Pain in the ear after being shaken by a very loud sound is considered to be caused by auditory allergy, which is often a precursor to hearing loss and can be treated with nerve-nourishing and vasodilating drugs. If it is a huge explosion or shock that causes perforation of the eardrum, there will be severe pain in the deep part of the ear at the moment of perforation of the eardrum, sudden hearing loss on the side of the perforation, accompanied by tinnitus and other symptoms, and often mixed deafness, which needs to be treated as soon as possible. If only auditory allergy is present, attention needs to be paid to avoiding noise stimulation, staying away from noisy environments as much as possible, and prohibiting ototoxic drug applications. In case of mixed deafness caused by tympanic membrane perforation without inner ear damage, if the tympanic membrane perforation cannot heal by itself, tympanic membrane repair surgery is feasible after three months. If the tympanic membrane perforation, accompanied by inner ear concussion injury, leads to mixed deafness, it is difficult to restore hearing. For the specific situation, it is necessary to go to the department of otolaryngology for examination before clear diagnosis and treatment.