EARS

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Chapter 57

EARS

Chapter contents

TINNITUS/DEAFNESS

Interrogation, Chapter 42

ITCHY EARS

Interrogation, Chapter 42

Damp-Heat in the Gall-Bladder

Itchy ears, earache, dizziness, tinnitus, headache, sticky taste, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Invasion of Wind-Heat

Itchy ears with sudden onset, aversion to cold, fever, sore throat, headache, body aches, slight sweating, tongue with Red sides/front, Floating-Rapid pulse.

Blood deficiency with internal Wind

Itchy ears, dryness of the skin around the ears, crusts on the ear, blurred vision, dizziness, giddiness, numbness, Pale and Stiff tongue, Choppy or Fine and slightly Wiry pulse.

Kidney-Yin deficiency with Empty-Heat

Itchy ears, dizziness, tinnitus, night-sweating, dry mouth with a desire to drink in small sips, backache, poor memory, dark scanty urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

EARACHE

Interrogation, Chapter 42

Invasion of Wind-Heat

Earache with acute onset, aversion to cold, fever, sore throat, headache, body aches, slight sweating, tongue with Red sides/front, Floating-Rapid pulse.

Damp-Heat in the Gall-Bladder

Earache, yellow discharge from the ear, dizziness, tinnitus, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Liver-Fire

Earache with sudden onset, worse with pressure, headaches, dizziness, red face, bloodshot eyes, thirst, bitter taste, tinnitus, irritability, propensity to outbursts of anger, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Stagnation of Qi and stasis of Blood

Severe earache, headache, tinnitus, Purple tongue, Wiry pulse.

Clinical note

• Chronic earache in children is always due to residual pathogenic factor (usually Damp-Heat) after repeated upper respiratory or ear infections treated with antibiotics.

BLEEDING FROM THE EARS

Damp-Heat in the Gall-Bladder

Bleeding from the ears, earache, yellow discharge from the ear, dizziness, tinnitus, headache, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Liver-Fire

Sudden bleeding from the ear, red face, bloodshot eyes, thirst, bitter taste, headaches, dizziness, tinnitus, irritability, propensity to outbursts of anger, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Bleeding from the ear that comes and goes, scanty amount, ear not swollen or red, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, dark scanty urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

Spleen-Qi deficiency

Occasional, slight bleeding from the ear, poor appetite, tiredness, slight abdominal distension, pale complexion, loose stools, Pale tongue, Empty pulse.

DISCHARGE FROM THE EARS

Observation, Chapter 9

Invasion of Wind-Heat

Yellow discharge from the ear, earache, aversion to cold, fever, sore throat, headache, body aches, slight sweating, tongue with Red sides/front, Floating-Rapid pulse.

Damp-Heat in the Gall-Bladder

Sticky, thick yellow discharge from the ear, earache, tinnitus, dizziness, headache, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Thin discharge from the ear that comes and goes, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, dark scanty urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

Toxic Heat in the Liver and Gall-Bladder

Foul-smelling yellow discharge from the ear, severe earache, irritability, headache, a feeling of heat, fever, bitter taste, sticky taste, Red tongue with redder sides and red points with sticky yellow coating, Overflowing-Slippery-Rapid pulse.

Spleen-Qi deficiency with Dampness

Slight discharge from the ear without pain, tiredness, loose stools, a feeling of heaviness, a feeling of fullness, Pale tongue with white sticky coating, Soft pulse.

EXCESSIVE WAX PRODUCTION

Observation, Chapter 9

Phlegm

Excessive wax production, dizziness, a feeling of muzziness of the head, a feeling of oppression of the chest, a feeling of heaviness, sputum in the throat, Swollen tongue with sticky coating, Slippery pulse.

Other symptoms and signs depend on the organ involved.

Damp-Heat in the Gall-Bladder

Excessive wax production, discharge of bright-yellow wax, earache, headache, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, dizziness, tinnitus, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Spleen and Kidney-Yang deficiency

Excessive wax production, discharge of dull-yellow wax, dizziness, tinnitus, tiredness, poor appetite, loose stools, backache, a feeling of cold, Pale tongue, Weak pulse.

