基于脾论治耳鸣的相关研究

Research on Tinnitus Treatment Based on Spleen Theory

摘要: 耳为清阳之窍，喜清恶浊，性好清灵。脾为后天之本气血生化之源，主运化，五官清窍皆依赖以为养。若脾胃虚弱，痰湿困结，清阳不升，浊阴不降则可致耳鸣。临证时应结合中医整体观念，四诊合参，从虚、痰湿角度进行辩证，以健脾益气，升阳通窍；祛湿化痰，升清降浊等为治疗原则。

Abstract: The ears, as the orifices of clear yang, favor clarity and abhor turbidity, inherently inclined towards lucidity. The spleen, being the foundation of postnatal life and the source of qi and blood production, governs transportation and transformation, with all the sensory orifices relying on it for nourishment. If the spleen and stomach are deficient, leading to phlegm-dampness stagnation, the clear yang fails to ascend, and the turbid yin fails to descend, resulting in tinnitus. In clinical practice, it is essential to integrate the holistic concept of Traditional Chinese Medicine, combining the four diagnostic methods, and to differentiate the syndrome from the perspectives of deficiency and phlegm-dampness. The treatment principles should focus on fortifying the spleen and supplementing qi, elevating yang and unblocking the orifices; eliminating dampness and resolving phlegm, ascending the clear and descending the turbid.