Now many people will have such a situation, sudden tinnitus, many people feel puzzled. Tinnitus is very harmful. Today I'll tell you what causes tinnitus? How does tinnitus need to be treated? What should we pay attention to in our daily life?
What causes tinnitus
1. Mainly ear diseases
Such as external ear diseases: external auditory canal inflammation, cerumen embolism, external ear foreign bodies, acute and chronic inflammation of the middle ear, tympanic membrane perforation, otosclerosis, Meniere's syndrome of the inner ear and acoustic neuroma can cause tinnitus.
2. Tinnitus can also occur in vascular diseases
Such as jugular glomus tumor, small vessel dilatation in ear, vascular malformation, hemangioma, etc. tinnitus from vein is mostly noisy, and tinnitus from artery is consistent with the pulse.
3. Tinnitus can be caused by many diseases
Almost any cause of ear disease can lead to tinnitus symptoms, but the relationship between tinnitus and hearing is complex. Tinnitus may be caused by a small piece of wax touching the tympanic membrane, but it may also be caused by a tumor located in the auditory nerve. Others, such as otosclerosis (a disease occurring in the auditory ossicles of the middle ear), ototoxic drug poisoning, noise and so on, can cause tinnitus to varying degrees. Tinnitus has various manifestations, some are tinnitus on one side, others are tinnitus on both sides; Some appear intermittently, some continue without stopping; Light people feel tinnitus when they are quiet, and heavy people feel noisy and uneasy when they are in a busy city.
4. Causes of noise
People have such a common experience that if they suddenly hear the sound of firecrackers, there will be a long echo in their ears and it will take half a day to subside. This is that external noise temporarily damages people's auditory nerve. Those who work in noisy environments for a long time, such as tractor and car drivers, traffic police, armed police, soldiers, discotheque staff, mahjong entertainers, long-term meeting participants, and operators of various equipment, are all victims of noise. Long-term noise stimulation mostly causes inner ear nerve damage.
5. Others
Some systemic diseases can also cause tinnitus, such as vegetative nerve disorder, cerebral blood supply deficiency, pre stroke, hypertension, hypotension, anemia, diabetes and malnutrition. The incidence rate of tinnitus in people over 60 years old is as high as 30%. The main reason is the degeneration of auditory nervous system with age.
6. Excessive fatigue, lack of sleep and excessive emotional tension can also lead to tinnitus
The causes of head trauma, muscle clonus, systemic systemic diseases, such as anemia, hypertension, diabetes, hypothyroidism, hypoglycemia, autoimmune diseases and vasospastic diseases may all be accompanied by tinnitus, and tinnitus, which is not yet clear, accounts for about 40% of the number of tinnitus. Tinnitus is caused by the disorder or change of cell membrane permeability of hair cells inside and outside the cochlea, or the disorder of synaptic metabolism of hair cells, or the short circuit between auditory nerve fibers.
Six methods to treat tinnitus
1. Tonifying kidney and filling essence
Traditional Chinese medicine believes that there is a close relationship between the kidney and the ear. The kidney is the foundation of congenital. It stores essence and generates marrow, opens the brain and opens the orifices in the ear. If the kidney essence is insufficient, the ear orifices will lose nourishment, ranging from tinnitus to hearing loss or even deafness. In addition, it also has early white beard and hair, weak waist and knee, decreased sexual desire, pale tongue, thin pulse and weakness. The treatment method is to tonify the kidney and fill the essence. The prescription is made with deafness Zuomi pill, Qiju Dihuang pill, Liuwei Dihuang Decoction, etc.: 30g of Rehmannia glutinosa, 20g of yam, 20g of pilose antler, 3G of tortoise shell, 12g of river cart, 12g of yam, 15g of medlar, 12g of Achyranthes bidentata, 12g of dodder.
2. Heat clearing and phlegm resolving method
Traditional Chinese medicine advocates treating tinnitus and deafness from kidney and phlegm. Most of these patients have sudden tinnitus, obesity, dizziness and swelling, cough, saliva and hypochondriac pain, phlegm and sticky, sharp red on the edge of the tongue, yellow and greasy fur, slippery pulse strings and other symptoms, which are characterized by phlegm heat and depression. Therefore, the treatment principle is to clear heat and dissipate phlegm. The main prescriptions are Wendan Decoction, Qingqi Huatan pill and Yishi gongtan pill: 12g Trichosanthes fruit, 10g almond, 10g Zhishi, 12g Nanxing, 8g Pinellia ternata, 8g orange red, 10g Huoling, 10g Scutellaria baicalensis and 10g shengshanwei. Gentian 8g, Wheatstone 30g, decoct first, rhubarb 6G and then lower.
