〔薛〕眉炼者，谓小儿两眉间生疮如疥癣，当求其因而药之。盖眉属胆经，若原
禀肝胆经热，或乳母肝胆经有热者，用柴胡栀子散。或乳母食浓味醇酒者，用加味
清胃散。或乳母有郁怒者，用加味逍遥散。俱与乳母服，子亦饮少许，仍参前证
主之。
〔田〕眉炼治法，用青金散敷之，如不愈，烧小麦存性，研细，好油调涂。
青金散 治小儿疥癣眉炼，或延及遍身瘙痒，或脓水淋漓，经年不愈。
松香（二两） 真蛤粉（五钱） 青黛（二钱五分）
上为末。用烛油调搽，或干糁之。或加轻粉、枯矾各三钱。以治前证及胎毒、疥
癞，尤效。
〔丹〕小儿耳后月蚀疮，蚯蚓粪烧，以猪油和敷。胡粉、鸡清和敷。黄连末敷。竹
叶烧末，猪脂和敷。
水银膏 治月蚀疮，多在两耳上及窍傍，随月虚盈。
水银（二钱半） 胡粉 松脂 黄连（去须，为末，各半两） 猪脂（四两）
上，先熬猪脂令沸，下松脂诸药末及水银搅令匀。瓷盒盛。先以盐汤洗净疮，
涂敷，日三五度。
胡粉散 治月蚀疮。
胡粉（炒，微黄） 白矾（ ） 虢丹（ ） 黄连（净） 轻粉（各二钱） 胭脂（一钱）
麝香（少许）
上末。先以温浆水入盐洗拭后掺药，如疮干，麻油调敷。
汤氏云∶耳有五般，常出黄脓者为停耳，出红脓者为脓耳，出白脓者为缠耳，
疳臭者为五耳，耳内虚鸣出青脓者为震耳。证虽五般，病源一也，皆由风水入耳而
因有积热上壅而成，若不早治，久则成聋，宜胭脂膏治之，仍服化痰退热等剂，即
愈也。
蔓荆子汤 治内热，耳出脓汁。
升麻 木通 麦门冬 赤芍药 生地黄 前胡 甘菊 甘草 桑白皮 赤茯苓 蔓荆子（各等分）
上，用姜枣水煎，食后服。
清上散 治上焦风热，耳出浓汁，头面疮疖，亦治胎热眼睛肿赤，粪色稠黄，肚热
啼哭，及身上红肿。
川郁金 甘草 北桔梗 天花粉 干葛 薄荷叶（各等分）
上为末，入蜜拌匀。白汤下三五七分或一钱。仍用艾叶煎浓汤，温浸足底，以
引其热下行。
当归龙荟丸 治肝胆风热，耳中鸣，出青脓，名曰震耳，大便秘，小便黄，常服，
宣通血气，调顺阴阳。
当归 龙胆草 柴胡（各一两） 青黛 胆星 大黄 芦荟（各五钱） 麝香（五分） 栀子 酒
黄芩 酒黄连 黄柏（各一两） 木香（二钱五分）
上为末，炼蜜丸，小豆大。每服二十丸，姜汤送下。
清黄散 治耳出黄脓，名曰 耳，内有风热，外为水湿所干，酝久而成。
防风 滑石（飞，五钱） 甘草（炙，一钱） 栀子（酒炒，三钱） 藿香 酒黄连（各二钱）
上为末。白汤调二钱，食后服。
清心丹 治耳出红脓，名曰脓耳，及舌上生疮如杨梅状者。
黄连（酒炒，三钱） 滑石（飞，六钱） 甘草 辰砂（飞，各一钱） 薄荷（六分）
犀角（镑屑，二钱）
上为末。每服一钱五分，蜜拌，薄荷汤下，夜再服。
清白散 治肺热痰火上壅，耳出白脓，名曰缠耳，兼治咳嗽。
桑白皮（蜜炒） 地骨皮（各三钱） 甘草（一钱） 贝母（二钱） 寒水石（ ，三钱）
天花粉 酒芩 天门冬（各一钱半）
上为末。以蜜水调，食后服。或白通草煎汤下，尤妙。
交感丹 治耳中疳臭，名曰五耳，或怒气上逆，上下不得宣通，遂成聋聩。
香附子（童便浸透，炒，三钱） 茯神 黄连（各二钱） 桂心 甘菊花（各一钱）
上为末。每服一钱五分，灯心汤下。
禹余粮丸 治 耳出脓水。
禹余粮（ ，醋 、七次） 海螵蛸（去背上硬骨） 百草霜 伏龙肝（各二钱五分）
大附子（去皮脐生用，一枚）
上，末。以绵裹如圆眼核大，安耳内，日再易之。如不瘥，乃有虫也。
龙骨散 治诸脓耳。
枯矾 龙骨 胭脂胚（各一钱） 麝香（少许）
为细末。以绵裹杖子，拭去耳中脓，再吹一字入耳中，日再。加海螵蛸一钱，
