陈士铎耳病辨治特色探析*
作者：潘纪闻，许筱颖
单位：北京中医药大学中医学院，北京 102401
引用：引用：潘纪闻，许筱颖.陈士铎耳病辨治特色探析[J].中医药导报,2025,31(9):226-229,244.
DOI：10.13862/j.cn43-1446/r.2025.09.039
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摘要：
通过对自《黄帝内经》开始的经典著作及历代医家对耳病的论述进行梳理，总结陈士铎著作中与耳相关的内容，从病因、病机、治则、治法、方药等方面归纳其诊治耳病的学术思想。陈士铎对耳病的辨治体系以《黄帝内经》和《诸病源候论》为基础，承袭了历代医家的经验与观点并有所开拓，提出与耳相关的主要通路为宗脉、上焦、肝胆经、心肾经、三焦腑，其中尤重对宗脉、三焦及心肾相交结构的论述。在用药方面，陈士铎治疗耳病补虚多用轻清滋润之品，少用重浊，虽为治疗官窍疾病，却局部用药较少，仅为稍佐引经宣通，多从整体论治。
关键词：耳鸣；耳聋；陈士铎；宗脉；三焦；心肾
Abstract：
By reviewing the discussions on ear
diseases in classic works since Huangdi Neijing and by medical experts
throughout history, this paper summarizes the content related to ears in CHEN
Shiduo's works, and concludes his academic thoughts on the diagnosis and
treatment of ear diseases from the aspects of etiology, pathogenesis,
therapeutic principles, methods, and prescriptions. CHEN Shiduo's syndrome
differentiation and treatment system for ear diseases is based on Huangdi
Neijing and Zhu Bing Yuan Hou Lun, inheriting the experience and viewpoints of
medical practitioners throughout history and expanding upon them. He proposed
that the main pathways related to the ears are the zongmai, shangjiao, gan-dan meridian,
xin-shen meridian, and sanjiao fu, with particular emphasis on the discussion
of the zongmai, sanjiao, and the heart-kidney interaction structure. In terms
of medication, CHEN Shiduo mostly used light, clear, and moistening medicines
to tonify deficiency for ear diseases, and rarely used heavy and turbid
medicines. Although treating orifice diseases, he rarely applied local
medications, only slightly assisting in the promotion of the meridian, and
mostly treating from a holistic perspective.
Key words：tinnitus; deafness; CHEN Shiduo; zongmai; sanjiao; heart and kidney
发布时间：2026-01-08
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