There are many reasons for the pain in both auricles, such as auricular perichondritis, neuralgia, auricular skin lesions and so on. 1. Auricular perichondritis: auricular perichondritis can cause pain in both auricles, usually due to secondary infection after injury to the auricular cartilage, which can show severe pain, redness and swelling, and even abscess formation in the later stage. 2. Neuralgia: acute contraction of bilateral auricular blood vessels after intense hot and cold stimulation can stimulate the local nerves to produce pain. 3. Auricular skin lesions: auricular folliculitis, sebaceous cysts, etc., can lead to localized pain, accompanied by redness and swelling of the lumps, and even pus spots can be seen. There may be other reasons for the pain in the two auricles, and it is recommended to go to the hospital in time to complete the examination and make a clear diagnosis after the symptoms appear.