The Relationship between the Ear, Nose, Throat, Mouth

Otology

Ears Disease

The Ear and Their Relationships with Zang Fu,

Meridians and Collaterals

The ear relationships with Zang Fu

• The ear, the orifice of the kidney.

• The lung dominates Qi and Qi of the whole body passes through the ear. That's why the ear can hear voice.

• The heart, liver gallbladder and spleen also relate to the ear.

• The ear dominates balance, because the kidney is able to store essence which produces bone marrow, and the brain is considered as the sea of bone marrow, the insufficiency in the sea of bone marrow leads to dizziness and tinnitus.

1. Kidney

• Physiologically, the kidney stores essence. When the renal essence reaches the ears upward, normal hearing will exist.

• Sufficient essence ensures the generation of brain marrow. The human balance function is closely related to brain marrow.

• If the brain marrow is deficient, vertigo and tinnitus will occur.

2. Liver and gallbladder

• The branches of gallbladder meridian of foot-shaoyang pass from the back of the ear through the ear to reach the area in front of the ear.

• the liver and the gallbladder are exterior- interiorly connected. Accordingly, flaming-up of the liver fire may give rise to such diseases or symptoms like tinnitus, deafness, otalgia(Ear pain) and ear suppuration(Pus).

3. Lung

• Clinically, deafness due to diseases like secretory otitis media results from the failure of Lung Qi function normally in the case of invasion of the lung by pathogenic wind.

• So the book of Su Wen says "Treating deafness aims at treating the lung."

4. Heart

• The kidney has its orifice in the ear. At the same time, it also expresses the close ties between the heart and the ear.

• Pathologically, the two situations are commonly-seen:

• one is the physiological in coordination between the heart and the kidney which causes tinnitus and deafness;

• the other is the obstruction of blood vessels which may also give rise to deafness and obstruction of the ear.

5. Spleen

• The spleen raises clear yang to nourish the ear. The seven facial orifices are called "the orifices of clear yang".

• This means all the seven orifices depend on the nourishment of clear yang to function normally.

• If the spleen qi is deficient, clear yang will fail to be raised and turbid qi will rise, giving rise to prolonged purulent secretion inside the ear, deafness, vertigo, etc.

The Relation with the Meridians

• The meridians circulating around and inside the ear are

• Gallbladder Meridian of Foot-Shaoyang,

• Small Intestine Meridian of Hand-Taiyang,

• Sanjiao Meridian of Hand-Shaoyang,

•

• Bladder Meridian of Foot-Taiyang,

• Stomach Meridian of Foot-Yangming and

• Large Intestine Meridian of Hand-Yangming.

Anatomy of Ear

Differentiation of Symptoms and Signs-1

• 1. Ear pain:

• Slight pain accompanied by fever and aversion to cold is caused by superficial wind-heat.

• Severe ear pain described as throbbing or pricking pain, with yellow and viscid effusion, accompanied by irritability, frustration, dry throat and bitter taste in the mouth, is mostly due to upward steaming of damp-heat in the liver and gallbladder.

• Prolonged slight ear pain, with lingering purulent effusion is mostly related to spleen deficiency.


• 2. Otopyorrhea(Pus from ear):

• The initial and sudden onset is mostly identified to excess and heat syndromes.

• Yellowish is due to fire and heat in the liver and gallbladder.

• A large volume of yellow pus is often caused by damp-heat in the liver and gallbladder.

• Prolonged illness with clear and thin purulent effusion in large volume is usually due to dampness of spleen deficiency.

• The clear and thin purulent effusion in scanty volume is usually the sign of kidney deficiency.


• 3. Tinnitus:

• Initial tinnitus in low-pitch sound, with stuffy and distending sensation in the ear, is mostly caused by wind and heat.

• Sudden tinnitus in rumbling sound, with blocking sensation in the ear, usually comes from liver fire.

• Progressive appearance of tinnitus in cicada's chirp is often related to Yin deficiency of the liver and kidney.


• 4. Deafness

• Initial and sudden deafness is identified to excess syndromes caused by stagnation of Qi and blood stasis due to the accumulation of wind-heat, liver-fire and phlegm-fire in the orifice of the ear.