Kidney-Yin deficiency with Empty-Heat

Excessive ear wax production, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, scanty dark urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

Toxic Heat with stagnation of Qi and stasis of Blood

Excessive wax production, earache, occasional discharge of dull wax, bleeding from the ear, discharge from the ear, Red tongue with red points and sticky yellow coating, Slippery-Wiry-Rapid pulse.

ABNORMAL SIZE

Swollen ears

Observation, Chapter 9

Damp-Heat in the Gall-Bladder

Swollen and red ears, earache, ear discharge, a sticky taste, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, dizziness, tinnitus, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Heat in the Gall-Bladder

Swollen and red ears, earache, thirst, bitter taste, irritability, headache, unilateral yellow tongue coating, Wiry-Rapid pulse.

Invasion of Wind-Water in the Lungs

Swollen ears with acute onset, oedema of the face and hands, aversion to cold, fever, headache, white tongue coating, Floating-Slippery pulse.

Contracted ears

Observation, Chapter 9

Kidney-Yin deficiency

Contracted and dry ears, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, scanty dark urine, tongue without coating, Floating-Empty pulse.

Aftermath of acute Heat in febrile diseases

Contracted, dry ears, dry mouth, exhaustion, dry skin, dry tongue, Fine pulse.

Severe Blood stasis in the abdomen with abdominal masses

Contracted, dry, dull and dark ears, dry mouth, dry skin, abdominal pain, loss of weight, Purple tongue, Wiry or Choppy pulse.

DRY AND CONTRACTED HELIX

Observation, Chapter 9

Blood stasis

Dry, contracted and dark helix, abdominal pain, chest pain, Purple tongue, Wiry or Choppy pulse.

Other symptoms and signs depend on the organs involved, which may be the Liver, Heart, Stomach or Intestines.

Blood stasis with Damp-Heat

Dry and contracted helix, abdominal pain, mucus in the stools, loose stools, Purple tongue with sticky yellow coating, Wiry-Slippery pulse.

Kidney-Yin deficiency

Dry, dark and contracted helix, tinnitus, dizziness, night sweating, dry mouth with desire to sip water, backache, poor memory, dark scanty urine, tongue without coating, Floating-Empty pulse.

SORES ON THE EAR

Observation, Chapter 9

Heat in the Liver and Gall-Bladder

Sores on the ear, red face, headache, irritability, bitter taste, dizziness, hypochondrial pain, Red tongue with yellow coating, Wiry-Rapid pulse.

Invasion of Wind-Heat in the Lesser-Yang channels

Sores on the ear, earache, alternating chills and fever, irritability, headache, tongue with Red sides and possibly unilateral white coating, Floating-Rapid and Wiry pulse.

WARTS ON THE EAR

Observation, Chapter 9

Heat in the Liver and Gall-Bladder

Warts on the ear, red face, headache, irritability, dizziness, bitter taste, hypochondrial pain, Red tongue with yellow coating, Wiry-Rapid pulse.

Stomach-Fire

Warts on the ear, burning epigastric pain, intense thirst with a desire to drink cold liquids, mental restlessness, bleeding gums, dry stools, sour regurgitation, foul breath, a feeling of heat, tongue Red with a thick, dry, dark-yellow coating, Deep-Full-Rapid pulse.

ABNORMAL HELIX COLOUR

Yellow

Observation, Chapter 9

Damp-Heat in the Gall-Bladder

Yellow helix, bitter and sticky taste, earache, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, dizziness, tinnitus, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Blood stasis deriving from Heat (Liver and Gall-Bladder)

Dull, dark-yellow helix, earache, hypochondrial pain, thirst, dry mouth, headache, irritability, Reddish-purple tongue with unilateral yellow coating, Wiry-Rapid pulse.

Pale

Observation, Chapter 9

Yang deficiency

Pale helix, feeling cold, tiredness, cold limbs, loose stools, Pale and wet tongue, Deep-Weak pulse.

Other symptoms and signs depend on the organ involved.

Blood deficiency

Pale, dry helix, dry skin, blurred vision, dizziness, numbness of the limbs, scanty periods, Pale tongue, Choppy or Fine pulse.

Bluish-greenish (Qing)

Observation, Chapter 9

Blood stasis from Heat

Greenish, dry helix, abdominal pain, chest pain, Reddish-Purple tongue, Wiry or Choppy pulse.

