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基于"清阳出上窍"论治耳鸣耳聋OA

Treatment of tinnitus and deafness based on the theory of"clear yang ascending to the upper orifices"

中文摘要英文摘要

耳鸣耳聋是耳鼻喉科常见难治性疾患,我国传统医学对其诊疗具有深厚理论与临床经验.本文立足"清阳出上窍"理论内涵,明确该病"清阳不升、浊阴不降"的核心病机,确立"升清降浊"核心治则,系统构建"脏腑—气血津液-六经、经络"三维诊疗思路:以脏腑调理为根本、气血津液充养为基础、六经经络通利为通路.通过深入剖析各维度的病机特点与诊疗要点,为临床运用中医思维精准诊治该病提供理论依据与参考.

Tinnitus and deafness are common refractory diseases in otorhinolaryngology.Traditional Chinese Medi-cine in China has profound theoretical foundations and rich clinical experience in their diagnosis and treatment.Based on the connotation of the theory of"Clear Yang Ascending to the Upper Orifices",this paper clarifies the core pathogenesis of the disease as"failure of clear yang to ascend and turbid yin to descend",establishes the core therapeutic principle of"as-cending clear yang and descending turbid yin",and systematically constructs a three-dimensional diagnostic and therapeutic approach of"zang-fu organs-qi,blood and body fluids-six meridians and collaterals":taking zang-fu organ regulation as the root,replenishment of qi,blood and body fluids as the foundation,and smoothness of the six meridians and collaterals as the pathway.By in-depth analysis of the pathogenic characteristics and key diagnostic and therapeutic points of each dimen-sion,this paper provides a theoretical basis and reference for the precise diagnosis and treatment of the disease using TCM thinking in clinical practice.

幸雪瑶;熊娟;王泓骄;王雪华;崔泽睿;张锋

402160,中国重庆,重庆医科大学附属永川中医院402160,中国重庆,江苏省中医院重庆医院(重庆市永川区中医院)402160,中国重庆,重庆医科大学附属永川中医院402160,中国重庆,重庆医科大学附属永川中医院402160,中国重庆,重庆医科大学附属永川中医院402160,中国重庆,重庆医科大学附属永川中医院||402160,中国重庆,江苏省中医院重庆医院(重庆市永川区中医院)

医药卫生

耳鸣耳聋升清降浊辨证论治

Tinnitus and deafnessAscending clear yang and descending turbid yinSyndrome differentiation and treatment

《中医眼耳鼻喉杂志》 2026 (3)

141-143,3

永川区技术创新与应用发展专项"黄连抑菌液滴剂治疗急性化脓性中耳炎的临床应用与推广"(2025YC-CXFZ10076)

10.3969/j.issn.1674-9006.2026.03.002

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