近5年中医特色针法在神经性耳鸣中的研究进展

Research Progress on Chinese Medicine Characteristic Acupuncture Methods in Neurogenic Tinnitus in the Past 5 Years

摘要: 神经性耳鸣指无外界声源时患者自觉耳内或颅内出现异常声音感知的病症，其病理机制尚未完全阐明，目前缺乏标准化治疗方案。近年来，多种中医特色针法在神经性耳鸣的治疗中逐渐受到关注，并展现出显著的疗效。这些针法不仅包括传统的针刺疗法，还涵盖了多种创新的针法和技术，这些针刺疗法通过改善内耳微循环、免疫调节、神经调节等机制，可显著改善神经性耳鸣症状，调节睡眠及情绪状态，有效提升患者生活质量，兼具安全性与临床可行性。文章旨在综述近五年(2020~2025年)中医特色针法在神经性耳鸣治疗中的研究进展，以期为临床针刺治疗方案的优化提供参考和思路。

Abstract: Neurogenic tinnitus refers to a condition in which patients perceive abnormal sounds in the ear or in the skull when there is no external sound source. Its pathological mechanism has not yet been fully elucidated, and there is a lack of standardized treatment protocols at present. In recent years, a variety of Chinese medical specialties have gradually gained attention in the treatment of neurogenic tinnitus and have demonstrated remarkable efficacy. These acupuncture therapies include not only traditional acupuncture therapies, but also a variety of innovative acupuncture therapies and techniques, which can significantly improve neurogenic tinnitus symptoms, regulate the sleep and emotional state, and effectively improve the quality of life of patients by improving the microcirculation of the inner ear, immunomodulation, neuromodulation, and other mechanisms, which are both safe and clinically feasible. The purpose of this article is to review the research progress of Chinese medicine characteristic acupuncture in the treatment of tinnitus in the past five years (2020~2025), with a view to providing references and ideas for the optimization of clinical acupuncture treatment protocols.