【Basic Information】Chen, female, 49 years old at the time, came to the doctor on August 20, 2020 due to congestion in both ears for nearly 2 months. 【Onset】One day 2 months ago, Chen suddenly felt stuffy in his ears, dizzy, and had an unbearable headache whenever he heard a loud voice. After examination at an outpatient hospital, he was diagnosed with "sudden deafness", "Eustachian tube abnormality", and "Meniere's disease". Symptoms improved after hormonal and nutritional neurological medications**, but every time I was tired, I sfeed**. The first diagnosis syndrome] Chen's ears were stuffy and stuffy, his neck and shoulders were sore, his mouth was bitter and dry, his sleep was acceptable, his stomach was normal, his stool was dry, and his urine was normal. The tongue is red, the tongue coating is thin and yellow, and the pulse is gentle. 【Auxiliary examination】The hearing examination showed that Chen's hearing in his right ear was normal, while his left ear had moderate low-frequency hearing and normal high-frequency hearing. According to Chen's symptoms and signs, combined with the results of auxiliary examinations, Western medicine diagnosed him with sudden deafness. TCM diagnosed tinnitus and deafness (biliary depression and heat syndrome). *The principle is to clear away heat, relieve, and calm the nerves.
Prescription:Acupuncture:Baihui, Yintang, Shuigou, Lianquan, Tinggong, Neiguan, Yangling Spring. Moxibustion:Wind pool, neck Bailao, shoulder Yu, four flower holes, hearings, mounds, and springs are each 2 strong. Thorn Lock:Shoulder well, heart Yu, liver Yu. Buried needle:Yin Yu, gall Yu. Ear pin:Heart and gall alternate. [Follow-up process] according to the above **plan**3 times a week. After 6 weeks of **, Chen's symptoms such as congestion in both ears, dizziness, and headache when listening to loud voices have improved significantly. After 2 months of consolidation, Chen's condition was complete. 
Sudden hearing loss is a sudden, unexplained sensorineural hearing loss, usually characterized by unilateral hearing loss. In addition to hearing loss, patients may also experience symptoms such as tinnitus, ear congestion, dizziness, nausea, vomiting, etc. In the theory of traditional Chinese medicine, sudden deafness belongs to the categories of "violent deafness", "stroke deafness", "wind deafness" and "syncope deafness". The occurrence of violent deafness is often related to high work pressure, excessive fatigue or infection with wind evil, which leads to heart and gallbladder disorders, and evil qi inhibits the ear and causes sudden deafness. This disease is located in the ear, but it is closely related to the hands and feet and the young yang meridians. In addition, the heart, kidney, gallbladder, and three focal organs are also closely related to the pathogenesis of sudden deafness. Acupuncture technique is an effective means of sudden deafness. Choose the acupoints related to the heart meridian, pericardial meridian, and bile meridian or the dorsal Yu acupoints and recruitment acupoints of the heart meridian, bile meridian, and pericardial meridian, and combine the acupuncture thinking mode of "one needle, two moxibustion, and three consolidation" to ** the disease. Through years of clinical research and induction, acupuncture technology has become an effective means to solve difficult clinical diseases and diseases. This technique not only focuses on the ** effect of acupuncture and moxibustion, but also emphasizes the importance of consolidation** so as to better promote the patient**. For patients with sudden deafness, early diagnosis and acupuncture is crucial, and choosing acupuncture techniques can provide them with a safe and effective way. In Li Zhen's "Introduction to Medicine: Viscera and Viscera", he put forward a unique theory - "The Theory of Piercing the Five Organs". This theory points to a mysterious connection between the five organs of the human body and other organs. Specifically, the heart communicates with the gallbladder, the liver communicates with the large intestine, the spleen communicates with the small intestine, the lungs communicate with the bladder, the kidney communicates with the sanjiao, and the kidney communicates with the lifegate. These connections are like a kind of cosmic secret, so that the various organs are interconnected and work together to maintain the balance of the human body. Among them, the characteristics of the foot and less yang gallbladder meridians further confirm the connection between the heart and gallbladder. It "follows the chest, belongs to the gallbladder, scatters the liver, and penetrates the heart", which means that the gallbladder meridian and the heart meridian are interconnected to a certain extent. This also provides a material basis for the interaction between the heart and the gall. For example, when there is a problem with the bile meridian, people may experience symptoms such as bitter mouth, good breathing, and heart pain. And for the kidneys, it is especially closely related to the ear. This is because the kidneys open to the ear, and the bile meridian, the Sanjiao meridian, and the small intestine meridian are all related to the ear. This finding has important guiding significance for diseases such as tinnitus, deafness, etc. In the case of sudden deafness, it is first necessary to clarify it. According to the principle of combining disease differentiation and syndrome differentiation, we can take a series of ** measures. For example, acupuncture Baihui, Yintang, Shuigou, Lianquan and other acupuncture points can be transferred to Tongdu, calm the nerves;Neiguan, Yangling Spring and other acupuncture points can regulate the heart and gallbladder, **tinnitus and deafness;The acupuncture points such as the fine moxibustion wind pool, neck Bailao, and shoulder Zhongyu can dredge the meridian qi of the head. In addition, acupuncture points such as listening meetings and mounds can be opened through the meridians, and springs can lead fire downward. For some sudden deafness induced by fatigue and emotional agitation, patients should pay more attention to the combination of work and rest, appropriate exercise, and emotional channeling.