In traditional Chinese medicine, otogenic intracranial and extracranial complications are called suppurative auricular degeneration syndrome, which refers to the disease syndrome caused by suppurative auricular degeneration, which is mostly caused by excessive pathogenic toxin, improper treatment, persistent pathogenic toxin, bone erosion, pus discharge and spread of pathogenic toxin.
Treatment 1. Carbuncle behind ear 1. During the course of otopus with symptoms of heat toxin syndrome, otopus suddenly decreases and the pain in and behind the ear intensifies. Fever, headache, bitter taste and dry throat, red tongue, thick yellow fur and smooth pulse; Check that the posterior upper wall of the external auditory canal has collapsed, with pus or granulation, perforation of tympanic membrane, swelling and tenderness of the posterior ear bone, and even pushing the auricle forward. After a few days, the swollen area became soft, undulating, bursting and overflowing. Fang Yi Longdan Xiegan Decoction consists of 65438 00g of Gentiana, 65438 00g of Gardenia, 65438 00g of Scutellaria baicalensis, 65438 00g of Bupleurum, 65438 00g of Alisma orientale, 65438 00g of Plantago asiatica, 65438 00g of Radix Rehmanniae and 65438 00g of Radix Rehmanniae.
The efficacy of purging fire and detoxifying, removing rot and discharging pus.
Usage: decoct with water, one dose per day.
Bile grass, Gardenia, Scutellaria baicalensis Georgi and Bupleurum chinense in the prescription can clear liver and purge lung; Alisma orientalis, Akebia Akebia and Plantago can clear urine and induce heat to go out; Radix Angelicae Sinensis nourishes yin and blood, and eliminates evil without hurting righteousness.
According to the words, add Erhua, Forsythia suspensa, Taraxacum mongolicum and Viola yedoensis to strengthen the effect of clearing away heat and toxic materials; Adding frankincense and myrrh to promote qi circulation, promote blood circulation and relieve pain is very painful; Add pangolin, spina gleditsiae, and reduce swelling and collapse. Fang Erxian Fang Huo Sheng Yin, which originated from surgical drama, consists of 20g of honeysuckle, 0g of Trichosanthes root15g, 0g of Chinese angelica root12g, 0g of red peony root15g, 0g of frankincense10g, 0g of myrrh10g, 6g of pangolin scales, and 6g of spina gleditsiae.
The effects of clearing away heat and toxic materials, promoting blood circulation and reducing swelling.
Usage: decoct with water, one dose per day.
Flos Lonicerae, Trichosanthis Radix and Glycyrrhrizae Radix in the prescription clear away heat and toxic materials; Angelica sinensis and Radix Paeoniae Rubra promote blood circulation and disperse nodules; Olibanum and myrrh dissipate blood stasis and relieve pain; Pangolin and soap thorn activate collaterals to reduce swelling; Fritillaria and Pericarpium Citri Tangerinae can resolve phlegm and dissipate stagnation; Radix Saposhnikoviae and Radix Angelicae Dahuricae dispel wind and relieve pain. The whole prescription has the effects of clearing away heat and toxic materials, promoting blood circulation and reducing swelling.
According to the notes, this prescription is suitable for swelling and even abscess ulceration.
2. Deficiency of both qi and blood, mutual accumulation of toxic and blood stasis in the ear, persistent purulence in the ear, recurrent attacks, lingering, or dizziness and fatigue, pale face, pale lips and tongue, and thready pulse; Check that the carbuncle behind the ear is swollen and ulcerated, the ulcer does not heal for a long time, forming a fistula, the pus is thin and white, and the sore surface is dull. Fang Yi Deli Disinfection Powder consists of 20g of Radix Astragali, 0g of Gleditsia sinensis12g, 0g of Flos Lonicerae15g, 6g of Radix Glycyrrhizae, 0g of Radix Platycodi10g of Radix Angelicae Dahuricae10g, 0g of Rhizoma Chuanxiong12g of Radix Angelicae Sinensis12g.
