耳后疽生耳折间，三焦风毒胆火炎，红肿有头 为顺，黑陷 痛冷溃难。
【注】此证生于耳折之间，无论左右，属三焦经风毒，兼胆经怒火上炎而成。初起如
粟，渐增肿痛，小者如杏，大者如桃。若红肿有头， 热易溃，稠脓者为顺；若黑陷坚
硬， 痛引脑，甚则顶、颊、肩、肘俱痛，不热迟溃，紫血者为逆。初治法同夭疽，已溃
内外治法，俱按痈疽溃疡门。
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又有初起失于托里，或误食寒凉，则毒不能外发，遂攻耳窍，脓从耳窍出者，名为
内溃，属虚，多服十全大补汤。大抵少年得此证者，其愈最缓；老年得此证者，易于成漏。
十全大补汤（见溃疡门）
耳发三焦风热成，初椒渐若蜂房形，赤肿疼痛生轮后，黄脓属吉紫血凶。
\r耳发图\p04-34a32.bmp\r
【注】此证生于耳后，属三焦经风热相搏而成。初如椒粒，渐肿若蜂房，将腐亦多眼
孔， 赤疼痛，肿连耳叶。盖发者，乃痈证之毒甚者也。不可听其自溃，恐溃迟脓通耳
窍。当在十一日后，剪破疮顶，出黄白脓者属吉为顺；出紫鲜血者属凶为逆。初起俱宜
服仙方活命饮消之，外敷二味拔毒散。其余内外治法，俱按痈疽溃疡门。
仙方活命饮（见肿疡门）
二味拔毒散（见肿疡门）
耳后疽生于耳廓折痕之间，由三焦经风毒与胆经火炎共同引发。若局部红肿且顶部有脓头，为顺证；若疮顶黑陷、疼痛发冷、溃破迟缓，则为逆证。
【注】此病证发生于耳廓折痕之间，无论左侧或右侧，均归属于三焦经风毒侵袭，兼夹胆经怒火上炎所致。初起时如粟米大小，逐渐增加并出现肿痛，小的如杏核，大的如桃核。若红肿且有脓头，发热易溃，流出稠厚脓液者为顺证；若疮顶黑陷坚硬，疼痛牵引至头部，甚至头顶、面颊、肩部、肘部均感疼痛，不发热且溃破迟缓，流出紫黑色血液者为逆证。初期治疗方法同“夭疽”，已溃破后的内外治法，均参照痈疽溃疡门的相关条文执行。
此外，若在初起阶段未能及时使用托里透脓之法，或误食寒凉药物/食物，导致毒邪不能向外发散，反而攻冲耳窍，致使脓液从耳窍流出者，称为“内溃”，属于虚证，应多服用十全大补汤。大致而言，少年患此证者，痊愈最慢；老年患此证者，容易形成瘘管（漏症）。
耳发由三焦经风热搏结而成，初起形似花椒粒，逐渐肿胀呈蜂房状。生于耳轮之后，赤肿疼痛，流出黄色脓液属吉兆，流出紫血属凶兆。
【注】此病证发生于耳后，归属于三焦经风热相搏结所致。初起如花椒粒，逐渐肿胀如同蜂房，腐烂时多有孔眼，赤色疼痛，肿胀牵连耳叶。所谓“发”，乃是痈证中毒邪极盛的表现。不可听任其自行溃破，恐怕溃破迟缓导致脓液通连耳窍。应当在发病十一日后，剪破疮顶，若流出黄白色脓液则属吉、为顺证；若流出紫红色鲜血则属凶、为逆证。初起阶段均宜服用仙方活命饮以消散毒邪，外敷二味拔毒散。其余内外治法，均参照痈疽溃疡门的相关条文执行。
Abscess behind the ear arises in the fold of the auricle, caused by wind-toxin of the Sanjiao (Triple Burner) channel and flaming fire of the Gallbladder channel. Redness and swelling with a head is a favorable condition; black depression, cold pain, and difficult late ulceration are unfavorable conditions.
[Note] This condition occurs between the folds of the auricle, regardless of the left or right side. It belongs to wind-toxin of the Sanjiao channel, compounded by flaming anger-fire rising from the Gallbladder channel. Initially, it resembles millet grains, gradually increasing in swelling and pain; small ones are like apricot kernels, large ones like peach kernels. If there is redness, swelling, and a head, with heat facilitating ulceration and thick pus discharge, it is favorable. If there is black depression and hardness, pain radiating to the brain, and even pain in the vertex, cheek, shoulder, and elbow, without heat but with late ulceration and purple blood discharge, it is unfavorable. The initial treatment is the same as for Tianju (Tian Abscess). For post-ulceration internal and external treatments, refer to the Ulcerated Carbuncles and Sores section.
Furthermore, if during the initial stage, the method of supporting the interior was neglected, or cold-cooling substances were mistakenly ingested, the toxin cannot be expelled outward. Instead, it attacks the ear orifice, causing pus to discharge from the ear orifice. This is named "internal ulceration" and belongs to deficiency; one should take Shiquan Dabu Decoction (Ten Substance Great Tonifying Decoction) frequently. Generally speaking, young people contracting this condition heal most slowly; elderly people contracting this condition easily develop fistulas (leaks).
Ear-fa (Hair-like Carbuncle) is formed by wind-heat of the Sanjiao channel. Initially resembling pepper grains, it gradually swells into a honeycomb shape. Occurring behind the helix with redness, swelling, and pain, yellow pus indicates auspiciousness, while purple blood indicates ominousness.
[Note] This condition occurs behind the ear and belongs to the struggle between wind-heat of the Sanjiao channel. Initially like pepper grains, it gradually swells like a honeycomb, and when rotting, often has multiple holes. It presents with redness and pain, with swelling connecting to the ear lobe. "Fa" refers to carbuncles where the toxin is extremely severe. One must not let it ulcerate spontaneously, fearing that delayed ulceration will allow pus to communicate with the ear orifice. After eleven days, the top of the sore should be cut open. Discharge of yellow-white pus indicates auspiciousness and a favorable condition; discharge of fresh purple-red blood indicates ominousness and an unfavorable condition. In the initial stage, Xianfang Huoming Yin (Immortal Life Elixir Decoction) should be taken to dissipate the pathogen, and Erwei Baidu San (Two-Ingredient Antidote Powder) applied externally. For other internal and external treatments, refer to the Ulcerated Carbuncles and Sores section.