暴厥而聋,耳偏塞闭不通,内气暴薄也。不从内外中风之病,故留瘦着也。头痛耳鸣,
九窍不利,肠胃之所生也。
黄帝问曰∶刺节言发蒙者,刺府 以去府病,何俞使然?岐伯对曰∶刺此者,必于白日
中,刺其耳听(一作听宫),中其眸子,声闻于外,此其俞也。曰∶何谓声闻于外?曰∶已刺
以手坚按其两鼻窍令急偃,其声必应其中。耳鸣,取耳前动脉。耳痛不可刺者,耳中有脓,
若有干 抵(一本作盯聍),耳无闻也。耳聋,取手少指(《太素》云少指次指)爪甲
上与肉交者,先取手,后取足。耳鸣,取手中指爪甲上,左取右,右取左,先取手,后取足
。聋而不痛,取足少阳;聋而痛,取手阳明。
耳鸣,百会及颔厌、颅息、天窗、大陵、偏历
、前谷、后溪皆主之。耳痛聋鸣,上关主之,刺不可深。耳聋鸣,下关及阳溪、关冲、腋门
,阳谷主之。耳聋鸣,头颔痛,耳门主之。头重,颔痛,引耳中 嘈嘈,和 主之。
聋,耳中癫溲若风,听会主之。耳聋填填如无闻, 嘈嘈若蝉鸣,
颊鸣,听宫主之。下颊取之,譬如破声,刺此(即《九卷》所谓发蒙者)。聋,翳风及会宗、
下关主之。耳聋无闻,天窗主之。耳聋,嘈嘈无所闻,天容主之。耳鸣无闻,肩贞及完骨主
之。耳中生风,耳鸣耳聋时不闻,商阳主之。聋,耳中不通,合谷主之。耳聋,两颞 痛,中
渚主之。耳 浑浑无所闻,外关主之。卒气聋,四渎主之。
突然昏厥并伴有耳聋,耳部一侧堵塞闭塞不通,这是体内气机突然逆乱上冲所致。并非由外感风邪或内伤饮食引起的疾病,因此病邪滞留导致形体消瘦、病情深重。头痛、耳鸣,九窍(眼、耳、鼻、口等)功能不利,是由肠胃功能失调所产生的。
黄帝问道:《刺节真邪》篇中提到的“发蒙”疗法,是针刺腑穴以去除腑病,为何能产生这种效果?岐伯回答说:施行此法,必须在白天进行,针刺耳前的听宫穴(另一版本作听会),针感需直达眼球,使声音在体外能被听到,这就是该穴位的作用。问:什么叫声音在体外能被听到?答:针刺后,用手紧紧按住患者的两个鼻孔,迫使气息急迫地向下运行,其产生的共鸣声必然应和于体内。耳鸣,取耳前的动脉处(如听宫、听会)。耳痛不可针刺者,若耳中有脓液,或有干硬的耵聍(耳屎),则耳朵听不见声音。耳聋,取手小指(《太素》注云为无名指)指甲角与肉交接处(关冲穴),先取手部穴位,后取足部穴位。耳鸣,取手中指指甲角上方(中渚穴附近),左侧病取右侧穴,右侧病取左侧穴,先取手部穴位,后取足部穴位。聋而不痛,取足少阳胆经穴位;聋而痛,取手阳明大肠经穴位。
耳鸣,百会、颔厌、颅息、天窗、大陵、偏历、前谷、后溪等穴均可主治。耳痛、耳聋、耳鸣,上关穴为主治穴,但针刺不可过深。耳聋、耳鸣,下关、阳溪、关冲、腋门、阳谷等穴为主治穴。耳聋、耳鸣且头颌疼痛,耳门穴为主治穴。头重、颌痛,牵引耳中嘈杂作响,禾髎穴为主治穴。耳聋,耳中如有癫疾发作般的水声或风声,听会穴为主治穴。耳聋感觉耳内充实闷塞如同听不到声音,嘈杂如蝉鸣,颊车部位鸣响,听宫穴为主治穴。在下颌角处取穴,犹如破开声音的阻滞,针刺此处(即《九卷》所谓“发蒙”法)。耳聋,翳风、会宗、下关穴为主治穴。耳聋完全听不见,天窗穴为主治穴。耳聋,嘈杂无声可闻,天容穴为主治穴。耳鸣完全听不见,肩贞、完骨穴为主治穴。耳中生风感,耳鸣耳聋时断时续听不见,商阳穴为主治穴。耳聋,耳中闭塞不通,合谷穴为主治穴。耳聋,两侧太阳穴疼痛,中渚穴为主治穴。耳中浑浑噩噩听不清,外关穴为主治穴。突发气闭性耳聋,四渎穴为主治穴。
Sudden syncope accompanied by deafness, and unilateral ear blockage with obstruction, is caused by the sudden upward rush of internal Qi. This is not a disease resulting from wind-stroke affecting the interior or exterior, but rather one where pathogenic factors remain stagnant, leading to emaciation and chronicity. Headache, tinnitus, and dysfunction of the nine orifices (eyes, ears, nose, mouth, etc.) are generated by disorders of the stomach and intestines.
