सशोफक्लेदयोर्मन्दश्रुतेर्वमनमाचरेत् । बाधिर्यं वर्जयेद्बालवृद्धयोश्चिरजं च यत् ॥३१॥
When accompanied with swelling and exudation, the patient of poor hearing should be given Vamana (emesis therapy). Deafness found in children and the aged and that persisting for a long time should be rejected.
In Pratinaha, the ears should be made humid by sneha (lubrication) and sveda (fomentation). Then cleaned with Karnashodhanaka (ear scoop) followed by filling the ear with oil
This treatment holds good even when the ears are full of mala (exudation). In case of itching, nasal drops etc., which mitigate Kapha should be administered. Similarly, so even in swelling, the ears should be given a coating (external) with the paste of herbs which are pungent and hot.
In Putikarna and Krimikarna, the treatment prescribed for Karnasrava should be done. In Krimikarnaka, filling the ear with Katu Taila (mustard oil) is especially beneficial.