尤妙。
羊角散 治耳内脓汁不干。
山羊角，烧，存性，为末。每吹二三分入内，一日二次。三日全瘳。
滋阴地黄丸 治耳虚鸣，脓汁不干，肾阴不足。
熟地黄（一两） 白茯苓（四钱） 山茱萸（五钱） 甘菊（四钱） 牡丹皮（四钱） 何首乌
（黑豆、蒸三次） 黄柏（各四钱）
上为末，炼蜜丸，梧子大。每三五十丸。
白蔹散 治小儿冻耳成疮，或痒或痛。
黄柏 白蔹（各半两）
上为末。先以汤洗疮后，用生油调涂。
【薛己】眉炼，是指小儿两眉之间生出像疥癣一样的疮疡，应当探究其病因并用药治疗。因为眉毛归属于胆经，如果是先天禀赋导致肝胆经有热，或者乳母肝胆经有热，使用柴胡栀子散。如果乳母食用了浓味食物和醇酒，使用加味清胃散。如果乳母有郁怒情绪，使用加味逍遥散。这些方剂都让乳母服用，婴儿也饮用少许，同时参考前文所述证候进行主治。
【田氏】眉炼的治疗方法，使用青金散外敷；如果不见痊愈，将小麦烧至存性（保留药性），研成细粉，用好油调和后涂抹。
青金散：治疗小儿疥癣、眉炼，或者蔓延至全身瘙痒，或者脓水淋漓，多年不愈。
松香（二两） 真蛤粉（五钱） 青黛（二钱五分）
以上药物研为末。用烛油调和搽涂，或者干撒其上。也可以加入轻粉、枯矾各三钱。用来治疗上述证候及胎毒、疥癞，尤其有效。
【丹波氏】小儿耳后的月蚀疮，可用蚯蚓粪烧灰，以猪油调和敷贴。也可以用胡粉、鸡蛋清调和敷贴。黄连末敷贴。竹叶烧成灰，与猪脂调和敷贴。
水银膏：治疗月蚀疮，多在两耳上方及耳窍旁边，随月亮盈亏变化而发作。
水银（二钱半） 胡粉 松脂 黄连（去须，研为末，各半两） 猪脂（四两）
以上药物，先熬煮猪脂至沸腾，加入松脂、诸药末及水银搅拌均匀。盛于瓷盒中。先用盐水汤洗净疮口，然后涂敷，每日三到五次。
胡粉散：治疗月蚀疮。
胡粉（炒至微黄） 白矾（ ） 虢丹（ ） 黄连（净选） 轻粉（各二钱） 胭脂（一钱）
麝香（少许）
以上研为末。先用温浆水加盐清洗擦拭患处后撒上药粉，如果疮口干燥，用麻油调和敷贴。
汤氏说：耳病有五类，常出黄脓的称为停耳，出红脓的称为脓耳，出白脓的称为缠耳，有疳臭气味的称为五耳，耳内虚鸣且出青脓的称为震耳。证候虽然分为五类，但病源相同，都是由风水侵入耳中，因积热上壅而成。如果不早期治疗，日久会导致耳聋，适宜用胭脂膏治疗，同时服用化痰退热等药剂，即可痊愈。
蔓荆子汤：治疗内热，耳中流出脓汁。
升麻 木通 麦门冬 赤芍药 生地黄 前胡 甘菊 甘草 桑白皮 赤茯苓 蔓荆子（各等分）
以上药物，用姜枣水煎煮，饭后服用。
清上散：治疗上焦风热，耳中流出浓稠脓汁，头面部疮疖，也治疗胎热引起的眼睛肿赤，粪便色稠黄，肚热啼哭，以及身上红肿。
川郁金 甘草 北桔梗 天花粉 干葛 薄荷叶（各等分）
以上研为末，加入蜂蜜拌匀。用白开水送服三五分或一钱。同时用艾叶煎浓汤，温热浸泡足底，以引导热气下行。
当归龙荟丸：治疗肝胆风热，耳中鸣响，流出青脓，名为震耳，大便秘结，小便黄，经常服用，可宣通血气，调顺阴阳。
当归 龙胆草 柴胡（各一两） 青黛 胆星 大黄 芦荟（各五钱） 麝香（五分） 栀子 酒黄芩 酒黄连 黄柏（各一两） 木香（二钱五分）
以上研为末，炼蜜为丸，如小豆大小。每次服用二十丸，姜汤送下。
清黄散：治疗耳出黄脓，名为停耳，内有风热，外受水湿干扰，酝酿而成。
防风 滑石（飞制，五钱） 甘草（炙，一钱） 栀子（酒炒，三钱） 藿香 酒黄连（各二钱）
以上研为末。用白开水调服二钱，饭后服用。
清心丹：治疗耳出红脓，名为脓耳，以及舌上生疮像杨梅形状者。
