A Clinical analysis on the Treatment efficiency of Tinnitus by Types of bianzheng(辨證)

耳鳴의 形態와 治療效率에 對한 臨床的 分析

Tinnitus is a symptom frequently encountered in the E.N.T. clinic and variously described as buzzing, ringing and thumping sound, etc., but the cause, pathogenesis, specific treatment remains to be established through close investigation. In fact, it is not easy to evaluate the treatment efficiency of tinnitus reasonably. However, in this study. we clinically investigated 47 patients who visited E.N.T. department of Kyung Won University Hospital from May. 1996 to May. 1999 and belonged to specific bianzheng(辨證) types of tinnitus classified by bianzheng(辨證), a kind of diagnostic method in order to estimate efficiency of the treatment and give aids to establishing more effective and recognizable treatment method. The result is as follows: 1) In bianzheng(辨證) types of tinnitus, Piweixuruo(脾胃虛弱) was most frequently found, in descending order, Shenjingkuisun(腎精虧損), Ganhuoshangra(肝火上擾), Tanhuoyongjie(痰火壅結). 2) In the treatment efficiency, the type of Piweixuruo(脾胃虛弱) showed the highest, in descending order, Ganhuoshangrao(肝火上擾), Tanhuoyongjie(痰火壅結) and Shenjingkuisun(腎精虧損). 3) The treatment efficiency is shown higher in patients with tinnitus included in other sysmptoms than those with a simple symptom of tinnitus. especially in case of tinnitus accompanied by vertigo, we could get much higher treatment efficiency more than we had expected.