otits media

Question 0

Pathology of acute catarrhal otits media

2

Answer 0

1- pathological wind enters the ear.

2- liver/ballbladder oppressed heat.

Question 1

etiology of acute catarrhal otits media

Answer 1

infection, exposure to wind, damp weather, swimming, emotional factors

Question 2

pathological wind entering the ear (acute catarrhal)causes what symptoms?
what would the treatment principle be?
tx points?

Answer 2

sx- stuffy sensation in ear, tinnitus, mild ear pn, chills and fever, nasal discharge, floating pulse
tx principle- expel wind, clear heat, regulate the ear cavity, and drain damp
tx points- tw5(clear heat) gb41( clear heat) gb20(wind) tw17( wind, ear) gb2, local ear li4- command point of face

Question 3

liver/gallbladder oppressed heat(acute catarral) causes what sx?
what is the tx principle?
tx points?

Answer 3

sx- inner ear distended and full, bleeding from ear drum, dizziness, ha, with pressure or bursting sensation, buzzing in ears, hearing loss, red tongue with yellow coat, wiry slippery rapid pulse
tx principle- clear liver and gb heat, resolve damp, regulare ear cavity.
tx points- gb20, tw17, gb2, tw3, gb40

Question 4

what are the two types of acute purulent otitis media

Answer 4

1. wind heat

2. liver /gallbladder damp heat

Question 5

wind heat (acute purulent) has what sx?
whats tyhe tx principle?
tx points?

Answer 5

body aches, wind, chills, fevewr, ear pn, hearing loss, discharge of pus from ear, floating rapid pulse, thin yellow or white coating
tx principle- expel wind, release the exterior, clear heat, resolve fire poison
tx points- tw5, gb41, gb20, tw17, gb2, li4, li11, gv14

Question 6

liver/gallbladder damp heat (acute purulent) sx?
tx principle?
tx points?

Answer 6

ha, ear region is swollen and painful, discharge of blood from ear frum, mastoid process painful, outer and inner ear filled with yellow pus, dry stool, may have vomiting, and twitching, wiry/slippery pulse, red tongue with greasy tongue coat
tx principle- clear heat, resolve damp, resolve poison, reduce swelling, stop pn
tx points- tw5, gb41, gb20, tw17, gb2, sp9, gb34, lv13

Question 7

chronic catarrhal has three possibilities

Answer 7

pathogenic factor remaining
liver and kidney def,
spleen qi def

Question 8

in chronic catarrhal otitis media, pathogenic factor remaining has what sx?
whats the tx points?

Answer 8

distending and bursting sensaiton in the inner ear, ear feels blocked, may nave nose bleed, and nose and throat inflammation, swollen glands behind the ear and neck, may have recurrent attacks of otits media, slippery pulse
tx points- bailao, bl18, bl20, tw5, gb41, gb20, tw17, gb2