In Karna Vidradhi, the treatment prescribed for Vidradhi should be done, prepared by emesis therapy. In Kshata Vidradhi, treatment should be done advocated for Karnashula which is caused by Pitta.
अर्शोऽर्बुदेषु नासावत् आमा कर्णविदारिका । कर्णविद्रधिवत्साध्यायथादोषोदयेन च ॥३७॥
In Arshas and Arbuda of the ears, the treatment prescribed for those diseases of the nose (chapter 20) should be done. The unripe Karnavidarika should be treated similar to Karna Vidradhi, considering the predominant dosha.
पालीशोषेऽनिलश्रोत्रशूलवन्नस्यलेपनम् । स्वेदं च कुर्यात्स्विन्नां च पालीमुद्वर्तयेत्तिलैः ॥३८॥
In Palishosha, nasal medication and application of paste are the same as prescribed for Karnashula of Vata origin. The pinna should be lubricated, fomented and after fomentation, it should be massaged with (the powder of) tila – Sesamum indicum,
priyālabīja – seeds of Buchanania lanzan, yaṣṭi – Glycyrrhiza glabra and hayagandhā – Withania somnifera along with yava-Hordeum vulgare seeds. Then, fats (medicated ghee or oil) which are nourishing should be anointed daily.
शतावरीवाजिगन्धापयस्यैरण्डजीवकैः । तैलं विपक्वं सक्षीरं पालीनां पुष्टिकृत्परम् ॥ ४० ॥
Oil cooked with śatāvarī – Asparagus racemosus, vājigandhā – Withania somnifera, payasyā – Impomoea paniculata, eraṇḍa – Ricinus communis and jīvakaiḥ – Malaxis acuminata added with cow milk is best to nourish the pinna (ear lobe).