• Long-term or progressive deafness belongs to deficiency syndromes due to deficiency of the liver and kidney and weakness of spleen-Qi.

Common Otologic Diseases

Auricular Herpes Zoster

• It refers to an acute viral infectious disease in the external ear.

• Clinically it is characterized by erythema(red rash), a bunch of blisters, pain and itching.

• The incidence is higher in winter and spring.


• Etiology and Pathogenesis

• It is caused by impairment of auricular skin attacked by seasonal wind and cold evils, either under the original weakness and deficiency of body constitution as well as improper food intake which lead to dysfunctions of transportation and transformation of the spleen, causing the production of internal damp-heat or under the disorder of seven emotions which results in stagnation of liver Qi, turning into fire after long-term duration.


Clinical Manifestations

1. Mostly it occurs on tragus, antitragus, on border of ear lobe, external auditory canal, tympanic membrane, and mastoid process.

2. Initially there are pricking pain, itching, burning sensation on local skin.

3. It can be seen that a patch of erythema (red spots) appears on the skin, then resulting in bunches of red papule which develop into bunches of blisters, and the blisters would become seabed in several days.

4. There can be slight fever, lassitude, poor appetite and uncomfortable sensation on the whole body.


• (1) Fire-heat in the Liver and Gallbladder

• Symptoms and Signs: Erythema(red spots) at the initial stage, bunches of: fresh-red papule, burning, painful and itching sensations,

• slight aversion to wind and cold, irritability, frustration, bitter taste in the mouth, thirst, yellow tongue coating, wiry and rapid pulse.

• Treatment Principle: Sooth Liver, Cleaning Heat, and expelling toxin


• Acupoints:

• LR 2, GB 43, LI 11

• SJ 17, SJ21, SI19, GB2

• LI 4, SJ 4

• To retain the needles for 30 minutes, one treatment per day.


(2) Damp-heat in the Liver and Gallbladder

Symptoms and Signs: Moist redness on the sick skin, burning sensation, pain, transparent blisters with red and moist margin, or ulceration and effusion,

accompanied by irritability, anger, yellow and grease tongue coating, Slippery and rapid pulse.

Therapeutic Method: Removing damp-heat from the liver and gallbladder.


• Acupoints:

• GB 34, LR2, SP 9, ST40

• SJ 17, SJ21, SI19, GB2

• LI 4,SJ4



(3) Dampness due to Spleen Deficiency

Symptoms and Signs: Slight red colour on the sick skin, bunches of blisters with effusion in ulceration, burning pain, itching,

abdominal distension, poor appetite, pale tongue, white and grease tongue coating, Slippery pulse.

Therapeutic Method, Strengthening the spleen and eliminating dampness.


• Acupoints:

• SP9, SP6, ST36, UB20

• SJ 17, SJ21, SI19, GB2

• LI 4, SJ4


Otitis Media (Middle ear inflammation)

• Acute Non-suppurative Otitis Media

• Chronic Non-suppurative Otitis Media



Acute Non-suppurative Otitis Media

• It is developed from acute obstruction of middle ear,

• clinically characterized by distending and stuffy sensation in the ear, tinnitus and decrease of hearing ability.

• It belongs to the category of "Ear Distension and Pain” in Chinese medicine.


Etiology and Pathogenesis

It is related to blockage of the clear orifice and stagnation of meridian Qi caused by ascension of the mixture of invaded pathogenic wind, heat and damp evils, and of stagnant heat due to obstructive flow of meridian Qi in the liver and gallbladder.


• (1) Wind-cold type

• Symptoms and Signs: Sudden stuffy ear, ear distension and obstruction, decrease of hearing ability, hypoacusis to self voice, low-pitch tinnitus,

• accompanied by severe aversion to cold, slight fever, clear nasal discharge, pale tongue, white tongue coating, superficial and tense pulse.

• Therapeutic Method: Expelling wind and dispersing cold for opening the orifice.


• (1) Acupuncture: • GB 20,LI 4,LU7 • SJ 17, SJ21, SI19, GB2 • SJ4 • 3 to 5 acupoints are selected each time. • The treatment is given once every day with the needles

retained for 20 minutes.

