Study on Ancient Books of Kidney Deficiency and Tinnitus

Tinnitus is a common disease in otology, which is more common in the elderly.

Any disease is the external manifestation of physical changes, so is tinnitus. Therefore, when tinnitus symptoms appear, it is still necessary to consult a professional or go to a regular medical unit for examination to clarify the cause of tinnitus and determine the appropriate treatment.

There are many reasons for tinnitus, such as head and neck trauma, ear canal obstruction, hypertension, diabetes, depression, taking ototoxic drugs, etc.

Clinically, many tinnitus are mostly caused by unknown causes or have no obvious internal manifestations. At this time, there are not many western medicine methods, such as using some drugs that nourish nerves, such as mecobalamin, or drugs that dilate blood vessels, such as Ginkgo biloba leaves.

Chinese medicine has obvious advantages and rich experience in this respect.

Traditional Chinese medicine believes that tinnitus can be divided into kidney essence deficiency type, wind-heat invasion type, liver-fire imbalance type, phlegm-fire stagnation type, spleen-stomach weakness type and so on.

At present, tinnitus is treated with traditional Chinese medicine. According to the principle of traditional Chinese medicine, kidney governs liver and kidney.

If tinnitus is roaring, which mostly belongs to excess fire in the liver and gallbladder, methods of clearing liver and purging fire, such as Longdan Xiegan Pill, Erlong Pill and Danggui Longhui Pill, are used.

If tinnitus is like cicada, it is mostly due to kidney deficiency.

Tinnitus caused by kidney yin deficiency is often treated with Liuwei Dihuang Pill and Erlong Zuo Ci Pill.

Tinnitus caused by kidney-yang deficiency is often treated with Jinkui Shenqi Pill and Gui You Pill.

At present, there are more and more patients with tinnitus in clinic, especially tinnitus with long onset time and more and more spleen and stomach weakness.

On the one hand, the spleen and stomach of the elderly are generally weak, on the other hand, there are more and more people with spleen deficiency in current society. This has a lot to do with people's improper diet, eating too much cold and western medicine.

Tinnitus caused by spleen and stomach weakness is clearly recorded in Spleen and Stomach Theory written by Li Dongyuan, a medical master in the Jin and Yuan Dynasties: spleen deficiency makes people ignorant, which is called "stressing excess". Headache and tinnitus, I don't know nine things, stomach trouble.

It can be seen that spleen is of great significance to tinnitus. But it can't be said that all tinnitus needs all the spleen and stomach, and of course it should be treated according to syndrome differentiation.

If tinnitus is accompanied by symptoms of spleen deficiency such as loss of appetite, fullness after eating, fat and tender tongue, white and greasy tongue coating, it will be ineffective or even harmful to the body to use Longdan Xiegan Pill or Liuwei Dihuang Pill at this time.

For tinnitus due to spleen deficiency, Li Dongyuan has a special prescription-Yiqi Congming Decoction. The prescription comprises Radix Astragali, Radix Glycyrrhizae, Radix Paeoniae, Cortex Phellodendri, Radix Ginseng, Rhizoma Cimicifugae, Radix Puerariae and Fructus Viticis. Indications are: improper diet, physical exertion, weakness of spleen and stomach, cataract, tinnitus or years of dark eyes and blindness.

Here are a few points to note:

1. There are Yiqi Clever Pills in the drug retail market, which is more convenient to take according to the original prescription of Yiqi Clever Decoction. But at present, the sales of Yiqi Congming Pills are not very common. If you can't buy it, you can use Buzhong Yiqi Pill instead.

2. Yiqi Congming Pill and Buzhong Yiqi Pill mainly promote spleen yang, but the effect of invigorating spleen is relatively small. If you use Baohe Pill, Huoxiang Zhengqi Pill or Jianpi Pill according to your personal situation, the effect will be better.

3. Tinnitus is only the external manifestation of physical changes. If it is treated by Chinese medicine, it is best to consult a professional Chinese medicine practitioner in order to treat it according to syndrome differentiation.

4. Tinnitus with spleen and stomach weakness is often accompanied by liver and kidney deficiency and phlegm-fire stagnation. Drugs should be adjusted according to the changes of constitution and symptoms.

5. Acupuncture, massage and other therapies in China also have successful and valuable experience in treating tinnitus.