论耳鸣为心病由心论耳诊治辑要

Tinnitus caused by heart disease and healed from heart

耳鸣为公认的难治性疾病,在临床屡见不鲜,多从肝、肾入手治疗。笔者在治疗耳鸣时,经过辨证喜从心论治,当患者左侧寸口脉象出现异常时,尤其适合从心论治,往往能取得良好效果。查阅分析古籍文献,发现心假经络开窍于耳,肾为耳之主,心为耳之客,与肾共同主耳之能,心肾功能正常则耳聪能听。心脏分泌的心房利钠多肽(ANP),其受体在耳部有广泛分布,具有增加耳蜗血流量的作用。本文主要探析心与耳之间的联系,为中医由心论治耳鸣提供理论依据。

Tinnitus is recognized as a refractory disease,which is common in clinic,and always treated from the liver and kidney.We treat tinnitus mainly by heart based on syndrome differentiation.It often works well when the left cukou pulse is abnormal.Referring to ancient literature,we find that the heart is related to ears by meridians,and the kidney and heart govern ears.The normal function of heart and kidney means normal hearing.The heart secretes atrial natriuretic polypeptins（ANP）,whose receptor is widely distributed in ears and can increase the cochlear blood flow.In this paper we explore the relationship between the heart and the ears so as to provide theories of treatment by heart for tinnitus.