夫足少阴肾之经。宗脉所聚。其气通于耳。劳伤于肾。宗脉虚损。血气不足。为风邪所
乘。
治耳久聋鸣。或有汁出。皆由肾虚。致多年不瘥。宜服铁浆酒方。
故铁（三十斤烧令赤以水五斗溃铁三宿澄清） 菖蒲（七斤切以水一石煮取五斗去滓澄
清）
柘
上件药。合成一石五斗。用米二石。并曲三斗。酿如常法。候酒熟即开。用磁石三斤。
捣罗
治久聋宜服此方。
菖蒲〔三（二）分〕 羊肾（一对以酒一升煮酒尽为度薄切曝干） 葱子（三分微炒） 皂
荚
（
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每日空心。以温酒下三十丸。有患经七八
年者
又方。
故铁（三十斤）
上以水七斗。渍经三宿。取汁。入曲三十斤。米五斗。如常造酒法候熟。取磁石一斤。
渍酒
治耳聋年久。耳中常鸣。鱼脑膏方。
生鲤鱼脑（三两） 当归（半两捣为末） 细辛（半两） 白芷（半两捣为末） 附子
（半两去
皮脐
上件药。将鱼脑及羊肾脂。合煎诸药。三上三下。膏成。滤去滓。令冷。即丸如枣核大。
以
治耳聋。三十年无所闻。塞耳蓖麻丸方。
蓖麻子（半两去皮） 杏仁（半两汤浸去皮尖） 桃仁（半两汤浸去皮尖） 巴豆〔一
两（二
枚）去
两） 菖
蒲（
上件药。先捣菖蒲食盐磁石木通薰陆香附子等。为末。次捣蓖麻子杏仁桃仁巴豆四味。
纳蜡
治耳聋多时不瘥。塞耳磁石丸方。
磁石（一两） 菖蒲（半两） 木通（半两锉） 薰陆香（半两） 杏仁（半两去皮尖
生用） 松
脂（
上件药。捣罗为末。用黄蜡溶和。丸如莲子大。长半寸以来。可入耳门。以细钗子穿透。
塞
治耳聋久不瘥。宜用此方。
天雄末〔二（一）分〕 鸡子（一枚） 附子末（一分）
上件药。取鸡子。开头出黄和药。却纳入壳中。封合讫。还鸡窠中。候抱别者雏出。药
成。
又方。
炼了松脂（一两） 食盐（半两） 巴豆（半两去皮心） 蓖麻子（半两去皮） 薰陆
香（半两）
杏
上件药。捣细罗为末。以猪脂一两。黄蜡一两。先于铫子中。销令溶后。下诸药末。搅
令匀
治耳聋二十年不瘥。塞耳枫香丸方。
枫香（一两） 巴豆（七枚去皮心微炒） 松脂（三两半） 黄蜡（半两） 婆律膏（半
两） 胡
桃仁
上件药。先捣枫香巴豆。后下松脂。又捣。次销蜡下之。捣令稠和。后下婆律膏胡桃仁。
熟
治久耳聋。宜用此方。
芫菁（一枚） 巴豆（一枚去皮心） 蓖麻子（一枚去皮）
上件药。细研。以蜜二两。文武火熬半日。不得令焦。焦即不堪用。只可为三丸。以绵
子裹
又方。
吴茱萸（半两生用） 巴豆（二枚去皮心） 干姜（一分炮裂）
上件药。捣细罗为散。以葱涕和绵。裹枣核大。纳耳中食顷。干即去之。更和湿者纳之。
如
又方。
松脂（半两） 巴豆（四枚去皮心）
上件药。捣熟捻如枣核大。以绵裹塞耳中。日一易之。药硬。即微火炙软用之。
又方。
鸡脂（五两炼成下） 桂心（半两） 野葛（半两）
上件药。捣粗罗为散。以鸡脂熬三二十沸。去滓成膏。每用笔管纳入少许膏。炙令管热。
侧卧滴入耳中。
又方。
驴胫骨髓（一分） 针砂〔一（二）合用水二合浸十日却取清水少许〕
上二味和搅令匀。每用少许。滴在耳中。以半个净方砖。烧令通赤。用醋泼之。将磁石
末一
治久聋二三十年不瘥者。滴耳鼠脂方。
鼠脂（半合） 青盐（一钱） 地龙（一条系头捻取汁）
上件药。以鼠脂地龙汁。调青盐。温过绵蘸之。即侧卧。捻滴耳中。
又方。
熊胆（一分） 鼠胆（二枚十二月收者）
