经曰∶北方生寒，在脏为肾，在窍为耳。又曰∶肾气通于耳，肾和则耳能闻五音矣。陈飞霞曰∶故耳本属肾，
耳珠前属少阳胆经，小儿有因肾经气实，其热上冲于耳，遂使津液壅而为脓，或为清汁。亦有因沐浴水中灌为聋
者。内服蔓荆子散，外用龙骨散搽之。耳珠前后生疮，浸淫不愈者，名曰蚀疮。俗谓以手指月，则令耳之前后生
疮，皆用外治之法，黄柏散搽之效。
若耳中忽作大痛，如有虫在内奔走，或出血水，干痛不可忍者，用蛇蜕散。有忽然气塞耳聋，此由风入于脑，
停滞于手太阳经，宜疏风清火，用导赤散加防风，或通窍丸。
耳傍赤肿者，热毒也。若不急治，必成大痈。外用敷毒散，内服清毒饮。
蔓荆子散 治小儿肾气上冲，灌为聋耳。
蔓荆子（一钱） 粉干葛（一钱） 赤芍药（一钱） 信前胡（一钱） 桑白皮（一钱） 木通（一钱）
生地（一钱） 白芍（一钱） 赤茯苓（一钱） 绿升麻（五钱） 甘草（一钱） 灯心（十茎） 水煎服。
龙骨散 治小儿 耳流脓出汁，以此吹之。
正龙骨（ ） 白矾（ ） 铅丹（炒，以上各二钱） 胭脂胚（二钱） 当门子（五厘）
共为末。以绵展干耳内脓，内用小竹筒吹药入耳。
黄柏散 治小儿耳珠前后生疮，浸淫不愈。
川黄柏 白枯矾 海螺蛸 白滑石 石龙骨 上五味皆等分，共为末。疮湿用干搽，疮干用猪油调搽。
蛇蜕散 治耳中痛不可忍，或血水或干痛用。
蛇蜕 烧灰存性，为细末，鹅毛管吹入耳内，取蜕之善脱，以解散郁火也。
导赤散 见前夜哭方内
通窍丸 治小儿忽暴聋。
雄磁石（ ，一钱） 真麝香（五钱）
共为细末，以枣研烂，和为一丸，如枣核大，绵裹塞耳中。又以生铁一小块，热酒泡过，含口内，须臾气即
通矣。
敷毒散 治小儿耳傍赤肿热毒也，恐防作痈用之。
绿豆粉（不拘多少）以老醋调成膏，敷肿处，干易之。
消毒散 治小儿耳傍赤肿，内服之药。
羌活（一钱） 防风（一钱） 黄芩（一钱） 连翘（一钱） 桔梗（一钱） 党参（一钱） 川芎（七分）
当归（一钱） 柴胡（一钱） 甘草（一钱）
生姜一片，灯心十茎、水煎服。
古籍记载：北方产生寒邪，在五脏中对应肾脏，在五官九窍中对应耳朵。又说：肾气通达于耳，肾气调和则耳朵能听见五音。陈飞霞说：所以耳朵本属于肾，耳珠前方属于少阳胆经。小儿有因肾经气盛，热气上冲于耳，致使津液壅滞化为脓液，或者成为清稀汁液的。也有因为沐浴时水灌入耳中导致耳聋的。内服蔓荆子散，外用龙骨散涂抹。耳珠前后生疮，浸淫不愈的，名叫蚀疮。俗话说是用手指月亮，就会让耳朵前后生疮，都用外治法，用黄柏散涂抹有效。
如果耳中忽然剧烈疼痛，好像有虫子在里面奔走，或者出血水，干燥疼痛难以忍受的，用蛇蜕散。有忽然气塞耳聋的，这是由于风邪侵入脑部，停滞在手太阳经，应当疏风清火，用导赤散加防风，或者通窍丸。
耳旁红肿的，是热毒。如果不紧急治疗，必定成大痈疽。外用敷毒散，内服清毒饮。
蔓荆子散 治疗小儿肾气上冲，导致耳聋。
蔓荆子（一钱） 粉干葛（一钱） 赤芍药（一钱） 信前胡（一钱） 桑白皮（一钱） 木通（一钱）
生地（一钱） 白芍（一钱） 赤茯苓（一钱） 绿升麻（五钱） 甘草（一钱） 灯心（十茎） 水煎服。
龙骨散 治疗小儿耳流脓出汁，以此药吹入。
正龙骨（ ） 白矾（ ） 铅丹（炒，以上各二钱） 胭脂胚（二钱） 当门子（五厘）
共研为末。用棉签擦干耳内脓液，用小竹筒将药吹入耳内。
黄柏散 治疗小儿耳珠前后生疮，浸淫不愈。
川黄柏 白枯矾 海螺蛸 白滑石 石龙骨 以上五味药皆等分，共研为末。疮面湿的用干粉搽，疮面干的用猪油调匀搽。
蛇蜕散 治疗耳中痛不可忍，或血水或干痛时使用。
蛇蜕 烧灰存性，研为细末，用鹅毛管吹入耳内，取蛇善于蜕皮之意，以解散郁结之火。
导赤散 见前面夜哭方剂条下
通窍丸 治疗小儿忽然暴聋。
雄磁石（ ，一钱） 真麝香（五钱）
共研为细末，用枣肉研烂，和为一丸，如枣核大小，用棉包裹塞入耳中。又取生铁一小块，用热酒泡过，含在口内，片刻气息即通。
敷毒散 治疗小儿耳旁赤肿热毒，恐怕形成痈疽而使用。
绿豆粉（不拘多少）用老醋调成膏，敷在肿处，干了就更换。
消毒散 治疗小儿耳旁赤肿，内服的药物。
羌活（一钱） 防风（一钱） 黄芩（一钱） 连翘（一钱） 桔梗（一钱） 党参（一钱） 川芎（七分）
当归（一钱） 柴胡（一钱） 甘草（一钱）
生姜一片，灯心十茎、水煎服。
The ancient texts state: The North generates Cold, which corresponds to the Kidney (Shen) among the Zang organs, and to the Ear among the orifices. It is also said that Kidney Qi connects with the ear; when Kidney Qi is harmonious, the ear can perceive the five tones. Chen Feixia stated: Therefore, the ear fundamentally belongs to the Kidney. The area anterior to the tragus belongs to the Shaoyang Gallbladder Channel. In children, due to excess Qi in the Kidney channel, Heat rushes upward to the ear, causing body fluids to stagnate and transform into pus, or become clear fluid. There are also cases of deafness caused by water entering the ear during bathing. Internally administer Manjingzi San (Vitex Fruit Powder), and externally apply Longgu San (Dragon Bone Powder). Sores appearing before and after the tragus that exude and do not heal are named Shichuang (Eroding Sore). Folklore suggests that pointing at the moon with a finger causes sores around the ear; these are treated with external methods, applying Huangbai San (Phellodendron Powder) being effective.
