Recently, among the patients with tinnitus, it is found that a common phenomenon is that these patients with tinnitus have some emotional problems, some like to sulk, and some are easy to think about things, that is, we are now talking about serious mental internal friction, some are easy to be depressed, some are easy to quarrel with others, and want to lose their temper at every turn, etc., these patients have a lot to do with their mood, when the mood is stable, the tinnitus sound is fine, once the mood fluctuates, the tinnitus will also be aggravated.
I remember seeing a patient in May, Ms. Wu, is very typical, the patient described bilateral tinnitus for 2 years, aggravated with insomnia for more than half a year, no significant loss of hearing, no dizziness, headache, etc., usually easy to wake up early, depressed, thoughtful, breast tenderness, dry mouth and bitter mouth, hot flashes and palpitations, poor stomach. The tongue is pale red, the lichen is thin and greasy, and the veins are slippery. The dialectic is the obstruction of qi and phlegm, and the fire hurts the yin.
The treatment is to soothe the liver and relieve depression, regulate qi and dissolve phlegm, and use Bupleurum to soothe the liver and add or subtract: Bupleurum chinensis, white peony, Chuanxiong, Xiangfu, Citrus aurantium, tulip, skullcap, Phellodendron chinensis, Coptis chinensis, Prunella vulgaris, Banxia, fried gardenia, honey yuanzhi, earth bone skin, smallpox pollen, cicada molt, Shouwu vine, acacia bark, Liushenqu, licorice.
At the second diagnosis, the patient's mood was more stable than before, there was still tinnitus but it did not affect daily life, his sleep improved, he still had many dreams, his stool was normal, his tongue was light red, his moss was thin and white, and his pulse was slippery. With the addition and subtraction of the syndrome, ** for more than 3 months, the patient slept normally, the tinnitus in both ears was significantly reduced, and the mood was stable.
The patient has an introverted personality, long-term emotional failure, liver loss and discharge, qi stagnation, depression, chest and flank discomfort, breast tenderness and other symptoms, so it is judged that the patient's mild symptoms are mainly "depression". Therefore, in accordance with the purpose of "Mu Yuda" in the internal scriptures, Bupleurum chinensis, incense, citrus aurantium and other herbs are selected to soothe the liver and regulate qi;Yujin, Chuanxiong and other qi and blood;Coptis chinensis, skullcap, gardenia, etc. clear away heat and troubles;Dry and moist phlegm in half summer;Nightshade vine, acacia skin soothing the nerves. The whole formula plays the effect of soothing the liver and relieving depression, regulating qi and dissolving phlegm, and cooperates with emotional adjustment, which can better improve the tinnitus of patients.
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