夫足少阴为肾之经。经虚则风热邪气乘之。与津液相搏。故耳内生疮。世俗治耳疮。多
以敷掺塞耳等药。以谓邪气出外。专为外医。殊不知服药以治肾经之为善也。
方
菖蒲汤 治耳内生疮。（方见黄 汤）
治冻耳成疮。（出圣惠方）
柏叶〔二（三）两微炙为末〕 杏仁（四十九枚汤浸去皮研成膏） 乱发（两鸡子大） 盐
（半
两
下乱发。
以
香、黄蜡等。搅令稀稠得所。于瓷器中盛。以鹅翎旋取涂之。
蛇床子膏 治耳生疮湿痒。效。
蛇床子 枯白矾 五倍子 海桐皮 舶上硫黄 海螵蛸 雄黄（少许） 雌黄（少许） 松
香枣儿（烧灰存性） 上各等分。为细末。用轻粉清油调敷疮上。一方无雌黄。
香脂膏 治米疽生耳中。连头肿疼不可忍。
郁金 地骨皮〔各一两（分）〕 矾石〔一两（钱）研〕 龙脑（半钱研） 上为细末。
用腊
月猪脂油调涂之。若用鼠脑调。更佳。
曾青散（出海上方）治耳有恶疮。
雄黄（三分） 曾青〔半分（两）〕 黄芩（一分） 上细研为末。每用少许纳耳中。
有汁
出。即以绵子捻干用之。
大黄散（出圣惠方）治耳有恶疮。塞耳。
大黄（半两） 黄连（去须） 龙骨〔各一两（分）〕 上为细散。每用少许。绵裹枣
核大。
塞耳中。
黄连散（出圣惠方）治耳有恶疮。
黄连（去须半两） 矾石（三分烧汁尽研） 上捣研为细散。每以散少许。绵裹纳耳中。
兼
疗耳痛有脓。
土马鬃涂方。（出圣济总录一名井苔散）治耳疮。
土马鬃 井中苔（各等分） 上为末。以灯盏内油调涂之。
黄马散（出圣惠方）治耳内外恶疮。及头疮口边肥疮 疮。
黄柏（半两） 马齿苋（干者一两） 上为细末。每用小豆许。绵裹纳入耳中。耳外敷
之。
羊粪方（出圣惠方）治耳有疮。
用羊粪曝干为末。每以少许。绵裹塞耳中。
黍粘子汤（兰室秘藏方）治耳痛生疮。
桔梗（三钱） 柴胡（三分） 连翘（二分） 黍粘子（二分） 当归梢（二分） 黄
芩（二分）
生地黄（二分） 黄 （三分） 生甘草（一分） 黄连（二分） 龙胆草（一分） 昆布
（一分） 蒲
黄（
麻豆大。都
作一服。水三盏。煎至一盏。去滓。稍热服。食后。忌寒凉之药。利其大便。一方无浮生地
黄。
治冻耳成疮。（出圣惠方）
柏白皮（二两） 榆白皮（二两） 桑根白皮（二两） 杏仁（二两汤浸去皮） 甘草
（一两）
羊脑
又方（出圣惠方）
取兔脑髓涂之。
又方（出圣惠方）治冻耳。
用杏仁一斤。汤浸去皮。压取油涂之。
又方（出圣惠方）
以枣肉敷之立愈。后用麦叶煮水洗之。
一方（出鲍氏方）治耳烂出血。
用赤脚蜈蚣干为末。随左右吹之。俱病两吹之。
治耳月割疮（出本草）
用寡妇床头尘土。和油涂之效也。
治耳 疮眈目。
用黑雌鸡胆敷之。日三次敷。
足少阴肾经是肾脏的经脉。如果经脉虚弱，风热邪气就会乘虚而入。邪气与体内的津液相互搏结，从而导致耳内生疮。世俗治疗耳疮，多采用敷贴、掺撒或塞入耳朵等外用药，认为这样能使邪气从外部排出，专门依赖外部医生治疗。殊不知通过服药来调理肾经才是更好的治疗方法。
方剂：
菖蒲汤：治疗耳内生疮。（该方详见黄耆汤条下）
治疗冻伤耳朵形成的疮疡。（出自《圣惠方》）
柏叶（二至三两，微炒后研成粉末）、杏仁（四十九枚，热水浸泡后去皮并研磨成膏状）、乱发（如鸡蛋大小）、盐（半两）。将上述药物混合，加入香油、黄蜡等辅料，搅拌至稀稠适度。盛放在瓷器中，用鹅毛管蘸取适量涂抹患处。
蛇床子膏：治疗耳部生疮且伴有湿痒症状，效果显著。
蛇床子、枯白矾、五倍子、海桐皮、舶上硫黄、海螵蛸、雄黄（少许）、雌黄（少许）、松香枣儿（烧成灰但保留药性）。以上药材各取等分，研成细末。用轻粉和清油调和后敷于疮口。另一版本方剂中不含雌黄。
香脂膏：治疗米疽生于耳中，连带头部肿胀疼痛难忍。
郁金、地骨皮（各一两）、矾石（一两，研碎）、龙脑（半钱，研碎）。以上药材研成细末。用腊月收集的猪油调和后涂抹。如果使用鼠脑调和，效果更佳。
曾青散（出自海上方）：治疗耳部长有恶疮。
雄黄（三分）、曾青（半分或半两）、黄芩（一分）。以上药材细细研磨成粉末。每次取少量纳入耳中。若有汁液流出，即用棉签捻干后再使用。
大黄散（出自《圣惠方》）：治疗耳部长有恶疮，需塞入耳中。
大黄（半两）、黄连（去须）、龙骨（各一两）。以上药材制成细散剂。每次取少量，用棉布包裹如枣核大小，塞入耳中。
黄连散（出自《圣惠方》）：治疗耳部长有恶疮。
黄连（去须，半两）、矾石（三分，烧至汁尽后研磨）。以上捣碎研磨成细散剂。每次取少量散剂，用棉布包裹后纳入耳中。兼治耳痛且有脓液的情况。
土马鬃涂方（出自《圣济总录》，又名井苔散）：治疗耳疮。
土马鬃、井中苔（各等分）。以上研成粉末，用灯盏内的油调和后涂抹。
黄马散（出自《圣惠方》）：治疗耳内外恶疮，以及头部疮疡、口边肥疮、疳疮。
黄柏（半两）、马齿苋（干燥者一两）。以上研成细末。每次取小豆大小的量，用棉布包裹纳入耳中，耳外则直接敷用。
羊粪方（出自《圣惠方》）：治疗耳部长疮。
将羊粪晒干研成粉末。每次取少量，用棉布包裹塞入耳中。
黍粘子汤（出自《兰室秘藏》）：治疗耳痛生疮。
桔梗（三钱）、柴胡（三分）、连翘（二分）、黍粘子（二分）、当归梢（二分）、黄芩（二分）、生地黄（二分）、黄耆（三分）、生甘草（一分）、黄连（二分）、龙胆草（一分）、昆布（一分）、蒲黄（二分）。以上药材共为一服剂量。加水三盏，煎煮至一盏，去渣滓。稍热时服用，饭后服用。忌食寒凉药物，保持大便通畅。另一版本方剂中无生地黄。