The Yellow Emperor asked: The chapter "Stitching Joints" (Ci Jie) mentions the method of "Releasing the Blindfold" (Fa Meng), which involves needling Fu-organ acupoints to eliminate Fu-organ diseases. How does this work? Qibo replied: To perform this method, it must be done during the day. One should needle the Tinggong (SI19) acupoint in front of the ear (another version says Tinghui GB2), ensuring the needle sensation reaches the eyeball, so that sound can be heard externally. This demonstrates the efficacy of this acupoint. Asked: What is meant by "sound can be heard externally"? Replied: After needling, firmly press both nostrils with hands, forcing the Qi to descend urgently; the resulting resonant sound will necessarily correspond internally. For tinnitus, select the arterial pulse in front of the ear. If ear pain precludes needling, and there is pus in the ear, or hard cerumen (earwax), hearing is lost. For deafness, select the point at the corner of the nail on the little finger (Taisu notes this refers to the ring finger) where the nail meets the flesh (Guanchong SI1), first selecting Hand-Shaoyang points, then Foot-Shaoyang points. For tinnitus, select the area above the nail of the middle finger (Zhongzhu SJ3), treating left-sided symptoms with right-sided points and vice versa, first selecting Hand-Shaoyang points, then Foot-Shaoyang points. For deafness without pain, select Foot-Shaoyang Gallbladder channel points; for deafness with pain, select Hand-Yangming Large Intestine channel points.
For tinnitus, Baihui (GV20), Hanyan (GB6), Luxi (TE18), Tianchuang (SI16), Daling (PC7), Pianli (LI6), Qiangu (LI15), and Houxi (SI3) all govern these conditions. For ear pain, deafness, and tinnitus, Shangguan (ST7) governs, but needling must not be deep. For deafness and tinnitus, Xiaguan (ST7), Yangxi (LI5), Guanchong (SI1), Yimen (TE14 - *Note: Text says Yimen, likely typo for Yifeng or similar, but translating as written*), and Yanggu (SI4) govern. For deafness, tinnitus, and headache/jaw pain, Ermen (TE21) governs. For heavy head, jaw pain, and pulling sensations with buzzing in the ear, Heliao (LI18) governs. For deafness, if there is a rushing water or wind sound in the ear like an epileptic fit, Tinghui (GB2) governs. For deafness feeling full and obstructed as if unable to hear, with buzzing like cicadas, and ringing in the cheek area, Tinggong (SI19) governs. Select points below the jaw, akin to breaking the sound obstruction; needling here (which corresponds to the "Fa Meng" mentioned in the Nine Scrolls/Jiu Juan) is effective. For deafness, Yifeng (TE17), Huizong (TE7), Xiaguan (ST7) govern. For complete deafness, Tianchuang (SI16) govern. For deafness with no audible sound despite buzzing, Tianrong (SI17) govern. For tinnitus with no hearing, Jianzhen (SI9) and Wangu (GB12) govern. For wind sensation in the ear, intermittent tinnitus and deafness where hearing is lost, Shangyang (LI1) govern. For deafness with ear blockage, Hegu (LI4) govern. For deafness with pain in both temporal regions, Zhongzhu (SJ3) govern. For muffled hearing, Waiguan (TE5) govern. For sudden Qi-blockage deafness, Sidu (TE10) govern.