First, the cause of the disease
The real cause and mechanism of sudden deafness is still unclear. Western medicine believes that the onset of sudden deafness is mostly related to virus infection, labyrinthine inflammation, inner ear vascular diseases (bleeding, spasm, embolism), allergies, endocrine disorders, autonomic nervous dysfunction and so on. The inducing factors are mostly related to colds, mental stress, stress and mood swings (such as anxiety, depression and rage). ), drinking, fatigue, lack of sleep, thinking, worrying.
Traditional Chinese medicine believes that the onset of sudden deafness is mostly caused by the pathogenic middle ear pulse, heart and liver stagnation and stagnation of qi and blood, which leads to poor qi and blood circulation in the ear, or deficiency of both heart and spleen, deficiency of qi and blood, loss of kidney essence, ear pulse dystrophy and hearing loss.
Second, Chinese medicine treatment
Sudden deafness is an emergency with severe hearing loss, which should be diagnosed in time and treated as soon as possible. A large number of data show that the earlier the treatment, the higher the probability of hearing recovery, and the treatment within 72 hours is the most critical.
The treatment of sudden deafness by traditional Chinese medicine mainly adopts the method of syndrome differentiation and treatment. According to the clinical characteristics of this disease, the basic treatment methods mainly include the following categories.
1.
It is suitable for patients with wind pathogen invading ears and middle ear pulse caused by wind. The main manifestations are: there is a history of exogenous diseases before the onset. Sudden deafness, or tinnitus, stuffy ear, ear numbness, dizziness and headache, or stuffy nose, cough, red tongue, thin yellow fur, floating pulse, etc. The treatment should be expelling wind and dredging collaterals, guiding stagnation and hearing. You can add or subtract Chaihu Congerdong. Commonly used drugs such as Bupleurum, Fructus Forsythiae, Hirudo, Lumbricus, Radix Angelicae Sinensis, Ginseng, Musk, Radix Glycyrrhizae Preparata, Fructus Viticis, Radix Puerariae, etc.
2. Shugan Qingxin
It is suitable for patients with mood fluctuation, mental stress, depression and irritability, liver injury due to sadness, stagnation of liver qi, or sudden rise of heart fire and stagnation of ear pulse. The main manifestations are: the incidence is mostly related to mental stress and emotional fluctuation. Deafness and tinnitus, dizziness and chest tightness, belching and sighing, bitter mouth and dry throat, dysphoria or insomnia, Huang Chi in urine, red tongue, or red tongue tip, thin white or yellow fur, and thready pulse. Treatment should be soothing the liver and clearing the heart, regulating qi and inducing resuscitation. Danzhi Xiaoyao Powder can be modified. Commonly used drugs such as Cortex Moutan, Fructus Gardeniae, plumula Nelumbinis, Radix Bupleuri, Poria, Atractylodis Rhizoma, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Cortex Albizziae, Radix Curcumae, Rhizoma Acori Graminei, etc.
3. Promoting blood circulation and removing blood stasis
It is suitable for patients with blood stasis blocking collaterals, qi stagnation and blood stasis, and ear pulse obstruction. The main manifestations are: sudden deafness, tinnitus, ear tightness or tingling, numbness in the ear, headache and dizziness, chest tightness or tingling, dark red menstruation, red tongue or petechiae, swelling of sublingual collaterals and rapid pulse. Treatment should focus on promoting blood circulation, removing blood stasis, dredging collaterals and inducing resuscitation. Prescriptions such as Tongqiao Huoxue Decoction, Xuefu Zhuyu Decoction, etc. Commonly used drugs such as peach kernel, safflower, Ligusticum chuanxiong, Radix Paeoniae Rubra, Bupleuri Radix, Rhizoma Cyperi, Achyranthis Radix, Luffa Fructus,
Salvia miltiorrhiza, Vitex negundo, etc.
Tonifying heart and spleen
It is suitable for people who think too much, use their brains too much, sleep too little, consume sorrow and blood, or are too tired, damage their spleen and stomach, lack blood and lose nutrition in their ears. The main manifestations are: sudden deafness, intense tinnitus, fatigue, insomnia, forgetfulness, palpitation, anorexia, thin stool, sallow complexion, pale white tongue, thin white fur and weak pulse. Treatment should benefit the heart and spleen and improve hearing. Prescriptions can be modified by Guipi Decoction and Qifu Decoction. Commonly used drugs such as ginseng, Radix Astragali, Atractylodis Rhizoma, Radix Angelicae Sinensis, Radix Rehmanniae Preparata, Poria, Cortex et Radix Polygalae, Arillus Longan, Semen Ziziphi Spinosae, Radix Puerariae, Radix Aucklandiae, Radix Glycyrrhizae Preparata, and Fructus Jujubae.
5. tonify kidney and essence
Suitable for people who are tired for a long time, or are old and weak, overworked in the house, wasting kidney essence and losing nutrition in their ears. The main manifestations are: deafness starts a little late, reaches its peak a few days later, tinnitus is like cicada, especially at night, mental emptiness, dizziness, soreness of waist and knees, or five annoyances, hot flashes and night sweats, red tongue with little fur, and thin or thin pulse. Treatment should benefit kidney, brain and ears. You can add or subtract Erlong Zuo Ci Pill and Zuogui Pill. Commonly used drugs such as Radix Rehmanniae Preparata, Cornus officinalis, Rhizoma Dioscoreae, Poria, Alismatis Rhizoma, Magnetitum, Bupleuri Radix, Rhizoma Acori Graminei, Os Draconis, Radix Polygoni Multiflori Preparata, Colla cornus Cervi, Herba Cistanches, etc.
Mental, Dietary Care and Prognosis
After the onset of sudden deafness, we should maintain a good mood, eliminate fear and tension, actively cooperate with treatment, rest properly, reduce noise stimulation, and quit smoking and drinking. Vertigo patients should stay in bed and eat a low-salt diet. For patients with acute onset and short course of disease, 30g of Radix Puerariae, 20g of Rhizoma Gastrodiae15g, 20g of Poria, 6g of Radix Notoginseng, 0g of Radix Angelicae Dahuricae10g, 0g of Rhizoma Chuanxiong10g, and 2g of lean pork can be used to make soup every other day. Or use 1 g saffron and soak in water and drink tea every day instead. For those who suffer from irritability and insomnia, 6 grams of Gardenia, 6 grams of Albizia Albizziae bark/0/5 grams of Kloc-and 0/5 grams of Lily/Kloc-can be used for tea, once an hour before going to bed every day. For patients with a disease course of more than 3 months, longan meat 15g, walnut meat 30g, prepared Polygonum Multiflori Radix 30g, Rhizoma Drynariae 15g and pig bone (even bone marrow) 300g can be used to make soup, 2-3 times a week.
Whether sudden deafness can be recovered is related to age, treatment time, hearing loss, dizziness and systemic diseases. Generally speaking, the older you get, the worse your hearing recovery will be. The earlier the treatment, the higher the recovery rate. 72 hours is the golden treatment time, and the curative effect drops obviously after more than one week. The prognosis of high-frequency hearing impairment is poor, and the prognosis of low-frequency hearing impairment is good. The prognosis of vertigo patients is poor; Systemic diseases, such as cerebral arteriosclerosis, hypertension, diabetes, rheumatism, or having a cold before illness, alcohol and tobacco addiction, have a poor prognosis. Some data show that the hearing recovery rate of integrated traditional Chinese and western medicine treatment is higher than that of single traditional Chinese and western medicine treatment. It is suggested that integrated traditional Chinese and western medicine treatment should be adopted as soon as possible to improve the hearing recovery rate.