Tinnitus treatment: comprehensive treatment to get rid of tinnitus
The formation basis and factors of tinnitus are mentioned above, and the Chinese medicine treatment of tinnitus is also developed from there. In the past, there was a common proverb among the otorhinolaryngologists that “three inflammations and one deafness, but no success in labor (treatment)”, which shows the difficulty of tinnitus treatment. In recent years, we have systematically treated nearly 1,000 patients from the perspective of Chinese medicine as a whole, and have been deeply impressed. On the one hand, we deeply appreciate the pain of tinnitus patients, and on the other hand, we feel that Chinese medicine treatment for tinnitus must change some of the previous concepts and adjust the patient’s mind and body as a whole in order to better solve the patient’s problems.
1.Two types of people are prone to tinnitus and deafness
The main point is that the treatment of tinnitus and deafness patients should not only focus on the second ear, the same environment, why some people develop the disease and some do not, it is related to the patient’s susceptibility. Clinically, patients with tinnitus and deafness can be broadly classified into two types of people in terms of their physique.
We liken them to “Antarctica”, lacking both yin and yang, dry and stagnant, mostly with yin and yang deficiency, yin deficiency and yang hyperactivity, dampness and stagnation, and on the basis of the evidence of Chinese medicine, we must pay attention to psychological guidance.
Typical case
A female patient, 57 years old, had persistent tinnitus in both ears after catching a cold six months ago, and felt a blockage in both ears, dizziness, and increased after exertion, and she felt nervous and anxious.
In fact, from the Chinese medicine point of view, it is the external wind and cold that enter the body and turn into heat, which is stored in the body for a long time and consumes yin and hurts the essence, resulting in the dysfunction of the five organs, internal stasis of blood, Yang Qi cannot be dispersed, and Yin deficiency and Yang hyperactivity. Through anti-anxiety and psychological counselling, the patient’s emotion gradually stabilized and actively cooperated with the treatment, and it did take nearly three months of treatment for the tinnitus to improve.
This type of patient is relatively easy to treat. We liken it to the “Northern Ice Ocean”, which is mostly due to the deficiency of yin and yang, and internal evil such as dampness, stagnation, phlegm and drink, which are intertwined in the body. In order to get rid of the “real”, it is necessary to consolidate its Yang, dispel its stasis, and disperse its drink (phlegm).
Typical case
A male patient, 29 years old, had persistent tinnitus with no obvious cause two years ago, the left side was louder, with a moderate pitch, like the murmur that occurs when playing TV, dizziness, lumbar i, fear of cold in winter, dark red tongue, fatty moss, thin yellow greasy pulse, and deficiency from Chinese medicine, I gave him a formula commonly used for treating frostbite, “Angelica Sinensis Si-wei Tang I gave him a formula commonly used for treating frostbite, “Danggui Sihui Tang”, together with some pacifying liver and Yang medicines and kidney tonics.
2. Why is it difficult to treat the right ear easily in the left ear?
The occurrence of tinnitus is related to the occlusion of the ear orifice caused by many reasons, and why it is easy to treat the left ear and difficult to treat the right ear is to be explained by the doctrine of meridians. Chinese medicine believes that the human body is a small universe connected to nature by the five internal organs and the twelve meridians of “three yang (sun, yangming and shaoyang)” and “three yin (shaoyin, taiyin and syncope)”. “lung main hand Taiyin meridian”, “gall bladder main foot Shaoyang meridian” and so on. Their sequential connection, each other, contact with the internal organs, the internal flow of the meridians, open and close, in order to maintain the normal physiological functions of the body.
In the “Yang Gate” which is responsible for the three Yang meridians, the pivot theory (pivot means door axis, the main division of the door opening and closing) considers the foot Shaoyang Bile meridian as its pivot, because in the Yang Gate, the role of the Sun meridian is to “open the door”, with the Sun’s main opening function activated, the Yang Gate opened, the Yang Qi can gradually rise and release. Yang Qi can gradually rise and release, Yang Qi aspects of the role can be given full play, but the Sun open to a certain extent, and a closing mechanism, so that the Yang door gradually closed, that is, the Yang Ming meridian, the opening and closing of these two rely on Shaoyang this “door axis” rotation to carry out. Since there are left and right meridians in the body, the left side of Shaoyang is responsible for the opening of the Sun, while the right side of Shaoyang is responsible for the closing of Yangming.
Clinical tinnitus on the left side is mostly due to “unfavorable pivot”, i.e. the “switch function” of the foot Shaoyang meridian, which is dominated by the bile, is out of order. Since the liver meridian, which is dominated by the foot sympathetic yin meridian, and the bile meridian are connected to each other, the pathophysiology of the two often affect each other. Therefore, tinnitus on the left side is mostly related to wind-heat and hyperactivity of liver yang in the liver meridian, and it mostly occurs on the basis of the deficiency of both yin and yang.
Therefore, tinnitus on the right side is mostly caused by the failure of clear qi to rise, accompanied by the weakness of yin and yang qi and blood, and the blockage of phlegm, dampness, stagnation and blood, so the treatment must be based on removing the blockage, regulating its yin and yang, and benefiting qi to rise clear in order to achieve results, which takes relatively longer. It takes a relatively long time.
