寶鑑Bogam

Formulas · Text · Donguibogam 東醫寶鑑

The Ear

I

한글 이  ·  Pinyin Er

The kidney's orifice and the gathering of the ancestral vessels — why the ear rings before it goes deaf, deafness sorted by which side, and the long list of ways to get an insect out

耳

The ear belongs to the kidney and the kidney stores essence, so the Lingshu's line governs the chapter: where the essence is deserted, there is deafness. But the ear is also where the ancestral vessels gather, and that gives the chapter its second rule — an empty stomach empties those vessels, and the emptied vessels ring. Ringing is deafness beginning; only where the qi is shut off does a person go deaf without it. The middle of the chapter is a set of distinctions worth having: a loud ring means phlegm fire and a faint one kidney vacuity; a new deafness is mostly heat and an old one mostly vacuity; and deafness sorted by side — the left from anger, which the chapter says is commoner in women, the right from desire, commoner in men, and both ears from rich food and wine. Six named kinds follow, each with its own sign: wind deafness itches, damp deafness swells and hurts after water has got in, taxation deafness shows a scorched, dusty ear rim. The treatments run from pills to things packed in the ear to a magnet in the ear with iron held in the mouth. Then a section of twenty-five folk remedies for getting an insect out of the ear — oil, sap, smoke, a struck mirror, a bowl of milk, and at the end the one that works: put a bamboo tube to the ear and suck.

1.1 Ear and Eye Take In Yang Qi and So Hear and See 耳目受陽氣以聰明

1.1.1
Source원문

人之耳目猶月之質, 必受日光所加始能明. 耳目亦必須陽氣所加始能聰明. 是故耳目之陰血虛, 則陽氣之加無以受之, 而視聽之聰明失; 耳目之陽氣虛, 則陰血不能自施, 而聰明亦失. 然則耳目之聰明, 必須血氣相須始能視聽也. 《綱目》

Translation영역
A person's ears and eyes are like the substance of the moon, which must take the sun's light upon it before it can shine. The ears and eyes likewise must have yang qi added to them before they can hear and see. So where the yin blood of ear and eye is vacuous, there is nothing to receive the yang qi added, and the sharpness of sight and hearing is lost; where their yang qi is vacuous, the yin blood cannot act of itself, and the sharpness is lost as well. Hearing and seeing, then, need blood and qi to depend on each other before there can be sight and hearing.
Clinical note임상 주석
The moon and the sun: substance and what lights it. The point is that neither half alone accounts for a deaf ear, and the chapter's formulas divide accordingly — some supplement the blood, some move the qi, and the better ones do both.

Gangmok 綱目

1.2 The Ear Is the Kidney's Orifice 耳者腎之竅

1.2.1
Source원문

內經曰, 腎主耳. 又曰, 腎在竅爲耳.

Translation영역
The Neijing says: the kidney governs the ear. It also says: the kidney in orifices is the ear.

Naegyeong 內經

1.2.2
Source원문

腎氣通於耳, 腎和則耳能聞五音矣. 《難經》

Translation영역
The kidney qi passes through to the ear, and when the kidney is harmonious the ear can hear the five notes.

Nangyeong 難經

1.2.3
Source원문

內經曰, 腎藏精. 靈樞曰, 精脫者耳聾. 夫腎爲足少陰之經, 乃藏精而氣通于耳. 耳者宗脈之所聚也. 若精氣調和則腎藏强盛, 耳聞五音; 若勞傷氣血兼受風邪, 損於腎藏而精脫者, 則耳聾無聞也. 《寶鑑》

Translation영역
The Neijing says: the kidney stores essence. The Lingshu says: where the essence is deserted there is deafness. The kidney is the foot lesser yin channel; it stores essence and its qi passes through to the ear, and the ear is where the ancestral vessels gather. Where the essential qi is harmonious the kidney viscus is strong and the ear hears the five notes; where taxation damages the qi and blood and a wind evil is taken in besides, so that the kidney viscus is detrimented and the essence deserted, then the ear is deaf and hears nothing.
Clinical note임상 주석
精脫者耳聾 — where the essence is deserted, deafness. The Lingshu's four graphs are the chapter's foundation, and 1.11's taxation deafness is that claim applied: a man who has spent himself goes deaf.

Wigye Bogam 寶鑑

1.3 The Pulse 脉法

1.3.1
Source원문

病耳聾, 脈大者生, 沈細者難治. 《脈經》

Translation영역
In deafness, a large pulse means life and a sunken fine one is hard to treat.

