Treatment of hearing loss with “fameng needling” in Nèijīng  

《内经》发蒙针法治疗耳聋（英文）

作　　者：李玲[1] 张豪斌 牛文民[1] 王瑞辉[1] 殷克敬[1] 

机构地区：[1]陕西中医药大学第二附属医院国家级师承导师殷克敬工作室

出　　处：《World Journal of Acupuncture-Moxibustion》2015年第3期26-30,共5页世界针灸杂志（英文版）

基　　金：Supported by Shaanxi Administration of Traditional Chinese Medicine:2011 LC 05

摘　　要：Objective To observe the clinical efficacy of treatment of hearing loss with ＂fameng needling＂ in Nèijīng（《内经》, The Yellow Emperor＇s Inner Classic）. Methods Seventy patients with hearing loss were divided into ＂fameng needling＂ group（group A） and conventional acupuncture group（group B） randomly by sortition, with 35 patients in each. ＂Fameng needling＂ was applied in patients in group A. Bilateral antitragi were pressed by middle fingers for covering the earholes, twirling for reduction was conducted by thumbs and index fingers, and then the middle fingers, thumbs and index fingers loosened suddenly after the patients felt sore or numb inside the ears. Conventional acupuncture treatment was adopted for patients in group B. Treatment for ten times was considered as one course of treatment, and clinical efficacy and electro-audiometry evaluation of all the patients were observed after three courses of treatment. Results The total effective rate of group A was 91.43%, which was superior to that of group B（71.43%）, and the difference between the two groups was statistically significant（P0.05）. The electro-audiometry evaluation results of the two groups after treatment improved when compared with that before treatment, the result in group A was（37.01±19.43） d BHL, which was superior to that of group B（49.85±21.29） d BHL, and the difference between the two groups was statistically significant（P0.01）. Conclusion ＂Fameng needling＂ is an effective method for treatment of hearing loss, which is worth promoting and applying clinically.目的:观察运用《内经》发蒙针法针刺治疗耳聋的临床疗效。方法:将70例耳聋患者随机抽签法,分为观察组和对照组,每组35例。观察组采用"发蒙针"法针刺治疗,即中指按压对耳屏使其堵住耳孔,拇指和示指在针柄行捻转泻法,使病人感到有强而沉重的酸胀感直达耳底,然后,中指、拇指、示指突然松开,对照组采用常规针刺治疗。10次为一疗程,治疗3个疗程,3个疗程后,观察两组患者的临床疗效和电测听评定。结果:观察组总有效率为91.43%(32/35),优于对照组的71.43%(25/35),两组比较差异具有统计学意义(P<0.05)。治疗后两组患者电测听结果均较治疗前明显改善(均P<0.05),且观察组为(37.01±19.43)d BHL,优于对照组(49.85±21.29)d BHL,两组比较差异具有统计学意义(P<0.01)。结论:运用"发蒙针"法针刺治疗耳聋是一种有效的方法,临床值得推广运用。

关 键 词：hearing loss ACUPUNCTURE fameng needling observation of efficacy 

分 类 号：R221[医药卫生—中医基础理论]