老年性耳鳴的中醫治療病案

耳鳴為中老年人常見的病症，發生原因複雜，西方醫學尚無有效治療的方式。本病例是一位69歲男性，左耳出現間斷性的高頻「嗡嗡」耳鳴聲近一個月，並伴有左耳聽力減退，疲累或安靜時左耳鳴聲明顯，並且會影響睡眠。推測其病機為年老體衰，腎精虧虛，使得耳部氣血循環失衡，無法供養清竅，故治以濟生腎氣丸合併益氣聰明湯來補腎益精、升陽通竅。病患於初診兩週後複診時表示左耳鳴程度有明顯減緩，其生活品質亦有改善。密集服用中藥三個月後耳鳴症狀趨緩，發作頻率減少，且停藥後無立即復發。初次療程結束兩年內只發作兩次，施以前方藥治療後可改善。

關鍵字

耳鳴；濟生腎氣丸；益氣聰明湯；腎精虧虛

並列摘要

Tinnitus is a common condition in the elderly. Its etiology is complex and there is no effective therapy. This case is a male, aged 69, afflicted with tinnitus for nearly a month. His chief complain is intermittent high pitch ＂hum＂ sound in his left ear accompanied by a slightly hearing loss. The symptoms are usually triggered by fatigue and exaggerated in quiet settings, thus interfering with his sleep. Due to his elder-age and deficiency of kidney essence, the qi-blood of his left ear became imbalanced. The main strategies of treatment were to tonify yang to open the orifices, enrich the kidney and replenish yin. We used Jisheng- Shenqi-Wan and Yih-Chih-Tsong-Ming-Tang. Response of the patient to treatment was positive and continuous, symptom of tinnitus were significantly reduced improving patient's life quality.