What are the remedies for otitis externa?

Otitis externa is a diffuse inflammation of the skin of external auditory canal caused by bacterial infection, which can occur at any age. Common pathogens are Staphylococcus aureus, Streptococcus, Pseudomonas aeruginosa and so on. Acute otitis externa is easily caused by ear-digging or foreign body injury, drug stimulation, suppurative otitis media, or water immersion such as swimming and bathing. Other diseases such as chronic suppurative otitis media, anemia, vitamin deficiency and diabetes can also lead to this disease. Acute otitis externa will become chronic if it is not treated in time or improperly.

Fang Yi Zhizi Qinggan Decoction

Source: Medical Gold Mirror: Essentials of Surgical Psychology

Comprises 3 grams of gardenia, Ligusticum wallichii, angelica sinensis, Bupleurum root and radix paeoniae alba, 6 grams of cortex moutan and fructus Arctii, 65,438+/-00 grams of gypsum, and 65,438+/-0.5 grams of scutellaria root, coptis root and licorice root.

Function: clearing liver and purging fire, detoxifying and activating blood.

It is mainly use for treating external ear disease caused by liver and gallbladder overheating, such as furuncle of external auditory canal, otitis externa, eczema of external ear and papilloma of external auditory canal.

The prescription can relieve the cold bitterness of Fructus Gardeniae, and has the functions of purging fire, relieving vexation, clearing away heat and diuresis, cooling blood and detoxicating; Chaihu soothes the liver and relieves depression; Angelica sinensis nourishes blood and promotes blood circulation; Radix Paeoniae Alba softens liver; Cooperate with Fructus Arctii to dissipate heat, relieve sore throat and reduce swelling; This product contains Scutellaria baicalensis Georgi for purging lung fire; Scutellaria baicalensis Georgi can relieve triple energizer fire and clear heart heat; Compatibility with Radix Rehmanniae and Cortex Moutan can cool blood and stop bleeding; Burdock dispels wind and heat, spreads lung and penetrates rash, detoxifies and relieves sore throat.

Pharmacology Gardenia can relieve fever and pain; Cortex Moutan has sedative, hypnotic, antibacterial, anti-inflammatory and antioxidant effects. Gypsum has antipyretic and anti-inflammatory effects; Scutellaria baicalensis Georgi and Coptis chinensis have antipyretic and antiviral effects; Fructus Arctii has antibacterial and antiviral effects; Radix Paeoniae Alba has anti-inflammatory, analgesic, repercussive and immunomodulatory effects.

Decoct with water. 65438+ 0 ~ 2 doses per day.

Fangge Yin Hua Jiedu Decoction

Source: Experience collection of selected topics.

Comprises honeysuckle, viola yedoensis, poria cocos and forsythia suspensa each 65,438+/-00g, selfheal 65,438+/-00g, moutan bark 6g, coptis root 3g and rhinoceros horn 0g.

Function of clearing away heat and toxic materials, purging fire and cooling blood.

It is mainly used for treating ear furuncle and ear sore (otitis externa) caused by wind-heat pathogen.

Fang Jie Flos Lonicerae and Fructus Forsythiae clear away heat and toxic materials, dissipate stagnation and reduce swelling; Xiaoding and Prunella vulgaris can clear away heat and purge liver fire; Coptis chinensis clearing heat and purging fire; Peony bark cools blood and stops bleeding; Poria cocos can circulate water and benefit damp heat.

Pharmacology honeysuckle and forsythia suspensa have antibacterial and antiviral pathogenic microorganisms; The effective components of Prunella vulgaris have strong inhibitory effects on Staphylococcus aureus, Streptococcus and Pneumococcus. Coptis chinensis has antipyretic, antibacterial, antiviral, anti-inflammatory, antiallergic and immune promoting effects; Diding has antipyretic and antiviral effects.

Decoct with water. If the rhinoceros horn is insufficient, 30 grams of buffalo horn slices can be used for decoction.

It is said that rhinoceros horn has been replaced by buffalo horn.

Fangsan Chaihu Qinggan Decoction

Source "Authentic Surgery"

Comprises 3 grams of Ligusticum Chuanxiong, 3 grams of Angelica sinensis, 3 grams of Radix Paeoniae Alba, 3 grams of Radix Rehmanniae, 3 grams of Bupleuri Radix, 3 grams of Scutellariae Radix, 3 grams of Gardenia Fructus, 3 grams of Trichosanthis Radix, 3 grams of Saposhnikovia divaricata, 3 grams of Fructus Arctii, 3 grams of Fructus Forsythiae and 3 grams of licorice.

Function: clearing liver and purging fire, promoting blood circulation and expelling wind.

It is mainly used to treat ear furuncle and ear sore (otitis externa), if the ear canal is swollen and painful, or there is a little pus.

