平按∶此篇自篇首至阴乔，见《灵枢》卷五第二十三《热病》篇。自目 外决至末，
见《灵枢》卷五第二十二《癫狂》篇。又自篇首至末，见《甲乙经》卷十二第四。
目中赤痛，从内 始，取之阴乔。（目内 ，阴乔脉也，故取所主之输也。平按∶
乔《灵枢》、《甲乙》作跷。）目 外决于面者，为兑 ；在内近鼻者，上为外 ，下
为内 。（人之目 有三∶外决为兑 ，内角上为外 ，下为内 。准《明堂》兑 为
外，近鼻者为内 也。平按∶《灵枢》兑作锐，近鼻者下有为内 三字。注准《明堂》
袁刻作唯《明堂》。）
平按∶此篇自篇首至后取足，见《灵枢》卷五第二十四《厥病》篇，又见《甲乙》
十二第五。自聋而不痛
至末，见《灵枢》卷五第二十六《杂病》篇，《甲乙》同上。
耳聋无闻，取耳中。（耳中，听宫、角孙等穴也。）耳鸣，取耳前动脉。（耳前动
脉，和 、听会等穴也。）耳痛不可刺者，耳中有脓，若有干 抵，耳无闻也。（耳痛
者有二∶有脓，有干 抵。无所闻者，不可刺也；而有闻声者，可刺。 ，当狄反。抵，
乃井反。平按∶ 抵《灵枢》作盯 二字，《甲乙》亦作 抵，注云∶一本作盯 。）
耳聋，取手足小指次指爪甲上与肉交者，先取手，后取足。（手少阳至小指次指，即关
冲穴。足少阳至足小指次指，即窍阴穴也。其脉皆入耳中，故二俱取之也。平按∶《甲
乙》小指作少指，无次指二字，注云∶《太素》作小指次指。）耳鸣，取手足中指爪甲
上，左取右，右取左，先取手，后取足。（手之中指，手心主脉，《明堂》不疗于耳。
足之中趾，十二经脉并皆不上。今手足中指皆疗耳鸣，今刺之者，未详，或可络至缪刺
也。平按∶手足中指《灵枢》、《甲乙》作手中指。）聋而不痛，取足少阳；聋而痛，
取手阳明。（足少阳正经入耳，手阳明络脉入耳。足少阳主骨益耳，故取之也。手阳明
主气益耳，故痛取之也。平按∶《灵枢》两痛字下均有者字。）
平按：本篇从篇首至“阴跷”，见于《灵枢》卷五第二十三《热病》篇。从“目外眦”至末尾，见于《灵枢》卷五第二十二《癫狂》篇。另外，从篇首至末尾，见于《甲乙经》卷十二第四。
眼睛内部红肿疼痛，如果从内眼角开始，应取阴跷脉的穴位。（内眼角是阴跷脉所过之处，所以取该脉所属的输穴。平按：乔字在《灵枢》、《甲乙经》中写作跷。）眼睛的外眼角称为锐眦；在内侧靠近鼻子的地方，上方称为外眦，下方称为内眦。（人的眼眦有三个：外侧眼角为锐眦，内侧眼角上方为外眦，下方为内眦。依据《明堂》，锐眦在外，靠近鼻子的是内眦。平按：《灵枢》中锐写作兑，靠近鼻子下方有“为内眦”三字。注：依据《明堂》，袁刻本只写《明堂》。）
平按：本篇从篇首至“后取足”，见于《灵枢》卷五第二十四《厥病》篇，又见于《甲乙经》卷十二第五。从“聋而不痛”至末尾，见于《灵枢》卷五第二十六《杂病》篇，《甲乙经》同上。
耳聋且听不见声音，取耳中穴。（耳中穴，即听宫、角孙等穴位。）耳鸣，取耳前动脉处的穴位。（耳前动脉处，即和髎、听会等穴位。）耳痛不可针刺的，是因为耳中有脓液，或者有干痂堵塞，导致耳朵听不见声音。（耳痛有两种情况：有脓液，或有干痂堵塞。完全听不见声音的，不可针刺；如果能听到声音的，可以针刺。翣，读音当同狄。抵，读音乃井反。平按：翣抵二字在《灵枢》中写作盯䶲二字，《甲乙经》也写作翣抵，注云：另一版本写作盯䶲。）
耳聋，取手小指和次指（无名指）指甲角与皮肤交界处，先取手部穴位，后取足部穴位。（手少阳经到达小指和次指末端，即关冲穴。足少阳经到达足小指和次指末端，即窍阴穴。这两条经脉都进入耳中，所以两个部位都要取穴。平按：《甲乙经》中小指写作少指，没有次指二字，注云：《太素》写作小指次指。）耳鸣，取手和中指、足中指的指甲角上方，左病取右，右病取左，先取手部穴位，后取足部穴位。（手的中指属于手厥阴心包经，《明堂》记载不治疗耳部疾病。足的中趾，十二经脉都没有上行至此。现在手中和足中的中指都能治疗耳鸣，现在针刺这些穴位的原因不详，或许是络脉通过缪刺法联系所致。平按：手足中指在《灵枢》、《甲乙经》中写作手中指。）
耳聋但不痛，取足少阳经；耳聋且痛，取手阳明经。（足少阳正经进入耳中，手阳明络脉进入耳中。足少阳主骨并滋养耳朵，所以取足少阳经。手阳明主气并滋养耳朵，所以痛时取手阳明经。平按：《灵枢》中两个“痛”字下都有“者”字。）
Ping An: This section, from the beginning of the chapter to "Yin Qiao," is found in *Ling Shu* (Spiritual Pivot), Volume 5, Chapter 23, "Re Bing" (Heat Disease). From "outer canthus of the eye" to the end, it is found in *Ling Shu*, Volume 5, Chapter 22, "Dian Kuang" (Mania and Epilepsy). Additionally, from the beginning to the end of the chapter, it appears in *Jia Yi Jing* (The Classified Classic of Acupuncture and Moxibustion), Volume 12, Section 4.
