[关键词]
[摘要]
脑鸣是临床常见的病症,其发病机制尚未完全明确,临床缺乏有效治法。刘茂才教授认为,脑鸣临床表现多以虚证 为主,或兼见标实;病位在脑,与肝、脾、肾密切相关;治疗以补益肝肾、健脾为主,兼以平肝熄风、豁痰开窍、活血通 络。临证治疗脑鸣时,刘茂才教授擅用黄芪-党参、杜仲-牛膝、白芍-柴胡、当归-川芎、天麻-钩藤、石菖蒲-远志药对。 刘茂才教授从肝脾肾论治脑鸣的经验,可为脑鸣的中医临床诊治提供参考。
[Key word]
[Abstract]
Brain tinnitus is a common clinical condition whose pathogenesis is not yet fully understood,and it still lacks effective therapies in clinical practice. Professor Liu Maocai believes that the clinical manifestations of brain tinnitus are usually characterized by deficiency syndrome,and sometimes are complicated excess syndrome. The disease is located in the brain and is closely related to the liver, spleen, and kidney. The treatment of brain tinnitus should be focused on tonifying the liver and kidney, and strengthening the spleen, and methods of calming the liver to extinguish wind,resolving phlegm to open the orifices,and activating blood circulation to unblock collaterals can be used for excess syndrome. In clinical practice,Professor Liu Maocai is skilled in using herb pairs such as Astragali Radix-Codonopsis Radix, Eucommiae Cortex-Achyranthis Bidentatae Radix, Paeoniae Radix Alba-Bupleuri Radix, Angelicae Sinensis Radix-Chuanxiong Rhizoma, Gastrodiae RhizomaUncariae Ramulus cum Uncis, and Acori Tatarinowii Rhizoma-Polygalae Radix. Professor Liu Maocai’s experience in treating brain tinnitus from the perspective of the liver,spleen,and kidney can provide valuable references for the clinical diagnosis and treatment of brain tinnitus with traditional Chinese medicine.
[中图分类号]
R255.9
[基金项目]
国家重点研发项目(编号:2023YFC3502900);教育部社科司中华优秀传统文化专项课题(编号:20JDTCA014)