经曰∶耳为肾之外候。又曰∶肾通窍于耳。亦因大怒，动厥阴肝经，风热燥火，疮生耳叶，
作热痛
痒，用柴胡清肝之类兼小柴胡汤，次服加味地黄丸。耳内生毒，皆由手少阳、足少阴二经风热。
耳证有五∶日 耳；曰湿耳，常出黄脓水；曰风耳，常出红脓；曰缠耳，出白脓；曰耳疳，生疮
臭秽；曰震耳，耳内虚鸣，时出清水。证虽有五，其源则一。又有耳蕈、耳痔闭塞不通，用黄连
消毒饮、活命饮治之。有为耳痈，用活命饮加升麻、桔梗、蔓荆子。有大痛为疔者，先以经丝草（
俗名天荷叶、延红丝，到处生石砌边）。捣汁滴入，失治，则头肿极大而死。
主方 （若耳后一寸三分生疽，急服解毒之药，迟多不救。）柴胡 栀子 丹皮 芍药
当归 蔓荆子 川芎 生地 龙胆草 上锉，水煎，食后服。
(附∶ 腮)
面疮之发，见于眉、颐、腮、颊、鼻、髭、地角诸疡，皆属上焦郁火，诸经积热，风湿壅结
、阴阳相滞而生。宜万病解毒丹之类。 肿赤痛，先服加减败毒散发汗，次用真人活命饮加黄芩
、黄连、栀子、玄参、桔梗、木通之类。
主方 治口唇、颊车、发鬓肿痛、鼻额连头痛。
犀角（七钱五分） 升麻（五钱） 白芷（二钱五分） 防风 黄芩（各三钱半） 白附子
川芎（各二钱半） 甘草（一钱五分） 羌活（三钱）上作一服，水五盏，煎至三盏，去滓，分
作三服。一日一服，热减，制轻剂服之。
《黄帝内经》说：耳朵是肾脏的外在表现。又说：肾气通达于耳窍。此外，因大怒导致厥阴肝经受动，风热燥火内生，致使耳廓生疮，出现发热、疼痛、瘙痒的症状，治疗可用柴胡清肝散等方剂，兼用小柴胡汤，随后服用加味地黄丸。耳内生出毒疮，多由手少阳三焦经和足少阴肾经的风热所致。
耳部病症有五种：一是蠹耳（耳内虫蚀状病变）；二是湿耳，常流出黄色脓水；三是风耳，常流出红色脓液；四是缠耳，流出白色脓液；五是耳疳，生疮且气味臭秽；六是震耳，耳内空虚鸣响，时常流出清水。虽然证候有这六种（注：原文列举了六项但称“五”，此处依原文逻辑翻译），但其病源则是一致的。又有耳蕈、耳痔导致耳道闭塞不通的，用黄连消毒饮、仙方活命饮治疗。有的称为耳痈，用仙方活命饮加升麻、桔梗、蔓荆子治疗。若疼痛剧烈如疔疮者，先用经丝草（俗名天荷叶、延红丝，生长在石砌路边），捣烂取汁滴入耳中，若延误治疗，头部会极度肿胀而死。
主方（如果耳后一寸三分处生疽，急服解毒药物，迟则难以救治。）柴胡、栀子、丹皮、芍药、当归、蔓荆子、川芎、生地、龙胆草。以上药材切碎，用水煎煮，饭后服用。
（附：面腮疮）
面部疮疡的发生，见于眉毛、下巴、腮部、脸颊、鼻子、胡须、下颌角等处的溃疡，都属于上焦郁结之火，各经脉积热，风湿壅滞结合，阴阳之气相互阻滞而生成的。适宜使用万病解毒丹之类的方剂。若红肿赤痛，先服用加减败毒散发汗，随后用真人活命饮加黄芩、黄连、栀子、玄参、桔梗、木通等药物治疗。
主方 治疗口唇、颊车穴周围、鬓发部位肿痛，以及鼻额部牵连头痛。
犀角（七钱五分）、升麻（五钱）、白芷（二钱五分）、防风、黄芩（各三钱半）、白附子、川芎（各二钱半）、甘草（一钱五分）、羌活（三钱）。以上作为一服药量，用水五盏，煎至三盏，去渣，分三次服用。每日一服，热势减退后，改用较轻的药剂服用。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The ear is the external manifestation of the Kidney. It also states: The Kidney opens into the ear orifice. Furthermore, excessive anger can disturb the Jueyin Liver Meridian, causing wind-heat, dryness, and fire to arise internally, leading to sores on the auricle, accompanied by heat, pain, and itching. Treatment may involve Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) combined with Xiaochaihu Tang (Minor Bupleurum Decoction), followed by Jiawei Dihuang Wan (Modified Rehmannia Pill). Toxic sores within the ear are generally caused by wind-heat in the Hand-Shaoyang Sanjiao Meridian and Foot-Shaoyin Kidney Meridian.
