What Are the Different Treatments for Pus?

Ear pus, the disease name of Chinese medicine. It refers to the ear pain, tympanic membrane perforation, ear pus, and hearing loss caused by the invasion of external evils, the burning of evil poisons, the loss of ear tips or internal organs, the deficiency of righteousness, and the stagnation of evil ear tips. Such as the main clinical manifestations of diseases. Severe cases of this disease can cause pus and ears, which can even be life threatening. Western medicine for pyogenic otitis media and mastoiditis can be treated with reference to the disease.

Chinese Medicine Name: Pustule
Disease site: Ear
Related Western Medicine Diseases: Purulent otitis media, mastoiditis
Main cause: Wind, heat and dampness attack viscera and dysfunction

Other name: Ear, ear, ear, ear, etc.
Multiple groups: Children
Disease classification: Otolaryngology-Otology
Contagious: no

Pus ears

Ear pus refers to ear diseases that are mainly characterized by perforation of the eardrum, pus in the ear, and hearing loss. Western medicine for pyogenic otitis media and mastoiditis can be treated with reference to the disease.

The relationship between pustules and western medicine names

Western medicine for pyogenic otitis media and mastoiditis can be treated with reference to the disease.

Cause of pustules

External causes are mostly caused by wind-heat-dampness, and internal causes are mostly caused by liver, gallbladder, spleen, and kidney dysfunction.

Pyogenic disease

1. External evil attacks

Wind-heat or wind-cold attack, the culprit, the evil poison gathers ears. Or it can be caused by sewage entering the ear, water invasion, dampness, heat and steaming ears.

2, liver and gallbladder hot and humid, fumigation ear tips

The external sense of the damp-heat evil, the internal liver and gallbladder, or the indulgence of fat Gan, internally produced hot and humid, damp and hot stagnation of liver and gallbladder, the upper ears are the disease.

3. Deficiency of the spleen and wet ears

The body is weak, the spleen is out of luck, the wet turbidity stops gathering, the ears overflow, and the disease is based on the disease.

4, kidney loss, evil stagnation

Congenital inadequate endowment or room labor injury to the kidney, or long-term illnesses, kidney deficiency, kidney deficiency ear bone loss, evil poison retention, evil poison corrodes bone, or even the invasion of evil poison, the disease is the disease.

Key points for pus ear examination

Diagnosis of empyema

1. Medical history

Most of the first-time patients had a history of external sensation or tympanic trauma; patients with chronic illness had a history of recurrent pus in the affected ear.

Clinical symptoms

The onset is acute, ear pain, bloating, hearing impairment, or tinnitus. With the development of the disease, earaches become more intense and jump pain, or such as drilling, tingling, pain in the head. There may be chills and fever in the whole body. Children suffer from severe systemic symptoms, such as high fever, crying, scratching their ears, shaking their heads, irritability, refusal to eat, and even swelling behind the ears. After tympanic membrane perforation and pus, ear pain and systemic symptoms were alleviated immediately. For a long time, the main manifestations of the ear are pus in the ear, which is difficult to heal repeatedly, and hearing loss to varying degrees.

3.Local inspection

From the beginning of the disease, the blood vessels in the loosened part of the tympanic membrane, the malleus stem, and the peripheral parts are radially congested; the disease progresses further, and the tympanic membrane is diffusely hyperemic; Yellow spots (pus spots), if there is a flash point at the apex of the protrusion, it can be seen that the pus flows out pulsatingly from here, and a few patients may have redness and pain behind the ears. Perennial patients with perforations of various sizes in the tympanic membrane tension or relaxation. May have off-white flakes or dreg-like stinky discharge.

Identification of pustular ear syndrome

Ear pain, ear ulcers may also have ear pain, pus, secretions and so on. Although ear pain and ear ulcer patients have severe ear pain, but the site is shallow. When the tragus is pressed or the auricle is pulled, the pain is more obvious. The pus and secretions originate from the external ear canal without perforation of the eardrum. The pustular ear is pierced by the eardrum, and the pus flows out of the external ear canal. The lesions of the two are different, and careful inspection is not difficult to identify.

