Formulas · Regulate Qi 理氣 · Seui Deukhyobang (世醫得效方)

The Ear-Penetrating Tube

Tuei-tong

한글 투이통 · Pinyin Tou Er Tong

透耳筒

Composition 構成

Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

2 g
Chief 君

椒目, 5 pun
Padu Ba Dou
巴豆 파두 · Croton Seed

2 g
Chief 君

5 pun · toxic
Seokchangpo Shi Chang Pu
石菖蒲 석창포 · Acorus

2 g
Deputy 臣

5 pun
Songji Song Zhi
松脂 송지 · Pine Resin

2 g
Deputy 臣

5 pun
Hwangrap Huang La
黃蠟 황랍 · Beeswax

—
Envoy 使

beeswax melted to shape it into a tube

Total 8 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient measured by count or used as a vehicle, shown as —.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Treats kidney qi vacuity with ringing like wind and water or like bells and chimes
or sudden deafness

Indications 主治

Pattern-based

Kidney qi vacuity — ringing or sudden deafness

Biomedical correlates

Tinnitus
Sudden hearing loss — external use

Source text 原文

Donguibogam 東醫寶鑑

治腎氣虛耳鳴如風水聲, 或如鍾磬響, 或卒暴聾. 椒目ㆍ巴豆肉ㆍ石菖蒲ㆍ松脂各半錢. 爲末, 以蠟熔化和勻, 作筒子樣, 綿裹納耳中, 日一易, 神效. 《得效》

Translation

Treats kidney qi vacuity with ringing in the ear like the sound of wind and water, or like bells and chimes, or sudden deafness. Zanthoxylum seed, croton kernel, acorus and pine resin 5 pun each. Powder them, melt beeswax and mix evenly, form into the shape of a tube, wrap in cotton wool and put into the ear, changing it daily — divinely effective. — Seui Deukhyobang 得效 (Donguibogam · I)

Clinical commentary 臨床

Shaped into a tube rather than a plug, so the canal is not sealed. 如風水聲 and 如鍾磬響 — like wind and water, like bells and chimes — are the two tinnitus qualities the chapter keeps distinguishing, and 4.4.6 adds a third, like cicadas. **Contains croton, which is toxic. For external use only.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.