Traditional Chinese Medicine for Ear Pain and Pus Discharge in Otitis Media
2005/12/24 02:43
14 topics published
Lin Youkuan (Physician at the Department of Traditional Chinese Medicine, Taipei City Hospital Women and Children Branch) Suppurative otitis refers to the production of serous, bloody, or purulent exudate in the eardrum, which may even lead to perforation of the eardrum, with fluid or pus flowing out from the ear as the main manifestation. It is usually accompanied by redness, swelling, pain, and foul odor, and is equivalent to acute and chronic suppurative otitis media, including allergic otitis media.
Acute suppurative otitis media is caused by the invasion of purulent bacteria into the tympanic cavity. Acute upper respiratory tract infections or prolonged blockage of the nasopharynx can cause inflammation of the Eustachian tube, impairing its defensive capabilities and allowing bacteria to invade, leading to acute suppurative otitis media.
In traditional Chinese medicine, suppurative otitis can be divided into two main categories: cold-type suppurative otitis and heat-type suppurative otitis. Common symptoms of heat-type suppurative otitis include swelling, burning, and stabbing pain in the inner ear, pain that throbs with the pulse, pus discharge from the ear, thick and foul-smelling pus, occasionally with blood streaks, accompanied by headaches, dizziness, fever, chills, bitter taste in the mouth, dry throat, dark urine, and constipation. This is due to damp-heat in the liver and gallbladder meridians. Treatment should focus on clearing heat and draining dampness, using herbs such as Yin Chen, Long Dan Cao, Chai Hu, Zhi Zi, Huang Qin, Huang Lian, Che Qian Zi, Ze Xie, and Chuan Mu Tong.
If the ear discharge persists for a long time without healing, fluctuating in severity, or if anti-inflammatory drugs are taken but the condition recurs, with a large amount of thin, watery, odorless discharge, accompanied by symptoms of spleen deficiency such as pale complexion, fatigue, poor appetite, abdominal distension, and loose stools, this is due to spleen deficiency with dampness retention, classified as cold-type suppurative otitis. Treatment should focus on warming the middle, strengthening the spleen, and draining dampness, using herbs such as Ren Shen, Fu Ling, Bai Zhu, Sheng Jiang, Gan Jiang, Che Qian Zi, Ren Shen, and Ban Xia.
Ear diseases are often related to colds and acute upper respiratory tract infections. Therefore, when symptoms such as cold, nasal congestion, sneezing, or runny nose occur, they should be actively managed, and improper nose blowing should be avoided. Additionally, swimming or diving in dirty water should be avoided to prevent ear infections. If suppurative otitis is inadvertently triggered, do not self-medicate by purchasing drugs from a pharmacy. Instead, seek treatment at a qualified medical institution and closely monitor for fever, headache, and changes in mental state, as changes in mental state may indicate more severe complications of suppurative otitis.
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