上件药。以水和。旋取如绿豆大。滴入耳中。日一两度瘥。
又方。
水银（一分） 地龙（湿者一条）
上件药。就一蒌葱栽子上。掏一茎。去头。纳管中。系却头。勿令倾出。候地龙化为水。
乃
治久聋无问年岁。不瘥者。滴耳古吊脂方。
古吊脂
上一味。于琉璃瓶子中贮之。以樟木盒盛瓶。每日一度。滴半杏仁大入耳中。此方极验。
此
治耳聋。无问年月及老小并治之方。
上取驴前蹄胫骨。打破。于日阳中。以瓷盒子盛。沥取髓。候尽。收贮。每用时。以绵
乳子
新患
又方。
上取鼠胆。令人侧卧。沥一胆尽入耳中。须臾胆汁透下。初益聋。半日乃可。三十年者
亦瘥
足少阴肾经是全身众多经脉汇聚之处，其经气与耳相通。若因劳倦损伤肾脏，导致宗脉虚损，气血不足，风邪便会乘虚而入。
治疗长期耳聋耳鸣，或伴有耳道流脓汁的症状，多由肾虚引起，致使多年不愈。适宜服用铁浆酒方。
配方：旧铁（三十斤，烧至通红后，用五斗水浸泡三日，澄清取汁）；石菖蒲（七斤，切片，用一石水煮至剩余五斗，去渣澄清）。
柘木（未注明具体用量及处理，原文此处似有缺漏或指代不明，依原文直译）。
以上药物混合合成一石五斗液体。加入米二石，酒曲三斗，按照常规酿酒方法发酵。待酒酿熟后开启，加入磁石三斤，捣碎过筛。
此方适用于长期耳聋患者服用。
配方：石菖蒲（三分）；羊肾（一对，用一升酒煮至酒尽为度，薄切后晒干）；葱子（三分，微炒）；皂荚（未注明具体用量及处理，原文此处似有缺漏）。
以上药物捣碎过筛成粉末，用炼蜜调和制成梧桐子大小的丸剂。每日空腹时，用温酒送服三十丸。若有患病七八年的情况……
又一方。
旧铁（三十斤）。
以上用七斗水浸泡三日，取汁。加入酒曲三十斤，米五斗，按照常规造酒法，待酒熟后，取磁石一斤，浸泡于酒中。
治疗患耳聋年久，耳中常鸣的鱼脑膏方。
生鲤鱼脑（三两）；当归（半两，捣成粉末）；细辛（半两）；白芷（半两，捣成粉末）；附子（半两，去皮脐）。
以上药物，将鱼脑及羊肾脂一起煎煮诸药，经过“三上三下”的煎制过程（即煮沸后离火稍凉再煮沸，反复三次），制成膏状，滤去药渣，冷却后，制成如枣核大小的丸剂。以……（原文此处中断，推测为使用方法，如塞耳等）。
治疗耳聋三十年听不见的塞耳蓖麻丸方。
蓖麻子（半两，去皮）；杏仁（半两，热水浸泡去皮尖）；桃仁（半两，热水浸泡去皮尖）；巴豆（一两二枚，去心皮）；……（原文此处有缺漏，提及菖蒲等）。
以上药物，先将石菖蒲、食盐、磁石、木通、薰陆香、附子等捣成粉末，再将蓖麻子、杏仁、桃仁、巴豆四味药捣碎，纳入蜡……（原文此处中断，推测为混合制作）。
治疗耳聋日久不愈的塞耳磁石丸方。
磁石（一两）；石菖蒲（半两）；木通（半两，锉碎）；薰陆香（半两）；杏仁（半两，去皮尖，生用）；松脂（未注明具体用量，原文此处似有缺漏）。
以上药物捣碎过筛成粉末，用黄蜡熔化调和，制成如莲子大小、长约半寸的条状物，可放入耳门，用细钗子穿透，塞入耳中。
治疗耳聋日久不愈，适宜使用此方。
天雄末（二分）；鸡蛋（一枚）；附子末（一分）。
以上药物，取鸡蛋，打破一端取出蛋黄并与药粉混合，再重新纳入蛋壳中，封口完毕，放回鸡窝中，等待其他母鸡孵化出小鸡时，药即制成。
又一方。
炼制过的松脂（一两）；食盐（半两）；巴豆（半两，去皮心）；蓖麻子（半两，去皮）；薰陆香（半两）；杏……（原文此处中断，可能指杏仁）。
