两寸脉浮洪上鱼为溢。两尺脉短而微。或大而数。皆属阴虚。法当补阴抑阳。左寸洪数
心火上炎。两尺脉洪者。或数者。相火上炎。其人必遗精。梦交。两耳蝉鸣或聋。
耳者属肾。而开窍于少阳之部。通会于手三阳之间。坎离交则聚气以司聪以善听也。关
于肾
而贯于脑。内经曰。五脏不和。则九窍不通。其耳鸣耳痒耳聋者。皆属肾虚。水不上流。清
气
不升所致也。从补益门治之。其壮年及小儿。耳肿耳痛耳 乃三阳风热壅遏所致也。宜升阳
散火汤加黄柏、知母。晚间兼服金花丸可矣。
一论思虑烦心而神散。精脱于下。则真阴不上泥丸。而气不聚。故耳鸣耳重听及耳内痒
安神复元汤
黄 （蜜炙一钱五分） 人参（一钱五分） 当归（酒洗一钱五分） 柴胡（一钱） 升麻（五
分）
黄连（酒炒一钱） 黄芩（酒炒一钱） 黄柏（酒炒三钱） 知母（一钱） 防风（一钱） 蔓荆子
（七分） 麦门冬（一钱） 茯神（一钱） 酸枣仁（炒一钱五分） 川芎（一钱） 甘草（五分） 甘
枸杞子（一钱五分）
上锉一剂。圆眼肉三枚。水煎服。
一论劳聋、气聋、风聋、虚聋、毒聋、久聋、耳鸣。劳聋者。劳火鼓其听户也。气聋者
气塞滞于听户也。风聋者。耳热闭其听户也。虚聋者。气血虚耗而神不用也。毒聋者。脓血
障碍。妨于听户也。久聋者。病非一日。邪气壅塞也。凡有是聋者。势必耳鸣。故总系其耳
鸣也。
千金补肾丸
当归（酒洗） 白芍（酒炒） 怀熟地黄（酒蒸） 黄 （蜜炒） 人参 白茯神 山茱萸（酒
蒸去核） 牡丹皮 泽泻 菟丝子（酒制） 石斛 蛇床子 肉苁蓉 干姜 桂心 大附子（炮去皮
脐） 巴戟（去心） 远志（去心） 细辛 甘草（各二两） 石菖蒲（一两） 防风（一两五钱）
共二十三味。西园公加山药二两。殊效。
上为细末。炼蜜为丸。如梧桐子大。每服十五丸。加至三四十丸。盐汤送下。
一论虚火上升。痰气郁于耳中。或闭或鸣。痰火炽盛。或忧郁痞满。咽喉不利。烦躁不
宁。
通明利气汤
苍术（盐水炒一钱） 白术（去芦炒一钱） 川芎（八分） 陈皮（盐水浸二钱） 香附（童便
炒二
钱） 黄柏（酒炒二钱） 栀子仁（炒一钱） 贝母（三钱） 生地黄（姜汁浸一钱） 黄连（一钱半
酒浸猪胆汁炒） 玄参（酒洗二钱） 木香（五分） 槟榔（一钱） 甘草（炙四分） 黄芩（一钱半
酒浸猪胆汁炒）
上锉二剂。生姜水煎。入竹沥同服。
一论阴虚火动而耳聋或鸣者。六味地黄丸。（见补益）根据本方加黄柏、知母、石菖蒲、远
志去心。屡验。
一治耳鸣主方。
黄连 黄芩 栀子 当归 陈皮 胆星（各一钱） 龙胆草 香附（各八分） 元参（七分）
青黛 木香（各五分） 干姜（炒黑三分）
上锉一剂。生姜三片。煎七分。入元明粉三分。痰盛加五分。食后服。如作丸子。加芦
荟五
分。麝香二分。为末。神曲糊为丸。每服五十丸。淡姜汤送下。如肾虚耳鸣者。服六味地黄
丸。
一论耳主风者。耳肿作痛。牙关紧急。乍寒乍热。饮食不下是也。
射干散 苦竹吴绍源传。
升麻 桔梗 射干 昆布 连翘 甘草
上锉。水煎热服。汗出立愈。并治面肿牙痛咽喉痛。神效。
一治耳鸣如流水声。耳痒及风声。不治久成聋。生乌头一味。掘得。乘湿削如枣核大。
塞耳中。旦易一次。夜易一次。不三日愈。
一论塞药治耳聋殊效。
石菖蒲（一寸） 巴豆（一粒去壳） 全蝎（一个去足尾）
上为末。葱汁为丸。如枣核大。绵裹塞耳。即通。
一论塞药专治耳聋。或因病因气。及感风邪而聋者。若年老而聋者。不治。
蚯蚓去土。阴干为末七分。麝香三分。用葱切寸许。塞药于内。左聋塞右耳。右聋塞左
耳。左右俱聋。两耳俱塞。即效。一治耳聋。
通灵丹
安息香（一钱五分） 桑螵蛸（一钱五分） 阿魏（一钱五分） 朱砂（五分） 蓖麻子仁（七
个） 巴豆仁（七个） 独蒜（七个）
上为细末。入二仁与蒜同研为丸。如枣核大。每用一丸。绵裹入耳内。觉微痛即去。
一论 耳生脓并黄水。
红棉散
枯白矾（五分） 干胭脂粉（二分半） 麝香（少许） 片脑（一分） 熟炉甘石（五分）
上为末。先以棉杖子展干脓水。另将鹅翎管子送药入耳底。一方。用蛀竹粉、易矾、甘