Pus ear related examination

Hearing tests showed conductive deafness, and mixed deafness was also seen. Blood routine: Before the tympanic membrane perforation, the total number of white blood cells is high. After the tympanic membrane is perforated or chronic, the white blood cells can be normal. CT or X-ray of the temporal bone can show bone destruction or cholesteatoma formation.

Dialectical treatment of pustules

Dialectical points of pustules

Ear discharge is the main feature of the disease. However, there is a difference between the symptoms and the duration of the disease. Generally speaking, the emergence of pus in anxiety from the beginning is mostly empirical; the prolapse of prolonged days is more susceptible to dysfunction, or the deficiency is not true. According to its pus color, there are different yellow pus, red pus, white pus, green pus, and black pus. Those with yellow pus are mostly hot and humid; those with red pus are mostly hot through the liver and have hot wounds; those with white or green pus are mostly spleen; those with pus and stinky black rot are mostly with kidney deficiency and suffer from dampness and turbidity The facts are true and miscellaneous, and the condition is more critical. As for the amount of pus and the thickness of the pus, it can also be used as a reference for differentiation. For example, if the pus is thin, the spleen is dehydrated and wet, and the ears are gathered. If the pus is thick, it is mostly hot and hot. Heat polymerizes pus.

Puer ear treatment principles

According to the onset characteristics of pus ears, Shufeng Qingre, Qingxie liver and gallbladder, spleen and spleen infiltration, and kidney tonifying as the main internal treatment methods; external treatment to clear heat and detoxification, swelling and pain, and dampness and drainage of pus.

Puer syndrome classification

Internal rule

(1) External evil attacks

Symptoms: acute onset, fever, ear pain gradually worsening, or pus outflow after severe pain; whole body with fever, chills or runny nose. The tongue is reddish, the moss is thin white or yellow, and the veins are floating.

Governing Law: Shufeng Qingre, detoxification and swelling.

Recipe: Manjingzi San addition and subtraction.

Commonly used medicines: Vitex negundo, chrysanthemum, cimicaria, turfgrass, red Poria, mulberry bark, Qianhu, habitat, red sedge, barley.

(Two) liver and gallbladder hot and humid, fumigation ear tips

Symptoms: severe ear pain, thick yellow pus, tinnitus and deafness; fever can be seen throughout the body, dry mouth and throat, yellow urine, and dry stool. Pediatric symptoms are heavier than adults, and may have fever, irritability, and convulsions. The tongue is red and yellow, with strong pulse strings.

Governing method: clearing liver and purging fire, dampening and purging pus.

Recipe: Longdan Xiegan Decoction.

Commonly used drugs: Gentian, Scutellaria baicalensis, Gardeniae, Bupleurum, Angelica, Habitat, Plantago, Tongcao, Alisma.

(3) Deficiency of the spleen and wet ears

Symptoms: The pus flows in the ears for a long time, and the amount is thin. Hearing loss or tinnitus. The whole body may have dizziness, less complexion, poor appetite, and thin stools. The tongue is pale, the fur is white and greasy, and the pulse is weak.

Governing method: spleen infiltration, dampening, pus drainage.

Recipe: Tori disinfection powder addition and subtraction.

Commonly used drugs: Astragalus, Saponin, Honeysuckle, Glycyrrhiza, Licorice, Baiji, Chuanxiong, Angelica, Baiji, Baizhu, Poria, Ginseng.

(4) Renal loss, evil stagnation

Symptoms: The pus in the ear does not heal for a long time, recurrent attacks, not a large amount, the pus is dirty or like tofu residue, and has a bad smell, and hearing loss is obvious. Dizziness, fatigue, and sore waist and knees were seen throughout the body. The tongue is reddish, the moss is thin or white, and the veins are weak.

Governing Law: Bushen Peiyuan, dampness and rot.

Recipe: Shenqi Pills.

Commonly used medicines: Rehmannia glutinosa, Yam, Dogwood, Alisma, Poria, Salvia, Guizhi, Aconite, Houttuynia, Honeysuckle, Tongcao, Prunella vulgaris, Eustoma.