• (2) Auricular therapy: The points, Pt. Ear, Pt. Ear-shenmen, are embeded with seeds.


• (2) Wind-heat type

• Symptoms and Signs: Sudden stuffy ear, distension and blockage in the ear, like stuffed with cotton, decrease of hearing ability, hypoacusis to self voice, tinnitus of low frequency, conduction deafness in the sick ear.

• accompanied by slight aversion to cold and wind, high fever, sore throat, turbid nasal discharge, red tongue, thin and yellow tongue coating, superficial and rapid pulse.

• Therapeutic Method, Expelling wind and clarifying heat for opening the orifice and benefiting hearing ability.


• (1) Acupuncture:

• GB 20,LU7,DU14

• SJ 17, SJ21, SI19, GB2

• LI 4,SJ4

• 3 to 5 acupoints are selected each time.

• The treatment is given once every day with the needles retained for 20 minutes.

• (2) Auricular therapy: The points, Pt. Ear, Pt. Ear-shenmen, Pt. Apex, are embedded with seeds.


• (3) Fire of the liver and gallbladder

• Symptoms and Signs: Pain is severe like being punctured by an needles. It manifests as cry and restlessness in children. Hypoacusis is even more obvious.

• The tongue is red with yellowish fur. The pulse is wiry and rapid.

• Therapeutic Method, Clearing away heat and purging fire from the liver and gallbladder, removing fire and obstruction of orifices.



• LV2, GB43,LI11

• SJ 17, SJ21, SI19, GB2

• LI 4,SJ4

• 3 to 5 acupoints are selected each time.

• The treatment is given once every day with the needles retained for 20 minutes.

• (2) Auricular therapy: The points, Pt. Ear, Pt. Ear-shenmen, Pt. Apex, are embedded with seeds.

Chronic Non-suppurative Otitis Media

• Mostly, it is deferred from improper and imprompt treatment of acute non-suppurative otitis media.

• Clinically it is characterized by long duration, stuffy ear, obstruction in the ear and diplacusis (double sounds).

• It is similar to the category of "Ear Blockage" in Chinese medicine.



• It is due to Yin insufficiency in the kidney, or Qi deficiency in the lung and spleen which fails to transport essence of water and grain upwards to the orifice of the ear.


• Clinical Manifestations

• 1. Ear stuffiness, ear distension, like stuffed with cotton.

• 2. Decrease of hearing ability, conduction deafness at the initial stage, mixture deafness in the late stage, low-pitch tinnitus.

• 3. Frequent recurrence and comparative long duration.


• (1) Kidney yin deficiency

• Ear stuffiness, ear distension, like stuffed with cotton. Decrease of hearing ability, low-pitch tinnitus.

• warm sensation in five centers, soreness and weakness in low back and knees, dizziness and blurring of vision, red tongue, scanty tongue coating, thready and rapid puls

• Therapeutic Method: Nourishi Kidney Yin, moving Qi and blood, opening the orifice.


• (1) Acupuncture: • SI 19, GB 2, SJ 21, SJ 17 • ST 36, KD3, KD6 • LI 4, SJ5 • In each treatment, 2 to 4 acupoints are selected and punctured

with the needles retained for 20 minutes, one treatment a day.

• (2) Auricular Therapy: The points are Pt. Ear, Pt. Ear-shenmen, Pt. Kidney, Pt. Spleen.

• Each time, 2 to 3 points are chosen, with the needles or seeds embeded.


• (2) Lung and Spleen Qi deficency

• Ear stuffiness, ear distension, like stuffed with cotton. Decrease of hearing ability, low-pitch tinnitus,

• aggravated by fatigue and standing up, lustrousless facial complexion, pale lips, pale tongue, thin and white tongue coating, thready (Fine/Thin) and weak pulse.

• Therapeutic Method: Tonify Qi and activating blood for opening the orifice.


• (1) Acupuncture: • SI 19, GB 2, SJ 21, SJ 17 • ST 36,SP6, Ren6, DU20 • LI 4, SJ5 • In each treatment, 2 to 4 acupoints are selected and punctured

with the needles retained for 20 minutes, one treatment a day.

• (2) Auricular Therapy: The points are Pt. Ear, Pt. Ear-shenmen, Pt. Kidney, Pt. Spleen.

• Each time, 2 to 3 points are chosen, with the needles or seeds embeded.

Acute Suppurative Otitis Media

• It refers to acute infection caused by invasion of suppurative - bacteria in mucous membrane and periost of the middle ear.

• Clinically it is characterized by ear pain, fever, and pus effusion in the ear.

• It is similar to the category of "Suppurative Ear of Excessive Type" in Chinese medicine. It is a common problem in otology and often happens in children.


• It is due to invasion of pathogenic wind and heat evils which go to the ear through meridians, and causes accumulation of heat-toxin, the accumulated heat steams and burns tympanic membrane; or seven emotional factors and fire created from stagnation of liver Qi: which are sent upwards to the ear orifice along the Gallbladder Meridian of Foot-Shaoyang, resulting in the mixture of the external and internal evils, and hence causing suppuration and perforation in tympanic membrane.


• I. Ear pain, even throbbing pain, is progressively aggravated so that sleeping often be influenced.

• As soon as tympanic membrane perforates, ear pain and body temperature would be relieved and decreased markedly.

• 2. Accompanied by high fever, aversion to cold, headache and uncomfortable sensation in the whole body.

• 3. Conductive decrease of hearing ability, accompanied by tinnitus.

• 4. pus effusion in the ear

Type and Treatment

• (1) Invasion of wind-heat evils

• Symptoms and Signs: pain inside the ear, stuffy ear, tinnitus, decrease of hearing ability; in sick children, there are frequent cry, ear pain becomes relieved and the symptoms become stable after pus is released.

• The accompanied symptoms are high fever, aversion to cold, restlessness, nausea, and convulsion, headache, nasal discharge, thin and white tongue coating, superficial and rapid pulse.

• Therapeutic Method: Expelling wind and clarifying heat for detoxication and discharge of pus.

Treatment

• (1) Acupuncture

• SI 19, GB 2, SJ 17, SJ 21

• GB 20,DU14, LU7

• SJ 5, LI 4

• 3 to 5 acupoints are selected in each ,treatment, the treatment is given once every day and the acupoints are punctured with the needles retained for 20 minutes.

• (2) Auricular therapy: The points are Pt. Ear, Pt. Common Cold, Pt. Earcentre. The points can be embeded either with the needles or seeds.

Type and Treatment

• (2) Damp and heat in the liver and gallbladder

• Symptoms and Signs: Severe ear pain, throbbing pain or piercing pain radiating to the head, decrease of hearing ability, yellow and sticking pus, conduction deafness.

• accompanied by red cheeks, red eyes, dry throat, bitter taste in the mouth, constipation, yellow urine; yellow and grease tongue coating, wiry and rapid pulse.

• Therapeutic Method: Clarifying the liver and gallbladder for damp elimination and pus discharge.

Treatment

• (1) Acupuncture

• SI 19, GB 2, SJ 17, SJ 21,

• GB 34, GB 43, LI 11, GB 40,

• SJ 5, LI 4.

• 3 to 5 acupoints are selected in each ,treatment, the treatment is given once every day and the acupoints are punctured with the needles retained for 20 minutes.

• (2) Auricular therapy: The points are Pt. Ear, Pt. Liver, Pt. Gallbladder. The points can be embeded either with the needles or seeds.

Meniere's Syndrom

• Meniere’s disease is caused by labyrinthine hydrops.

• Clinically it is characterized by paroxysmal dizziness, tinnitus and deafness.

• It belongs to the category of "Dizziness and Blurring of Vision" in Chinese medicine.

• The incidence is higher in middle-aged people, especially in mental workers.


• Water metabolism of the human body is associated with the lung, spleen and kidney.

• The deficiency in the lung, spleen and kidney would cause dysfunction in water flow, which accumulates dampness into phlegm and then the phlegm disturbs the clear orifice, resulting in dizziness.

