Etiology of nervous tinnitus:
Ear diseases and vascular diseases (25%);
Mainly ear diseases, such as external ear diseases: otitis externa, cerumen embolism, foreign body in external ear, etc. Acute and chronic inflammation of middle ear, perforation of tympanic membrane, otosclerosis, Meniere's syndrome of inner ear and acoustic neuroma can all cause tinnitus. Tinnitus can also occur in vascular diseases, such as glomus tumor of jugular vein, small blood vessel dilatation of ear, vascular malformation, hemangioma and so on. Venous tinnitus is mostly murmur, while arterial tinnitus is consistent with pulse.
Systemic diseases and drugs (30%):
Other systemic diseases can also cause tinnitus: autonomic nervous system disorder, cerebral blood supply insufficiency, pre-stroke, hypertension, hypotension, anemia, diabetes and malnutrition. In addition, excessive use of drugs that are toxic to the ear, such as gentamicin, streptomycin or kanamycin, can also cause tinnitus and hearing loss, which occurs earlier than hearing loss.
Others (35%):
Excessive fatigue, lack of sleep and emotional tension can also lead to tinnitus. Noise: Severe vibration and long-term noise exposure can lead to hearing loss and tinnitus. People working in high-intensity noise environment should pay attention to noise protection, such as reducing noise sources or wearing protective earmuffs and earplugs. In addition, be careful not to use the walkman headphones at high volume for a long time in a noisy environment. Bad habits: Caffeine and alcohol can often aggravate tinnitus symptoms; Smoking will reduce blood oxygen, and inner ear hair cells are extremely sensitive to oxygen, so hypoxia will cause damage to hair cells, so we should pay attention to changing bad habits.
The inner ear produces sound? Factory? The job here is to convert the mechanical energy of sound waves into electronic energy, so that the sound can be accepted by the brain along with the auditory nerve. If something goes wrong in this energy conversion process, it will be made? By-product? These by-products can't be collected in noisy working environment, that is, they can't be heard. However, in a quiet place, you will hear a high voice in your ears.
The function of the ear to convert acoustic energy deteriorates with age, or the function of the ear decreases due to noise damage. By-product? It will be absorbed more and louder, even in noisy streets. Tinnitus has three most common causes:
(1) Hearing failure of the outer or middle ear, unable to absorb the surrounding sounds, is it caused by the inner ear? By-product? It will become clear;
(2) The inner ear was injured and lost the function of transforming acoustic energy. By-product? The volume will become stronger and can be heard even in a very noisy environment;
(3) Singing from the middle ear and outside the inner ear: Due to the influence of kidney disease, some patients with kidney disease have poor blood quality in the head or neck blood vessels near the auditory organs of the ear, which makes the blood supply and circulation not smooth, and will produce some sounds. Smokers' blood vessels will narrow, which will hinder blood circulation to a certain extent, resulting in the same consequences. The elderly will also have such problems because of poor blood quality caused by physical failure. Because it is close to the ear, these sounds caused by poor blood flow will be clearly heard by the ear and become tinnitus.
Acupuncture treatment of nervous tinnitus;
First, human acupuncture
Key points: take the auricular gate, listen to the palace, listen to the meeting, hurricane.
Matching points: exogenous wind evil with wind pool and Hegu; Liver and gallbladder fire with Taichong, Waiguan and Zhongzhu; Phlegm fire accompanied by prosperity; Spleen and stomach weakness with Shu Wei and Zusanli; Kidney deficiency with Shenshu and Taixi; Deficiency of kidney yang is not worthy of a hundred sessions.
Treatment: acupuncture, purging excess and tonifying deficiency, and moxibustion at Baihui point. Every day 1 time.
Second, electroacupuncture
Acupoint selection: the same body needle.
Treatment method: electroacupuncture is added after acupuncture gets qi, continuous wave is generally used for excess syndrome, and sparse-dense wave can be used for deficiency syndrome.
Third, the water needle
Acupoint selection: the same body needle. Choose 1 ~ 2 points for the main and auxiliary points at a time.
Treatment: after acupuncture, inject drugs, and inject 0.3 ~ 0.5 ml into each acupoint. The drugs used can be ligustrazine injection, compound Danshen injection, Astragalus injection, vitamin B 1, vitamin B 12, miconazole injection, etc. , 1 optional. You can also choose a main point and inject 2% lidocaine injection into each point (or add vitamin B 1 and vitamin B 12). Every day 1 time.
Fourth, ear acupuncture
Key points: ear, inner ear, Shenmen, endocrine, screen room.
Acupoint matching: according to the pathogenesis of the viscera to which the syndrome belongs, kidney, heart, liver, gallbladder, spleen, triple energizer and sympathetic are selected respectively.
Treatment: acupuncture, moderate stimulation, needle retention 15 minutes, daily 1 time; Or acupoint application or acupoint catgut embedding.
Five, scalp acupuncture
Acupoint selection: halo area.
Treatment: millimeter acupuncture, intermittent needle delivery, needle retention for 20 minutes, every day/kloc-0 times.
Sixth, moxibustion
1, direct moxibustion:
Acupoints: Tinggong, Tinghui, Wangu and Tianzhu.
Treatment: direct moxibustion, 6 strong points per point.
2, reed tube moxibustion
Material: a section of reed pipe, 5 cm long and 0.8 cm in diameter. Soak in cold water first.
Methods: Insert one end of the reed tube into the mouth of the external auditory canal and fix it, place the moxa cone on the duckbill-shaped outer end of the reed tube, and gently blow it toward the external auditory canal with your mouth (purging method), or let the moxa cone burn out naturally (supplementing method) to make the external auditory canal feel warm. Top 5 ~ 9 at a time (soybean size). Every day 1 time.
Seven, massage guidance method
1. Drumming method: Put your palms together and stick them on your left and right ears respectively. Hold your fingers behind your head, and press your forefinger on your middle finger, so that your forefinger falls off your middle finger and bounces to the hairline of your back neck. Can you hear me? Knock, knock. Sound, such as hitting the ancient Tiangu drum, hit 108 times. Every day 1 time.
2, acupoint massage: ① take the auricular door, hurricane, medical deafness (the hurricane point is depressed by 0.5 inches), listen to the palace, listen to the meeting; Press, knead and knead (diarrhea) alternately for 3 minutes at each point. ② Take Zhongzhu, Tian Rong and Shangguan; Each acupoint alternately points, presses and rubs (flatting and purging) for 3 minutes. ③ Take Shenshu, Zusanli and Xiaguan points; Each acupoint (tonic method) is used alternately by kneading for 4 minutes each time. The above methods are 1 time every morning, noon and evening, and 15 days is 1 course of treatment.
3, self-propelled tympanic membrane massage: several times a day, each time 1 minute or more. It has a certain auxiliary treatment effect on various tinnitus.
4, self-eustachian tube blowing method: several times a day. It has a certain auxiliary treatment effect on various tinnitus.
Eight, the original method of fire
1. Apply warm moxibustion ointment to Yongquan point every night 1 time, and take it off the next morning. It can be used for various syndromes, especially deficiency syndrome.
2. Before going to bed at night, soak in warm water 15 minutes. Or use moxibustion instead of warm moxibustion to stick Yongquan point.
Nine, microwave therapy
A special ear radiator was placed in the external auditory canal and fixed with the microwave comprehensive therapeutic instrument of otolaryngology. The radiation time is 20 minutes each time, the output frequency is 245MHz, and the output power is 5 ~ 20 W. The dose is based on the patient's subjective feeling, and the ear temperature (comfortable temperature) 1 time/day, 1 day is1course of treatment.
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