Maekgyeong 脉經

1.3.2
Source원문

左寸洪數, 心火上炎; 兩尺洪數, 相火上炎. 其人必遺精夢泄, 兩耳或鳴或聾. 《正傳》

Translation영역
Where the left inch is surging and rapid, the heart fire flames upward; where both cubits are surging and rapid, the ministerial fire flames upward. Such a person will surely have seminal emission and dream ejaculation, and both ears will ring or go deaf.

Jeongjeon 正傳

1.3.3
Source원문

腎脈浮而盛爲風, 洪而實爲熱, 細而澁爲虛. 《醫鑑》

Translation영역
Where the kidney pulse is floating and exuberant it is wind; surging and replete, heat; fine and rough, vacuity.

Uigam 醫鑑

1.3.4
Source원문

耳病腎虛, 遲濡其脈. 浮大爲風, 洪動火賊, 沈澁氣凝, 數實熱塞. 久病聾者專於腎責, 暴病浮洪兩尺相同, 或兩尺數, 陰火上衝. 《回春》

Translation영역
In ear disease from kidney vacuity the pulse is slow and soggy. Floating and large is wind; surging and stirring is fire plundering; sunken and rough is qi congealed; rapid and replete is heat blocking. In long-standing deafness the kidney alone is held to account; in sudden disease the pulse is floating and surging and alike at both cubits, or both cubits are rapid — yin fire surging upward.

Hoechun 回春

1.4 Ringing in the Ears 耳鳴

1.4.1
Source원문

黃帝曰, 人之耳中鳴者何氣使然. 岐伯曰, 耳者宗脈之所聚也. 故胃中空則宗脈虛, 宗脈虛則下流, 脈有所竭, 故耳鳴. 《靈樞》

Translation영역
The Yellow Emperor said: when a person's ears ring, what qi makes it so? Qi Bo said: the ear is where the ancestral vessels gather. So when the stomach is empty the ancestral vessels are vacuous; vacuous, they flow downward, and the vessels have somewhere they run dry — and hence the ringing.
Clinical note임상 주석
胃中空則宗脈虛 — an empty stomach empties the ancestral vessels. It is why 1.13's second rule for the ear is simply 常飽, keep well fed, and why a ring often comes on loudest in a person who has not eaten.

Yeongchu 靈樞

1.4.2
Source원문

上氣不足, 耳爲之苦鳴. 髓海不足則腦轉耳鳴. 《靈樞》

Translation영역
Where the qi above is insufficient, the ear rings bitterly for it. Where the sea of marrow is insufficient, the head spins and the ears ring.

Yeongchu 靈樞

1.4.3
Source원문

內經曰, 一陽獨嘯, 少陽厥也. 註曰, 嘯謂耳中鳴如嘯聲也. 一陽, 膽與三焦也. 膽及三焦脈皆入耳, 故氣逆上則耳中鳴.

Translation영역
The Neijing says: where the first yang alone whistles, it is a lesser yang reversal. The commentary says: whistling means a ringing in the ear like the sound of a whistle. The first yang is the gallbladder and the three burners; the channels of both enter the ear, so when the qi counterflows upward the ear rings.

Naegyeong 內經

1.4.4
Source원문

耳鳴乃是聾之漸. 惟氣閉者多不鳴便聾. 《入門》

Translation영역
Ringing in the ears is deafness by degrees. Only where the qi is shut off does one often go deaf without ringing first.
Clinical note임상 주석
耳鳴乃是聾之漸 — ringing is deafness coming on gradually. The line that makes this whole section urgent: the chapter treats a ring because of what it becomes.

Immun 入門

1.4.5
Source원문

凡人嗜慾無節, 勞役過度, 或中年之後大病之餘, 腎水枯涸, 陰火上炎, 故耳痒耳鳴無日而不作. 或如蟬噪之聲, 或如鍾磬之聲, 早而不治, 漸至聾聵, 良可嘆哉. 《正傳》

Translation영역
Where appetites and desires are without measure and labour beyond bounds, or after middle age and in the wake of a great illness, the kidney water dries up and the yin fire flames upward, so that the ear itches and rings and not a day passes without it — sometimes like the noise of cicadas, sometimes like bells and chimes. Not treated early, it comes by degrees to deafness — truly a thing to be sighed over.

