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Chronic otitis media


#1

I hope someone here can give me some guidance on creating an appropriate formula.

I have a patient (35 years old) who has chronic otitis media, the discharge is thick, has a foul odor and sits in the ear, he also has small nodules on both eyelids, above and below, I believe they are called Chalazions. He also suffers from lower back pain, low grade fever and indigestion.

His tongue has a normal to red colour but has a geographic coating, with some teeth marks on the sides. The coating is yellow.

I believe Zi Shen Tong Qi Wan formula may be appropriate but am worried it may be too cool and potentially injure the spleen.

Does anyone have any thoughts?


#2

Tongue photo of patient


#3

To start what is your diagnosis in TCM terms? What have you tried and what did you expect to happen that didn&#39t? Are you only treating them with herbs for some reason? As opposed to acupuncture or a combination?


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