人有双耳忽然肿痛，内流清水，久则变为脓血者，身发寒热，耳内如沸汤之响，
或如蝉鸣，此少阳胆气不舒，而风邪乘之，火不得散，故生此病。法宜舒发胆气，
而佐之祛风泻火之药则愈矣。然有治之而不效者何也？盖胆受风火之邪，烁干胆汁，
徒用祛风泻火之汤，则胆汁愈干，胆火益炽，火借风威，愈肆焚烧，而耳病转甚矣。
方用润胆汤∶
白芍（一两） 当归（一两） 柴胡（一钱） 炒栀子（二钱） 玄参（一两）
天花粉（三钱） 菖蒲（八分） 水煎服。一剂而痛轻，二剂而肿消，三剂而脓
血止，四剂而寒热尽除，十剂而全痊也。
归、芍不特入胆，而且入肝也，胆病肝必病，平肝则胆亦平也。柴胡、栀子亦
是舒肝之药，舒肝正所以舒胆，肝血自旺，而胆汁有不濡润者乎。邪风邪火，已有
不治自散之机，乃加天花粉之逐痰，则风火无党。用菖蒲通耳中之窍，引玄参以退
浮游之焰，自然风火渐祛，上焦清凉，而耳病随愈也。
此症用止鸣丹亦效。
白芍（五钱） 柴胡（二钱） 炒栀子（三钱） 生地（三钱） 麦冬（三钱）
菖蒲（五分） 茯苓（三钱） 半夏（五分） 水煎服。数剂即愈。
人有耳中如针之触而生痛者，并无水生，止有声沸，皆云火邪作祟，不知乃肾
水之耗也。夫肾开窍于耳，肾气不足则耳闭。然耳闭之前必痛，而后闭何也？盖肾
火冲之也，火冲而不得出，则火之路塞而不通，于是火不再走于耳而成聋矣。但火
既上冲于耳，而火之路何以致塞？盖火邪上冲耳窍之内，如有物塞之状，故此等之
病，必须速治，否则成聋而难治矣。方用益水准火汤∶
熟地（一两） 生地（一两） 麦冬（一两） 玄参（一两） 菖蒲（一钱）
水煎服。一剂而痛止，二剂而响息，三剂而全愈，而耳不再聋也。
四味乃补水之药，又能于水中泻火，且不损伤肾气，则肾火自降。菖蒲引肾气
而上通，火得路而上达，又何有阻抑之虞乎。此等之病，老人最多，老人耳聋，虽
高寿之征，似可不必施治。不知已成之聋不必治，未成之聋正不可不治也。此方治
已聋者尚有奇功，矧治未聋之耳，有不取效者哉。
此症亦可用息沸汤。
熟地（二两） 山茱萸（一两） 麦冬（五钱） 北五味（十粒） 菖蒲（一钱）
远志（五分） 丹参（三钱）水煎服。十剂愈。
人有耳痛之后，虽愈而耳鸣如故者，人以马风火犹在耳也，仍用祛风散火之药，
而鸣且更甚，然以手按其耳，则其鸣少息，此乃阳虚而气闭也。法宜补阳气为主，
而兼理其肝肾之虚，方用发阳通阴汤治之。
人参（二钱） 茯苓（三钱） 白术（二钱） 黄 （三钱） 肉桂（五分）
熟地（五钱） 当归（二钱） 白芍（三钱） 柴胡（一钱） 甘草（五分）
白芥子（二钱） 荆芥（炒黑，一钱） 水煎服，一剂轻，二剂愈，不必三剂也。
此方即十全大补之变方也，治气血之虚者，实有相宜，兹何治阳虚而亦宜也。
不知阳虚而阴未有不俱虚者，倘单补阳虚以助其阳，恐阳旺阴衰，转动其火，不若
兼补其阴，则阴足以制阳，阴阳相济而彼此气通，蝉鸣之声顿除也。
此症可用开闭丹∶
黄 （一两） 当归（五钱） 肉桂 甘草（各五分） 菖蒲 远志 柴胡
香附（各一钱） 天花粉（二钱） 水煎服。二剂愈。
人有双耳聋闭，雷霆喧呼之声终不相闻，而耳内不痛。此大病之后，或年老人
有之，乃肾火内闭而气塞也，最难取效。法当内外兼治，内治必须大补心肾，虽耳
属肾，而非心气之相通，则心肾不交，反致阻塞。故必用补肾之药，使肾之液滋于
心，即宜用补心之剂，使心之气降于肾，心肾之气既交，自然上升而通于耳矣。方
用启窍汤∶
熟地（二两） 山茱萸（一两） 麦冬（一两） 远志（三钱） 五味子（二钱）
石菖蒲（一钱） 炒枣仁（三钱） 茯神（三钱） 柏子仁（三钱） 水煎服。一
连四服，而耳中必然作响，此欲开聋之兆也，再照前方服十剂。而外用∶
龙骨（一分） 雄鼠胆汁（一枚） 麝香（一厘） 冰片（三厘） 研绝细末为
丸，分作三丸，绵裹塞之，不可取出，一昼夜即通矣，神效之极。
耳通后，仍用前汤再服，一月后用大剂六味丸，以为善后之计，否则恐不能久聪也。
此症用通耳汤亦妙。
熟地（三两） 麦冬（一两） 炒枣仁 茯神 玄参（各五钱） 菖蒲（一钱）
柏子仁 炒黑荆芥（各三钱）水煎服。 十剂自通。
人有平居无事，忽然耳闻风雨之声，或如鼓角之响，人以为肾火之盛也，谁知
是心火之亢极乎。凡人心肾两交，始能上下清宁，以司视听。肾不交心，与心不交
肾，皆能使听闻之乱。然而肾欲上交于心，与心欲下交于肾，必彼此能受，始庆相