There are five types of ear disorders: one is Duer (Ear Myiasis/Insect-like erosion); two is Shi'er (Damp Ear), characterized by frequent discharge of yellow purulent fluid; three is Feng'er (Wind Ear), characterized by frequent discharge of red pus; four is Chan'er (Coiling Ear), characterized by discharge of white pus; five is Ergan (Ear Fungus/Gangrene), where sores develop with a foul odor; six is Zhen'er (Vibrating Ear), characterized by empty ringing in the ear and occasional discharge of clear fluid. Although the syndromes vary, their root source is identical. Additionally, conditions such as Erxun (Ear Mushroom) and Erzhi (Ear Hemorrhoid) causing blockage are treated with Huanglian Xiaodu Yin (Coptis Detoxification Decoction) and Huoming Yin (Life-Saving Decoction). For cases termed Eiyong (Ear Abscess), Huoming Yin is used with added Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), and Manjingzi (Viticis Fructus). If the pain is severe, resembling a Ding (Carbuncle/Fixed Malignant Tumor), first apply juice from Jingsicao (俗名 Tianheyeye/Yanhongsi, commonly found growing beside stone walls), crushed and dripped into the ear. If treatment is delayed, massive head swelling will occur, leading to death.
Main Formula (If a Ju (Deep-seated Abscess) appears one inch and three fen behind the ear, urgently administer detoxifying medicines; delay renders it incurable.) Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), Danpi (Moutan Cortex), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), Manjingzi (Viticis Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdi (Rehmanniae Radix Preparata), Longdancao (Gentianae Radix). The above herbs are coarsely chopped, decocted in water, and taken after meals.
(Attachment: Mian Sai - Facial Cheek Sores)
Facial sores appearing on the eyebrows, chin, cheeks, face, nose, mustache area, and mandibular angle all belong to stagnant fire in the Upper Jiao, accumulated heat in various meridians, and obstruction by wind-dampness, resulting from the stagnation of Yin and Yang qi. Formulas similar to Wanbing Jiedu Dan (Ten Thousand Diseases Detoxification Pill) are suitable. If there is swelling, redness, and pain, first administer Jiabai Bidu San (Modified Defeating Toxin Powder) to induce sweating, then use Zhenren Huoming Yin (True Person Life-Saving Decoction) with added Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), Xuanshen (Scrophulariae Radix), Jiegeng (Platycodonis Radix), and Mutong (Akebiae Caulis).
Main Formula: Treats swelling, pain, and tenderness of the lips, Jiache acupoint region, and hairline, as well as headache radiating from the nose and forehead.
Xijiao (Rhinocerotis Cornu) [7 qian 5 fen], Shengma (Cimicifugae Rhizoma) [5 qian], Baizhi (Angelicae Dahuricae Radix) [2 qian 5 fen], Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix) [3 qian 5 fen each], Baifuzi (Typhonii Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) [2 qian 5 fen each], Gancao (Glycyrrhizae Radix et Rhizoma) [1 qian 5 fen], Qianghuo (Notopterygii Rhizoma et Radix) [3 qian]. Prepare as one dose, decoct in five cups of water until reduced to three cups, strain, and divide into three doses. Take one dose per day; when heat subsides, switch to a milder preparation.