中医治疗耳鸣的研究进展

Research Progress in Treating Tinnitus with Traditional Chinese Medicine

摘要: 耳鸣是以自觉耳内或头颅鸣响而无相应声源为主要特征的病证。它既是疾病的一种常见症状，也是一个独立的疾病，是耳鼻喉科常见疾病之一，也是耳科难治疾病之一。耳鸣在中医文献中又叫“聊啾”、“蝉鸣”、“暴鸣”、“渐鸣”等。耳鸣的发病机制尚不明确，中医认为耳鸣是人体阴阳失衡导致的脏腑功能失调，与五脏中的肝、脾、肾、心关系密切。中医在治疗耳鸣上具有独特优势，除了辨证用药之外，针灸、穴位注射、按摩等均为特色疗法。本文通过检索大量文献，对近几年的中医治疗耳鸣的最新进展进行总结，以期为中医对耳鸣的后续研究提供参考依据。

Abstract: Tinnitus is a condition primarily characterized by a persistent ringing in the ear or head without a discernible external sound source. It is a common symptom of disease, but also an independent disease, and is one of the common diseases of otorhinolaryngology, as well as one of the more difficult-to-treat diseases of otology. Tinnitus is also known as “chirping”, “cicadas”, “tinnitus”, “tinnitus”, “tinnitus”, and so on in Chinese medicine literature. The pathogenesis of tinnitus is not clear. Chinese medicine believes that tinnitus is the body’s yin and yang imbalance caused by the dysfunction of the internal organs, and the five viscera in the liver, spleen, and kidneys, the heart has a close relationship. Chinese medicine has a unique advantage in the treatment of tinnitus, with evidence-based therapies such as acupuncture, acupoint injection, and others being characteristic treatments. This paper summarizes the latest progress of TCM treatment of tinnitus in recent years by searching a large amount of literature, in order to provide a reference basis for the follow-up research of TCM on tinnitus.