安。倘肾火大旺，则心畏肾炎，而不敢下交；心火过盛，则肾畏心焰，而不敢上交
矣。二者均能使两耳之鸣，但心不交肾耳鸣轻，肾不交心耳鸣重。今如闻风雨鼓角
者，鸣之重也。治法欲肾气复归于心，必须使心气仍归于肾。方用两归汤∶
麦冬（一两） 黄连（二钱） 生枣仁（五钱） 熟地（一两） 丹参（三钱）
茯神（三钱） 水煎服。二剂而鸣止，四剂不再发。
此方凉心之剂也。心既清凉，则肾不畏心热，而乐与来归，原不必两相引而始
合也。况方中全是益心滋肾之品，不特心无过燥之虞，而且肾有滋润之乐，自不啻
如夫妇同心，有鱼水之欢，而无乖离之戚也，又何至喧阗于一室哉。
此症可用定喧汤。
玄参（三两） 生地（一两） 贝母（二钱） 水煎服。一剂即止鸣。
人有不交感而两耳无恙，一交接妇女，耳中作痛，或痒发不已，或流臭水，以
凉物投之则快甚，人以为肾火之盛，谁知是肾火之虚乎。夫肾中之火，乃龙雷之火
也，火旺则难动而易息，火衰则易动而难息，其故何哉？盖火旺者水旺也，火衰者
水衰也。水衰则不能制火，而火易动，水衰则不能养火，而火难息耳。故补水必须
补火，补火而水乃生，亦补火必须补水，补水而火乃盛，二者原两相制而相成也。
肾开窍于耳，肾之水虚，则肾之火亦虚矣。耳之痒痛，作于交感之后，正显其肾中
水火之虚也。治法必须补肾中之火，而火不可独补，必须于水中补之。方用加减八
味丸汤∶
熟地（一两） 山茱萸（五钱） 丹皮（五钱） 泽泻（二钱） 茯苓（三钱）
山药（五钱） 麦冬（五钱） 北五味（一钱） 肉桂（二钱） 水煎服。一剂
而痛轻，再剂而痛止，三剂痒亦止，四剂而水不出也，十剂全愈。
此方补火而亦补水，而补水多于补火者，以火不可过旺也。水旺于火，而火有
安宁之乐，火引于水之中，水资于火之内，则火不至易动而难息，又何致上腾于耳
门，作痛作痒而出水哉。
此症用补阴制火汤亦妙。
熟地（二两） 山茱萸 芡实（各一两） 肉桂（一钱） 水煎服。十剂全愈。
妇人有因怒发热，经来之时，两耳出脓，两太阳作痛，乳房胀闷，寒热往来，
小便不利，脐下满筑，此是肝气之逆，火盛血亏也。夫肾虽开窍于耳，耳病宜责之
肾，然而肝为肾之子，肾气既通于耳，则肝之气，未尝不可相通者，子随母之象也。
况肝藏血，怒则血不能藏矣。经来之时，宜血随经而下行，不宜藏于经络，而作痛
满胀闷也。不知肝喜疏泄，怒则气逆而上奔，气既上逆，而血又何肯顺行于下而为
经乎，势必散走于经络，而不得泄，则火随郁勃之气而上冲两耳之间，乃化为脓水，
而流出于肾母之窍矣。太阳者，膀胱之位也，肾与膀胱为表里，肝走肾之窍，独不
可走膀胱之路乎。小便不利，正肝气之乘膀胱也。肾之气通于腰脐，脐下满筑者，
正肝气之乘肾也。至于乳房胀闷，尤肝逆之明验，以两胁属肝之部位，而乳房乃两
胁之际也。治法宜舒肝气而使之顺，不必治耳，而耳自愈也。方用加味逍遥散∶
白芍（一两） 柴胡（二钱） 当归（一两） 甘草（一钱） 陈皮（一钱）
茯神（三钱） 白术（五钱） 炒栀子（一钱） 天花粉（二钱） 枳壳（五分）
丹皮（三钱） 水煎服。二剂而诸症皆痊。
此方乃平肝之圣药，亦解怒之神剂也。补血而又无阻滞之忧，退火而更鲜寒凉
之惧，不必治肾而治肾已包于其中；不必通膀胱而通膀胱已统乎其内，变通之法，
何往往弃之而不用耶。
此症用莫愁汤亦神。
白芍 生地（各五钱） 当归（一两） 炒栀子 天花粉 香附（各二钱） 甘草
苍术（各一钱） 炒荆芥（三钱） 枳壳（五分） 水煎服。一剂轻，二剂愈。
有人双耳突然肿痛，内部流出清水，时间久了变成脓血，身体发冷发热，耳朵里像滚水沸腾一样的响声，或者像蝉鸣一样，这是少阳胆气不舒展，风邪趁机侵袭，火气无法散发，所以产生这种病。治疗法则应当舒发胆气，并辅以祛风泻火的药物就能痊愈。然而有治疗却无效的，为什么呢？因为胆受到风火之邪的煎熬，胆汁被烤干，如果只用祛风泻火的汤药，胆汁会更加干燥，胆火更加炽盛，火借风势，更加肆意焚烧，导致耳病反而加重了。方用润胆汤：白芍（一两）、当归（一两）、柴胡（一钱）、炒栀子（二钱）、玄参（一两）、天花粉（三钱）、石菖蒲（八分），水煎服。一剂后疼痛减轻，两剂后肿胀消退，三剂后脓血停止，四剂后寒热完全消除，十剂后完全康复。
当归、白芍不仅入胆经，而且入肝经，胆有病肝必然受累，平抑肝气则胆气也能平和。柴胡、栀子也是疏肝的药物，疏肝正是为了疏胆，肝血自然旺盛，那么胆汁怎么会不滋润呢？邪风邪火，本就有不治自散的趋势，现在加上天花粉来逐痰，风火就没有党羽了。用石菖蒲开通耳中的窍道，引导玄参来退去浮游的火焰，自然风火逐渐祛除，上焦清凉，耳病随之痊愈。