The effects of invigorating qi and blood, supporting poison and expelling pus.
Usage: decoct with water, one dose per day.
Prescription: Radix Codonopsis, Atractylodis Rhizoma, Poria, Radix Glycyrrhizae Preparata, Radix Astragali, Radix Paeoniae Alba, Radix Angelicae Sinensis, Rhizoma Chuanxiong, etc. It can tonify qi and blood, detoxify flowers, and expel pus from Platycodon grandiflorum, Angelica dahurica and Gleditsia sinensis.
According to the remarks, if the sore surface is dull and the pus is thin, coix seed, white lentils, plantain seeds, etc. Adding spleen and dampness; Dandelion, platycodon grandiflorum, wild chrysanthemum, etc. If pus is not discharged smoothly, heat-clearing and detoxicating and pus discharge can be added. Fang Buer Zhong Yi Tang Qi is from Ten Books of Dongyuan, which consists of 30g of Astragalus membranaceus, codonopsis pilosula 15g, Atractylodes macrocephala 10g, angelica sinensis 12g, Bupleurum chinense 9g, Cimicifuga rhizome 9g, dried tangerine peel 10g and licorice 6g.
Efficacy: invigorating spleen and qi, rising yang.
Usage: decoct with water, one dose per day.
Radix Astragali, Radix Codonopsis, Atractylodis Rhizoma and Glycyrrhrizae Radix. Angelica supplements blood and dried tangerine peel regulates spleen and qi; Cimicifuga and Bupleurum chinense are on the rise.
According to notes, this prescription is used for patients with deficiency of both qi and blood.
Second, empyema and facial paralysis 1. Excessive heat toxicity, symptoms of steaming and burning vein syndrome? Oblique, pus in the ear, severe earache; Headache due to body heat, bitter mouth and dry throat, red and astringent urine, constipation, red tongue with yellow coating and slippery pulse; Check the tympanic membrane for congestion, perforation, thick and smelly pus, and tenderness after fracture. Prescription 1: Longdan Xiegan Decoction combined with Zheng Qian Powder Source 1: Jinjian 2: Yangjia Tibetan Prescription 1: Dancao10g, Gardenia10g, Scutellaria baicalensis Georgi10g, Bupleurum chinense/kloc-0g.
Has the effects of clearing away heat and toxic materials, promoting blood circulation and dredging collaterals.
Usage: decoct with water, one dose per day.
Fang Jielong Xie Dangan decoction clears liver and gallbladder fire and detoxifies; Semen Persicae, Carthami Flos and Scorpio can be added to promote blood circulation and dredge collaterals, and Zheng Qian powder can be used to dispel wind and dredge collaterals.
If the pain is severe, add frankincense and myrrh to promote blood circulation and relieve pain.
2. Deficiency of qi and blood, dampness blocking collaterals.
Symptoms: there is pus in the ear for a long time, and facial paralysis gradually appears. The first person's facial movements failed, and the skin of the affected side was numb for a long time, and the muscles were slack. General fatigue, lack of food and loose stool, pale lips and tongue, greasy fur, thin or astringent pulse; Inspection found that the tympanic membrane was loose or perforated at the edge, purulent, smelly, with granulation or polyps. Formula 1: Tori Disinfection Powder and Zheng Qian Powder Source: Jin Jian: Yangjia Tibetan Prescription: ① Astragalus 20g, Gleditsia sinensis 12g, Lonicera japonica 15g, Glycyrrhiza 6g, Platycodon grandiflorum 10g, Angelica dahurica 10g, Chuanxiong 10g, Ligusticum wallichii. ② Peach kernel 10g, safflower 10g, scorpion 10g.
Has the effects of supporting toxic materials, expelling pus, removing blood stasis and dredging collaterals.
Usage: decoct with water, one dose per day.
