作者简介:周慧敏,2019级在读硕士研究生,研究方向:耳鸣耳聋理论探讨及临床应用,E-mail:zhouhm5460@163.com;△通讯作者:王爱成,医学博士,E-mail:aichengw@126.com。论陈士铎辨治耳鸣病症思想探讨周慧敏1,王爱成2,△(1.北京中医药大学临床医学院,北京100000;2.北京中医药大学第三附属医院针灸科,北京100000)摘要:清代医家陈士铎对耳鸣病症见解独到,他认为耳鸣的病因有心肾不交、胆气不舒致风火侵袭、肝胆气郁、肝血虚损及阳虚。根据阴阳、气血相互转化、脏腑相关关系,结合耳鸣的病因病机,提出交通心肾、舒发肝胆、疏肝健脾、补益气血、补阳滋阴等治疗方法,自拟两归汤、润胆汤、开郁至神汤、缓中汤、发阳通阴汤等方药,组方用药层层深入,方药精湛。根据相关医案可知,陈士铎诊治耳鸣病症的思维依然运用在当代临床实践中。关键词:陈士铎;耳鸣;心肾不交;肝胆;阳虚;《辨证录》;辨证论治;方药中图分类号:R249文献标志码:A文章编号:1000-3649(2023)02-0051-04CHENShiduo'sTinkinginTreatingTinnitusBasedonSyndromeDifferentiation/ZHOUHuimin1,WANGAicheng2,△//1.SchoolofClinicalMedicine,BeijingUniversityofTraditionalChineseMedicine(Beijing100000,China);2.De-partmentofAcupunctureandMoxibustion,theThirdAffiliatedHospitalofBeijingUniversityofTraditionalChineseMedicine(Bei-jing100000,China)Abstract:DoctorCHENShiduoinQingdynastyhashaduniqueviewsontinnitus.Hehasbelievedthattheetiologiesoftin-nitusareheart-kidneydisharmony,unsmoothflowofgallbladder,Qileadingtowindandfireinvasion,liver-gallbladderQistag-nation,liverblooddeficiencyandYangdeficiency.AccordingtothemutualtransformationofYinandYang,Qiandblood,andthecorrelationbetweenZangandFu,combinedwiththeetiologyandpathogenesisoftinnitus,hehasproposedmanytherapeuticmethodsincludingcoordinatingheartandkidney,soothingliverandgallbladder,soothingliverandstrengtheningspleen,tonify-ingQiandblood,invigoratingYangandnourishingYin.HehasdevelopedfomulaslikeLiangguiDecoction,RundanDecoction,KaiyuZhishenDecoction,HuanzhongDecoction,FayangTongyinDecoction,andthecompositionwasprogressiveandconcise.Accordingtorelevantmedicalcase,CHENShiduo'sthinkingisstillbeingusednowadays.Keywords:CHENShiduo;Tinnitus;Heart-kidneydisharmony;L...
