Treatment of Sudden Deafness with Buyang Huanwu Decoction and Emotional Dredging: A Case Report
增强出版
扫 描 看 全 文
1.Department of Otolaryngology, Affiliated Hospital of Chengdu University of Chinese Medicine, Chengdu 610075, China
2.Department of Otolaryngology, School of Medicine and Life Sciences, Chengdu University of Traditional Chinese Medicine & The Second Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610042, China
扫 描 看 全 文
TANG mi, ZHANG Qinxiu. Treatment of Sudden Deafness with Buyang Huanwu Decoction and Emotional Dredging: A Case Report[DB/OL].(2022-10-21)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454343&Fpath=home&index=0
病史摘要,2,患者邹某,女性,34岁。2022年7月19日因“左耳听力下降伴耳鸣6天”就诊。患者6天前与家人争吵后突然出现左耳听力下降及耳内鸣响,未予重视及治疗;4天前患者自觉听力较前稍好转但仍有耳鸣及耳闷堵感,就诊当地某西医院,予头孢呋辛酯片及醋酸泼尼松片口服后症状未见明显好转。1天前患者再次就诊于该医院,行相关检查后诊断为“左耳突发性听力下降”,患者以工作繁忙为由拒绝住院治疗。今日患者为求进一步诊疗遂来我科门诊就诊。四诊信息:患者精神欠佳,面色晦滞,焦虑面容,性情急躁,语声清晰,气息均匀,左耳听力下降,伴持续性耳鸣,夜间明显,觉耳闷胀感,无眩晕、恶心呕吐,无耳痛及耳内溢液,无发热等不适,纳食尚可,大小便正常,夜间难以入睡。舌质暗红,苔薄白,舌下络脉色紫曲张,脉弦细。中医诊断 暴聋(气滞血瘀证)。西医诊断 突发性耳聋(左)。干预措施 中医以益气活血、开郁通窍为法,予补阳还五汤加减方联合情志疏导法治疗。疗效转归 患者左耳听力基本恢复正常,诸症均已逐渐消失。
Summary of case history ,Patient Zou, female, 34 years old. On July 19, 2022, he visited the doctor because of "hearing loss in his left ear with tinnitus for 6 days". The patient had a sudden hearing loss and tinnitus in the left ear after an argument with his family 6 days ago, which was not taken seriously and treated. 4 days ago, the patient felt slightly better hearing than before but still had tinnitus and a sense of stuffy ears. He visited a local western hospital and the symptoms did not improve significantly after oral administration of cefuroxime axetil tablets and prednisone acetate tablets. The patient was admitted to the hospital again one day ago and was diagnosed as 'sudden hearing loss in the left ear' after relevant examinations. The patient refused hospitalization on the grounds of busy work. Today, the patient came to our outpatient clinic for further diagnosis and treatment.Symptoms and signs: The patient has poor spirit, dull complexion, anxious face, irritable temperament, clear voice, even breath, hearing loss in the left ear, accompanied by persistent tinnitus, obvious at night, feeling stuffy and distended ears, no dizziness, nausea and vomiting, no earache and ear effusion, no fever and other discomfort, good appetite, normal urine and urine, and difficulty sleeping at night. The tongue is dark red, the fur is thin and white, the sublingual veins are purple and varicose, and the veins are thin.,TCM diagnosis and syndrome ,Sudden deafness (syndrome of qi stagnation and blood stasis).,Western medicine diagnosis, Sudden deafness (left).,Therapeutic methods ,In traditional Chinese medicine, the method of invigorating qi and activating blood circulation, opening depression and opening orifices is used, and the modified buyang huanwu decoction combined with emotional counseling therapy is used to treat.,Clinical outcomes ,The patient's left ear hearing basically returned to normal, all the symptoms have gradually disappeared.
暴聋突发性耳聋补阳还五汤情志疏导法
deafnesssudden deafnessbuyang huanwu decoctionemotional dredging method
Chandrasekhar SS, Tsai Do BS, Schwartz SR, et al. Clinical Practice Guideline: Sudden Hearing Loss (Update). Otolaryngol Head Neck Surg, 2019,161(1):1-45.
IKPBASeggas.Intratympanic steroid therapy for sudden hearing loss:a review of the literature[J].Otol Neurotol,2011,32(1):29-35.
中华中医药学会.中医耳鼻咽喉科常见病临床诊疗指南(2021年修订版)[M].2021:4-7.
黄河银,张勤修,蒋路云,等.突发性耳聋患者的心理障碍及相关因素分析[J],中华耳科学杂志,2018,16(2):187-192.
沈惠贤.中药黄芪的心血管药理作用及临床应用分析[J].内蒙古中医药,2016,35,(11):32.
0
Views
19
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution