Guest guest Posted October 22, 2003 Report Share Posted October 22, 2003 I would agree that with " clogged ears " I would think of damp accumulations right away. I like Er Chen Wan and Wen Dan Tang. That is if I heard the question correctly. ;-) doug , @j... wrote: > > Dear Jason and Al, > > Couldn't it also be phlegm damp accumulation, of course depending upon tongue and pulse, and if so, would not an appropriate formula be: er chen ping wei tang, adding to it liu jun zi tang if there is concurrent spleen qi xu?/ Or just middle jiao damp accumulation in which case I would use: Wei ling tang. > > Just a student thinking out loud. > > BTW, what is the pulse/tongue picture? > > Yehuda > > ______________ > The best thing to hit the internet in years - Juno SpeedBand! > Surf the web up to FIVE TIMES FASTER! > Only $14.95/ month - visit www.juno.com to sign up today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 22, 2003 Report Share Posted October 22, 2003 , " " wrote: > I would agree that with " clogged ears " I would think of damp accumulations right > away. I like Er Chen Wan and Wen Dan Tang. That is if I heard the question correctly. Actually the question is, does anyone have any discussions on the topic... I am looking for something written, which I assume will prob come from chinese... but thanx for your input ... or does anyone know the chinese technical term for clogged ears? -Jason > ;-) > doug > > , @j... wrote: > > > > Dear Jason and Al, > > > > Couldn't it also be phlegm damp accumulation, of course depending upon tongue > and pulse, and if so, would not an appropriate formula be: er chen ping wei tang, > adding to it liu jun zi tang if there is concurrent spleen qi xu?/ Or just middle jiao > damp accumulation in which case I would use: Wei ling tang. > > > > Just a student thinking out loud. > > > > BTW, what is the pulse/tongue picture? > > > > Yehuda > > > > ______________ > > The best thing to hit the internet in years - Juno SpeedBand! > > Surf the web up to FIVE TIMES FASTER! > > Only $14.95/ month - visit www.juno.com to sign up today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2003 Report Share Posted October 23, 2003 Depends on what is meant by clogged ears. Is this an obstruction of the external meatus, such as occurs with wax or a foreign object, or a sensation of being clogged so that hearing is muffled? Is the problem in a child or an adult? Glue ear, by the way, is a vicous exudate that accumulates in the middle ear, typically in children following repeated episodes of otitis media, usually treated with antibiotics. Very common in this country. A cycle develops in some kids whereby they get an earache, are given antibiotic treatment that reduces the pain, but as soon as they stop it returns again...more antibiotics and so on. The result is glue ear, which in Australia is usually treated by inserting a grommet, a small tube into the tympanic membrane, to allow aeration of the inner ear. In TCM it usually corresponds to Phlegm Damp or Phlegm Heat, with or without Spleen deficiency. Mostly responds well to typical PD, Spleen strengthening or shao yang type treatment as appropriate, especially in kids. Adults with similar problems, although rarer, are more tricky, as the commonest accompanying complication, dryness or yin deficiency, makes the standard Phlegm resolving materials (ban xia, chen pi, tian nan xing, etc) too drying. One several occasions I have had adult patients with 'clogged or painful ears' associated with this viscous stuff in the inner ear, only to find typical Phlegm Damp strategies consolidate the Phlegm into a type of cement, with an increase in aural problems. The solution has been to take a slower salty softening approach with herbs like xuan shen, mu li and zhe bei, combined with whatever else may be constitutionally appropriate. There are numerous TCM defined diseases in the Chinese literature that may correspond to 'clogged ears'. More information would be valuable. Will Maclean Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2003 Report Share Posted October 25, 2003 , " Will Maclean " <wbm40> wrote: > Depends on what is meant by clogged ears. Is this an obstruction of > the external meatus, such as occurs with wax or a foreign object, or > a sensation of being clogged so that hearing is muffled? Is the > problem in a child or an adult? Will, thanx for your post... The problem is primarily in adults. Could you list the various terms that you know of so I can do some chinese searchs. ALthough, I do currently have about 3 patients with 'clogged ears' I want to research this topic for more acedemic purposes. In the cases that I am seeing, there is no physical accumulation (visible) and it is a reported sensation deep within in the ear (possibly in the e. tubes). ANy further help would be much appreciated. -Jason > > Glue ear, by the way, is a vicous exudate that accumulates in the > middle ear, typically in children following repeated episodes of > otitis media, usually treated with antibiotics. Very common in this > country. A cycle develops in some kids whereby they get an earache, > are given antibiotic treatment that reduces the pain, but as soon as > they stop it returns again...more antibiotics and so on. The result > is glue ear, which in Australia is usually treated by inserting a > grommet, a small tube into the tympanic membrane, to allow aeration > of the inner ear. In TCM it usually corresponds to Phlegm Damp or > Phlegm Heat, with or without Spleen deficiency. Mostly responds well > to typical PD, Spleen strengthening or shao yang type treatment as > appropriate, especially in kids. > > Adults with similar problems, although rarer, are more tricky, as > the commonest accompanying complication, dryness or yin deficiency, > makes the standard Phlegm resolving materials (ban xia, chen pi, > tian nan xing, etc) too drying. One several occasions I have had > adult patients with 'clogged or painful ears' associated with this > viscous stuff in the inner ear, only to find typical Phlegm Damp > strategies consolidate the Phlegm into a type of cement, with an > increase in aural problems. The solution has been to take a slower > salty softening approach with herbs like xuan shen, mu li and zhe > bei, combined with whatever else may be constitutionally appropriate. > > There are numerous TCM defined diseases in the Chinese literature > that may correspond to 'clogged ears'. More information would be > valuable. > > Will Maclean Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2003 Report Share Posted October 25, 2003 Jason The most likely disease diagnosis from your description is Er Zhang (distension) or Er Bi (obstruction, as in bi syndrome), the main feature in both cases being a sensation of fullness or obstruction without pain. The rationale is essentially that the eustachion tube is blocked by a pathogen leading to an increase in pressure. In acute cases, Wind +- Heat etc., typically corresponding to a cold, or commonly in this country some sort of allergic reaction causing swelling of the e. tube mucous membrane. Those with atopic tendencies seem prone to this. In chronic cases lingering pathogens of some sort are thought responsible, complicated by qi, blood and/or phlegm accumulation, and various type of deficiency. Alternatively it may be a chronic form of Nong Er (like chronic otitis), although the history should clarify this point. Less likely as you have observed is Ding Er, wax in the external canal. If you can read chinese I am happy to fax the relevant pages from the source text, Zhong Yi Er Bi Hou Ke Xue, an excellent reference for ENT. Will Quote Link to comment Share on other sites More sharing options...
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