2 English reference tinnitus phlegm stagnation syndrome [Chinese medicine terminology examination and approval committee. Terminology of traditional Chinese medicine (20 13)]
3 Definition Tinnitus due to phlegm-fire stagnation refers to tinnitus syndrome due to phlegm-fire stagnation, which is characterized by tinnitus, fullness in the ear, heavy head, chest tightness or fullness, cough with excessive phlegm, bitter or tasteless mouth, unpleasant stool, red tongue, yellow greasy fur and slippery pulse [1
4 Symptoms of Tinnitus and Phlegm-fire Stagnation Syndrome Patients with tinnitus and Phlegm-fire Stagnation Syndrome have incessant cicadas in their ears, or "wheezing, wheezing" sounds, sometimes light and heavy, sometimes holding their breath, unable to hear clearly, dizzy and heavy, or dizziness, chest tightness, cough with excessive phlegm, bitter or tasteless mouth, hypochondriac pain, overjoy, pain under the ear and difficulty in defecation. The tongue is red, the coating is thin, yellow and greasy, and the pulse is slippery. [2][3][4][ 1]
Syndrome analysis shows that phlegm-fire stagnation blocks enlightenment, so tinnitus is like tide, sometimes light and sometimes heavy, and even qi stagnation and deafness [2].
Phlegm fire rises in the head, so the head is heavy and dizzy [4].
Obstruction of phlegm and stagnation of qi lead to chest tightness, excessive phlegm, throat discomfort and excessive joy [2]. If it affects health, it will be bitter and poor [2].
Phlegm-fire stagnation is not conducive to qi activity, so the chest is full and stuffy [4].
Phlegm fire upwelling, so vomiting phlegm saliva [4].
Phlegm and fire are blocked, and the liver, gallbladder and meridians are blocked, so there is pain under the ear [2].
Second, poor defecation is the syndrome of phlegm-dampness blocking the spleen and stomach and heat hurting the stomach and body fluid [4].
Fire is heavier than phlegm, phlegm is heavier than fire, and the mouth is light [4].
Bitter mouth, red tongue with yellow greasy fur and slippery pulse are all phlegm-fire syndromes [4][2].
6. Treatment of tinnitus with phlegm-fire stagnation syndrome 6. 1 prescription treatment 6. 1. 1 tinnitus with phlegm-fire stagnation syndrome should be treated by resolving phlegm and clearing fire, regulating stomach and reducing turbidity.
Tinnitus and phlegm-fire stagnation syndrome should be treated by clearing phlegm-fire [3].
6. 1.2 Fang Yi [2][3]
Wendan Decoction can be used [Remarks] Wendan Decoction (prepared as an urgent prescription): Pinellia ternata, dried tangerine peel, licorice, immature bitter orange, bamboo shavings, ginger and poria cocos can be treated: dried tangerine peel and Pinellia ternata are used in the prescription to eliminate dampness and phlegm; Poria cocos has light permeability and diuresis; Bamboo shavings and bitter orange clear stomach and reduce turbidity. Adding bile star and pumice into phlegm turbidity; The stagnation of Fritillaria thunbergii and Trichosanthes root is very obvious; Insomnia plus polygala tenuifolia and keel; Platycodon grandiflorum, Gardenia jasminoides Ellis and fried lobster sauce are added to patients with dysphoria. Heat with Scutellaria baicalensis Georgi and Coptidis Rhizoma for purging fire; If you have excessive phlegm, chest tightness and poor stool, you can use Jieshi Guntan Pill [Remarks] Jieshi Guntan Pill (the main theory of health preservation): Lapis lazuli, Aquilaria Resinatum, Radix et Rhizoma Rhei, Scutellariae Radix and nitrate to reduce fire and eliminate phlegm.
Tinnitus and deafness caused by phlegm-fire stagnation are mostly empirical. If Radix Bupleuri, Pericarpium Citri Reticulatae Viride, Fructus Forsythiae, Radix Curcumae or Radix Bupleuri Shugan Powder are added for anger, the effect will be better. Gexia Zhuyu Decoction (Yilin wormwood): Oletum Trogopterori, Radix Angelicae Sinensis, Rhizoma Chuanxiong, Semen Persicae, Cortex Moutan, Radix Paeoniae Rubra, Radix Linderae, Rhizoma Corydalis, Radix Glycyrrhizae, Rhizoma Cyperi, Flos Carthami and Fructus Aurantii.
As for tinnitus and deafness caused by stagnation of damp phlegm, exhaustion of clearing yang and stagnation of turbid qi, it is quite different from this. The treatment should strengthen the spleen and promote yang, showing the type of "clearing qi without promoting yang".
6. 1.3 Prescription has two main prescriptions: Qingqi Huatan Pill (Wu Kun Medical Prescription).
