Study On Distribution Law And Tenderness Threshold Of Pressure - Sensitive Points In Tinnitus Patients

Tinnitus refers to the inner ear or intracranial conscious patients with sound senses, but there is no corresponding ambient sound source that is present, it can occur in one ear, both ears or brain. Different tinnitus patients can exhibit different sounds, such as the sound of cicadas, hissing, buzzing, ringing, trains roar, the sound of the tide, hair sound and so "on. Foreign epidemiological surveys that the incidence of tinnitus of about 10% to 15% of the total population, China has 10% people who have had tinnitus,5% of tinnitus patients seek treatment,2% of patients with tinnitus seriously affecting the life, the quality of sleep, resulting in lack of concentration, the ability to work and social activity declined 0.5% in patients with tinnitus due to disability if their own psychological harmed. So far, Western medicine on the etiology and pathogenesis of tinnitus is unknown, and there is no precise objective detection methods, the treatment effect on clinical tinnitus is often unsatisfactory. The medicine has a unique system of diagnosis and treatment, especially acupuncture treatment of tinnitus with a simple, side effects, etc. But there is a point selection that is not standardized, there is no uniform standard, especially for patients with tinnitus acupuncture points sensitive examination is still blank, it is blindness to select acupoints. Therefore, this test through the meridians pathological condition tinnitus patients will be liable under examination by the study, the most sensitive screening tinnitus sensitive reaction meridians and acupoints, to provide an objective basis for clinical diagnosis and treatment of tinnitus acupuncture.Clinical Research:1. Objective:By tinnitus patients sensitive points in the distribution of the surface and the other side of tinnitus and tenderness threshold distribution side relationship with other sensitive meridian points, and filter out the tinnitus most relevant meridians and acupoints, acupuncture clinical diagnosis and treatment of tinnitus provide differentiation, identified by the selection of points, as well as provide the basis for compatibility points.2.Methods:Using meridian diagnostic method in 63 cases of patients with head and neck tinnitus, ear and periphery of the side head, back and waist limb elbow/knee less surface meridian pressed recording to appearing sensitive points and frequency, and use point tenderness tester sensitive pain threshold and records, frequency of occurrence of different points and tinnitus side in more than 10 times the other left, right and double-sided pressure-sensitive meridians and pressure points cavities pain thresholds using SPSS 20.0 statistical.3. Results:3.1 Generally patients with tinnitus:(1)Gender and age:63 cases of tinnitus patients,31 males (49.21%) and 32 females (50.79%); the youngest is 25 years old, maximum is 75, mean is 54.5, the high incidence ages are 51 to 60 (19 cases,28.57%) and 61 to 70 (20 cases,31.75%).(2)Course of disease:0 to 3 months,15 cases (acute tinnitus),4 months to 1 year,13 cases (sub-acute tinnitus), more than 1 year,35 cases (chronic ringing in the ears), in which patients with chronic tinnitus is most common in more than 1 year, incidence rate of 55.56%.(3)Tinnitus side:63 cases of patients with tinnitus, the tinnitus on the left side in 13 cases, the right of tinnitus in 14 cases,35 cases of bilateral tinnitus, one case of tinnitus cerebri, where the highest incidence of bilateral tinnitus patients, accounting for 55.56%.(4)Tinnitus severity rating:grade 1,23 cases, gradeⅡ,28 cases, gradeⅢ,12 cases, grade Ⅱ has maximum number of cases, accounting for 44.44%.