黄连（酒炒，三钱） 滑石（飞制，六钱） 甘草 辰砂（飞制，各一钱） 薄荷（六分）
犀角（镑成屑，二钱）
以上研为末。每次服用一钱五分，拌入蜂蜜，薄荷汤送下，夜间再服一次。
清白散：治疗肺热痰火上壅，耳出白脓，名为缠耳，兼治咳嗽。
桑白皮（蜜炒） 地骨皮（各三钱） 甘草（一钱） 贝母（二钱） 寒水石（ ，三钱）
天花粉 酒芩 天门冬（各一钱半）
以上研为末。用蜜水调和，饭后服用。或者用白通草煎汤送下，尤为妙法。
交感丹：治疗耳中疳臭，名为五耳，或因怒气上逆，上下气机不得宣通，遂成聋哑。
香附子（童便浸透，炒，三钱） 茯神 黄连（各二钱） 桂心 甘菊花（各一钱）
以上研为末。每次服用一钱五分，灯心草汤送下。
禹余粮丸：治疗停耳出脓水。
禹余粮（煅，醋淬七次） 海螵蛸（去除背上硬骨） 百草霜 伏龙肝（各二钱五分）
大附子（去皮脐生用，一枚）
以上研为末。用棉布包裹如桂圆核大小，放入耳内，每日更换两次。如果不好转，说明有虫。
龙骨散：治疗各种脓耳。
枯矾 龙骨 胭脂胚（各一钱） 麝香（少许）
研为细末。用棉裹杖子，拭去耳中脓液，再吹入一字量的药粉入耳中，每日两次。加入海螵蛸一钱，尤为妙法。
羊角散：治疗耳内脓汁不干。
山羊角，烧至存性，研为末。每次吹入二三分在内，一日二次。三日全愈。
滋阴地黄丸：治疗耳虚鸣，脓汁不干，肾阴不足。
熟地黄（一两） 白茯苓（四钱） 山茱萸（五钱） 甘菊（四钱） 牡丹皮（四钱） 何首乌（黑豆蒸三次） 黄柏（各四钱）
以上研为末，炼蜜为丸，如梧桐子大小。每次服用三五十丸。
白蔹散：治疗小儿冻耳成疮，或者痒或者痛。
黄柏 白蔹（各半两）
以上研为末。先用汤水洗疮后，用生油调和涂抹。
[Xue] Mei lian (Eyebrow eczema) refers to sores appearing between the eyebrows of infants, resembling scabies or tinea. One should seek the cause and medicate accordingly. The eyebrows belong to the Gallbladder Meridian. If there is innate heat in the Liver and Gallbladder meridians, or if the nursing mother has heat in these meridians, use Chaihu Zhizi San (Bupleurum and Gardenia Powder). If the nursing mother consumes rich flavors and strong wine, use Jiawei Qingwei San (Modified Stomach-Clearing Powder). If the nursing mother suffers from depression and anger, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). These formulas are taken by the nursing mother, and the infant drinks a small amount as well, while also addressing the main symptoms as described previously.
