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Belladonna. The remedy in acute otitis, with digging,
boring, tearing pains which come suddenly and are most
violent; the membrana tympani is covered with injected
blood vessels. It is the remedy in earache where the symp-
toms are too violent for Pulsatilla, The pains come and go
suddenly. All the symptoms are worse at night and are
relieved by warmth.

Aconite, Bayes recommends Aconite ix in the maddening
pains of otitis, claiming it to be far superior to Chamomilla
or Pulsatilla, There is dark redness of the parts, stinging,
lancinating or throbbing pains and great sensitiveness. It
suits earache from sudden change of temperature ; it is worse
at night and is aggravated by warmth. Its influence is
restricted to a brief period immediately following exposure.


In this respect Copeland says : ” It differs from Ferrum phos-
phoricum^ which has a much longer period of usefulness.”

Pulsatilla. A great ear remedy. It exerts a specific cura-
tive power in otitis externa ; the ear is hot, red and swollen,
and there are very severe darting, tearing, pulsating pains in
it which are worse at night It, too, occupies the highest
place for acute inflammation of the middle ear. It is indi-
cated also by profuse thick, yellowish green discharge from
the ear, deafness and a feeling as if the ears were stopped up,
or as if something were being forced out ; there are also roar-
ing noises synchronous with the pulse. It suits especially
subacute cases.

Plantago, Earache associated with toothache ; also, excel-
lent locally.

Tellurium. A most excellent remedy in otitis media with
thin, acrid, offensive discharge, very profuse and long-lasting ;
canal sensitive to touch.

HydrasHs is a remedy not to be overlooked in catarrhal
inflammation of the middle ear with accompanying naso-
pharyngeal catarrh, tinnitus aurium and thick tenacious dis-

Ferrum phosphoricum. This remedy is a most useful one
in ear affections, suiting congestive and inflammatory stages
of most troubles, more especially in ansemic subjects. It is a
reliable remedy in acute earache ; it has tinnitus like Pulsatilla^
but no special deafness, and like Borax it has sensitiveness
to sound. The pain is throbbing or sharp stitching and
occurs in paroxysms. The following is Dr. WanstalPs prac-
tical resum^ :

1. A tendency of the inflammatory process to be diffused
instead of circumscribed.

2. Dark beefy redness of the parts.

3. A muco-purulent discharge with tendency to hemor-

4. The establishment of the discharge does not relieve the

•• •: :

w. «


5. The pain is in paroxysms.

Copeland claims that for earache after exposure to wet
there is no better remedy.

Kali muriaticum is one of the most useful remedies in tubal
catarrh and catarrhal conditions of the middle ear, it seems to
clear the Eustachian tube, which is closed in these cases,
causing deafness, subjective sounds and retracted membrana
tympani. It is useful in chronic suppurative conditions re-
ducing the proliferation, checking the granulation and hasten-
ing repair. Slowly progressing deafness will often yield to
the remedy. It is also a remedy for obstinate eczemas about
the auricle, especially if accompanied with the gastric dis-
turbances of the remedy.

Magnesia phosphorica has a purely nervous otalgia, worse
in cold air and relieved by warmth.

Kali phosphoricum may also be a remedy in chronic suppu-
rations of the middle ear.

Chamomilla. Almost specific in infantile earache; the
pains are violent, worse from warmth, the cheeks are red, the
patient is restless, fretful and there is great hyperaesthesia and
much sufiFering. Patient worse at night and from slightest

Borax. Child starts up nervously with the pain ; muco-
purulent otorrhoea.

Dulcamara. Earache returning with every change of
weather, worse at night. Relieved by application of dry

Sanguinaria. Climacteric earache.

Capsicum corresponds to otitis media, with rupture of the
membrana tympani, and great soreness of the mastoid por-
tion of the temporal bone. It suits also chronic suppura-
tions of the ear with bursting headache and chilliness ; the
ears are hot, and the pain goes to the throat, the drum is
perforated and there is a yellow purulent discharge. It is to
be difiEerentiated from Hepar in that the area of sensitiveness
is greater than with Hepar^ and it lacks the nocturnal aggra-


vation of Mercurius. Sub-acute inflammation of the Eustach-
ian tube with great pain and a sense of dryness and heat in
the throat indicate Capsicum,

Calcarea carbonica corresponds to chronic ear troubles in
scrofulous children. There is itching of the membrana
tympani, defective hearing, humming end roaring in the
ears, purulent otorrhoeas with perforation of the drum, polypi,
etc. Deafness from working in water.