• The liver likes to keep smooth flow of its Qi, if liver-Qi is stagnant, it would turn into fire and produce wind, both of which attack the clear orifice upwards, causing dizziness.

Meniere's Syndrom


1. Dizziness: It is described as sudden and rotatory vertigo, accompanied by pallor, cold sweat, nausea and vomiting, but with clear consciousness.

2. Tinnitus, It is continuous, low-frequent and low-pitch, or aggravated in attack.

3. Deafness, It is nervous deafness with vibration.

Meniere's Syndrom Type and Treatment

• ( 1) Ascension of liver-Yang

• Symptoms and Signs, Vertigo often occurs after frustration and depression, aggravated tinnitus,

• accompanied by restlessness, anger, headache, nausea, fullness and oppresion in the chest and hypochondria, flushed cheeks, red eyes, bitter taste in the mouth, dry throat, red tongue, yellow tongue coating, wiry and rapid pulse.

• Therapeutic Method: Calming the liver and expelling wind; nourishing Yin and reducing Yang.

Meniere's Syndrom

• (1)Acupuncture:

• DU 20, Taiyang, Yintang,SJ 17,

• LI 4

• DU 18, SP 6, KD6,LR 3

• Each time 3 to 5 acupoints are punctured and the treatment is given once every day.

• (2) Auricular therapy: The points are Pt. Kidney, Pt.Ear-shenmen, Pt. Occiput, Pt. Internal Ear, and Pt. Liver

• Each time 3 to 5 auricular points are selected with the needles or seeds embeded.

Meniere's Syndrom

• (2) Accumulation of phlegm

• Symptoms and Signs: Severe vertigo, stuffy ear, ear distension,

• heaviness in the head, stuffy and full sensation in the chest and epigastrium, salivation, poor appetite, lassitude, thirst without preference of drinking, pale tongue with teethmarks on the margin, white and grease tongue coating, soft and Slippery pulse.

• Therapeutic Method: Strengthening the spleen and dispersing phlegm.

Meniere's Syndrom

• (1)Acupuncture:

• SJ 17, SI18,GB2, DU 20, Taiyang, DU 23

• ST 40, ST 36, SP 6.

• LI 4


• (2) Auricular therapy: The points are Pt. Kidney, Pt.Ear-shenmen, Pt. Occiput, Pt. Internal Ear, Pt. Spleen, Pt. Lung, and Pt. Liver


Meniere's Syndrom

• (3) Upward flooding of cold water

• Symptoms and Signs: Palpitation in the attack of vertigo,

• pain in low back, cold sensation in the back, cold limbs, low-spirits, cough, thin and white sputum, profuse urine, pale tongue, thin and white tongue coating, deep, thready and weak pulse.

• Therapeutic Method: Warming the kidney and strengthening Yang for dispersing cold and promoting urine.

Meniere's Syndrom Type and Treatment

• (1)Acupuncture:

• SJ 17, DU 20, Taiyang, DU 4

• ST 36, SP 6,KD3

• LI 4, LR 3,


• (2) Auricular therapy: The points are Pt. Kidney, Pt.Ear-shenmen, Pt. Occiput, Pt. Internal Ear


Sudden Deafness

• It refers to sudden nervous deafness with unknown cause, mostly it occurs on one side.

• It belongs to the category of "Sudden Deafness" in Chinese medicine.

• The incidence is higher in middle-aged people and females.

Sudden Deafness


• It is related to invasion of external pathogenic wind and internal injury of seven emotional factors, which causes stagnation of meridians in the ear orifice, disharmony between Qi and blood, and obstruction of the clear orifice.

Sudden Deafness


l. Sudden onset, deafness usually reaches its highest severity in 24 hours.

2. Often accompanied by low-pitch tinnitus, vertigo, stuffy and distending sensation in the ear.

3. There is no obvious affection in the external auditory canal, tympanic membrane and auditory tube.

4. Audiometry shows nervous deafness .

Type and Treatment

• 1 . Syndrome of attack by wind and heat

• Main symptoms and signs: Hypoacusis with sudden onset, tinnitus like blowing wind,

• accompanying symptoms of headache, nasal obstruction, nasal discharge, cough, or fever and aversion to cold, red lingual tip, floating and rapid pulse.

• Therapeutic methods: Dispelling wind and dispersing the lung, expelling pathogenic factors to improve hearing.

Treatment


• SJ 17, SI 19, GB 2, SJ 21,

• SJ 3,SJ 5,

• LI4, GB20,DU14

• Each time 3 to 4 acupoints are selected and punctured with reducing technique, and the treatment is given once a day.

• (2) Auricular therapy: The points are Pt. Ear, Pt. Internal Ear, Pt. Ear-shenmen, Pt. Occiput

Type and Treatment

• 2. Syndrome of liver fire stirring the upper

• Main symptoms and signs: Onset after great anger or emotional depression with sudden hypoacusis. intra-aural distension and fullness with tinnitus, dizziness,

• conjunctiva congestion, red tongue with thin yellowish fur, wiry and rapid pulse.

• Therapeutic methods: Clearing away heat from the liver and purging fire, promoting qi flow and removing obstruction of orifices.

Treatment


• SJ 17, SI 19, GB 2, SJ 21

• SJ 3,SJ 5,

• GB 34, GB 43


• (2) Auricular therapy: The points are Pt. Ear, Pt. Internal Ear, Pt. Ear-shenmen, Pt. LV Pt. Occiput

Type and Treatment

• 3. Syndrome of stagnation of phlegm and fire

• Main symptoms and signs: Sudden hypoacusis or with accompanying tinnitus, cloudiness of the tympanic membrane. deafness found by audiometry,

• thoracic fullness, nausea, expectoration with yellow colour, red tongue with yellowish and greasy fur, slippery and rapid pulse.

• Therapeutic methods: Purging fire and resolving phlegm, regulating qi and removing obstruction of orifices.

Treatment


• SJ 17, SI 19, GB 2, SJ 21

• SJ 3,SJ 5, GB 34,

• SP 9, ST 40,LI11


• (2) Auricular therapy: The points are Pt. Ear, Pt. Internal Ear, Pt. Ear-shenmen, Pt. Occiput

Type and Treatment

• 4. Syndrome of blood stasis due to qi stagnation

• Main symptoms and signs: Sudden onset of hypoacusis or with tinnitus like the cicada's singing. deafness found by audiometry,

• deep purple tongue with whitish fur as well as unsmooth pulse.

• Therapeutic methods: Promoting qi flow to activate blood circulation, removing blood stasis to eliminate obstruction of orifices.

Treatment

(1) Acupuncture:

SJ 17, SI 19, GB 2, SJ 21

SJ 3,SJ 5

LV3, LI4,SP10,UB17

Each time 3 to 4 acupoints are selected and punctured with reducing technique, and the treatment is given once a day.

(2) Auricular therapy: The points are Pt. Ear, Pt. Internal Ear, Pt. Ear-shenmen, Pt. Occiput

Senile Deafness

• It refers to the progressive decrease of hearing ability on both ears after middle age and it is often related to heredity.

• Clinically it is characterized by bilateral, chronic and progressive deafness, and it belongs to the category of "Deafness due to Kidney Deficiency" in Chinese medicine.

Senile Deafness


• Kidney opens into the ears and kidney Qi flows into the ears.

• Only when essence and Qi in the kidney are sufficient and plentiful, and when the sea of bone marrow is nourished, can the hearing ability be sensitive, and can the distinguishing power be higher. In the old people, essence and Qi in the kidney start to subside, resulting in decrease of the hearing ability.

Senile Deafness


• I. It often starts after 50 years old, the hearing ability decreases progressively, and especially hearing ability of high frequency decreases first.

• 2. The decrease of the hearing ability is symmetrical on both sides, diagnosed as nervous deafness without vibration.

Type and Treatment

• (1) Insufficiency of kidney essence

• Symptoms and Signs: Progressive decrease of the hearing ability in both ears,

• accompanied by soft tinnitus which is relieved in the mornings and aggravated in the evenings, decrease in mentality, slow in action, weakness in feet, spermatorrhea, impotence, pale tongue, scanty tongue coating, thready and rapid pulse.

