Acute otitis externa, mainly due to bacterial infection causing redness, swelling and pain in the local skin of the ear canal, can be treated by applying antibiotic ear drops and systemic oral or intravenous antibiotic infusion for anti-inflammatory treatment under the guidance of a clinician. 2. Herpetic tympanitis, more common in children, is mainly due to viral infection. It is mainly caused by viral infection and can be treated clinically with local pain relieving ear drops and oral antiviral drugs. Some patients can also take oral antibiotics for common treatment if there is bacterial infection.3. Pain in the tympanic membrane caused by acute otitis media is very obvious in the early stages, and once the tympanic membrane is partially perforated and pus flows out, the pain will disappear significantly.