中醫藥研究論叢

291-10 中西結合治療突發性感音神經聽力損失病例報告

TJ TCM.29(1) : 129-142, 2026

DOI : 10.6516/TJTCM.202603_29(1).001

中西結合治療突發性感音神經聽力損失病例報告

Diagnosis and Treatment of Sudden Sensorineural Hearing Loss Using an Integrated Traditional Chinese and Western Medicine Approach:A Case Report

夏正昀1李昌狄1謝伯駿1沈邑穎1徐培珊1,*

1台北慈濟醫院中醫部,新北,台灣

【摘要】
「突發性感音神經聽力喪失」常常是耳鼻喉科、家醫科以及中醫科門診中相對常見的耳科疾患。定義上為3天內、至少連續3個相鄰音頻有超過30分貝的感音神經性閾值受影響。主要症狀從初期的輕微耳悶塞感、耳鳴,到明顯的聽力喪失等臨床表現皆有可能。但其成因複雜,病因難尋,因此目前臨床治療大多為類固醇、高壓氧以及循環改善等方向,但療效仍存在個體差異性。本病例探討為一位62歲女性,17年前曾有突發性聽覺喪失病史,此次門診診斷為右耳突發性耳聾,在接受門診與西醫住院治療後,症狀加重下病患尋求中醫會診,採用傳統針灸辨證論治,補腎去濕、疏風散寒、疏鬱通竅搭配中西醫治療後,聽力顯著且快速恢復,並改善相關次證。本報告希望追蹤整理西醫常規治療下輔以針灸治療突發性耳聾之臨床思路供臨床參考。
【關鍵詞】突發性耳聾;中醫;針灸
【Summary】
"Sudden Sensorineural Hearing Loss" (SSNHL) is a relatively common otological condition enered in otolaryngology, family medicine, and traditional Chinese medicine (TCM) outpatient clinics. It is defined as a sensorineural hearing threshold shift of more than 30 decibels affecting at least three consecutive frequencies within three days. Clinical manifestations can range from mild initial symptoms such as aural fullness and tinnitus to significant hearing loss. However, the etiology remains complex and elusive, making treatment challenging. Current clinical therapies primarily include corticosteroids, hyperbaric oxygen therapy, and circulation-improving agents; however, therapeutic outcomes vary among individuals. This case study presents a 62-year-old female patient with a history of sudden hearing loss 17 years ago. This time, she was diagnosed with right-sided sudden deafness in outpatient care. After receiving conventional outpatient and inpatient Western medical treatments, her symptoms worsened, prompting her to seek a TCM consultation. She underwent traditional acupuncture therapy based on syndrome differentiation, focusing on tonifying the kidney, eliminating dampness, dispelling wind and cold, and relieving stagnation to unblock orifices. Combined with integrative Western and TCM treatments, the patient experienced significant and rapid recovery of hearing and improvement in associated secondary symptoms. This report aims to summarize and analyze the clinical reasoning behind combining acupuncture therapy with standard Western treatments for sudden deafness, providing a reference for clinical practice.
【Keywords】
Sudden sensorineural hearing loss ; Traditional Chinese Medicine ; Acupuncture