Other symptoms and signs depend on the organ involved.

Blood stasis from Cold

Bluish, wet helix, abdominal pain, chest pain, Bluish-Purple tongue, Wiry or Choppy pulse.

Other symptoms and signs depend on the organ involved.

Internal Wind in children

Greenish helix, tremor, convulsions, fever, opisthotonos, Stiff tongue, Wiry pulse.

Dark

Observation, Chapter 9

Blood stasis

Dark and dry helix, dry mouth, dark complexion, dry skin, abdominal pain, chest pain, Purple tongue, Wiry or Choppy pulse.

Blood stasis from Cold

Dark, moist helix, abdominal pain, chest pain, Bluish-Purple tongue, Wiry or Choppy pulse.

Chronic Heat

Dark and dry helix, red face, thirst, dry skin, dry mouth, dry stools, Red tongue with yellow coating, Overflowing-Rapid pulse.

Other symptoms and signs depend on the organ involved.

Red

Observation, Chapter 9

Lung-Heat

Red helix, flaring of nostrils, thirst, red face, cough, slight breathlessness, a feeling of heat, chest ache, Red tongue with yellow coating, Overflowing-Rapid pulse.

Heart-Fire

Red helix, red face, bitter taste, thirst, palpitations, agitation, insomnia, dream-disturbed sleep, a feeling of heat, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse.

Heat in the Lesser-Yang channels

Red helix, bitter taste, hypochondrial discomfort, dry throat, alternation of cold and hot feeling with predominance of the latter, irritability, tongue with unilateral yellow coating, Wiry-Rapid pulse.

Damp-Heat in the Liver and Gall-Bladder.

Red and swollen helix, bitter and sticky taste, burning on urination, excessive vaginal discharge, irritability, a feeling of oppression of the chest, nausea, vomiting, dark urine, tongue with Red sides and sticky-yellow tongue coating, Wiry-Slippery-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Red and dry helix, tinnitus, malar flush, dry mouth with a desire to sip water, dizziness, night sweating, backache, poor memory, dark scanty urine, five-palm heat, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

RED BACK OF THE EAR

Observation, Chapter 9

Invasion of Wind-Heat (especially in children)

Red back of the ear, aversion to cold, fever, sore throat, headache, body aches, slight sweating, tongue with Red sides/front, Floating-Rapid pulse.

Measles

Red back of the ear, papular rash, fever, thirst, sweating, Red tongue with yellow coating, Overflowing-Rapid pulse.

DISTENDED BLOOD VESSELS ON THE EAR

Observation, Chapter 9

Lung deficiency with Phlegm-Heat

Distended, red blood vessels on the ear, cough, breathlessness, expectoration of sticky sputum, weak voice, tiredness, a feeling of oppression of the chest, Pale and Swollen tongue with sticky coating, pulse Slippery in general but Weak on the right Front position.

Blood stasis

Distended, purple blood vessels on the ear, dark complexion, headache, abdominal pain, chest pain, Purple tongue, Wiry or Choppy pulse. Other symptoms and signs depend on the organ involved.

Damp-Heat in the Gall-Bladder

Distended, red blood vessels on the ear, earache, dizziness, tinnitus, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Heart-Heat

Distended, red blood vessels on the ear, especially on the lobe, palpitations, feeling of heat, anxiety, insomnia, Red tip of the tongue, Overflowing-Rapid pulse.

SWELLING AND REDNESS OF THE CONCHA

Observation, Chapter 9

Damp-Heat in the Gall-Bladder

Swelling and redness of the concha, earache, ear discharge, itchy ear, headache, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, dizziness, tinnitus, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Redness and slight swelling of the concha, earache, dizziness, tinnitus, night sweating, dry mouth with a desire to drink in small sips, backache, poor memory, scanty dark urine, five-palm heat, malar flush, a feeling of heat in the evening, Red tongue without coating, Floating-Empty and Rapid pulse.

Toxic Heat

Swelling and redness of the concha, earache, discharge from the ear, swollen neck glands, headache, thirst, Red tongue with red points and thick, sticky yellow coating, Overflowing-Slippery-Rapid pulse.

Diagnosis in Chinese Medicine A Comprehensive Guide

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