以上药物捣细过筛成粉末，用猪脂一两、黄蜡一两，先在锅中熔化，然后加入药末，搅拌均匀……
治疗耳聋二十年不愈的塞耳枫香丸方。
枫香（一两）；巴豆（七枚，去皮心，微炒）；松脂（三两半）；黄蜡（半两）；婆律膏（半两）；胡桃仁（未注明具体用量，原文此处似有缺漏）。
以上药物，先捣碎枫香和巴豆，再加入松脂捣匀，接着熔化蜡加入其中，捣至稠厚调和，最后加入婆律膏和胡桃仁，煮熟……（原文此处中断）。
治疗长期耳聋，适宜使用此方。
芫菁（一枚）；巴豆（一枚，去皮心）；蓖麻子（一枚，去皮）。
以上药物细细研磨，用蜂蜜二两，用文火熬煮半天，不可令其焦糊，焦糊则不可用。只可制成三丸，用棉子包裹……
又一方。
吴茱萸（半两，生用）；巴豆（二枚，去皮心）；干姜（一分，炮裂）。
以上药物捣细过筛成散剂，用葱涕调和棉花，包裹如枣核大小，纳入耳中片刻，变干即取出，再次调和湿润者纳入耳中。如……
又一方。
松脂（半两）；巴豆（四枚，去皮心）。
以上药物捣熟捻成如枣核大小，用棉包裹塞入耳中，每日一换。若药变硬，即用微火烤软后使用。
又一方。
鸡脂（五两，炼制后使用）；桂心（半两）；野葛（半两）。
以上药物捣粗罗成散剂，用鸡脂熬煮三二十沸，去渣成膏。每次用笔管吸取少许膏体，烤热笔管，侧卧滴入耳中。
又一方。
驴胫骨髓（一分）；针砂（一合，用水二合浸泡十日，取清水少许）。
以上两味混合搅匀。每次用少许，滴入耳中。用半个干净的方砖，烧至通红，用醋泼之，将磁石末一……（原文此处中断，推测为撒在砖上或用于某种操作）。
治疗长期耳聋二三十年不愈者，滴耳鼠脂方。
鼠脂（半合）；青盐（一钱）；地龙（一条，系住头部捻取汁液）。
以上药物，用鼠脂和地龙汁调匀青盐，温热后用棉蘸取，侧卧滴入耳中。
又一方。
熊胆（一分）；鼠胆（二枚，十二月收集的）。
以上药物用水调和，随时取如绿豆大小，滴入耳中，每日一次或两次，病可愈。
又一方。
水银（一分）；地龙（湿的一条）。
以上药物，在一根葱栽子上掏出一个孔，去掉头部，将管子插入孔中，系紧头部，防止流出。等待地龙化为水，乃……（原文此处中断，推测为收集液体使用）。
治疗长期耳聋不问年份，不愈者，滴耳古吊脂方。
古吊脂（一味）。
将此一味药贮存在琉璃瓶中，用樟木盒盛放瓶子。每日一次，滴半颗杏仁大小的量入耳中。此方极有效验。
此方治疗耳聋，不问年月及老少皆适用。
以上取驴前蹄胫骨，打破，在阳光下，用瓷盒子盛接，沥取骨髓。待取尽后，收藏贮存。每次使用时，用绵乳子……（原文此处中断，推测为蘸取骨髓使用）。
新患……（原文此处中断，可能指新近患病的情况）。
The Kidney Meridian of Foot-Shaoyin (Foot-Shaoyin Kidney Channel) is the gathering point of numerous meridians, and its Qi connects to the ears. If the Kidneys are injured by overexertion, leading to deficiency and damage of the Zong Mai (Major Vessels), and a insufficiency of Blood and Qi, Wind-Evil may take advantage of this weakness.