石。亦效。
一治耳卒肿。出脓水。用枯矾为末。以笔管吹耳内。日三四次。或以棉裹塞耳中。
一治上热。耳出脓汁。
甘草（炙） 升麻 木通 赤芍 桑白皮（炒） 生地黄 前胡 赤茯苓 蔓荆子 甘菊花
（各等分）
上锉。姜、枣煎服。
一治人耳如蝉鸣。服四物汤。耳鸣益甚。此元气虚损之症。五更服六味丸。食前服补中
益气
汤。顿愈。此症若血虚而有火。用八珍汤加山栀、柴胡。气虚而有火。四君子汤加山栀、柴
胡。若因怒即聋或鸣。实用小柴胡加芎、归、山栀。虚用补中益气汤加山栀。午前甚。用
四物加白术、茯苓。久用补中益气。午后甚。用地黄丸。
一论治人因怒耳鸣。吐痰作呕。不食。寒热胁痛。用小柴胡合四物。加山栀、茯苓、陈
皮而瘥。
一论耳鸣。因虚火妄动。心神不宁。以益气汤去升麻、参、 。加半夏、茯苓、川芎、
白芍、竹茹、黄柏、黄连、天麻、蔓荆子、细辛。
一论耳中常鸣。生地黄截塞耳。数易之。以瘥为度。一法。以纸裹。灰火中煨之用。良
一治耳痛。肺火盛。肾气虚。以四物汤四钱。黄柏三钱。童便煎。空心服。
一寡妇耳内外作痛。不时寒热。脉上鱼际。此血盛之症。用小柴胡汤加生地黄。以抑其
血而愈。又项间结核如算珠。寒热。用加味归脾汤、加味逍遥散。调补肝脾而愈。
六味丸（方见补益） 补中益气汤（方见内伤） 八珍汤（方见补益） 四君子汤（方见补益
）小柴胡汤 加味逍遥散 加味归脾汤（方俱见妇人虚劳）
一专治耳内常鸣。耳聋。
独胜丸
川黄柏（去皮八两人乳拌匀晒干再用盐水炒绢包）
上为细末。水糊为丸。如梧子大。每百丸。空心。以盐汤送下。
一治耳、内肿痛。脓血出。枯白矾末。入麝香少许。吹耳中。日三四度。或棉裹塞耳中
立瘥。
一治耳聋。细辛为末。熔黄蜡为丸。如鼠粪大。棉裹塞耳中。立瘥。又以灸耳前陷中七
壮。
一治气道壅塞。两耳聋聩。用甘遂如枣核大。棉裹塞耳中。却以甘草放口内随嚼。又宜
生葱白塞耳内。频换即通。
两寸脉象浮洪且上溢至鱼际，称为“溢脉”。两尺脉短而微弱，或者大而数。这些都属于阴虚证候，治疗法则应当补阴以抑制阳亢。左寸脉洪数，提示心火上炎；两尺脉洪或数，提示相火上炎。患者必然出现遗精、梦中性交的症状，双耳蝉鸣或听力下降。
耳朵归属于肾，同时开窍于少阳经部位，并与手三阳经相通。当坎（肾水）与离（心火）相交时，气机汇聚从而主管听觉灵敏。耳部经络关联肾脏并贯通脑部。《内经》说：五脏功能不和，则九窍不通。耳鸣、耳痒、耳聋等症状，都属于肾虚，是由于肾水不能上承，清气不升所致。对此应从补益门进行治疗。对于壮年人和小儿，耳肿、耳痛、耳内流脓，是由于三阳经风热壅盛阻滞所致。适宜使用升阳散火汤加黄柏、知母。晚间兼服金花丸即可。
有一种论述认为，思虑过度导致心烦神散，精气下脱，真阴不能上注泥丸宫（脑），气机不聚，因此出现耳鸣、重听及耳内瘙痒。推荐安神复元汤。
药物组成：黄芪（蜜炙一钱五分）、人参（一钱五分）、当归（酒洗一钱五分）、柴胡（一钱）、升麻（五分）、黄连（酒炒一钱）、黄芩（酒炒一钱）、黄柏（酒炒三钱）、知母（一钱）、防风（一钱）、蔓荆子（七分）、麦门冬（一钱）、茯神（一钱）、酸枣仁（炒一钱五分）、川芎（一钱）、甘草（五分）、枸杞子（一钱五分）。
以上药材锉碎为一剂，加入桂圆肉三枚，水煎服。
另一种论述关于劳聋、气聋、风聋、虚聋、毒聋、久聋及耳鸣。劳聋，是劳倦之火鼓动听户（耳道）所致；气聋，是气机阻塞滞留在听户所致；风聋，是耳热闭塞听户所致；虚聋，是气血虚耗而神机不用所致；毒聋，是脓血障碍妨碍听户所致；久聋，是病程非一日形成，邪气壅塞所致。凡是有上述耳聋症状的，势必伴有耳鸣，所以总归归结为耳鸣来治疗。
推荐千金补肾丸。
药物组成：当归（酒洗）、白芍（酒炒）、怀熟地黄（酒蒸）、黄芪（蜜炒）、人参、白茯神、山茱萸（酒蒸去核）、牡丹皮、泽泻、菟丝子（酒制）、石斛、蛇床子、肉苁蓉、干姜、桂心、大附子（炮制去皮脐）、巴戟天（去心）、远志（去心）、细辛、甘草（各二两）、石菖蒲（一两）、防风（一两五钱）。共二十三味药。西园公增加山药二两，效果极佳。
