》记载:位于客主人穴(上关穴)下方,耳前动脉下方的低洼处,闭口时有穴位,张口时穴位闭合,是足阳明胃经和足少阳胆经的交会穴,每穴各灸三壮,艾炷大小以细筷子头为标准。
出现耳鸣症状,取百会穴以及颔厌、颅囟、天窗、大陵、偏历、前谷、后溪穴来治疗。
耳聋伴有“KT KT”(注:拟声词,形容耳鸣声)的声音,完全听不见,取天容穴治疗。
耳中感觉像有风在吹,耳鸣耳聋且有时听不见声音,取商阳穴治疗。
耳中发出“淳淳”(注:拟声词,形容耳鸣声)的声音,耳聋完全听不见,取外关穴治疗。
制作泥饼,厚度为半分,敷在耳朵上方,四周封好,不要漏气,用筷子在泥饼上刺一个小孔,通过小孔艾灸一百壮,等到耳中疼痛难以忍受时,侧过头让黄色的水流出来,流尽病就好了。如果泥干了,多次更换。这是治疗耳病的方法。另外,截取箭杆二寸长,插入耳中,用面粉封堵四周,不要漏气,在箭筒上灸七壮。又捣碎豆豉做成饼,填入耳内,取地黄一段长五六分,削一头使其变尖,插入耳中,与豆豉饼底部平齐,在饼上覆盖楸叶,挖一个如筷子头大小的孔,穿透饼体向上,灸三壮。
凡是口鼻出血不止,称为脑衄,灸上星穴五十壮,该穴位于入发际一寸处。
鼻中长出息肉,灸上星穴二百壮,该穴位于直对鼻尖进入发际一寸处,另外再灸兵上星两旁相距三寸处,各一百壮。
鼻衄且伴有瘙痒,灸足大趾节横纹中毛发丛里,十壮,病情严重的灸一百壮,衄血不止时灸此穴,同时也能治疗阴囊肿胀,另外再灸风府穴一穴四壮,若不止再灸,另外再灸涌泉穴两穴,各一百壮。
衄血但血流不畅,取足太阳膀胱经穴位;大量衄血则取手太阳小肠经穴位,若无效,针刺腕骨穴下方,仍无效则针刺某穴(注:原文缺字,通常指中冲或相关井穴)出血。
鼻鼽(清涕不断)和鼻衄,以上星穴为主,先取某穴(注:原文缺字),后取天牖穴和风池穴。
鼻鼽通气不利,鼻塞干燥气息寒冷,面部歪斜多汗,鼻鼽鼻衄伴有痈肿,取迎香穴治疗。
鼻鼽鼻衄流出液体,中有下垂的痈肿和陈旧息肉,堵塞不通,不知香臭,取素髎穴治疗。
鼻衄鼻塞、口眼歪斜,清涕流出不可止住,鼻鼽伴有痈肿,取禾髎穴治疗。
Tinghui (GB2, Hearing Meeting) consists of two acupoints, located in the depression anterior to the ear. They can be found when the mouth is open, and arterial pulsation is palpable upon pressing. Each point is moxibusted with five cones (zhuang), primarily treating deafness and inability to hear. The *Jia Yi Jing* records: "This is where the Qi of the Hand-Shaoyang Sanjiao meridian emerges."
Xiaguan (ST7, Lower Gate) consists of two acupoints, primarily treating deafness. The *Jia Yi Jing* records: "Located below Kerenzhuren (ST7/Shangguan), in the hollow beneath the arterial pulse anterior to the ear, at the lower edge of the bone. The point exists when the mouth is closed and disappears when opened. It is the meeting point of the Foot-Yangming Stomach and Foot-Shaoyang Gallbladder meridians." Each point is moxibusted with three cones. The moxa cone should be sized like the head of a thin chopstick.
For tinnitus, treat with Baihui (GV20), Hanyan (GB4), Luxin (GV19), Tianchuang (SI16), Daling (PC7), Pianli (LI6), Qian Gu (SI3), and Houxi (SI3). Note: Houxi is SI3, Qian Gu is SI5. The text lists them together.
For ear pain, deafness, and tinnitus, treat with Shangguan (ST7). Needling should not be deep.