3.What is the difference between tinnitus and tinnitus?
Tinnitus is a sensation of ringing in the skull, but unlike tinnitus, it has no clear location and is most common in the elderly and infirm. As Yang rises and Yin falls to maintain the balance of Yin and Yang in the body, just like in nature, once the two go wrong, such as clear Yang does not rise and turbid Yin does not fall, the pattern of upper real and lower deficiency will be formed. “This is the mechanism of cerebral tinnitus. “If the disease is in Yin, help Yang to suppress Yin; if the disease is in Yang, use Yang to transform Yin”, so it can be seen that the treatment should focus on helping Yang and replenishing Kidney Yang, so that Kidney Yuan can return to its place.
Typical case
A 76-year-old male patient with a past history of “prostate hypertrophy”, five years ago, no obvious cause of the brain roar, can not distinguish the location, he described as a motor sound, check the hearing is also significantly reduced, the whole day for head swelling, frequent night urination, light dark fat tongue, thin greasy moss pulse deficiency.
Yang is the driving force behind the activities of the internal organs, and Qi is the movement of Qi in and out. Without Yang, the disease is bound to linger, and it is difficult to get rid of it. The key is to tonify the kidney and help Yang, and to eliminate stasis, dispel dampness and move Qi.
4.The nature of tinnitus for reference
The treatment of tinnitus and deafness in Chinese medicine must be divided into new and long-standing deficiency and reality.
Theoretically, tinnitus due to wind-heat is a new disease with superficial evidence; tinnitus due to liver-fire is associated with emotions; tinnitus due to phlegm turbidity is often accompanied by vertigo, which is sometimes light and sometimes heavy, and boredom. However, in practice, it is often a combination of wind-heat, liver-fire and phlegm on top of the deficiency of yin and yang (body deficiency), and most of the phlegm and dampness and stasis are intertwined. Therefore, clinical diagnosis and treatment must be especially important to “see the essence through the phenomenon”, the main cause is the key to the effectiveness of treatment, even if the main cause is clearly distinguished, the treatment must also “judge the situation” with the changes of the twenty-four seasons, for example, the spring is more liver fire, and the small full is more phlegm turbidity, the prescription For example, in the spring, there are more liver fires and in the small full, there are more phlegm and turbidity.
5. Early treatment of tinnitus is effective
We found from the data of the patients treated clinically that if the tinnitus and deafness occurred within six months, excluding factors such as age and the original disease, the effective time, the effective rate or the healing rate of the Chinese medicine evidence-based treatment is significantly greater than that of patients with a longer duration of illness, which is related to the degree of mutual knotting of phlegm and dampness and stasis due to the internal invasion of the six foreign invasions. The longer the disease, the more the external evil invades, the more the phlegm and dampness and stagnation of qi and blood are glued together. In turn, the deficiency of yin and yang qi and blood cannot dispel the evil outside, so the deficiency is mixed with the reality, the body is deficient and the evil is real. The patient becomes more and more anxious, nervous, irritable and restless at night, and is unable to live his daily life, which is not conducive to social harmony and stability. In this case, the treatment should first adjust the state of mind, then gradually adjust the yin and yang qi and blood, activate the blood and dampness, and warm the phlegm and drinks before recovery can be achieved.
Typical case
I once saw a pair of sisters on the same day. The sister was 48 years old and the sister was three years younger, both with tinnitus in the right ear.
6.Injection and medication together can increase the effectiveness
The essence of tinnitus and deafness is the occlusion of the ear orifice, and the effect of acupuncture is more ideal in the early stage of treatment, but since the disease does not attract the patient’s attention at the beginning, it takes a longer time to start treatment. The acupuncture points around the ear and the head and neck, such as cataract, wind pool, ear gate, hearing palace, complete bone, rate valley, and Baihui, are the main points. Manual application of breathing tonic method can receive better results. Acupuncture point injection of B12, dexamethasone and other water injection therapy also has a positive effect.
Because acupuncture in the local, more targeted, through acupuncture direct relief of external evil, stagnation, if combined with Chinese medicine benefit Yin and Yang, regulate the essence of blood, the use of medicine, the use of acupuncture accurate than simple Chinese medicine efficacy. However, some contraindications to the use of needles must be excluded, such as thrombocytopenia, dizziness needles, etc. There are patients who have not been treated with traditional Chinese medicine for a long time, but with acupuncture, tinnitus is quickly reduced.
In the process of acupuncture and medicine treatment, we must pay attention to mental conditioning, keep a relaxed mood, avoid excessive depression or anger, strengthen physical exercise, enhance physical fitness, maintain abundant activity energy, increase the body’s immune system, and quit smoking and alcohol. Most will have significant improvement or healing.