以上药材研为细末，炼蜜为丸，如梧桐子大小。每次服用十五丸，可加至三四十丸，用盐汤送服。
还有一种论述认为，虚火上升，痰气郁结于耳中，导致耳闭或耳鸣。若痰火炽盛，或忧郁导致痞满，咽喉不利，烦躁不宁。
推荐通明利气汤。
药物组成：苍术（盐水炒一钱）、白术（去芦炒一钱）、川芎（八分）、陈皮（盐水浸二钱）、香附（童便炒二钱）、黄柏（酒炒二钱）、栀子仁（炒一钱）、贝母（三钱）、生地黄（姜汁浸一钱）、黄连（一钱半，酒浸猪胆汁炒）、玄参（酒洗二钱）、木香（五分）、槟榔（一钱）、甘草（炙四分）、黄芩（一钱半，酒浸猪胆汁炒）。
以上药材锉碎为两剂，生姜水煎，加入竹沥同服。
还有一种论述认为，阴虚火动导致耳聋或耳鸣者，使用六味地黄丸。（见补益篇）根据此方加黄柏、知母、石菖蒲、去心远志，屡试有效。
还有一个治疗耳鸣的主方。
药物组成：黄连、黄芩、栀子、当归、陈皮、胆南星（各一钱）、龙胆草、香附（各八分）、玄参（七分）、青黛、木香（各五分）、干姜（炒黑三分）。
以上药材锉碎为一剂，生姜三片，煎至七分，加入元明粉三分。痰多者加五分。饭后服用。如果做成丸子，加芦荟五分、麝香二分，研为细末，用神曲糊为丸。每次服用五十丸，淡姜汤送服。如果是肾虚耳鸣者，服用六味地黄丸。
还有一种论述认为，耳受风邪，表现为耳肿作痛，牙关紧急，忽冷忽热，饮食不下。
推荐射干散。由苦竹吴绍源传授。
药物组成：升麻、桔梗、射干、昆布、连翘、甘草。
以上药材锉碎，水煎热服。出汗后立即痊愈。并治疗面肿、牙痛、咽喉痛，效果神奇。
还有一个治疗耳鸣如流水声、耳痒及风声的方法，若不治疗日久会成聋。取生乌头一味，挖出后，趁湿削成枣核大小，塞入耳中。早晨更换一次，晚上更换一次，不超过三天即可痊愈。
还有一种论述认为，塞药治疗耳聋效果显著。
药物组成：石菖蒲（一寸）、巴豆（一粒去壳）、全蝎（一个去足尾）。
以上药材研为细末，葱汁和丸，如枣核大小，用棉包裹塞入耳中，即刻通畅。
还有一种论述认为，塞药专治耳聋。或因病因气，以及感受风邪导致的耳聋。如果是年老耳聋者，难以治愈。
将蚯蚓去土，阴干研为细末七分，麝香三分。用葱切成寸许长，将药塞入葱管内。左耳聋塞右耳，右耳聋塞左耳，双侧耳聋则两耳俱塞，立即见效。
还有一个治疗耳聋的方法。
推荐通灵丹。
药物组成：安息香（一钱五分）、桑螵蛸（一钱五分）、阿魏（一钱五分）、朱砂（五分）、蓖麻子仁（七个）、巴豆仁（七个）、独蒜（七个）。
以上药材研为细末，将两种仁与蒜一起研磨成丸，如枣核大小。每次用一丸，棉包裹放入耳内，感觉微痛即取出。
还有一种论述认为，耳中生脓并流出黄水。
推荐红棉散。
药物组成：枯白矾（五分）、干胭脂粉（二分半）、麝香（少许）、片脑（一分）、熟炉甘石（五分）。
以上药材研为细末。先用棉杖子蘸干脓水，另用鹅翎管子将药送入耳底。另一方法，使用蛀竹粉、易矾、甘石，也有效。
还有一个治疗耳卒肿，出脓水的方法。用枯矾为末，以笔管吹入耳内，每日三四次。或者用棉包裹塞入耳中。
还有一个治疗上焦热盛，耳出脓汁的方法。
药物组成：甘草（炙）、升麻、木通、赤芍、桑白皮（炒）、生地黄、前胡、赤茯苓、蔓荆子、甘菊花（各等分）。
以上药材锉碎，姜、枣煎服。
还有一个治疗人耳如蝉鸣的方法。服用四物汤，耳鸣反而加重，这是元气虚损的症状。五更时分服用六味丸，食前服用补中益气汤，顿时痊愈。此症若血虚而有火，用八珍汤加山栀、柴胡。气虚而有火，用四君子汤加山栀、柴胡。若因愤怒导致耳聋或耳鸣，实证用小柴胡汤加川芎、当归、山栀；虚证用补中益气汤加山栀。午前症状重，用四物汤加白术、茯苓；久用补中益气汤。午后症状重，用地黄丸。
还有一种论述认为，治疗人因愤怒耳鸣，吐痰作呕，不进食，寒热胁痛，用小柴胡汤合四物汤，加山栀、茯苓、陈皮而痊愈。
还有一种论述认为，耳鸣因虚火妄动，心神不宁，使用益气汤去掉升麻、人参、黄芪，加半夏、茯苓、川芎、白芍、竹茹、黄柏、黄连、天麻、蔓荆子、细辛。
