中医药研究论丛

231.19 山元式新头针疗法治疗耳中风之病例报告
TJ TCM.23(1) : 237-244, 2020
DOI : 10.6516/TJTCM.202003_23(1).0019
山元式新头针疗法治疗耳中风之病例报告
Use of Yamamoto New Scalp Acupuncture to Treat Sudden Sensorineural Hearing Loss: A Case Study
高资承1*
1 医心堂中医诊所,台北,台湾
【摘要】
耳中风,亦称为突发性耳聋(SSHL),是耳鼻喉科急症,其症状为急速听力减退,而严重影响病患的生活。山元式新头针疗法(YNSA)於西元1967 年由日本山元敏胜所研发,其治疗方法是采用身体上的刺激点(somatotope),而非传统针灸穴位治疗。此外,目前对於突发性耳聋的论文多半属於西医的类固醇治疗或中医的传统针灸,尚未有运用YNSA 来治疗突发性耳聋的研究文章,因此,本病历报告为运用YNSA 来治疗耳中风之有效案例。林先生,62 岁男性,2018 6 月中旬右耳罹患耳中风,经过耳鼻喉科注射类固醇治疗後听力未明显恢复,左耳以前亦曾发作过突发性耳聋,前来就诊时左耳耳鸣、右耳闷塞感。治疗期间运用山元式新头针疗法,约治疗18 次後,听力恢复约40 分贝,目前持续治疗当中。结论:YNSA 对於耳中风有显着的疗效,亦可改善耳鸣、耳朵闷塞感等症状。若西医与传统针灸治疗後无效,可采取本疗法治疗。
【关键词】耳中风、突发性耳聋、山元式新头针疗法、Yamamoto New Scalp
Acupuncture、Somatotope
Tzu-Chen Kao1,2*
1Yi-Xin-Tang Chinese Medical Clinic, Taipei, Taiwan
2Master Degree, Graduate of Health Care Administration, Taipei Medical University, Taipei, Taiwan
【Summary】
Sudden sensorineural hearing loss (SSHL), also known as sudden deafness,is an acute otorhinolaryngological illness manifested as rapid hearing loss; this acute illness can have serious negative effects on patients’ lives. In 1967, Japanese physician Yamamoto Toshikatsu invented Yamamoto new scalp acupuncture (YNSA), a new acupuncture system that uses somatotopes instead of acupuncture points used in traditional Chinese acupuncture. To date, studies on SSHL have generally investigated treatments made using Western steroid therapy or traditional Chinese acupuncture, and those that investigated treatments involving YNSA remain to be seen. Accordingly, this study presented the use of YNSA to treat SSHL.
In this study, the patient was a 62-year-old man who experienced SSHL in his left ear and later developed right ear SSHL in June 2018. He received a steroid injection for his right ear in an otorhinolaryngology clinic, but his hearing was not satisfactorily recovered. When he visited the clinic, he experienced tinnitus in his left ear and blockage (plugged) in his right ear. He was subsequently given YNSA treatment. To date, he has received YNSA treatment 18 times, and his hearing has improved to 40 dB. He continues to receive such treatment.
Conclusion: YNSA has a significant and positive effect on SSHL, tinnitus,and ear blockage. Patients whose hearing does not improve after receiving Western treatment or traditional Chinese acupuncture may consider receiving this treatment.
 
Keywordssudden sensorineural hearing loss, sudden deafness Yamamoto new scalp acupuncture, somatotope