小儿有忽患耳聋沉听者。由风邪乘于手太阳之经也。邪随其经。入于耳内。邪正相搏。气停塞滞。则令耳
聋。不能聪听于音声也。轻者则为沉听。谓耳中沉沉然。轻小之音则不辨。重大之声才闻也。
通鸣散
治风邪恶入耳。令儿耳聋。
菖蒲（一寸九节者良） 远志（甘草水煮去心各一两） 柴胡（去苗） 麦门冬（去心） 防风（去芦并
叉枝各半两） 细辛（去苗） 甜葶苈（炒） 磁石（火 醋淬十次研各一分） 杏仁（十四个汤浸去皮尖双
仁者炒黄）
上为细末。每服半钱。煎葱白汤调下。乳食后。日二三服。
乌麝汤
治如前。
大川乌头（一个重二钱上者以猪脂油煎令裂不得削了面上块子只刮去皮尽切碎杵罗为末） 通草（半两薄切作
片子片片相似以糯米粉作稀糊拌匀焙干杵罗为末）
上二味。入麝香末少许研匀。每服一钱。水一小盏。入薄荷二叶。枣一枚。煎数沸。放温服，或只以温酒
调服。
菖蒲丸
治如前。菖蒲一寸。巴豆一粒去皮心。二物合杵为剂。分作七丸。用一粒。绵裹塞耳中。一日一易。
又方 菖蒲末一分。杏仁半两。汤浸去皮尖双仁者。二物合杵如泥。每服用一麻子许。绵子裹纳耳中。一日
一易。
萆麻膏
治如前。萆麻子十枚去皮。枣肉七枚。同研为膏。每用蕤核许。绵裹内耳，一日一易。
治新久耳聋 以巴豆一粒。蜡裹。针刺令通透。塞耳中。以猫已捉住老鼠夺之。取其鼠胆汁灌病耳中。一云
只以鼠胆用之亦可。以地龙一条。盐少许。俱贮葱筒中。时动摇则化为水。用点耳中。以米醋一碗。用铁一块弹
子大。烧赤。投醋中。令病耳就上。使气熏人耳中。即效。三二日可治。
又方 以葱白于灰火中煨令熟。将葱白头纳耳中。一日三易。以芥子杵烂。人乳汁和。绵裹纳耳中。一日一
易。以荆子中 虫白粉。和油滴耳中。亦治沉听新聋耳。 以驴脂和生椒杵烂作丸。绵
裹塞耳中。治久聋。 以醇醋微火煎附子至软。削令尖。塞耳中。
小儿突然患耳聋、听力减退的病症，是由于风邪侵袭手太阳经脉所致。邪气随着经脉进入耳内，邪气与正气相互搏结，导致气机停聚阻塞，从而引起耳聋，无法清晰听取声音。病情较轻者表现为听力减退，即耳中感觉沉重昏蒙，轻微细小的声音分辨不清，只有较大的声音才能听到。
通鸣散
治疗风邪侵入耳朵，导致小儿耳聋。
石菖蒲（一寸长且有九节的品质较好）一两，远志（用甘草水煮后去除心材）一两，柴胡（去除苗茎），麦门冬（去除心材），防风（去除芦头和分叉枝节）半两，细辛（去除苗茎），甜葶苈（炒制），磁石（火烧后醋淬十次并研碎）一分，杏仁（十四个，用水浸泡后去皮尖，双仁者炒至微黄）。
以上药物研成细末。每次服用半钱，用葱白煎汤调服。在吃奶或进食后服用，每日二至三次。
乌麝汤
治疗方法同上。
大川乌头（一个，重二钱以上的，用猪脂油煎至裂开，不要削去表面的块状物，只需刮净外皮，切碎后捣烂过筛为末），通草（半两，薄切成片，片片形状相似，用糯米粉调成的稀糊拌匀，焙干后捣烂过筛为末）。
以上两味药，加入少许麝香末，研磨均匀。每次服用一钱，用水一小盏，加入薄荷叶两片、大枣一枚，煮沸数次，待温度适宜时服用；或者仅用温酒调服。
菖蒲丸
治疗方法同上。取石菖蒲一寸，巴豆一粒（去皮去心），将这两样东西合在一起捣烂制成丸剂，分成七丸。取其中一丸，用棉布包裹塞入耳中，每天更换一次。
又一方：取石菖蒲末一分，杏仁半两（用水浸泡后去皮尖，双仁者），将这两样东西合在一起捣烂如泥。每次取芝麻大小的量，用棉子包裹纳入耳中，每天更换一次。
萆麻膏
治疗方法同上。取蓖麻子十枚（去皮），枣肉七枚，一起研磨成膏。每次取核桃花大小的一团，用棉布包裹放入耳中，每天更换一次。
治疗新近或久患的耳聋：取巴豆一粒，用蜡包裹，用针刺透，塞入耳中。然后捉住一只老鼠夺走它，取其鼠胆汁滴入患耳中。另一种说法是只用鼠胆即可。取地龙一条，加少许盐，一同放入葱筒中，不时摇动使其化为水，用此水滴入耳中。取一碗米醋，放入一块弹子大小的铁块，烧红后投入醋中，让患耳靠近上方，使热气熏入耳中，立即见效。三两天可以治愈。
又一方：取葱白在灰火中煨熟，将葱白头塞入耳中，每天更换三次。取芥子捣烂，加入人乳汁调和，用棉布包裹塞入耳中，每天更换一次。取荆条中的白色虫粉，与油混合滴入耳中，也能治疗听力减退和新近耳聋。用驴脂和生花椒捣烂做成丸剂，用棉布包裹塞入耳中，治疗久聋。用纯醋在微火上煎煮附子至变软，削成尖形，塞入耳中。
Pediatric cases of sudden deafness and diminished hearing are caused by wind-pathogen invading the Hand-Taiyang meridian. The pathogen follows the meridian into the ear, where it contends with healthy qi, causing stagnation and obstruction of qi mechanism, resulting in deafness and the inability to hear sounds clearly. In mild cases, this manifests as diminished hearing, characterized by a heavy and muffled sensation in the ears; slight and small sounds cannot be distinguished, while only loud sounds can be perceived.