这个病症用止鸣丹也有效。
白芍（五钱）、柴胡（二钱）、炒栀子（三钱）、生地（三钱）、麦冬（三钱）、石菖蒲（五分）、茯苓（三钱）、半夏（五分），水煎服。几剂就能痊愈。
有人耳朵里像针扎一样刺痛，并没有水流出来，只有声音沸腾，大家都说是火邪作祟，却不知道这是肾水耗损的缘故。肾开窍于耳，肾气不足就会耳闭。但是在耳闭之前必定先痛，然后才闭，为什么呢？这是因为肾火冲撞所致，火气冲撞却无法排出，导致火的路径堵塞不通，于是火不再走于耳而变成聋了。但是火既然上冲到耳，为什么火的路径会堵塞？因为火邪上冲耳窍之内，好像有东西堵塞的样子，所以这类病必须迅速治疗，否则变成耳聋就难治了。方用益水准火汤：熟地黄（一两）、生地黄（一两）、麦冬（一两）、玄参（一两）、石菖蒲（一钱），水煎服。一剂后疼痛停止，两剂后响声消失，三剂后完全痊愈，耳朵不再聋了。
这四味药是补水的药物，又能在水中泻火，且不损伤肾气，那么肾火自然下降。石菖蒲引导肾气向上通达，火有了路径而上达，又有什么阻碍压抑的担忧呢？这类病老人最多，老人耳聋，虽然是高寿的象征，似乎可以不必治疗。不知道已经形成的耳聋不必治，尚未形成的耳聋正不可不治疗啊。这个方子治疗已经聋的人还有奇效，何况治疗还没聋的耳朵，哪有不见效的呢？
这个病症也可以用息沸汤。
熟地黄（二两）、山茱萸（一两）、麦冬（五钱）、北五味子（十粒）、石菖蒲（一钱）、远志（五分）、丹参（三钱），水煎服。十剂痊愈。
有人耳痛之后，虽然好了但耳鸣依旧，人们认为风火还在耳中，仍然使用祛风散火的药物，结果耳鸣更加严重，然而用手按住耳朵，耳鸣就稍微平息，这是阳气虚弱而气机闭塞。治疗法则应当以补阳气为主，同时调理肝肾的虚损，方用发阳通阴汤治疗。
人参（二钱）、茯苓（三钱）、白术（二钱）、黄芪（三钱）、肉桂（五分）、熟地黄（五钱）、当归（二钱）、白芍（三钱）、柴胡（一钱）、甘草（五分）、白芥子（二钱）、荆芥（炒黑，一钱），水煎服，一剂减轻，两剂痊愈，不需要三剂。
这个方子是十全大补汤的变方，治疗气血虚弱确实适宜，这里为什么治疗阳虚也适宜呢？不知道阳虚而阴没有不俱虚的，如果单补阳虚以助其阳，恐怕阳旺阴衰，转动其火，不如兼补其阴，那么阴足以制约阳，阴阳相互济助而彼此气机通畅，蝉鸣之声顿时消除。
这个病症可以用开闭丹：
黄芪（一两）、当归（五钱）、肉桂、甘草（各五分）、石菖蒲、远志、柴胡、香附（各一钱）、天花粉（二钱），水煎服。两剂痊愈。
有人双耳耳聋闭塞，雷霆喧呼的声音始终听不到，而耳朵内部不痛。这是大病之后，或者老年人有的情况，是肾火内闭而气机阻塞，最难取效。治疗应当内外兼治，内治必须大补心肾，虽然耳属于肾，但如果不是心气相通，那么心肾不交，反而导致阻塞。所以必须用补肾的药，使肾之液滋养于心，同时也宜用补心的药剂，使心之气降于肾，心肾之气既然相交，自然上升而通达于耳了。方用启窍汤：熟地黄（二两）、山茱萸（一两）、麦冬（一两）、远志（三钱）、五味子（二钱）、石菖蒲（一钱）、炒酸枣仁（三钱）、茯神（三钱）、柏子仁（三钱），水煎服。连续服用四副，耳朵中必然作响，这是想要开通耳聋的先兆，再照前方服用十剂。外用：龙骨（一分）、雄鼠胆汁（一枚）、麝香（一厘）、冰片（三厘），研成极细末做成丸药，分成三丸，用棉布包裹塞入耳中，不可取出，一昼夜就通了，神效至极。
耳通后，仍然用前面的汤药再服用，一个月后用大剂量的六味地黄丸，作为善后之计，否则恐怕不能长久保持听力灵敏。
这个病症用通耳汤也很妙。
熟地黄（三两）、麦冬（一两）、炒酸枣仁、茯神、玄参（各五钱）、石菖蒲（一钱）、柏子仁、炒黑荆芥（各三钱），水煎服。十剂自然通畅。
有人平时没事，忽然听到耳朵里有风雨声，或者像鼓角一样的响声，人们以为是肾火旺盛，谁知道这是心火亢极呢。凡是人心肾两者相交，才能上下清宁，以主管视听。肾不交心，与心不交肾，都能使听闻混乱。然而肾欲上交于心，与心欲下交于肾，必须彼此能接受，才开始相安无事。倘若肾火大旺，则心畏惧肾炎，而不敢下交；心火过盛，则肾畏惧心焰，而不敢上交了。这两者都能使两耳鸣响，但心不交肾耳鸣轻，肾不交心耳鸣重。现在如听到风雨鼓角声的，是耳鸣重的表现。治疗法则想要肾气复归于心，必须使心气仍归于肾。方用两归汤：麦冬（一两）、黄连（二钱）、生酸枣仁（五钱）、熟地黄（一两）、丹参（三钱）、茯神（三钱），水煎服。两剂后鸣响停止，四剂后不再发作。