Jeongjeon 正傳

1.4.6
Source원문

虛鳴者, 耳觸風邪與氣相擊, 其聲嘈嘈, 宜芎芷散. 或腎氣不足, 宗脈虛, 風邪入耳爲鳴, 先用五苓散方見寒門加枳殼ㆍ橘皮ㆍ紫蘇ㆍ生薑同煎, 呑靑木香元方見前陰散邪疎風下氣, 續以芎歸飮和養. 《直指》

Translation영역
An empty ringing is a wind evil touching the ear and striking against the qi; its sound is a rough noise, and Chuanxiong and Angelica Dahurica Powder is appropriate. Or where the kidney qi is insufficient and the ancestral vessels vacuous, a wind evil enters the ear and rings: first use Five Ingredients Poria Powder formula in the Cold Damage chapter with bitter orange, tangerine peel, perilla and fresh ginger decocted together, to swallow Green Costus Pill formula in the Genitals chapter, scattering the evil, coursing the wind and downbearing the qi; follow with Chuanxiong and Angelica Drink to harmonize and nourish.

Jikji 直指

1.4.7
Source원문

風熱酒熱耳鳴, 用通聖散方見風門加枳殼ㆍ柴胡ㆍ南星ㆍ桔梗ㆍ靑皮ㆍ荊芥, 酒炒製煎服. 《丹心》

Translation영역
For ringing from wind heat or wine heat, Sagely Unblocking Powder formula in the Wind chapter with bitter orange, bupleurum, arisaema, platycodon, green tangerine peel and schizonepeta added, wine-fried and decocted.

Dansim 丹心

1.4.8
Source원문

痰火上升, 兩耳蟬鳴漸欲聾, 宜加減龍薈丸ㆍ鍼砂酒ㆍ通明利氣湯ㆍ復聰湯. 《醫鑑》

Translation영역
Where phlegm fire rises and both ears sing like cicadas and are going deaf by degrees: Modified Gentian and Aloe Pill, Iron Filings Wine, Open the Brightness and Free the Qi Decoction and Restore Hearing Decoction.

Uigam 醫鑑

1.4.9
Source원문

耳鳴皆是腎精不足陰虛火動也. 痰火者鳴甚, 腎虛者微鳴. 宜補腎丸ㆍ黃芪丸ㆍ大補丸ㆍ滋腎通耳湯, 或六味地黃丸方見虛勞以全蝎 四十九枚炒黃爲末, 每二錢, 溫酒調和呑下百丸. 《得效》

Translation영역
Ringing in the ears is always the kidney essence insufficient, the yin vacuous and fire stirring. In phlegm fire the ringing is loud; in kidney vacuity it is slight. Supplement the Kidney Pill, Astragalus Pill, Great Supplementation Pill and Enrich the Kidney and Free the Ear Decoction are appropriate; or Six Ingredients Rehmannia Pill formula in the Vacuity Taxation chapter, with forty-nine scorpions fried yellow and powdered, 2 don at a time stirred into warm wine to swallow a hundred pills.
Clinical note임상 주석
痰火者鳴甚, 腎虛者微鳴 — loud for phlegm fire, faint for kidney vacuity. One question to the patient sorts the two halves of this section, and the formulas divide along it exactly.

Deukhyo 得效

1.4.10
Source원문

耳內啾啾然, 是陰虛也. 《丹心》

Translation영역
A thin chirping within the ear is yin vacuity.

Dansim 丹心

1.5 Deafness 耳聾

1.5.1
Source원문

耳聾皆屬於熱. 然有左耳聾者, 有右耳聾者, 有左右耳俱聾者, 不可不分. 夫左耳聾者, 足少陽火也, 忿怒之人多有之, 龍薈丸主之方見上. 右耳聾者, 足太陽之火也, 色慾之人多有之, 六味地黃丸主之方見虛勞. 左右俱聾者, 足陽明之火也, 醇酒厚味之人多有之, 通聖散方見風門ㆍ滾痰丸方見痰飮主之. 總三者而言之, 則忿怒致耳聾者爲多, 厥陰少陽火多故也. 《丹心》

Translation영역
Deafness all belongs to heat. But there is deafness of the left ear, of the right, and of both, and they must be told apart. Deafness of the left ear is the foot lesser yang's fire, common in people given to rage, and Gentian and Aloe Pill governs it formula above. Deafness of the right ear is the foot greater yang's fire, common in people given to desire, and Six Ingredients Rehmannia Pill governs it formula in the Vacuity Taxation chapter. Deafness of both is the foot yang brightness's fire, common in people of strong wine and rich flavours, and Sagely Unblocking Powder formula in the Wind chapter and Vaporize Phlegm Pill formula in the Phlegm chapter govern it. Taking the three together, deafness brought on by rage is the commonest, because the reverting yin and lesser yang have much fire.
Clinical note임상 주석
Three causes sorted by which ear. Whatever one makes of the aetiology, the habit of asking which side is right — unilateral and bilateral hearing loss do have different causes — and the chapter builds three formulas on the answer.

