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耳鸣为临床上一种常见的疾病,不同医家对耳鸣病因病机有着不同的观点,然则耳鸣与五脏亦密切相关,本文试从五脏的角度论述了耳鸣的病因病机.肾精亏虚、肾阳不足、心肾不交均可引起耳鸣;脾气虚、脾虚湿滞亦可引起耳鸣;肝气郁滞、肝火上炎、肝胆湿热、肝血虚、肝肾阴虚亦可以起耳鸣;心气虚、心血虚、心火上炎亦可引起耳鸣;肺气虚、肺气郁闭亦可引起耳鸣.“,”Tinnitus as a common clinical disease,traditional Chinese medicine doctors have different points of view on etiology and pathogenesis of tinnitus,but tinnitus is closely related to the five internal organs.The Kidney-essence deficiency,Kidney-yang deficiency and Heart-Kidney imbalance can cause tinnitus;the Spleen-qi deficiency and moisture trapped spleen can cause tinnitus;the Liver-qi stasis,Liver-fire flaming,Liver and Gallbladder dampness-heat,Liver blood deficiency and Liver-Kidney-yin deficiency can cause tinnitus;the Heart-qi deficiency,Heart-blood deficiency and Heart-fire flaming can cause tinnitus;the Lung-qi deficiency and Lung-qi closure can cause tinnitus.This paper tries to discuss the etiology and pathogenesis of tinnitus form the Five Internal Organs.