To treat long-standing deafness and tinnitus, or cases accompanied by otorrhea (discharge from the ear), which are often caused by Kidney Deficiency resulting in chronic non-resolution, it is advisable to consume Tie Jiang Jiu (Iron Slurry Wine).
Ingredients: Old Iron (30 jin, heated until red-hot, then soaked in 5 dou of water for three nights; clarify the liquid); Chang Pu (Acori Tatarinowii Rhizoma, 7 jin, sliced, boiled in 1 shi of water until 5 dou remain; remove dregs and clarify).
Zhe Wood (Unspecified quantity and preparation in original text).
Combine the above liquids to make 1 shi 5 dou. Add 2 shi of rice and 3 dou of yeast, ferment according to standard wine-making methods. Once the wine is ripe, open it and add 3 jin of Ci Shi (Magnetitum), crush and sieve it.
This formula is suitable for patients with long-standing deafness.
Formula: Chang Pu (3 fen); Yang Shen (Ovis/Capra Kidney, 1 pair, boiled in 1 sheng of wine until the wine is absorbed, thinly sliced and dried); Cong Zi (Allii Fistulosi Semen, 3 fen, lightly stir-fried); Zao Jia (Gleditsiae Sinensis Fructus, unspecified quantity/preparation in original text).
Sieve the above ingredients into powder, mix with refined honey, and form pills the size of Sophora seeds (Wu Tong Zi). Take 30 pills on an empty stomach daily, washed down with warm wine. For those suffering for seven or eight years...
Another prescription.
Old Iron (30 jin).
Soak the above in 7 dou of water for three nights, extract the juice. Add 30 jin of yeast and 5 dou of rice, brew according to standard wine-making methods. Once ripe, add 1 jin of Ci Shi (Magnetitum) and soak in the wine.
Yu Nao Gao (Fish Brain Ointment) for treating long-standing deafness with constant tinnitus.
Sheng Li Yu Nao (Fresh Carp Brain, 3 liang); Dang Gui (Angelicae Sinensis Radix, 0.5 liang, crushed into powder); Xi Xin (Asari Radix et Rhizoma, 0.5 liang); Bai Zhi (Angelicae Dahuricae Radix, 0.5 liang, crushed into powder); Fu Zi (Aconiti Lateralis Radix Praeparata, 0.5 liang, skin and umbilicus removed).
Combine the fish brain and sheep kidney fat, decoct the herbs using the "three up, three down" method (boiling, cooling, and boiling again repeatedly). Strain the dregs when the ointment is ready, allow to cool, and form pills the size of jujube pits. Use by... [text cuts off, likely implying insertion into the ear].
Sai Er Bi Ma Wan (Ear-Plugging Hemp Seed Pill) for deafness lasting thirty years where hearing is lost.
