| Objectives: The clinical treatment of tinnitus that is a kind of commonly encountered disease in otorhinolaryngology, is one of the generally accepted problems in the world. The traditional Chinese medicine (TCM) has great effect on the problem of prevention and cure of which has been generally accepted in the world more and more. The superiority and soul of TCM are differentiating syndrome to decide treatment, so is the tinnitus. However, many patients suffer only tinnitus and have no other symptoms, which have brought big difficulties in differentiating syndromes by traditional means. Acouesthesia change is the best worth attention index for the tinnitus patients, and audiological tests that can provide us large numbers of information may contain the relational information of TCM syndrome type there into. Some scholars have already started to study this research in clinic at present. But the kind of research is more localized in single index and often cannot entirely consider the effect of the apiece item audiological indexes. Liupeng etc. chose 120 cases tinnitus patients with type TCM syndrome and carried through particular audiological tests, and applied the method of multivariatedistinguishing analysis, and brought to bear audiological indexes to establish five differentiating functions of the tinnitus syndrome. This research compared the objective syndrome differentiation method which is taking tinnitus patients without type TCM syndrome qua participants and applying the upwards distinguish functions to process differentiating syndrome with the traditional syndrome differentiation method which take the tinnitus with regard to the kidney and make a prescription of strengthening the kidney, according to test the veracity of the differentiating functions. And according to this improve the veracity and maneuverability of TCM syndrome differentiation.Method: Patients: All the patients involved in the study were the outpatients of the Otorhinolaryngology in Department of First affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from 2004, Jan. to 2004, Dec. The selected cases were those meeting the inclusive criteria as follows: the mostly symptom is subjectivity tinnitus accompanying by or unaccompanying by self-knowledge hearing loss. And except tinnitus, the patients have no other symptom and no typical TCM symptom. Elimination criteria: the patient belongs to tinnitus due to the diseases of external ear, or middle ear by checking, and whose age is younger than 16 years old. And the patient must be eliminated no matter how not to cooperate the systemic hearing tests (including the cases whose hearing loss>90dB). We held the eligible cases divide into two groups including experiment and comparison group by random by dint of framing the uniform criterion and questionnaire.Everybody in our study must be given pure-tone test, acoustic immittance test, ABR test, 40Hz auditory event related potential by the specially physician. Hold the test outcome into functions in order to differentiating syndromes. And the senior professors take charge of differentiation of syndromes by the account result and give corresponding prescription and drugs. The senior professors give the stringing the kidney herbal to the comparison group patients taking orally too. And compare the similarities and differences of the validity rate between two groups.Resu 11: All the patients are fifty-one which involved in the study were the outpatients of the Otorhinolaryngology in Department of First affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from 2004, Jan. to 2004, Dec. The experiment team are thirty cases including one case of syndrome of attack by wind and heat, nine cases of syndrome of liver fire stirring the upper, five cases of syndrome of stagnation of phlegm and fire, eight cases of syndrome of insufficiency of the kidney and seven cases of syndrome of deficiency of the spleen and stomach, and including seventeen male cases and thirteen female cases. The oldest is seventy-eight years, the youngest is eighteen years and the average is forty point one three. The longest course of diseases is two hundreds and forty months, the shortest is half one month and the average is twenty-three point six nine months. The comparison team is twenty-one cases including twelve male cases and nine female cases. The oldest is seventy-one years, the youngest twenty years andthe average is forty-two point three eight. The longest course of diseases is one hundreds and twenty months, the shortest is seven percent ten month and the average is thirty-six point four one months. The comparison is without apparent difference between the two teams including sex distributing, age, course of diseases and the degree of tinnitus before therapy. It shows that all patients of the two groups are root in the same collectivity and the two teams have the comparability.The validity rate of experiment group is 70% and of the matched control is 42.9%. There is without prominent difference between the two teams by statistics analysis (p>0.05). The score of the tinnitus degree of the experiment and comparison teams falls after therapy (p<0.05) , which indicates the tinnitus is batter of the two groups after the disparate syndrome differentiation and therapy. The validity rate of all type patients except syndrome of stagnation of phlegm and fire is higher than 70% after treatment. The result that the two groups is without statistics difference by analyzing may be relate to the factor including the relative lack sample size, short observed time arid the discrepancy of compliance of the two groups patients.Cone I us i on: The validity rate of experiment group (70%) has the trend that is higher the matched control (42.9%) by diagnosis treatment. But the difference is without statistics meaning between the two teams (p>0.05). The therapy is effect except syndrome of stagnation of phlegm and fire and the validity rate is higher than 70% after treatment. Because the sample size is...
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