(5)TCM syndrome:which is divided into ten kinds of syndromes, the most weak stomach type tinnitus patients where a total of 19 cases, accounting for 30.16%, followed by stagnation in 15 cases (23.81%), phlegm resistance 10 cases (15.87) liver qi stagnation 7 cases (11.11%), pyrophlegm obstruct results 3 cases (4.76%), interference 3 cases (4.76%) on anger, lack of effort,2 cases (3.17%), tossed 2 cases (3.17%), evils invasion 1 case (1.59%), kidney essence deficiency 1 case (1.59%).3.2 Number of points tinnitus patients sensitive situation:63 cases of patients with tinnitus appeared sensitive surface meridian points total of 131 points, in addition to Ren meridian examination is not convenient, the remaining 13 have been pressure-sensitive reaction, appears the most number of points of the meridians is the Bladder Meridian of Foot-Taiyang, followed by Gallbladder Meridian of Foot-Shaoyang, Du Meridian, Sanjiao Meridian of Hand-Shaoyang. Since the emergence of more sensitive points, but the frequency of occurrence in the pressure-sensitive points 10 times less and less frequently, so we only appeared more than 10 times the frequency of the pressure-sensitive points statistics, distribution is as follows:(1)Meridians and pressure-sensitive points cluster distribution analysis:clustered into four categories, the number of points emerge top three meridians were:Gallbladder Meridian of Foot-Shaoyang; the second category:Sanjiao Meridian of Hand-Shaoyang and Spleen Meridian of Foot-Taiyin (tie); third category:Bladder Meridin of Foot-Taiyang and Stomch Meridian of Foot-Yangming (tie).(2)Regional and Cluster Analysis of the pressure-sensitive distribution points:clustered into three categories, the first category:below the knee; second category:side head and the peripheral portion of the ear; third category:the following elbow and back waist.(3)The pressure-sensitive points appear cavities and cluster analysis:clustered into seven categories, the first three categories are as follows:first category:Wangu(GB12), Yifeng(SJ17); second category:Waiguan(SJ5), Quchi(LI11); third category:Sanyinjiao (SP6), Yanglingquan(GB34), Fengchi(GB20), Taichong(LR3), Shousanli(LI10), Zulinqi (GB41), Qiuxu(GB40).(4)Non-sensitive acupoints the reaction point distribution:tinnitus sensitive except within the scope of meridians, meridians also exist in the vicinity of the upper and lower pressure sensitive reaction, which most in Lung Meridian of Taiyin through the line of pressure-sensitive online reaction points,9; the most frequent number of points for the five points in the top and bottom is Kongzui(LU6); non-acupoints the reaction point in the pressure-sensitive 3-inch Yanglingquan(GB34) highest frequency for 19 times, followed by Yanglingquan(GB34) 2-inch,17 times.(5) Different sides of the pressure-sensitive tinnitus meridian points number of comparison:the left side of the meridian bilateral tinnitus sensitive than the right number of points (P<0.01), while the right side of the meridian bilateral tinnitus sensitive than the left number of points (P<0.05); when the left or right tinnitus, ipsilateral meridian points more trend-sensitive, but not statistically significant (P>0.05). Bilateral tinnitus, bilateral meridians sensitive points respectively over the left and right a few more on the right than the left number of meridian points more sensitive, namely bilateral>right>left side (P<0.01).3.3 Tinnitus patients sensitive point tenderness threshold conditions:(1)Tinnitus different sides left, right meridian sensitive point tenderness threshold comparison:tinnitus, whether the left and right tinnitus or bilateral tinnitus, with bilateral meridian points are tender threshold appears sensitive reaction for about comparison (P>0.05), the difference was not statistically significant.(2) Between the left tinnitus sensitive point tenderness threshold comparison:① Yifeng(SJ17) threshold lower (P<0.05) than Quchi(LI11) tenderness, Yifeng respectively, compared with Wangu(GB12), Zulinqi(GB41), Taichong(LR3), Waiguan(SJ5), Yanglingquan(GB34) tenderness lower threshold (P<0.01); Quchi(LI11), Wangu(GB12), respectively, lower than Yanglingquan(GB34) tenderness threshold (P<0.05); tenderness threshold difference between the rest of the pressure-sensitive points was not statistically significant (P>0.05).