治疗冻伤耳朵形成的疮疡（出自《圣惠方》）：
柏白皮（二两）、榆白皮（二两）、桑根白皮（二两）、杏仁（二两，热水浸泡去皮）、甘草（一两）、羊脑。
又一方（出自《圣惠方》）：
取兔脑髓涂抹患处。
又一方（出自《圣惠方》）：治疗冻伤耳朵。
用杏仁一斤，热水浸泡去皮，压榨取油涂抹患处。
又一方（出自《圣惠方》）：
用枣肉敷贴患处，立即可愈。之后用麦叶煮水清洗患处。
一方（出自鲍氏方）：治疗耳烂出血。
将赤脚蜈蚣烘干研成粉末，根据患侧左右吹入耳中。若双耳皆病，则双耳均吹入。
The Foot-Shaoyin Kidney Meridian is the meridian of the Kidney. When the meridian is deficient, Wind-Heat pathogenic factors invade it. The pathogens contend with body fluids, resulting in sores growing inside the ear. In common practice, treating ear sores often involves applying external medications such as powders or plugs into the ear, under the belief that this expels pathogens from the exterior, relying solely on external physicians. However, it is unknown that treating the Kidney Meridian through internal medication is superior.
Formulas:
Changpu Tang (Acorus Decoction): Treats sores growing inside the ear. (See Huangqi Tang for details).
Treats frostbite-induced sores on the ears. (From *Shenghui Fang*).
Baiye (Cacumen Platycladi) [2–3 liang, lightly roasted and powdered], Xingren (Semen Armeniacae Amarum) [49 seeds, soaked in hot water, skin removed, ground into paste], Luannian (Hair Knot) [size of a chicken egg], Yan (Salt) [0.5 liang]. Mix the above ingredients with fragrant oil and Beeswax, stirring until the consistency is appropriate. Store in a porcelain vessel. Apply using a goose feather quill.
Shechuangzi Gao (Cnidium Ointment): Treats sores in the ear accompanied by dampness and itching. Effective.
Shechuangzi (Fructus Cnidii), Kubaijian (Alumen Exsiccatum), Wubeizi (Galla Chinensis), Haitongpi (Cortex Erythrinae), Boshang Liuhuang (Sulfur), Haipiaoxiao (Endoconcha Sepiae), Xionghuang (Realgar) [small amount], Cihuang (Orpiment) [small amount], Songxiang Zaor (Resina Pini Carbonized) [burned to ash but retaining efficacy]. All ingredients in equal parts. Grind into fine powder. Mix with Qingfen (Calomel) and clear sesame oil, then apply to the sore. Another version excludes Cihuang.
Xiangzhi Gao (Fragrant Fat Ointment): Treats Mi Ju (rice-shaped abscess) growing in the ear, causing unbearable swelling and pain extending to the head.