Dansim 丹心

1.5.2
Source원문

腎水竅耳而能聞聲者, 水生於金也. 肺主氣, 一身之氣貫於耳, 故能聽聲. 凡治諸聾, 必先調氣開鬱, 間用磁石羊腎丸以開關竅. 盖聾皆痰火鬱結, 非磁石鎭墜ㆍ烏桂椒辛菖蒲辛散流通, 則老痰鬱火何由而開. 愈後以通聖散和之可也. 《入門》

Translation영역
That the kidney has its orifice at the ear and can hear sound is because water is engendered from metal. The lung governs qi, and the qi of the whole body threads the ear, so one can hear. In treating any deafness, first regulate the qi and open the depression, using Loadstone and Sheep's Kidney Pill at intervals to open the gate and orifice. For deafness is always phlegm and fire bound up, and without loadstone to weigh and settle, and aconite, cinnamon, pepper, asarum and acorus to scatter with acridity and set things moving, how should the old phlegm and pent fire be opened? After healing, harmonize with Sagely Unblocking Powder.

Immun 入門

1.5.3
Source원문

左耳聾, 婦人多有之, 以其多忿怒故也. 右耳聾, 男子多有之, 以其多色慾故也. 左右俱聾, 膏粱之家多有之, 以其多肥甘故也. 《醫鑑》

Translation영역
Deafness of the left ear is commoner in women, because they have much rage; of the right ear, commoner in men, because they have much desire; of both ears, commonest in rich households, because they have much fat and sweet food.

Uigam 醫鑑

1.5.4
Source원문

新聾多熱, 久聾多虛. 《入門》

Translation영역
New deafness is mostly heat; long-standing deafness is mostly vacuity.
Clinical note임상 주석
Four graphs that decide the whole treatment. A hearing loss of days is drained and one of years is supplemented, and 1.5.1's heat rule is meant for the first only.

Immun 入門

1.5.5
Source원문

耳聾有風聾ㆍ濕聾ㆍ虛聾ㆍ勞聾ㆍ厥聾ㆍ卒聾.

Translation영역
There are six kinds of deafness: wind deafness, damp deafness, vacuity deafness, taxation deafness, reversal deafness and sudden deafness.

Donguibogam · I

1.5.6
Source원문

左耳聾宜龍膽湯, 右耳聾宜滋陰地黃湯, 左右耳俱聾宜酒製通聖散ㆍ淸聰化痰丸. 《回春》

Translation영역
For deafness of the left ear, Gentian Decoction; of the right ear, Enrich the Yin Rehmannia Decoction; of both ears, wine-processed Sagely Unblocking Powder and Clear the Hearing and Transform Phlegm Pill.

Hoechun 回春

1.5.7
Source원문

風聾者, 風邪入耳, 必耳中痒或頭痛. 風熱鬱者, 宜酒製通聖散. 《入門》 耳聾皆屬於熱, 少陽厥陰熱多, 宜開痰散風熱. 通聖散方見風門倍入酒煨大黃, 再用酒炒三次, 後入諸藥通用酒炒, 水煎食後服. 《丹心》 風虛耳聾, 宜桂香散. 《入門》

Translation영역
In wind deafness a wind evil has entered the ear, and there will surely be itching in the ear or a headache; where wind heat is depressed, wine-processed Sagely Unblocking Powder is appropriate. Deafness all belongs to heat, and the lesser yang and reverting yin have much heat, so the phlegm should be opened and the wind heat scattered: Sagely Unblocking Powder formula in the Wind chapter with double rhubarb roasted in wine and then wine-fried three times, the other medicines all wine-fried afterwards, decocted in water and taken after food. For wind vacuity deafness, Cinnamon and Aromatics Powder.

Immun 入門 · Dansim 丹心

1.5.8
Source원문

濕聾者, 因雨水入耳浸漬, 必耳內腫痛. 凉膈散方見火門倍入酒炒大黃, 又黃芩酒浸炒, 加羌活ㆍ防風ㆍ荊芥水煎服; 或五苓散方見寒門加陳皮ㆍ枳殼ㆍ紫蘇ㆍ生薑煎服. 黃龍散入龍腦少許吹入耳中, 妙. 《入門》

Translation영역
In damp deafness, rain water has got into the ear and soaked it, and there will surely be swelling and pain within. Cool the Diaphragm Powder formula in the Fire chapter with double wine-fried rhubarb and wine-steeped fried scutellaria, with notopterygium, saposhnikovia and schizonepeta added, decocted in water; or Five Ingredients Poria Powder formula in the Cold Damage chapter with tangerine peel, bitter orange, perilla and fresh ginger. Yellow Dragon Powder with a little borneol added, blown into the ear — excellent.

