The outer ear may look warm and pink, and the eardrum can slightly bulge. The person is very sensitive to everything, especially cold and drafts, and may feel extremely vulnerable and touchy. An earache that feels much better when warmth and pressure are applied suggests a need for this remedy. The pain may be mostly neuralgic, with little evidence of fluid or infection. The ear may be hot and swollen, with a feeling that something is pressing out.
Pain can be worse in the evening and at night, as well as worse from heat, with a pulsing sensation.
Deep itching may be felt inside, especially if ear infections are chronic. A child needing Pulsatilla usually is sad and tearful, wanting to be held and comforted. In addition, instructions for use are usually printed on the label. If improvement is seen, continue to wait and let the remedy work. If improvement lags significantly or has clearly stopped, another dose may be taken.