The tinnitus in clinical may divide into: One. Drum department tinnitus. Its characteristic assumes the low key tinnitus, may be accompanied by pulsates the nature, the prognosis is good. It mainly treats an illness the reason is the middle ear infects, the ostosclerosis and becomes lost two windows proliferation seals and so on, are many can cure; Second, pars petrosa tinnitus. Its characteristic is the high-sounding talk is fortunately bright, intensity not already. Occurs in the cochlea and the eighth pair of cranial nerve (already auditory nerve) the primary neuron, like beautiful Neil gets sick and the auditory nerve lump, Nerve deaf, the burst characteristics deaf and so on. The treatment quite is difficult; Third, other diabeteses, the cerebral artery angiosclerosis, hypertension, the cervical vertebra get sick the internal ear blood supply to be insufficient also may cause the high-sounding talk or the pulsating tinnitus.
The tinnitus diagnosis should inquire the medical history and makes the ear department and the audiology inspection, by is clear about the cause of disease. The overseas newest medical research discovery tinnitus frequency the frequency which drops with the hearing is usually similar. Like , the collar can elevate the bait to be bright, the hearing curve frequency band drops obviously. But leaves the tinnitus which its ostosclerosis and tympanitis is the result of for low frequency hearing loss to be obvious. Obviously, tinnitus, deafness synchronize development.
In Chinese medicine literature tinnitus deafness and name. "Various illnesses Source and course Rhinoceros Candle" explicitly pointed out that, "Tinnitus, deaf gradually, the naivete shuts deafness, has not had not first calling."
When treatment, tinnitus deafness should treat together. Uses the corresponding treatment generally, deliberates and gives the sedative, or wears the tinnitus concealed, the hearing aid.
The coordinate Chinese native medicine can obviously enhance the curative effect to the tinnitus treatment. The tinnitus like thunderclap is accompanied by has a headache about the dizziness, the mouth bitter eye does, being red in the face, may use Long Danxie liver Tonga Shi Changpu; Tinnitus like 蝉鸣 continues, or "whistling" makes noise is accompanied by dizzy is heavy, chest 脘 Man menzhe, with but Chen Tanghuo fresh air phlegm reduction pill; To 蝉鸣 in the course of time, the sound point will be weak, the diurnal rest, at night will not aggravate is accompanied by the waist knee worn out and aching to treat with the deafness left kind pill.
Uses China and the West union treatment to the tinnitus, the recent years, the selective calcium oppressed the anti- medicinal preparation especially the application and the coordinate overseas tinnitus concealed, the curative effect was good.

This article published in August 9, 1997 "Healthy Newspaper"

This article published in January 14, 1998 "Healthy Newspaper"

　　
Province deaf child language hearing recover center doctorQu QiangIn under province medical instrument research institute's support coordination Developed successfully the new ear mold. The ear mold is the deaf person and the deaf-mute child wears the hearing aid, compensates the hearing the important installment. This kind of new ear mold, uses the proof after the clinical 200 examples patient, has atomizes, the smooth finish quickly is high, to characteristic and so on human body non-toxic evil.
(No matter what expensive people)

This article picked from January 18, 1992 "Populace Daily paper" province deaf child language hearing recover center doctorDirector Qu QiangIn under province medical instrument research institute's coordination Developed successfully the new ear mold. The ear mold is the deaf person and the deaf-mute child wears the hearing aid, compensates the hearing the important installment. It has, the change acoustics characteristic fixedly, prevented whistles by and prevented the sound dissipates the function. After 200 examples patients clinical test, has atomizes quickly, becomes the plasticity well, the smooth finish high, to the human body non-toxic response, and has the import material ease of operation, the elasticity is better than, the price cheap merit.

