Sliced Garlic treatment. Peel corm, leaving transparent epithelial-layer attached. Cut slice and shape it to cover the perforation; push it against the eardrum so that its cut surface hugs the perforation. Pack the external auditory meatus with an alcohol-moistened plug of cotton wool. Water must not enter the ear and forceful nose-blowing avoided. Replace Garlic slice once or twice a week until healing is complete. If middle ear becomes inflamed with excessive exudate, stop treatment and give an anti-inflammatory (such as Echinacea, author). Any exudation usually stops when treatment is discontinued. (Chinese Medical Journal, May 1977)