中医药研究论丛

231.18 中药配合针刺复原重度突发性耳聋
TJ TCM.23(1) : 221-236, 2020
DOI : 10.6516/TJTCM.202003_23(1).0018
中药配合针刺复原重度突发性耳聋
Effective Treatment of Severe Idiopathic Sudden Sensorineural Hearing Loss with Chinese Herbal Medicine and Acupuncture-A Case Report
张凯惟1 张清贸1,3 陈方佩1,2,3 龚彦颖1,2,3*
1 台北荣民总医院传统医学部,台北,台湾
2 国立阳明大学传统医药研究所,台北,台湾
3 国立阳明大学医学系,台北,台湾
【摘要】
突发性耳聋为耳鼻喉科临床常见的疾病,突发性耳聋的正确机转目前仍不明,其主要症状为突发听力受损,大多病患除了听力减退之外,还有耳鸣、眩晕的症状,临床上有各种不同治疗方式被提出,包括类固醇、抗凝血剂及高压氧等,但疗效仍不一定明确,其中重度的听力受损,即使接受治疗也少有完全复原的情形。本案例为一位33 岁女性病患,从发病开始即在本院耳鼻喉科就诊,纯音听力测验诊断为重度突发性耳聋,经过西医药物一星期治疗仍未有明显改善,因此前来中医部求诊,在接受中药(以益气聪明汤为,主配合远志、石菖蒲、丹叁)配合针刺(以耳门、听宫、听会为主)治疗之後,听力逐渐恢复正常以及伴随临床症状获得改善,此病例可提供中医师治疗突发性耳聋之有效临床案例之叁考。
【关键词】突发性耳聋、针刺、中药
Kai-Wei Chang1Ching-Mao Chang1,3Fang-Pey Chen1,2,3Yen-Ying Kung1,2,3*
1Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2Institute of Traditional Medicine, National Yang-Ming University, Taipei, Taiwan
3School of Medicine, National Yang-Ming University, Taipei, Taiwan
【Summary】
Idiopathic sudden sensorineural hearing loss (ISSNHL) is a common disease in ENT clinics; however, its etiology is unknown and may be complicated by several factors.
The main symptom is sudden hearing impairment. In addition to hearing loss, tinnitus, and vertigo are also seen in these patients. Although the clinical treatments are numerous including steroids, anticoagulants and hyperbaric oxygen but the effects are not always clear. In particular, severe ISSNHL is seldomly recovered even the treatments are given.
The 33-year-old female patient was diagnosed as severe idiopathic sudden sensorineural hearing loss using pure tone audiometry (95dB) at ENT clinics.After a week of western medicine treatment, the situation has not significantly improved. The patient searched for help at Department of Traditional Chinese
Medicine. After treatment with Chinese herbal medicine (Yi Qi Cong Ming Tang plus Polygala tenuifolia, Salvia miltiorrhzia and Acorus gramineus) and acupuncture (Ermen (ST21), Tinggong (SI19) and Tinghui (GB2)), the hearing capacity is gradually returning to normal and other related clinical problems have also been improved. This case report could be presented as an effective clinical case study of ISSNHL using Chinese herbal medicine and acupuncture.
 
Keywords idiopathic sudden sensorineural hearing loss (ISSNHL), acupuncture,Chinese herbal medicine