Spontaneous bleeding of the ear

Bleeding from the ear not attributable to injury. There are two patterns, lesser yīn (shào yīn) vacuity fire and reverting yīn (jué yīn) liver fire.

Patterns

Lesser yīn (shào yīn) vacuity fire (少阴虚火 shào yīn xū huǒ) patterns are characterized by pale red blood, absence of pain or swelling, and forceless fine rapid pulse that is especially weak at the two cubit positions.

Medicinal therapy: Nourish yīn, clear heat, and stanch bleeding with Six-Ingredient Rehmannia Pill (六味地黄丸 liù wèi dì huáng wán) plus schisandra (Schisandrae Fructus, 五味子 wǔ wèi zǐ) and white peony (Paeoniae Radix Alba, 白芍药 bái sháo yào).

Acumoxatherapy: Base treatment mainly on TB, GB, and KI. Select SI-19 (Auditory Palace, 听宫 tīng gōng), TB-17 (Wind Screen, 翳风 yì fēng), TB-3 (Central Islet, 中渚 zhōng zhǔ), KI-3 (Great Ravine, 太溪 tài xī), KI-2 (Blazing Valley, 然谷 rán gǔ), KI-1 (Gushing Spring, 湧泉 yǒng quán), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), BL-40 (Bend Center, 委中 wěi zhōng), and LR-3 (Supreme Surge, 太冲 tài chōng); needle with drainage or with even supplementation and drainage.

Reverting yīn (jué yīn) liver fire (厥阴肝火 jué yīn gān huǒ) is marked by the sudden flow of bright red blood from within the ear, swelling and pain, and a forceful stringlike pulse.

Medicinal therapy: Cool the liver and drain fire with variations of Gentian Liver-Draining Decoction (龙胆泻肝汤 lóng dǎn xiè gān tāng). Calcined dragon bone (Mastodi Ossis Fossilia Calcinata, 煅龙骨 duàn lóng gǔ) can be dabbed on.

Acumoxatherapy: Base treatment mainly on TB, GB, LR, and PC. Select GB-2 (Auditory Convergence, 听会 tīng huì), TB-3 (Central Islet, 中渚 zhōng zhǔ), TB-17 (Wind Screen, 翳风 yì fēng), LR-3 (Supreme Surge, 太冲 tài chōng), LR-2 (Moving Between, 行间 xíng jiān), LR-8 (Spring at the Bend, 曲泉 qū quán), PC-8 (Palace of Toil, 劳宫 láo gōng), BL-18 (Liver Transport, 肝俞 gān shù), and BL-17 (Diaphragm Transport, 膈俞 gé shù); needle with drainage.