Redness and pain inside the eyes, starting from the inner canthus, should be treated by selecting points on the Yin Qiao Mai (Yin Heel Vessel) [Yin Qiao Mai (Yin Heel Vessel)]. The inner canthus is where the Yin Qiao Mai passes, so one selects the Shu (Transport) point of this vessel. Ping An: The character "Qiao" is written as "Qiao" in *Ling Shu* and *Jia Yi Jing*. The outer canthus of the eye is called Rui Ci (Acute Canthus); near the nose on the inner side, the upper part is called Wai Ci (Outer Canthus), and the lower part is called Nei Ci (Inner Canthus). There are three canthi in the human eye: the outer corner is Rui Ci, the upper part of the inner corner is Wai Ci, and the lower part is Nei Ci. According to *Ming Tang*, Rui Ci is lateral, and the part near the nose is Nei Ci. Ping An: In *Ling Shu*, "Rui" is written as "Dui"; there are three characters "Wei Nei Ci" under the part near the nose. Note: According to *Ming Tang*, Yuan's edition only cites *Ming Tang*.
Ping An: This section, from the beginning of the chapter to "later select Foot," is found in *Ling Shu*, Volume 5, Chapter 24, "Jue Bing" (Jue Disease), and also in *Jia Yi Jing*, Volume 12, Section 5. From "deafness without pain" to the end, it is found in *Ling Shu*, Volume 5, Chapter 26, "Za Bing" (Miscellaneous Diseases), and *Jia Yi Jing* corresponds to this.
Deafness with inability to hear, treat with Er Zhong (Ear Center) [Er Zhong (Ear Center)]. Er Zhong refers to points such as Ting Gong (Palace of Hearing) and Jiao Sun (Corner Sun). Tinnitus, treat with the artery anterior to the ear [Artery Anterior to Ear]. The artery anterior to the ear refers to points such as He Liao (Harmony Crevice) and Ting Hui (Hearing Meeting). Ear pain that cannot be needled indicates pus in the ear or dry scabs blocking the ear canal, resulting in hearing loss. Ear pain has two conditions: presence of pus or presence of dry scabs. If there is no hearing at all, needling is contraindicated; if sound can still be heard, needling is permissible. Sha (scab/crust), pronounced like Di. Di (blockage/impaction), pronounced as Jing. Ping An: "Sha Di" in *Ling Shu* is written as "Ding Chu"; *Jia Yi Jing* also writes "Sha Di," noting that another version writes "Ding Chu."
Deafness, select the junction of the nail and flesh at the tips of the little finger and the fourth finger (ring finger) of both hands and feet. First select Hand points, then select Foot points. The Hand Shaoyang (Lesser Yang) channel reaches the tip of the little and fourth fingers, which is Guan Chong (Gushing Water) point. The Foot Shaoyang channel reaches the tip of the foot's little and fourth fingers, which is Qiao Yin (Piercing Yin) point. Both channels enter the ear, so points from both are selected. Ping An: *Jia Yi Jing* writes "Shao Zhi" instead of "Xiao Zhi" (little finger) and omits "Ci Zhi" (fourth finger); note says: *Tai Su* writes "Xiao Zhi Ci Zhi." Tinnitus, select above the nails of the middle fingers of both hands and feet. Treat left disease with right points, and right disease with left points. First select Hand points, then select Foot points. The middle finger of the hand belongs to the Hand Jueyin Pericardium Channel; *Ming Tang* states it does not treat ear diseases. The middle toe of the foot is not reached by any of the Twelve Primary Channels. Currently, the middle fingers of both hands and feet are used to treat tinnitus; the reason for needling these points is unclear, possibly due to collateral connections via Mu Ci (Counter-Needling). Ping An: "Hand and Foot Middle Fingers" in *Ling Shu* and *Jia Yi Jing* is written as "Hand Middle Finger."
Deafness without pain, select Foot Shaoyang (Lesser Yang); deafness with pain, select Hand Yangming (Yang Brightness). The Foot Shaoyang primary channel enters the ear, and the Hand Yangming collateral enters the ear. Foot Shaoyang governs bones and nourishes the ear, so it is selected. Hand Yangming governs Qi and nourishes the ear, so it is selected when pain is present. Ping An: In *Ling Shu*, the character "Zhe" (person/one who) follows both instances of "Tong" (pain).