中医药研究论丛

231.17 针灸结合类固醇治疗突发性耳聋病例报告
TJ TCM.23(1) : 209-220, 2020
DOI : 10.6516/TJTCM.202003_23(1).0017
针灸结合类固醇治疗突发性耳聋病例报告
A Case Report: Acupuncture Combined with Oral Corticosteroid for Sudden Sensorineural Hearing Loss
陈昱婷1,2 叶家豪2 陈冠宇2*
1 中国医药大学中医学系,台中,台湾
2 台北市立联合医院阳明院区中医科,台北,台湾
【摘要】
突发性耳聋是一项耳鼻喉科的急症,患者会出现突然听力下降,大多为单侧发生,常伴随耳闷、耳塞、耳鸣、眩晕等症状。目前西医第一线治疗用药为类固醇且在发生後两周内接受治疗则预後较良好。由於目前突发性耳聋的真正病因尚未明确,也增加治疗方式及疗效的不确定性,因此有许多病患会寻求中医协助。本案例为一位30 岁女性,於压力事件发生後出现突发性耳聋,中医辨证为肝郁气滞,气郁化火,上扰耳窍,以针灸配合类固醇治疗,循经选取三焦经、小肠经、胆经的穴位,亦针对病机辨证取穴,经治疗於两周後完全恢复。此有效案例希望可以提供同道作为突发性耳聋的治疗叁考。
【关键词】突发性耳聋、针灸、中医
Yu-Ting Chen1,2Chia-Hao Yeh2Kuan-Yu Chen2*
1School of Chinese Medicine, China Medical University, Taichung, Taiwan
2Department of Chinese Medicine, Taipei City Hospital, Yang-ming Branch, Taipei, Taiwan
【Summary】
Sudden sensorineural hearing loss (SSNHL) is considered an alarming symptom that often prompts an urgent visit to an otolaryngology specialist. It occurs abruptly, developing loss of hearing, and is usually unilateral. Most patients present with a sensation of a blocked or full ear. And it is often accompanied by
tinnitus or vertigo. Oral corticosteroid has been considered first-line therapy for SSNHL. The prognosis is better in patients with treatment started within 2 weeks after onset. The etiology of SSNHL is uncertain, and the management strategies are vary and uncertain. As a result, patients may seek complementary and
alternative medicines such as traditional Chinese medicine (TCM).
This patient was a 30 years old female presented with unilateral sudden hearing loss after a stressful event. The pattern was binding depression of liver qi, transforming into fire, harassing the ear. She had been treated by acupuncture combined with oral corticosteroid. The acupuncture points were located on the
Sanjiao Meridian, Small Intestine Meridian, and Gallbladder Meridian. We also chose other acupuncture points due to TCM etiology and pathogenesis theory. After two weeks of acupuncture combined with oral corticosteroid treatment, the hearing loss of the patient fully recovered. Therefore, this case report is provided as a clinical reference for treatment of SSNHL.
Keywords sudden sensorineural hearing loss, acupuncture, traditional Chinese medicine