中醫藥研究論叢

211.18 老年性耳鳴的中醫治療病案
TJ TCM.21(1) : 229-238, 2018
老年性耳鳴的中醫治療病案
A Case of Senile Tinnitus Treated with Chinese Medicine
盧昱竹1 林經偉1,2*
1 佛教慈濟醫療財團法人花蓮慈濟醫院中醫部,花蓮,台灣
2 佛教慈濟大學學士後中醫學系,花蓮,台灣
【摘要】
耳鳴為中老年人常見的病症,發生原因複雜,西方醫學尚無有效治療的方式。本病例是一位69 歲男性,左耳出現間斷性的高頻「嗡嗡」耳鳴聲近一個月,並伴有左耳聽力減退,疲累或安靜時左耳鳴聲明顯,並且會影響睡眠。推測其病機為年老體衰,腎精虧虛,使得耳部氣血循環失衡,無法供養清竅,故治以濟生腎氣丸合併益氣聰明湯來補腎益精、升陽通竅。病患於初診兩週後複診時表示左耳鳴程度有明顯減緩,其生活品質亦有改善。密集服用中藥三個月後耳鳴症狀趨緩,發作頻率減少,且停藥後無立即復發。初次療程結束兩年內只發作兩次,施以前方藥治療後可改善。
【關鍵詞】耳鳴、濟生腎氣丸、益氣聰明湯、腎精虧虛
Yu-Chu Lu1 Ching-Wei Lin1,2*
1Hualien Tzu Chi Hospital, Hualien, Taiwan
2Tzu Chi University School of Post-Baccalaureate Chinese Medicine, Hualien, Taiwan
【Summary】
Tinnitus is a common condition in the elderly. Its etiology is complex and there is no effective therapy. This case is a male, aged 69, afflicted with tinnitus for nearly a month. His chief complain is intermittent high pitch “hum” sound in his left ear accompanied by a slightly hearing loss. The symptoms are usually triggered by fatigue and exaggerated in quiet settings, thus interfering with his sleep.
Due to his elder-age and deficiency of kidney essence, the qi-blood of his left ear became imbalanced. The main strategies of treatment were to tonify yang to open the orifices, enrich the kidney and replenish yin. We used Jisheng-Shenqi-Wan and Yih-Chih-Tsong-Ming-Tang. Response of the patient to treatment was positive and continuous, symptom of tinnitus were significantly reduced improving patient’s life quality.
 
Keywordstinnitus, spleen-kidney yang deficiency pattern, Jisheng-Shenqi-Wan, Yih-Chih-Tsong-MingTang