Treatment Of Otitis Media In Children With Acupuncture

12 Questions | By Acupuncturedanny | Last updated: Mar 21, 2022 | Total Attempts: 77

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Chronic Otitis Media and Glue Ear in Children Treatment with Chinese Medicine

Questions and Answers

1.

A child presents with attacks of Otitis Media which occur when the child is exhausted or run down, or when the child catches a cough or cold (which happens frequently). The glands in the neck are palpable, soft and spongy, and the eardrum is pale and swollen. The child is tired and uninterested. Which syndrome do you suspect?
- A.
  
  Accumulation/Ji
- B.
  
  Lingering Pathogenic Factor
- C.
  
  Spleen (and Lung) Qi Xu with LPF
- D.
  
  Kidney Yin Xu
2.

A 1 1/2 year old presents with recurrent attacks of otitis media with ear pain, poor sleep, restless mood and crying, insomnia and general grumpiness. Attacks come and go, especially when the child is teething. On inspection the child has a swollen and bloated abdomen, red cheeks, and green around the mouth. Bowels are foul smelling, especially during a bout of earache, which can last several days. Which syndrome do you suspect?
- A.
  
  Accumulation/Ji
- B.
  
  Lingering Pathogenic Factor
- C.
  
  Spleen (and Lung) Qi Xu with LPF
- D.
  
  Kidney Yin Xu
3.

A 6 year old presents with chronic Otitis Media - a continuous feeling of pressure in the ear which comes and goes, along with feeling genearl off colour, tired and out of sorts. On palpation the glands in the neck are hard and rubbery. The child also presents with chronic nasal congestion and cattarh, and bouts of abdominal pain that are unrelated to eating. The child is spaced out, detached and dreamy. Which syndrome do you suspect?
- A.
  
  Accumulation/Ji
- B.
  
  Lingering Pathogenic Factor
- C.
  
  Spleen (and Lung) Qi Xu with LPF
- D.
  
  Kidney Yin Xu
4.

Glue Ear is caused by a combination of the following (tick all that apply):
- A.
  
  Stagnation
- B.
  
  Phlegm
- C.
  
  Deficiency (of Lung and Spleen Qi)
- D.
  
  Liver Fire
5.

Chronic Otitis Media with pain is caused by a combination of the following (tick all that apply):
- A.
  
  Stagnation
- B.
  
  Phlegm
- C.
  
  Deficiency (of Lung and Spleen Qi)
- D.
  
  Liver Fire
6.

In an attack of Otitis Media the eardrum bursts in 2% cases, often with a reduction in pain and some blood stained discharge from the ear. This problem nearly always repairs itself in 6-8 weeks, and is not usually a cause for concern.
- A.
  
  True
- B.
  
  False
7.

The Lungs (and Spleen) govern the middle ear, whereas the Kidney opens to, and governs, the inner ear.
- A.
  
  True
- B.
  
  False
8.

Si Feng (found on the distal interphalangeal crease of the palmar aspect of the finges) is a useful point for Sp Qi Deficiency with resulting Accumulation Disorder
- A.
  
  True
- B.
  
  False
9.

The most important channels involved with Otitis Media are (choose 2 of the following):
- A.
  
  Gall-Bladder
- B.
  
  Bladder
- C.
  
  Large Intestine
- D.
  
  San Jiao - Triple Burner
10.

Chronic Otitis Media is a relatively deep lingering pathogenic factor, compared to one that may cause asthma, ezcema or recurrent bladder infections?
- A.
  
  True
- B.
  
  False
11.

A Shaoyang level disorder represents an intermediary stage between an external and internal disease where pathogens can easily become chronically lodged, at the level of the ‘Membranes’ (MoYuan) – typical symptoms include: cyclical, recurrent and sub-acute symptoms; alternating chills and fever; bitter taste; blurred vision; fullness/distension of hypochondrium/chest; no desire to eat or drink, vomiting, nausea; irritability; TC: one side only or half white, half black or grey; P: wiry/fine. The Channels involved with this level of disorder are:
- A.
  
  Gall-Bladder and Liver Gall-Bladder and Liver
- B.
  
  Bladder and Small Intestine
- C.
  
  Gall-Bladder and SanJiao (Triple Burner)
- D.
  
  Spleen and Lungs
12.

Chronic Supporative Otitis Media is associated with a persistent discharge of pus from the middle ear infection (2 weeks or more) with a perforated ear-drum that is unable to heal. This condition is mild and self limiting and doesnt need treatment or intervention.
- A.
  
  True
- B.
  
  False