Tinnitus can be roughly divided into two types. One is false tinnitus, which means there is no such sound at all. This is the patient's own ear. Because of the change of function, it mistakenly "fantasizes" the sound. This is the main type of tinnitus we are talking about today.
The other is misinformed tinnitus, which means that there is indeed sound, such as tinnitus caused by organic lesions around the ear, which is often consistent with the heartbeat and can be measured by some instruments.
There was a lot of discussion about tinnitus in ancient China, which was basically this kind of tinnitus. This kind of tinnitus is as tall and thin as cicada, and many friends describe it as if there are many cicadas in their ears, which makes them fidget.
Some friends described it as buzzing ears, feeling groggy and dizzy.
So, how are these tinnitus caused? How can we identify it?
I think the causes of tinnitus are as follows:
0 1
Spleen and stomach weakness, ascending and descending disorder
In Huangdi Neijing, a classic of traditional Chinese medicine, tinnitus is considered to be related to the spleen and stomach, and Neijing thinks that all the problems of nine orifices are caused by the gastrointestinal tract. We may not have noticed this today. In fact, I think spleen and stomach weakness is a very important cause of tinnitus. For example, many people eat without eating and work hungry, which will lead to spleen and stomach injury and qi deficiency. However, if the spleen and stomach are normal, the light and clear qi will rise and the turbid yin will fall. However, if the ascending and descending are out of balance, the turbid gas will go up, blinding the clear orifices, and tinnitus will appear. Among my friends who suffer from tinnitus now, I have observed that many people are people who eat unreasonably, eat indiscriminately and often work on an empty stomach because they can skip lunch and dinner at work.
So, what are the characteristics of such people?
First of all, let's look at the characteristics of tinnitus in such people. This kind of person's tinnitus will have a deep voice, and there will be obvious feelings after fatigue, accompanied by dizziness and weakness.
Mr. Gan, a famous old Chinese medicine practitioner, is especially good at otolaryngology. He didn't die until he was over 0/00 years old. He is an old-timer in Chinese medicine. His exposition of tinnitus is very classic, especially he thinks that the description of tinnitus and the analysis of its tone and pitch are very important information. This old gentleman's exposition is very enlightening to us.
This kind of people have mental fatigue, weakness of limbs, deterioration of spleen and stomach function, loss of appetite, abdominal distension after eating, easily deformed stools, dull complexion, sweating at the slightest movement, feeling weak, large and soft pulse, tender and fat tongue, and most importantly, teeth marks on the tongue edge.
I think such a friend should put aside the quick-acting consideration, carefully regulate the spleen and stomach, eat seriously, and take good care of his neutralization spirit.
At the same time, you can eat Chinese patent medicine. I suggest taking Buzhong Yiqi pills after meals in the morning and Guipi pills before going to bed at night. You can also use Yiqi Smart Soup, which was also founded by Li Dongyuan. Nowadays, its proprietary Chinese medicine is Yiqi Smart Pill, which is produced by many manufacturers.
If possible, you can use 6 grams of Acorus gramineus and 9 grams of Passepartout to boil water, divide this water into two parts and take two kinds of Chinese patent medicines respectively. This Acorus gramineus and Passepartout are drug introducers.
I've also used Huang Yuanyu's method of strengthening the spleen and stomach, and the effect is good. When recording "Lecture Room", a CCTV leader said that he had tinnitus for many years, and almost all of them were tonifying the kidney, but it didn't work. So I gave him my spleen and stomach. I remember I used Shenfu Wuwei Shaoyao Decoction, which was a prescription for treating ear diseases in Huang Yuanyu in Qing Dynasty. The composition of this prescription is:
9 grams of Poria cocos, 6 grams of Rhizoma Pinelliae Preparata (original recipe is 9 grams), 6 grams of Glycyrrhiza uralensis Fisch, 9 grams of Ginseng, 9 grams of dried tangerine peel, 3 grams of Schisandra chinensis and 9 grams of Radix Paeoniae Alba.
We can also add some drugs such as Acorus gramineus and Fructus Lipuidambaris for later use.
In the prescription, poria cocos removes dampness, strengthens spleen and clears qi, Pinellia ternata lowers stomach qi, tangerine peel regulates lung qi, ginseng supplements lung qi, Schisandra chinensis astricts lung qi, and paeony acid softens liver. Huang Yuanyu believes that if the qi of the spleen and stomach rises and falls normally, tinnitus will disappear.
As a result, I gave CCTV leaders a very good conditioning effect. He was surprised and said, why does tinnitus need to regulate the spleen and stomach? I told him the truth and he was deeply moved. Besides thanking him, he gave me a book he wrote as a souvenir.
02
Excess of liver fire
Our bodies are closely related to our emotions. Many people's tinnitus, in addition to the lack of healthy qi, is probably the foundation, but at the same time, many people are caused by anger.
Therefore, if the patient sings abnormally and often feels tinnitus, then we have to ask, before suffering from tinnitus, is it because of something that makes the liver qi uncomfortable?
This kind of tinnitus, there will be paroxysmal outbreaks, but sometimes it can be tolerated, and sometimes it is unbearable.
At this time, the patient's symptoms are: headache, head swelling, dizziness, bitter taste, dry mouth, red eyes, impatience, insomnia and dreaminess, yellow urine, stool or dryness. The tongue is red, or a sharp edge can be observed. Pulse string, hard and powerful.
At this time, Gentian Xiegan Decoction or Gardenia Qinggan Decoction can be used for treatment. Longdan Xiegan Decoction has a Chinese patent medicine called Longdan Xiegan Pill. If these patients can take Longdan Xiegan Pill for a few days, the development of the disease can be controlled. There are many prescriptions of Zhizi Qinggan Decoction, which I introduced in the article on treating thyroid nodules and can be used to soak feet.
