Introduction: The body's official orifices are connected with the zang-fu organs, and the zang-fu organs are the external orifices of the human body, and the ears are the orifices of the heart and kidney. Ear diseases should be blamed on the heart and kidney, and the kidney is the main one, while the heart is the guest of the ear. Nerve deafness is a frequently-occurring disease, and it is also a intractable disease in modern medical treatment. Therefore, it is of great practical and social significance to actively explore and explore traditional acupuncture and new Chinese medicine treatments.
1. Nervous deafness is closely related to zang-fu organs and meridians in traditional Chinese medicine. The five zang-fu organs belong to yin, and the five zang-fu organs are connected with the official orifices.
In terms of meridians, the hand-sun small intestine meridian, the hand-shaoyang triple energizer meridian, the foot-shaoyang gallbladder meridian, the foot-Yangming stomach meridian and the hand-Yangming large intestine meridian are directly related to the ears. Although other meridians are not directly related, they are also combined with the yang meridian through meridians, and indirectly reach the ears. Kidney is the innate foundation, which holds the essence, and the orifices are the ears, and the water is the main qi. Most ancient physicians thought that tinnitus was closely related to the kidney.
The triple energizer meridian of shaoyang hand is connected behind the ear in circulation, and goes forward to the front of the ear along the apex of the auricle, and then enters the ear. The meridian also goes up in front of the ear. The symptoms also describe the burning sound in the ear after the onset of the triple energizer meridian. In the Moxibustion Classics of Foot and Arm with Eleven Veins, there are also sayings of "playing the ear" and its disease "producing deafness", while in the Moxibustion Classics of Yin and Yang with Eleven Veins, the Sanjiao Meridian is called "ear vein", "moving disease" is "deafness and radiance … is the main treatment of ear vein", and the disease "deafness" is also produced.
The lung is located in the upper jiao, which governs the qi of the whole body and manifests itself in descending, and it is directed at the pulse, and participates in the formation of the qi of the whole body, especially the generation of the ancestral qi. It is formed by the combination of the natural clear qi inhaled by the lung and the subtle qi of Shui Gu transported by the spleen and stomach, and walks all over the body through the function of regulating and manifesting the qi of the lung. In addition, the lung is directed at the pulse, which can infuse the ancestral qi into the heart, help the heart and promote blood circulation.
Second, there are many methods for treating tinnitus in Chinese medicine, and the curative effect can often be reflected in clinical treatment
1. Ancient prescription treatment
Shugan and Tongluo decoction combined with Liuwei Dihuang decoction were used to treat nervous deafness with deficiency of kidney essence, and the results showed that the total effective rate was 8%, which showed that the combination of the two methods had a more significant effect than using Erlong Zuo Ci Pill alone. Nerve deafness can be treated by using the ancient prescription Zhigancao Decoction and Longdan Xiegan Decoction combined with acupuncture and hyperbaric oxygen.
tinnitus with deficiency of kidney essence was divided into two groups. The control group was treated with western medicine and hyperbaric oxygen chamber, while the observation group was treated with Bushen Huoxue recipe. Not only was the total effective rate of the observation group significantly higher than that of the control group, but the recurrence rate was significantly lower than that of the control group. 4 cases of nervous deafness were treated by Buzhong Yiqi Decoction combined with modified ventilation powder, and the total efficiency was as high as 9%. It was recorded that after a typical case of spleen and stomach weakness was cured, there was no recurrence of tinnitus and no obvious toxic and side effects during one year's follow-up.
Traditional Chinese medicine self-made prescriptions are summarized by various doctors on the basis of predecessors' theories and long-term clinical practice, and the clinical efficacy is often difficult to reflect in clinical treatment. Jieyu anshen decoction was used to treat nervous tinnitus caused by hyperactivity of liver-fire. After one month, the patient complained that tinnitus was relieved, and her condition improved after half a year. Self-made Qinger decoction combined with painless fine needle knife was used to treat damp-heat nervous deafness. After treatment, the total efficiency was as high as 9.63%, and there were few adverse reactions.
2, Chinese patent medicine treatment
Chinese patent medicine is the extract of Chinese herbal medicine, which is the most essence and purification of Chinese medicine. Its advantage is more convenient and concise use, and its therapeutic effect is remarkable. In the study of treating sudden deafness and tinnitus with Wuling capsule combined with hyperbaric oxygen on the basis of basic treatment, it is clearly pointed out that Wuling bacterial powder, the effective component in Wuling capsule, protects brain cells and regulates neurotransmitters, thus improving the symptoms of tinnitus.
Chinese medicine foot bath combined with trachea, nerve nutrition, Chinese medicine and acupuncture treatment proved that Chinese medicine foot bath can obviously improve the sleep quality of tinnitus patients, thus reflecting the holistic characteristics of Chinese medicine in treating diseases and preventing diseases, and achieving the effect of treating tinnitus. On the basis of predecessors' experience, tinnitus was treated with dialectical traditional Chinese medicine earplug capsule.