[Tian] The treatment for mei lian involves applying Qingjin San (Blue Gold Powder). If it does not heal, roast wheat until it retains its properties (charred but not carbonized), grind it into fine powder, and mix with good oil for topical application.
Qingjin San: Treats infantile scabies, tinea, mei lian, or itching spreading over the entire body, or weeping pus that persists for years without healing.
Songxiang (Pinus Rosin, 2 liang) Zhen Gafen (True Clam Shell Powder, 5 qian) Qingdai (Indigo Naturalis, 2.5 qian)
Grind the above into powder. Mix with candle oil for application, or sprinkle dry powder directly. Alternatively, add Qinfen (Calomel) and Kufan (Alumen Calcined), 3 qian each. This is especially effective for treating the aforementioned conditions, fetal toxins, scabies, and leprosy-like skin diseases.
[Dannan] For "moon-erosion sore" (perforated auricle/ear ulcer) behind the ears of infants, burn earthworm feces and apply mixed with lard. Apply Hu Fen (Lead Carbonate) mixed with egg white. Apply Huanglian (Coptis Rhizome) powder. Burn bamboo leaves to ash and apply mixed with pig fat.
Shuiyin Gao (Mercury Ointment): Treats moon-erosion sores, often occurring above both ears and around the ear canal, fluctuating with the waxing and waning of the moon.
Shuiyin (Mercurius, 2.5 qian) Hufen (Plumbum Carbonas) Songzhi (Pini Resina) Huanglian (Coptidis Rhizoma, de-stemmed and powdered, 0.5 liang each) Zhuzhi (Suis Medulla, 4 liang)
First, boil the pig fat until bubbling. Add the songzhi, powdered herbs, and shuiyin, stirring until uniform. Store in a porcelain jar. First wash the sore with salt water solution, then apply. Do this three to five times daily.
Hufen San (Lead Carbonate Powder): Treats moon-erosion sores.
Hufen (Stir-fried until slightly yellow) Baifan (Alumen) Guodan (Minium) Huanglian (Cleaned) Qinfen (Hydrargyri Chloridum Commune) (each 2 qian) Yanzhi (Carthami Flos, 1 qian)
Shexiang (Moschus, a little)
Grind into powder. First wash and wipe the area with warm rice water containing salt, then sprinkle the medicine. If the sore is dry, mix with sesame oil for application.
Master Tang said: There are five types of ear diseases. Those constantly discharging yellow pus are called Ting'er (Stopping Ear); those discharging red pus are called Nong'er (Pus Ear); those discharging white pus are called Chan'er (Coiling Ear); those with a foul, gangrenous odor are called Wu'er (Five Ear); and those with empty ringing in the ear and discharging green pus are called Zhen'er (Vibrating Ear). Although the symptoms vary into five types, the pathological origin is the same: wind-water invading the ear, compounded by accumulated heat rising and obstructing. If not treated early, it may lead to deafness. It is suitable to treat with Yanzhi Gao (Carthamus Ointment) and simultaneously administer formulas for resolving phlegm and clearing heat, which will result in recovery.