The prescription can relieve the coldness of raw land, cool serum fever, nourish yin and tonify kidney, promote fluid production and quench thirst; Forsythia suspensa has the functions of clearing away heat and toxic materials, resolving hard mass and reducing swelling; Scutellaria baicalensis Georgi and Arctium lappa have the functions of clearing away heat and purging fire, detoxifying and relieving sore throat; Peony is sweet and sour, slightly cold, and has the function of nourishing blood; Trichosanthes root nourishes yin and produces fluid.

Pharmacology This prescription has the functions of analgesia, anti-inflammation, detoxification, lowering blood pressure and improving physique.

Usage: decoct 400 ml of medicinal liquid into 300 ml, and take it on an empty stomach, with 1 ~ 2 doses per day.

Fangsi Danggui Chuanxiong Powder

Source: Standard of Syndrome Differentiation and Treatment: Class Prescriptions

Consists of angelica sinensis, Ligusticum chuanxiong, Bupleurum chinense, Atractylodes macrocephala and Paeonia lactiflora each 3g, Gardenia jasminoides Ellis 3.5g, Cortex Moutan and Poria each 2g, Vitex negundo and Glycyrrhiza uralensis each1.5g..

Function: nourishing blood, clearing liver, expelling wind and dissipating heat.

It is mainly used for treating liver hyperactivity due to blood deficiency, ear sores, ear itching and pain, and pus discharge.

Fang Jie Angelica and Chuanxiong promote qi and blood circulation; Paeonia lactiflora nourishes blood and softens liver; Bupleurum root relieves exterior syndrome, relieves fever, soothes liver and relieves depression; Gardenia clearing heat and purging fire; Peony bark clears away heat and cools blood; Vitex negundo evacuated wind and heat, and cleared the leader; Poria cocos promotes diuresis, permeates dampness, strengthens the spleen and calms the nerves; Licorice, relieve pain.

Pharmacology Bupleurum has antipyretic, sedative, analgesic, antibacterial, anti-liver injury, anti-virus (influenza virus) and other effects; Poria cocos can improve immunity; Vitex negundo has analgesic, anti-inflammatory and expectorant effects.

Decoct with water. Every day 1 dose.

Wu Fangtuo Li Xiao Dusan

Source "Women's Recipes"

Consists of Ginseng Radix, Radix Astragali, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Paeoniae Alba, Rhizoma Atractylodis Macrocephalae, Poria, Flos Lonicerae, Radix Angelicae Dahuricae each 2.65438 0.5g, and Radix Glycyrrhizae 65438 0.5g. ..

The function of supporting poison and expelling pus.

It is mainly used to treat ear furuncle, ear sore, ear pus and purulent water, and can be used to stop dryness, lack of healthy qi and fatigue.

The prescription is Radix Pseudostellariae, Poria, Atractylodis Macrocephalae, Radix Astragali, Radix Angelicae Sinensis, Radix Paeoniae Alba for invigorating qi and blood, removing toxic substances, expelling pus from Radix Angelicae Dahuricae, and relieving pain from Radix Glycyrrhizae.

Pharmacological poria cocos can improve the disease resistance of the body; Radix Rehmanniae has the effects of inhibiting fungi, diuresis and benefiting liver and gallbladder; Paeonia lactiflora has anti-inflammatory, analgesic and repercussive effects; Angelica dahurica not only has antipyretic, analgesic and anti-inflammatory effects, but also can improve local blood circulation.

Decoct with water. Every day 1 dose.

Fangliuqinbai ear drops

Source "Liaoning journal of traditional chinese medicine"

It consists of Scutellaria baicalensis Georgi, Cortex Phellodendri each 65438±02g, dried alum 6g, borneol 3g and sesame oil 500ml.

Has the functions of clearing away heat, reducing swelling and relieving pain.

Indications for treating otitis externa.

The prescription of Scutellaria baicalensis Georgi and Phellodendron amurense has the functions of clearing away heat and dampness, purging fire and detoxicating, detoxicating with dried alum for external use, killing insects and relieving itching, inducing resuscitation with borneol, clearing away heat and relieving pain.

Pharmacology Scutellaria baicalensis Georgi has antipyretic, antihypertensive, diuretic, sedative, cholagogic, liver protecting, capillary permeability reducing and intestinal peristalsis inhibiting effects. Cortex Phellodendri has certain inhibitory effect on many pathogenic bacteria. It is also beneficial to gallbladder, diuresis, blood pressure reduction and fever reduction, and dried alum has astringent, anti-inflammatory, antiseptic and hemostatic effects. Borneolum Syntheticum has certain analgesic and mild antiseptic and bacteriostatic effects.