这个方子是凉心的药剂。心既清凉，那么肾就不畏惧心热，而乐意回归，原本不必互相牵引才开始合和。况且方中全是益心滋肾的物品，不仅心没有过燥的忧虑，而且肾有滋润的快乐，自然不啻如夫妇同心，有鱼水之欢，而没有乖离的悲伤，又怎么会在一室中喧闹呢？
这个病症可以用定喧汤。
玄参（三两）、生地黄（一两）、贝母（二钱），水煎服。一剂就停止鸣响。
有人没有性交时两耳无恙，一旦交接妇女，耳中就作痛，或者痒得不停，或者流出臭水，用凉物敷在上面就非常舒服，人们以为是肾火旺盛，谁知道这是肾火虚弱呢。肾中之火，是龙雷之火，火旺则难动而易息，火衰则易动而难息，这是什么缘故呢？盖因火旺者水旺也，火衰者水衰也。水衰则不能制火，而火易动，水衰则不能养火，而火难息耳。所以补水必须补火，补火而水乃生，亦补火必须补水，补水而火乃盛，二者原两相制约而相互成就。肾开窍于耳，肾之水虚，则肾之火亦虚矣。耳之痒痛，发生在性交之后，正显明其中水火之虚。治疗法则必须补肾中之火，而火不可独补，必须于水中补之。方用加减八味丸汤：熟地黄（一两）、山茱萸（五钱）、牡丹皮（五钱）、泽泻（二钱）、茯苓（三钱）、山药（五钱）、麦冬（五钱）、北五味子（一钱）、肉桂（二钱），水煎服。一剂后疼痛减轻，两剂后疼痛停止，三剂后瘙痒也停止，四剂后水不出，十剂完全痊愈。
这个方子补火也补水，而补水多于补火，是因为火不可过旺。水旺于火，而火有安宁之乐，火引于水之中，水资于火之内，那么火不至易动而难息，又何致上腾于耳门，作痛作痒而出水呢？
这个病症用补阴制火汤也很妙。
熟地黄（二两）、山茱萸、芡实（各一两）、肉桂（一钱），水煎服。十剂完全痊愈。
妇人有因愤怒发热，月经来时，两耳出脓，两侧太阳穴作痛，乳房胀闷，寒热往来，小便不利，脐下满胀筑痛，这是肝气逆乱，火盛血亏。虽然肾开窍于耳，耳病应当责之于肾，然而肝为肾之子，肾气既通于耳，则肝之气，未尝不可相通，这是子随母的现象。况且肝藏血，愤怒则血不能藏。月经来时，宜血随经下行，不宜藏于经络，而作痛满胀闷。不知道肝喜疏泄，愤怒则气逆而上奔，气既上逆，而血又何肯顺行于下而为经乎，势必散走于经络，而不得泄，则火随郁勃之气而上冲两耳之间，乃化为脓水，而流出于肾母之窍。太阳者，膀胱之位也，肾与膀胱为表里，肝走肾之窍，独不可走膀胱之路乎。小便不利，正是肝气乘袭膀胱。肾之气通于腰脐，脐下满胀筑痛者，正是肝气乘袭肾。至于乳房胀闷，更是肝逆的明显验证，因为两胁属肝的部位，而乳房乃是两胁之际。治疗法则应当舒肝气使之顺，不必治耳，而耳自愈。方用加味逍遥散：白芍（一两）、柴胡（二钱）、当归（一两）、甘草（一钱）、陈皮（一钱）、茯神（三钱）、白术（五钱）、炒栀子（一钱）、天花粉（二钱）、枳壳（五分）、牡丹皮（三钱），水煎服。两剂后诸症皆愈。
这个方子是平肝的圣药，也是解怒的神剂。补血而又无阻滞的忧虑，退火而更无寒凉的恐惧，不必治肾而治肾已包于其中；不必通膀胱而通膀胱已统乎其内，变通之法，为何往往弃之不用呢？
这个病症用莫愁汤也很神效。
白芍、生地黄（各五钱）、当归（一两）、炒栀子、天花粉、香附（各二钱）、甘草、苍术（各一钱）、炒荆芥（三钱）、枳壳（五分），水煎服。一剂减轻，两剂痊愈。
A person suffers from sudden swelling and pain in both ears, with clear fluid draining internally, which later turns into pus and blood. The body experiences chills and fever, and the ears produce sounds like boiling water or cicada chirping. This is due to the stagnation of Shaoyang Gallbladder Qi (Shaoyang Gallbladder Qi Stagnation), allowing Wind Pathogen (Wind Evil) to invade. Fire cannot dissipate, thus causing this