31. Tinnitus and deafness
Definition
Tinnitus---the subjective sensation of hearing a ringing or buzzing sound in the ear.
Deafness---partial or complete loss of hearing
Relevant Diseases Of Western Medicine
1. Otitis media--- inflammation of the middle ear, occurring commonly in children as a result of infection and often causing pain and temporary hearing loss.
2. Labyrinthitis---inflammation of labyrinth
3. Ototoxicity--- usually cased by streptomycin, gentamicin
4. Meniere’s disease
5. Excessive cerumen in the ear [si’ru:men]
6. Brain tummor
Etiology & Pathogenesis
1. Kidney essence deficiency
2. Spleen and stomach deficiency
3. Emotional stress
4. Damp-heat accumulation
5. Wind-heat invasion
6. Miscellaneous
Differential Diagnosis
1. Identification Of Etiology
A. Exterior Wind-Heat
B. Liver Yang
C. Turbid Phlegm
D. Kidney Essence Deficiency
E. Qi Deficiency
2. Identification Of Excess And Deficiency Patterns
A. Excess Pattern
B. Deficiency Pattern
Classification & Treatment
1. Liver Fire---Clear Liver Heat And Purge Fire
Long Dan Xie Gang Tang:
Long Dan Cao, Zhi Zi, Huang Qin---Clear Liver Fire
Mu Tong, Che Qian Zi, Zhe Xie----- Clear Damp-Heat
Sheng Di Huang, Dang Gui-----------Nourish Liver Blood
Chai Hu--------------------------------Spread Liver Qi
2. Phlegm-Fire---Transform Phlegm, Purge Fire And Harmonize Stomach
Wend Dan Tang
Ban Xia, Chen Pi---Dry Dampness, Activate Qi And Transform Phlegm
Fu Ling-------------Leach Out Dampness
Zhu Ru, Zhi Shi-----Clear Heat, Decend Qi And Expel Phlegm
3. Wind-Heat---Disperse Wind And Clear Heat
Yin Qiao San
Jin Yin Hua, Lian Qiao---Disperse Wind-Heat And Relieve Toxicity
Bo He, Niu Bang Zi----- Disperse Wind-Heat
Jing Jie, Dan Dou Chi----Release Exterior Pathogen
Zhu Ye, Lu Gen--------- Clear Heat
1. Kidney Essence Deficiency---Nuorish Kidney Essence
Er Long Zuo Ci Wan
Liu Wei Di Huang Wan---Nourish Kidney Yin
Wu Wei Zi(Chai Hu)-----Astringes And Bind The Essence
Ci Shi------------------Anchor Rebellious Turbid
5. Spleen Failing To Raise Clear Yang---Benefit Spleen Qi To Raise Yang
Yi Qi Cong Ming Tang
Ren Sheng, Huang Qi---Augment Qi And Raise Yang
Sheng Ma, Ge Gen-----Raise Clear Yang
Man Jing Zi-------------Raise Clear Qi And Unblock Orifice
Acupuncture Treatment
Excess:
TE 17, GB 2, TE 3, GB 43
Deficiency:
TE 17, GB2, BL 23, CV 4, KI 3, GV 4
Tinnitus---the subjective sensation of hearing a ringing or buzzing sound in the ear.
Deafness---partial or complete loss of hearing
Relevant Diseases Of Western Medicine
1. Otitis media--- inflammation of the middle ear, occurring commonly in children as a result of infection and often causing pain and temporary hearing loss.
2. Labyrinthitis---inflammation of labyrinth
3. Ototoxicity--- usually cased by streptomycin, gentamicin
4. Meniere’s disease
5. Excessive cerumen in the ear [si’ru:men]
6. Brain tummor
Etiology & Pathogenesis
1. Kidney essence deficiency
2. Spleen and stomach deficiency
3. Emotional stress
4. Damp-heat accumulation
5. Wind-heat invasion
6. Miscellaneous
Differential Diagnosis
1. Identification Of Etiology
A. Exterior Wind-Heat
B. Liver Yang
C. Turbid Phlegm
D. Kidney Essence Deficiency
E. Qi Deficiency
2. Identification Of Excess And Deficiency Patterns
A. Excess Pattern
B. Deficiency Pattern
Classification & Treatment
1. Liver Fire---Clear Liver Heat And Purge Fire
Long Dan Xie Gang Tang:
Long Dan Cao, Zhi Zi, Huang Qin---Clear Liver Fire
Mu Tong, Che Qian Zi, Zhe Xie----- Clear Damp-Heat
Sheng Di Huang, Dang Gui-----------Nourish Liver Blood
Chai Hu--------------------------------Spread Liver Qi
2. Phlegm-Fire---Transform Phlegm, Purge Fire And Harmonize Stomach
Wend Dan Tang
Ban Xia, Chen Pi---Dry Dampness, Activate Qi And Transform Phlegm
Fu Ling-------------Leach Out Dampness
Zhu Ru, Zhi Shi-----Clear Heat, Decend Qi And Expel Phlegm
3. Wind-Heat---Disperse Wind And Clear Heat
Yin Qiao San
Jin Yin Hua, Lian Qiao---Disperse Wind-Heat And Relieve Toxicity
Bo He, Niu Bang Zi----- Disperse Wind-Heat
Jing Jie, Dan Dou Chi----Release Exterior Pathogen
Zhu Ye, Lu Gen--------- Clear Heat
1. Kidney Essence Deficiency---Nuorish Kidney Essence
Er Long Zuo Ci Wan
Liu Wei Di Huang Wan---Nourish Kidney Yin
Wu Wei Zi(Chai Hu)-----Astringes And Bind The Essence
Ci Shi------------------Anchor Rebellious Turbid
5. Spleen Failing To Raise Clear Yang---Benefit Spleen Qi To Raise Yang
Yi Qi Cong Ming Tang
Ren Sheng, Huang Qi---Augment Qi And Raise Yang
Sheng Ma, Ge Gen-----Raise Clear Yang
Man Jing Zi-------------Raise Clear Qi And Unblock Orifice
Acupuncture Treatment
Excess:
TE 17, GB 2, TE 3, GB 43
Deficiency:
TE 17, GB2, BL 23, CV 4, KI 3, GV 4