(Is restored to health)

This article picked from January 25, 1992 "the healthy newspaper

City medical department deafness treatment research center assistant director doctor Qu Qiang

This article published in April 29, 1998 "Healthy Newspaper

《Young child Deafness Chinese medicine Dialectically Executes Governs》 

City medical department deafness treatment research center (250,013) Qu Qiang

       Deaf belongs to the motherland medicine deafness, the hard of hearing category. "Various illnesses Current source Rhinoceros Candle" said that,“However deafness, shuts separates competes as soon as does not have institute wen Zheye, also some to does not have heard, but heard real, named is hard of hearing.”Former, as soon as deafly does not have deaf is equal to modern medicine , specific weight which heard (as well as entire deaf) feeling sound - Nerve. Latter,Heard is not really hard of hearing, is equal in the modern medicine by the loss of hearing lightly (is smaller than 60 decibels) for the characteristic the conductive deafness.

1.Motherland medicine to deafness understanding

The motherland medicine is well-established to deafness research, as early as "Annals of Zuo" holds beginning of a matter of the Chinese medicine research in the Western Zhou Dynasty, in the book said:“The ear does not listen to five for deafly.”This is our country defines most early to deafness. The Spring and Autumn Period Warring States time medicine monograph "In after" to deaf has made in physiological and pathology deliberating. Proposed in the physiology“The kidney gas passes in the ear, the kidney and then the ear can know five sounds also”。(《Spirit pivot shaft.Arteries"). Proposed in the pathology“Heart and the kidneys end deafness.”Namely full heart and the kidneys deficiency of vitalness of the kidneys empty; Cannot on imitate in the ear, the ear is disadvantageous may send deafness. Uses the pathological change to prove the ear and the kidney physiological relations especially, esteems for the after those who have practised Chinese medicine for generations family, thus has laid the rationale for deafness preventing and controlling. Is already tested proved that, The ear and the kidney indeed have the extremely close intrinsic relations, like to ear virulence function aminosugar glucoside class antibiotic,Agrees the kidney also to have the specificity damage function; Can suppress the kidney function the favorable uric acid, the furosemide also may cause deafness. In summary, between the ear and the kidney is photogenic in the physiological function relates mutually; In pathological change mutual influence. The research discovers the kidney and the ear in the organizational structure and the enzyme content distribution; In water electrolyte steady physiology machine-made aspect extremely approximate, thus it may be known the kidney pathological change or is insufficient is the important attribute which deafness is taken bad. In the pathology, "In after" proposed that,“Typhus......On third the three visceral cavities and the gall bladder receives it, three visceral cavities and the gall bladder host gallbladder its vein coerces, after in ear, therefore chest costal pleurisy but deafness.”("The element asked.Is angry exceedingly high discusses").“Arteries of the small intestine sun......Falling ill, deafness item yellow,”“Arteries of the hand moon,......Is this sickness deafness is chaotic .”“The hand bright alias date undergoes,......Regulations decayed tooth deaf.”The explanation external injuries influences makes a sneak attack the guest in the three visceral cavities and the gall bladder gallbladder after or the hand sun small intestine, but sends the passages through which vital energy circulates to be impeded, the ear stops up deafly for. Also "Discussed according to Various Causes of disease Period of five days" has carried on the classification to deafness, proposed the wind deaf, the debility of long illness deaf, worked heavily deaf, counter deaf, is long deafly and so on.

