**Calcarea carbonica corresponds to chronic ear troubles in scrofulous children. There is itching of the membrana tympani, defective hearing, humming and 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 bichromicum. Inflammation of middle ear; ulceration of membrana tympani with tenacious, stringy and purulent discharges; pains sharp stitching in character. Also a valuable remedy in the later stages, when, on account of pharyngeal involvement, the Eustachian tube is hard to inflate.
**Aurum has a congestive roaring in ears, sensitiveness to noise, foetid 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. Also in noises in the ears from arterio-sclerotic conditions.
**Phosphorus. Deafness to the human voice, common in the aged or where the patient is constantly blowing small quantities of blood from the nose.
Very valuable in suppurative middle ear diseases, with swelling of parotid glands and offensive breath. It suits especially scrofulous and syphilitic ear conditions. It is especially valuable in proliferous middle ear diseases, hardness 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 internal 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 discharge will indicate as well as eczematous manifestations. **Carbo vegetabilis. Otorrhoea following exanthematous diseases; ears dry.
**Carbo animalis. Cannot tell whence sound comes.
**Iodine cured for Dr. Hughes a case of catarrhal deafness.
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 discharge containing little pieces of bone. Perforations of the membrana tympani heal rapidly under **Silicea. A peculiar symptom leading 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 snuffing, cracking sound in the ear like the explosion of a percussion cap. It promotes repair of the drum head. It is most frequently indicated in persistent chronic otorrhoea with oversensitiveness to sounds. Dr. Moffat advises changing to **Lapis albus after use of **Silicea for too long a time.
Hepar sulphur. [Hep]
Also valuable in suppurative otitis media, and is useful 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 requiring **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.
**Crot.. Stuffed feeling in ear and a sensation as if wax were trickling out.
**Conium. Increased quantity of dark wax.
**Hepar suits especially otorrhoeas dating from scarlatina.
This remedy is useful in roaring and buzzing 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 indication.
**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 seat.
Is useful for a most offensive discharge from the ears and syringing does no good, the ears are red, raw, and the discharge excoriates.