还有一种论述认为，耳中常鸣，用生地黄截断塞入耳中，多次更换，以痊愈为度。另一种方法，用纸包裹，在灰火中煨熟使用，效果良好。
还有一个治疗耳痛的方法。肺火盛，肾气虚，用四物汤四钱，黄柏三钱，童便煎服，空腹服用。
还有一个寡妇耳内外作痛，不时寒热，脉象上鱼际，这是血盛的症状。用小柴胡汤加生地黄，以抑制其血而痊愈。又有项间结核如算珠状，寒热，用加味归脾汤、加味逍遥散，调补肝脾而痊愈。
（六味丸方见补益篇；补中益气汤方见内伤篇；八珍汤方见补益篇；四君子汤方见补益篇；小柴胡汤；加味逍遥散；加味归脾汤方均见妇人虚劳篇）
还有一个专治耳内常鸣、耳聋的方法。
推荐独胜丸。
药物组成：川黄柏（去皮八两，用人乳拌匀晒干，再用盐水炒，绢包）。
以上药材研为细末，水糊为丸，如梧桐子大小。每次一百丸，空腹，用盐汤送服。
还有一个治疗耳内肿痛，脓血流出。用枯白矾末，加入少许麝香，吹入耳中，每日三四次。或用棉包裹塞入耳中，立即痊愈。
还有一个治疗耳聋的方法。细辛为末，熔黄蜡为丸，如鼠粪大小，棉包裹塞入耳中，立即痊愈。另外艾灸耳前凹陷处七壮。
还有一个治疗气道壅塞，两耳聋聩的方法。用甘遂如枣核大小，棉包裹塞入耳中，同时将甘草放入口中随意咀嚼。又宜用生葱白塞入耳内，频繁更换即可通畅。
The pulse at both Cun (Inch) positions is floating, surging, and overflowing to the Yuji area, termed "Overflowing Pulse" (Yi Mai). The pulses at both Chi (Cubit) positions are short and faint, or large and rapid. All these belong to Yin Deficiency syndromes. The treatment principle should be to tonify Yin to suppress Yang hyperactivity. A surging and rapid pulse at the left Cun indicates Heart Fire flaming upward; surging or rapid pulses at both Chi positions indicate Ministerial Fire flaming upward. The patient will inevitably experience spermatorrhea, nocturnal emission with sexual dreams, cicada-like tinnitus in both ears, or deafness.
The ears belong to the Kidney, open into the Shaoyang region, and connect with the three Hand-Yang meridians. When Kan (Kidney Water) and Li (Heart Fire) interact, Qi gathers to govern auditory acuity. The ear meridians relate to the Kidney and penetrate the brain. The *Neijing* states: "When the five Zang organs are not harmonious, the nine orifices become blocked." Tinnitus, itching of the ears, and deafness all belong to Kidney deficiency, caused by the