Immun 入門

1.5.9
Source원문

虛聾者, 因久瀉或大病後, 風邪乘虛入耳與氣相搏, 嘈嘈而鳴, 或時眼見黑花. 宜四物湯方見血門加知母ㆍ黃栢(幷鹽酒炒)ㆍ菖蒲ㆍ遠志水煎服; 或腎氣丸方見虛勞加磁石ㆍ破故紙ㆍ兎絲子ㆍ黃栢, 空心鹽湯呑下. 若勞役脫氣者, 補中益氣湯方見內傷加菖蒲ㆍ白茯苓ㆍ黃栢ㆍ知母(幷鹽水炒)煎服. 《入門》

Translation영역
In vacuity deafness, after long diarrhoea or a great illness a wind evil takes advantage of the vacuity, enters the ear and strikes against the qi, so that it rings with a rough noise and at times black flowers are seen before the eyes. Four Substances Decoction formula in the Blood chapter with anemarrhena and phellodendron (both salt-and-wine fried), acorus and polygala added, decocted in water; or Kidney Qi Pill formula in the Vacuity Taxation chapter with loadstone, psoralea, cuscuta and phellodendron added, swallowed on an empty stomach with salt decoction. Where labour has deserted the qi, Supplement the Centre and Boost the Qi Decoction formula in the Internal Damage chapter with acorus, white poria, phellodendron and anemarrhena (all salt-water fried) added.

Immun 入門

1.5.10
Source원문

勞聾, 經曰精脫者耳聾, 其候頰顴色黑ㆍ耳輪焦枯受塵垢者是也. 因房勞脫精者, 人參養榮湯方見虛勞加知母ㆍ黃栢(幷鹽水炒)煎服; 或補骨脂丸ㆍ益腎散. 《入門》

Translation영역
For taxation deafness, the classic says that where the essence is deserted there is deafness, and its signs are the cheeks and cheekbones black in colour and the rim of the ear scorched and withered so that it takes on dust. Where the essence is deserted through bedroom taxation, Ginseng Nourish the Construction Decoction formula in the Vacuity Taxation chapter with anemarrhena and phellodendron (both salt-water fried) added; or Psoralea Pill and Boost the Kidney Powder.
Clinical note임상 주석
耳輪焦枯受塵垢 — the ear's rim scorched and dry enough to take dust. The Bone chapter's 11.10 reads the same feature for the bone; here it is read for the essence, which is the kidney's own.

Immun 入門

1.5.11
Source원문

腎虛耳聾, 宜六味地黃丸方見虛勞加遠志ㆍ菖蒲ㆍ黃栢ㆍ知母(幷鹽水炒). 亦治陰虛火動而聾. 《回春》 腎虛耳聾宜燒腎散, 腎虛久聾宜薑蝎散開之. 《三因》

Translation영역
For kidney vacuity deafness, Six Ingredients Rehmannia Pill formula in the Vacuity Taxation chapter with polygala, acorus, phellodendron and anemarrhena (all salt-water fried) added; it also treats deafness from yin vacuity with fire stirring. For kidney vacuity deafness, Roasted Kidney Powder; for long-standing kidney vacuity deafness, Ginger and Scorpion Powder to open it.

Hoechun 回春 · Samin 三因

1.5.12
Source원문

厥聾, 暴厥而聾, 偏塞閉不通, 內氣暴薄也. 《內經》 五藏六府十二經脈有絡於耳者, 其陰陽經氣有相倂時, 倂則藏氣逆, 名之曰厥. 厥氣相薄入於耳之脈則令聾, 名曰厥聾. 氣逆耳聾有三, 肝與手太陽少陽也. 經云肝氣逆則頭痛耳聾, 是也. 手太陽氣厥而聾者, 其候耳內氣滿熱壅; 手少陽氣厥而聾者, 其候耳內渾渾焞焞. 皆宜四物湯呑下龍薈丸, 或燒腎散以通之. 《寶鑑》

Translation영역
Reversal deafness: a sudden reversal with deafness, blocked and stopped on one side and not passing, is the inner qi suddenly pressing. The five viscera, six bowels and twelve channels have those that network with the ear, and their yin and yang channel qi at times run together; running together, the visceral qi counterflows, and this is named reversal. Where the reversal qi presses in and enters the ear's vessels it makes deafness, named reversal deafness. There are three kinds of deafness from counterflowing qi — the liver and the hand greater yang and lesser yang. The classic says that when the liver qi counterflows there is headache and deafness. Where the hand greater yang's qi reverses and makes deafness, the sign is the ear full of qi and congested with heat; where the hand lesser yang's qi reverses, the sign is a muffled, clouded feeling within the ear. For all of them, Four Substances Decoction used to swallow Gentian and Aloe Pill, or Roasted Kidney Powder to free it.