disease. The treatment principle should be to soothe and release Gallbladder Qi, assisted by herbs that dispel wind and purge fire, leading to recovery. However, why do some treatments fail? It is because the Gallbladder, affected by Wind and Fire pathogens, has its bile dried up. Using only wind-dispelling and fire-purging decoctions will further dry the bile and intensify Gallbladder Fire. Fire borrows strength from Wind, burning more fiercely, worsening the ear condition. The formula Run Dan Tang (Moistening Gallbladder Decoction) is used: Bai Shao (White Peony Root, 1 liang), Dang Gui (Angelica Sinensis, 1 liang), Chai Hu (Bupleurum Root, 1 qian), Chao Zhi Zi (Fried Gardenia Fruit, 2 qian), Xuan Shen (Scrophularia Root, 1 liang), Tian Hua Fen (Trichosanthes Root, 3 qian), Chang Pu (Acorus Rhizome, 8 fen). Decoct in water and take orally. After one dose, pain lightens; after two doses, swelling subsides; after three doses, pus and blood stop; after four doses, chills and fever disappear completely; after ten doses, full recovery occurs.
Dang Gui and Bai Shao enter not only the Gallbladder channel but also the Liver channel. When the Gallbladder is diseased, the Liver is inevitably involved; calming the Liver calms the Gallbladder. Chai Hu and Zhi Zi are also herbs that soothe the Liver; soothing the Liver is precisely how one soothes the Gallbladder. As Liver Blood becomes abundant, Gallbladder Bile will naturally be moistened. The pathogenic Wind and Fire already have the potential to dissipate without treatment; adding Tian Hua Fen to eliminate phlegm removes the allies of Wind and Fire. Chang Pu opens the orifices in the ear, guiding Xuan Shen to subdue floating Fire. Naturally, Wind and Fire are gradually dispelled, the Upper Jiao (Upper Burner) becomes cool, and the ear disease heals.
