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What is the best medicine to take for ear pain caused by "shang huo" (excessive internal heat)?

Dec 01, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
There is no absolute "best" medication, but treatment can vary depending on the situation. Generally, medications that may be used for ear pain caused by "excessive internal heat" (a traditional Chinese medicine concept) include Niuhuang Jiedu Tablets, Huanglian Shangqing Tablets, Cefradine Capsules, Ofloxacin Ear Drops, and Ibuprofen Sustained-Release Capsules. Niuhuang Jiedu Tablets are a traditional Chinese medicine containing ingredients such as bezoar and Scutellaria baicalensis, which have heat-clearing and detoxifying effects, helping to relieve symptoms like ear pain and sore throat caused by excessive internal heat.

There is no absolutely "best" medication, but drugs can be selected according to specific conditions. Generally, medications that may be used for ear pain caused by excessive internal heat ("shang huo") include Niuhuang Jiedu Pian (Bezoar Detoxification Tablets), Huanglian Shangqing Pian (Coptis Rhizome and Skullcap Tablets), Cefradine Capsules, Ofloxacin Ear Drops, and Ibuprofen Sustained-Release Capsules. Detailed analysis is as follows:

1. Niuhuang Jiedu Pian (Bezoar Detoxification Tablets): A traditional Chinese medicine containing ingredients such as bezoar and Scutellaria root, it has effects of clearing heat and detoxifying the body. It helps relieve symptoms like ear pain and sore throat caused by excessive internal heat. It is suitable for mild ear discomfort due to minor "shang huo." It should be taken at the recommended dosage and not used long-term.

2. Huanglian Shangqing Pian (Coptis Rhizome and Skullcap Tablets): Main ingredients include Coptis and Gardenia. This formula clears heat, reduces fire, dispels wind, and relieves pain. It improves symptoms such as ear pain and dizziness caused by excessive internal heat. With relatively mild properties, it is suitable for cases with slight ear pain during the early stages of "shang huo."

3. Cefradine Capsules: A cephalosporin antibiotic. If ear pain due to "shang huo" is accompanied by bacterial infection—such as redness, swelling, or pus discharge from the ear canal—it may be used after confirming no history of allergy. It inhibits bacterial growth and reduces inflammation. Dosage and treatment duration must strictly follow medical advice.

4. Ofloxacin Ear Drops: A topical antibacterial agent applied directly into the ear canal. It kills pathogenic bacteria in the ear and relieves pain caused by ear canal inflammation triggered by "shang huo." The ear canal should be kept clean before use, and the prescribed number of drops should be administered according to instructions.

5. Ibuprofen Sustained-Release Capsules: Provides antipyretic and analgesic effects. If ear pain due to "shang huo" is severe and interferes with daily activities, short-term use can help alleviate discomfort. Follow the recommended dosage and avoid combining with other similar pain-relieving medications.

Before taking any medication, it's important to determine whether the ear pain is associated with infection to avoid inappropriate or blind drug use. During treatment, drink plenty of warm water and maintain a light diet, avoiding spicy and greasy foods that may worsen "shang huo" symptoms. If pain does not improve within three days of medication, or if symptoms such as hearing loss or pus discharge from the ear occur, seek medical attention promptly.

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