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TINNITUS AND DEAFNESS TREATED BY ACUPUNCTURE

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Tinnitus is characterized by patients as a standard bell sound in the ears.


Deafness is the loss of ability to hear.

DIAGNOSIS ACCORDING TO CHINESE MEDICINE


Invasion of external wind
Sudden onset of tinnitus or hearing loss, tinnitus worse with exposure to
wind and cold, fever and chills, aversion to cold, generalized pains, stiff
neck, lack of sweating, headache, tongue with thin layer and white,
floating pulse.
In patterns of wind-heat is possible there are other signs and symptoms
as: mild pain in the ear, feeling slight obstruction within the ear, hearing
capacity and slightly reduced, membrane of the ear slightly red.

Liver Yang hiperactivity


Sudden onset of hearing loss or tinnitus, appearance of these symptoms
is associated with states of emotional instability, irritability, tendency to
anger and rage, dizziness, headache, bitter taste in the mouth, face red,
eyes red and dry, night sweats, dry mouth and throat, Red tongue with
thin and yellow fur, a rapid pulse and string like.
The sudden appearance of tinnitus have to be very intense sound with
high intensity and decreased hearing. However, as the rise of yang is a
consequence of the yin vacuity, if this pattern is the most intense, the
patient may have the symptoms of yin vacuity. It´s also possible to feel
changes of symptoms due to aggravated yin vacuity that generates liver
yang hyperactivity.
Damp-phlegm
Sudden onset of tinnitus, sensation of heaviness in the head, particularly
in the auditory canal, abdominal enlargement, aggravation by exposure to
wet environments, tongue with sticky fur, slippery pulse.
Other changes in damp-heat, as damp-heat in the liver and gallbladder
may have: relatively severe pain in the ear that can radiate to the face,
fever and cold alternated that aggravate other symptoms. In patterns of
damp-heat the tinnitus may have sudden appearance, have sound too
high and reduced capacity hearing.

Kidney yin and yang vacuity


Tinnitus with low sound but persistent, gradual onset, relief with local
pressure, tinnitus of low sound like cicada, aggravation by physical
exertion, chronic loss of hearing, dizziness, low back pain, weakness of
lower limbs, pink tongue and pulse weak and thin.

Acupuncture
Selection of points for tinnitus: 2GB, point the root of the vagus nerve,
6TB.
On this point combination we have local points and a distal point. One of
the points is used of auricular therapy but with very good effects in
treatment of tinnitus. 2GB and 6TB are a combination of points of the
same pair of meridians.
Other points to add: 5TB, 41GB, 17TB, 19SI, 21TB.

Selection of points according to the clinical patterns:


Invasion of external Wind: 20GB, 16GV, 12GB.
20GB and 12GB are 2 proximal points to the ear which function to
eliminate Wind. 16GV is found in the neck and is designed to eliminate not
only wind but also alleviate some symptoms such as dizziness, stiff neck
or occipital headache, originated in this clinical pattern.
Liver yang hiperactivity: 20GB, 3LV, 6SP, 3KD.
3LV the 20GB calm the Liver Yang while points 6SP and 3KD invigorate
the Yin.
Other points to use: 2LV, 43GB, 5TB, 6PC.
Damp-phlegm: 36ST, 8ST, 12CV.
36ST and 8ST is a combination of points of the same meridian, one local
and one distal, which function to remove humidity from the head. Point
12CV, as the 36ST, remove damp and strengthen the Spleen (it is easier to
remove damp if the speen is strong).
Other points to add: 4SP, 2SP, 20BL.
Kidney yin and yang vacuity: 4GV, 4CV, 6SP.
This combination is very good for strengthening the Qi of the Kidney and
give energy to the body.
Other points to add: 3KD, 7KD, 23BL.

Symptomatic points for relevant symptoms:


Irritability: Yintang
Night sweats: 6HT, 3SI
Headache time: 8GB, 41GB, 5TB
Headache parietal: Sishencong, 20GV, 1KD.
BIBLIOGRAPHY
DENG, Tietao; Practical Diagnosis in Traditional Chinese Medicine, ed.
Churchill Livingstone, 1st ed.; Edinburg, 1999
YIN, Ganglin; Advanced Modern Chinese Acupuncture Therapy; New
World Press, 1st ed., Beijing, China, 2000
ZHIXIAN, Long; and ally; Acupuncture & Moxibustion, edited by Beijing
University of Traditional Chinese Medicine, Academy Press, ISBN 7-5077-
1269-9, 1st edition, Beijing, 1999
JUNYING, Geng; Et Alli; Selecting the right point of Acupuncture: A
Manual of Acupuncture; Ed. Roca; 1st Ed.; Sao Paulo, 1996