Clinical Manifestations
Treatment Principle
Herb Formulas
Clinical Manifestations
  • Sudden, mild, unilateral tinnitus or hearing loss
  • Painful distention and oppression of the ears
  • Throbbing pain which is alleviated by discharge of pus
  • Pus is usually yellow
  • Hearing may be compromised
  • Fullness, distention, blockage or persistent itching of the ear
  • Maybe pain of the ears or mastoid process radiating to the jaw
  • Possible purulent or bloody discharge from the ear
  • Headache
  • Fever
  • Head sores with secretion of pus and scabs
  • Red pimples on face, neck, armpits and external genitalia
  • Earache
  • Swelling, inflammation and infection of the ears and nose
  • Cough
  • Muscle and joint aches
  • Thirst
  • Aversion to Wind
  • Nasal congestion
  • A painful, dry throat
  • Abdominal rigidity
  • Constipation
  • Dark brown discoloration of the skin
  • Perspiration and an oiling feeling on the palms and soles
  • Abdominal tension
  • Rhinitis
  • T: Normal
  • C: White or yellow
  • P:Floating and rapid
Treatment Principle
  • Dispels Wind
  • Disperses Stagnation
  • Clears Heat
  • Removes Toxins
  • Suppresses Suppuration
  • Open the ears
Herb Formulas
Clinical Manifestations
  • Chronic or enduring discharge of thin, white, odorless pus
  • Fluids flowing from the auditory canal with no pain or inflammation
  • Pale, sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel cold, tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Clinical Manifestations
  • Otorrhea
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
  • Liver Fire Attacks the Lungs:
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Clinical Manifestations
  • Abrupt onset of yellow, thick, profuse pus
  • severe pain which lessens after draining of the pus
  • Fever
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • A dry throat
  • Headache
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Dry stools
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Clinical Manifestations
  • On again off again discharge of pus from the ear
  • Thin, clear, odorless pus
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the leg and heel
  • Dry mouth
  • Thirst
  • Irritability
  • Night sweats
  • Five Sole Heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and/or
  • Constipation
  • Urine short and red
  • Heightened libido
  • If Heart Fire also Flares:
    Frequent dreams
  • If Liver Yang also Rises:
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
Herb Formulas
Clinical Manifestations
  • Tinnitus in both ears like the sound of cicadas
  • There may be a feeling of blockage or pressure in the ears
  • This condition often is long term with gradual loss of hearing
  • Maybe yellow, purulent discharge from one ear associated with an earache
  • Fullness and heaviness of the head
  • Foggy-headedness
  • Recurrent clearing of the throat
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Maybe restless fever
  • Sore throat
  • Fullness in the chest and epigastrium
  • Loose or sluggish stools or
  • Constipation
  • Dry stools
  • Shortness of breath
  • Anorexia
  • A poor sense of taste or
  • A bitter taste in the mouth
  • Dyspnea
  • Nausea
  • Vomiting
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid or Wiry and slippery
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
  • Wen Dan Tang modified
  • For severe cases or cases with vertigo, a thick, yellow tongue coat, impairment of consciousness or constipation: Gun Tan Wan
  • Following resolution of the Heat signs or between episodes: Er Chen Tang modified
  • With dizziness and a headache of foggy-headedness: Ban Xia Bai Zhu Tian Ma Tang
  • With Spleen Qi Deficiency: Liu Jun Zi Tang
  • Chinese Patent Medicines:
    Qing Qi Hua Tan Wan
    Huang Lian Jie Du Tang
    Chuan Xin Lian Kang Yan Pian
Clinical Manifestations
  • Ear discharge
  • Impotence
  • Inability to get or maintain a full erection
  • Erection may be painful
  • Maybe excessive sweating around the scrotum and groin
  • Testicles cold
  • Itching or pain in the genitals
  • Maybe mucopurulent discharge from the urethra
  • Maybe a history of genital herpes
  • Lethargy
  • Heaviness or aching in the lower limbs
  • Maybe poor sperm count or
  • Low sperm motility and anti-sperm antibodies
  • thick or congealed ejaculate with retarded liquification
  • Afternoon fatigue
  • Hypochondriac pain
  • Headache
  • Dizziness
  • Red sore eyes
  • Hearing loss
  • Swelling in the ears
  • Bitter taste in the mouth
  • Irritability
  • Short temper
  • Difficult and painful urination with a heat sensation in the urethra
  • Swollen and itchy genitalia
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Flushing up
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty and painful urination
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • Yellow urine
  • Chest pain
  • Loose stools or
  • Alternating constipation and diarrhea
  • Turbid, foul-smelling urine
  • Dry throat
  • Hematuria
  • Pain in the armpits
  • Sweating in the groin
  • T: Pink or Red tip or Red or Red edges
  • C: Yellow or Yellow and greasy, especially at the root
  • P: Deep and slippery or Soft, slippery and rapid or Slippery and rapid or Wiry and rapid or Wiry, Excess and rapid
Treatment Principle
  • Clear Damp-Heat from the San Jiao
Herb Formulas