What kind of person is prone to tinnitus?
One: after the age of 60, the elderly are exhausted. Teachers often say that this is because of the lack of groundwater, hearing loss, deafness and tinnitus began to appear.
The second category: hearing loss of infants caused by drug abuse or abuse.
Three kinds: mental workers who are overworked in the office, staying up late for a long time, motionless, nervous and anxious.
As we all know, the auditory pathway is generated by external sound signals, which are transformed into eardrum vibration signals and act on the three ossicles of the middle ear. After amplification, it reaches the inner ear receptor, and then the electrical signal transmitted by the nerve reaches the cortical auditory pathway of the transverse temporal gyrus of the brain, so that you can know the nature and orientation of the sound.
Knowing the auditory pathway, we can find the cause of tinnitus in this pathway, and only if there is something wrong with this pathway will there be something wrong with the ear.
Etiology of tinnitus
I. Diseases of the auditory system
The auditory system is divided into outer ear, middle ear and inner ear. Any problem with the outer ear, middle ear and inner ear can cause tinnitus.
1, external auditory canal cerumen embolism is equivalent to the presence of foreign bodies in earwax. 2. Middle ear and otitis media that is often heard.
3. Diseases with vestibulocochlear nerves in the inner ear, such as Meniere's syndrome, accompanied by tinnitus and dizziness.
Second, systemic diseases.
1, cardiovascular and cerebrovascular diseases (poor blood supply to the ear, high or low blood pressure, or problems with blood components can also cause ear problems).
2, autonomic nervous dysfunction, mental stress, depression, etc.
3. Endocrine diseases: thyroid dysfunction, diabetes, etc.
4. Others: neurodegenerative diseases, trauma, drug poisoning, cervical spondylosis, etc.
Third, psychological factors.
If there is no organic problem when going to the hospital, the doctor will ask you to make an anxiety and depression scale, which is to evaluate people's psychological problems. If the anxiety and depression scale has passed a certain score, then the doctor will suggest going to the psychological counseling department. People who have never suffered from tinnitus do not know the pain caused by tinnitus. Tinnitus is not just an ear problem. Long-term tinnitus will make patients feel irritable, anxious, nervous, afraid or depressed, and bad emotional state will aggravate tinnitus, resulting in a vicious circle of tinnitus and bad emotions.
Treatment of tinnitus
Western medicine treatment
Western medicine emphasizes early treatment, and 3 ~ 6 months is an important period of treatment. The longer tinnitus is delayed, the lower the cure rate. Western medicine generally treats from the following three aspects:
1, etiology and treatment
The primary cause of tinnitus, whether caused by hypertension, diabetes or other diseases, should be treated.
2. Drug therapy
In addition to primary diseases, such as simple nervous tinnitus, western medicine generally uses vasodilators and neurotrophics. Vasodilators promote blood circulation in the ear, improve blood supply to the ear, and promote nerve recovery in the ear.
3, psychological counseling and exercise, diet
But in general, the treatment of western medicine is only symptomatic treatment, the specific cause is not clear, and the specific mechanism is not completely clear, so the treatment of western medicine is mainly symptomatic treatment.
Traditional therapy in China
I combed the twelve meridians's knowledge of tinnitus in TCM. The stomach meridian is said to be in front of the ear, while the small intestine meridian is said to be in the ear. In this way, the stomach meridian and the small intestine meridian are closely related to the ear, while the stomach meridian and the small intestine are closely related to the digestive and endocrine system of western medicine, which coincides with the influence of systemic diseases on the ear mentioned by western medicine.
The triple energizer meridian of shaoyang in the hand and gallbladder meridian of shaoyang in the foot communicate with the ear, which provides a certain physiological basis for the third kind of high-pressure and high-load office mental workers. In traditional Chinese medicine, it is called tinnitus caused by imbalance of meridian circulation caused by shaoyang stagnation fire.
The third point of traditional Chinese medicine will be related to the kidney, which is the cause of the disease in the elderly.
In the treatment of traditional Chinese medicine, the clinical effect of acupuncture combined with medicine is ideal. I used acupuncture to treat a case. He is a financial officer of a securities company and an office crowd. The main symptoms are tinnitus, headache, epilepsy, poor sleep, loss of appetite and dry stool, which is in line with the phenomenon that shaoyang stagnation interferes with menstruation. Acupuncture treatment has been greatly relieved several times, but it will recur. Do you know why?
Because such people have been in a state of high pressure and tension for a long time, body form lost his inertia, and his neck, back and head were tightened, like cowhide tendons. Acupuncture meets the tendon of cowhide, which is equivalent to meridians. Fluctuating this meridian, pumping it, the muscles of cowhide will move, and the qi and blood will be much more comfortable and relieved. But the tendon of cowhide is an inertia. If it is not stimulated, it will return to the original state of tension and anxiety, and it will recur.
After the treatment is relieved, we need to start from the aspects of life, work and diet. Pay attention to the combination of work and rest in life, and slowly learn to let go of psychological chores and troubles. Psychological chores, nervousness and anxiety can only be strengthened by patients themselves. By ravaging our bodies and emptying our souls, we can think less about these things, and at the same time exercise our bodies and enjoy life, instead of being chased and adjusted by life like this, the disease will slowly recover and will not recur.
Finally, to sum up what we talked about today, we talked about the relationship between tinnitus and auditory system. The auditory system is divided into lesions of external ear, middle ear and inner ear, and it is also related to systemic diseases, such as cardiovascular and cerebrovascular diseases and endocrine diseases. Another point is that psychological factors lead to psychogenic tinnitus. In terms of treatment, we also talked about how western medicine and Chinese medicine treat it. Traditional Chinese medicine mainly involves shaoyang meridian, spleen and stomach digestive system, and our kidneys. We also emphasize the combination of work and rest, reasonable diet and reasonable life, so that the body can enter a benign environment and avoid recurrence.
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