Wigye Bogam 寶鑑

1.5.13
Source원문

因藏氣厥逆入耳壅塞不通, 必兼眩暈, 宜當歸龍薈丸方見五藏兼用塞耳丹塞耳. 《入門》

Translation영역
Where the visceral qi reverses and enters the ear, congesting and blocking it, there will surely be dizziness with it: Angelica, Gentian and Aloe Pill formula in the Five Viscera chapter with Plug the Ear Elixir used in the ear as well.

Immun 入門

1.6 Itching in the Ear 耳痒

1.6.1
Source원문

有人患耳痒, 一日一作可畏, 直挑剔出血稍愈, 明日復然. 此乃腎藏虛致浮毒上攻, 未易以常法治也. 宜服局方透氷丹方見風門, 忌酒麪鷄猪辛熱之物, 能盡一月爲佳, 不然無效. 《得效》

Translation영역
A man suffered an itching of the ear that came once a day and was dreadful; only by digging at it until it bled did it ease a little, and next day it was the same again. This is the kidney viscus vacuous, so that a floating toxin attacks upward, and it is not easily treated by the ordinary methods. The Gukbang's Penetrate the Ice Elixir formula in the Wind chapter should be taken, avoiding wine, wheat food, chicken, pork and acrid hot things; if he can keep it up a full month it is well, and otherwise there is no effect.
Clinical note임상 주석
A daily itch relieved only by scratching until it bleeds, and a month of abstinence required for the cure. The Deukhyo is honest about what it costs: 不然無效 — otherwise it does not work.

Deukhyo 得效

1.6.2
Source원문

宜服玄參貝母湯.

Translation영역
Scrophularia and Fritillaria Decoction should be taken.

Donguibogam · I

1.7 Medicines That Penetrate the Gate and Free the Qi 透關通氣藥

1.7.1
Source원문

邪氣閉塞爲聾聵, 當用透關通氣之藥, 宜塞耳丹ㆍ通神散ㆍ鍼砂酒方見上ㆍ蒲黃膏ㆍ龍腦膏ㆍ甘遂散ㆍ透耳筒ㆍ透鐵關法.

Translation영역
Where an evil qi shuts and blocks so that there is deafness, medicines that penetrate the gate and free the qi should be used: Plug the Ear Elixir, Spirit Penetrating Powder, Iron Filings Wine formula above, Cattail Pollen Paste, Borneol Paste, Kansui Powder, the Ear-Penetrating Tube and the Iron Gate Penetrating Method.
Clinical note임상 주석
Eight preparations and only one of them is swallowed. The chapter's judgement is that a blocked ear is treated at the ear, and the pills of 1.5 are for what lies behind it.

Donguibogam · I

1.8 Methods of Cultivation 修養法

1.8.1
Source원문

以手摩耳輪, 不拘遍數, 所謂修其城郭, 以補腎氣, 以防聾聵也. 《養性》

Translation영역
Rub the rim of the ear with the hand, any number of times; this is what is called repairing one's city walls, to supplement the kidney qi and guard against deafness.
Clinical note임상 주석
修其城郭 — repairing the city walls, the outer ear being the wall around what matters. The Nose chapter's 2.17 rubs the bridge of the nose on the same principle, and both are among the few things in these chapters a reader can do at once.

Yangseongseo 養性書

1.8.2
Source원문

養耳力者常飽. 《養性》

Translation영역
One who would nourish the power of hearing keeps well fed.

Yangseongseo 養性書

1.9 Untreatable Signs 不治證

1.9.1
Source원문

久聾腎虛氣虛, 絶不聞者, 難治. 《入門》

Translation영역
Long-standing deafness with kidney vacuity and qi vacuity, where nothing at all is heard, is hard to treat.

Immun 入門

1.10 Insects Gone into the Ear 諸蟲入耳

1.10.1
Source원문

諸蟲入耳不出, 將兩刀於耳門上相磨敲作聲, 蟲聞自出. 又將鏡子敲之亦出. 《本草》

Translation영역
Where an insect has gone into the ear and will not come out, take two knives and grind and strike them together at the ear's opening to make a sound, and the insect hears it and comes out of itself; striking a mirror also brings it out.

Boncho 本草

1.10.2
Source원문

取車釭脂塗耳孔, 蟲自出. 《本草》 藍靑汁滴入耳中, 蟲自死出. 《得效》 川椒末醋浸良久取汁灌耳中, 蟲自出. 《本草》

Translation영역
Smear axle grease on the ear hole and the insect comes out of itself. Drip indigo juice into the ear and the insect dies and comes out. Steep powdered Sichuan pepper in vinegar a good while, take the liquid and pour it into the ear, and the insect comes out.

