生犀丸 治耳中策策疼痛。
犀角(镑) 牛黄(研) 南星 白附子(炮) 干姜(炮) 丹砂(研) 没药(研) 半夏(汤洗) 龙脑(研)
乳香(研) 乌蛇(酒浸,去皮骨,炙) 官桂(各二钱半) 防风 当归(焙) 麝香(研。各半两)
上为细末,炼蜜为丸,如桐子大。每服二十丸,空心温酒送下。
犀角饮子(见前风热条。)
解热饮子 治气虚热壅,耳内聋闭彻痛,脓血流出。
赤芍药 白芍药(各半两) 当归 川芎 炙甘草 大黄(蒸) 木鳖子(去壳。各一两)
上为锉散,每服四钱,水一盏,煎至七分,食后临卧服。
黍粘子汤(东垣) 治耳内痛生疮。
桔梗(半两) 桃仁(一钱) 柴胡 黄 (各三分) 连翘 黄芩 黍粘子 当归梢 生地黄
黄连(各二分) 蒲黄 炙甘草 草龙胆 昆布 苏木 生甘草(各一分) 红花(少许)
水二盏,煎至一盏,去滓,稍热服,食后。忌寒药利大便。
凉膈散(见发热。)
白龙散 治小儿肾脏盛而有热,壅气上冲于耳,津液结滞,则生脓汁。有因沐浴水
入耳内,水湿停积,搏于血气,蕴积成热,亦令耳脓汁出,谓之停耳。久而不愈,则变成聋。
白矾(枯) 黄丹 龙骨(各半两) 麝香(一钱)
上研极细,先以绵杖子展尽耳内脓水,用药一字,分掺两耳,日二次。勿令风入。
杏仁膏 治耳中汁出,或痛或脓。
上用杏仁炒令赤黑,研成膏,薄绵裹内耳中,日三四度易之,或乱发裹塞之亦妙。一
方,治耳卒痛或水出,用杏仁炒焦为末,葱涎搜和为丸,以绵裹塞耳亦可,又治耳肿兼有脓。
菖蒲挺子 治耳中痛。
菖蒲(一两) 附子(炮,去皮脐,半两)
上为细末,每用不以多少,油调滴耳内效。一法,用醋丸如杏仁大,绵裹置耳中,日
三易。一法,捣菖蒲自然汁灌耳,神效。
治耳痛不可忍,用磨刀铁浆滴入耳中即愈。
生犀丸:治疗耳中阵发性刺痛。
犀角(镑片) 牛黄(研细) 天南星 白附子(炮制) 干姜(炮制) 朱砂(研细) 没药(研细) 半夏(汤洗) 冰片(研细)
乳香(研细) 乌梢蛇(酒浸,去皮骨,炙烤) 肉桂(各二钱半) 防风 当归(焙干) 麝香(研细。各半两)
以上药物研成细末,用炼蜜制成丸剂,大小如梧桐子。每次服用二十丸,空腹时温酒送服。
犀角饮子(见前文风热条。)
解热饮子:治疗气虚导致的热邪壅滞,耳内耳聋闭塞且疼痛剧烈,有脓血流出。
赤芍药 白芍药(各半两) 当归 川芎 炙甘草 大黄(蒸制) 木鳖子(去壳。各一两)
以上药物切碎成散剂,每次服用四钱,加水一盏,煎至七分,饭后临睡前服用。
黍粘子汤(李东垣方):治疗耳内疼痛并生疮疡。
桔梗(半两) 桃仁(一钱) 柴胡 黄柏(各三分) 连翘 黄芩 黍粘子(牛蒡子) 当归梢 生地黄
黄连(各二分) 蒲黄 炙甘草 龙胆草 昆布 苏木 生甘草(各一分) 红花(少许)
加水二盏,煎至一盏,去渣滓,稍热时服用,饭后服。忌用寒凉药物通利大便。
凉膈散(见发热条。)
白龙散:治疗小儿肾经盛而有热,气机上冲于耳,津液结滞,从而产生脓汁。有的因为沐浴时水进入耳内,水湿停积,与气血搏结,蕴积化热,也会导致耳内流出脓汁,称为“停耳”。如果久治不愈,则会变成耳聋。
枯矾 黄丹 龙骨(各半两) 麝香(一钱)
以上药物研至极细,先用棉签棒将耳内脓水拭尽,取药末一字量,分掺入双耳,每日两次。注意不要让风吹入耳内。
杏仁膏:治疗耳中流汁,或痛或出脓。
以上用杏仁炒至赤黑色,研成膏状,用薄绵包裹塞入耳中,每日三四次更换,或用乱发包裹堵塞也有效。另一方法,治疗耳突发疼痛或出水,用杏仁炒焦研末,用葱汁调和做成丸剂,用绵包裹塞入耳中也可,又可用于治疗耳肿兼有脓的情况。
菖蒲挺子:治疗耳中疼痛。
石菖蒲(一两) 附子(炮制,去皮脐,半两)
以上研成细末,每次用量不限,用油调匀滴入耳中见效。另一种方法,用醋将药做成如杏仁大小的丸剂,用绵包裹置于耳中,每日三次更换。还有一种方法,捣取石菖蒲自然汁灌入耳中,效果神奇。
治疗耳痛难以忍受,用磨刀铁浆滴入耳中即痊愈。
Shengxi Wan (Raw Rhinoceros Horn Pill): Treats paroxysmal stabbing pain in the ear.