Tinnitus No. capsule and Tinnitus No.1 capsule are suitable for tinnitus patients with kidney essence deficiency and liver fire disturbance respectively, and the effect is good. This method avoids the pain of patients taking drugs orally and injecting drugs, brings convenient treatment methods to patients, and also achieves corresponding curative effects.
3. Acupuncture therapy
Treating senile sensorineural tinnitus with local acupoint selection and dialectical acupoint matching, and taking ipsilateral acupoints for tinnitus in one ear and bilateral acupoints for tinnitus in both ears, the clinical effective rate is 92%, which is better than that of Sibelium group in terms of tinnitus degree score, hearing threshold and loudness improvement. The tinnitus of senile tinnitus patients is obviously relieved, satisfactory, economical and cheap, and the quality of life is obviously improved.
The method of tonifying the kidney, calming the heart and nourishing the brain should be combined with deep and harsh acupuncture points at Zhouqi, and the method of "fast twisting into the needle" should be adopted to adjust the whole, treat both the symptoms and root causes, and achieve certain results. Acupuncture at "Old Ten Needles" and "Four Shens" was used to treat this disease, while the control group was treated with oral western medicine. After the treatment, it was found that the severe intensity of tinnitus in the acupuncture group decreased even more, and the curative effect was 2% higher than that in the western medicine group.
The tinnitus of liver and gallbladder fire type was treated with deep piercing point and listening point combined with electroacupuncture. After two months of treatment, the total effective rate was 9.32%. It was pointed out that increasing electroacupuncture could obviously relieve the symptoms of tinnitus patients of liver and gallbladder fire type and improve their hearing. Acupoint catgut embedding combined with abdominal acupuncture was used to treat tinnitus of spleen and stomach weakness, while the western medicine group took the medicine orally. After one course of treatment, the clinical efficacy of the treatment group was better than that of the western medicine group, and the tinnitus degree of the treatment group was significantly lower than that of the western medicine group.
reflects its unique advantages of good curative effect and safety. Compared with common acupuncture points, the curative effect of the acupuncture group in the middle and after the course of treatment is higher than that of the body acupuncture group, and the THI score is also obviously reduced, which fully shows that the acupuncture group has strong advantages in treating tinnitus and is suitable for patients of many ages.
Yang Jicheng's "Acupuncture Dacheng" was combined with Bo's abdominal acupuncture to treat nervous tinnitus of kidney deficiency type, while the other group only used Yang's "Aural Deficiency Prescription". Both groups had certain clinical effects and could also improve the THI score and severity. The former group was superior to the latter group in these three aspects and had more advantages in improving comprehensive clinical symptoms. In the case of auricular point pricking and bloodletting to treat tinnitus with hyperactivity of liver and gallbladder, the tinnitus disappeared after pricking and bloodletting at auricular point, and there was no recurrence in the follow-up.
4. Moxibustion therapy
The combination of reed tube moxibustion and acupuncture in treating nervous tinnitus has brought into play the special advantages of reed tube moxibustion in treating ear diseases, which not only achieved excellent clinical therapeutic effect, but also promoted the popularization of traditional therapy. Because of the special occupational environment of seafarers, the probability of tinnitus is increased. Therefore, the method of soothing the nerves and soothing the liver is used to select acupuncture points and cooperate with local application of reed tube moxibustion. The results show that it can effectively improve clinical symptoms for a long time.
The curative effect is exact, which can adjust the mood and improve the quality of life of seafarers. The external treatment of traditional Chinese medicine with thunder-fire moxibustion is used to treat tinnitus patients except phlegm-fire, liver-fire and wind-heat, which gives full play to the advantages of thunder-fire moxibustion, such as strong vitality, sufficient medicine, strong penetration and large moxibustion area, promotes the operation of qi and blood in the ear and the whole body, reduces the degree of tinnitus and improves the negative emotions of patients, and has outstanding curative effect.
For tinnitus patients with phlegm and blood stasis, thunder-fire moxibustion combined with acupuncture is used to treat tinnitus. After acupuncture at Binauricular, Tinggong, Tinghui, Yifeng, Fenglong, Xuehai, Zhongzhu and Sishencong points, both sides of Tinggong points are treated with thunder-fire moxibustion, and the tinnitus severity score and tinnitus disability score are reduced, with no obvious adverse reactions, and the price is low.
For patients with tinnitus due to liver and kidney deficiency, acupuncture related points, warm acupuncture at Tinggong point after the patient feels acupuncture sensation, and taking carbamazepine tablets at the same time, the effect of the two combined treatments is far better than that of carbamazepine tablets alone, giving full play to the dual advantages of warm acupuncture and moxibustion.
