Rehabilitation methods for drug induced deafness

Mondo Health Updated on 2024-02-01

Due to the emergence of a large number of drugs with serious damage to the auditory nerve in recent years, coupled with irrational use, the incidence of toxic deafness caused by aminoglycosides such as gentamicin continues to rise. According to relevant surveys, the number of drug-toxic deafness patients accounts for the majority of all deaf patients, with 20,000-40,000 new cases every year, showing an obvious upward trend. Aminoglycosides, such as gentamicin and kanamycin, are the most common cause of sensory hearing loss in children. At present, the medical community generally believes that the damage of ototoxic drugs to the cochlea and auditory nerve is difficult. However, according to historical data, literature reports and clinical experience, on the basis of inheriting the traditional medical methods of the motherland, we used traditional Chinese medicine to awaken the ear and smart decoction, acupuncture, combined with electroacupuncture, massage, infusion and other traditional Chinese and Western medicine, to carry out 659 cases of deafness patients with residual hearing. After synthesis, the effective rate is as high as about 90%, and the apparent efficiency is about 35%. This result suggests that drug-toxic deafness is possible to be obtained through **. This not only brings hope to patients with drug-toxic deafness, but also provides new ideas and methods for the medical community in such diseases. Therefore, we should pay more attention to the safe use of drugs to avoid irreversible damage to the auditory nerve.

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Modern medical research has shown that drug-toxic deafness is caused by disorders of cochlear microcirculation. When auditory hair cells are deprived of blood and oxygen, these sensitive cells are damaged, causing gradual hearing loss and even total deafness. In view of this phenomenon, from the perspective of traditional Chinese medicine, the toxic deafness of streptomycin drugs belongs to the empirical category. The pathogenesis is not the weakness of kidney qi, but the accumulation of evil qi in the meridians, blocking the normal flow of qi and blood. Drug toxicity deafness, in essence, is an exogenous drug that invades the human body and destroys the original auditory function. The normal functioning of the human auditory sense depends on the transmission of the essence of the five internal organs to the ears through the meridians. In this process, the passage of essence through the meridians is two key factors. Damage in either party can lead to hearing loss. Since hearing loss caused by drug intoxication usually occurs in a short period of time and has not yet reached the level of essence damage, we should first consider the problem of meridian damage. In view of the deafness caused by drug toxicity, traditional Chinese medicine advocates that the main means are to detoxify the channels and promote blood circulation and eliminate blood stasis. By adjusting qi and blood, dredging meridians, and restoring the normal function of auditory hair cells, the hearing condition is improved. In the process, it is also necessary to pay attention to individual differences and changes in the condition, and formulate a personalized plan based on the specific situation. Since the key to drug toxic deafness lies in the damage to the meridians of both ears, the focus should naturally be on restoring the normal function of the meridians. Pangolins are long in walking through the meridians, scattering and stasis, and should be the first choice of medicine, not to mention the stagnation of the two meridians of Yang and Yin. From the point of view of Western medicine, Yang Ming is mainly caused by the nutritional disorder of auditory nerve cells, so that the meridians of Yang and Yin are smooth, and the natural qi and blood are sufficient, which is conducive to improving nutritional status. At this point, there seems to be a place for communication between Chinese and Western medicine. In addition, the Yin meridian and the Shaoyang meridian are on the surface, the lesions of the two meridians affect each other, the Shaoyang meridian circulates in front of the ear and behind the ear, and the branch veins enter the ear from the back of the ear, running qi and blood, nourishing the ear, and ensuring the normal function of both ears; When evil poison is strong, it is tied to the ear orifices, the meridians are blocked, and the clear orifice is not nourished, and the hearing will naturally be affected. The stagnation of the pangolin's Yin meridian will inevitably affect the Shaoyang meridian that is inside each other, and if the Shaoyang meridian is unobstructed, the ear will be nourished by qi and blood, so that hearing can be restored. In this way, the stagnation of the pangolin in the Yang and Ming meridians allows the qi and blood to be sufficient, and the stasis of the Yin meridians allows the qi and blood to enter, and the sufficient qi and blood enter the empty ears, so that the ears are nourished and vigorous, and there is hope for the recovery of normal hearing. Simple acupuncture ** deafness, does have a certain curative effect, we carry forward the experience of our predecessors, and found new acupuncture points, the use of deafness acupoints I, II, III and oral awakening smart decoction, with a combination of Chinese and Western methods, the effect is certain. Modern medical research has proved that acupuncture has a two-way balancing effect, which can improve the microcirculation in the ear and enhance the permeability of the blood vessels in the inner ear. In the microcirculation test of drug-induced deafness, we found that 100 patients had different degrees of microcirculation disorders, and when the microcirculation was tested after 10 minutes of acupuncture, the microcirculation was significantly improved after the re-test.

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