劉茂才從肝脾腎論治腦鳴的臨床經(jīng)驗(yàn)

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關(guān)鍵詞：腦鳴；補(bǔ)益肝腎；健脾；平肝熄風(fēng)；豁痰開竅；活血通絡(luò)；劉茂才；名醫(yī)經(jīng)驗(yàn)中圖分類號(hào)：R255.9 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1007-3213（2025）06-1492-05DOI：10.13359/j. cnki. gzxbtcm.2025.06.028

Liu Maocai’s Clinical Experience in Treating Brain Tinnitus from the Perspective of the Liver，Spleen，and Kidney

JIANG Zhiyu'，BAO Bohang2，LI Chunxi1，LI Nan1 ，LIU Wenchen2，LU Ming2 （1.The Second Clinical Medical SchoolofGuangzhou Universityof Chinese Medicine，Guangzhou 510405 Guangdong，China; 2.Guangdong Provincial Hospital of Chinese Medicine，Guangzhou 51O120 Guangdong，China）

Abstract：Braintinnitus is acommon clinical condition whose pathogenesis is notyetfullunderstood，and itstil lacks efective therapies in clinical practice.Profesor Liu Maocaibelievesthat the clinical manifestations of brain tinnitus are usually characterized bydeficiency syndrome，and sometimes are complicated excesssyndrome.The disease is located in the brainand iscloselyrelated to the liver，spleen，and kidney.The treatmentof brain tinnitus should be focused on tonifying the liver and kidney，and strengthening the spleen，and methods of calming the liver to extinguish wind，resolving phlegm to open the orifices，and activating blod circulation to unblock collaterals can be used for excesssyndrome.In clinical practice，ProfessorLiu Maocai is skilled in using herb pairssuch as Astragali Radix-Codonopsis Radix， Eucommiae Cortex-Achyranthis Bidentatae Radix， Paeoniae Radix Alba-Bupleuri Radix，Angelicae Sinensis Radix-Chuanxiong Rhizoma，Gastrodiae RhizomaUncariae Ramulus cum Uncis，and Acori Tatarinowii Rhizoma-Polygalae Radix.Professor Liu Maocai’s experience in treating brain tinnitus from the perspective of the liver，spleen，and kidneycan provide valuable references forthe clinical diagnosis and treatment of brain tinitus with traditional Chinese medicine.

Keywords：brain tinnitus；tonifying theliver and kidney；invigoratingthe spleen；calming the liver to extinguish wind；resolving phlegm to open the orifices；activating blood circulation to unblock collterals；Liu Maocai；famousphysician's experience

腦鳴為中醫(yī)病名，首見于《醫(yī)學(xué)綱目·肝膽部》，稱之為“天白蟻”，是指以自覺(jué)腦內(nèi)如蟲蛀鳴響，或如蟲鳴，或如蟬叫，或如雷轟的一種病癥，一日可多次發(fā)作或癥狀持續(xù)無(wú)間斷，常伴有頭痛、眩暈、失眠、健忘、焦慮等癥狀。（剩余6200字）