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中醫藥研究論叢
 231.18 中藥配合針刺復原重度突發性耳聾
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TJ TCM.23(1) : 221-236, 2020
DOI : 10.6516/TJTCM.202003_23(1).0018
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中藥配合針刺復原重度突發性耳聾
Effective Treatment of Severe Idiopathic Sudden Sensorineural Hearing Loss with Chinese Herbal Medicine and Acupuncture-A Case Report
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張凱惟1 張清貿1,3 陳方佩1,2,3 龔彥穎1,2,3*
1 臺北榮民總醫院傳統醫學部，台北，台灣
2 國立陽明大學傳統醫藥研究所，台北，台灣
3 國立陽明大學醫學系，台北，台灣
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【摘要】
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突發性耳聾為耳鼻喉科臨床常見的疾病，突發性耳聾的正確機轉目前仍不明，其主要症狀為突發聽力受損，大多病患除了聽力減退之外，還有耳鳴、眩暈的症狀，臨床上有各種不同治療方式被提出，包括類固醇、抗凝血劑及高壓氧等，但療效仍不一定明確，其中重度的聽力受損，即使接受治療也少有完全復原的情形。本案例為一位33 歲女性病患，從發病開始即在本院耳鼻喉科就診，純音聽力測驗診斷為重度突發性耳聾，經過西醫藥物一星期治療仍未有明顯改善，因此前來中醫部求診，在接受中藥（以益氣聰明湯為，主配合遠志、石菖蒲、丹參）配合針刺（以耳門、聽宮、聽會為主）治療之後，聽力逐漸恢復正常以及伴隨臨床症狀獲得改善，此病例可提供中醫師治療突發性耳聾之有效臨床案例之參考。
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【關鍵詞】突發性耳聾、針刺、中藥
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Kai-Wei Chang1Ching-Mao Chang1,3Fang-Pey Chen1,2,3Yen-Ying Kung1,2,3*
1Center for Traditional Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2Institute of Traditional Medicine, National Yang-Ming University, Taipei, Taiwan
3School of Medicine, National Yang-Ming University, Taipei, Taiwan
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【Summary】
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Idiopathic sudden sensorineural hearing loss (ISSNHL) is a common disease in ENT clinics; however, its etiology is unknown and may be complicated by several factors.
The main symptom is sudden hearing impairment. In addition to hearing loss, tinnitus, and vertigo are also seen in these patients. Although the clinical treatments are numerous including steroids, anticoagulants and hyperbaric oxygen but the effects are not always clear. In particular, severe ISSNHL is seldomly recovered even the treatments are given.
The 33-year-old female patient was diagnosed as severe idiopathic sudden sensorineural hearing loss using pure tone audiometry (95dB) at ENT clinics.After a week of western medicine treatment, the situation has not significantly improved. The patient searched for help at Department of Traditional Chinese
Medicine. After treatment with Chinese herbal medicine (Yi Qi Cong Ming Tang plus Polygala tenuifolia, Salvia miltiorrhzia and Acorus gramineus) and acupuncture (Ermen (ST21), Tinggong (SI19) and Tinghui (GB2)), the hearing capacity is gradually returning to normal and other related clinical problems have also been improved. This case report could be presented as an effective clinical case study of ISSNHL using Chinese herbal medicine and acupuncture.
Keywords： idiopathic sudden sensorineural hearing loss (ISSNHL), acupuncture,Chinese herbal medicine
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