Introduced a number of years ago, this formula is used for acute or chronic inner ear infection (otitis media). Ear infection appears with acute, sharp pain, and this formula addresses microbial infection with accumulation of turbid damp. Most MD-diagnosed ear infections that don’t show pain are due to upper respiratory infections and fever, where the ear canal will show as red. Those cases should respond to Children’s Clear and Release Formula. Ear infections with pain are effectively addressed by Children’s Ear Formula. 

Here, we begin by clearing turbid damp and phlegm from the inner ear. Huo xiang is the best herb for this, and it is reinforced with fu ling, qian hu, zhe bei mu and ban xia. Herbs that fight microbial infection include huang lian and lian qiao. Herbs that bring the formula to the inner ear include ju hua, bai zhi, and man jing zi. Borrowing from xiao chai hu tang, we combine chai hu, ban xia, and sheng jiang, which infiltrate the lymphatic system surrounding the inner ear. Chi shao is used to increase circulation in the inner ear and relieve pain. Collectively, the formula clears and descends turbid damp, clears heat, and resolves toxins. For acute, painful ear infection, with or without fever, the formula is appropriate and effective.

source: Golden Flower Chinese herb’s new line of Pediatric MediCinal syrups by Jake Paul Fratkin, OMD, LAc

Agastaches Herba (Chinese Giant Hyssop, Agastache / Huo Xiang) 10%
Poria (Poria, Hoelen, Tuckahoe / Fu Ling) 10%
Chrysanthemi Flos (Chrysanthemum / Ju Hua) 8%
Coptidis Rhizoma (Coptis / Huang Lian) 8%
Forsythiae Fructus (Forsythia / Lian Qiao) 8%
Paeoniae Radix, rubra (Chinese Peony, red / Chi Shao) 8%
Peucedani Radix (Peucedanum, Hog Fennel / Qian Hu) 8%
Angelicae Dahuricae Radix (Purple Angelica / Bai Zhi) 7%
Bupleuri Radix (Bupleurum Root / Chai Hu) 7%
Fritillariae Thunbergii Bulbus (Sichuan Fritillary / Zhe Bei Mu) 7%
Pinelliae Rhizoma Preparatum (Pinellia, ginger-cured / Zhi Ban Xia) 7%
Viticis Fructus (Simple-Leaf Chaste Tree Fruit, Vitex Fruit / Man Jing Zi) 7%
Zingiberis Rhizoma Recens (Ginger, fresh / Sheng Jiang) 5%

Liquids

Infants: 1-2 ml/cc

Age 1-2: 2-3 ml/cc

Ages 3-5: 4-5 ml/cc

Ages 5 and older: 6 ml/cc

1cc = 1ml = 0.2 tsp

Initial stages of an external invasion: It is most effective to give smaller doses frequently: ½ dose every hour or two.

Once the pathogen has settled in: T hat is, once the wei (defensive) qi is not engaged full force, it is usually better to administer a full dose 3-4 times a day.

For constitutional issues: A full dose twice a day is usually sufficient.

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