【摘要】 耳鸣为耳科难治性疾病，目前普遍认为只能适应，而无公认有效的药物治疗方法。刘蓬教授通过对中医经典的解读和基于自身多年的临床实践，认为耳鸣的主要病机是脾胃失调，不良生活方式是导致脾胃失调的主要原因；并基于中医的整体观提出了“医师疗法”治疗耳鸣。医师疗法强调“治养结合”，以“师道”为主，“医术”为辅。“师道”的核心是发现并调整患者的不良生活习惯，使患者做到食饮有节、起居有常、条畅情志等，调动患者的自我康复能力，促进耳鸣的痊愈；“医术”是在调整生活方式的基础上使用中药内服、外治法等，重点调理脾胃功能以恢复清升浊降，从而消除耳鸣。中药内服以固中汤（主要由黄芪、党参、桂枝、干姜、白术、法半夏、砂仁、石菖蒲、炙甘草等组成）为基础方，辨证加减；外治以耳穴贴压和鸣天鼓疗法为主。医师疗法通过“治养结合”以调理患者脾胃功能、调动自我康复能力，治疗耳鸣疗效确切，为耳鸣的治疗提供了新思路。更多还原

【Abstract】 Tinnitus is a refractory condition in otology. It is widely accepted that patients with tinnitus can only adapt to it,for there is no universally recognized effective pharmacotherapy till now. Through the interpretation of classical Chinese medical texts and after decades of clinical practice,Professor Liu Peng proposes that the primary pathogenesis of tinnitus is due to spleen-stomach dysfunction,largely caused by unhealthy life styles. Based on the holistic perspective of traditional Chinese medicine(TCM), he developed the Yishi therapy for tinnitus management. Yishi therapy emphasizes the integration of medical treatment and self-care via prioritizing mentorship and assisting with medical techniques. The mentorship is embodied by identifying and correcting patients’ unhealthy living habits, guiding the patients to maintain dietary moderation, regular living, and emotional regulation,thereby activating their self-recuperative powers and promoting tinnitus. Medical techniques refer to the utilization of oral use of herbal medicine and external therapies on the basis of adjustment of lifestyle,aiming to restore the spleen-stomach function of ascending of lucidity and descending of turbidity, thereby alleviating tinnitus. Oral use of herbal medicine is performed with Guzhong Decoction(mainly composed of Astragali Radix,Codonopsis Radix,Cinnamomi Ramulus,Zingiberis Rhizoma,Atractylodis Macrocephalae Rhizoma,Pinelliae Rhizoma Praeparatum, Amomi Fructus, Acori Tatarinowii Rhizoma, and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) as the basic formula, through modified use based on syndrome differentiation. External treatment mainly refers to auricular acupoint pressing and occipital-knocking therapy. By combining the medical treatment and self-care, Yishi therapy exerts reliable efficacy for the treatment of tinnitus through regulating spleen-stomach function and activating the self-recuperative powers, and will provide a novel therapeutic approach to tinnitus.更多还原