Folio Bound VIEWS - Chinese Medicine

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drain Liver and Gall-Bladder Fire and Er Ming Zuo Ci Wan Tinnitus
Pill that is Kind to the Left [Kidney] (a small dose of 6 pills a day in the
evening) to nourish Kidney-Yin.

Phlegm-Fire Flaring Upwards


Clinical Manifestations


Tinnitus sound like cicadas or crickets, impaired hearing, a feeling of oppression of the chest,
expectoration of sputum, thirst, a feeling of muzziness in the head and dizziness.


Tongue: Red, Swollen, sticky-yellow coating.


Pulse: Slippery and Rapid.


Treatment Principle


Resolve Phlegm, drain Fire, subdue Liver-Yang, regulate the ascending of clear Qi and
descending of turbid Qi, tonify the Spleen.


Acupuncture


General Prescription


T.B.-21 Ermen, S.I.-19 Tinggong, G.B.-2 Tinghui, T.B.-5 Waiguan, T.B.-3 Zhongzhu, L.I.-4
Hegu, Ren-9 Shuifen, ST-40 Fenglong, SP-9 Yinlingquan, G.B.-20 Fengchi, Ren-12 Zhongwan,
BL-20 Pishu. Reducing method on all points except the last two which should be reinforced.


Explanation



  • T.B.-21 is the main local point for this type of tinnitus.

  • T.B.-21, S.I.-19 and G.B.-2 can regulate the ascending of clear Qi to the ear and
    descending of turbid Qi away from the ear. Some doctors recommend needling these
    three points, for 5 consecutive treatments, simultaneously horizontally from top to
    bottom, i.e. from T.B.-21 to G.B.-2: this makes the turbid Qi descend from the ear. Then
    needle the same three points, for another 5 consecutive treatments, horizontally upwards,
    i.e. from G.B.-2 to T.B.-21: this makes the clear Qi ascend to the ear.

  • T.B.-5 and T.B.-3 subdue Liver-Yang and ease the ear.

  • L.I.-4 regulates the ascending of clear Qi and descending of turbid Qi in the head.

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