7, medicine and food sharing should be advocated
China’s earliest medical book “Yellow Emperor’s Classic of Internal Medicine” said: “big poison cure, ten to its six, often poison cure, ten to its seven, small poison cure, ten to its eight, non-toxic cure, ten to its nine, grain, meat, fruits and vegetables, food and nutrition to the end.” That is to say, diet cures disease cure ten. There is another principle in the theory of traditional Chinese medicine, called “medicine and food of the same origin”, that is, many foods, it is both food and medicine. As mentioned above, “the kidneys open the ears”, so some foods that can nourish the kidneys can help many tinnitus and deafness patients to consolidate their treatment. Here are some recommended dietary remedies for tinnitus and deafness
Pig kidney.
It is the kidney of the pig of the pig family, commonly known as pig loin. According to Chinese medicine, pig kidney is salty and flat in nature and enters the kidney meridian. It has the function of warming the kidney and benefiting the qi, moving the qi and promoting water. It is suitable for kidney deficiency and waist pain, body and face edema. Spermatorrhea, night sweating, tinnitus, deafness, etc. Nutritional analysis shows that this product contains protein, fat, sugar, thiamine, vitamin B1, ascorbic acid, niacin, etc.
(1) Pork kidney and walnut porridge: a pair of pork kidney, 2 walnuts, 15 grams each of ginseng and fenugreek, 2 white onions, 50 grams of rice and a pinch of salt. First, the pig kidney to remove the fascia, cut open and wash, cut fine; walnuts fried research; ginseng, wind research as a fine powder; white onion finely chopped. Then take the rice and boil the porridge, then mix in the pig kidney, walnuts, etc., and cook until the porridge is cooked, mix in salt to eat. It can nourish the kidney, benefit the qi, and make the ears intelligent. It is suitable for deafness and deafness caused by deficiency of kidney energy and tinnitus.
(2) Eucommia lumbaris: 15 grams of Eucommia, 250 grams of pig kidney, and the right amount of seasoning. Wash the pig kidney, remove the shameful gland, cut it into small squares with a knife, and then cut into strips; decoct the eucommia in water to get about 50 ml of juice. Take half of it and mix with cooking wine, starch and refined salt; the other half add sugar, soy sauce, vinegar and starch and shake well. Heat vegetable oil in a pot, then stir-fry pepper, then stir-fry pork kidney, onion, ginger, garlic, etc., and then pour in the seasoned eucommia juice, stir-fry until cooked. It can nourish the liver and kidney, strengthen the muscles and bones, and lower blood pressure. Suitable for kidney deficiency deafness, lumbago, seminal emission, night sweating, hypertension, waist and knee pain, tendon and bone impotence, etc.
Deer whip.
It is the penis and testicles of the deer or horse deer, family Deer. According to Chinese medicine, deer whip is sweet, salty and warm in nature and enters the spleen, stomach and kidney meridians. It has the function of tonifying the kidney and strengthening the yang, producing essence and filling the marrow. It is suitable for kidney deficiency and tinnitus, impotence, spermatorrhea, women with cold and infertility in the uterus, soreness and weakness of the waist and knees.
(1) Deer whip porridge: 1 deer whip, 60 grams each of cistanches and rice, and appropriate amount of seasoning. Soak the deer whip, cut open, wash, slice; decoction of Cistanches in water to get juice, remove the dregs, add rice, deer whip cooked into a thin porridge, add minced ginger, salt, scallions, MSG seasoning to eat. It can warm Yang and benefit the meridians. It is suitable for tinnitus caused by kidney yang deficiency.
(2) deer whip and fish soup: 1 deer whip, 1 fish, seasoning appropriate amount. The deer whip along the urethra cut open, clean, sliced; Yuan fish to remove intestinal miscellaneous, cut into 4 large pieces, placed in the same pot, add an appropriate amount of water to boil, mix in onions, ginger, pepper, salt, cooking wine, etc., stewed over moderate heat until cooked, seasoned with salt to eat. It can nourish Yin and replenish Yang. It is suitable for tinnitus in people with deficiency of both yin and yang.
Black sesame.
It is the dried and mature seeds of the fatty sesame plant, family Fatty Sesame. According to Chinese medicine, it is sweet and flat. It belongs to the liver, kidney and large intestine meridians. It has the function of tonifying the liver and kidney, benefiting the essence and blood, and moistening the dryness of the intestines. It is used for dizziness, tinnitus and deafness, premature graying of the hair, hair loss after illness, and constipation after intestinal dryness. Stir-fry, grind coarsely, add appropriate amount of sugar and mix well. Take 1-2 spoonfuls each day at bedtime and in the morning, but also for a long time. Not suitable for people with uncomfortable stools. If you have habitual constipation, this formula can also be used to treat it at the same time, and it is effective.
Mulberry.
It is the dried fruit spike of the mulberry plant of the mulberry family. According to Chinese medicine, it is sweet, sour and cold. It belongs to the heart, liver and kidney meridians. It has the function of nourishing the blood and nourishing the yin, generating fluid and moistening dryness. It is used for dizziness and tinnitus, palpitations and insomnia, premature graying of the hair, thirst and blood deficiency and constipation. Food therapy is mostly consumed directly washed during the harvesting season from April to June.