Warm acupuncture is adopted at the main point, and biofeedback psychological and behavioral therapy is also carried out at the same time, which can adjust the patient's own state and stabilize his mood, and at the same time, warm acupuncture can weaken tinnitus symptoms, and both of them can play the role of stopping tinnitus. In addition to the above moxibustion methods, the infrared therapeutic instrument of bird-pecking moxibustion is used to treat idiopathic tinnitus. Based on the theory of traditional bird-pecking moxibustion, it is expanded, thus creating a convenient and effective treatment method and avoiding the shortcomings of traditional bird-pecking moxibustion.
Experience acupuncture and Yongquan moxibustion are used to treat tinnitus due to deficiency of kidney essence. The acupoints are distributed in the head, chest, abdomen and limbs, aiming at regulating the functions of qi and viscera. Yongquan moxibustion aims at warming the body, reducing fire and invigorating qi, so as to clear the yang, raise the body and nourish the ear and orifices. Although there are few clinical observation samples, it is always one of the treatment methods.
5. Combined therapy
The short-term and long-term therapeutic effects of Cong 'er Tongqiao Decoction combined with auricular acupuncture on senile tinnitus are guaranteed, and the hemodynamic indexes show that the combined therapy can improve the inner ear microcirculation disorder in elderly patients with high safety. Tinnitus was treated with Chaihu plus Longgu Muli Decoction combined with acupuncture. After the treatment, it was concluded that traditional Chinese medicine could strengthen the curative effect of acupuncture on tinnitus, but it would take time to prove the long-term effect.
He-Ne laser irradiation was performed after acupuncture at the affected points of auricular lobe, auditory palace, auditory meeting, rate valley, Yifeng and Zhongzhu. The total effective rate was about 86.67%, and the treatment method was novel and effective. After lidocaine, VB12 and ligustrazine were mixed, stellate ganglion was blocked with water needle knife, and tinnitus was treated with traditional Chinese medicine.
The effect is quick, the course of treatment is short, and the effect can quickly restore the function of the auditory system and achieve satisfactory results. After acupuncture at acupoints based on syndrome differentiation, the compound Danshen injection was infiltrated into inner ear cells by using the stereo effect of audio frequency vibrator, so as to achieve the therapeutic effect of lowering the hearing threshold and relieving symptoms of patients.
6, other methods of treatment
For the patients diagnosed with tinnitus, massage combined with acupuncture was performed. After acupuncture, the acupoints around the affected ear and the dizzy hearing area of the head were massaged. After the course of treatment, the tinnitus disappeared in a short time, the quality of life was improved, and the curative effect was better. Acupuncture and massage are used to treat tinnitus, while massage is used to treat tinnitus. The acupuncture points around the ear are treated 66 times, and then the ear holes are slightly shaken with the palm for 3 6 times, which can also improve the clinical symptoms of tinnitus.
The five basic scales of China ancient music are Gong, Shang, Jiao, Zheng and Yu, which correspond to the five zang-organs of the human body, respectively. Five-tone therapy (five-element music therapy) is a treatment method of selecting songs to treat diseases according to the correspondence between five musical sounds and five zang-organs.
According to patients with tinnitus of different syndromes, choosing five-element music tracks suitable for patients and listening to them while moxibustion along the triple energizer meridian can not only adjust patients' negative emotions, but also enhance the therapeutic effect. In view of deficiency tinnitus, we choose the music with the principle of "golden water" in the "feather" tune, listen to it at the best time, and carry out drug drip and acupoint massage treatment. After the treatment, the patient's mood is obviously improved and the cure rate is improved.
It has no toxic and side effects and high acceptance, which is worthy of clinical promotion. Zhuang medicine is one of the traditional Chinese medicine, which has a long history, simple and rich theory and exact curative effect. Among them, acupuncture and moxibustion of Zhuang medicine also has certain advantages in treating tinnitus. It is a relatively novel treatment method to dredge the three channels of Zhuang medicine, regulate qi and blood, and treat both symptoms and root causes.
Mongolian medicine, as a traditional medical method with national characteristics in China, thinks that otopathy is tinnitus caused by the imbalance of "three elements" and "seven elements" in the ear after "Heyi" disease becomes "Badagan". Based on the theory of Mongolian medicine, oral Mongolian medicine combined with acupuncture point massage and moxibustion around the ear and oral nimodipine, compared with oral nimodipine alone, the total efficiency of Mongolian medicine treatment group can reach 81.8%, and it can treat both the symptoms and root causes, with quick response, low recurrence rate and reliable curative effect, which deserves our attention.
Conclusion: To sum up, under the obvious circumstances that western medicine treatment has great toxic and side effects, many adverse reactions, temporary solution but not permanent cure, and the overall, medium and long-term curative effect is not satisfactory, the treatment of neurological deafness with traditional Chinese medicine has shown many advantages: the treatment methods are colorful and various; Among them, acupuncture and moxibustion therapy is particularly prominent in that traditional Chinese medicine is taken orally, with reliable curative effect, temporary solution and permanent cure, and no toxic and side effects, and also has a good regulating effect on the negative emotions, insomnia and other symptoms associated with nervous deafness.