Fang Jie Tuoli Xiaodu Powder is used for expelling pus, and Zheng Qian Powder is used for removing blood stasis and dredging collaterals.
According to the statement, coix seed, wax gourd seed, plantain and so on. It is added to promote diuresis and discharge pus. Fangbuer Yang Huan Five Soups originated from Yilingaicuo, and consists of Radix Astragali120g, angelica tail 3g, Radix Paeoniae Rubra 5g, Lumbricus 3g, Rhizoma Chuanxiong 3g, Carthami 3g and Peach Kernel 3g.
Efficacy: Yiqi Huoxue Tongluo.
Usage: decoct with water, one dose per day.
Raw astragalus is reused in the prescription, which greatly supplements the vitality of the spleen and stomach, makes qi and blood run, removes blood stasis and unblocks collaterals, and is the monarch medicine. Angelica tail is good at promoting blood circulation and removing blood stasis without hurting blood, so he is a minister medicine. Ligusticum Chuanxiong, Radix Paeoniae Rubra, Semen Persicae and Carthami Flos help angelica tail to promote blood circulation and remove blood stasis, and Lumbricus dredge channels and activate collaterals, all of which are adjuvant drugs. The compatibility of this prescription is characterized by a large number of qi-invigorating drugs combined with a small number of blood-activating drugs, which can promote healthy qi and blood circulation without damaging healthy qi, and play a role in invigorating qi, promoting blood circulation and dredging collaterals.
According to the statement, this prescription is used for patients with facial paralysis for a long time, deficiency of both qi and blood and blood stasis.
Third, suppurative ear vertigo 1. Damp-heat in liver and gallbladder, wind disturbing ears, with symptoms of dizziness, severe earache, nausea and vomiting, aggravated exercise, yellow and thick pus in ears, tinnitus and deafness; The whole body is accompanied by bitter mouth and dry throat, impatience and irritability, red and astringent urine, constipation or fever, headache, red eyes, yellow tongue coating and rapid pulse. Prescription 1: Origin of Longdan Xiegan Decoction and Tianma Gouteng Drink 1: Yi Zong Jin Jian 2: New Meaning of Treating Miscellaneous Diseases; 1: Galla chinensis 10g, Gardenia jasminoides Ellis 10g, Scutellaria baicalensis Georgi 10g, Bupleurum chinense 10g, Alisma orientalis 10g, Plantago asiatica 10g. Uncaria rhynchophylla 12g, Concha Haliotidis 18g, Fructus Gardeniae 9g, Scutellariae Radix 9g, Radix Cyathulae 12g, Eucommiae Cortex 9g, Herba Leonuri 9g, Herba Taxilli 9g, Caulis Polygoni Multiflori 9g and Poria 9g.
The effects of clearing away heat and purging fire, detoxifying and extinguishing wind.
Usage: decoct with water, one dose per day.
Fang Jie (1) Bile grass, Gardenia, Scutellaria baicalensis Georgi and Bupleurum chinense are used to clear liver and lung fire; Alisma orientalis, Akebia Akebia and Plantago can clear urine and induce heat to go out; Radix Angelicae Sinensis nourishes yin and blood, and eliminates evil without hurting righteousness. ② This recipe is often used to treat hyperactivity of liver yang and excessive heat of liver wind. Gastrodia elata and Uncaria rhynchophylla in the prescription calm the liver, calm the wind and clear heat. Concha Haliotidis calms the liver and subdues yang; Achyranthes bidentata nourishes the liver and kidney, and leads the blood to act as a minister; Gardenia and Scutellaria baicalensis Georgi clear away heat; Eucommia ulmoides Oliv Parasitic mulberry nourishes liver and kidney; Motherwort promotes blood circulation; Polygonum multiflorum Thunb. Nourishes peace of mind and magical collaterals; Fuling calms the heart, calms the nerves and strengthens the spleen. The combination of various drugs can calm the liver, calm the wind, nourish yin and clear heat.