If severe pain suddenly occurs in the ear, as if insects are running inside, or if blood and fluid discharge, or dry painfulness becomes unbearable, use Shedispai San (Snake Slough Powder). Sudden deafness due to Qi obstruction arises from Wind pathogen invading the brain and stagnating in the Hand-Taiyang Bladder Channel; it is appropriate to disperse Wind and clear Fire, using Daochi San (Guide Out Redness Powder) added with Fangfeng (Saposhnikovia Root), or Tongqiao Wan (Unblocking Orifices Pill).
Redness and swelling beside the ear indicate Heat-Toxin. If not treated urgently, it will surely develop into a large carbuncle. Apply Fudu San (Toxin-Dispelling Powder) externally, and ingest Qingdu Yin (Clearing Toxin Decoction).
Manjingzi San treats pediatric deafness caused by Kidney Qi rushing upward.
Manjingzi (Chaste Tree Fruit, 1 qian) Fen Gan Ge (Powdered Kudzu Root, 1 qian) Chishao Yao (Red Peony Root, 1 qian) Xin Qian Hu (Anchored Angelica Dahurica, 1 qian) Sang Bai Pi (Mulberry Root Bark, 1 qian) Mutong (Akebia Stem, 1 qian)
Sheng Di (Rehmannia Root, 1 qian) Baishao (White Peony Root, 1 qian) Chi Fuling (Red Poria, 1 qian) Lv Shengma (Green Cimicifuga Rhizome, 5 qian) Gancao (Licorice Root, 1 qian) Dengxin (Juncus Effusus, 10 stems) Decoct in water and take orally.
Longgu San treats pediatric otorrhea (pus and fluid discharge from the ear); insufflate this powder into the ear.
Zheng Longgu (Authentic Dragon Bone, dosage unspecified) Bai Fan (Alum, dosage unspecified) Qiandan (Lead Monoxide, stir-fried, 2 qian each of the above) Yanzhi Pei (Carmine Embryo, 2 qian) Dangmenzi (Musk, 5 li)
Grind together into powder. Use cotton to dry the pus in the ear, then use a small bamboo tube to insufflate the medicine into the ear.
Huangbai San treats pediatric sores before and after the tragus that exude and do not heal.
Chuan Huangbai (Phellodendron Bark) Bai Kufan (White Calcined Alum) Haihesiao (Cuttlefish Bone) Bai Huashi (White Talcum) Shi Longgu (Fossilized Dragon Bone) These five herbs are equal in proportion; grind together into powder. For wet sores, apply dry powder; for dry sores, mix with pig fat and apply.
Shetui San treats unbearable ear pain, or cases involving blood/fluid discharge or dry pain.
Shetui (Snake Slough) Burn to ash while preserving its nature, grind into fine powder, and insufflate into the ear using a goose feather tube. This utilizes the snake's ability to shed its skin to resolve stagnant Fire.
Daochi San See the entry for Night Crying Formula previously mentioned.
Tongqiao Wan treats sudden pediatric deafness.
Xiong Cishi (Male Magnetite, dosage unspecified, 1 qian) Zhen Shexiang (Real Musk, 5 qian)
Grind into fine powder. Mash dates until paste-like, mix with the powder to form one pill, size of a date pit. Wrap in cotton and insert into the ear. Also, take a small piece of raw iron, soak in hot wine, and hold in the mouth; soon the Qi will unblock.
Fudu San treats pediatric redness and swelling of the ear side due to Heat-Toxin, used to prevent the formation of carbuncles.
Lv Dou Fen (Mung Bean Flour, any amount) Mix with aged vinegar to form a paste, apply to the swollen area, replace when dry.
Xiaodu San treats pediatric redness and swelling of the ear side; an internal medication.
Qianghuo (Notopterygium Rhizome, 1 qian) Fangfeng (Saposhnikovia Root, 1 qian) Huangqin (Scutellaria Root, 1 qian) Lianqiao (Forsythia Fruit, 1 qian) Jiegeng (Platycodon Root, 1 qian) Dangshen (Codonopsis Root, 1 qian) Chuanxiong (Ligusticum Rhizome, 7 fen)
Danggui (Angelica Sinensis, 1 qian) Chaihu (Bupleurum Root, 1 qian) Gancao (Licorice Root, 1 qian)
One slice of fresh ginger, ten stems of Juncus effusus; decoct in water and take orally.