"Integrated Internal and External Treatment with Harmonization of Body and Mind" for Tinnitus Caused by Constraint Syndrome

WU Wenli; ZHANG Ying; LIU Daxin; YAN Zhanfeng; YIN Mengyu

doi:10.13288/j.11-2166/r.2025.12.015

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"Integrated Internal and External Treatment with Harmonization of Body and Mind" for Tinnitus Caused by Constraint Syndrome

更新时间：2025-06-13

- "Integrated Internal and External Treatment with Harmonization of Body and Mind" for Tinnitus Caused by Constraint Syndrome
- Journal of Traditional Chinese Medicine Vol. 66, Issue 12, Pages: 1281-1285(2025)
- 作者机构：
  
  1.北京中医药大学东直门医院，北京市东城区海运仓5号，100700
  2.北京中医药大学东方医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.12.015
  CLC：
- Received：20 December 2024，
  
  Revised：2025-04-12，
  
  Published：17 June 2025
- 稿件说明：
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吴文丽,张莹,刘大新等.“内外兼治，形神共调”治疗郁证性耳鸣[J].中医杂志,2025,66(12):1281-1285.

WU Wenli,ZHANG Ying,LIU Daxin,et al."Integrated Internal and External Treatment with Harmonization of Body and Mind" for Tinnitus Caused by Constraint Syndrome[J].Journal of Traditional Chinese Medicine,2025,66(12):1281-1285.
吴文丽,张莹,刘大新等.“内外兼治，形神共调”治疗郁证性耳鸣[J].中医杂志,2025,66(12):1281-1285. DOI： 10.13288/j.11-2166/r.2025.12.015.

WU Wenli,ZHANG Ying,LIU Daxin,et al."Integrated Internal and External Treatment with Harmonization of Body and Mind" for Tinnitus Caused by Constraint Syndrome[J].Journal of Traditional Chinese Medicine,2025,66(12):1281-1285. DOI： 10.13288/j.11-2166/r.2025.12.015.

摘要

基于“欲郁致病论”与“藏窍”相关理论，认为郁证性耳鸣病机遵循“气郁（肝气郁结）→火扰（肝郁化火）→虚损（肝郁脾虚）→瘀阻（肝郁血瘀）”的演变规律。治疗以内外兼治、形神共调为原则，内治法调脏腑枢机之偏，以逍遥散为基础方，并随证灵活加减；外治法通经络官窍之闭，常用耳穴贴压、中药热奄包热敷等方式；中医五音疗法调情志神机之乱。运用三法内外兼治，形神共调，综合辨治郁证性耳鸣。

Abstract

Based on the theories of "pathogenesis caused by constraint emotions" and "visceral orifices"， it is believed that the pathogenesis of tinnitus caused by constraint syndrome follows the evolution pattern of "

constraint （liver

constraint） → fire disturbance （liver constraint transforming into fire） → deficiency impairment （liver constraint with spleen deficiency） → blood stasis （liver constraint leading to blood stasis）". The treatment is guided by the principle of integrated internal and external therapy with harmonization of both body and mind. Internally， the treatment focuses on rectifying

zang

imbalances， primarily using the

Xiaoyao Powder

（逍遥散）， with modifications based on syndrome differentiation. External therapies aim to unblock the meridians and orifices， commonly using auricular acupressure and Chinese herbal hot compresses. Additionally， traditional Chinese five-tone music therapy is

applied to regulate emotional and mental disturbances. By integrating these three approaches， a comprehensive treatment strategy is formed that harmonizes both body and mind for managing tinnitus associated with constraint syndrome.

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references

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Related Institution

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Shandong University of Traditional Chinese Medicine

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