Acute suppurative otitis media is the acute suppurative inflammation of mucosa of middle ear. The site of pathological changes mainly lies in the tympanic cavity and often involves the auditory tube, antrum tympanicum and mastoid process as well. The disease is a frequentlyencountered disease and susceptible to onset as the complication after the recovery from acute rhinitis, acute nasopharyngitis, and acute tonsillitis, etc. Children are liable to the disease. The main pathogenic bacteria are pneumococci, hemophilus influenzae, hemolytic  streptococcus, and staphylococcus, etc. The disease is called "Nong'er" (otitis media suppurativa) in TCM. When pathogenic wind and heat stir the fire of the liver and gallbladder, the fire will rise to scorch the ear, giving rise to the disease in most cases.