首页|感音神经性耳聋从肝脾肾瘀论治辨析

感音神经性耳聋从肝脾肾瘀论治辨析

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感音神经性耳聋(SNHL)为临床常见慢性病,以听力减退为主要症状,属于中医"耳聋"范畴.宣伟军教授认为本病病机为本虚标实,虚实夹杂,肝失疏泄是发病的始动因素,脾失健运是发病的重要原因,肾精亏虚是发病的根本所在,瘀血滞留是贯穿疾病发展的重要病理过程.突发性SNHL治疗以疏肝理气、活血通窍为主,健脾补肾为佐.远期SNHL治疗以健脾补肾、活血通窍为主,疏肝理气为佐.立足于肝脾肾瘀,标本兼施,疗效显著.
Treating and differentiating sensorineural hearing loss from the stasis of liver,spleen and kidney
Sensorineural hearing loss is a common clinical chronic disease,with hearing loss as the main symptom,belonging to the category of'deafness'in traditional Chinese medicine.Professor XUAN Weijun believes that the pathogenesis of the disease are deficiency and excess.Liver failing in controlling conveyance and dispersion is the initial factor of the disease,the deficiency of spleen is the important reason of the disease,the deficiency of kidney essence is the root cause of the disease,and the stagnation of blood stasis is an important pathological process throughout the development of the disease.The treatment of sudden sensorineural hearing loss is based on soothing the liver and regulating qi,promoting blood circulation and dredging orifices,and invigorting the spleen and kidney.Long-term treatment of sensorineural hearing loss is mainly to invigorte the spleen and kidney,promote blood circulation and dredging orifices,supplemented by soothing the liver and regulating qi.Based on the stagnation of liver,spleen,kidney and stasis,the effect is remarkable.

Sensorineural hearing loss(SNHL)Liver,spleen,kidney and stasisTreatment based on syndrome differentiationTheoretical discussionModern medicine

潘旭、宣伟军、唐俊波

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广西中医药大学,南宁 530200

广西中医药大学第一临床医学院耳鼻咽喉头颈外科,南宁 530022

感音神经性耳聋 肝脾肾瘀 辨证论治 理论探讨 现代医学

国家自然科学基金国家自然科学基金广西中医药大学研究生教育创新计划

8197391381774374YCBXJ2022017

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子：1.135
ISSN：1673-1727
年,卷(期)：2024.39(3)
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