Ears are fragile and sensitive, and there are many ways to treat neurological deafness in Chinese medicine, so it is necessary to treat them early.

Lead: The official orifices of the body are connected with the zang-fu organs, which are the official orifices outside the human body and the symptoms of the zang-fu organs, while the ears are the orifices of the heart and kidney. Ear disease should be blamed on the heart and kidney, mainly on the ear, because the kidney is the foundation of the orifices and the heart is the guest of the ears. Nervous deafness is a frequently-occurring disease, and it is also a difficult disease in modern medical treatment. Therefore, it is of great practical and social significance to actively explore and study traditional acupuncture and new TCM therapies.

1. Nervous deafness is closely related to viscera and meridians in traditional Chinese medicine. The five zang-organs belong to yin, and the five zang-organs communicate with the official orifices.

In terms of meridians, the small intestine meridian of hand sun, the triple energizer meridian of hand shaoyang, the gallbladder meridian of foot shaoyang, the stomach meridian of hand Yangming and the large intestine meridian of hand Yangming are all directly related to ears. Although other meridians are not directly related, they also reach the ear indirectly through the combination of meridians and yang meridians. Kidney is the foundation of nature, storing essence, opening the mouth as the ear, and water as the main qi. Most ancient physicians believed that tinnitus was closely related to kidney.

The triple energizer meridian of shaoyang hand follows behind the ear, along the tip of auricle to the front of the ear, and then into the ear. Meridian tendons are also upward in front of the ear. Symptoms also describe the burning sensation in the ears after the triple energizer meridian attack. In Moxibustion Classics of Eleven Veins of Foot and Arm, there is also the theory of "beating the ear" and its disease "producing deafness", while in Moxibustion Classics of Eleven Veins of Yin and Yang, the triple energizer meridian is called "ear vein", and "moving disease" means "deafness but light", which is the main indication of ear vein and also produces deafness.

The lung is located in the upper jiao, which controls the qi of the whole body, showing descending, and participates in the formation of qi of the whole body, especially the generation of ancestral qi, according to various pulse conditions. It is a combination of the natural clear qi inhaled by the lung and the essence of Shui Gu transported by the spleen and stomach, and it acts on the whole body through the function of regulating qi and reducing qi of the lung. In addition, the lung can inject ancestral qi into the heart to help the heart promote blood circulation, blood circulation and pulse dredging.

Second, there are many traditional Chinese medicine treatments for tinnitus, and the curative effect is often reflected in clinical treatment.

1, ancient prescription treatment

Shugan Heluo decoction combined with Liuwei Dihuang decoction was used to treat nervous deafness with kidney deficiency. The results showed that the total effective rate was 80%, which indicated that Shugan Heluo Decoction combined with Liuwei Dihuang Decoction was more effective than Erlong Zuo Ci Pill alone. Treating nervous deafness with the ancient recipe of Zhigancao Decoction, Longdan Xiegan Decoction combined with acupuncture and hyperbaric oxygen.

Tinnitus due to kidney deficiency 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. The total effective rate of the observation group was significantly higher than that of the control group, and the recurrence rate was significantly lower than that of the control group. 40 cases of nervous deafness were treated with Buzhong Yiqi decoction combined with modified ventilation powder, and the total effective rate was as high as 90%. A typical case of spleen and stomach weakness was recorded. After being cured, it was followed up for 1 year. There was no tinnitus recurrence and no obvious toxic and side effects.

Self-made traditional Chinese medicine prescriptions are summarized by doctors on the basis of predecessors' theories and long-term clinical practice, and the clinical efficacy is often difficult to reflect in clinical treatment. After treating nervous tinnitus 1 month with Jieyu anshen decoction, the patient complained that the tinnitus was relieved, and the condition improved after half a year. Self-made Qing Er decoction combined with painless fine needle knife was used to treat damp-heat nervous deafness. After treatment, the total effective rate is as high as 90.63%, and there are few adverse reactions.

2, Chinese patent medicine treatment

Chinese patent medicine is the extract of Chinese herbal medicine, which is the most essence and purified part of Chinese medicine. Its advantages are more convenient and concise use and obvious curative effect. 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 mushroom powder, the effective component in Wuling capsule, protects brain cells and regulates neurotransmitters, thus improving tinnitus symptoms.