Manjingzi Tang (Vitex Fruit Decoction): Treats internal heat causing purulent discharge from the ear.
Shengma (Cimicifugae Rhizoma) Mutong (Akebiae Caulis) Maimendong (Ophiopogonis Radix) Chi Shaoyao (Paeoniae Radix Rubra) Sheng Dihuang (Rehmanniae Radix) Qianhu (Peucedani Radix) Ganju (Chrysanthemi Flos) Gancao (Glycyrrhizae Radix et Rhizoma) Sangbaipi (Mori Cortex) Chi Fuling (Poria cum Ligno Rubra) Manjingzi (Viticis Fructus) (equal parts)
Decoct with ginger and jujube water. Take after meals.
Qingshang San (Upper-Clearing Powder): Treats wind-heat in the Upper Jiao, thick purulent discharge from the ear, carbuncles and sores on the head and face. Also treats eye swelling and redness due to fetal heat, thick yellow stool, abdominal heat causing crying, and general body redness and swelling.
Chuan Yujin (Curcumae Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Bei Jiegeng (Platycodonis Radix) Tianhuafen (Trichosanthis Radix) Gange (Puerariae Radix) Boheye (Menthae Haplocalycis Herba) (equal parts)
Grind into powder, mix evenly with honey. Take with plain water, 3-5 fen or 1 qian. Simultaneously, decoct mugwort leaves in strong tea and soak the soles of the feet in warm liquid to guide the heat downward.
Danggui Longhui Wan (Angelica and Gentian Pill): Treats wind-heat in the Liver and Gallbladder, tinnitus, discharge of green pus named Zhen'er, constipation, and yellow urine. Regular use promotes blood and qi circulation and harmonizes yin and yang.
Danggui (Angelicae Sinensis Radix) Longdancao (Gentianae Radix) Chaihu (Bupleuri Radix) (each 1 liang) Qingdai (Indigo Naturalis) Danning (Arisaematica Cum Bile) Dahuang (Rhei Radix et Rhizoma) Lvhua (Aloe) (each 5 qian) Shexiang (Moschus, 5 fen) Zhizi (Geniposide/Gardeniae Fructus) Jiu Huangqin (Scutellariae Radix, wine-processed) Jiu Huanglian (Coptidis Rhizoma, wine-processed) Huangbai (Phellodendri Cortex) (each 1 liang) Muxiang (Aucklandiae Radix, 2.5 qian)
Grind into powder, make pills with refined honey, size of small beans. Take 20 pills per dose, washed down with ginger soup.
Qinghuang San (Yellow-Clearing Powder): Treats yellow pus discharge from the ear, named Ting'er. Caused by internal wind-heat and external interference from dampness, brewing over time.
Fangfeng (Saposhnikoviae Radix) Huashi (Talcum, levigated, 5 qian) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian) Zhizi (Genipi Fructus, wine-fried, 3 qian) Huoxiang (Agastaches Herba) Jiu Huanglian (Coptidis Rhizoma, wine-processed) (each 2 qian)
Grind into powder. Mix 2 qian with plain water, take after meals.
Qingxin Dan (Heart-Clearing Pill): Treats red pus discharge from the ear, named Nong'er, and sores on the tongue resembling bayberries.
Huanglian (Coptidis Rhizoma, wine-fried, 3 qian) Huashi (Talcum, levigated, 6 qian) Gancao (Glycyrrhizae Radix et Rhizoma) Chencha (Cinnabaris, levigated) (each 1 qian) Bohe (Menthae Haplocalycis Herba, 6 fen)
Xijiao (Rhinocerotis Cornu, shaved, 2 qian)
Grind into powder. Take 1.5 qian per dose, mixed with honey, washed down with mint tea. Take again at night.
