Having otitis media with running water in the ear has the following conditions: 1. The tympanic membrane is not perforated causing local congestion and swelling, and the outflow of fluid called exudate can be solved by using antibiotic-type ear drops as well as oral antibiotics; 2. Otitis media is a purulent discharge from the middle ear cavity after the tympanic membrane is perforated, and it needs to be clarified whether this kind of otitis media is simply an acute attack of chronic otitis media or osteitis media with bone damage, or with bone destruction in the middle ear otitis media. If it is a simple otitis media, oral medication and ear drops can achieve the treatment purpose. If it is a middle ear infection with bone damage and further lesions in the middle ear cavity, the treatment purpose cannot be achieved through medication and surgery is needed. 3. Therefore, we must first clarify what causes the itching and running water in the ear, and then provide specific treatment according to the specific situation.