Non-suppurative otitis media is also known as cicatricial otitis media, exudative otitis media, plasma otitis media, secretory otitis media, and pus ear. These are named according to their different pathological processes. This disease mostly occurs in children. It is the main lesion affecting hearing. Non-septic otitis media is similar to the symptoms of ear distension, stroke deafness, wind deafness and ear closure in Chinese medicine. Due to the physiological differences between children and adults, the treatment is more difficult. According to the author’s clinical practice experience. Talk about the treatment of pediatric non-purulent otitis media. 1, the beginning of the disease: children at the beginning of the disease is mostly related to the wind evil attack. Suffering from this disease is often combined with nasal congestion and runny nose, cough and other evidence of lung defense. (1) Wind-cold binds the lungs type: add and reduce with Jing, Fang, Qiangtian, Qianhu, Poria, stiff silkworms, ephedra, Rhizoma Ligustici Chuanxiong, Shenquan, licorice. The dosage varies with age. ② Wind-heat against the lungs type: add and subtract Yin Qiao San: honeysuckle, forsythia, platycodon, rehmannia root, light bamboo leaves, Hang Chrysanthemum, antifungal, antecedent, dry diclofenac sodium, cicada slough, calamus, licorice and so on. In the early stage of non-purulent otitis media. With the local use of nose drops (Chinese medicine nose drops, containing goose grass, ephedrine) nose drops, it can be cured within a few days. 2, the disease of the middle: ① damp phlegm blocking lung. Qi not unimpeded type: use two Chen Tang plus mixed: French half-summer, Chen Pi, Poria, raw Coix lacryma, Xiang Fu, Acorus calamus, Xinyi flowers, diarrhea, weaving shells, licorice. ② damp-heat internal. Disturbance of the clear orifices type: to clear the heat and dampness to clear the orifices Cheqian grass, Sangbai Pi, Drabanemerosa hebecarpa, Huang Ling, Xinyi flowers, Chaihu Zedoary, Dilong Gan, Rhizoma Ligustici Chuanxiong, Acorus calamus, and so on. 3, the late stage of the disease: with the development of the disease to the late stage, can be divided into two kinds of conditions. First, non-purulent otitis media after a period of treatment. The disease gradually improve. Hearing began to recover, this period should be the recovery period. The diagnosis is: weak internal organs, ear orifice loss of nourishment Treatment is recommended to tonify the lung, spleen and kidney. Proposed Yi Jian Tong formula: Codonopsis pilosula (or Radix et Rhizoma Ginseng), Rhizoma Atractylodis Macrocephalae, Rhizoma Atractylodis Macrocephalae, Radix et Rhizoma Polygoni Multiflori, Semen Cuscutae, Rhizoma Polygoni Multiflori, Rhizoma Polygoni Multiflori, Rhizoma Polygoni Multiflori. Secondly. If the disease is prolonged or recurrent. The evil poison stagnates in the ear and blocks the veins. Qi stagnation and blood stasis. Hearing loss is difficult to recover. The formula of Tongqi San with added flavor is Bupleurum, Rhizoma Ligustici Chuanxiong, Xiangsui, Dampi, Safflower, Maodongqing, Peach Kernel, Dangshen, Atractylodes Macrocephalae, Xian Lingxiao, Glycyrrhiza Uralensis. Because the child has been sick for a long time, the positive qi must be weak. And blood products are easy to consume the vital energy. Therefore, it is appropriate to drink qi and kidney products to prevent injury to the generation too much. Non-septic otitis media children have a higher incidence. Often due to failure to treat the wrong treatment and lead to long-term hearing loss is difficult to recover. To affect the children’s life, learning. Even the change of temperament. Chinese medicine in the treatment of pediatric otitis media has a certain superiority, traditional Chinese medicine to overcome the children on the western medicine of various treatments. Such as tympanic membrane puncture fluid extraction, Eustachian tube ventilation, middle ear tubes and other fears and avoid the various side effects of Western medicine is easier for children and parents to accept, and no sequelae, complications Due to the non-purulent otitis media in the development of the disease at different stages of the pathological changes are different, the clinical manifestations are also different. Clinical manifestations are also different. Therefore, the treatment should not be a method of a drug and the end, but should be based on the disease of the flexible use of evidence-based metallurgy, the whole and local combination, in order to obtain the best therapeutic effect.