failure of Kidney Water to ascend and clear Qi to rise. Treatment should proceed from the Tonification category. For robust adults and children, ear swelling, pain, and otorrhea are caused by wind-heat stagnation in the three Yang meridians. It is appropriate to use Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction) added with Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma). Taking Jinhua Wan (Golden Flower Pill) in the evening as an adjunct is sufficient.
One discussion posits that excessive thinking causes vexation and scatters the Spirit, while Essence escapes downward, preventing True Yin from nourishing the Niwang Palace (brain), causing Qi to fail to gather. Thus, tinnitus, heavy hearing, and ear itching occur. Anshen Fuyuan Tang (Calming the Spirit and Restoring Origin Decoction) is recommended.
Ingredients: Huangqi (Astragali Radix, honey-fried 1.5 qian), Renshen (Ginseng Radix et Rhizoma 1.5 qian), Danggui (Angelicae Sinensis Radix, wine-washed 1.5 qian), Chaihu (Bupleuri Radix 1 qian), Shengma (Cimicifugae Rhizoma 0.5 qian), Huanglian (Coptidis Rhizoma, wine-fried 1 qian), Huangqin (Scutellariae Radix, wine-fried 1 qian), Huangbai (Phellodendri Cortex, wine-fried 3 qian), Zhimu (Anemarrhenae Rhizoma 1 qian), Fangfeng (Saposhnikoviae Radix 1 qian), Manjingzi (Vittadiniae Fructus 0.7 qian), Maimendong (Ophiopogonis Radix 1 qian), Fushen (Poria with Hostwood 1 qian), Suanzaoren (Ziziphi Spinosae Semen, fried 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma 0.5 qian), Gouqizi (Lycii Fructus 1.5 qian).
Crush the above ingredients for one dose, add three longan arils, decoct in water, and take orally.
