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How to treat auricular pseudocyst?

Overview Auricular pseudocyst refers to a non-purulent serous cyst within the auricular cartilage dissection. It mostly occurs on the outer front and upper part of one side of the auricle. There is serous exudate inside, forming a cyst-like bulge, also known as auricular serous perichondrium. This disease mostly occurs in adults between the ages of 20 and 50, and is dozens of times more common in men than in women. The cause is not yet clear, but it may be caused by local microcirculation disorder caused by certain mechanical stimulation of the auricle, such as compression from a hard pillow, unintentional touch, or trauma to the auricle. Those with small cysts may have no conscious symptoms, while those with large cysts may experience swelling, fluctuation, burning and itching in the auricle, but are generally painless.

Traditional Chinese medicine otorhinolaryngology calls it phlegm discharge on the concha of the ear, or phlegm on the concha of the ear. This disease is caused by spleen deficiency and phlegm accumulation in the ear shell. The spleen loses its health, water and dampness stop inside, and the concha of the ear is squeezed, frostbitten, etc., resulting in damage to the veins, congestion of menstrual qi, and accumulation of dampness in the concha of the ear. Treatment 1. Symptoms of phlegm and turbid aggregation syndrome are often found accidentally on the concave surface of the ear shell, with bulges of different sizes, which are like sacs when pressed. They are painful over time, with slight itching and swelling. The systemic symptoms are not obvious, and the tongue is light red with white or greasy coating. , slow and slippery pulse. Fang Yi Dao Tan Decoction comes from "Heji Bureau Prescription" and consists of 10 grams of pinellia, 10 grams of tangerine peel, 10 grams of Poria, 6 grams of licorice, 15 grams of Citrus aurantium and 10 grams of Dannanxing.

Effects: Strengthen the spleen, remove dampness, resolve phlegm and dissipate stagnation.

Usage: Decoction in water, one dose per day.

The prescription is to relieve tangerine peel, pinellia to dry dampness and eliminate phlegm, Poria to strengthen the spleen and remove dampness, Citrus aurantium and Zhinanxing to remove phlegm and disperse phlegm, licorice and jujube to replenish qi, strengthen the spleen and aid transportation.

Note: You can add Bombyx mori and Fritillaria to enhance the power of dispelling phlegm and dissipating stagnation; for local swelling and numbness, add Dilong to dispel wind and dissipate stagnation; for local burning, add gardenia and scutellaria to clear away heat and dissipate stagnation; for local skin color For dark red ones, add peach kernel, Chuanxiong rhizome, and angelica root to remove blood stasis and dissipate stagnation.

2. Symptoms of evil poison invasion syndrome include local pain, burning and resistance to pressing; examination shows localized bulging of the ear shell, red skin, which is hard when pressed, and pus and blood fluid can be seen on puncture; it may be accompanied by chills and fever, yellow urine, constipation, and red tongue. Yellow coating and rapid pulse. Fang Yixian Fang Huosheng Drink is sourced from "Surgery Exhibition" and consists of 20 grams of honeysuckle, 15 grams of trichosanthin, 12 grams of angelica root, 15 grams of red peony root, 10 grams of frankincense, 10 grams of myrrh, 6 grams of pangolin, 10 grams of saponin, and 10 grams of fritillary. 10 grams of tangerine peel, 6 grams of Fangfeng, 10 grams of Angelica dahurica, and 6 grams of raw licorice.

Efficacy: clear away heat, detoxify, reduce swelling and resolve stagnation.

Usage: Decoction in water, one dose per day.

Fang Jie Erhua, licorice to clear away heat and detoxify, tangerine peel, frankincense, myrrh, Guiwei, red peony root to activate blood circulation, promote qi and reduce swelling, Fritillaria, pollen, angelica root, windproof, phlegm, dehumidification, stagnation and swelling , pangolin, soap thorn ulceration and pus breakage.

For those with constipation, raw rhubarb and Glauber's salt can be used to clear the bowels and relieve heat.