Usage: First soak Scutellaria baicalensis Georgi and Cortex Phellodendri in sesame oil for 24 hours, then fry them in an iron pan until they are black and yellow, take them out and grind them into powder, then put them in sesame oil together with Borneolum Syntheticum and dried alum powder, filter and bottle them for later use. When in use, apply a cotton swab to the affected area, or dip a small gauze into the external auditory canal. Change the dressing 1 ~ 2 times a day.

Fangqi Xiaoyan ointment

Source "Zhejiang journal of traditional chinese medicine"

Comprises 6 grams of frankincense, 6 grams of myrrh, 6 grams of dragon's blood, 6 grams of catechu and 0.5 grams of cinnabar/kloc-0.

Has the functions of promoting blood circulation, removing blood stasis and reducing swelling.

Indications for treating furuncle of external auditory canal.

Both frankincense Huoxue recipe and myrrh Huoxue recipe can relieve pain, reduce swelling and promote granulation, so they can be used at the same time. Sanguis Draxonis, Catechu, promoting blood circulation, healing sores, stopping bleeding, promoting granulation, healing sores, Cinnabar calming the heart, calming the nerves, clearing away heat and toxic materials.

Pharmacology frankincense has analgesic effect, myrrh has inhibitory effect on many pathogenic fungi to varying degrees, Sanguis Draxonis has inhibitory effect on many pathogenic bacteria, Catechu has astringent and antidiarrheal effect, and Cinnabar has detoxification, antiseptic and bacteriostatic effects.

Usage: Stir-fry Olibanum and Myrrha bran to remove oil, then grind them into fine powder with Sanguis Draxonis and Catechu, add proper amount of honey and mix well into paste. When in use, it is made of cotton wool with appropriate thickness, coated with anti-inflammatory ointment and stuffed into external auditory canal. Change medicine every day or every other day 1 time.

Fangba Liushen Pill Yarn Strip

Source: Journal of Clinical Otolaryngology

30 pieces of liquid paraffin are composed of Liushen Pills (Chinese patent medicine).

Has the functions of clearing away heat and toxic materials, reducing swelling and relieving pain.

Indications for treating otitis externa and furuncle of external auditory canal.

Fangji Liushen Pill consists of Trichosanthis Radix, artificial bezoar, indigo naturalis, Venenum Bufonis, Borneolum Syntheticum, Radix et Rhizoma Rhei and pearl powder. Trichosanthes root can clear away heat and promote fluid production, clear lung and moisten dryness, detoxify and eliminate carbuncle. Niuhuang has the functions of calming wind, relieving spasm, resolving phlegm, clearing away heat and toxic materials. Indigo Naturalis has the functions of clearing away heat and toxic materials, cooling blood and removing spots, clearing liver and purging fire, and calming the nerves. Venenum Bufonis has the effects of inducing resuscitation, relieving pain and detoxifying. Borneolum Syntheticum has the effects of inducing resuscitation, clearing away heat and relieving pain. Rhubarb purges to attack accumulation, clearing heat and purging fire, stopping bleeding and detoxifying, promoting blood circulation and removing blood stasis. Pearl powder can calm the liver and subdue yang, clear the liver and improve eyesight, calm the heart and soothe the nerves, and can be used externally to dry dampness and heal sores.

Pharmacology Trichosanthes root has a strong inhibitory effect on hemolytic streptococcus, pneumococcus and diphtheria Bacillus, and bezoar has a sedative and spasmodic effect. Indigo Naturalis has antibacterial effects on Staphylococcus aureus, Bacillus anthracis and Vibrio cholerae. Venenum Bufonis has antiasthmatic, antitussive, anti-inflammatory, anti-tumor, anti-radiation and leukocytosis effects. Borneolum Syntheticum has certain analgesic and mild antiseptic and bacteriostatic effects. Rhubarb has the functions of stopping bleeding, protecting liver, lowering blood pressure and lowering serum cholesterol. Pearl powder for treating ulcer.

Usage: Grind Liushen Pill into fine powder, blend with liquid paraffin, and soak gauze strips. When in use, the gauze is put into the external auditory canal, and the dressing is changed every day 1 time.

Aromatic moxibustion ear oil

Source: Jin Jian of Medical Zong

Make up walnuts.

It has the effects of clearing away heat and toxic materials and reducing swelling.

It is mainly used to treat ear sores, such as ear tightness, ear swelling and ear pus.

The walnut kernel in the prescription can tonify kidney, warm lung and moisten intestine.

Pharmacology walnut kernel has antitussive effect, which can affect the synthesis, oxidation and excretion of cholesterol in the body.

Usage: grind, wring oil and remove residue to obtain 3 grams of oil and 0.6 grams of borneol. Use a little at a time and drop it in your ear.

