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Hello all,

 

51, male, heavy smoker, 10-15 cups of coffee sweetened with artificial

sugar, no alcohol (recovering alcoholic), regular exercise, BP normal,

Cholesterol normal

 

Tinnitus, both ears, no previous ear trauma, sudden onset, gradual

increase, sporadic at first, steady for 8 months, patient is in

Switzerland

 

Frequency and level: 5800 Hz, 10-15 decibels estimated by Swiss

ear/nose/throat surgeon

 

My thoughts on nutritional/functional medicine:

 

Any nutrient deficiency/excess that comes to mind such as vitamin B-12

deficiency possibly

causing myelin-deficient nerve fibers? Could the artificial

sweetener/caffeine/nicotine

combo/excess cause enough of a deficiency/excess (magnesium/calcium)

that would affect auditory nerve pathways?

 

My thoughts on TCM:

 

I'm not sure if it is due to hyperactive Liver and Gallbladder Fire

since the pt doesn't drink any more (6 years) and he reports regular

bowel movements and sleep patterns. (Long Dan Xie Gan Tang would come

to mind.)

 

Or is it due to insufficient Kidney Yin since alcohol/smoking/coffee

habits may contribute to quickened aging processes and depleted Kidney

Yin? (Modified Liu Wei Di Huang Wan comes to mind.)

 

 

Any thoughts are appreciated,

 

Daniel C. Luthi

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