\r耳风毒\p04-a41a77.bmp\r
王肯堂曰∶耳风毒，耳中常出红脓，此足少阴、手少阳二经风热上壅而成。（《准绳》）
胡公弼曰∶耳风毒，即耳门毒。（《青囊》）
又曰∶耳之上下前后，皆属少阳，最不可破。如毒一有溃破，便要仔细详审，不可轻忽。
窦汉卿曰∶耳风毒受在心肾，气不流行，壅在心经，致伤于耳。
王肯堂曰∶耳蕈、耳痔，则不作脓，亦不作寒热，外无壅肿。但耳塞不通，缠绵
不已，令人耳聋。（《准绳》）
陈实功曰∶又有耳挺，结于窍内，气脉不通，疼痛不止，当用白降丹点之，化
尽乃愈。（《正宗》）
窦汉卿曰∶耳痔、耳蕈，先用针刺破，用红玉膏点之，耳胀痛，用虎耳草汁滴入
耳内，痛即止。
汪省之曰∶耳挺治以栀子清肝汤，外以白降丹或线蘸药插入挺肉缝内，化尽自愈。（《理例》）
\r耳蕈 耳痔\p04-a41a78.bmp\r
《易》说∶卦坎为耳痛。
王肯堂曰∶脑里虚疡，（虚疡者即无名肿毒之谓。）耳中疼痛，不可当者。（《准绳》）
冯氏曰∶耳痛、耳鸣、耳痒、耳脓、耳疮，亦当从少阴正窍分寒热虚实而治之，不
可专作火与外邪。凡耳鸣，以手按之而不鸣，或少减者，真虚也；手按之而愈鸣者，
火实也。昔王万里时患耳痛，魏文靖公劝以服青盐鹿茸煎雄附为剂，且言此药非为
君虚损服之，曷不观易之坎为耳痛，坎水藏在肾，开窍于耳，在志为恐，恐则伤肾
故耳痛。气阳运动常显，血阴流行常幽，血在形如水在天地之间，故坎为血卦，是经
中已着病证矣。竟饵之而愈。（《锦囊》）
耳风毒
王肯堂说：耳风毒，是指耳朵里经常流出红色脓液，这是足少阴肾经和手少阳三焦经的风热之邪上壅所致。（《医学准绳六要》）
胡公弼说：耳风毒，就是耳门毒。（《青囊秘传》）
他又说：耳朵的上下前后部位，都属于少阳经，最不可轻易破溃。如果毒邪一旦溃破，就要仔细审察病情，不可轻视疏忽。
窦汉卿说：耳风毒的病机受累于心肾，气机运行不畅，壅滞在心经，从而损伤耳朵。
王肯堂说：耳蕈、耳痔这两种病，不会化脓，也没有寒热症状，外部没有红肿壅塞。只是感觉耳道堵塞不通，病程缠绵难愈，导致人耳聋。（《医学准绳六要》）
陈实功说：还有耳挺这种病，结生在耳窍内部，气脉不通，疼痛不止，应当用白降丹点涂患处，待其完全腐蚀脱落才能痊愈。（《外科正宗》）
窦汉卿说：治疗耳痔、耳蕈，先用针刺破，然后用红玉膏点涂；如果耳朵胀痛，将虎耳草汁滴入耳内，疼痛即可停止。
汪省之说：耳挺用栀子清肝汤治疗，外用白降丹或用线蘸取药粉插入耳挺肉缝内，待其化尽自然痊愈。（《理例》）
耳蕈 耳痔
《易经》说：卦象中坎代表耳痛。
王肯堂说：脑部虚疡（所谓虚疡，就是指无名肿毒），耳朵剧烈疼痛，难以忍受。（《医学准绳六要》）
冯氏说：耳痛、耳鸣、耳痒、耳脓、耳疮，也应当从少阴正窍分辨寒热虚实来治疗，不能专门当作火邪或外邪来处理。凡是耳鸣，用手按压后不响，或者减轻的，是真虚证；用手按压后反而更响的，是火实证。过去王万里患耳痛时，魏文靖公劝他服用由青盐、鹿茸煎煮雄黄、附子制成的药剂，并且说这个药不是为君主虚损而设的，为何不看看《易经》中“坎为耳痛”的说法？坎水藏于肾，开窍于耳，在情志上对应恐，恐惧则伤肾，所以导致耳痛。气属阳，运动时常显现；血属阴，流行时常幽隐。血在形体中如同水在天地之间，所以坎是血卦，这说明经脉中已经出现了病证。最终服用了这个药而痊愈。（《锦囊妙术》）
Ear Wind-Toxin
Wang Kentang stated: Ear wind-toxin refers to the condition where red pus frequently discharges from the ear. This is caused by wind-heat pathogenic factors obstructing upwards in the Foot-Shaoyin Kidney Meridian and Hand-Shaoyang Sanjiao Meridian. (*Yixue Zhunsheng*)
Hu Gongbi stated: Ear wind-toxin is also known as Ermen toxin (Toxin at the Ear Gate). (*Qingnuang*)
He further stated: The upper, lower, anterior, and posterior parts of the ear all belong to the Shaoyang meridian and must not be easily ruptured. If the toxin once ulcerates, the condition must be carefully examined; it should not be treated lightly or negligently.
