In the dead of night
There seemed to be countless mosquitoes "buzzing" in the ears
It's like a cicada chirping in your ears
But they could not disperse, and they could not drive away
Apparently no one spoke
But I always felt that a voice was coming from my ears or from my head
What the hell is going on?
This sound is tinnitus!
▶ What is tinnitus?
Tinnitus is an abnormal acoustic hallucination in the ear or skull in the absence of an external sound source. This sound can be felt in one or more ways and for a certain period of time, which is mostly the result of different pathological changes in many diseases that affect the auditory system, and subjectively there is sound sensation in the ear or in the skull. If you feel that there are monotonous or mixed sounds such as cicada chirping, buzzing, and hissing in your ears, if it is persistent tinnitus, it may be accompanied by other symptoms such as deafness, dizziness, and headache.
▶ What causes tinnitus?
The appearance of deafness and tinnitus is often not completely due to ear problems, it can be caused by a variety of reasons, which can be caused by natural physical aging, or caused by ear, brain, and systemic diseases, noise damage, and abnormal psychological status can also lead to tinnitus.
1. Psychological problems: anxiety and depression can also manifest as tinnitus.
2. Age: Aging will lead to deafness and tinnitus, and many elderly people will experience deafness and tinnitus, and there may be signs of aggravation with age.
3. Noise damage: Noise can cause temporary or permanent hearing loss, resulting in tinnitus, and young people who work in a high-intensity noise environment or wear headphones for a long time need to consider the possibility of noise.
4. Ear diseases: The ear diseases that cause deafness and tinnitus include otitis media, otosclerosis, ossicular chain deformity, Meniere's disease, sudden deafness and other diseases, in most cases deafness accompanied by tinnitus, and there are also cases of deafness or tinnitus.
5. Systemic diseases: insomnia, cervical spondylosis, hyperthyroidism, or some autoimmune diseases can also cause tinnitus.
6. Drug poisoning: Accidental ingestion of some drugs may lead to drug poisoning, which will stimulate people's body functions at this time, and the ears will also be affected, deafness and tinnitus are more common, gentamicin, kanamycin can cause tinnitus, and taking aspirin can also cause tinnitus.
7. Brain causes: Some intracranial diseases, such as cerebrovascular lesions and acoustic neuroma, can also cause tinnitus.
▶ What to do if you have tinnitus?
Tinnitus is divided into conductive tinnitus and neuropathic tinnitus.
Conductive tinnitus is usually caused by otitis media, and most of the tinnitus disappears when the inflammation subsides.
Neurological tinnitus is common in clinical practice, mostly caused by cochlear lesions or abnormal functions, or related to factors such as auditory neuropathy and nerve fibrosis. However, the clinical treatment of neurological tinnitus needs to be treated as soon as possible, commonly known as "rushing time", the earlier the treatment effect, the better the effect, and the longer it drags on, the more the disease will be delayed, which will affect the clinical efficacy and prognosis.
▶ Treatment of tinnitus
Tinnitus is difficult to treat, but acupuncture has good results in treating tinnitus. According to clinical results, for neurological tinnitus, active and timely treatment, the effective rate of acupuncture and moxibustion on disease control has reached more than 90%. Moreover, acupuncture therapy is safe, has few side effects, and can effectively improve the quality of life of patients.
Image source: Tencent Medical Codex
▶ How to treat tinnitus with acupuncture
Acupuncture acts on acupuncture points, through the action of meridians, the outside can open the ear orifices, evacuate the surface evils, and the inside can relieve liver depression, unblock the qi, regulate the spleen and stomach, fill the essence and replenish the kidneys.
Cardinal acupuncture for tinnitus
(1) The Shaoyang Cardinal Acupuncture method uses the Fengfu acupoint as the main acupoint, and cooperates with the meridian acupoints such as the dumb door, Fengchi, Tianzhu, bone, pampant, and Tianmu in the neck area, as well as the strange acupoints such as the pampong and the neck spine and the local Ashi acupoint.
(2) The Shaoyin Cardinal Acupuncture method takes the Kidney Yu acupoint as the main acupoint, and cooperates with the meridian acupoints such as Zhi Chamber, Qi Hai Yu, Large Intestine Yu, Guan Yuan Yu, Small Intestine Yu, Bladder Yu, Zhongqi Yu, Baihuan Yu, and Huan Jump in the waist and hip area, as well as the Qi acupoints such as the lumbar spine and waist eyes, and local Ah Shi points such as ischial tuberosity.