This condition can also be treated effectively with Zhi Ming Dan (Stop Tinnitus Pill): Bai Shao (5 qian), Chai Hu (2 qian), Chao Zhi Zi (3 qian), Sheng Di Huang (Rehmannia Root, 3 qian), Mai Dong (Ophiopogon Tuber, 3 qian), Chang Pu (5 fen), Fu Ling (Poria, 3 qian), Ban Xia (Pinellia Tuber, 5 fen). Decoct in water and take orally. Several doses lead to cure.
Some people experience sharp, needle-like pain in the ears without fluid discharge, only hearing a boiling sound. Many attribute this to Fire Pathogen, unaware that it is actually due to the depletion of Kidney Water. The Kidneys open into the ears; insufficient Kidney Qi leads to ear blockage. However, before blockage, there must be pain, followed by deafness. Why? Because of Kidney Fire rushing upward. If Fire rushes but cannot exit, the pathway for Fire becomes blocked and unpatent. Consequently, Fire no longer travels through the ears, resulting in deafness. But if Fire rushes upward to the ear orifices, why does the pathway become blocked? The Fire Pathogen rushes into the inner ear orifices, creating a sensation of obstruction. Therefore, such diseases require rapid treatment; otherwise, they progress to difficult-to-treat deafness. The formula Yi Shui Zhun Huo Tang (Nourishing Water and Calming Fire Decoction) is used: Shu Di Huang (Prepared Rehmannia Root, 1 liang), Sheng Di Huang (Raw Rehmannia Root, 1 liang), Mai Dong (1 liang), Xuan Shen (1 liang), Chang Pu (1 qian). Decoct in water and take orally. Pain stops after one dose; ringing ceases after two doses; full recovery occurs after three doses, preventing future deafness.
These four ingredients nourish Water and purge Fire within Water without damaging Kidney Qi, causing Kidney Fire to descend naturally. Chang Pu guides Kidney Qi upward to connect; Fire finds a path to ascend, eliminating concerns of obstruction. This type of disease is most common in the elderly. Although deafness in the elderly is often seen as a sign of longevity and might seem unnecessary to treat, one must understand that established deafness may not need treatment, but impending deafness must be treated. This formula has miraculous effects even on established deafness, let alone on ears that have not yet lost hearing.
This condition can also be treated with Xi Fei Tang (Stopping Boiling Decoction): Shu Di Huang (2 liang), Shan Zhu Yu (Cornus Fruit, 1 liang), Mai Dong (5 qian), Bei Wu Wei Zi (Schisandra Berry, 10 berries), Chang Pu (1 qian), Yuan Zhi (Polygala Root, 5 fen), Dan Shen (Salvia Root, 3 qian). Decoct in water and take orally. Ten doses lead to cure.
After ear pain subsides, some still suffer from tinnitus. People assume Wind and Fire remain in the ear and continue using wind-dispelling and fire-purging herbs, which worsens the tinnitus. However, pressing on the ear with the hand temporarily relieves the tinnitus, indicating Yang Deficiency (Yang Xu) and Qi Blockage (Qi Bi). The treatment principle should focus on tonifying Yang Qi while simultaneously addressing Liver and Kidney deficiency. The formula Fa Yang Tong Yin Tang (Raising Yang and Opening Yin Decoction) is used: Ren Shen (Ginseng Root, 2 qian), Fu Ling (3 qian), Bai Zhu (Atractylodes Macrocephala Rhizome, 2 qian), Huang Qi (Astragalus Root, 3 qian), Rou Gui (Cinnamon Bark, 5 fen), Shu Di Huang (5 qian), Dang Gui (2 qian), Bai Shao (3 qian), Chai Hu (1 qian), Gan Cao (Licorice Root, 5 fen), Bai Jie Zi (White Mustard Seed, 2 qian), Jing Jie (Schizonepeta Spike, fried black, 1 qian). Decoct in water and take orally. Lightens after one dose; cures after two doses; three doses are unnecessary.
This formula is a variation of Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction), suitable for Qi and Blood deficiency. Why is it suitable for Yang Deficiency? Yang Deficiency rarely exists without concurrent Yin Deficiency. Tonifying Yang alone might cause Yang to flourish and Yin to decline, stirring Fire. Instead, tonifying Yin allows Yin to control Yang. When Yin and Yang mutually support each other, Qi flows freely, and tinnitus disappears instantly.
This condition can also be treated with Kai Bi Dan (Opening Obstruction Pill): Huang Qi (1 liang), Dang Gui (5 qian), Rou Gui (5 fen), Gan Cao (5 fen), Chang Pu (1 qian), Yuan Zhi (1 qian), Chai Hu (1 qian), Xiang Fu (Cyperus Rhizome, 1 qian), Tian Hua Fen (2 qian). Decoct in water and take orally. Cures after two doses.