Another discussion addresses Lao Lou (Fatigue Deafness), Qi Lou (Qi Stagnation Deafness), Feng Lou (Wind Deafness), Xu Lou (Deficiency Deafness), Du Lou (Toxin Deafness), Jiu Lou (Chronic Deafness), and Tinnitus. Lao Lou is caused by fire from fatigue stirring the auditory aperture; Qi Lou is caused by Qi obstruction stagnating in the auditory aperture; Feng Lou is caused by heat blocking the auditory aperture; Xu Lou is caused by depletion of Qi and Blood rendering the Shen ineffective; Du Lou is caused by pus and blood obstructing the auditory aperture; Jiu Lou is caused by pathogenic factors stagnating due to prolonged illness. Any of these deafness conditions will inevitably involve tinnitus, so they are collectively treated as tinnitus.
Qianjin Bushen Wan (Thousand Gold Kidney-Tonifying Pill) is recommended.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-washed), Baishao (Paeoniae Radix Alba, wine-fried), Huaishudihuang (Rehmanniae Radix Preparata, wine-steamed), Huangqi (Astragali Radix, honey-fried), Renshen (Ginseng Radix et Rhizoma), Baifushen (Poria with Hostwood), Shanzhuyu (Corni Fructus, wine-steamed, pitted), Mudanpi (Moutan Cortex), Zexie (Alismatis Rhizoma), Tusizi (Cuscutae Semen, wine-processed), Shihu (Dendrobii Caulis), Shechuangzi (Cnidii Fructus), Roucongrong (Cynomorii Herba), Ganjiang (Zingiberis Rhizoma), Guixin (Cinnamomi Ramulus), Dafuzi (Aconiti Lateralis Radix Preparata, processed, skin and umbilicus removed), Bajitian (Morindae Officinalis Radix, heart removed), Yuanzhi (Polygalae Radix, heart removed), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, each 2 liang), Shichangpu (Acori Tatarinowii Rhizoma 1 liang), Fangfeng (Saposhnikoviae Radix 1.5 liang). Total twenty-three herbs. Mr. Xiyuan adds 2 liang of Yam (Shanyao) for excellent effect.
Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take fifteen pills per dose, increasing to thirty or forty pills, washed down with salt water.
Another discussion suggests that Rising Deficient Fire and Phlegm-Qi stagnation in the ears cause blockage or tinnitus. If Phlegm-Fire is vigorous, or depression causes fullness and throat discomfort with restlessness:
Tongming Liqi Tang (Clear Brightness and Regulating Qi Decoction) is recommended.
Ingredients: Cangzhu (Atractylodis Rhizoma, salt-water fried 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome fried 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma 0.8 fen), Chenpi (Citri Reticulatae Pericarpium, salt-water soaked 2 qian), Xiangfu (Cyperi Rhizoma, child's urine fried 2 qian), Huangbai (Phellodendri Cortex, wine-fried 2 qian), Zhizi Ren (Gardeniae Fructus, fried 1 qian), Beimu (Fritillariae Bulbus 3 qian), Shengdihuang (Rehmanniae Radix, ginger juice soaked 1 qian), Huanglian (Coptidis Rhizoma 1.5 qian, wine-soaked, pig bile-fried), Xuanshen (Scrophulariae Radix, wine-washed 2 qian), Muxiang (Aucklandiae Radix 0.5 fen), Binglang (Arecae Semen 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, roasted 0.4 fen), Huangqin (Scutellariae Radix 1.5 qian, wine-soaked, pig bile-fried).
Crush the above for two doses, decoct in ginger water, and take with bamboo sap.
Another discussion states that Yin Deficiency with Fire Hyperactivity causing deafness or tinnitus should be treated with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (see Tonification section). Add Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), and Yuanzhi (Polygalae Radix, de-heart) to this formula; it has proven effective repeatedly.
Another main prescription for treating tinnitus:
Ingredients: Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium), Danningxing (Arisaematis Cum Bile Rhizoma, each 1 qian), Longdancao (Gentianae Radix), Xiangfu (Cyperi Rhizoma, each 0.8 fen), Yuanshen (Scrophulariae Radix 0.7 fen), Qingdai (Indigo Naturalis), Muxiang (Aucklandiae Radix, each 0.5 fen), Ganjiang (Zingiberis Rhizoma, charred black 0.3 fen).
