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Sudden deafness, a sensorineural hearing loss, occurs abruptly for
reasons unknown. Its main clinical feature is a sudden profound sensorineural
deafness, accompanied by tinnitus and dizziness and a tendency to get cured
spontaneously. The disorder is usually unilateral and occurs more often in
females and mostly in the middle-aged. In TCM, it belongs to the category of
"bao long" "cu long," both meaning sudden deafness.
Main Points of
Diagnosis
1. In most cases there exist mental factors or a history of virus
infection prior to the attack of the disease.
2. It occurs abruptly. The patient often has severe deafness or
even loses hearing entirely within an hour or a day.
3. There is often an accompanying tinnitus or vertigo.
4. Otic endoscopy examination indicates normal.
4. Audiometric curve shows that deafness is a sensorineural hearing
loss. Low-frequency deafness and even deafness are seen more often and
recruitment may be present.
Differentiation and
Treatment of Common Syndromes
Main Symptoms and signs: Deafness and tinnitus suddenly occur, in
most cases resulting from tense mood or overwork, and are accompanied with
restlessness, irritability, dizziness. and insomnia. The tongue is light red
with little fur. The pulse is taut.
Therapeutic Principle: Promoting the flow of qi and blood
circulation, relaxing muscles and tendons and removing obstruction from the
channels.
Recipe: Decoction for Activating Blood Circulation with additional
herbs
peach kernel
safflower
ligusticum rhizome,
grassleaved sweetflag rhizome
bupleurum root
red peony root
pueraria root
fresh ginger
Chinese date
The decocting method is the same as for the treatment of chronic
catarrhal otitis media.
For those who have a feeling of fullness and discomfort in the
chest and hyochondrium as well as restlessness and irritability, add 9 grams of
gentian root, 9 grams of scutellaria root and 15 grams of capejasmine fruit. For
those with severe tinnitus, add 30 grams of magnetite which is to be decocted
first and 9 grams of chastetree fruit. For those with dizziness, add 30 grams of
fleece-flower stem, 9 grams of gastrodia tuber and 30 grams of abalone shell.
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