For deafness accompanied by tinnitus, treat with Xiaguan (ST7), Yangxi (LI5), Guanchong (SJ1), Yimen (TE14 - *Note: Text says 'Yemen', likely typo for Yimen or similar, but WHO standard for TE14 is Yimen. Text actually says 'Yemen' which might be a typo for 'Yifeng' or 'Yanggu'. Given context 'Yangxi Guanchong Yemen Yanggu', 'Yemen' is likely a corruption. I will translate as written but note it's an acupoint*), and Yanggu (SI5). *Correction*: The text says "Yemen" (腋门). There is no standard acupoint named Yemen. It is likely a typo for Yifeng (TE17) or similar. However, strictly following the text provided: "Yangxi, Guanchong, [Yemen], Yanggu". I will transliterate/translate as given. Actually, looking at common texts, this list often includes Yifeng. But I must stick to the source text "Yemen". Wait, "Yemen" (腋门) is not a standard name. It might be a typo for "Yifeng" (翳风) or "Xiaotan"? No, Xiaotan is GB9. Let's look at the characters: 腋门. This is likely a textual error in the source for a specific point. I will translate it as "Yemen" (Acupoint) or assume it refers to a location. Given the constraint "keep original names", I will use "Yemen". *Self-correction*: In some editions, this might be "Yifeng". But I will stick to the provided text "Yemen".
For tinnitus, deafness, and headache/jaw pain, treat with Ermen (TE21).
For deafness with a rushing sound in the ears, like wind blowing, treat with Tinghui (GB2).
For deafness and inability to hear, treat with Tianchuang (SI16).
For deafness with a "KT KT" sound and inability to hear, treat with Tianrong (SI17).
For a sensation of wind in the ear, tinnitus, deafness, and intermittent hearing loss, treat with Shangyang (LI1).
For deafness and bilateral temporal pain, treat with Zhongzhu (TE3).
For a "chun chun" sound in the ears and deafness, treat with Waiguan (TE5).
For sudden-onset deafness due to Qi disturbance, treat with Sidu (TE10).
Prepare a mud cake, half a fen thick, place it over the ear, sealing the edges tightly to prevent air leakage. Pierce a small hole in the center of the mud cake with a chopstick. Apply moxibustion through this hole for one hundred cones. When the pain in the ear becomes unbearable, tilt the head to drain the yellow fluid. Once drained completely, the condition will improve. If the mud dries, replace it multiple times. This is a method for treating ear diseases. Alternatively, cut an arrow shaft two cun long, insert it into the ear, seal the surrounding area with flour paste to prevent air leakage, and apply seven cones of moxibustion on top of the arrow shaft. Another method: crush fermented soybeans (Douchi) to make a cake, fill it into the ear canal. Take fresh Rehmannia root (Sheng Dihuang) five to six fen long, sharpen one end to a point, insert it into the ear so it aligns with the bottom of the Douchi cake. Cover the cake with a Catalpa leaf (Qiuye), carve a hole the size of a chopstick head through the leaf and cake, and apply three cones of moxibustion.
For continuous bleeding from the mouth and nose, known as "Brain Nap" (Naocuo), moxibustiate Shangxing (GV23) fifty cones. This point is located one cun above the hairline.
For unceasing runny nose, moxibustiate the sides of the nostrils aligned with the nasal bridge, seven cones.
For nasal polyps, moxibustiate Shangxing (GV23) two hundred cones. This point is directly opposite the tip of the nose, one cun above the hairline. Also, moxibustiate points three cun lateral to Shangxing on both sides, one hundred cones each.
For epistaxis accompanied by itching, moxibustiate the middle of the transverse crease at the base of the big toe, ten cones. For severe cases, one hundred cones. Moxibustiation here also stops persistent epistaxis and treats scrotal swelling. Additionally, moxibustiate Fengfu (GV16) four cones; if bleeding persists, moxibustiate again. Also, moxibustiate Yongquan (KI1) two cones, one hundred cones each.
For mild epistaxis without heavy blood flow, select points from the Foot-Taiyang Bladder meridian. For severe epistaxis, select points from the Hand-Taiyang Small Intestine meridian. If ineffective, needle below Wangu (SI4); if still ineffective, prick the middle finger to bleed.
For rhinorrhea and epistaxis, Shangxing (GV23) is the primary point. First select [missing character], then select Tianyou (TE15) and Fengchi (GB20).
For nasal gland abscess leading to foul-smelling nose (Libi), treat with Naokong (GB13).
For nasal obstruction, dryness, cold air sensation, facial deviation with excessive salivation, rhinorrhea, epistaxis with carbuncles, treat with Yingxiang (LI20).
For rhinorrhea and epistaxis with discharge, presence of hanging carbuncles or old polyps, nasal blockage preventing airflow, and loss of smell, treat with Suliao (GV25).
For epistaxis, nasal obstruction, facial deviation, uncontrollable clear discharge, and rhinorrhea with carbuncles, treat he Liao (LI18).
For rhinorrhea causing breathing difficulty, inability to control secretions, loss of smell, and persistent epistaxis, treat Shuigou (GV26).
For nasal polyps causing obstruction, pain in the nasal tip and forehead, and erosive ulcers in the nose, treat Yinjiao (DU28).