论曰耳者肾之候，心之寄窍，若其经为风热所客，随脉而上，至于耳中，气聚不散，邪
热攻冲，结聚为肿，甚则黄汁出而为暴聋之病也。
治两耳肿，木香散方
木香 防己 芍药 玄参 白蔹 大黄（锉炒） 芒硝 黄芩（去黑皮） 紫葛（各一
两）
赤小豆（三分）
上一十味，捣罗为散，每捣生榆白皮，取汁和少许，涂帛上，贴肿处，取消。
治两耳肿，时苦疼痛，盐花丸方
盐花（四钱） 甜葶苈（二两用河水洗微炒） 杏仁（去皮尖双仁炒一两） 腊月猪脂
（二钱）
上四味，除脂外，各捣研极细，一处研匀，次入猪脂和丸，如枣核大，每用绵裹内耳中
，日一易之，初内药后，忽觉耳痛，有恶水出，四体不安勿疑。
治耳肿热痛，及暴觉肿者，三物散方
赤小豆 大黄（各半两） 木鳖子仁（一两）
上三味，各捣研为末，再同研匀，每用少许，以生油旋调，涂耳肿处。
治耳卒肿、出脓，矾石散方
矾石（熬令汁枯半两）
上一味研细，每以苇管吹少许，入耳中，日三四度，或以绵裹如枣核大，塞耳中亦得。
治耳卒肿，栝蒌根塞耳方
栝蒌根（洗不拘多少）
上一味，以刀削一头，令尖、可入耳中，以腊月猪脂煎之，三沸，候冷，取塞耳中瘥。
治耳卒肿，楝实塞耳方
楝实（五合）
上一味，烂捣，每用绵裹，如枣核大，塞耳中。
治耳肿，商陆塞耳方
商陆（生者洗）
上一味，以刀子削如枣核，内耳中，日二易之。
治耳肿，杏仁膏方
杏仁（去皮尖双仁）
上一味，研成膏，拈如枣核，乱发裹，内耳中，日二易之。
论述说：耳朵是肾脏的外候，也是心气寄居的孔窍。如果经络被风热邪气侵袭，邪气随经脉上行进入耳中，导致气机郁结不散，邪热攻冲，凝结聚积而形成肿胀，严重时会有黄色汁液流出，并引发突发性耳聋的疾病。
治疗双耳肿胀，木香散方剂：
木香、防己、芍药、玄参、白蔹、大黄（切碎炒制）、芒硝、黄芩（去除黑色外皮）、紫葛（各一两）；赤小豆（三分）。
以上十味药，捣碎过筛制成散剂。每次取少许新鲜榆树皮白皮捣烂取汁，调和少量药散，涂抹在布帛上，贴敷于肿胀处，以消除肿胀。
治疗双耳肿胀，时常感到痛苦疼痛，盐花丸方剂：
盐花（四钱）、甜葶苈（二两，用河水洗涤后微炒）、杏仁（去皮尖，双仁者炒制一两）、腊月猪脂（二钱）。
以上四味药，除猪脂外，其余各药捣研至极细，混合均匀，然后加入猪脂和匀制成丸药，大小如枣核。每次用棉絮包裹塞入耳中，每日更换一次。初次用药后，忽然感觉耳痛，有恶臭液体流出，四肢不安，不要怀疑（这是正常药效反应）。
治疗耳部肿胀热痛，以及突然感觉肿胀的，三物散方剂：
赤小豆、大黄（各半两）、木鳖子仁（一两）。
以上三味药，分别捣研成粉末，再共同研磨均匀。每次取少许，用生油随时调匀，涂抹于耳部肿胀处。
治疗耳部突然肿胀、流脓，矾石散方剂：
矾石（熬至汁液枯干，半两）。
以上一味药，研细。每次用苇管吹入少许药粉到耳中，每日三四次；或者用棉絮包裹如枣核大小，塞入耳中也可以。
治疗耳部突然肿胀，栝蒌根塞耳方剂：
栝蒌根（清洗，用量不限）。
以上一味药，用刀削一头使其尖锐，以便能放入耳中，用腊月猪脂煎煮，沸腾三次，待冷却后，取出塞入耳中，病愈。
治疗耳部突然肿胀，楝实塞耳方剂：
楝实（五合）。
以上一味药，捣烂。每次用棉絮包裹，如枣核大小，塞入耳中。
治疗耳部肿胀，商陆塞耳方剂：
商陆（生品，洗净）。
以上一味药，用刀削成枣核形状，放入耳中，每日更换两次。
治疗耳部肿胀，杏仁膏方剂：
杏仁（去皮尖，双仁者）。
以上一味药，研成膏状，捻成如枣核大小，用乱发包裹，放入耳中，每日更换两次。
Commentary states: The ear is the external manifestation of the Kidney (Shen) and a cavity where the Heart (Xin) qi resides. If the meridians are invaded by wind-heat pathogenic factors, these factors ascend along the vessels into the ear. Qi accumulates and fails to disperse, while evil heat attacks and rushes, condensing to form swelling. In severe cases, yellow fluid may discharge, leading to sudden deafness.
