【摘要】 耳鸣为耳鼻喉科临床上常见的疾病，且为耳科疑难疾病，现代医学对其病因病机、诊断治疗的研究尚无明确共识，临床疗效欠佳。中医对耳鸣的病因病机及其诊治上有较为完善的系统性认识。通过对学科基础理论知识、相关古籍文献以及有关学术研究进行整理总结，发现少阳肝胆与耳窍之间的关系十分密切，故从少阳肝胆论治耳鸣有较高的可行性和优势。少阳枢机不利、肝胆气郁、肝胆热盛及其并发诸证皆可导致实证耳鸣，且分别从和解少阳、疏肝理气、清泻肝胆进行论治。结合临床案例可见中医从少阳肝胆论治耳鸣具有先进性。更多还原

【Abstract】 Tinnitus is a common disorder in otorhinolaryngology and a challenging condition in otology. Modern medicine has not yet reached a clear consensus on its etiology, pathogenesis, diagnosis, and treatment, with unsatisfactory clinical efficacy. Traditional Chinese medicine(TCM) offers a systematic and comprehensive understanding of the etiology, pathogenesis, diagnosis, and treatment of tinnitus. Through collation and synthesis of basic disciplinary theories, relevant ancient literature, and academic research, this paper identifies a close relationship between the Shaoyang meridian, gallbladder, liver, and the ear orifices, highlighting the feasibility and advantages of treating tinnitus from the perspective of Shaoyang, gallbladder, and liver. Pathological mechanisms such as dysfunction of the Shaoyang pivot, stagnation of gallbladder-liver qi, excessive gallbladder-liver heat, and their concurrent syndromes can all lead to “excess-type” tinnitus. Treatment strategies include reconciling Shaoyang, soothing liver qi, and clearing heat from the gallbladder and liver. Clinical cases further demonstrate the advantages of TCM in addressing tinnitus through the Shaoyang, gallbladder, and liver theory.更多还原