Correlation Between TCM Types Of Syndromes And Subjective Information And Objective Examination Of Tinnitus

Objectives:Preliminary discusse the possibility that acoustic characteristics of tinnitus would become quantitative indicators as syndromes of TCM. To observe the correlation between TCM syndrome and acoustic immittance measurement. To observe the correlation between the TCM syndrome and auditory brainstem response audiometry (ABR). To observe the correlation between the TCM syndrome and clinical subjective information of tinnitus. The more information would be provided to TCM syndrome.Methods:Select the 166 patients (228 ears) in Otorhinolaryngology clinic service of Jiangsu Province Chinese Medicine Hospital which the first uncomfortable is tinnitus. The examinations were included the tinnitus'exame, acoustic immittance measurement and auditory brainstem response audiometry (ABR) and we surveyed the clinical subjective information of tinnitus. The data was analysed by statistical of clinical.Result:Based on the 166 patients (228 ears) tinnitus patients include the tinnitus'exame, acoustic immittance measurement, auditory brainstem response audiometry (ABR) and four tinnitus subjective informations, the conclusions are following:1.The tinnitus patients of wind-heat invasion syndrome have the characteristics include younger, lower frequency ringing in the ears, lower tinnitus loudness scores, lower level of perceived tinnitus which have 2-3 scores in the most and the incidence of short duration. The lower frequency and the indicator which does not affect the work and study but will be affect emotion have more significant to the syndrome.2.The tinnitus patients of Flaring-up of Liver Fire syndrome have higher frequency and higher loudness. The score of perceived loudness was during 3 to 4. The score of perceived level was about 4.The distance of tinnitus was the shortest except wind-heat invasion syndrome. The factors that higher frequency ringing in the ears, upset caused by tinnitus, consciously moody, affected work and learning and not long course have more significant to this syndrome.3.Tinnitus patients of qi stagnation induced blood stasis syndrome have these characteristics:the higher levels of perceived tinnitus which scoring about 4 points or so, the tinnitus can cause upset, and more will affect the work and study.4.Kidney essence deficiency syndrome in tinnitus patients has features of older age, higher frequency, higher impact, longer course. It is more significant to syndrome that higher frequency and longer duration of tinnitus.5.Qi and blood deficiency syndrome of tinnitus patients has features of older age, higher tinnitus loudness and longer course of tinnitus. The higher of tinnitus loudness and longer duration were the determination of the syndrome.6.The relevant indicators between the kidney essence deficiency syndrome and Qi and blood deficiency syndrome have a high degree of similarity. But how to distinguish these two syndromes would need more detailed and extensive research.