Crush the above for one dose, add three slices of fresh ginger, decoct until reduced to 70%, add Yuanmingfen (Mirabilite 0.3 fen). Increase to 0.5 fen if phlegm is abundant. Take after meals. To make pills, add Lvhui (Aloe 0.5 fen) and Shexiang (Moschus 0.2 fen), grind to powder, bind with dough made from Medicated Leaven (Shenqu). Take fifty pills per dose, washed down with light ginger soup. For Kidney Deficiency tinnitus, take Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill).
Another discussion on Wind affecting the ears: Ear swelling and pain, trismus, alternating chills and fever, inability to eat.
Shegan San (Belamcanda Powder) is recommended, transmitted by Wu Shaoyuan of Kuzhu.
Ingredients: Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), Shegan (Belamcandae Rhizoma), Kunbu (Laminariae Thallus), Lianqiao (Forsythiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma).
Crush the above, decoct in water, and take hot. Recovery occurs immediately upon sweating. It also treats facial swelling, toothache, and sore throat with miraculous effect.
Another method for tinnitus sounding like flowing water, ear itching, and wind noise: If untreated, it leads to deafness. Take raw Aconitum (Sheng Wutou) alone. Dig it up, peel it while wet to the size of a jujube pit, and insert it into the ear. Change once in the morning and once at night. Cure within three days.
Another discussion on using ear plugs for deafness with special efficacy:
Ingredients: Shichangpu (Acori Tatarinowii Rhizoma, 1 cun), Badou (Crotonis Fructus, 1 seed, shelled), Quanxie (Scorpio, 1 specimen, legs and tail removed).
Grind to powder, bind with green onion juice into pills the size of a jujube pit. Wrap in cotton and insert into the ear; patency is immediate.
Another discussion on ear plugs specifically for deafness caused by disease, Qi stagnation, or wind invasion. Deafness in the elderly is difficult to treat.
Remove earth from earthworms, dry in shade, and grind to powder (0.7 fen). Mix with Moschus (0.3 fen). Cut green onion into inch-long pieces, insert the medicine inside. For left ear deafness, plug the right ear; for right ear deafness, plug the left ear. For bilateral deafness, plug both ears. Immediate effect.
Another treatment for deafness:
Tongling Dan (Spirit-Connecting Pill) is recommended.
Ingredients: Anshixiang (Benzoin Resin 1.5 qian), Sangpiaoxiao (Mantis Ootheca 1.5 qian),awei (Ferulae Resina 1.5 qian), Zhusha (Cinnabar 0.5 fen), Bamazi Ren (Ricini Semen 7 seeds), Badou Ren (Crotonis Fructus 7 seeds), Dusuan (Single Clove Garlic 7 cloves).
Grind to fine powder. Grind the two seeds and garlic together to form pills the size of a jujube pit. Use one pill per application, wrap in cotton, and insert into the ear. Remove if slight pain is felt.
Another discussion on purulent otorrhea and yellow discharge:
Hongmian San (Red Cotton Powder) is recommended.
Ingredients: Kubaijian (Calcined Alum 0.5 fen), Ganyanzhi Fen (Dried Madder Root Powder 0.25 fen), Shexiang (Moschus, a little), Piannao (Borneolum Syntheticum 0.1 fen), Shuluganshi (Calcined Calamine 0.5 fen).
Grind to powder. First, wipe dry the pus and discharge with a cotton swab. Then, use a goose feather tube to deliver the medicine to the bottom of the ear. Another method uses worm-eaten bamboo powder, alum, and calamine, which is also effective.
Another treatment for sudden ear swelling with pus discharge: Use calcined alum powder, blow into the ear with a brush tube, three to four times daily. Or wrap in cotton and insert into the ear.
Another treatment for upper heat causing purulent otorrhea:
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Shengma (Cimicifugae Rhizoma), Mutong (Akebiae Caulis), Chishao (Paeoniae Radix Rubra), Sangbaipi (Mori Cortex, fried), Shengdihuang (Rehmanniae Radix), Qianhu (Peucedani Radix), Chifuling (Poria with Hostwood dyed red), Manjingzi (Vittadiniae Fructus), Ganjuhua (Chrysanthemi Flos, equal parts).
Crush the above, decoct with ginger and jujube, and take orally.