Xi Jiao (Rhinoceros Cornu, sliced) Niu Huang (Calculus Bovis, powdered) Nan Xing (Arisaema Cum Bile) Bai Fu Zi (Typhonii Rhizoma Praeparatum) Gan Jiang (Zingiberis Rhizoma Praeparatum) Dan Sha (Cinnabaris, powdered) Mo Yao (Myrrhae Resina, powdered) Ban Xia (Pinelliae Tuber, washed in decoction) Long Nao (Borneolum Syntheticum, powdered)
Ru Xiang (Olibanum, powdered) Wu She (Zaocys, soaked in wine, skin and bones removed, roasted) Guan Gui (Cinnamomi Ramulus, each 2.5 qian) Fang Feng (Saposhnikoviae Radix) Dang Gui (Angelicae Sinensis Radix, baked) She Xiang (Moschus, powdered. Each 0.5 liang)
Grind the above into a fine powder, make pills with refined honey, sized like tung tree seeds. Take twenty pills per dose, swallowed with warm wine on an empty stomach.
Xijiao Yinzi (See previous section on Wind-Heat.)
Jiere Yinzi (Heat-Resolving Decoction): Treats deafness, blockage, severe pain in the ear, and discharge of pus and blood caused by heat stagnation due to Qi deficiency.
Chi Shao Yao (Paeoniae Radix Rubra) Bai Shao Yao (Paeoniae Radix Alba, each 0.5 liang) Dang Gui (Angelicae Sinensis Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) Da Huang (Rhei Radix et Rhizoma, steamed) Mu Bie Zi (Strychni Semen, shell removed. Each 1 liang)
Grind the above into a coarse powder. Take 4 qian per dose, add one zhan of water, decoct until 0.7 zhan remains. Take after meals and before retiring.
Shunianzi Tang (Li Dongyuan's Formula): Treats painful sores in the ear.
Jie Geng (Platycodonis Radix, 0.5 liang) Tao Ren (Persicae Semen, 1 qian) Chai Hu (Bupleuri Radix) Huang Bo (Phellodendri Cortex, each 3 fen) Lian Qiao (Forsythiae Fructus) Huang Qin (Scutellariae Radix) Shunianzi (Arctii Fructus) Danggui Shao (Apex of Angelicae Sinensis Radix) Sheng Di Huang (Rehmanniae Radix)
Huang Lian (Coptidis Rhizoma, each 2 fen) Pu Huang (Typhae Pollen) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) Cao Longdan (Gentae Scabrae Radix) Kunbu (Eckloniae Thallus) Su Mu (Sappan Lignum) Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, each 1 fen) Hong Hua (Carthami Flos, a small amount)
Add two zhan of water, decoct until one zhan remains, strain, and take slightly warm after meals. Avoid using cold purgatives to loosen the bowels.
Liangge San (See Fever section.)
Bailong San: Treats children whose Kidney channel is excessive with heat, causing Qi to rush upward to the ear. Fluids stagnate and accumulate, producing pus. In some cases, water enters the ear during bathing; water-dampness accumulates, interacts with Blood and Qi, generates heat, and causes pus discharge from the ear, termed "Ting Er" (Stagnant Ear). If not cured for a long time, it may lead to deafness.
Bai Fan (Alumen Exsiccatum) Huang Dan (Minium) Long Gu (Fossilia Ossis Mastodi, each 0.5 liang) She Xiang (Moschus, 1 qian)
Grind the above to an extremely fine powder. First, use a cotton swab to wipe out all pus and fluid from the ear. Apply a dose equivalent to one character (approx. 0.5-1 gram) of the powder into both ears, twice daily. Prevent wind from entering the ear.
Xingren Gao (Apricot Kernel Ointment): Treats discharge from the ear, whether painful or purulent.
Take Apricot kernels, stir-fry until dark red/black, grind into an ointment. Wrap thinly in silk and insert into the ear. Change three to four times daily. Alternatively, wrap in loose hair and plug the ear, which is also effective. Another method for sudden ear pain or discharge of water: fry apricot kernels until charred, grind into powder, mix with scallion juice to form pills, wrap in silk, and plug the ear. This also treats swollen ears with pus.
Changpu Tingzi (Acorus Stick): Treats pain in the ear.
Chang Pu (Acori Tatarinowii Rhizoma, 1 liang) Fu Zi (Aconiti Lateralis Radix Praeparata, peeled and de-navelled, 0.5 liang)
Grind the above into a fine powder. Use an appropriate amount, mix with oil, and drip into the ear for efficacy. Another method: mix with vinegar to form pills the size of apricot kernels, wrap in silk, and place in the ear. Change three times daily. Another method: crush Chang Pu to extract natural juice and instill into the ear; this is miraculous.
To treat unbearable ear pain, drip iron slurry from knife-sharpening water into the ear; it will heal immediately.