Tongming San (Unblocking Acoustic Powder)
Indicated for wind-pathogen invading the ear, causing pediatric deafness.
Shichangpu (Rhizoma Acori Tatarinowii), one cun long with nine nodes is preferred, 1 liang; Yuanzhi (Radix Polygalae), boiled in Licorice decoction and heart removed, 1 liang; Chaihu (Radix Bupleuri), stems removed; Maimendong (Radix Ophiopogonis), heart removed; Fangfeng (Radix Saposhnikoviae), radix base and forked branches removed, 0.5 liang; Xixin (Radix Asari), stems removed; Tiantingli (Semen Lepidii seu Descurainiae), stir-fried; Cishi (Magnetitum), calcined ten times in vinegar and ground, 1 fen; Xingren (Semen Armeniacae Amarum), fourteen seeds, soaked in water, skin and pointed ends removed, double-kernel ones stir-fried until yellow.
Grind all ingredients into fine powder. Take half a qian per dose, mixed with decoction of scallion whites. Administer after milk or food intake, two to three times daily.
Wushe Tang (Asarum and Musk Decoction)
Indicated as above.
Dachuannu (Radix Aconiti Lateralis Preparata), one piece weighing over 2 qian; boil in lard until cracked, do not scrape off surface lumps, merely scrape off skin completely, mince finely, pound and sieve into powder; Tongcao (Medulla Tetrapanacis), 0.5 liang, sliced thinly, slices similar in shape, mixed evenly with thin rice paste, dried, pounded and sieved into powder.
Mix the above two powders with a small amount of Moschus (Musk) powder. Take 1 qian per dose with one small cup of water, add two leaves of Bohe (Folium Menthae) and one Jujube (Fructus Ziziphus Jujubae), boil for several boils, warm before administration; alternatively, mix with warm wine.
Changpu Wan (Acorus Pills)
Indicated as above. Use Shichangpu (Rhizoma Acori Tatarinowii) one cun, and Badou (Semen Crotonis) one seed (skin and heart removed). Pound the two together to form pills, divide into seven pills. Take one pill, wrap in cotton, insert into the ear canal, change once daily.
Another prescription: Take 1 fen of Shichangpu (Rhizoma Acori Tatarinowii) powder and 0.5 liang of Xingren (Semen Armeniacae Amarum) (soaked, skin and pointed ends removed, double-kernel ones). Pound together into a paste. Take an amount the size of a sesame seed per dose, wrap in cotton seed husk, insert into the ear canal, change once daily.
Bima Gao (Ricinus Ointment)
Indicated as above. Take ten Semen Ricini (Ricini Semen) (skinned) and seven pieces of Jujube pulp. Grind together into ointment. Apply an amount the size of a peach pit per dose, wrapped in cotton, inserted into the ear, change once daily.
Treatment for recent or chronic deafness: Wrap one Badou (Semen Crotonis) seed in wax, pierce through with a needle, and insert into the ear canal. Then catch a mouse, wrest it away, and use its gallbladder juice to drip into the affected ear. Alternatively, using only mouse gallbladder is also effective. Take one Earthworm (Pheretima), add a little salt, place both in a scallion tube, shake occasionally until liquefied, and use drops in the ear. Take one bowl of Rice Vinegar, drop a piece of iron the size of a marble, heat until red hot, then plunge into the vinegar. Position the affected ear over the vinegar to inhale the fumes; this is immediately effective. Can be cured within two to three days.
Another prescription: Roast Congbai (Bulbus Allii Cepae) in ash fire until cooked. Insert the white part of the scallion into the ear canal, change three times daily. Pound Mustard Seed (Semen Sinapis Albae) until broken down, mix with human milk, wrap in cotton, insert into the ear canal, change once daily. Mix the white powder from insects found in Jingzi (branches of Vitex negundo) with oil and drip into the ear; this also treats diminished hearing and recent deafness. Mix Donkey Fat (Cauda Equina Asini) with raw Sichuan Pepper (Pericarpium Zanthoxyli) and pound into pills, wrap in cotton, insert into the ear canal to treat chronic deafness. Simmer Fuzi (Radix Aconiti Lateralis Preparata) in pure vinegar over low heat until soft, shape into a point, and insert into the ear canal.