从心论治耳鸣理论与临床经验分析

阐述从心论治耳鸣的理论基础,认为心与耳经络相连、藏神相通,耳鸣常由心气、心血失调,心神紊乱引起,故耳鸣的治疗应不仅从肺、肝、肾、脾四脏着手,还应关注肺、肝、脾、肾与心的关系,注意对心的调养。根据临床经验,认为与心相关之耳鸣可分为心火上炎、心血亏虚、心肾不交三型,并拟清心聪耳止鸣汤、补心安神止鸣汤、清心滋水止鸣汤分别治之,疗效较好。

Theory and Clinical Experience of Treating Tinnitus from Heart

This paper elaborates the theoretical basis of treating tinnitus from heart. The heart and ears are linked by meridians and collaterals,and the heart is interlinked with ears to storing the spirit. The tinnitus often caused by the imbalance of heart qi and blood,as well as the disorder of heart spirit. Therefore,in treatment of tinnitus,attention should not only be paid on the lung,liver,spleen and kidney,but also to the relationship between the heart to each of the four organs and treat the disease from the heart. According to clinical experience,tinnitus related to the heart can be divided into three types:syndrome of heart fire flaming upward,syndrome of heart blood deficiency and syndrome of imbalance of heart and kidney. The three syndromes can be treated with Qingxin Cong'er Zhiming decoction,Buxin Anshen Zhiming decoction and Qingxin Zishui Zhiming decoction respectively,and the curative efficacy is good.