何迎春教授辨治耳鸣经验浅析

摘要

[Objective]To conclude and inherit Professor HE Yingchun's clincal academic experience and academic ideas. [Methods]By learing from professor HE Yingchun,recording the relevant cases and and analyzing cases,from the etiology and pathogenesis, therapeutic principle and therapy to generalize the treament of tinnitus. [Results]Professor HE Yingchun believes that the pathogenesis of tinnitus is " Turbid obstructs Qingqi"," Qingqi obstruction" and "Inner depression of Yangqi " ,she grabs the "Resolve cloudy, lift Qingyang and scattered fire evil" theory to treat tinnitus,regulating qi activity,clearing heat and promoting diuresis,invigorating qi and strengthening the spleen,replenishing qi, scattering fire evil,clearing biood stasis is the clinical common therapy, and she always obtains good effects in the treatment by using San Ren Decoction,Yi Qi Cong Ming Decoction and Sheng Yang San Huo Decoction. [Conclusion]Professor HE Yingchun always grabs the pathogenesis of tinnitus and adds other methods to treat the disase,and the curative effect is distinct ,her experience is effective and worthy of inheritance and promotion.%[目的]介绍导师何迎春教授治疗耳鸣的临床经验和学术观点.[方法]通过跟随何迎春教授临诊,记录相关医案、分析典型病例,从病因病机、治法方药,并从三种证型探析何迎春教授治疗耳鸣的临床经验和学术观点.[结果]何迎春老师认为耳鸣病机主要是浊邪害清、清气不升和阳气内郁,根据病因病机,治疗从"化浊邪""升清气""升阳散火"出发,常用宣畅气机、清利湿热,益气健脾、升举清阳和升阳散火、化瘀开窍等治疗方法,方药多用三仁汤加减、益气聪明汤加减及升阳散火汤加减,屡获良效.[结论]何迎春老师对耳鸣的治疗从化浊邪""升清气""升阳散火"出发,灵活配伍,在临床上效果显著,值得医家借鉴,具有推广应用价值.