3. Promoting blood circulation and removing blood stasis
Traditional Chinese medicine believes that "long illness is in blood", "long illness is more blood stasis", blood stasis blocks the ear orifices, the prevalence of Qi and blood is not smooth, and the ear orifices are out of nourishment. The changes of microcirculation in patients with blood stasis syndrome differentiation of traditional Chinese medicine are more obvious. This kind of patients is partly caused by vasospasm and blocked blood flow after the stimulation of ear blood vessels. Western medicine 654-2, sibelium and Salvia miltiorrhiza injection are used to relieve the spasm and restore blood flow. Such patients have clinical manifestations of blood stasis, such as headache, fixed position, dizziness, dark purple tongue, fine and astringent pulse and so on. Treatment: promoting blood circulation, removing blood stasis and dredging orifices. Wang Qingren Tongqiao Huoxue decoction is used to add and subtract: 10g peach kernel, 6G safflower, 0.3g musk, 5 ginger, 2 scallion white, 5 red dates, 5 chuanxiong, 6G red peony, 10g.
4. Water benefiting and drinking method
Phlegm and drinking are the pathological products of abnormal water and fluid metabolism, which stay in the local part of the body. Phlegm is hot and cold, phlegm is invisible and qualitative, and drinking remains in the body. Clearing Yang without rising can cause tinnitus, dizziness, etc. Diuretic and detumescence drugs can relieve the edema of vestibule and labyrinth of inner ear, reduce nerve compression and promote local lymphatic reflux. Key points of syndrome differentiation: cold shape, cold limbs, white complexion, thin white phlegm, light white tongue, white greasy fur and smooth pulse string. Treatment method: benefit water and drink one by one. The formula is Lingguizhugan Decoction and Wuling powder in Treatise on Febrile Diseases: 15g Guizhi, 10g Baizhu, 12g Alisma orientalis, 6G motherwort, 20g Fangji, 6G Astragalus membranaceus, 30g plantain, 10g.
5. Method of clearing liver and reducing fire
Some patients with tinnitus are caused by pyogenic bacteria infection, or have a history of hypertension. In addition, they are addicted to spicy food, are angry and hurt the liver, and have excessive liver fire and inflammation along the meridians. TCM syndrome differentiation belongs to excess heat and liver fire. The liver is the official of the general. It is vigorous in nature and mainly promotes the discharge. If the liver is out of order, becomes depressed and turns into fire, and interferes with the clear orifices, the tinnitus will break out, such as tide, thunder, rumbling, often accompanied by ear swelling, ear pain, pus, fever, headache, dizziness, red face, red eyes, bitter mouth, dry throat, restlessness, red tongue, yellow fur, and powerful pulse string number. It is advisable to calm the liver and cut wood, clear the liver and reduce fire. Longdan Xiegan decoction, Tianma Gouteng Decoction, Zhengan Xifeng decoction, etc. are added and subtracted: gentian herb 9g, Tianma 12g, Gouteng 10g (lower back), Achyranthes bidentata 12g, Scutellaria 10g, chrysanthemum 12g, white peony 12g, raw land 15g, ochre substitute 20g (decocted first) malt 9g.
6. Ventilation and heat clearing method
Most patients with new disease tinnitus are caused by virus infection, most of them have acute onset and cold symptoms. TCM syndrome differentiation belongs to wind heat. Due to the external wind heat, attacking along the meridians and blocking the orifices, its tinnitus is like a cicada, stroke, hearing loss or occlusion, and the symptoms slow down after pressing the tragus or pulling the auricle with your fingers. It is often accompanied by fever, chills, headache, stuffy nose, runny nose, dry mouth, dry throat, general fatigue, red tongue, thin yellow fur and floating pulse. The prescription is yinqiao powder plus or minus: 10 g of honeysuckle, 10 g of Forsythia suspensa, 6 g of bamboo leaves, 10 g of Schizonepeta tenuifolia, 6 g of chrysanthemum, 10 g of cicada molting, 6 g of shigepu, 10 g of Scutellaria baicalensis.
Precautions
1. Noise prevention in daily life
If the elderly are exposed to various noises such as machine roar, workshop noise and human noise for a long time, it will often lead to spasm of the microvessels in the inner ear, reduced blood supply to the inner ear, sharp hearing loss, and even noise induced deafness. Therefore, avoiding or reducing noise interference as much as possible is the first thing for the elderly to protect their hearing.
2. Extinguish the liver fire and calm the heart
When the old people reach a certain age, they will have unreasonable impatience and anger. If the elderly are often in a state of impatience and anger, it will lead to the loss of normal regulatory function of autonomic nerve in the body, resulting in ischemia, edema and hearing impairment of inner ear organs, which is prone to sharp hearing loss or sudden deafness. Therefore, the elderly should try to keep themselves in a relaxed and happy state of mind.
3. Often massage the hearing aid acupoints
Massage the wind points before and after the earlobe (in the depression between the earlobe and the high bone behind the ear) and the hearing points (in the depression at the front and lower part of the tragus and the posterior edge of the mandibular joint process) can increase the blood circulation of the inner ear and protect the hearing. It is advisable to massage once every morning and evening for 5 ~ 10 minutes each time. It can be effective if you stick to it for a long time.
4. Avoid digging the ear canal to avoid external causes
Often dig your ears with ear spoon and matchstick, which is easy to hurt the ear canal, cause infection and inflammation, and may also damage the eardrum. When the ear is itchy, you can gently wipe the ear canal with a cotton swab stained with a little alcohol or glycerin, or take vitamins B, C and cod liver oil orally.