Cardinal acupuncture starts from the acupuncture knot of the cardinal part, opens the acupoint knot, eliminates the disease knot, passes through the meridians, regulates the cardinal, and opens and closes, so that the qi machine rises and falls in and out in a coordinated and orderly manner, and the operation and gasification of the six qi are restored, and good clinical results have been obtained.
【Basis of acupuncture in the treatment of tinnitus】
First, it reduces the mechanical stimulation in the ear and relieves the spasm of blood vessels in the ear;
second, it acts on the external ear to reduce the malignant stimulation of the inflammatory reaction of the external ear;
Third, acupuncture can directly stimulate the ear nervous system to promote the smooth flow of blood in the ear, increase blood oxygen in the ear, and improve nerve conduction function;
Fourth, reconstruct the intraauricular nervous system, inhibit abnormal neuronal discharge, reduce neuronal excitability, and promote the recovery of the intraauricular nervous system;
Fifth, inhibit the overexpression of some frequency response areas in the cochlea, improve tissue adaptability, and effectively alleviate tinnitus caused by inflammation and nervous system lesions;
Sixth, acupuncture near the ear is conducive to enhancing local blood flow and promoting the regeneration of hearing cells in the ear;
Seventh, acupuncture can prevent or alleviate the necrosis of hair cells of the inner ear spiral, improve cochlear function, and facilitate the recovery of hearing.
Moreover, acupuncture can not only act on the sensory organs in the ear, but also help patients to rebuild their psychology and relieve their emotional state of anxiety and depression. Acupuncture treatment of tinnitus treats both the symptoms and the root causes, and early treatment of tinnitus can completely recover and achieve good treatment results.
Image source: Tencent Medical Codex
▶ Other treatments
1. Masking therapy
Masking therapy is to use a masking device to generate a masking signal similar to the frequency of the patient's tinnitus to mask and inhibit tinnitus. Long-term persistence can lead to a gradual prolongation of the interval between tinnitus attacks and a shortening of the duration of the attack.
2. Hyperbaric oxygen therapy
Hyperbaric oxygen is a new treatment for tinnitus. The principle is to increase the blood oxygen content, improve the hypoxic damage of auditory receptors, and promote the recovery of the function of the cochlea and auditory nerve. Patients with Eustachian tube obstruction should not be treated with hyperbaric oxygen.
3. Psychological therapy
Reducing anxiety, relaxing the mood, and paying attention to rest have a certain improvement in tinnitus.
These sounds allow the patient to try to eliminate the psychological reactions caused by tinnitus, suppress negative emotions, and build confidence that tinnitus can be treated.
▶ How to prevent tinnitus on a daily basis
1. Avoid tinnitus caused by noise
Pay attention to wearing protective earmuffs, earplugs, etc. in high-noise environments. Also, do not use Walkman headphones for long periods of time and at loud volumes.
2. The prevention of tinnitus also requires changing bad eating habits
Caffeine and alcohol often make tinnitus worse. Pay attention to eating less fatty and sweet foods every day to prevent stagnation into phlegm and aggravation of the condition. For those with kidney deficiency and tinnitus, it is especially necessary to reduce the intake of warm and dry diet.
3. To prevent tinnitus, eat more zinc-containing foods
There are many factors that cause tinnitus and deafness, and zinc deficiency is an important cause. The amount of zinc in the cochlea is much higher than that of other organs. Common diets containing considerable zinc, such as beef, fish, eggs, chicken, seafood, oranges, apples, walnuts, tomatoes, cucumbers, cabbage, radish, etc.
Image source: Tencent Medical Codex
▶ Physician Profile
Yang Caijia
Attending physician, Master of Medicine
National psychological counselor, good at "acupuncture-traditional Chinese medicine-psychology" combination mode, using cardinal therapy, Sun's acupuncture, Yu's head acupuncture, Jin San acupuncture and other characteristic acupuncture methods with traditional Chinese medicine and psychological counseling, to treat tinnitus, deafness, insomnia, dizziness, headache, anxiety, depression, obesity, etc., facial paralysis, optic nerve injury, trigeminal neuralgia and other nerve injuries, cervical spondylosis, lumbar disc herniation, frozen shoulder, knee arthropathy and various joint pain, stroke, myasthenia gravis, cerebral palsy, essential tremor, tics, Spinal cord injury and other cerebrovascular diseases, hair loss, rhinitis, snoring, gastrointestinal diseases, endocrine diseases, nerve implant disorders and other sub-health conditions.
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