基于“气滞血瘀”浅论突发性耳聋的辨治思路

Preliminary Exploration of Diagnostic and Therapeutic Approaches for Sudden Sensorineural Hearing Loss Based on “Qi Stagnation and Blood Stasis”

摘要: 突发性耳聋发病率逐年上升，病因与发病机制尚不明确，源于祖国医学“暴聋”、“气聋”等从经络出发探析气滞、血瘀与突发性耳聋的关系。突发性耳聋因情志内伤致气滞血瘀为患，会出现特有的临床表现，如耳鸣、耳胀闷、外耳周疼痛或麻木，且此类患者往往伴随眩晕、恶心、呕吐等症状。在论治思路上应行气活血兼扶正祛邪，即行气通络、活血化瘀、补益肝肾与开窍祛邪并施，方药以柴胡、香附、川芎组成通气散，合六味地黄丸补益肝肾、骨碎补补肾行血、石菖蒲开窍聪耳，再根据病情加减化裁。

Abstract: The incidence of sudden deafness is increasing year by year, and the etiology and pathogenesis are still unclear, originating from the Chinese medicine, “Baolong”, “Qilong”, etc., from the meridian to analyse the relationship between qi stagnation, blood stasis and sudden deafness. Sudden deafness is caused by internal injuries due to emotional and emotional problems, resulting in qi stagnation and blood stasis, which can lead to specific clinical manifestations, such as tinnitus, ear distension, periauricular pain or numbness, and such patients are often accompanied by symptoms such as dizziness, nausea, vomiting, etc. In the treatment of sudden deafness, qi stagnation should be activated, and blood stasis should be prevented. In the treatment, the idea should be to promote qi and blood circulation and to support the correctness and eliminate the evil, i.e., to promote qi and blood circulation, to promote blood circulation and eliminate blood stasis, to nourish the liver and kidney and to open up the orifices and eliminate the evil, the formula is composed of Chai Hu, Xiang Fu and Chuan Xiong to promote qi, combined with Six Flavours of the Rhubarb Pills to nourish the liver and kidney, Bone Broken Pills to nourish the kidney and blood circulation, Acorus calamus to open up the orifices and to promote the hearing and then according to the condition to be added.