• Therapeutic Method:

• Nourishing the kidney, replenishing essence and relieving deafness.

Senile Deafness

• Acupuncture:

• SJ 21, GB 2, SJ 17

• BL 23, ST 36, SP 6, KD3

• SJ 5, SJ 3

• Each time 3 to 5 acupoints are punctured, and the treatment is given once every day.

Type and Treatment

• (2) Deficiency of kidney Qi

• Symptoms and Signs: Progressive deafness, slight tinnitus,

• accompanied by shortness of breath due to exertion, loose stool, urine in large volume, enuresis, dribbling of urine, pale tongue,

• white tongue coating, deep and feeble pulse.

• Therapeutic Method: Tonifying the kidney, benefiting Qi and relieving deafness.

Senile Deafness

• Acupuncture:

• SJ 21, GB 2, SJ 17

• BL 23, ST 36, SP 6, KD3

• SJ 5, SJ 3

• Each time 3 to 5 acupoints are punctured, and the treatment is given once every day.

Nervous Tinnitus

• It refers to the disease characterized clinically by high-pitch tinnitus and without dysfunction in the hearing ability.

• It belongs to the category of "Tinnitus" in Chinese medicine.

Nervous Tinnitus


• Mostly it is related to insufficiency of kidney- Yin and ascension of deficient fire which disturb the clear orifice, or related to deficiency and consumption of meridians around the eyes and ears, or ascension of liver fire which disturbs upwards the clear orifice, and causing tinnitus.

Nervous Tinnitus


1. Continuous high-pitch tinnitus, aggravated at night.

2. Mostly, subjective tinnitus.

3. Mostly, normal hearing ability.

Type and Treatment

• (1 )Insufficiency of kidney- Yin

• . Symptoms and Signs, Slight and continuous tinnitus in cicada’ s chirp, aggravated at night,

• warm sensation in five centres, soreness and weakness in low back and knees, dizziness and blurring of vision, red tongue, scanty tongue coating, thready and rapid pulse

• Therapeutic Method, Tonifying Yin, subsiding fire and stopping tinnitus.

Nervous Tinnitus


• SJ 21, SI 19, GB 2, SJ 17

• SJ 3, SJ 5,

• KD3,KD6,SP 6.

• Each time 3 to 5 acupoints are punctured with medium stimulation and the treatment is given once a day.

• (2) Auricular therapy: The points are Pt. Ear, Pt. Internal Ear, Pt. Ear-shenmen, Pt. Kidney,

• The points can be either embeded with the needles or embeded with seeds.

Type and Treatment

• (2) Deficiency in the heart and spleen Qi

• Symptoms and Signs: Deficient tinnitus,

• aggravated by fatigue and standing up, lustrousless facial complexion, palpitation, insomnia, pale lips, pale tongue, thin and white tongue coating, thready and weak pulse.

• Therapeutic Method: Tonifying and benefiting the heart and spleen Qi.

Nervous Tinnitus


• SJ 21, SI 19, GB 2, SJ 17,

• SJ 3, SJ 5,

• ST 36, SP 6.


• (2) Auricular therapy: The points are Pt. Ear, Pt.Internal Ear, Pt. Ear-shenmen, Pt. Heart, Pt. Spleen.


Type and Treatment

• (3) Excessive of liver fire

• Symptoms and Signs: Loud tinnitus, aggravated by emotional disturbance,

• accompanied by headache, ear pain, flushed cheeks, red eyes, distending pain in the chest and hypochondria,

• Red tongue, yellow tongue coating, wiry and rapid pulse.

• Therapeutic Method, Cleaning the liver and subsiding fire.

Nervous Tinnitus

• (I) Acupuncture:

• SJ 21, SI 19, GB 2, SJ 17

• SJ 3, SJ 5,

• LV2, GB43, GB 34


• (2) Auricular therapy: The points are Pt. Ear, Pt.Internal Ear, Pt. Ear-shenmen, Pt. Kidney, Pt. Liver


Documents

The Relationship between the Ear, Nose, Throat, Mouth