Qingbai San (White-Clearing Powder): Treats Lung heat with phlegm-fire obstructing upwards, causing white pus discharge from the ear, named Chan'er. Also treats cough.
Sangbaipi (Mori Cortex, honey-fried) Digupi (Lycii Cortex) (each 3 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian) Beimu (Fritillariae Bulbus, 2 qian) Hanshuishi (Halloysitum Rubrum, 3 qian)
Tianhuafen (Trichosanthis Radix) Jiu Qin (Scutellariae Radix, wine-processed) Tiantongdong (Asparagi Radix) (each 1.5 qian)
Grind into powder. Mix with honey water, take after meals. Or take with decoction of Tongcao (Tetrapanacis Medulla), which is excellent.
Jiaogan Dan (Mutual-Induction Pill): Treats gangrenous odor in the ear, named Wu'er. Or caused by rebellious Qi from anger, preventing the free flow of Qi up and down, leading to deafness.
Xiangfu (Cyperi Rhizoma, soaked in child's urine, stir-fried, 3 qian) Fushen (Poria cum Radice) Huanglian (Coptidis Rhizoma) (each 2 qian) Guixin (Cinnamomi Ramulum) Gan Juhua (Chrysanthemi Indici Flos) (each 1 qian)
Grind into powder. Take 1.5 qian per dose, washed down with Centella asiatica (Dengxincao) soup.
Yuyuliang Wan (Illite Pill): Treats Ting'er discharging pus and water.
Yuyuliang (Illitum, calcined, quenched in vinegar seven times) Haipiaoxiao (Sepiae Endoconcha) Baicaoshuang (Carbonis Herba) Fulonggan (Argillae Ustae) (each 2.5 qian) Da Fuzi (Aconiti Lateralis Radix Praeparata, raw, peeled, and navel removed, 1 piece)
Grind into powder. Wrap in cotton like a longan pit, place inside the ear. Change twice daily. If it does not improve, it indicates the presence of insects.
Longgu San (Dragon Bone Powder): Treats various types of pus-filled ears.
Kufan (Alumen Calcined) Longgu (Dinosaur Bone) Yanzhi Pei (Carthami Flos embryo/stain, each 1 qian) Shexiang (Moschus, a little)
Grind into fine powder. Use a cotton-wrapped stick to wipe out the pus from the ear, then blow one 'zi' (approx. 0.3g) of powder into the ear. Do this twice daily. Adding 1 qian of Haipiaoxiao is excellent.
Yangjiao San (Goat Horn Powder): Treats non-drying purulent discharge from the ear.
Shanyangjiao (Caprae Hircus Cornu), roasted until retaining properties, ground into powder. Blow 2-3 fen into the ear each time, twice daily. Complete recovery in three days.
Ziyin Dihuang Wan (Nourishing Yin Rehmannia Pill): Treats empty ringing in the ear, non-drying pus, due to Kidney Yin deficiency.
Shu Dihuang (Rehmanniae Radix Praeparata, 1 liang) Bai Fuling (Poria, 4 qian) Shanzhuyu (Corni Fructus, 5 qian) Ganju (Chrysanthemi Flos, 4 qian) Mudanpi (Moutan Cortex, 4 qian) Heshouwu (Polygoni Multiflori Radix, steamed three times with black soybeans) Huangbai (Phellodendri Cortex) (each 4 qian)
Grind into powder, make pills with refined honey, size of wu-tong seeds. Take 30-50 pills per dose.
Bailian San (Ampelopsis Powder): Treats frostbite sores on the ears of infants, causing itching or pain.
Huangbai (Phellodendri Cortex) Bailian (Ampelopsis Radix) (each 0.5 liang)
Grind into powder. First wash the sore with hot water, then mix with raw oil for topical application.