Chapter 57 EARS Chapter contents TINNITUS/DEAFNESS ITCHY EARS EARACHE BLEEDING FROM THE EARS DISCHARGE FROM THE EARS EXCESSIVE WAX PRODUCTION ABNORMAL SIZE Swollen ears Contracted ears DRY AND CONTRACTED HELIX SORES ON THE EAR WARTS ON THE EAR ABNORMAL HELIX COLOUR Yellow Pale Bluish-greenish (Qing) Dark Red RED BACK OF THE EAR DISTENDED BLOOD VESSELS ON THE EAR SWELLING AND REDNESS OF THE CONCHA TINNITUS/DEAFNESS Interrogation, Chapter 42 Kidney deficiency Tinnitus/deafness with gradual onset, tinnitus with low rushing sound, dizziness, backache, tiredness. Other symptoms and signs, including tongue and pulse, depend on whether there is Kidney-Yin or Kidney-Yang deficiency. Liver-Yang rising Tinnitus/deafness, tinnitus with a high-pitched sound, headaches, dizziness, irritability, propensity to outbursts of anger, red face, Wiry pulse. Liver-Fire Tinnitus/deafness with sudden onset, tinnitus with high-pitched sound, red face, bloodshot eyes, headache, dizziness, tinnitus, irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse. Phlegm-Fire affecting the Liver channel Tinnitus/deafness with sudden onset, tinnitus with high-pitched sound, thirst, bitter taste, red face, a feeling of oppression of the chest, sputum in the throat, catarrh, Red tongue with redder sides, or Swollen with a sticky yellow coating, Wiry-Slippery-Rapid pulse. Heart and Kidney-Yin deficiency Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, dizziness, insomnia, anxiety, palpitations, night sweating, tongue without coating, Floating-Empty pulse. Heart-Blood deficiency Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, dizziness, poor memory, palpitations, insomnia, anxiety, dull-pale complexion, Pale tongue, Choppy or Fine pulse. Heart and Lung-Qi deficiency (deficiency of Gathering-Qi) Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, tiredness, palpitations, depression, shortness of breath, Pale tongue, pulse Weak on both Front positions. Liver-Blood deficiency Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, dizziness, blurred vision, insomnia, poor memory, Pale tongue, Choppy or Fine pulse. Invasion of Wind-Heat (in the Lesser-Yang channels) Sudden Tinnitus/deafness, tinnitus with high-pitched sound, headache, stiff neck, sore throat, burning eyes, slight sweating, fever, aversion to cold, tongue Red in the front or sides, Floating-Rapid pulse. Clinical note • In my experience, tinnitus from a Deficiency is easier to treat than one from a Fullness. 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. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: OBSERVATION OF THE GENITALIA MENSTRUAL SYMPTOMS DIAGNOSIS BY HEARING OBSERVATION OF THE COMPLEXION COLOUR Stay updated, free articles. Join our Telegram channel Join Tags: Diagnosis in Chinese Medicine A Comprehensive Guide Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on EARS Full access? Get Clinical Tree
Chapter 57 EARS Chapter contents TINNITUS/DEAFNESS ITCHY EARS EARACHE BLEEDING FROM THE EARS DISCHARGE FROM THE EARS EXCESSIVE WAX PRODUCTION ABNORMAL SIZE Swollen ears Contracted ears DRY AND CONTRACTED HELIX SORES ON THE EAR WARTS ON THE EAR ABNORMAL HELIX COLOUR Yellow Pale Bluish-greenish (Qing) Dark Red RED BACK OF THE EAR DISTENDED BLOOD VESSELS ON THE EAR SWELLING AND REDNESS OF THE CONCHA TINNITUS/DEAFNESS Interrogation, Chapter 42 Kidney deficiency Tinnitus/deafness with gradual onset, tinnitus with low rushing sound, dizziness, backache, tiredness. Other symptoms and signs, including tongue and pulse, depend on whether there is Kidney-Yin or Kidney-Yang deficiency. Liver-Yang rising Tinnitus/deafness, tinnitus with a high-pitched sound, headaches, dizziness, irritability, propensity to outbursts of anger, red face, Wiry pulse. Liver-Fire Tinnitus/deafness with sudden onset, tinnitus with high-pitched sound, red face, bloodshot eyes, headache, dizziness, tinnitus, irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse. Phlegm-Fire affecting the Liver channel Tinnitus/deafness with sudden onset, tinnitus with high-pitched sound, thirst, bitter taste, red face, a feeling of oppression of the chest, sputum in the throat, catarrh, Red tongue with redder sides, or Swollen with a sticky yellow coating, Wiry-Slippery-Rapid pulse. Heart and Kidney-Yin deficiency Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, dizziness, insomnia, anxiety, palpitations, night sweating, tongue without coating, Floating-Empty pulse. Heart-Blood deficiency Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, dizziness, poor memory, palpitations, insomnia, anxiety, dull-pale complexion, Pale tongue, Choppy or Fine pulse. Heart and Lung-Qi deficiency (deficiency of Gathering-Qi) Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, tiredness, palpitations, depression, shortness of breath, Pale tongue, pulse Weak on both Front positions. Liver-Blood deficiency Tinnitus/deafness with gradual onset, tinnitus with low-pitched sound, dizziness, blurred vision, insomnia, poor memory, Pale tongue, Choppy or Fine pulse. Invasion of Wind-Heat (in the Lesser-Yang channels) Sudden Tinnitus/deafness, tinnitus with high-pitched sound, headache, stiff neck, sore throat, burning eyes, slight sweating, fever, aversion to cold, tongue Red in the front or sides, Floating-Rapid pulse. Clinical note • In my experience, tinnitus from a Deficiency is easier to treat than one from a Fullness. 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. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: OBSERVATION OF THE GENITALIA MENSTRUAL SYMPTOMS DIAGNOSIS BY HEARING OBSERVATION OF THE COMPLEXION COLOUR Stay updated, free articles. Join our Telegram channel Join Tags: Diagnosis in Chinese Medicine A Comprehensive Guide Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on EARS Full access? Get Clinical Tree
EARS