Foreign rule

1.Remove pus from ear canal

Clean the external auditory canal with a 3% hydrogen peroxide solution. You can also use negative pressure suction to remove pus to facilitate the outflow of pus.

2.Ear drops

Use ear drops, such as Huanglian Ear Drops, or fresh saxifraga juice, which have the functions of clearing heat and detoxifying, reducing swelling and analgesic, and dampening and purging, to remove ears 5-6 times a day.

3. blowing medicine

Blow your ears with drugs that clear heat, detoxify, and dampen and purify, such as ears and powder. Ear blowing is one of the most common methods for treating pus ears in ancient times. The pus in the ear canal should be cleaned before blowing medicine. The medicine should not be scattered too much, otherwise it will easily cause blockage and prevent drainage.

4, nose drops

Patients with acute nasal congestion before perforation can use nasal drops or 1% ephedrine nasal drops.

5, coating

If the condition is severe or the pus is irritated, causing redness, swelling and pain before and after the ear, it can be coated with purple gold ingot rubbing water, or Ruyi golden powder can be used to reduce swelling and pain.

6, removal

Those who have granulation or polyps in the tympanum can be corroded with drugs or removed by surgery, which is conducive to the drainage of pus.

7, other

Infants with redness and swelling around the ears, or pus ears with long-term flow of pus and foul smell can choose surgery.

Other treatments for pustules

Pus ear needle

The actual heat syndrome is mainly based on the Shaoyang meridian of the hands and feet and the liver meridian points of the foot jue yin, and the method of diarrhea is generally used. Tonic. The main acupoints are ear doors, hearings, and wind, and the acupuncture points are selected from the wind pool, Waiguan, Quchi, Hegu, Zusanli, Yanglingquan, Pishu, Shenshu, etc., once a day, each stay 20-30 minute.

Pus ear moxibustion

Deficiency patients choose Suofeng acupoint suspension moxibustion, or Zusanli moxibustion, once a day for about 1 minute each time.

Prognosis of pustules

The initial onset of pustules, if treated promptly, generally has a good prognosis. If the remaining tympanic membrane perforation is repeatedly sent to the author, it will affect hearing. In some patients, pus and ear syndromes are complicated by improper or improper treatment, and severe cases can be life-threatening.

Pustule prevention and treatment

1. Prevention and treatment of upper respiratory tract infections. Don't blow your nose when you have a cold, to prevent evil poisons from piercing your ears.

2, to prevent tympanic membrane damage caused by pus ears, in case of tympanic membrane trauma to prevent sewage from entering the ears to cause pus ears.

3. Keep the drainage of pus smooth after illness, and use ear drops and ear blowing drugs reasonably.

4. Closely observe the changes of the condition. If severe earache, headache, fever and abnormal consciousness are seen, it is suggested that there may be a change of syndrome, and it should be handled in time.

5. For certain foods that induce or aggravate the disease, avoid them appropriately, such as beans, fish and shrimp and other foods that may cause evil.

Pus ear literature abstract

1. "Essays on the Sources of Diseases, Volume 29": "The ears are gathered together in the veins, the kidneys are connected to the Qi, the foot Shaoyin and the kidneys are also used, the blood is injured, and the heat multiplies into their meridians. When the blood reaches the ears and the hot air gathers, pus is produced, so it is called ears. " ^[1]

2. "The Source of Miscellaneous Diseases, Rhinoceros Candida · Volume 23": "Ear pus ... children have the difference of fetal fever and fetal wind ... what about fetal heat? Or the washing water accidentally enters the ear, causing pain and pus. There is no need to treat it within a month. After the swollen swollen item, the poison will heal itself. If it is not swollen outside the month, it should be treated with red cotton. The fetal wind should be blown into the ears. . "

3. "Surgical Surgery Volume III": "Ears are ear pus, the smell of pus flowing out of the ear is also dirty. Clouds in the book: yellow pus is ear piercing, red pus is wind ear, white pus is ear winding, pus is clear Although it has five names, its origin is one. It is nourished by those with deficiency of feet and yin, four things Tonga tanh, stone calamus, and dihuang pill. It is made by people with fever in Shaoyang, scattered and sympathetic. Dan Qingzhi. "

^[2-3]