Yujin (Radix Curcumae Longae), Digupi (Cortex Lycii Radicis) [each 1 liang], Fanshi (Alumen) [1 liang, ground], Longnao (Borneolum Syntheticum) [0.5 qian, ground]. Grind all into fine powder. Mix with lard collected in the twelfth lunar month and apply. Using mouse brain for mixing yields better results.
Zengqing San (Azurite Powder) (From Hai Shang Fang): Treats malignant sores in the ear.
Xionghuang (Realgar) [3 fen], Zengqing (Azurite) [0.5 fen or 0.5 liang], Huangqin (Radix Scutellariae) [1 fen]. Grind finely into powder. Take a small amount and insert into the ear. If discharge occurs, dry it with cotton swabs before use.
Dahuang San (Rhubarb Powder) (From *Shenghui Fang*): Treats malignant sores in the ear; requires insertion into the ear.
Dahuang (Radix et Rhizoma Rhei) [0.5 liang], Huanglian (Rhizoma Coptidis) [remove roots], Longgu (Os Mastodi) [each 1 liang]. Process into fine powder. Take a small amount, wrap in cotton to the size of a jujube pit, and insert into the ear.
Huanglian San (Coptis Powder) (From *Shenghui Fang*): Treats malignant sores in the ear.
Huanglian (Rhizoma Coptidis) [remove roots, 0.5 liang], Fanshi (Alumen) [3 fen, calcined until juice is gone, then ground]. Pound and grind into fine powder. Take a small amount, wrap in cotton, and insert into the ear. Also treats earache with pus.
Tumazhong Tu Fang (Earth Horse Mane Application) (From *Shengji Zonglu*, also known as Jing Tai San): Treats ear sores.
Tumazhong (Earthen Horse Mane), Jingzhong Tai (Well Moss) [equal parts]. Grind into powder. Mix with oil from a lamp holder and apply.
Huangma San (Phellodendron and Purslane Powder) (From *Shenghui Fang*): Treats malignant sores inside and outside the ear, as well as head sores, facial impetigo, and gan sores.
Huangbai (Cortex Phellodendri) [0.5 liang], Machixian (Herba Portulacae) [dried, 1 liang]. Grind into fine powder. Take an amount the size of a mung bean, wrap in cotton, and insert into the ear. Apply externally to the outer ear.
Yangfen Fang (Goat Manure Formula) (From *Shenghui Fang*): Treats sores in the ear.
Dry goat manure in the sun and grind into powder. Take a small amount, wrap in cotton, and insert into the ear.
Shunianzi Tang (Taraxaci Decoction) (From *Lanshi Micang*): Treats earache and sores.
Jiegeng (Radix Platycodonis) [3 qian], Chaihu (Radix Bupleuri) [3 fen], Lianqiao (Fructus Forsythiae) [2 fen], Shunianzi (Fructus Taraxaci) [2 fen], Danggui Shao (Radix Angelicae Sinensis Apicalis) [2 fen], Huangqin (Radix Scutellariae) [2 fen], Sheng Dihuang (Radix Rehmanniae Preparata) [2 fen], Huangqi (Radix Astragali) [3 fen], Sheng Gancao (Radix Glycyrrhizae Preparata) [1 fen], Huanglian (Rhizoma Coptidis) [2 fen], Longdancao (Radix et Rhizoma Gentianae) [1 fen], Kunbu (Thallus Laminariae) [1 fen], Puhuang (Pollen Typhae) [2 fen]. These constitute one dose. Add three cups of water, decoct to one cup, remove dregs. Drink slightly warm after meals. Avoid cold-cooling medicines; promote bowel movement. Another version excludes Sheng Dihuang.
Treats frostbite-induced sores on the ears (From *Shenghui Fang*):
Bai Bai Pi (Cortex Platycladi Albus) [2 liang], Yu Bai Pi (Cortex Ulmi) [2 liang], Sanggen Bai Pi (Cortex Morus Radicis) [2 liang], Xingren (Semen Armeniacae Amarum) [2 liang, soaked in hot water, skin removed], Gancao (Radix Glycyrrhizae) [1 liang], Yang Nao (Cerebrum Caprinum).
Another formula (From *Shenghui Fang*):
Apply rabbit brain marrow.
Another formula (From *Shenghui Fang*): Treats frostbitten ears.
Use 1 jin of Xingren (Semen Armeniacae Amarum), soak in hot water, remove skins, press to extract oil, and apply.
Another formula (From *Shenghui Fang*):
Apply jujube flesh; heals immediately. Afterwards, wash with water boiled from wheat leaves.
One formula (From Bao Shi Fang): Treats rotting ears with bleeding.
Dry Chi Jiao Wu Gong (Scolopendra Subspinipes mutilans) and grind into powder. Blow into the affected ear(s). If both ears are diseased, blow into both.
Treats Yue Ge Sore of the Ear (From *Ben Cao*):
Use dust from under the bed of a widow, mix with oil, and apply. Effective.
Treats Gan Sores of the Ear affecting the eyes.
Apply bile from a black female chicken. Apply three times daily.