张永臣针刺为主辨治脑鸣经验

Experience of ZHANG Yongchen in Differentiation and Treatment of Tinnitus Cerebri with Acupuncture-Dominated Methods

张永臣教授认为脑鸣病位在脑,以肾精亏虚、髓海不足为本,临床可分为肾精亏虚、气血亏虚、肝郁化火、痰蒙清窍四种证型,其中虚证以填精益髓、补益气血为治则,实证以疏肝理气、健脾化痰为治则,治疗以针刺基本方配合脐疗、拔罐、耳穴等多种外治方法,并根据不同证型随症加减,疗效显著。列举验案1则以说明疗效。

Professor ZHANG Yongchen believes the location of tinnitus cerebri is in the brain. The deficiency of kidney essence and insufficiency of marrow sea is the fundamental pathogenesis. Clinically, it can be divided into four types: deficiency of kidney essence, deficiency of qi and blood, depressed liver qi transforming into fire, phlegm clouding the clear orifices. For the deficiency syndrome, the principle of treatment is supplementing essence and morrow, replenishing qi and blood. For the excess syndrome, the principle of treatment is soothing the liver and regulating qi,tonifying the spleen to resolve phlegm. In treatment, the effect of basic acupuncture prescription combined with navel therapy, cupping,auricular acupoints and other external treatment is remarkable. Addition or subtraction of the above methods is regulated according to different syndrome types. One example is listed to show the efficacy.