Bi Ma Zi (Cannabis Fructus, 0.5 liang, skin removed); Xing Ren (Armeniacae Semen Amarum, 0.5 liang, soaked in hot water, skin and tip removed); Tao Ren (Persicae Semen, 0.5 liang, soaked in hot water, skin and tip removed); Ba Dou (Crotonis Fructus, 1 liang 2 mei, heart and skin removed); ... [text cuts off, mentions Chang Pu etc.].
First, crush Chang Pu (Acori Tatarinowii Rhizoma), Yan Yan (Halitum), Ci Shi (Magnetitum), Mu Tong (Akebiae Caulis), Xun Lu Xiang (Boswelliae Resina), and Fu Zi (Aconiti Lateralis Radix Praeparata) into powder. Then crush Bi Ma Zi (Cannabis Fructus), Xing Ren (Armeniacae Semen Amarum), Tao Ren (Persicae Semen), and Ba Dou (Crotonis Fructus), and incorporate wax... [text cuts off].
Sai Er Ci Shi Wan (Ear-Plugging Magnetite Pill) for chronic deafness that does not resolve.
Ci Shi (Magnetitum, 1 liang); Chang Pu (Acori Tatarinowii Rhizoma, 0.5 liang); Mu Tong (Akebiae Caulis, 0.5 liang, chopped); Xun Lu Xiang (Boswelliae Resina, 0.5 liang); Xing Ren (Armeniacae Semen Amarum, 0.5 liang, skin and tip removed, raw use); Song Zhi (Pini Resina, unspecified quantity in original text).
Crush and sieve the above into powder, melt Huang La (Apis Cera, Yellow Beeswax) and mix to form pellets the size of lotus seeds, about half an inch long. These can be inserted into the ear canal, pierced with a fine hairpin, and plugged into the ear.
For chronic deafness that does not resolve, this formula is suitable.
Tian Xiong (Aconiti Kusnezoffii Radix, 2 fen); Ji Zi (Galli Ovum, 1 egg); Fu Zi (Aconiti Lateralis Radix Praeparata, 1 fen).
Take an egg, break one end, remove the yolk, mix with the medicine, and return it to the shell. Seal it tightly and place it back in the hen's nest. Wait for chicks from another hen to hatch; the medicine will be prepared.
Another prescription.
Lian Song Zhi (Refined Pini Resina, 1 liang); Yan Yan (Halitum, 0.5 liang); Ba Dou (Crotonis Fructus, 0.5 liang, skin and heart removed); Bi Ma Zi (Cannabis Fructus, 0.5 liang, skin removed); Xun Lu Xiang (Boswelliae Resina, 0.5 liang); Xing... [text cuts off, likely Xing Ren].
Crush and finely sieve the above into powder. Melt 1 liang of Ji Zhi (Galli Adeps) and 1 liang of Huang La (Apis Cera, Yellow Beeswax) in a pot, then add the powder and stir evenly...
Sai Er Feng Xiang Wan (Ear-Plugging Liquidambar Pill) for deafness lasting twenty years without resolution.
Feng Xiang (Liquidambaris Resina, 1 liang); Ba Dou (Crotonis Fructus, 7 mei, skin and heart removed, lightly stir-fried); Song Zhi (Pini Resina, 3.5 liang); Huang La (Apis Cera, Yellow Beeswax, 0.5 liang); Po Lv Gao (Borax? Or specific resin, 0.5 liang); Hu Tao Ren (Juglandis Semen, unspecified quantity in original text).
First crush Feng Xiang (Liquidambaris Resina) and Ba Dou (Crotonis Fructus), then add Song Zhi (Pini Resina) and crush again. Melt the wax and add it, crushing until thick and uniform. Finally, add Po Lv Gao (Resina) and Hu Tao Ren (Juglandis Semen), cook thoroughly... [text cuts off].
For long-standing deafness, this formula is suitable.