Traditional Chinese medicine foot bath plus trachea, nourishing nerve, traditional Chinese medicine and acupuncture treatment proves that traditional Chinese medicine foot bath can obviously improve the sleep quality of tinnitus patients, thus embodying the overall characteristics of traditional Chinese medicine in treating diseases and preventing diseases, and achieving the effect of treating tinnitus. On the basis of predecessors' experience, the traditional Chinese medicine earplug capsule was used to treat tinnitus.

Tinnitus No.0 capsule and Tinnitus 1 capsule are suitable for tinnitus patients with kidney essence deficiency and liver-fire disorder 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 the corresponding curative effect.

3. Acupuncture therapy

The application of local acupoint selection and acupoint matching based on syndrome differentiation in the treatment of senile sensorineural tinnitus, one ear tinnitus is selected from the same side, and two ears tinnitus are selected from both sides. The clinical effective rate was 92%, which was better than that of sibelium group in tinnitus degree score, hearing threshold and loudness improvement. The tinnitus of elderly patients with tinnitus is obviously relieved, satisfied, economical and cheap, and the quality of life is obviously improved.

We should adopt the methods of tonifying kidney, calming the heart and strengthening the brain, combined with the deep and severe treatment of peripheral cavitation, and adopt the method of "fast twisting and inserting needles" to make overall adjustment, and treat both the symptoms and root causes, and achieved certain results. Acupuncture was used to treat the disease, while the control group was treated with oral western medicine. After treatment, it was found that the severity of tinnitus in acupuncture group decreased even more, and the curative effect was 20% higher than that in western medicine group.

After two months' treatment, the total effective rate of electroacupuncture at deep needling points and listening points was 90.32%. It is pointed out that increasing electroacupuncture can obviously relieve tinnitus symptoms caused by excess fire in liver and gallbladder and improve hearing. Acupoint catgut embedding combined with abdominal acupuncture was used to treat tinnitus of spleen and stomach weakness, while western medicine group took medicine orally. After 1 course of treatment, the clinical efficacy of the treatment group is better than that of the western medicine group, and the tinnitus degree of the treatment group is obviously less than that of the western medicine group.

It embodies the unique advantages of good curative effect and high safety. Compared with ordinary acupoints, the curative effect of acupuncture group is higher than that of body acupuncture group during and after the course of treatment, and the THI score is also significantly reduced, which fully shows that acupuncture group has a strong advantage in treating tinnitus and is suitable for patients of various ages.

The treatment group was treated with Yang's "Acupuncture Dacheng" combined with Bo's abdominal acupuncture, while the control group was only treated with Yang's "Ear Point Formula". Both groups have certain clinical efficacy, and can improve the THI score and severity. The former is superior to the latter in these three aspects, and has more advantages in improving clinical comprehensive symptoms. Cases of tinnitus with hyperactivity of liver and gallbladder were treated by pricking collaterals and bloodletting at auricular points. After pricking collaterals and bloodletting at auricular points, tinnitus disappeared, and there was no recurrence during follow-up.

4. Moxibustion therapy

The combination of reed-tube moxibustion and acupuncture in the treatment of nervous tinnitus has brought into play the unique advantages of reed-tube moxibustion in the treatment of ear diseases, which not only achieved good clinical therapeutic effect, but also promoted the popularization of traditional therapy. Due to the special occupational environment of seafarers, the probability of tinnitus increases. Therefore, the method of soothing the nerves and soothing the liver is adopted, and acupoint selection is combined with local application of reed pipe moxibustion. The results show that it can effectively improve the clinical symptoms for a long time.

The curative effect is exact, which can adjust the mood and improve the quality of life of seafarers. Thunder-fire moxibustion, an external treatment method of traditional Chinese medicine, is used to treat tinnitus patients except phlegm-fire, liver-fire and wind-heat, which gives full play to the advantages of strong vitality, sufficient medicine, strong penetration and large moxibustion area, promotes qi and blood circulation in the ear and whole body, reduces tinnitus degree and improves patients' negative emotions, 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 Binaural, Tinggong, Tinghui, Yifeng, Fenglong, Xue Hai, Zhongzhu and Sishencong points, at the same time, thunder-fire moxibustion at both Tinggong points can reduce the tinnitus severity score and tinnitus disability score, with no obvious adverse reaction and low price.

For tinnitus patients with liver and kidney deficiency, acupuncture at related points, warming acupuncture at Tinggong point after patients feel the acupuncture sensation, and taking carbamazepine tablets at the same time, the combined treatment effect is far better than taking carbamazepine tablets alone, giving full play to the dual advantages of warming acupuncture.

