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PUS IN THE EAR

The ear has three parts. They are the external ear, the middle ear and the internal ear. The middle ear is connected with the nasopharynx through the Eustachian tube. Inflammation of the ear is known as otitis. This inflammation leads to pus formation, which comes out through the perforated tympanic membrane to the external ear. This condition is commonly known as otorrhoea. In ayurveda this condition is known as Puikarna.

Causative factors
Inflammation of the ear is caused by some organisms. These organisms flourish only when the patient is suffering from cold, cough and sinusitis. Small children are commonly affected by this ailment. At times, feeding milk to the child forcibly results in the milk coming to the middle and the external ears. This leads to inflammation and pus formation.

Signs and symptoms
When pus comes from the ear, it produces a foul smell. There is acute pain and the child cries. It is usually associated with cough and even at times with fever. Kapha dosa is primarily responsible for all these manifestations.

Treatment
Laksmi vilasa rasa is the drug of choice for the treatment of this condition. It is given internally to an adult in a dose of one pill three times per day mixed with honey. To the children also it is given internally but in a reduced dose.
Nirgundi (Vitex nigundo) is the drug of choice for external use in this condition. The juice of the leaves of this plant is mixed with mustard oil and boiled. This medicated oil is dropped into the ear twice daily.
In the similar way bilva (Aegle marmelos) is used in this condition. A paste of the root of the plant is boiled with mustard oil and after filtering this medicated oil is used as eardrops.

Diet
Ingredients of food, which aggravate kapha are prohibited. Curd, banana, guava and sour fruits should not be given to the patient. Intake of garlic onion and ginger is very useful in this condition.

Other regimens
The patient should not take bath nor should he expose himself to cold wind and rain.

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