2 Deafness Chinese medicine cause of disease pathogenesis

2.1 Feeling sound NerveDeafness cause of disease pathogenesis
2.1.1 kidney is mad not sufficiently ： The motherland medicine thought that,“The female seven year old of kidney is mad abundantly.”“The husband eight year old of kidney is mad the reality”，“But the baby time kidney was mad, the internal organs are not sufficiently tender and delicate.”If the high temperature poisonous epidemic disease evilly invades dyes or misuses, abuses the medicine all to be possible to cause the internal ear damage, apraxia for deaf.
2.1.2 The spleen owes the lacking in vital energy: “The young child spleen is often insufficient”The diet cannot the self-restraint, You Yishang and the taste, causes the vitality metaplasia to be insufficient, cannot on raise in the ear, the ear loses the Confucian to raise, shuts the apraxia for deafly, Shanghai Changhai hospital research discovery anemia is the important reason which deafness occurs; Will not be able meekly to raise the day after tomorrow congenitally, then the kidney fine loss, the ear will lose Yu Chongzhi deafly. In addition, the spleen cannot rise clear to fall muddy, is not wet, the long time occupies the drum room, the vein hinders, the ear loses the Confucian to raise deafly for.
2.1.3 extravasated blood anti- birth injuries by obstetrician's instruments, the flesh wound or the detonation, damage the passages through which vital energy circulates,The blood line impeded causes“The extravasated blood does not go, the fresh blood does not live.”Either divides a classic into subsections the blood not to be able to dissipate, blood clot oppression auditory nerve, either long illness enters winds causes the ear disadvantageously for deafly.
2.2 conductive deafness cause of disease pathogenesis
2.2.1 external injuries influences attack The external injuries influences although has the wind, coldly, the hot weather, wet, dry, the fire, but hot wet is common by the wind, and may concurrently create disaster. The babies and infants cry aloud, the tear flows in the ear, duplicate feeling common cold, adds the young child to be sick.“Positive is common -odd”，“Cloudy is often insufficient”Evilly from the heating, rheumatic fever wrestles in among, hot Sheng Roufu, the meat is spoiled is the pus, outside eclipses the eardrum, in shuts the ear to send deafly.
2.2.2 Spleen weakness wet anti-, element body spleen weakness, the diet festival, the spleen deficiency of yang does not fade, cannot transport wet, wet evil is long cannot eliminate, anti- Yu Erqiao for deaf

