How is cerumen impaction treated?

Patient's question:

The front ear feels blocked and I can't hear well. When I went to the hospital for a check-up, it was found that there was impacted earwax. However, her ear canal is too small, and there is too much earwax, which the doctor couldn't remove. After soaking the ear with medication at home, it still wasn't completely removed, as if it was tightly stuck to the eardrum. Over the past few days, one ear has been aching and itchy. Using cotton swabs, I managed to extract some sticky liquid from the ear, but it had no smell. Could it have developed into otitis media?
A doctor mentioned that this condition might be due to excessive "liver fire" and heat, leading to ear inflammation. Is it possible that I was too exhausted while taking care of the child, frequently getting up at night, which damaged my liver and caused various health issues? Should I start by treating the liver? Please, kind doctors, help us!

Doctor's answer:

Hello, in this case, it's not about treating the liver. The concept of "liver fire" in traditional Chinese medicine (TCM) is different from the liver in Western medicine. However, if the female is indeed exhausted and overly stressed or anxious, traditional Chinese medicine still needs to be used to regulate her condition. For earwax blockage, it's necessary to continue using ear drops for soaking. Most ear pain is likely caused by ear drops, and middle ear inflammation is less likely. It can be observed and anti-inflammatory medications can be given.
Suggestions: It's recommended to consult a TCM practitioner for regulation. Some herbs that nourish yin and clear liver fire, such as Zhi Bai Di Huang Wan, can be taken for regulation.

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