For treating swelling in both ears, Mu Xiang San (Costus Powder):
Mu Xiang (Costi Radix), Fang Ji (Stephaniae Tetrandrae Radix), Shao Yao (Paeoniae Radix), Xuan Shen (Scrophulariae Radix), Bai Lian (Ampelopsis Radix), Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried), Mang Xiao (Natrii Sulfas), Huang Qin (Scutellariae Radix, black skin removed), Zi Ge (Broussonetiae Cortex), each 1 liang; Chi Xiao Dou (Adzuki Bean) 3 fen.
The above ten ingredients are pounded and sifted to make a powder. For each application, fresh Ulmus alba bark white inner layer is pounded to extract juice, mixed with a small amount of the powder, applied onto cloth, and pasted on the swollen area to reduce swelling.
For treating swelling in both ears accompanied by persistent pain, Yan Hua Wan (Salt Flower Pills):
Yan Hua (Halitum), 4 qian; Tian Ting Li (Descurainiae Semen seu Lepidii Semen, washed with river water and lightly stir-fried), 2 liang; Xing Ren (Armeniacae Semen, skin and tip removed, double-kernel variety stir-fried), 1 liang; Zhu Zhi (Porcine Adipose Tissue from the twelfth lunar month), 2 qian.
The above four ingredients, excluding the porcine adipose tissue, are each pounded and ground to an extremely fine powder, then mixed uniformly. The porcine adipose tissue is added to form pills the size of a jujube pit. Each time, wrap a pill in cotton wool and insert it into the ear canal, changing once daily. After initial insertion, if sudden ear pain occurs, foul-smelling fluid discharges, or there is discomfort in the limbs, do not doubt this reaction.
For treating hot pain due to ear swelling and sudden onset of swelling, San Wu San (Three-Ingredient Powder):
Chi Xiao Dou (Adzuki Bean), Da Huang (Rhei Radix et Rhizoma), each 0.5 liang; Mu Bie Zi Ren (Strychni Semen), 1 liang.
The above three ingredients are each pounded and ground into powder, then thoroughly mixed together. Apply a small amount mixed with raw sesame oil to the swollen area of the ear.
For treating sudden ear swelling with pus discharge, Fan Shi San (Alum Powder):
Fan Shi (Alumen, roasted until juice dries up), 0.5 liang.
The above single ingredient is ground finely. Use a reed tube to blow a small amount into the ear canal, three to four times daily; alternatively, wrap in cotton wool to the size of a jujube pit and insert into the ear.
For treating sudden ear swelling, Gua Lou Gen Ear Plug:
Gua Lou Gen (Trichosanthis Radix, washed, quantity as needed).
The above single ingredient is sharpened at one end with a knife to fit into the ear canal. It is boiled in porcine adipose tissue from the twelfth lunar month for three boils. After cooling, insert into the ear to cure.
For treating sudden ear swelling, Lian Shi Ear Plug:
Lian Shi (Meliae Fructus), 5 he.
The above single ingredient is mashed thoroughly. Wrap in cotton wool to the size of a jujube pit and insert into the ear.
For treating ear swelling, Shang Lu Ear Plug:
Shang Lu (Phytolaccae Radix, raw and washed).
The above single ingredient is carved into the shape of a jujube pit and inserted into the ear, changed twice daily.
For treating ear swelling, Xing Ren Gao (Apricot Kernel Ointment):
Xing Ren (Armeniacae Semen, skin and tip removed, double-kernel variety).
The above single ingredient is ground into an ointment, shaped into a jujube pit size, wrapped in loose hair, and inserted into the ear, changed twice daily.