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Hearing Loss

How Chinese medicine differentiates hearing loss — distinct from Tinnitus and Blocked Ear already covered — the six patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Sudden hearing loss, especially in one ear, needs urgent medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for hearing loss — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Tonifies Kidney-Essence.
KI-3Nourishes Kidney-Yin and Essence.
S.I.-19Local ear point, opens the ear orifice.
T.B.-17Local ear point, relieves fullness and pressure behind the ear.
LR-3Subdues Liver-Fire.
LR-2Clears Liver-Heat.
BL-20Tonifies Spleen-Qi at the back-Shu point.
ST-36Generates Qi and Blood to ascend to the ears.
G.B.-2Local ear point, directs Qi and Blood into the ear.
SP-6Tonifies Blood, harmonizes the organs.
DU-20Lifts clear Yang to the head.
ST-40Master point for resolving Phlegm throughout the body.
ST-44Clears Heat from the Stomach channel.
L.I.-4Promotes Qi and Blood flow to the face and ears.
T.B.-21Local ear point, opens the ear channel.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney-Essence Deficiency View full pattern →

Clinical manifestations: Gradual hearing loss worsening with age, high-pitched tinnitus, sore and weak lower back and knees, dizziness, poor memory and concentration.
Tongue: Pale, thin body with little or no coating, possible fine cracks. Pulse: Fine, deep and weak, especially at rear positions.
Treatment principle: Nourish Kidney-Yin, calm the Liver and subdue Yang, open the ear orifices.
Note: moxa applicable on tonifying points. Direct match with this site's own Kidney-Essence-deficiency slide.

2. Liver-Fire Blazing View full pattern →

Clinical manifestations: Sudden hearing loss or muffled hearing triggered by anger, ear fullness or pressure, bitter taste, intense irritability and short temper, throbbing temples.
Tongue: Red body with redder sides and dry yellow coating. Pulse: Wiry, rapid and forceful, especially at left Guan.
Treatment principle: Drain excess Fire from the Liver and Gall Bladder, clear Heat from the Liver channel.
Note: no moxa. Direct match with this site's own Liver-Fire-blazing slide.

3. Spleen-Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite or reduced food intake, loose or soft stools, hearing loss worsens with fatigue and exertion, fatigue and heaviness in the limbs, dull yellowish or pale complexion.
Tongue: Pale, puffy and tender body with tooth marks, thin white coating. Pulse: Weak and forceless, especially soft and deficient at right Guan.
Treatment principle: Tonify Spleen-Qi and lift clear Yang to the head and ears, improving the upward flow of nourishment.
Note: moxa applicable on tonifying points. Direct match with this site's own Spleen-Qi-deficiency slide.

4. Qi and Blood Deficiency

Clinical manifestations: Gradual hearing loss worsening after exertion, pale complexion and lips, heart palpitations, numbness or tingling in the limbs.
Tongue: Pale body, possibly thin or with teeth marks, thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen to provide fundamental nourishment to the ear orifices.
Note: moxa applicable on tonifying points. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

5. Phlegm-Heat

Clinical manifestations: Ear blockage or fullness sensation, chest tightness or oppression, thick yellow sticky phlegm production, nausea or a heavy foggy-headed feeling.
Tongue: Red body, possibly swollen, with thick yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Heat and transform Phlegm, clear Liver and Gall Bladder Heat, unblock the ear channels.
Note: no moxa. No deck on this site combines Phlegm-Heat with ear-orifice obstruction into one slide, so no pattern link is given here.

6. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Ear fullness, distension or pressure, hearing loss feels like blockage rather than fading, irritability or emotional tension.
Tongue: Dark purple body with stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Invigorate Blood and dispel stasis, open the orifices to unblock the ear channels.
Note: no moxa. Matches this site's Liver-Blood stasis slide — a dark purple tongue with stasis spots is the same discoloration marker named there.
Related conditions

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