基于“心寄窍于耳”论治针刺治疗突发性聋

Acupuncture Treatment of Sudden Hearing Loss Based on the Theory of“Heart Governing the Opening of the Ears”

“心寄窍于耳”理论源自《黄帝内经》,指心可统领耳窍以维持其生理功能。突发性聋属于中医“暴聋”范畴,中医多从肝肾论治本病,对从心论治本病关注度不足。现以“心寄窍于耳”理论为基点,分析心的生理功能异常与突发性聋的病因病机的联系,即心主血脉功能异常导致的瘀血阻窍是突发性聋发病的关键环节,心主神志功能异常是影响突发性聋发病及预后的重要因素。针刺治疗可通过循经取穴、近部取穴以畅通血脉,恢复“心主血脉”之功,通过循经取穴以调心神,头部取穴以调脑神,辨证选穴以调五脏神,恢复“心主神志”之能,心之生理功能复常,从而听觉功能亦可恢复。

The theory of“the heart governing the opening of the ears”originates from the Huangdi′s Internal Classic(Huang Di Nei Jing),which suggests that the heart can control the physiological functions of the ear opening.Sudden hearing loss belongs to the category of“sudden deafness”in traditional Chinese medicine(TCM),and TCM often focuses on the treatment of the liver and kidneys for this condition,paying less attention to the treatment from the perspective of the heart.Based on the theory of“the heart governing the opening of the ears”,this study analyzed the connection between abnormal physiological functions of the heart and the etiology and pathogenesis of sudden hearing loss.Specifically,the key link in the onset of sudden hearing loss is the blood stasis obstructing orifices due to the abnormal blood vessel function governed by the heart,and the abnormal mental function governed by the heart is an important factor affecting the onset and prognosis of sudden hearing loss.Acupuncture therapy can promote blood circulation and restore the normal blood vessel function by the heart through selecting acupoints along the meridians and in proximity to the affected area.It can also regulate the mind by selecting acupoints along the meridians in the head,and balance the functions of the five Zang organs by selecting acupoints based on syndrome differentiation.By restoring the normal physiological function of the heart,the hearing function can also be restored.