| ObjectiveThe music therapy of five phases in TCM,guided by the theory of Wu Xing,based on the principles of syndrome differentiation and treatment of zang-fu organs,and based on five-tone tunes,reflects the whole concept of TCM and is an effective way to treat diseases.In order to fully understand and apply music therapy of five phases to treat tinnitus,this study used music therapy of five phases to treat syndrome of disquieted heart spirit tinnitus,in order to find an effective non-drug treatment for tinnitus.MethodsFrom March to October 2019,60 patients from the otolaryngology clinic of Shenzhen Hospital of TCM were selected,which met the diagnostic criteria of primary tinnitus in Western medicine and the syndrome differentiation criteria of restlessness in mind,the patients were randomly divided into observation group(30 cases)and Control Group(30 cases).The observation group was treated with the music therapy of five phases,combined with the principle of five phases and five viscera generating each other,mainly by means of syndrome modulation,supplemented by angle modulation,feather modulation and Gong modulation,which was played in a circular way at noon(11:00-13:00),while the control group was treated by taking Chinese medicine orally,with the method of supplementing Qi and nourishing blood,and peace of mind,add or subtract Guipi decoction,one dose per day,taken twice in the morning and evening.Before treatment,after 4 and 12 weeks of treatment,tinnitus was assessed by the tinnitus evaluation questionnaire(TEQ),the effects of Environment,duration,sleep,life,work and emotion,severity of Tinnitus and clinical efficacy were analyzed by SPSS.Results1.General Data:There was no significant difference in aetas,disease-process,male and female,and affected ear between the two groups(P>0.05).2.Before treatment,there was no significant difference in the environment,duration,sleep,life,work and emotion,the severity of tinnitus and tinnitus grade between the two groups(P>0.05),comparable.3.After 4 weeks and 12 weeks of treatment,the environment,sleep,life and work,mood,patients’ own tinnitus severity evaluation and tinnitus severity grading of the two groups were significantly better than those of the same group(P<0.05);the tinnitus duration score of the observation group after 4 and 12 weeks treatment was significantly better than that before treatment(p<0.05),and the tinnitus duration score of the control group after 4 weeks treatment was not significantly different from that before treatment(P>0.05),but 12 weeks treatment was significantly better than that before treatment(p<0.05).After 12 weeks of treatment,the environment,duration,sleep,life and work,emotional score and tinnitus severity grade of the two groups were significantly better than those of the same group after 4 weeks(P<0.05);the severity of tinnitus in the observation group after 12 weeks of treatment was significantly better than that in the same group after 4 weeks of treatment(P<0.05),there was no significant difference in the severity of tinnitus between the control group 12 weeks after treatment and 4 weeks after treatment(P>0.05).4.After 4 weeks of treatment,the tinnitus duration,life,work and emotion scores of the observation group were significantly better than those of the control group(P<0.05);there were no significant differences in the environment,sleep,tinnitus severity and tinnitus severity grade between the two groups(P>0.05).After 12 weeks treatment,the observation group tinnitus appearance environment,duration,sleep,life work,mood,patients own tinnitus severity and tinnitus severity grading comparison were significantly better than the control group(P<0.05).5.The total effective rate in the observation group was 73.3%and 86.7%respectively after 4 and 12 weeks of treatment;the total effective rate in the control group and 60%and 83.3%respectively after 4 and 12 weeks of treatment.6.After 12 weeks of treatment,the curative effect of the two groups was significantly better than that of the same group(P<0.05).After 4 weeks of treatment,the curative effect of the two groups was not statistically significant(P>0.05),the curative effect of the control group was no good as the observation group(P<0.05).Conclusions1.Music therapy of five phases in TCM and oral administration of TCM(Guipi decoction)can change the environment of Tinnitus,shorten the time of tinnitus,improve the sleeping condition and reduce the influence of Tinnitus on life,work and mood;However,the long-term clinical effect of TCM five phases therapy is better than that of TCM taken orally(Guipi decoction).2.Music therapy of five phases in TCM not only provides new treatment for tinnitus,but also reduces the financial burden on patients,and is convenient to operate,worthy of clinical promotion. |
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