耳鸣的中医药辨治与临床研究进展
Progress in Traditional Chinese Medicine Diagnosis and Treatment of Tinnitus and Clinical Research
DOI: 10.12677/tcm.2025.145328, PDF,   
作者: 赵雨晴:黑龙江中医药大学研究生院,黑龙江 哈尔滨;王殿一*:黑龙江中医药大学附属第一医院耳鼻喉科,黑龙江 哈尔滨
关键词: 耳鸣中医药通窍聪耳神经调节Tinnitus Traditional Chinese Medicine Tongqiao Cong’er Neuromodulation
摘要: 耳鸣是一种以耳内或颅内异常声响感知为特征的常见病症,国外流行病学调查结果显示,耳鸣的发病率为10%~17%。我国相关调查研究表明,耳鸣患者在我国耳鼻喉科门诊人数中占比约为7.5%,而在60岁以上老年人群中,耳鸣患者的占比较高,发病率达到了29.6%。儿童群体中也存在耳鸣患者,但成人群体的耳鸣患者更为普遍。随着我国逐步进入老龄化社会、人们生活压力的增大及环境污染等,耳鸣患者数量正呈逐年上升趋势,严重影响患者生活质量。本文系统综述耳鸣的中医病因病机、中药内服与外治疗法的临床研究及作用机制,探讨此病的治疗方法。为此病的防治提供新思路和参考。
Abstract: Tinnitus is a common disease characterized by abnormal sound perception in the ear or in the brain. The foreign epidemiological survey shows that the incidence of tinnitus is 10%~17%. Relevant research in China shows that tinnitus patients account for about 7.5% of the total number of otorhinolaryngological outpatients in China, while among the elderly aged over 60, tinnitus patients account for a relatively high proportion, with an incidence rate of 29.6%. There are also tinnitus patients in the pediatric population, but tinnitus patients are more common in the adult population. With China gradually entering an aging society, increasing living pressure, and environmental pollution, the number of tinnitus patients is on the rise year by year, seriously affecting their quality of life. This article provides a systematic review of the traditional Chinese medicine etiology and pathogenesis of tinnitus, as well as clinical research and mechanisms of action on oral and external treatment with traditional Chinese medicine, and explores the treatment methods for this disease. Provide new ideas and references for the prevention and treatment of this disease.
文章引用:赵雨晴, 王殿一. 耳鸣的中医药辨治与临床研究进展[J]. 中医学, 2025, 14(5): 2206-2210. https://doi.org/10.12677/tcm.2025.145328

参考文献

[1] 胡献国. 耳鸣耳聋的中医治疗[J]. 家庭医学(上半月), 2024(7): 55.
[2] 魏翠萍, 张红文, 王飒, 等. 神经性耳鸣的中医治疗研究进展[J]. 中国疗养医学, 2024, 33(10): 77-79.
[3] 陈晓华. 中医护理在耳鸣患者中的应用及其对睡眠质量的影响[J]. 中国科技期刊数据库 医药, 2023, 4(11) 117-119.
[4] 师强华, 尚俊枝. 中医外治法治疗耳鸣的临床探析[J]. 中国民间疗法, 2022, 30(5): 15-17.
[5] 刘蓬. 耳鸣的中医辨证研究[J]. 中国中西医结合耳鼻咽喉科杂志, 2003, 11(2): 102-104.
[6] 陈发胜, 刘刚成, 熊冬兰, 等. 中医对耳鸣耳聋的辨证论治[J]. 中国中医药咨讯, 2010, 2(9): 195.
[7] 魏录芳, 李珍秀. 六味地黄汤加减治疗肾精亏虚耳鸣的临床研究[J]. 中国医学文摘: 耳鼻咽喉科学, 2018, 33(4): 318-320.
[8] 张梦娴, 周颖东, 王青玲, 等. 补肾活血方通过PI3K/AKT/mTOR信号通路对衰老小鼠听功能的保护作用[J]. .中国老年学杂志, 2024, 44(24): 6008-6014.
[9] 王文骊. 六味地黄汤加减对肾精亏损型老年耳鸣患者的影响[J]. 陕西中医, 2014(8): 1016-1018.
[10] 赵磊, 种立顺. 通窍活血汤合通气散联合耳穴压丸治疗气滞血瘀型耳鸣疗效的临床研究[J]. 四川中医, 2024, 42(10): 194-196.
[11] 张春, 王世真, 王铁, 等. 川芎嗪对拟AD小鼠脑胆碱乙酰基转移酶和NMDA受体的影响[J]. 江苏医药, 2011, 37(4): 390-392.
[12] 李育明. 益气聪明汤加减治疗耳鸣耳聋68例疗效观察[J]. 云南中医中药杂志, 2013, 34(4): 87.
[13] 李茜莹, 杨延婷, 马晓芃, 等. 基于数据挖掘的针灸治疗耳聋耳鸣临床规律探究[J]. 上海针灸杂志, 2020, 39(3): 372-380.
[14] 姜辉, 丁雷, 张丽, 等. 电针刺激听宫穴治疗暴聋临床疗效观察[J]. 北京中医药, 2015, 34(5): 359-361.
[15] 张弢, 罗建敏, 董伟, 等. 耳周穴位注射联合认知行为疗法对老年慢性特发性耳鸣的疗效及影响因素分析[J]. 老年医学与保健, 2024, 30(1): 89-94.
[16] 于超月. 耳穴贴压对神经性耳聋耳鸣的治疗效果研究[J]. 科技与健康, 2024, 3(20): 81-83, 87.