Boncho 本草 · Deukhyo 得效

1.10.3
Source원문

諸蟲及蟻入耳, 白膠香燒烟熏入耳, 耳內煖, 蟲自出. 《綱目》 蟲入耳痛者, 鰻鱺魚膏塗入耳中. 《本草》 諸蟲入耳, 桃葉熟搗塞耳中卽出. 《本草》 惡蟲入耳, 桃葉作枕枕之, 蟲自鼻出. 《得效》

Translation영역
For any insect or ant in the ear, burn storax and blow the smoke into the ear; the ear grows warm and the insect comes out. Where an insect in the ear causes pain, smear eel fat into the ear. For any insect in the ear, pound peach leaves soft and plug the ear, and it comes out at once. For a malign insect in the ear, make a pillow of peach leaves and sleep on it, and the insect comes out at the nose.

Gangmok 綱目 · Boncho 本草 · Deukhyo 得效

1.10.4
Source원문

飛蟲入耳, 好醋滴入耳內, 蟲必死而出. 《綱目》 飛蛾入耳, 醬汁灌耳中卽出; 又擊銅器於耳傍亦出. 《本草》

Translation영역
For a flying insect in the ear, drip good vinegar in and it dies and comes out. For a moth in the ear, pour soy liquid into the ear and it comes out at once; striking a bronze vessel beside the ear also brings it out.

Gangmok 綱目 · Boncho 本草

1.10.5
Source원문

百蟲入耳, 韭汁ㆍ葱汁ㆍ薑汁ㆍ麻油ㆍ鷄冠熱血, 隨所得灌耳中卽出. 《本草》 驢乳ㆍ牛乳灌入耳亦卽出. 《丹心》 蜈蚣入耳, 生薑汁或韭汁灌耳中卽出. 《得效》 又猪脂肉灸令香掩耳, 蜈蚣自出. 《本草》

Translation영역
For any insect in the ear, leek juice, scallion juice, ginger juice, sesame oil or the hot blood of a cockscomb — whichever is at hand — poured into the ear brings it out at once. Ass's milk or cow's milk poured in also brings it out at once. For a centipede in the ear, ginger juice or leek juice poured in brings it out at once; or roast fat pork until it is fragrant and hold it over the ear, and the centipede comes out of itself.
Clinical note임상 주석
Roasting a piece of fat pork and holding it at the ear. Of the twenty-five methods here this is the one most often repeated in later books, and the principle — offer the creature somewhere better to go — is sound.

Boncho 本草 · Dansim 丹心 · Deukhyo 得效

1.10.6
Source원문

蚰蜒入耳, 半夏生爲末, 麻油調塗耳門外, 蟲聞香卽出. 《綱目》 活地龍一條納葱葉中化水, 滴耳中, 蚰蜒化爲水. 《本草》 鼠婦蟲硏如泥, 攤紙上撚作條納耳中自出. 又蝸牛滴水硏爛, 滴汁耳中亦出. 《綱目》

Translation영역
For a centipede in the ear, powder raw pinellia, mix with sesame oil and smear it outside the ear opening; the creature smells the fragrance and comes out. Put a live earthworm into a scallion leaf until it turns to liquid and drip it into the ear, and the centipede dissolves to water. Grind woodlice to a paste, spread it on paper, roll it into a twist and put it in the ear, and it comes out; or grind a snail with a drop of water and drip the juice in, and it comes out too.

Gangmok 綱目 · Boncho 本草

1.10.7
Source원문

脂麻油作煎餠枕臥, 須臾出. 《本草》 小蒜汁滴入耳卽出, 諸蟲皆同. 《本草》 牛酪或驢乳灌耳中, 當消成水. 《本草》 蟻子入耳, 穿山甲燒末水調灌之卽出. 《本草》 猪脂或牛脂或肉灸令香, 安耳孔, 蟲自出. 《本草》

Translation영역
Make a pancake with sesame oil and lie with the ear on it, and presently it comes out. Drip small garlic juice into the ear and it comes out at once; the same for any insect. Pour cow's cream or ass's milk into the ear and it dissolves to water. For an ant in the ear, burn pangolin scale, powder it, mix with water and pour it in, and it comes out at once. Roast lard or beef fat or meat until fragrant and set it at the ear hole, and the insect comes out of itself.

Boncho 本草

1.10.8
Source원문

耳中有物不可出, 用弓弦或麻繩打令頭散, 塗好膠粘着其物, 徐徐引出, 妙. 《本草》 取葱管合於耳門內, 極力吸之卽出. 《本草》 一切蟲物入耳不出, 以竹管入耳內, 用口氣盡力吸出, 最妙. 《丹心》

Translation영역
Where something in the ear cannot be got out, take a bowstring or a hemp cord, beat its end until it frays, coat it with good glue so that the thing sticks to it, and draw it out slowly — excellent. Or fit a scallion tube to the ear opening and suck with all one's force, and it comes out. For anything at all gone into the ear and not coming out, put a bamboo tube into the ear and draw it out by sucking with all the breath one has — best of all.
Clinical note임상 주석
Suction with a tube, and the frayed cord coated with glue for something solid. These two are the methods that survive: an ear syringe works the same way, and the glue-on-a-probe trick is still used for a bead a child has pushed in.

Boncho 本草 · Dansim 丹心

1.11 Simple Medicinals 單方

1.11.1
Source원문

凡二十種.

Translation영역
Twenty kinds in all.
Clinical note임상 주석
Twenty simples, sorting into three uses. For a discharging ear: alum with a little musk, packed in on cotton. For deafness: loadstone with pangolin scale in one ear and iron filings in the other, so that the two are said to draw toward each other; acorus with a croton kernel; castor seed pounded with jujube flesh and human milk into a plug, which the Deukhyo calls the Jujube-Stone Pellet; kansui in the ear with licorice held in the mouth, the two prepared in separate places; and turtle's urine dripped in through a scallion tube, with two ways given of getting the turtle to pass it. For pain: salt heated and wrapped in cloth as a pillow, which is the one in the list anyone would still use.

Donguibogam · I

1.12 Acupuncture and Moxibustion 鍼灸法

1.12.1
Source원문

耳鳴, 取液門ㆍ耳門ㆍ中渚ㆍ上關ㆍ完骨ㆍ臨泣ㆍ陽谷ㆍ前谷ㆍ後谿ㆍ陽谿ㆍ偏歷ㆍ合谷ㆍ大陵ㆍ太谿ㆍ金門.

Translation영역
For ringing in the ears, take Aengmun (液門, TE2), Imun (耳門, TE21), Jungjeo (中渚, TE3), Sanggwan (上關, GB3), Wangol (完骨, GB12), Imgeup (臨泣, GB15), Yanggok (陽谷, SI5), Jeongok (前谷, SI2), Hugye (後谿, SI3), Yanggye (陽谿, LI5), Pyeollyeok (偏歷, LI6), Hapgok (合谷, LI4), Daereung (大陵, PC7), Taegye (太谿, KI3) and Geummun (金門, BL63).

Gangmok 綱目

1.12.2
Source원문

耳聾, 取中渚ㆍ外關ㆍ和窌ㆍ聽會ㆍ聽宮ㆍ合谷ㆍ商陽ㆍ中衝.

Translation영역
For deafness, take Jungjeo, Oegwan (外關, TE5), Hwaryo (和窌, TE22), Cheonghoe (聽會, GB2), Cheonggung (聽宮, SI19), Hapgok, Sangyang (商陽, LI1) and Jungchung (中衝, PC9).
Clinical note임상 주석
Cheonghoe and Cheonggung — 聽會, hearing's meeting, and 聽宮, hearing's palace — both in front of the tragus, and named for what they are meant to restore. They remain the first two points for any ear complaint.

Gangmok 綱目

1.12.3
Source원문

暴聾, 取天牖ㆍ四瀆.

Translation영역
For sudden deafness, take Cheonyu (天牖, TE16) and Sadok (四瀆, TE9).

Gangmok 綱目

1.12.4
Source원문

灸耳暴聾, 蒼朮長七分, 一頭切平, 一頭削尖, 將尖頭揷耳中, 於平頭上灸七壯, 重者二七壯. 覺耳內熱卽效. 《綱目》

Translation영역
To moxa sudden deafness: take a piece of atractylodes lancea seven pun long, cut one end flat and whittle the other to a point; put the pointed end into the ear and burn seven cones of moxa on the flat end, or fourteen in a severe case. When warmth is felt within the ear it has answered.
Clinical note임상 주석
A whittled root used as a moxa post so the heat goes down the canal without the cone touching skin. It is an ingenious piece of apparatus, and the endpoint — stop when warmth is felt inside — is the same rule the Navel chapter sets for its moxa.

Gangmok 綱目

About this translation 凡例

Base text: Donguibogam (東醫寶鑑, 1613 first edition), Outer Form, Volume 2, Ear chapter. The Chinese text is collated against the public-domain Wikisource transcription and a printed edition; original character forms (脉, 人參) are retained. Terminology follows Wiseman & Feng, A Practical Dictionary of Chinese Medicine. Translation and clinical notes are original to this site. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.