The heart of the ear, which may refer to the inside of the ear, a burst of stabbing pain, can be considered related to herpetic tympanitis, acute suppurative otitis media, external auditory boils and other ear diseases. 1. Herpetic tympanitis: it often occurs during the epidemic period of acute viral upper respiratory tract infections, the tympanic membrane as well as the skin adjacent to the external auditory canal can be inflamed, there is a confined accumulation of fluid below the epidermal layer of the tympanic membrane, which can cause deep ear pain, a tingling sensation or distension, and the ear pain can be alleviated after the rupture of the blisters. 2. Acute suppurative otitis media: acute suppurative inflammation of the middle ear mucosa often secondary to upper respiratory tract infections, the middle ear mucosa is congested and edematous, and the inflammatory exudate inside the tympanic cavity collects to increase the pressure of the tympanic cavity, which can lead to severe pain in the tympanic membrane, which is alleviated by the pain after the perforation of the pus. 3. External auditory canal boil: it is a limited otitis externa with inflammation of the hair follicles and sebaceous glands of the skin of the external auditory canal, occurring in the cartilage part of the external auditory canal, causing severe ear pain in the early stage, which can be aggravated by opening the mouth, and there is auricular pain in the ear screen and auricular involvement. Ear pain manifestation, it is recommended to go to the otolaryngology department of the hospital in time to identify the cause of the disease, the cause, symptomatic treatment.