According to the remarks, people with spleen and stomach deficiency and cold should use this prescription with caution.
2. Spleen deficiency and dampness, with symptoms of ignorance, dizziness, heavy head swelling, tinnitus, pus in the ear and purulent odor; The whole body is accompanied by chest tightness and nausea, excessive phlegm and saliva, mental fatigue, anorexia and loose stool, sallow complexion, red tongue, white and wet fur, and slow and weak or slippery pulse. Prescription 1: Tori Disinfection Powder and Combination 2: Banxia Baizhu Tianma Decoction Source 1: Yaozong Jinjian 2: YaoOrfila Combination 1: Astragalus 20g, Gleditsia sinensis 12g, Lonicera japonica 15g, Glycyrrhiza 6g, Platycodon grandiflorum12g. ② Pinellia ternata 10g, Atractylodes macrocephala 10g, Gastrodia elata 10g, Poria cocos 10g, Oranges 10g, Glycyrrhiza uralensis 6g, 2 slices of ginger and 5 jujubes.
The effects of invigorating spleen, eliminating dampness, resolving phlegm and stopping dizziness.
Usage: decoct with water, one dose per day.
Fang Jie Tuoli Disinfection Powder strengthens spleen and qi, helps poison and expels pus; Banxia Baizhu Tianma Decoction has the function of eliminating dampness, resolving phlegm and calming wind. Both sides use * * * to play the functions of strengthening the spleen, eliminating dampness, resolving phlegm and stopping dizziness; According to the statement, Alisma orientale, Coicis Semen and Acorus gramineus can be added to those who are wet, so as to strengthen the effect of diuresis and turbidity removal.
3. Loss of kidney meridian, dizziness due to evil erosion of ear holes, tinnitus and deafness, pus in the ear, purulent pus or tofu residue; The whole body may be accompanied by fatigue, weakness in the waist and knees, forgetfulness and dreaminess, pale red or crimson tongue, and weak or thin pulse. Fangji Liuwei Dihuang Pill is derived from treating infantile syncope with syndrome differentiation, and consists of Radix Rehmanniae Preparata 15g, Cornus officinalis 12g, Alisma orientale 15g, Cortex Moutan 12g, Rhizoma Dioscoreae 12g and Alisma orientale 10g.
Efficacy: tonify kidney, nourish yuan, dispel evil and detoxify.
Usage: decoct with water, one dose per day.
Based on Radix Rehmanniae Preparata, Rhizoma Dioscoreae and Rhizoma Dioscoreae, this prescription can tonify liver and kidney and strengthen spleen and stomach. Cortex Moutan, Rhizoma Alismatis and Poria are added to make the prescription tonic but not greasy.
Yin deficiency notes. Accompanied by concha Haliotidis, oysters, etc. Add dandelion, honeysuckle, spina gleditsiae, etc. Added to dispel evil and expel pus. Ershenqi Pill consists of Radix Rehmanniae 15g, Rhizoma Dioscoreae 12g, Fructus Corni 12g, Rhizoma Alismatis 10g, and Poria cocos 10g.
The effect of warming kidney yang.
Usage: decoct with water, one dose per day.
The prescription drug Jieliuwei Dihuang Pill nourishes kidney yin, and cinnamon and aconite are added to supplement the fire in water and promote kidney qi. Through the complementarity of fire and water, the coordination of yin and yang, the kidney qi is self-healthy and the kidney qi is self-vibrating. Tangent yin is born in yang, and yang is born in yin.
The notes say that this prescription is for people with yang deficiency.
Iv. typhoid fever 1. Ear fever with symptoms of nourishing blood syndrome, purulent odor, purulent sudden decrease, severe earache, splitting headache, stiff neck, vomiting, aversion to cold and excess heat, restless mood, but clear mind, red tongue with little or no coating, and rapid pulse. Fang Yi Qingying Decoction consists of 6 grams of rhinoceros horn, 0/0g of Radix Rehmanniae/kloc, 0/0g of Radix Scrophulariae, 0/0g of bamboo leaf heart, 0/0g of Ophiopogon japonicus/kloc, 0/0g of Radix Salviae Miltiorrhizae, 0/0g of Rhizoma Coptidis/kloc, and 0/0g of Flos Lonicerae.
