Summer cicada chirping is irritating, what if there is a cicada chirping in your ears all the time? For more than a year, Uncle Mei's ears seemed to be pretending to know non-stop, and he kept screaming day and night.
Like Uncle Mei, in the special tinnitus clinic of the No. 2 Community Health Service Center in Pengpu Town, Jing'an District, Shanghai, there are still many patients who come for treatment because of tinnitus, most of them are "50+" people aged "50+".
"Not fatal but fatal" is the feeling of many people with tinnitus. The doctor reminds that after the occurrence of tinnitus, it is better to see a doctor as soon as possible, and timely treatment will be better.
My ears are like I know for 24 hours and keep calling
Recently, 60-year-old Uncle Mei walked into the No. 2 Community Health Service Center in Pengpu Town, hung up on the road with a light car, and then went to the consultation room for treatment, which was his third visit for treatment.
"I feel a little better, and I will continue to come back for follow-up today." There were not many people waiting for the doctor, and soon he entered the consultation room. Cheng Wenyu, the attending physician of traditional Chinese medicine, took his pulse and performed acupuncture treatment for him again.
Ear doors, listening to the palace, listening to the meeting... In addition to the three main acupuncture points in the ear, Cheng Wenyu selected several acupuncture points related to sleep and performed acupuncture one by one.
Mentioning tinnitus, Uncle Mei, who is pricking needles in many acupuncture points, said calmly and helplessly: "The feeling is that there is a knowing call in the ears, and the 'zizizi' is constantly called 24 hours a day, and this sound is like a person in the house hearing the sound of knowing the cry outside." ”
At first, he heard a relatively soft tinnitus, which he usually did not hear during the day, but only in a quieter place or at night. But in the past six months, his tinnitus symptoms have gradually worsened.
"I myself feel that listening to others is not affected, but after hearing testing, I found that hearing actually has an impact. Tinnitus in both ears, and the left ear is more severe. ”
What's more uncomfortable is that because the sound of tinnitus lingers, Uncle Mei has insomnia. It takes a long time to fall asleep every time I lie in bed, and I often lie down for an hour or two without falling asleep. In order to fall asleep better, he now goes out for a walk at night and "sleeps when he is tired".
But after falling asleep, he is not steady, and often dreams. Uncle Mei said: "It may be related to tinnitus, sound interference, and sleep quality is not very good. In the past six months, tinnitus has become more and more serious, and insomnia has become more serious. ”
Dialectical acupoint selection, traditional acupuncture hand rule of law tinnitus
"Jingle bell..." The alarm clock in the consultation room suddenly sounded, and ten minutes had passed since the first needle procedure, and Cheng Wenyu came to the treatment room to administer another needle for Uncle Mei.
"Do you feel it?" Cheng Wenyu repeatedly lifted and inserted the needle into the acupuncture point while asking the patient how he felt. After seven or eight seconds, Uncle Mei said it was "a little sour."
"We value traditional manual treatment, through the 'insertion' technique, so that patients have a sense of qi, especially in the acupuncture points of the ear, there is a feeling of needle sensation transmitted into the ear canal, which will be better." So we set an alarm clock and gave the patient an injection every 10 minutes to give the patient a needle sensation. The duration of one acupuncture treatment is 30 minutes, and a comprehensive treatment will be carried out in combination with traditional Chinese medicine and physiotherapy. Tinnitus treatment varies from long to short, usually 6 weeks as a course of treatment. Cheng Wenyu said.
The interpolation laxative method is a traditional acupuncture laxative technique, in which heavy insertion is a supplement, and heavy insertion is a laxative. Cheng Wenyu introduced that before treatment, the doctor will conduct differentiation, for example, many elderly people are kidney deficiency type, will use the tonic method, some young people with strong liver, will use the laxative method.
The doctor will select the acupuncture points around the ear, the listening palace, and the listening meeting as the main acupoints, and the sense of qi here is very important, that is, the patient will have a feeling of acid, numbness, swelling, heaviness and so on. At the same time, according to the dialectical situation, select some acupuncture points related to ears, sleep, etc., as auxiliary acupoints.
When the needle is performed, the doctor will communicate with the patient and flexibly adjust the angle of the needle and the timing of the needle. Many patients who have undergone multiple treatments will also take the initiative to feedback their feelings to the doctor when undergoing needles, "Okay, okay, very sore."
Doctor's reminder: tinnitus should be treated in time
Why do many elderly people experience tinnitus? After ringing in the ears for more than a year, Uncle Mei did not know the reason, "suddenly appeared, not sick, but the work pressure is a little great, and the rest is nothing." ”
Cheng Wenyu said: "Tinnitus is related to noise, stress, emotion, excessive fatigue, etc., tinnitus is also a symptom of many diseases, ear diseases, arteriosclerosis, anemia, leukemia and other systemic diseases can also cause tinnitus." Of course, the pathogenesis of many tinnitus is not well understood. From the perspective of traditional Chinese medicine, the kidneys open to the ears, and when you are old, the kidney is deficient, you may have insufficient blood in the ears, lose nourishment, tinnitus and other conditions, and some are accompanied by hearing loss. ”
The patient, Ms. Zhang (pseudonym), has also recently developed tinnitus and has been having a "buzzing" sound in her ears. Before the onset of tinnitus, she had been caring for her sick mother in the hospital, very tired, day and night turned upside down, and she did not sleep well.
After her mother's condition was stable and discharged from the hospital, she felt that she was finally relieved to rest well, but she did not expect that she suddenly had tinnitus.
"It was 'buzzing' during the day and night, and it was even louder at night, and I was very irritable." After being discharged from the hospital, she also had to take care of her mother, coupled with the annoyance of her ears, she couldn't sleep after a night of tossing and turning, and the next day she rushed to the hospital. Ms. Zhang was diagnosed with neurogenic tinnitus.
The onset of tinnitus is often sudden, but treatment often takes a long time. There are also patients who do not pay much attention at the beginning and miss the best treatment time.
Cheng Wenyu introduced that neurogenic tinnitus is a difficult disease to treat, and not everyone can cure it. However, patients who come to treatment in time at the beginning of the attack will have a better effect, and if the delay is longer, or if the disease recurs, the treatment time will be longer and more difficult.
She recommends that after tinnitus, medication and acupuncture interventions should be carried out as soon as possible. When the needle is performed, the patient will have a continuous feeling of soreness and the effect will be better. It is necessary to maintain good living habits in daily life and relieve stress and bad emotions in time.
News Morning News · Thoughtful APP Reporter Pan Wen