Dou Hanqing stated: Ear wind-toxin affects the Heart and Kidney. When Qi circulation is stagnant and obstructs in the Heart Meridian, it injures the ear.
Wang Kentang stated: Ear mushroom (Er Xun) and ear hemorrhoid (Er Zhi) do not suppurate, nor are they accompanied by aversion to cold or fever, and there is no external swelling or congestion. However, the ear feels blocked and unpatent, the course is lingering and unceasing, leading to deafness. (*Yixue Zhunsheng*)
Chen Shigong stated: There is also a condition called "Er Ting" (Ear Pillar), which forms inside the ear orifice. Due to the obstruction of Qi and blood vessels, pain persists incessantly. It should be treated with Baijiang Dan (White Reduction Paste) applied topically until the lesion is completely dissolved for recovery. (*Waike Zhengzong*)
Dou Hanqing stated: For treating ear hemorrhoid and ear mushroom, first puncture them with an acupuncture needle, then apply Hongyu Gao (Red Jade Ointment). If the ear feels distended and painful, drip juice of *Pilea cantoniensis* (Huercao) into the ear canal; the pain will cease immediately.
Wang Shengzhi stated: Er Ting is treated internally with Zhizi Qinggan Tang (Gardenia Liver-Clearing Decoction). Externally, Baijiang Dan (White Reduction Paste) or a thread dipped in the medicine is inserted into the fissures of the growth until it dissolves and heals spontaneously. (*Lili*)
Ear Mushroom, Ear Hemorrhoid
The *I Ching* states: The trigram Kan represents ear pain.
Wang Kentang stated: Brain deficiency ulcers (deficiency ulcers refer to unnamed swellings and toxins) cause severe ear pain that is unbearable. (*Yixue Zhunsheng*)
Feng Shi stated: Ear pain, tinnitus, ear itching, otorrhea, and ear sores should also be treated by distinguishing between cold, heat, deficiency, and excess based on the Shaoyin proper orifice. One cannot exclusively attribute them to fire pathogens or external evils. Generally, if tinnitus ceases or diminishes when pressed by hand, it indicates true deficiency; if tinnitus intensifies upon pressing, it indicates fire excess. In the past, Wang Wanli suffered from ear pain. Wei Wenjing advised him to take a decoction prepared with Green Salt, Deer Antler, Realgar, and Aconite. He remarked that this prescription was not intended for sovereign deficiency but pointed out the *I Ching* principle that "Kan represents ear pain." Kan water resides in the Kidney, opens into the ears, and corresponds to the emotion of Fear. Fear injures the Kidney, thus causing ear pain. Qi, being Yang, moves and manifests openly; Blood, being Yin, circulates and remains hidden. Blood within the body is like water within heaven and earth; therefore, Kan is the trigram of Blood, indicating that pathology has already manifested in these meridians. Ultimately, he took the medicine and recovered. (*Jinnang*)