3 Dialectical Shi Zhi

In discussion deafness dialectical Shi Zhiqian, must first grasp deafness the actual situation to be dialectical. The general deafness partner sends the low tonality tinnitus to be the real diagnosis; The empty card hearing drops the partner to adjust Gao Ruchan tinnitus much gradually, the real diagnosis because of rheumatic fever, the empty card are many because the internal organs empty to damage, the vitality lacking in vital energy, congenital reported bestows on the insufficiency. The empty card many but the real diagnosis are generally speaking few.
3.1 The feeling - Nerve deaf diagnosis main point is: According to medical history; Hearing inspection; The pure sound ranging listens to the curve high frequency loss of hearing obvious, assumes low frequency from to the high frequency drop curve, the most suitable threshold belt extremely narrow, the language receive and words and expressions Distinguishes Wei are extremely low, average loss of hearing in 60 decibels (HL) above. The brain stem induces the electric potential to be many in 80 decibels (SPL ) Does not have V wave to appear or the differentiation is not good. The acoustic impedance demonstration middle ear normal drum room chart, the sound reflection cannot direct or the detention draws out, weakens experiments much may the masculine gender.
3.1.1 The kidney is mad the loss
3.1.1.1 main card : The premature delivery, the female gestation period or have deafness family history with the ear toxicant, sends congenitally reported bestows on the insufficiency, duplicate because gives off heat or because sends deafly with the ear toxicant. This kind of patient author clinical discovery, the auditory nerve anti- poisonous ability range, displays to the ear toxic medicine“Gao Min condition”. Is accompanied by the cicada type tinnitus, the morbid night crying robs the perspiration. The early time travels by night the gait not to be steady obviously, is accompanied by five late. The Yin deficiency is accompanied by becomes emaciated, is agitated the morbid night crying, the mouth dry constipation, the redness of the tongue few liver mosses, the arteries thin number; The deficiency of yang, looks pale, the sound low is timid, is easy the sweating caused by illness or shock, easily external disease factors.
3.1.1.2 Governs then: The Yin deficiency, nourishes yin invigorates the kidney, advantage clever ear; The deficiency of yang, the warm kidney helps positive, advantage clever ear.
·3.1.1.2 Fang Yao : Yin deficiency, with deafness left kind pill. Ripely 10g, Huai Chinese yam 12g, Shan Yurou 6g, oriental water plantain 6g, peony tree bark 6g, fruit of Chinese magnoliavine 10g, magnet 15g (destroys). Adds seperately Shi Changpu 10g, pangolin 3g. Leaning deficiency of yang, with psoralea corylifolia pill. After ripely 10g, Chinese angelica 10g, rhizome of Ligusticum wallichii 6g, Chinese cassia tree 3g (enters), psoralea corylifolia 6g, bottle gourd Pakistan 3g, Eucommia 10g, cuscuth japonica 10g (package), Sichuan pepper 3g, Shi Changpu 12g, white 芷 6g, puncture vine 10g.
·3.1.1.4 Fang Jie : Front with the six tastes glutinous rehmannia pill ripely, the Chinese yam, Shan Yurou, invigorates the kidney cloudyly, fills in the brain; By the peony tree bark, the oriental water plantain eliminates empty hot, wet is muddy; Invigorates the kidney the air intake by the fruit of Chinese magnoliavine; The magnet clever ear concurrently by dives positive falls muddy. Rear area with the psoralea corylifolia, bottle gourd Pakistan, the Eucommia, the cuscuth japonica fills in the fine profit kidney to be mad that, adds the Chinese cassia tree, the Sichuan pepper warm positive dissipates cold which has penetrated the body, ripely, the Chinese angelica, the rhizome of Ligusticum wallichii blood tonic, Shi Changpu, Bai Zhi, the puncture vine, Xin warm understand, dispels symptoms such as bloating the advantage ear, the magnet clever ear, absorbs the natrium to float positive.
·3.1.2 Spleen weakness gas owes
·3.1.2.1 Main card: Deafness tinnitus, meets works then even squats down stands time aggravates. In the ear the common suddenly spatial notch or sends the cool feeling. The extremity thin but the abdomen is big, facial color natural not Ze. The night sleeps the dew clearly, the partial eclipse losses of appetite, the lip armor color is pale. This is the category which empty shuts (including anemia and lacks calcium patient).
·3.1.2.2 Governs then: Rises positive to benefit the gas, the make and break understands.
·3.1.2.3 Fang Yao: The profit was mad the intelligent soup ("Card Governs Criterion"). Vitex trifolia sub- 6g, codonopsis pilosula 15g, yellow 芪 15g, cimicifuga fetida simpley 1.5g, Kudzu root 15g, cork 6g, root of herbaceous peony 6g, licorice 3g.
·3.1.2.4 Fang Jie: The codonopsis pilosula, Huang Qi, the licorice are good for the spleen the profit air to be positive. The five by the vitex trifolia sub-, the cimicifuga fetida simpley, the Kudzu root lifts positive falls, the cork incites the kidney unboiled water, the root of herbaceous peony collects cloudy and the blood, the bupleurum chinensis directs the medicine to turn over to after to hear the arteries, adds , the magnet straightens out the clever ear.
