从肝脾论治耳鸣耳聋

【摘 要】

陈祖琨教授经过长期的临床实践总结，认为耳鸣耳聋的发生多责于肝脾，宜从肝脾论治。临床辨证常以肝郁化火、痰湿上蒙、脾虚下陷、肝肾阴虚多见，宜给予清肝泻火、燥湿化痰、健脾益气、滋补肝肾之法治之。在整体辨证的基础上，注重耳窍局部病变特点，强调辨证与辨病的结合，临床取得良好疗效。

【关键词】

耳鸣耳聋；肝脾论治；经验

【中图分类号】R766.14   【文献标志码】 A    【文章编号】1007-8517（2023）07-0066-03

Treating Tinnitus and Deafness From Liver and Spleen

YANG Mou1 CHEN Zukun2*

1.Department of Otolaryngology， Yunnan Provincial Hospital for Veteran Cadres， Kunming 650034， China;

2.Otolaryngology， The Second Affiliated Hospital of Yunnan University of Traditional Chinese Medicine， Kunming 650041， China

Abstract：

Professor Chen Zukun believes that the occurrence of tinnitus and deafness is mainly due to the liver and spleen， and should be treated from the liver and spleen. In clinical syndrome differentiation， liver stagnation and fire， phlegm dampness， spleen deficiency and liver and kidney Yin deficiency are common. It is suggested to clear liver and fire， dry dampness and phlegm， strengthen spleen and qi， and nourish liver and kidney. On the basis of overall syndrome differentiation， attention was paid to the characteristics of local lesions in the ear and the body， and the combination of syndrome differentiation and disease differentiation was emphasized.

Keywords：

Tinnitus and Deafness; Treatment of Liver and Spleen; Experience

耳鸣是指患者自觉耳内有鸣响的感觉而周围环境中并无相应声源；耳聋是指不同程度的听力障碍，轻者听力下降，重者全然不闻外声［1］。（剩余5020字）