(3) Between the right tinnitus sensitive point tenderness threshold comparison: Yifeng(SJ17) respectively, compared with Zhongzhu(SJ3), Wangu(GB12), Taichong(LR3), Fengchi(GB20) tenderness lower threshold (P<0.01); Yifeng(SJ17) tenderness threshold lower (P<0.05) than Sanyinjiao(SP6); rest tenderness threshold difference was not statistically significant (P>0.05) between the pressure-sensitive points.(4)Between bilateral tinnitus sensitive point tenderness threshold comparison:a.The first item and the pressure-sensitive ear peripheral point tenderness threshold comparison:①Xuanlu(GB5) respectively, compared with Tinghui(GB2), Qubin(GB7) tenderness lower threshold (P<0.05); Xuanlu(GB5) respectively compared with Wangu(GB12), Fengchi(GB20) lower tenderness threshold (P<0.01); (2)Yifeng(SJ17) than Tinghui(GB2) tenderness threshold lower (P<0.05); Yifeng respectively, than Qubin(GB7), Wangu(GB12), Fengchi(GB20) tenderness threshold lower (P<0.01); ③Xuanli(GB6) than Wangu(GN12) tenderness threshold lower (P<0.05); Xuanli(GB6) lower than Fengchi(GB20) tenderness threshold (P<001); ④Tinghui(GB2) lower than Fengchi(GB20) tenderness threshold (P<0.05); tenderness threshold difference between the rest of the pressure-sensitive points was not statistically significant (P>0.05).b.The following elbow sensitive point tenderness threshold comparison:Quchi(LI11) than Waiguan(SJ5) tenderness threshold lower (P<0.01); tenderness threshold difference between the rest of the pressure-sensitive points was not statistically significant (P>0.05).c.The pressure-sensitive point tenderness below the knee threshold comparison:① Qiuxu(GB40) respectively, compared with Diji(SP8), Taixi(KI3), Sanyinjiao(SP6), Xuanzhong(GB39), Yinlingquan(SP9), Yanglingquan(GB34) tenderness lower threshold (P<0.01); Qiuxu(GB40) respectively, than Lougu(SP7), Zusanli(ST36) tenderness threshold lower (P<0.05);②Taichong(LR3) respectively, compared with Diji(SP8), Lougu(SP7), Xuanzhong(GB39), Zusanli(ST36) tenderness threshold lower (P<0.05); Taichong(LR3) respectively, than Taixi(KI3), Sanyinjiao(SP6), Yinlingquan(SP9) tenderness threshold lower (P<0.01);③Zulinqi(GB41) lower than Yinlingquan(SP39) tenderness threshold (P<0.05); Zulinqi(GB41) than Yanglingquan(GB34) low tenderness threshold (P<0.01);④ Diji(SP8) lower than Yanglingquan(GB34) tenderness threshold (P<0.01); ⑤Taixi(KI3), Sanyinjiao(SP6) were lower than Yanglingquan(GB34) tenderness threshold (P<0.01); tenderness threshold difference between the rest of the pressure-sensitive points was not statistically significant (P>0.05).d.The first item and the following elbow periphery of the pressure-sensitive ear point tenderness threshold comparison:①Xuanlu(GB5) respectively, lower than Quchi(LI11), Zhongzhu(SJ3), Shousanli(LI10), Waiguan(SJ5) tenderness threshold (P<0.01);② Yifeng(SJ17) respectively, compared Quchi(LI11), Zhongzhu(SJ3), Shousanli(LI10), Waiguan(SJ5) tenderness threshold lower (P<001);③ Xuanli(GB6) lower than the Shousanli(LI10) tenderness threshold (P<0.05); Xuanli(GB6) tenderness threshold lower (P<0.01) than Waiguan(SJ5);④Tinghui(GB2) and Wangu(GB12) respectively, than Waiguan(SJ5) threshold lower (P<0.05); tenderness threshold difference between the rest of the pressure-sensitive points was not statistically significant (P>0.05).e.The first item and ear periphery of the pressure-sensitive point tenderness below the knee threshold comparison:(DXuanlu(GB5) tenderness threshold lower than Qiuxu(GB40) (P<005); Xuanlu(GB5) than Zulinqi(GB41), Diji(SP8), Taixi(KI3), Sanyinjiao(SP6), Lougu(SP7), Xuanzhong(GB39), Taichong(LR3), Yinlingquan(SP9), Zusanli(ST36), Yanglingquan(GB34) lower tenderness threshold (P<0.01); (2)Yifeng(SJ17), respectively, Qiuxu(GB40) Taichong(LR3), Zulinqi(GB41), Diji(SP8), Taixi(KI3), Sanyinjiao(SP6), Lougu(SP7), Xuanzhong(GB39), Yinlingquan(SP9), Zusanli(ST36), Yanglingquan(GB34) lower tenderness threshold (P<0.01);③ Xuanli(GB6), respectively, compared with Taichong(LR3), Zulinqi(GB41), Diji(SP8), Taixi(KI3), Sanyinjiao(SP6), Lougu(SP7), Xuanzhong(GB39), Yinlingquan(SP9), Zusanli(ST36), Yanglingquan(GB34), tenderness threshold lower (P<0.01);④Tinghui(GB2), compared to machines, Diji(SP8), Taixi(KI3), Sanyinjiao(SP6), Yinlingquan(SP9), Zusanli(ST36), Yanglingquan(GB34), lower