Tinnitus and pulsatile tinnitus issues?
Hello, Doctor Gao.
I have been experiencing tinnitus for three weeks now, with a constant ringing in my ears 24 hours a day.
Sometimes it is loud, and other times it suddenly becomes quiet.
This morning, I visited a traditional Chinese medicine doctor, who asked me if I had taken any Western medicine.
I replied that I had not, and I was curious why the doctor suddenly asked about Western medicine.
The doctor advised me to avoid tea and coffee, but I have never consumed them.
In addition to the tinnitus, I occasionally experience a sudden ringing in my head and sometimes a feeling of fullness or pressure in my ears.
The sounds I hear are consistently either a high-pitched ringing or noise, similar to static from a radio or a cell tower.
The traditional Chinese medicine doctor mentioned that I have neurasthenia.
Doctor Gao, I would like to ask you, can neurasthenia cause tinnitus? The doctor prescribed me a formula that includes He Guo San, Yuan Zhi, Gan Mai Da Zao San, and Shi Chang Pu.
Could you please explain what these medications are for and what symptoms would require a prescription for these formulas? My tinnitus is in my left ear.
Chen, 20~29 year old female. Ask Date: 2023/10/31
Dr. Gao Peiyi reply Traditional Chinese Medicine
The prescription he provided is related to emotional and psychological tension, which he believes is caused by emotional factors and may not be effective because it is not addressing the root cause.
Based on your description, it seems to be a lingering infection, possibly due to residual heat from a viral infection.
Furthermore, the series of symptoms indicates that it has not yet become chronic.
In this situation, taking the appropriate traditional Chinese medicine could be very beneficial, and you may start to feel improvements after taking the medicine regularly for two weeks.
Reply Date: 2023/10/31
More Info
Tinnitus, often described as a ringing, buzzing, or hissing sound in the ears, can be a perplexing condition, especially when it persists for an extended period, as in your case. The experience of tinnitus can vary significantly from person to person, with some individuals reporting fluctuating intensity and accompanying sensations such as ear fullness or pressure. Your description of the sound resembling static or interference from a radio signal is a common characterization of tinnitus.
From a Traditional Chinese Medicine (TCM) perspective, tinnitus can be attributed to various underlying imbalances within the body. The fact that your TCM practitioner inquired about your use of Western medications suggests a holistic approach, as TCM often emphasizes the importance of understanding the patient's overall health and lifestyle. The recommendation to avoid tea and coffee may stem from the belief that these substances can exacerbate certain conditions due to their stimulating effects, which may not be conducive to your current state of health.
Regarding your question about whether "brain nerve weakness" can lead to tinnitus, it is essential to understand that TCM views health as a balance of various bodily systems. In TCM, the concept of "kidney deficiency" is often linked to hearing issues, including tinnitus. The kidneys are believed to house the essence that supports the ears, and any deficiency can manifest as auditory disturbances. Additionally, emotional stress and anxiety can contribute to what is termed "liver qi stagnation," which may also exacerbate tinnitus symptoms.
The herbal prescriptions provided by your TCM practitioner, including "抑肝散" (Yigan San), "遠志" (Yuan Zhi), "甘麥大棗散" (Gan Mai Da Zao San), and "石菖蒲" (Shi Chang Pu), are aimed at addressing these imbalances.
1. 抑肝散 (Yigan San): This formula is traditionally used to soothe the liver and alleviate stress, which can be beneficial if your tinnitus is related to emotional factors or stress.
2. 遠志 (Yuan Zhi): Known for its calming properties, Yuan Zhi is often used to improve cognitive function and alleviate anxiety, which may help with the mental strain that can accompany tinnitus.
3. 甘麥大棗散 (Gan Mai Da Zao San): This formula is used to nourish the heart and calm the spirit, making it suitable for those experiencing anxiety or insomnia, which can be related to persistent tinnitus.
4. 石菖蒲 (Shi Chang Pu): This herb is known for its ability to promote clarity of thought and improve communication between the heart and kidneys, potentially addressing the underlying causes of tinnitus.
In terms of duration, TCM treatments often require consistent use over a period of weeks to months to see significant improvements. It is crucial to follow your practitioner’s guidance and maintain open communication about your symptoms and any changes you experience.
In conclusion, while tinnitus can be a challenging condition to manage, TCM offers a holistic approach that addresses not only the symptoms but also the underlying imbalances contributing to your experience. It is essential to remain patient and committed to the treatment plan, as healing often takes time. If your symptoms persist or worsen, consider seeking further evaluation from both TCM and Western medical practitioners to explore all potential avenues for relief.
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