有为风寒所袭而聋者，有心气不足而聋者，当服一醉膏，滚酒下，汗出而愈。若多酒色人，肾虚而致聋蔽
者，宜先服延寿丹半斤，后服一醉膏。若实聋则难治。（肾开窍于耳，又胃之宗气别走于耳，故耳聋一证属虚
者多，今言心气不足，而用一醉膏，此理未解。又云实聋者难治，尚俟细参。琦按∶人于六十外，精神强健，
不减少壮，而惟耳重听，乃肾气固藏之征，多主老寿不须医治。此书所谓若实聋则难治者，当是指此一种。）
若山居人，溪涧中，有姜理石，饮其水，令人生瘿瘤，服消风散。（当是消瘿散。）初者服姜附汤。若血
瘿、血瘤则不可治，妄治害人。
三虫者，蛔虫，蛲虫，寸白虫也。幼时多食生冷硬物，
及腥厌之物，久之生虫。若多食牛肉，则生寸白。其蛔虫长五六寸，发则令人心痛，吐清水，贯心则死。寸白
虫如葫芦子，子母相生，长二三寸，发则令人腹痛。蛲虫细如发，随气血周游遍身，出皮肤化为疯癞，住腹中，
为蛲瘕，穿大肠为痔漏，俱宜服安虫散。若人谷道痒痛，当用轻粉少许服之，来日虫尽下，寸白虫亦能下。
治验
一妇人病腹胀诸药不效，余令解腹视之，其皮黄色光如镜面，乃蛲瘕也。先炙牛肉一斤，令食后用生麻油
调轻粉五分服之，取下蛲虫一合，如线如须状，后服安虫散而愈。
有的耳聋是由于风寒侵袭所致，有的是由于心气不足所致，应当服用一醉膏，用温热的酒送服，出汗后即可痊愈。如果是长期饮酒色欲过度的人，因肾虚导致的听力障碍，适宜先服用半斤延寿丹，之后再服用一醉膏。如果是实证引起的耳聋则难以治疗。（肾开窍于耳，另外胃的宗气也别行于耳，所以耳聋这一病症大多属于虚证；此处提到心气不足而使用一醉膏，其中的道理尚不明确。又说实证耳聋难治，还需仔细参详。琦按：人在六十岁以后，精神强健，不亚于壮年，只是耳朵听力减退，这是肾气固藏的表现，多主长寿，不需要医治。这本书所说的“若实聋则难治”，应当是指这种情况。）
如果是居住在山中的人，饮用溪涧中含有姜理石的水，会导致人生瘿瘤，可以服用消风散（应当是消瘿散）。初起阶段服用姜附汤。如果是血瘿、血瘤则不可治疗，胡乱治疗会害人性命。
三虫指的是蛔虫、蛲虫和寸白虫。幼时多吃生冷坚硬之物，以及腥腻厌食之物，久而久之就会生虫。如果多吃牛肉，则会生出寸白虫。蛔虫长五六寸，发作时让人心痛，吐出清水，若虫体贯穿心脏则致死。寸白虫像葫芦子一样，母子相生，长二三寸，发作时让人腹痛。蛲虫细如发丝，随着气血周游全身，停留在皮肤上化为疯癞，居住在腹中成为蛲瘕，穿透大肠成为痔漏，都适宜服用安虫散。如果人的肛门瘙痒疼痛，应当服用少许轻粉，第二天虫子就能全部排出，寸白虫也能随之排出。
治验案例：
有一位妇人患腹胀病，各种药物都不见效，我让她解开衣服查看腹部，她的皮肤黄色光亮如镜面，这是蛲瘕。先用一斤炙烤过的牛肉，让她吃完后，用生麻油调服五分轻粉，排出一合蛲虫，形状像线须一样，之后服用安虫散而痊愈。
Some cases of deafness are caused by invasion of wind-cold, while others result from insufficiency of Heart Qi. In such cases, Yizui Gao (Intoxicating Paste) should be taken with warm wine; recovery occurs upon sweating. For individuals who indulge excessively in alcohol and sexual activity, leading to Kidney deficiency-induced hearing impairment, it is advisable to first take half a jin of Yanshou Dan (Longevity Pill), followed by Yizui Gao. However, deafness due to excess patterns is difficult to treat. (The Kidneys open into the ears, and the Zong Qi [Gathering Qi] of the Stomach also branches to the ears; therefore, most cases of deafness belong to deficiency patterns. The mention here of Heart Qi insufficiency treated with Yizui Gao is unclear in its rationale. The statement that excess deafness is hard to treat requires further examination. Note by Qi: When a person over sixty remains vigorous and strong like a young adult but suffers only from diminished hearing, this is a sign of solidified Kidney Qi and often indicates longevity, requiring no treatment. The book’s statement "excess deafness is difficult to treat" likely refers to this specific condition.)
For those living in mountainous areas, drinking water from streams containing Jiangli Stone can cause goiter or tumors. Xiao Feng San (Wind-Dispersing Powder) should be administered (likely referring to Xiaoying San, Goiter-Resolving Powder). In early stages, Jiang Fu Tang (Ginger and Aconite Decoction) is taken. Blood goiters and blood tumors cannot be treated; reckless treatment may prove fatal.
The "Three Worms" refer to Ascaris lumbricoides (Roundworm), Enterobius vermicularis (Pinworm), and Taenia saginata/pork tapeworm (Inch-white worm). Excessive consumption of raw, cold, hard foods, as well as greasy or unpalatable substances during childhood, leads to worm infestation over time. Heavy beef consumption specifically generates Inch-white worms. Roundworms are five to six cun long; when active, they cause heart pain and vomiting of clear fluid, and death ensues if the worm penetrates the heart. Inch-white worms resemble gourd seeds, reproducing parent-to-offspring, measuring two to three cun long; their activation causes abdominal pain. Pinworms are fine as hair, circulating throughout the body with Qi and Blood; if residing in the skin, they transform into leprosy-like conditions; if lodged in the abdomen, they form Pinworm Masses (Nuo Jia); if penetrating the large intestine, they cause hemorrhoids and fistulas. All these conditions are suitable for treatment with An Chong San (Worm-Anchoring Powder). If the anus itches and hurts, a small amount of Calomel (Qing Fen) should be ingested; the next day, all worms will be expelled, including the Inch-white worms.
Clinical Case:
A woman suffered from abdominal distension, to which various medicines were ineffective. I instructed her to expose her abdomen for examination. Her skin was yellow and shiny like a mirror surface, indicating a Pinworm Mass. First, one jin of roasted beef was prepared for her to eat. Afterward, she took five fen of Calomel mixed with raw sesame oil. She passed one he of pinworms, thread-like in appearance. Subsequently, she took An Chong San and recovered.