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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