Warm acupuncture combined with biofeedback psychotherapy can adjust patients' own state and stabilize their mood. At the same time, warm acupuncture can weaken tinnitus symptoms, both of which can play a role in stopping ringing. In addition to the above moxibustion methods, the infrared bird pecking moxibustion therapeutic instrument is also used to treat idiopathic tinnitus. On the basis of traditional bird-pecking moxibustion theory, a convenient and effective treatment method is created, and the shortcomings of traditional bird-pecking moxibustion are avoided.

Experience acupuncture and Yongquan moxibustion were used to treat tinnitus due to deficiency of kidney essence. 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, steaming kidney qi and perfusing the whole body, clearing yang, promoting hair growth and nourishing ear orifices. Although there are few clinical observation samples, it is always one of the treatment methods.

5. Comprehensive therapy

The short-term and long-term curative effects of Cong 'ertongqiao Decoction combined with auricular acupuncture in the treatment of tinnitus in the elderly are guaranteed, and it is confirmed by detecting hemodynamic indexes that the combined treatment can improve the inner ear microcirculation disorder in elderly patients with high safety. Treatment of tinnitus with Chaihu plus Gulong Muli decoction combined with acupuncture. After the treatment, it is concluded that Chinese medicine can strengthen the curative effect of acupuncture on tinnitus, but the long-term effect needs time to prove.

He-Ne laser irradiation was carried out after acupuncture at the affected points such as the door, the palace, the hearing, the valley, the hurricane and the central column. The total effective rate is about 86.67%, and the treatment method is novel and effective. After mixing lidocaine, VB 12 and ligustrazine, the 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, compound Danshen injection was infiltrated into the inner ear cells by using the stereo effect of audio vibrator, so as to achieve the therapeutic effect of lowering the hearing threshold and relieving the symptoms of patients.

6. Other treatment methods

The patients diagnosed as tinnitus were treated by massage combined with acupuncture. After acupuncture, massage the acupoints around the affected ear and the vertigo auditory area of the head. After the course of treatment, tinnitus disappeared in a short time, the quality of life improved and the curative effect was better. Acupuncture and massage are used to treat tinnitus, while massage is used to treat tinnitus. The clinical symptoms of tinnitus can also be improved by treating acupuncture points around the ear for 66 times and then gently shaking the ear hole with the palm of your hand for 3-6 times.

The five basic scales of China ancient music are Gong, Shang, Jiao, Zheng and Yu, which correspond to the five internal organs of human body, namely liver, heart, spleen, lung and kidney. Five-tone therapy (five-element music therapy) is a therapeutic method to choose songs to treat diseases according to the corresponding relationship between five tones and five elements.

According to patients with tinnitus of different syndromes, choosing five-element music tracks suitable for patients and listening to them while moxibustion at triple energizer meridians can not only adjust patients' negative emotions, but also enhance the therapeutic effect. In view of tinnitus with deficiency syndrome, music with the principle of "golden water" in "Feather" tune is selected, and it is listened to at the best time, and treated with drug drip and acupoint massage. After treatment, the patient's mood improved obviously and the cure rate improved.

No toxic side effects, high acceptance, worthy of clinical promotion. Zhuang medicine is one of the traditional medicines in China, with a long history, simple and rich theory and definite curative effect. Among them, Zhuang medicine acupuncture also has certain advantages in treating tinnitus. It is a novel treatment to dredge the three meridians of Zhuang medicine, regulate qi and blood, and treat both the symptoms and root causes.

Mongolian medicine, as a traditional medical method with national characteristics in China, believes that otopathy is tinnitus caused by the imbalance of "three elements and seven elements" in the ear after "He Yi disease" becomes "Badagan". Based on the theory of Mongolian medicine, oral Mongolian medicine was used to massage and moxibustion around ear points, and nimodipine was taken orally. Compared with nimodipine alone, the total effective rate of Mongolian medicine treatment group can reach 865,438 0.8%, and it treats both the symptoms and root causes, with rapid onset, low recurrence rate and reliable curative effect, which deserves our attention.

Conclusion: To sum up, under the obvious situation that western medicine has great toxic and side effects, many adverse reactions, temporary solution but not permanent cure, and the overall and long-term curative effect is not ideal, Chinese medicine has shown many advantages in treating neurological deafness: the treatment methods are colorful and diverse; Among them, oral administration of traditional Chinese medicine is particularly prominent, with reliable curative effect, temporary solution and permanent cure, no toxic and side effects, and also has a good regulating effect on negative emotions, insomnia and other symptoms associated with nervous deafness.