基于五脏相音理论的150例耳鸣患者五音分布规律  

The Rules of Five-Tone Distribution of 150 Cases of Tinnitus Based on the Five-zang Organ Phase Tone Theory

作　　者：张虹[1] 赵竞一 王俊阁[1] ZHANG Hong;ZHAO Jingyi;WANG Junge(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing,100010)

机构地区：[1]首都医科大学附属北京中医医院,100010

出　　处：《中医杂志》2020年第12期1075-1079,共5页Journal of Traditional Chinese Medicine

基　　金：北京市中医管理局燕京流派创新性传承“拳头”工程建设项目。

摘　　要：目的基于五脏相音理论总结耳鸣的五音分布规律,为通过耳鸣的五音属性进行脏腑辨证提供依据。方法对150例耳鸣患者进行耳鸣声学测试及耳鸣残疾评估量表(THI)评分,录制耳鸣测试音的音频文件,请患者从中选择与自己耳鸣最接近的频率,根据五脏相音理论中五音与唱名的关系,将患者耳鸣频率进行五音属性匹配,并分别统计患者五音属性在不同年龄、性别、病程及THI评分中的分布。结果150例患者中耳鸣音调为宫音的例数最多,与徵、角、羽、商四种音调耳鸣患者例数差异有统计学意义(P<0.05)。18~35岁年龄段中角音耳鸣患者的例数与其他四种音调比较差异有统计学意义,36~55岁及56~72岁年龄段宫音耳鸣患者例数与其他四种音调差异均有统计学意义(P<0.05);男女患者中宫音患者的例数与其他四种音调比较差异均有统计学意义(P<0.05);病程小于1个月耳鸣患者中角音例数与其他四种音调比较,1~6个月、6^+~12个月及大于12个月耳鸣患者中宫音例数与其他四种音调比较,差异均有统计学意义(P<0.05);THI评分中除0~16分外,17~36分、37~56分、57~100分中宫音患者例数与其他四种音调比较差异均有统计学意义(P<0.05)。结论耳鸣患者中音调属宫音的例数分布最多,脾的功能异常是引起耳鸣的常见病机。Objective To provide basis for the syndrome differentiation of zang-fu by analyzing the five-tone attributes of tinnitus,based on the theory to summarize the rules of five-tone distribution of tinnitus.Methods Ti-nnitus acoustics test and tinnitus handicap inventory(THI)score were performed on 150 tinnitus patients,and audio files of tinnitus test sound were recorded.Patients were asked to choose the frequency closest to their tinnitus.According to the relationship between the five-tone and the phonographic name in the five-tone theory,the patients'tinnitus frequency were matched with five-tone attributs,and the distribution of five-tone attributes of patients with different age,gender,disease course and THI score was calculated.Results Among the 150 patients,the distribution of tinnitus sound Gong(宫)tone was the most,and there was a statistically significant difference in the distribution of tinnitus among the other 4 tones of Zhi(徵),Jiao(角),Yu(羽),Shang(商)(P<0.05).There was a statistically significant difference in the number of patients with Jiao(角)tone tinnitus between patients aged 18 to 35 and the patients with other four tones.There were statistically significant differences in the number of patients with Gong(宫)tone tinnitus aged 36-55 and 56-72 compared with those with tinnitus of other four tones(P<0.05).Compared with other 4 tones,the number of both male and female patients with Gong(宫)tone was statistically significant(P<0.05);Compared with the number of Jiao(角)tone in patients with tinnitus with a duration of less than 1 month,1 to 6 months,6^+-12 months and more than 12 months,the difference was statistically significant(P<0.05);Except for patients with THI score 0-16 points,there were statistically significant differences in the number of patients with Gong(宫)tone compared with that of the patients with the other four tones,in those with THI score 17 to 36 points,37 to 56 points,and 57 to 100 points(P<0.05).Conclusion Among the tinnitus patients,the number of cases in which the t

关 键 词：耳鸣 五音 脏腑辨证 耳鸣残疾评估量表 宫音 

分 类 号：R276.1[医药卫生—中医五官科学]