Yan Jing (Mylabris, 1 piece); Ba Dou (Crotonis Fructus, 1 mei, skin and heart removed); Bi Ma Zi (Cannabis Fructus, 1 mei, skin removed).
Finely grind the above. Boil with 2 liang of honey over gentle fire for half a day. Do not let it burn; if burnt, it is unusable. Form only three pills, wrap in cotton...
Another prescription.
Wu Zhu Yu (Evodiae Fructus, 0.5 liang, raw use); Ba Dou (Crotonis Fructus, 2 mei, skin and heart removed); Gan Jiang (Zingiberis Rhizoma, 1 fen, roasted/cracked).
Crush and finely sieve into powder. Mix with Cong Ti (Scallion Juice) and cotton, form a ball the size of a jujube pit, insert into the ear for a short while. Remove when dry, re-moisten with wet mixture and re-insert. As...
Another prescription.
Song Zhi (Pini Resina, 0.5 liang); Ba Dou (Crotonis Fructus, 4 mei, skin and heart removed).
Cook and knead into a shape like a jujube pit, wrap in cotton, and plug into the ear. Change once daily. If the medicine hardens, soften it with mild heat before use.
Another prescription.
Ji Zhi (Galli Adeps, 5 liang, refined); Gui Xin (Cinnamomi Ramulus Cortex, 0.5 liang); Ye Ge (Gelsemii Radix, 0.5 liang).
Coarsely sieve the above into powder. Boil in Ji Zhi (Galli Adeps) for 30-20 boils, strain to make an ointment. Each time, use a quill tube to draw a small amount of ointment, heat the tube, lie on your side, and drip the ointment into the ear.
Another prescription.
Lu Jing Gu Sui (Asini Tibiae Marrow, 1 fen); Zhen Sha (Hematitum, 1 he, soak in 2 he of water for ten days, take a little clear water).
Mix the two ingredients evenly. Use a small amount, drip into the ear. Heat half a clean square brick until red-hot, splash with vinegar, and apply Ci Shi (Magnetitum) powder... [text cuts off].
For long-standing deafness of 20-30 years without resolution, drop Mouse Fat into the ear.
Shu Zhi (Mus Adeps, 0.5 he); Qing Yan (Natrii Chloridum Viride/Green Salt, 1 qian); Di Long (Pheretima, 1 earthworm, tie head and squeeze juice).
Mix Shu Zhi (Mus Adeps) and Di Long juice with Qing Yan (Natrii Chloridum Viride/Green Salt). Warm the mixture, dip cotton in it, lie on your side, and drip into the ear.
Another prescription.
Xiong Dan (Ursi Fel, 1 fen); Shu Dan (Mus Fel, 2 gallbladders, collected in the twelfth lunar month).
Mix with water, take drops the size of mung beans, drip into the ear once or twice daily. The condition will resolve.
Another prescription.
Shui Yin (Hydrargyrum, 1 fen); Di Long (Pheretima, 1 fresh worm).
On a scallion stalk, hollow out one stem, remove the head, insert the tube, and tie the head securely to prevent leakage. Wait until the Di Long (Pheretima) liquefies, then... [text cuts off].
For long-standing deafness regardless of duration, drop Ancient Hanging Fat into the ear.
Gu Diao Zhi (Ancient Hanging Fat, one ingredient).
Store this single ingredient in a glass bottle, placed inside a camphor wood box. Once daily, drop half the size of an almond kernel into the ear. This formula is extremely effective.
This formula treats deafness, applicable regardless of duration or age.
Take the tibia of a donkey's front hoof, break it, and expose it to sunlight. Collect the marrow dripping into a porcelain container. Once fully collected, store it. When using, take with cotton... [text cuts off].
New onset... [text cuts off, possibly referring to acute cases].
Another prescription.
Take mouse bile. Have the patient lie on their side, drain one entire gallbladder into the ear. Within moments, the bile penetrates downward. Initially beneficial for deafness, improvement can be seen after half a day; even cases lasting thirty years may resolve.