Patient's question:
Right ear tinnitus, there is a creaking sound when swallowing and mild pain at the ear root, accompanied by a feeling of ear blockage. In April 2009, the ear was hit by a air gun.Doctor's answer:
Hello; TCM Treatment for Tinnitus Content:1. External Wind-Heat Type: Symptoms include sudden tinnitus like a whistling sound, itching in the ear, or swelling and pain at the ear root, accompanied by headache, aversion to wind, fever, thirst, cough, dry throat, sore limbs, fatigue, pale tongue with thin yellow coating, and floating rapid pulse. Treatment should focus on dispelling wind and clearing heat. Suitable formulas include Yin Qiao Jie Du Wan (Silverflower Decoction), taken 3 times daily, each time 1 pill.
2. Liver Fire Disturbing Type: Symptoms include sudden recurrence of tinnitus like a bell or thunder, or like the sound of waves, accompanied by ear fullness and pain, ear blockage, bitter taste, dry throat, irritability, red face, dry constipation, yellow short urine, red tongue with yellow coating, and wiry rapid pulse. Treatment should focus on clearing liver fire. Suitable formulas include Long Dan Xie Gan Wan (Gentian Decoction), taken 3 times daily, each time 1 pill.
3. Qi Stagnation and Blood Stasis Type: Symptoms include severe tinnitus with dull hearing, loud noise, and blocked discomfort in the ear, accompanied by throbbing headache, irritability, fullness in the hypochondria, worsening at night, purple dark tongue with petechiae or ecchymosis, and wiry thin pulse. Treatment should focus on activating blood and resolving stagnation, harmonizing qi and opening orifices. Suitable formulas include Xue Fu Zhu Yu Wan (Blood Mansion Expelling Stasis Decoction), taken 3 times daily, each time 1 pill.
4. Spleen Qi Deficiency Type: Symptoms include tinnitus like cicada chirping or bell and drum waves, worsening after exertion, and gradual deafness over time, accompanied by pale face, fatigue, poor appetite, bloating after eating, spontaneous sweating, loose stools, thin white coating, and weak pulse. Treatment should focus on invigorating qi and strengthening the spleen, lifting middle qi. Suitable formulas include Yi Qi Ming Ming Wan (Benefit Wisdom Decoction), taken 3 times daily, each time 1 pill.
5. Liver Blood Deficiency Type: Symptoms include tinnitus like cicadas, intermittent severity, impaired hearing, worsening after exertion, accompanied by dizziness, fatigue, blurred vision, pale face, insomnia, numb limbs, pale lips and nails, and thin weak pulse. Treatment should focus on nourishing liver blood. Suitable formulas include Gui Pi Wan (Invigorating Spleen Decoction), taken 3 times daily, each time 1 pill.
6. Kidney Yin Deficiency Type: Symptoms include tinnitus like flowing water, low and faint sound, often with prolonged duration, accompanied by dizziness, insomnia, (premature ejaculation), dry mouth and throat, five-palm heat, night sweats, sore waist and knees, red tongue with thin coating, and thin rapid pulse. Treatment should focus on nourishing yin and kidney. Suitable formulas include Qi Ju Di Huang Wan (Goji Berry and Rehmannia Decoction), taken 3 times daily, each time 1 pill.
7. Kidney Yang Deficiency Type: Symptoms include persistent tinnitus that gradually worsens, accompanied by aversion to cold, cold soreness in the waist and knees, (premature ejaculation), leukorrhea in women (thin and clear), frequent clear nocturia, fatigue, pale face, pale tongue with thin white coating, and weak thin pulse. Treatment should focus on warming kidney yang. Suitable formulas include Zuo Gui Wan (Left-Goji Decoction), taken 3 times daily, each time 1 pill.
Guidance: The acupoints and pressure methods for treating tinnitus first involve cupping the ears while slowly exhaling and pressing firmly for 6 seconds. In summary, the ears must be bent, and the hand is pressed firmly above, using both hands simultaneously. Begin with a deep breath, and repeat 3 times to treat temporary tinnitus. For hearing loss, perform 2 times in the morning and evening until the tinnitus is completely resolved.