Intervention of the Syndrome-Position Point Selection Method on Idiopathic Tinnitus of Phlegm-Fire Stagnation Pattern: A Randomized Controlled Study

Abstract

Objective. To investigate the clinical effect of the syndrome-position point selection method on the intervention of idiopathic tinnitus of the phlegm-fire stagnation pattern. Methods. One hundred patients with idiopathic tinnitus of phlegm-fire stagnation pattern who met the inclusion criteria were randomized into the treatment group and the control group by the random number table method, with 50 cases in each group. The treatment group (syndrome-position point selection method) was treated with acupuncture at the corresponding acupoints for tinnitus and associated symptoms and the corresponding acupoints located in Wernicke’s area of scalp projection, while the control group (traditional acupuncture method) was treated with the combination of acupuncture points with the most frequent occurrence in the tinnitus research literature for acupuncture treatment. Both groups received acupuncture twice a week for 5 weeks. The efficacy was evaluated before and after treatment with the Tinnitus Severity Inventory (TSI), Sleep Spiegel Questionnaire, Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS). Results. The 100 patients with idiopathic tinnitus of phlegm-fire stagnation pattern completed 5 weeks of clinical treatment and a month of follow-up with no loss of patients and no adverse event reports. Three patients recovered with the disappearance of the tinnitus symptoms in the treatment group after 5 weeks of treatment. After 5 weeks of treatment, obvious differences between the two groups were observed in the TSI scores P < 0.05 and the Spiegel scores, with a better Spiegel score in the treatment group than in the control group P < 0.05 . Compared with the control group, the depression (SDS score) and anxiety (SAS score) of tinnitus patients in the treatment group were markedly improved P < 0.05 . Conclusion. In line with the principle of symptomatic treatment and based on the modern imaging data, the syndrome-position point selection method is more accurate and effective compared with the traditional acupoint selection method, which significantly improves the symptoms, sleep quality, and psychological state of patients with idiopathic tinnitus of the phlegm-fire stagnation pattern.

Comparative Efficacy of Different Acupuncture-Related Therapies for Primary Tinnitus: A Systematic Review and Network Meta-Analysis Protocol

“…First, it only included studies published before November 2017. A few RCTs [36][37][38] have been published since the publication of the previous NMA study to further investigate the efficacy and safety of acupuncture for alleviating primary tinnitus. In order to determine the most recent evidence, it is crucial to include the results of recent clinical trials in an updated systematic review.…”

“…35 As a result, our study will undertake the most comprehensive and up-to-date literature search, including more eligible RCTs published between 2018 and 2023. [36][37][38] In addition, our study will improve the establishment of PICOS by incorporating more rigorous but feasible inclusion and exclusion criteria.…”

Investigating acupoint selection and combinations of acupuncture for primary idiopathic tinnitus using data mining

“…Because of its green therapy and safety, it is recognized by more and more people. Acupuncture at the acupoints near the ear can accelerate the microcirculation of the inner ear, [ 8 ] improve the permeability of the capillaries in the ear, prevent or reduce the necrosis of the inner ear spiral organ hair cells, and improve the function of the cochlea. [ 9 ] Studies have found that acupuncture treatment of idiopathic tinnitus has a certain therapeutic advantage, is an important treatment.…”

The Effect of Lifting‐and‐Thrusting Laser Acupuncture on Electrodermal Activity of Acupoints, Pulse Characteristics, and Brainwave

“…"Lifting and thrusting" is a common technique of traditional needle acupuncture, which plays an important role in acupuncture treatment [8][9][10][11][12][13][14][15][16]. Researchers have tried to simulate the lifting-and-thrusting technique in laser acupuncture to improve its efcacy [17][18][19][20].…”