Another treatment for cicada-like tinnitus: If taking Siwu Tang (Four Substances Decoction) worsens the tinnitus, this indicates Yuan Qi (Primal Qi) deficiency. Take Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) at dawn, and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) before meals for instant relief. If Blood Deficiency with Fire, use Bazhen Tang (Eight Treasures Decoction) added with Zhizi (Gardeniae Fructus) and Chaihu (Bupleuri Radix). If Qi Deficiency with Fire, use Sijunzi Tang (Four Gentlemen Decoction) added with Zhizi (Gardeniae Fructus) and Chaihu (Bupleuri Radix). If deafness or tinnitus is triggered by anger, excess pattern uses Xiaochaihu Tang (Minor Bupleurum Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), and Zhizi (Gardeniae Fructus); deficiency pattern uses Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Zhizi (Gardeniae Fructus). If symptoms are worse in the morning, use Siwu Tang (Four Substances Decoction) added with Baizhu (Atractylodis Macrocephalae Rhizoma) and Fuling (Poria). Long-term use of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If symptoms are worse in the afternoon, use Dihuang Wan (Rehmannia Pill).
Another discussion on treating tinnitus caused by anger, with expectoration, vomiting, anorexia, chills, fever, and hypochondriac pain: Use Xiaochaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang (Four Substances Decoction), added with Zhizi (Gardeniae Fructus), Fuling (Poria), and Chenpi (Citri Reticulatae Pericarpium) for cure.
Another discussion on tinnitus caused by reckless movement of Deficient Fire and restless Spirit: Use Yiqi Tang (Qi-Tonifying Decoction) removing Shengma (Cimicifugae Rhizoma), Renshen (Ginseng Radix et Rhizoma), and Huangqi (Astragali Radix), adding Banxia (Pinelliae Rhizoma), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Zhuru (Bambusae Folium in Desiccato), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Tianma (Gastrodiae Rhizoma), Manjingzi (Vittadiniae Fructus), and Xixin (Asari Radix et Rhizoma).
Another discussion on constant tinnitus: Insert cut raw Rehmannia root (Shengdihuang) into the ear, changing it frequently until cured. Another method: wrap in paper and roast in ash fire for good effect.
Another treatment for ear pain due to Lung Fire excess and Kidney Qi deficiency: Use Siwu Tang (Four Substances Decoction) 4 qian, Huangbai (Phellodendri Cortex) 3 qian, decoct in child's urine, take on an empty stomach.
A widow suffering from pain inside and outside the ears, intermittent chills and fever, with a pulse overflowing to Yuji, has a Blood Excess syndrome. Treat with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Shengdihuang (Rehmanniae Radix) to subdue the Blood and achieve cure. For neck lymph node swellings resembling beads with chills and fever, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction) and Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to regulate and tonify Liver and Spleen for cure.
(Note: Liuwei Dihuang Wan formula is in the Tonification section; Buzhong Yiqi Tang formula is in the Internal Injury section; Bazhen Tang formula is in the Tonification section; Sijunzi Tang formula is in the Tonification section; Xiaochaihu Tang; Jiawei Xiaoyao San; Jiawei Guipi Tang formulas are all in the Female Consumption section.)
Another specific treatment for constant ear ringing and deafness:
Dusheng Wan (Unique Victory Pill) is recommended.
Ingredients: Chuan Huangbai (Phellodendri Cortex, peeled 8 liang, mixed with human milk, dried, then fried in salt water, wrapped in silk).
Grind to fine powder, bind with water paste into pills the size of paulownia seeds. Take one hundred pills per dose, on an empty stomach, washed down with salt water.
Another treatment for ear swelling, pain, and purulent bloody discharge: Use calcined alum powder with a little Moschus, blow into the ear, three to four times daily. Or wrap in cotton and insert into the ear for immediate cure.
Another treatment for deafness: Grind Xixin (Asari Radix et Rhizoma) to powder, melt beeswax to form pills the size of mouse feces, wrap in cotton, and insert into the ear for immediate cure. Additionally, moxa seven cones on the depression in front of the ear.
Another treatment for Qi channel obstruction causing bilateral deafness: Use Kansui (Kansui Radix) the size of a jujube pit, wrap in cotton, and insert into the ear. Simultaneously, place Licorice (Gancao) in the mouth and chew as desired. Alternatively, insert raw white part of green onion into the ear, changing frequently until patency is restored.