1　耳鸣案魏某某 ,女 ,66岁。主诉耳鸣如蝉 2月余。劳累后耳鸣加重 ,伴有纳差、乏力 ,舌质嫩 ,脉沉。血压 140 70ｍｍＨｇ。既往有慢性萎缩性胃炎病史。曾服用补肾类中药或汤剂 ,耳鸣不减。观其脉症 ,患者虽年龄较大 ,有肾虚一面 ,而本为长期纳差 ,脾胃功能虚弱 ,中气虚乏 ,导 1 Tinnitus case Wei Moumou, female, 66 years old. The chief complaint is that tinnitus is more than two months old. Tinnitus increases after fatigue, accompanied by anorexia, fatigue, tender tongue, pulse Shen. Blood pressure 140 70mmHg. There has been a history of chronic atrophic gastritis. Once taking kidney-type herbs or decoction, tinnitus has not diminished. Observing its symptoms, although the patient is older, there is a kidney deficiency, and this is a long-term anorexia, spleen and stomach function is weak, lack of energy