Pattern differentiation and treatment of sudden deafness based on theory of "liver qi ascending and lung qi descending"
The coordination of liver qi ascending and lung qi descending ensures the free flow of qi in the human body,while the disharmony between them may result in qi disorders,thus leading to various diseases.Sudden deafness is one of the critical and severe conditions in otorhinolaryngology,characterized by rapid progression and complex pathogenesis.Its onset is particularly closely related to the disharmony between the liver and lungs.Based on the theory of"liver qi ascending and lung qi descending",this paper discusses the pathogenesis of sudden deafness and believes that this disease can be differentiated into two patterns:deficiency and excess.The deficiency pattern is mainly due to the failure of liver qi in ascending,resulting in the lung qi not being able to diffuse upward and outward,thus causing the malnourishment of the ears and making them susceptible to the pathogenic wind.The excess pattern is primarily caused by the failure of lung qi to descend,resulting in the inability to restrain the ascending liver qi(i.e.metal failing to restrict wood).This leads to hyperactive liver fire disturbing the ears along the meridians.In clinical practice,for the deficiency pattern,the treatment focuses on nourishing the liver and dispersing the lung qi,and upbearing nutrients to open the ear orifices;for the excess pattern,the treatment emphasizes astringing the lung qi and soothing the liver(i.e.clearing metal to restrict wood).Other therapies,such as dispelling wind,eliminating pathogens,opening the orifices,and unblocking the collaterals,should be tailored to the various symptoms.This paper aims to prevent the further development of sudden deafness at an early stage,and provide new ideas for the clinical treatment of this disease.
sudden deafnessliver qi ascending and lung qi descendingdisordered qi activitydispelling wind and e-liminating pathogensopening the orifices and unblocking the collaterals
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