Nitric acid may prove useful in mastoid abscesses and
syphilitic ear troubles.

Kali bichromicufn. Inflammation of middle ear; ulceration
of membrana tympani with tenacious, stringy and purulent
discharges ; pains sharp stitching in character. Also a valu-
able remedy in the later stages, when, on account of pharyn-
geal involvement, the Eustachian tube is hard to inflate.

Aurum has a congestive roaring in ears, sensitiveness to
noise, fetid otorrhoea, boring pains in mastoid, caries and
perforation of drum.

Baryta carbonica is to be thought of in deafness associated
with swelling of the tonsils.

Mercurius. Very valuable in suppurative middle ear dis-
eases, with swellings of parotid glands and offensive breath.
It suits especially scrofulous and syphilitic ear conditions. It
is especially valuable in proliferous middle ear diseases, hard-
ness of hearing due to swollen tonsils. The discharges are thin
and acrid, the ears, teeth and face ache, symptoms worse at
night, and characteristic is a feeling of stoppage and of inter-
nal soreness as if raw, and also roaring in ears.

Mercurius dulcis. Chronic inflammation of the middle ear,
with deep toned roaring. The membrana tympani is
thickened, retracted and immovable by inflation. It suits
especially Eustachian catarrhal deafness.

Graphites has catarrh of Eustachian tube and hardness of
hearing, which is better riding in a carriage. Gluey dis-
charge will indicate as well as eczematous manifestations.

Carbo vegetabilis. Otorrhoea following exanthematous dis-
eases ; ears dry.


Carbo antmalts. Cannot tell whence sound comes.
Iodine cured for Dr. Hughes a case of catarrhal deafness.

Silicea. Very valuable in suppurative middle ear troubles,
especially in cases complicated with caries or necrosis of the
bones and attended with a thin, ichorous and offensive dis-
charge containing little pieces of bone. Perforations of the
membrana tympani heal rapidly under Silicea. A peculiar
symptom leadiiig to the remedy is an itching and tingling in
the locality of the Eustachian tube. There are also shooting
pains through the ear and profuse perspiration, sudden snuff-
ing, cracking sound in the ear like the explosion of a per-
cussion cap.

Hepar sulphur. Also valuable in suppurative otitis media,
and is usef td in earache when suppuration impends. There
is great soreness and sensitiveness to the slightest touch,
acute exacerbations of the trouble with increased discharge,
which is thick, creamy and somewhat offensive. Patients re-
quiring Hepar are irritable and sensitive to the slightest draft
of air.

Lachesis. Roaring and singing in the ears, relieved by
putting finger in ear and shaking it, therefore catarrhal.

Croialus. Stuffed feeling in ear and a sensation as if wax
were trickling out.

Conium. Increased quantity of dark wax.

Hepar suits especially otorrhceas dating from scarlatina.

Causticum. This remedy is useful in roaring and buz-
zing in the ears, words and sounds re-echo unpleasantly. It
suits a catarrh of the Eustachian tube.

Chenopodium has deafness to low tones, while the higher
ones are heard distinctly. Its special field of action is in
affections of the auditory nerves.

Sanguinaria has humming and roaring in the ears, and
painful sensitiveness to sounds.

Salicylic acid. Meniere’s disease and simple deafness with
tinnitus. Arnica has proved of benefit in Meniere’s disease.


Pain in the cartilages of the ears, as if bruised, is another in-

Bryonia is highly spoken of by Dr. Dudley Wright, of
London, in Meniere’s disease, as suiting those cases where the
vertigo comes on from any sudden motion, as on rising from a

Sulphur is useful for a most offensive discharge from the
ears and syringing does no good, the ears are red, raw, and
the discharge excoriates.

Psorinum is even better than Sulphur in cases of offensive
discharges from the ears ; there is with this remedy a general
unhealthy condition of the patient, pustules appear on the
face, around the nose, mouth and ears, the blood is impure
and the system run down. It is a remedy not to be despised
in ear affections, and is especially to be considered in cases of
chronic otitis media, probably of tubercular origin, in which
other remedies and methods of treatment have been tried un-

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