If the symptoms are not so serious, just because of bad mood and tinnitus, you can use Jiawei Xiaoyao Pill.
03
Have a strong heart
This kind of situation, in fact, is the same as the previous one, which is caused by bad mood and anger, but the heart is full of fire, which often appears at the same time as kidney yin deficiency. And my experience is that people with a strong heart often have tinnitus on the right side. This is because the heart fire should have fallen to the right, but now it is depressed; For people with hyperactive liver fire, tinnitus is often on the left side. This is because the liver qi rises to the left, but now it has stagnated.
A person with a burning heart will have a red tip of the tongue, be easily agitated, suffer from aphtha and urinate Huang Chi.
Excessive heart fire and kidney yin deficiency will lead to disharmony between heart and kidney. In the Ming Dynasty, Chen Shiduo wrote in Dialectical Records? Ear pain gate said: "People's heart and kidney are connected, so that they can be clear up and down, so that they can hear, and the kidney is not connected with the heart, and the heart is not connected with the kidney, so that the hearing can be confused. But if the kidney is given to the heart and the heart is given to the kidney, we can accept each other and live in peace. If the kidney fire is strong, then the heart is afraid of kidney fire and dares not pay it; Heart fire is too strong, and the kidney is afraid of heart fire and dares not hand it in. Can make both ears sing. But the heart does not pay attention to the kidney, and the tinnitus is light, and the kidney does not pay attention to tinnitus. "
This kind of tinnitus is loud and sharp.
Generally speaking, tinnitus is still serious during the day, which may lead to vigorous heart fire, and tinnitus at night is loud and sharp, which may lead to kidney yin deficiency. But I think the two are often combined and should be considered comprehensively when conditioning.
As for conditioning, I especially admire the old man Gan's method of "purging heart fire and nourishing kidney water", which he used in medical records. I think we can add and subtract a little. I recommend it:
Coptidis Rhizoma/kloc-0.5g, Lophatherum gracile 3g, Juncus Juncus 6g, Ziziphus Spinosae Semen, Radix Rehmanniae Preparata, Radix Ophiopogonis, Radix Salviae Miltiorrhizae, Poria, Semen Cuscutae and Ruby each/kloc-0.0g..
You can ask the doctor nearby to increase or decrease this prescription. The idea has always been to clear heart and nourish kidney, and the effect is very good. This method has benefited me a lot.
04
Simple deficiency of kidney yin
Mr. Gan Lao thinks that when it comes to tinnitus, it is to use Liuwei Dihuang Pill or Erlong Zuo Ci Pill. This is a misunderstanding. Tinnitus is mostly positive, and deficiency is not much. This is the old man's point of view. He thinks it is caused by deficiency of kidney yin. He said it was kidney essence deficiency, but it was mostly concentrated in the elderly group. For the elderly, asthenia is more, even reaching 70%.
However, I think it is not uncommon for modern people to consume too much, age early and have insufficient kidney essence, so we should also consider this situation.
This kind of tinnitus is very sharp, especially at night, or when covering your ears. Such people have a red tongue, a thin tongue coating, and even no tongue coating. Fever in hands and feet, upset, night sweats, rapid pulse, all in all, the performance of yin deficiency.
Only such people can take Liuwei Dihuang Pill or Erlong Zuo Ci Pill. I think if night sweats are obvious, you can take white Dihuang pills for two days first, and then take Liuwei Dihuang pills and keep taking them. This situation is mostly formed for a long time, and it is not necessary to expect quick results, just a little improvement. But as long as the direction is right, it will definitely improve.
05
Suffering from phlegm-dampness
Phlegm dampness is also common. This tinnitus sound is very low. Unless there is phlegm fire, it is high to have phlegm fire. Generally, phlegm-dampness tinnitus is mostly low-pitched.
This kind of people, the root of the disease is the poor qi movement, which hinders the operation of qi and blood, thus condensing into phlegm. Therefore, regulating qi and invigorating vital qi is the fundamental conditioning method.
This kind of person's tongue coating will be thick and greasy, full of tongue coating and hypertrophy of tongue body.
At the same time, the accompanying symptoms are dizziness, head wrapped in towels, obesity, greasy skin, drowsiness and sticky stool.
At this time, if the tongue coating is white, you can use Xiangsha Liu Jun Pill, or you can ask Chinese medicine practitioners to prescribe scented prescriptions such as Pogostemon and Eupatorium odoratum, and the effect is better.
If the tongue is red and the tongue coating is yellow and greasy, you can use Wendan decoction to soak your feet in jujube, or you can eliminate phlegm and clear heat.
This kind of phlegm-dampness is actually the result of spleen and stomach injury. So in the end, it is necessary to regulate the spleen and stomach.
There are many syndromes of tinnitus, including blood stasis, yang deficiency and blood deficiency. In short, any disorder of our body will lead to tinnitus, so the most fundamental thing is to adjust our physique according to our physical condition, so that tinnitus will disappear.
But what we are talking about today is the main cause of tinnitus. Let me sum up, it is spleen and stomach injury, excessive internal heat and insufficient kidney essence. These three, in fact, will not appear alone according to the textbook. Often appear together, mutually causal.
So it depends on the doctor's skills and wait until the disease forms before treatment. At present, there are not many Chinese medicine experts who treat otolaryngology in China. If you seek medical advice everywhere, you may not find a master to solve the problem.
And if you can understand the truth, adjust your living habits, protect your spleen and stomach, protect your kidney essence, get angry when something happens, and prevent it in advance, this is the real way to resist disease!