Add and subtract prescription: 6g of dried tangerine peel, almond 12g, Fructus Aurantii Immaturus 12g, Scutellariae Radix 12g, Fructus Trichosanthis 12g, Poria 15g, Arisaema cum bile 15g, and Pinellia ternata. Decoct with water. If the sputum is yellow and thick, add Tianzhu Huang 12g. Coptidis Rhizoma 15g is added for extremely hot patients.
6. 1.4 Fang San Wei Jia Chen Er Tang: Chen Er Tang is the main prescription for treating dampness and phlegm, which is beneficial to clearing away heat from Scutellaria baicalensis Georgi, Coptidis Rhizoma and Fructus Aurantii Immaturus, and the addition of almond, Fructus Trichosanthis and Arisaema cum bile has a stronger expectorant effect [4].
6. 1.5 Fang Si's "Liu Baoyu's Medical Records" Volume 5: After illness, he gradually became deaf, his tongue was strong, and even his two orifices were suffocated. It is said that taking tonic is getting heavier and heavier, phlegm and qi are blocked, and it is difficult to heal after a long illness. Gu and the method of eliminating phlegm and inducing resuscitation. Fructus Xanthii, Semen Sinapis Albae, Cortex et Radix Polygalae, Pericarpium Citri Tangerinae, Rhizoma Acori Graminei, Radix Aristolochiae, Fructus Gardeniae, Guishen Tablet, Bulbus Fritillariae Cirrhosae, Radix Curcumae, Poria, Fructus Tribuli, and Rhizoma Zingiberis.
6. 1.6 Chinese patent medicine (1) Hushi Guntan Pill, 1 bottle each time, twice a day. (2) Compound Shedan Chuanbei Powder, taken orally, L bottles each time, twice a day.
6.2 Acupuncture treatment mainly takes points such as Yifeng, Tinggong, Xiaxi and Zhongzhu [5]. Stagnation of phlegm-heat is related to prosperity and labor palace [5].
6.3 Qigong Therapy (1) Anyone who is inflamed by phlegm fire, obstructs enlightenment and causes deafness can be treated by Qigong. The methods are as follows:
(1) Sit up with your hands, lift your upper body with your hands, bend your head, lift your foot clamp hard for three times at the same time, swallow body fluid and go down to the shade. Do static work after 24 degrees, which means to keep your navel. After the tail exhausts 89 degrees, people are quiet.
(2) The original intention is to store phlegm and fire, and the second intention is to push the large intestine away and let it go; The second time, press your hand under your breast a few times to calm down and nourish your qi, and then deliberately peel off the phlegm fire on your chest and spread it to both sides. Think again, the breasts are self-opening, and the phlegm is self-melting. (2) "Ming Gu Tian": Put the palms of both hands close to the ears, press the index finger, middle finger, ring finger and little finger of both hands symmetrically over the pillow, and the two middle fingers touch each other. Then, put the two index fingers obliquely on the middle finger, and then slide the index finger down from the middle finger and hit the head pillow with a heavy punch. At this time, you can hear the loud and clear drums. First left 24 times, then right 24 times, and finally knock 48 times with both hands; It can be done many times a day. (3) People suffering from depression, emotional anxiety and hypochondriac pain can choose:
(1) Put your finger on the ear hole with your hand, put it on suddenly, and put it on several times with pressure, or gently cover the whole ear with your palm and shake it to attract it to breathe.
(2) Sit still when you are ugly every day, straighten your arms to both sides as far as possible, then move your head left and right for 42 times, vomit turbidity, knock your teeth and swallow body fluid. (4) The "guiding method" is feasible for the elderly, the weak and the people with insufficient qi and blood. Methods: Press the helix with both hands and rub it once, each time 15 minutes.
7 Tinnitus is the name of the disease [3]. That is, tinnitus [6] refers to an ear disease characterized by conscious ringing of the ear or head without a corresponding sound source [1]. It is one of the symptoms of various ear diseases, but it can also be a separate disease [6].
"The Complete Book of Surgical Diagnosis and Treatment" Volume II: "People with tinnitus have sounds in their ears, such as cicadas, bells, fire, running water, rice dusting, or sleeping like drums and wind."
The literature often juxtaposes tinnitus and deafness:
Introduction to Medicine Volume 5: "Tinnitus is a progressive deafness."
Volume 23 of the Origin of Miscellaneous Diseases clearly points out: "People with tinnitus are getting deaf, those who are deaf due to qi closure are silent, and the rest are deaf, all without exception."
Tinnitus is often divided into cold syndrome, liver-fire disorder syndrome, phlegm-fire stagnation syndrome, kidney essence deficiency syndrome and spleen-stomach qi deficiency syndrome.