Sudden Sensorineural Hearing Loss treated with Acupuncture: A Case Report
方昭华1田莒昌2,*
1思邈堂中医诊所，新北，台湾
2岐伯斋中医诊所，新北，台湾
【摘要】
78 岁妇女曾经因罹患右侧乳癌接受手术之过去病史，目前无其他慢性病。
此次因右耳罹患突发性感音神经性听力丧失，已於耳鼻喉科接受鼓膜内类固醇
注射治疗3周，但症状及纯音听力测验结果未见改善。初诊时，切诊其右手关
部为滑脉、左手关部为弦动脉，经四诊合叁诊断其暴聋属於肝气郁结、气郁化
火证型，治疗原则为疏肝理气、清热泄火。以针刺治疗疏通其少阳经脉，调节
气机升降，局部取穴以患耳之耳门穴、听宫穴、听会穴、风池穴为主，远端则
取足三里穴、合谷穴，藉此改善耳部周围血液循环。病患在4次针刺治疗後主
观听觉症状进步迅速，纯音听力测验亦有极大进展。本病例发表以针刺治疗介
入耳鼻喉科常规治疗无效之突发性感音神经性听力丧失之经验，可望提供替代
医疗之叁考。
【关键词】突发性感音神经性听力丧失、中医、针灸
【Summary】
A 78-year-old woman with a history of surgery for right-sided breast cancer, but now without other chronic diseases. This time, she suffered from a sudden sensorineural hearing loss in his right ear, and then has been treated with intratympanic steroid injections at the Department of Otolaryngology for 3 weeks. However, there was no improvement in symptoms and the result of pure-tone audiometry test. At the first visit, the right hand was showing slippery pulse in the pulse diagnosis, and wiry-moving pulse on the left hand. The syndrome differentiation of TCM is that the depressed qi transforming into fire, Therefore, the treatment principles is to disperse stagnated liver qi and clearing heat-fire. Acupuncture treatment is used to dredge its Shaoyang meridians, adjust air engine. Acupoints like Ermen (SJ21)、 Tinggong(SI19)、 Tinghui(GB02)、 Fengchi(GB20) were applicated to improves blood circulation around the Affected ear. The patient’s subjective auditory symptoms and the pure-tone audiometry test had significant progress after 4 acupuncture sessions. Through the TCM therapy in treating with this case, we could provide the experience on alternative medicine to the treatment of Sudden sensorineural hearing loss that does not respond to conventional treatment.
【Keywords】
sudden sensorineural hearing loss； Traditional Chinese Medicine； Acupuncture
282.12针灸介入突发性感音神经性听力丧失之 病例报告