tenderness threshold (P<0.01); Tinghui(GB2) respectively, compared with Lougu(SP7), Xuanzhong(GB39), tenderness threshold lower (P<0.05);⑤Qiuxu(GB40) is lower than Fengchi(GB20) tenderness threshold (P<0.05);⑥Qubin(GB7), respectively, than Taixi(KI3), Lougu(SP7), Yinlingquan(SP9), Zusanli(ST36), Xuanzhong(GB39), tenderness threshold lower (P<0.05); Qubin(GB7), respectively, compared Sanyinjiao(SP6), Yanglingquan(GB34), tenderness threshold (P<0.01); ⑦ Wangu(GB12), respectively, compared with Diji(SP8), Xuanzhong(GB39) tenderness threshold lower (P<0.05); Wangu(GB12), respectively than Taixi(KI3), Sanyinjiao(SP6), Lougu(SP7), Yinlingquan(SP9), Zusanli(ST36), Yanglingquan(GB34), lower tenderness threshold (P<0.01);⑧Fengchi(GB20) than Yinlingquan(SP9), tenderness threshold lower (P<0.05); the rest of the pressure-sensitive points of between tenderness threshold difference was not statistically significant (P>0.05).f.Compared with the following elbow below the knee sensitive point tenderness threshold: ①Qiuxu(GB40) tenderness low threshold (P<0.01) than Waiguan(SJ5);② Quchi(LI11), respectively, compared to Diji(SP8), Lougu(SP7), Xuanzhong(GB39), Zusanli(ST36) tenderness threshold lower (P<0.05); Quchi(LI11) respectively, than Taixi(KI3), Sanyinjiao(SP6), Yinlingquan(SP9), Yanglingquan(GB34), lower tenderness threshold (P<0.01);③Taichong(LR3) than Waiguan(SJ5) tenderness threshold lower (P<0.05);④Zhongzhu(SJ3) respectively, than Yinlingquan(SP9), Zusanli(ST36) tenderness threshold lower (P<0.05); Zhongzhu(SJ3) than Yanglingquan(GB34) lower tenderness threshold (P<0.01);⑤Shousanli(LI10), Waiguan(SJ5) were lower than Yanglingquan(GB34) tenderness threshold (P<0.05); the rest tenderness threshold difference was not statistically significant (P>0.05) between the pressure-sensitive points.4. Conclusion:According to the results the following conclusions:the ear and the meridian of contact is common, in addition to not respect Ren Meridian examination, the remaining 13 meridians by the press to the region through both reaction sites which specifically as follows:4.1 Tinnitus patient-specific sensitive meridians, regional, points:(1)From the angle that the number of sensitive points, Tinnitus patients most sensitive points of the meridians is distributed Gallbladder Meridian of Foot-Shaoyang, followed by Sanjiao Meridian of Hand-Shaoyang and Spleen Meridian of Foot-Taiyin; specific sensitive area is below the knee, followed by a side head and the peripheral portion of the ear, and the following elbow back waist; the pressure sensitive point is specific and Wangu(GB12), Yifeng(SJ17), followed by Waiguan(SJ5), Quchi(LI11), Sanyinjiao(SP6), Yanglingquan(GB34), Fengchi(GB20), Taichong(LR3), Shousanli(LI10), Zulinqi(GB41), Qiuxu(GB40).(2) From the point of view that the pressure sensitive point tenderness threshold, tinnitus patient-specific sensitive area is the head neck and the peripheral portion of the ear, below the knee and elbow followed by the following; the left side of tinnitus, sensitive points were Yifeng(SJ17), Quchi(LI11), Wangu(GB12); when the right side of the sensitive points of tinnitus is Yifeng(SJ17); when bilateral tinnitus, sensitive points were: Xuanlu(GB5), Yifeng(SJ17), Xuanli(GB6), Tinghui(GB2), Quchi(LI111), Qiuxu(GB40), Taichong(LR3), Zulinqi(GB41), Diji(SP8), Taixi(KI3), Sanyinjiao(SP6).(3) Meridians from the non-pressure-sensitive-angle view that tinnitus is not only reflected in the presence of pressure-sensitive acupoints in the meridian line, there are also non-sensitive reaction on meridians, mostly in the vicinity of certain points, such as Kongzui(LU6), Yanglingquan(GB34), Xiajuxu(ST39), Jiexi(ST41), Quze(PC3), Ligou(LR5), Chize(LU5), Jingqu(LU8), Zusanli(ST36), Yinlingquan(SP9) and so on.4.2 Pressure-sensitive points on different sides of tinnitus distribution:In terms of the number of sensitive points of view or the view that from the pressure sensitive point tenderness threshold angle, tinnitus on the left and right sided tinnitus and tinnitus, which are sensitive to human reaction bilateral meridians based.