Some people suffer from bilateral deafness, unable to hear thunderous noises, yet their ears do not hurt. This occurs after severe illness or in the elderly, caused by internal closure of Kidney Fire and Qi blockage. It is difficult to treat. Treatment requires both internal and external approaches. Internally, one must greatly tonify the Heart and Kidneys. Although the ears belong to the Kidneys, without Heart Qi connection, Heart and Kidney do not interact, leading to blockage. Thus, Kidney-nourishing herbs are used to allow Kidney Fluids to nourish the Heart, and Heart-tonifying agents are used to allow Heart Qi to descend to the Kidneys. Once Heart and Kidney Qi interact, they naturally ascend and connect to the ears. The formula Qi Qiao Tang (Opening Orifices Decoction) is used: Shu Di Huang (2 liang), Shan Zhu Yu (1 liang), Mai Dong (1 liang), Yuan Zhi (3 qian), Wu Wei Zi (Schisandra Berry, 2 qian), Shi Chang Pu (Stone Acorus Rhizome, 1 qian), Chao Suan Zao Ren (Fried Sour Jujube Seed, 3 qian), Fu Shen (Poria with Hostwood, 3 qian), Bai Zi Ren (Biota Seed, 3 qian). Decoct in water and take orally. After four consecutive doses, ringing in the ears indicates the onset of hearing restoration. Continue with the same prescription for ten doses. Externally: Long Gu (Dragon Bone, 1 fen), Xiong Shu Dan Zhi (Male Rat Gallbladder Juice, 1 piece), She Xiang (Musk, 1 li), Bing Pian (Borneol, 3 li). Grind into an extremely fine powder, form into pills, divide into three portions, wrap in cotton, and insert into the ear. Do not remove. Hearing restores within one day, with extreme efficacy.
After hearing restores, continue taking the previous decoction. One month later, use a large dose of Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) for follow-up care; otherwise, long-term hearing may not be maintained.
This condition can also be treated with Tong Er Tang (Unblocking Ear Decoction): Shu Di Huang (3 liang), Mai Dong (1 liang), Chao Suan Zao Ren (3 qian), Fu Shen (3 qian), Xuan Shen (3 qian), Chang Pu (1 qian), Bai Zi Ren (3 qian), Chao Hei Jing Jie (Fried Black Schizonepeta Spike, 3 qian). Decoct in water and take orally. Natural patency occurs after ten doses.
Some people, when at rest, suddenly hear wind/rain sounds or drum/horn noises in their ears. People assume this is excessive Kidney Fire, but it is actually extreme Heart Fire Hyperactivity (Heart Fire Hyperactivity). Only when Heart and Kidney interact can the upper and lower parts remain clear and calm, governing hearing and vision. Kidney not interacting with Heart, or Heart not interacting with Kidney, both cause auditory confusion. For Kidney to interact upward with Heart, and Heart to interact downward with Kidney, both must accept each other to maintain peace. If Kidney Fire is too strong, Heart fears Kidney inflammation and dares not descend; if Heart Fire is too strong, Kidney fears Heart flames and dares not ascend. Both cause tinnitus, but Heart-Kidney non-interaction causes lighter tinnitus, while Kidney-Heart non-interaction causes heavier tinnitus. Hearing wind/drum sounds indicates heavy tinnitus. To restore Kidney Qi to the Heart, Heart Qi must return to the Kidney. The formula Liang Gui Tang (Two Returns Decoction) is used: Mai Dong (1 liang), Huang Lian (Coptis Rhizome, 2 qian), Sheng Suan Zao Ren (Raw Sour Jujube Seed, 5 qian), Shu Di Huang (1 liang), Dan Shen (3 qian), Fu Shen (3 qian). Decoct in water and take orally. Tinnitus stops after two doses; does not recur after four doses.
This is a Heart-cooling formula. Once the Heart is cool, Kidney does not fear Heart heat and willingly returns. There is no need for mutual attraction to unite. Moreover, the formula contains only Heart-benefiting and Kidney-nourishing items. The Heart avoids excessive dryness, and the Kidney enjoys nourishment. It is like a harmonious couple enjoying fish-in-water intimacy without separation sorrow, avoiding noise in the room.
This condition can also be treated with Ding Xuan Tang (Stabilizing Noise Decoction): Xuan Shen (3 liang), Sheng Di Huang (1 liang), Bei Mu (Fritillaria Bulb, 2 qian). Decoct in water and take orally. Tinnitus stops after one dose.