·3.1.3 Extravasated blood anti-
·3.1.3.1 Main card :The flesh wound, the birth injury by obstetrician's instruments, will fall throws oneself sends deaf or deafness in the course of time, will be accompanied by the external ear to split the scale filings, the knot scab itch, the tongue purple dark or the silt spot, the weak pulse is astringent.
·3.1.3.2 Governs then: Dispels symptoms such as bloating invigorates the blood to understand.
·3.1.3.3 Fang Yao :With understands invigorates the blood the soup ("Medical Lin Gaicuo"). Herbaceous peony 6g, rhizome of Ligusticum wallichii 12g, peach kernel 9g, safflower 9g, ginger 3g, red jujube 7, musk 0.1g ~ 0.15g (flushes clothing or micro boils), old onion 3 (cuts to pieces), yellow wine right amount.
·3.1.3.4 Fang Jie :The herbaceous peony, the rhizome of Ligusticum wallichii, the peach kernel, the safflower, the red jujube, the ginger invigorate the blood to raise the blood, to nourish the ear , the musk fragrant flees matches the old onion, the yellow wine understands, and the enhancement above various medicines invigorate the blood merit of the silt. Ancient book record: We friendly governs for a long time deaf.
·3.2 Conductive deafness :The conductive deafness diagnosis main point is: (1) acts according to the medical history; (2) hearing inspection; Pure tone curve low frequency hearing loss obvious, assumes has low frequency to the high frequency rise curve, the most suitable threshold scope extends, average hearing loss is smaller than generally 60 decibels (HL), the language accepts with words and expressions Distinguishes Wei and fords hands over the index to be high. The ERA80 decibel (SPL) v wave differentiation is good. The acoustic impedance measured listens: Assumes the low tone frequency, the drum room curve assumes B, C or M the E curve may be accompanied by the obvious negative pressure, the sound reflection retards or is normal.
·3.2.1 External injuries influences attack
·3.2.1.1 Main card :Gets up gets sick rapidly, in the ear the ache is accompanied by in deafness, the tinnitus, the ear swells blocks the feeling, the young child uses the finger to dig the earhole repeatedly, the ache aggravates the diversion brains gradually, or the tympanic membrane perforation oozes pus the fluid, the whole body symptom gives off heat obviously the chill, the color red liver moss yellow. The ear department inspection sees the tympanic membrane hyperemia to assume the garnet, to the evagination, the normal symbol vanishes. This is equal to the modern medicine acute suppurative or catarrh tympanitis.
·3.2.1.2 Governs then:The sparse wind disperses, the clear liver advantage evilly .
· 3.2.1.3 Fang Yao: Curls upwards with the silver disperses adds the chrysanthemum, is blue , the prunella vulgaris.
·3.2.1.4 Fang Jie: The silver curls upwards disperses disperses the wind heat to be evil. The chrysanthemum, is blue , the prunella vulgaris dredges the courage, the favorable ear . The middle ear accumulates the fluid (the acoustic impedance B curve to be accompanied by negative pressure to be serious) or flows out wealth many to match by the plantain seeds, the oriental water plantain. Hotly abundantly appears the mastoid process (bone) the inflamed pressure to hurt, the mouth swallows painstakingly does, liver moss Huang Maixian adds the rough gentian, the gardenia, by strengthens the clear liver to alleviate heat-producing factors the strength.
·3.2.2 Spleen weakness wet is abundant
·3.2.2.1 Main card: The meatus auditorius running water, 久治不愈, flows clear thin, tympanic membrane 晦 Bai Huobian is thick. The surface withers becomes emaciated, superficial knowledge Ze, the partial eclipse does not loss of appetite, the tongue pale liver moss is white. Is equal in the modern medicine chronic catarrh or the suppurative tympanitis.
·3.2.2.2 Governs then:Is good for the spleen the profit to be mad, to dispel the wet advantage .
·3.2.2.3 Fang Yao:With six gentlemen Tonga artemisia capillaris.
·3.2.2.4 Fang Jie: The Poris cocos, the dried orange peel, Bai Zhu, the codonopsis pilosula are good for the spleen the profit gas to eliminate wet, the pinellia dry or wet eliminates the phlegm, matches eliminates the wet function by the artemisia capillaris enhancement, and prevented wet evil is hot.
In the deafness treatment entire process, must pay attention throughout invigorates the kidney the medicine; The magnet, , the cicada slough used in Chinese medicine and so on the clever ear straightens out the medicine; And the dark green technique, the Kudzu root, the sealwort, the rhizome of Ligusticum wallichii and so on by the modern medicine were confirmed has the special curative effect to deafness treatment deafness treatment medicine application.

The present paper publishes in "Chinese Clinical medicine New Progress" in 1999 the third issue