Sexual intercourse ear-clearing ointment

Source "Medical Prescription Summary"

Comprise radix Aconiti Lateralis Preparata, rhizoma Acori Graminei and periostracum Cicadae.

Function: Warming channels, dredging collaterals and relieving itching.

It is mainly used for treating ear sores (chronic otitis externa) and ear itching.

The prescription can relieve aconite root, restore yang and relieve adverse reactions, help yang to replenish fire, dispel cold and relieve pain. Acorus gramineus has the functions of inducing resuscitation, calming nerves, eliminating dampness and regulating stomach. Cicada can disperse wind and heat, penetrate rash, relieve itching, improve eyesight and relieve convulsion.

Pharmacology aconite root has anti-inflammatory and analgesic effects. Acorus gramineus has sedative, anticonvulsant, spasmolytic and bacteriostatic effects. Cicada has anticonvulsant and antipyretic effects.

In usage, medicine is the last. Those with earache are brewed with sesame oil, and those with itchy ears are blended with ginger juice into a spindle shape, wrapped in gauze and stuffed into their ears. Change the medicine when it is dry.

Fang Shi yi Qing applied medicine

Source "Qingnang Secret Biography"

Comprises 500g of rhubarb, 240g of turmeric, 80g of angelica dahurica/kloc-0, 20g of indigo naturalis/kloc-0, 20g of bletilla striata/kloc-0, 80g of trichosanthes root, 20g of dried tangerine peel/kloc-0 and 60g of licorice.

Function of clearing heat, purging fire and detoxifying.

It is mainly used to treat ear furuncle and ear sore (otitis externa), local swelling and pain, and even suppuration. It can also be used when nasal furuncle and nasal furuncle (nasal vestibulitis) abscess are immature.

The prescription can make rhubarb stop diarrhea and attack accumulation, clear away heat and fire, stop bleeding and detoxify, and promote blood circulation and remove blood stasis. Turmeric promotes blood circulation and qi circulation, dredging menstruation and relieving pain. Radix Angelicae Dahuricae can relieve exterior syndrome, dispel pathogenic wind, induce resuscitation and relieve pain, eliminate dampness and stop leukorrhagia, and reduce swelling and concentration. Indigo Naturalis has the functions of clearing away heat and toxic materials, cooling blood and removing spots, clearing liver and purging fire, and calming the nerves. Bletilla striata can stop bleeding, reduce swelling and promote granulation. Trichosanthes root can clear away heat and promote fluid production, clear lung and moisten dryness, detoxify and eliminate carbuncle. Pericarpium Citri Tangerinae regulates qi, dries dampness, strengthens spleen and eliminates phlegm. Glycyrrhiza uralensis Fisch has the functions of invigorating qi, invigorating middle warmer, clearing away heat and toxic materials, resolving phlegm, relieving cough, relieving pain and harmonizing medicinal properties.

Pharmacology rhubarb has the functions of stopping bleeding, protecting liver, lowering blood pressure and lowering serum cholesterol. Turmeric has anti-inflammatory and cholagogic effects, while Angelica dahurica has certain inhibitory effects on various bacilli. Indigo Naturalis has antibacterial effects on Staphylococcus aureus, Bacillus anthracis and Vibrio cholerae. Bletilla striata has obvious inhibitory effect on mycobacterium tuberculosis; Trichosanthes root has a strong inhibitory effect on hemolytic streptococcus, pneumococcus and diphtheria bacillus. Chenpi can reduce capillary permeability, prevent capillary bleeding, antagonize histamine and enhance fibrinolysis. Glycyrrhiza uralensis Fisch has the functions of inhibiting acid, relieving spasm, eliminating phlegm and relieving cough, anti-inflammatory, antiallergic and detoxicating.

When in use, the medicine is ground into fine powder. If the patient is red and swollen, pound the juice with fresh leaves of wild chrysanthemum, or soak it in tea to cool it, or apply it externally with honey. Change the dressing every day 1 time.

Fang Shi er JIU yi Dan

Source: Jin Jian of Medical Zong

Comprise 27g of calcined gypsum and 3g of Scutellaria baicalensis Georgi.

Function: pus and granulation.

It is mainly used to treat ear furuncle, nasal furuncle, people with incomplete pus rot and new muscle.

Calcite ointment can clear away heat and purge fire, relieve vexation and thirst, and astringe and promote granulation. Huanglingyao, also known as Huangshengdan, is a mixture of mercury, mirabilite and alum, which can detoxify and decompose. Both of them play the role of pus and granulation.

Pharmacology Modern pharmacological studies have found that gypsum can promote the maturation of phagocytes, shorten the clotting time, promote bile excretion, and have diuretic effect. Scutellaria baicalensis drugs have different degrees of inhibition on Pseudomonas aeruginosa, hemolytic streptococcus B, Escherichia coli and Staphylococcus aureus.