Purulent Otitis Media

General

Clinical Manifestations	This condition is primarily seen in infants Acute infection and pus formation in the inner ear Hearing is decreased Headaches Fever and chills
Treatment Principle
Herb Formulas
Points	GB-2, SJ-17, ST-36 treat on the affected side. Needle with the sedation method. Treat daily for a period of seven days. For fever: + LI 11

Initial Stage: Wind-Heat And Toxins

Clinical Manifestations	Ear pain The ear pain gets progressively more severe The eardrum is red and swollen Hearing is diminished Fever and chills In infants the fever is often very high, which in extreme cases, may lead to convulsive spasms and constant crying Aversion to Cold Headache Bodily malaise T: Red C: Yellow P: Floating and slippery
Treatment Principle	Scatter Wind Clear Heat Detoxify poison Reduce the swelling
Herb Formulas	Yin Qiao San + Wu Wei Xiao Du Yin
Points	GB-2, SJ-17, ST-36 treat on the affected side. Needle with the sedation method. Treat daily for a period of seven days. For fever: + LI 11

Suppurative Stage

Clinical Manifestations	The ear pain is excruciating The eardrum is red, swollen, and protruding Hearing is markedly diminished A high fever persists Once the ear drum bursts, pus may flow out to the exterior, and the ear pain and fever gradually subside The ear drum is perforated and purulent liquid flows out from the ear T: Red C: Yellow P: Rapid
Treatment Principle	Clear Heat Drain Fire Detoxify poison Eliminate pus
Herb Formulas	Xian Fang Huo Ming Yin modified
Points	GB-2, SJ-17, ST-36 treat on the affected side. Needle with the sedation method. Treat daily for a period of seven days. For fever: + LI 11

Recovery Stage

Clinical Manifestations	The pus changes to a clear, thin fluid, which gradually decreases in volume The reddening and swelling of the eardrum progressively diminish The perforation may completely heal If the condition is very severe, or the Upright Qi is in Deficiency, the condition may become chronic T: Pale red C: Normal P: Relaxed
Treatment Principle	Increase Qi Nourish Yin Clear the remaining toxins
Herb Formulas	Si Miao San modified
Points	GB-2, SJ-17, ST-36 treat on the affected side. Needle with the sedation method. Treat daily for a period of seven days. For fever: + LI 11