Some people have healthy ears until sexual intercourse, after which the ears hurt, itch incessantly, or discharge foul-smelling fluid. Applying cold objects brings great relief. People attribute this to excess Kidney Fire, but it is actually Kidney Fire Deficiency (Kidney Fire Deficiency). The Fire in the Kidneys is Dragon-Thunder Fire. When Fire is strong, it is hard to move but easy to extinguish; when Fire is weak, it is easy to move but hard to extinguish. Why? Strong Fire implies abundant Water; weak Fire implies deficient Water. Deficient Water cannot control Fire, making Fire prone to movement; deficient Water cannot nourish Fire, making Fire hard to extinguish. Therefore, tonifying Water requires tonifying Fire, and tonifying Fire generates Water. They mutually control and complete each other. The Kidneys open into the ears; Kidney Water deficiency leads to Kidney Fire deficiency. Ear itching and pain occurring after intercourse manifest the deficiency of Water and Fire in the Kidneys. Treatment must tonify Kidney Fire, but Fire cannot be tonified alone; it must be tonified within Water. The formula Jia Jian Ba Wei Wan Tang (Modified Eight-Ingredient Pill Decoction) is used: Shu Di Huang (1 liang), Shan Zhu Yu (5 qian), Dan Pi (Moutan Cortex, 5 qian), Ze Xie (Alisma Rhizome, 2 qian), Fu Ling (3 qian), Shan Yao (Dioscorea Rhizome, 5 qian), Mai Dong (5 qian), Bei Wu Wei Zi (1 qian), Rou Gui (2 qian). Decoct in water and take orally. Pain lightens after one dose; stops after two doses; itching stops after three doses; discharge stops after four doses; full recovery after ten doses.
This formula tonifies both Fire and Water, with more emphasis on Water than Fire, because Fire should not be excessively strong. When Water flourishes over Fire, Fire enjoys peace. Fire guided within Water, and Water nourished within Fire, prevents Fire from moving easily and becoming hard to extinguish, stopping it from rising to the ear gate to cause pain, itching, and discharge.
This condition can also be treated with Bu Yin Zhi Huo Tang (Tonifying Yin and Restraining Fire Decoction): Shu Di Huang (2 liang), Shan Zhu Yu (1 liang), Qian Shi (Chinese Chestnut Seed, 1 liang), Rou Gui (1 qian). Decoct in water and take orally. Full recovery after ten doses.
Women who become angry and develop fever, experiencing pus discharge from both ears during menstruation, pain in both temples, breast distension and stuffiness, alternating chills and fever, difficult urination, and fullness/pounding below the navel, suffer from rebellious Liver Qi (Liver Qi Rebellion) and excessive Fire with Blood Deficiency. Although the Kidneys open into the ears and ear diseases are usually attributed to the Kidneys, the Liver is the child of the Kidney. Since Kidney Qi connects to the ears, Liver Qi can also connect, following the mother-child relationship. Furthermore, the Liver stores Blood; anger causes Blood to fail to store. During menstruation, Blood should flow downward with the menses, not stay in the collaterals causing pain and distension. The Liver prefers free flow; anger causes Qi to rebel and rush upward. With Qi rebelling, Blood refuses to flow downward normally, scattering into collaterals without exiting. Fire follows the stagnant Qi rushing upward between the ears, transforming into pus and flowing out from the Kidney Mother's orifice. Taiyang refers to the Bladder position; Kidney and Bladder are exterior-interior pairs. If Liver Qi travels through the Kidney orifice, can it not travel through the Bladder pathway? Difficult urination is indeed Liver Qi attacking the Bladder. Kidney Qi connects to the waist and umbilicus; fullness below the navel is Liver Qi attacking the Kidney. Breast distension is clear evidence of Liver rebellion, as the hypochondrium belongs to the Liver, and breasts lie between the hypochondria. Treatment should soothe Liver Qi to restore smoothness; treating the ears is unnecessary as they will heal themselves. The formula Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) is used: Bai Shao (1 liang), Chai Hu (2 qian), Dang Gui (1 liang), Gan Cao (1 qian), Chen Pi (Tangerine Peel, 1 qian), Fu Shen (3 qian), Bai Zhu (5 qian), Chao Zhi Zi (1 qian), Tian Hua Fen (2 qian), Zhi Ke (Aurantii Fructus, 5 fen), Dan Pi (3 qian). Decoct in water and take orally. All symptoms resolve after two doses.
This formula is the supreme herb for calming the Liver and a divine agent for resolving anger. It tonifies Blood without causing stagnation and clears Fire without excessive coldness. Treating the Kidney is included within it; unblocking the Bladder is encompassed within it. Why is this flexible method often abandoned?
This condition can also be treated with Mo Chou Tang (No-Worry Decoction): Bai Shao (5 qian), Sheng Di Huang (5 qian), Dang Gui (1 liang), Chao Zhi Zi (2 qian), Tian Hua Fen (2 qian), Xiang Fu (2 qian), Gan Cao (1 qian), Cang Zhu (Atractylodes Lancea Rhizome, 1 qian), Chao Jing Jie (Fried Schizonepeta Spike, 3 qian), Zhi Ke (5 fen). Decoct in water and take orally. Lightens after one dose; cures after two doses.