Efficacy: clearing camp, cooling blood, purging heat and detoxifying.
Usage: decoct with water, one dose per day.
Zhu Han Qingxin Camp, Xijiao County, Zhong Fang City, Fang Jie; Coptis chinensis tastes bitter and cold; Radix Rehmanniae, Radix Scrophulariae and Radix Ophiopogonis clear away heat and nourish yin; Honeysuckle, forsythia suspensa and bamboo leaves clear away heat and toxic materials; Salvia miltiorrhiza cools blood, unblocks collaterals and relieves depression. The combination of all the medicines has the functions of purging heat and detoxifying, clearing away the camp and cooling the blood.
It is said that this syndrome should be treated by western medicine.
2. Symptoms of heat entering pericardium syndrome include purulent secretion in the ear, earache, severe headache, persistent high fever, stiff neck, vomiting, lethargy, delirium, red tongue with little or no coating, and rapid pulse. Fangyi Qinggong Decoction is made from Angong Niuhuang Pill, Zhibaodan or Zixuedan, and is composed of Scrophularia 10g, lotus plumule 6g, curly bamboo leaf 10g, Ophiopogon japonicus 12g, Forsythia suspensa 12g and rhinoceros horn 6g.
The effect is to clear the heart and enlighten the mind.
Usage: decoct with water, one dose per day.
Fang Jie Qinggong Decoction specializes in clearing heart and covering evil heat, and rhinoceros horn clearing heart and heat; Scrophularia, plumula Nelumbinis and Ophiopogon japonicus; Bamboo leaves and forsythia suspensa clear the heart and permeate heat, so that the evil heat of pericardium permeates outward; Add bamboo juice, Fructus Trichosanthis, etc. Angong Niuhuang Pill, Zhibaodan or Zixuedan are all traditional Chinese medicines that clear the heart and enlighten the mind, and have the effect of awakening the mind. You can choose one of the three pills at your discretion.
It is said that this syndrome should be treated by western medicine.
3. Symptoms of excessive hot air include purulent secretion and foul smell in the ear, earache, severe headache, high fever, restless hands and feet, even coma, muscle tension, limb twitching, stiff neck or limb weakness, red and dry tongue, and rapid pulse. Fang Yi Jiao Ling Gouteng Decoction is from Treatise on Febrile Diseases, which consists of antelope horn 4.5g, Uncaria 9 g, mulberry leaf 6 g, chrysanthemum 9 g, Radix Rehmanniae 65,438+05g, Radix Paeoniae Alba 9 g, Bulbus Fritillariae Cirrhosae 65,438+02g, bamboo shavings 65,438+05g, Poria 9 g and licorice 3 g. ..
The effects of clearing away heat and toxic materials, cooling liver and calming wind.
Usage: decoct with water, one dose per day.
Fang Jie antelope horn and Uncaria rhynchophylla cool the liver, calm the wind and relieve spasm; Mulberry leaves and chrysanthemums are light and clear; Radix Rehmanniae, Radix Paeoniae Alba and Radix Glycyrrhizae nourish yin and soften liver; Fritillaria and bamboo shavings clear away heat and resolve phlegm; Shen Fu calms the heart and nerves; Gypsum Fibrosum and Rhizoma Anemarrhenae can be added for patients with excessive heat. Constipation increases jaundice and mirabilite; Dry mouth, water, ox horn, peony bark and Lithospermum cool blood and detoxify; If you have convulsions, you can choose scorpion, earthworm and centipede to stop wind and spasm; Those with excessive phlegm and saliva take Angong Niuhuang Pill.