【摘要】 主观性耳鸣是最为常见的一种耳鸣，其发病机制尚未被明确阐明，且该病病因较为复杂，目前西医治疗手段有限。陈伟主任基于“五行学说”及“一气周流”学说认为中土亏虚，脾弱湿重，肝郁肺滞，肾虚水寒为主观性耳鸣发病的核心病机；土虚木乘，肺病及肾，心肾不交为病情演变之次第。提出补脾祛湿、疏肝佐肺、降火暖水、交通心肾的治疗原则，并据此原则自拟通窍安神止鸣方以调和气机，升降有序，以复五脏之生化功能，为临床治疗主观性耳鸣提供思路。更多还原

【Abstract】 Subjective tinnitus is the most common type of tinnitus.Its pathogenesis has not been clearly elucidated,and the cause of the disease is relatively complex.Currently,Western medicine has limited treatment methods.Based on the “Five Elements Theory” and “One Qi Circulation” theories,Director Chen Wei believes that the core pathogenesis of subjective tinnitus is deficiency of the middle earth,spleen weakness and dampness,liver depression and lung stagnation,and kidney deficiency and water coldness;the order of disease evolution is soil deficiency and wood,lung disease and kidney,and heart-kidney disharmony.The treatment principles of tonifying the spleen and removing dampness,soothing the liver and assisting the lungs,reducing fire and warming water,and connecting the heart and kidneys are proposed.Based on this principle,a prescription for opening the orifices,calming the mind and stopping tinnitus is formulated to harmonize the qi,raise and lower in an orderly manner,and restore the biochemical functions of the five internal organs,providing ideas for the clinical treatment of subjective tinnitus.更多还原