Yunnan Provincial Hospital of Traditional Chinese Medicine/The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine since the clinic opened，A number of auricular point treatment methods have been widely developed，Such as ear massage, scraping, pricking blood, moxibustion and so on，It has obvious effect on insomnia, dreaminess, dizziness, tinnitus, cervical and lumbar diseases and other common clinical diseases and multiple diseases。

When a patient comes to the consulting room, the receiver must first perform an ear inspection, which is a very important link。Through the inspection of the ear, the patient's physique, personality characteristics, disease state and so on can be comprehensively analyzed and judged, which is helpful to the clinical diagnosis of the disease。

Take the most common cervical spondylosis in the clinic, we can understand the length, severity and specific lesion location and segment of patients with cervical spondylosis through the inspection of the beginning of the ear ring。In recent years, due to the popularity of the use of computers and mobile phones, the incidence of cervical spondylosis has shown a high incidence and younger trend。According to relevant statistics，The accuracy rate of diagnosis of cervical spondylosis can reach more than 80%，The diagnosis and treatment of cervical spondylosis is combined with the observation and palpation of the ear and the reduction of the corresponding parts of the cervical spine on the auricle by manipulation，It can improve the clinical treatment effect，Therefore, it has also received more attention from clinicians。  

 The use of auricular points to diagnose diseases has a long history in our country. As early as two thousand years ago, there was a clear record in the traditional Chinese medicine classic Huangdi Neijing, which was written, "To know the nature of the ear by seeing its likes and dislikes"。When the human internal organs or bodies are sick, there are often local reactions in certain parts of the auricle, such as tenderness, nodules, discoloration, deformation, and so on。

What about the varying degrees of distortion in the ear？The most common deformation is the bulge, including nodular, beaded, linear and strip, strip, large circular bulge and irregular bulge, let's take a look at it!

Nodular eminence, as small as the king does not leave a row of seeds or sesame grain size, as large as mung beans, soybeans, eminence above the skin, skin is mostly normal color, soft touch。Normal skin nodular eminence, commonly seen before headache;White nodular eminence, commonly seen in uterine fibroids, cervical spondylosis, hemorrhoids, mammary fibroma。Beaded eminance is a series of nodular eminance linked together in a beaded shape. It is commonly seen in motor system diseases, such as hypertrophic spondylitis and cervical spondylosis。The striated and linear eminence is hard, and it is more common in motor system diseases, such as cervical spondylosis, low back pain, joint pain, trauma and so on。Lamellated or round eminence is more common in diseases of digestive system, cardiovascular system and motor system, such as chronic superficial gastritis, chronic cholecystitis, abdominal distension, constipation, small intestine dysfunction, hepatosplenomegaly, heart enlargement, tumor, chronic lumbar muscle strain, chronic periodontal disease, temporomandibular arthritis, gynecology, myopia, etc。Irregular swelling is more common in motor system diseases, such as shoulder periarthritis, tennis elbow, golf elbow, trauma and so on。

Knowing this, I believe you will no longer feel that the ear inspection is so mysterious!By looking at the changes in the shape of the ear, we can have a preliminary judgment of the patient's condition。Of course, to achieve accurate inspection, it must be through a large number of clinical practice summary, in order to master this diagnosis and treatment method。

Text: Nie Chunhui, Chinese Medicine Characteristic Nursing Clinic, Nursing Department