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  本文關(guān)鍵詞：肝氣虛證之理論研究　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 肝氣 肝氣虛證 理論研究 藥物研究

【摘要】：目的:肝藏象是中醫(yī)藏象理論的重要組成部分,然而歷代醫(yī)家在論及肝藏象時多論述肝氣逆、肝血虛、肝陽上亢等,鮮有論及肝氣虛,肝氣虛證并未得到歷代醫(yī)家包括現(xiàn)代臨床醫(yī)者的重視,文獻(xiàn)中也較少有關(guān)于肝氣虛證的系統(tǒng)論述。本文通過梳理古今文獻(xiàn),系統(tǒng)整理肝氣虛證的理論淵源、病因病機(jī)、臨床表現(xiàn)、診斷標(biāo)準(zhǔn)及治療方藥,以期為現(xiàn)代學(xué)者及臨床醫(yī)家提供系統(tǒng)的指導(dǎo)。方法:本文主要采用文獻(xiàn)整理研究和理論分析探討的方法,并運(yùn)用文獻(xiàn)計(jì)量學(xué),通過對有關(guān)肝氣及肝氣虛證的醫(yī)著及文獻(xiàn)進(jìn)行收集、整理、歸納和總結(jié),對肝氣虛證之學(xué)術(shù)觀點(diǎn)進(jìn)行研究。成果:肝氣虛證始源于《內(nèi)經(jīng)》,隋唐宋、明清時期也有相關(guān)記載。肝氣虛證被忽視的原因大概有以下三點(diǎn):肝臟為病易郁易亢;易與肝氣郁結(jié)、脾氣虛弱相混淆;受“肝無補(bǔ)法”的誤導(dǎo)。肝氣虛又稱肝氣不足,是指肝之精氣不足,功能減弱,致升發(fā)無力,疏泄不及的病理變化。肝氣虛證的病因病機(jī)為稟賦不足,素體氣虛;七情所傷,情志不暢;肝血不足,傷及肝氣;脾腎虧虛,影響肝氣;濫用理氣之品傷及肝氣。肝氣虛證的臨床表現(xiàn)為足厥陰肝經(jīng)循行部位的癥狀以及肝功能失職的癥狀。肝氣虛證的治療以補(bǔ)益肝氣為首務(wù),輔之以補(bǔ)養(yǎng)肝血,兼以顧護(hù)脾胃和腎,切莫疏忽疏肝理氣。通過整理古今文獻(xiàn)發(fā)現(xiàn),古代和現(xiàn)代治療肝氣虛證最常用的藥物分別為細(xì)辛和黃芪,以補(bǔ)虛藥為主,多使用甘味藥和溫性藥,由此歸納總結(jié)建立了補(bǔ)肝氣方。結(jié)論:本文通過對肝氣虛證的文獻(xiàn)整理和理論分析研究,初步構(gòu)建了肝氣虛證的基礎(chǔ)理論框架,對完善中醫(yī)肝藏象學(xué)說有一定的理論意義和現(xiàn)實(shí)指導(dǎo)意義。
[Abstract]:Objective: it is an important part of the traditional Chinese medicine storage theory of liver Tibetan elephant. However, in discussing liver storage image, physicians of all dynasties have discussed the inverse of liver qi, deficiency of liver blood, hyperactivity of liver yang and so on, and seldom discussed the deficiency of liver qi. Deficiency of liver-qi syndrome has not been paid attention to by doctors in past dynasties, including modern clinicians, and there is less systematic discussion on liver-qi deficiency syndrome in the literature. This article systematically arranges the theoretical origin of liver-qi deficiency syndrome by combing the ancient and modern literature. Etiology and pathogenesis, clinical manifestations, diagnostic criteria and treatment prescriptions, in order to provide systematic guidance for modern scholars and clinicians. Methods: this paper mainly adopts the methods of literature collation and theoretical analysis. And the use of bibliometrics, through the liver qi and deficiency of liver-qi syndrome and literature collection, collation, induction and summary. Research on the academic viewpoint of liver-qi deficiency syndrome. Results: liver-qi deficiency syndrome originated from the "Internal Classic", Sui, Tang and Song dynasties. There were also related records during the Ming and Qing dynasties. The reasons for the neglect of liver-qi deficiency syndrome were as follows: the liver was prone to illness and hyperactivity; Easy to be confused with liver-qi stagnation and weak temper; Be misled by "liver without replenishing law". Liver qi deficiency also is called liver qi insufficiency, is to point to the deficiency of vital energy of the liver, the function is weakened, cause rise to make hair weak, dredge the pathological change that can not catharsis. The etiology and pathogenesis of liver qi deficiency syndrome is endowment insufficiency. Deficiency of qi; Seven feelings hurt, emotional unobstructed; Deficiency of liver blood, injury to liver qi; Deficiency of spleen and kidney, affecting liver qi; The clinical manifestations of deficiency of liver-qi syndrome are the symptoms of the meridian of the liver of foot Jueyin and the symptoms of dereliction of function of liver. The treatment of deficiency of liver-qi is to replenish the liver-qi and nourish the liver and blood. Through sorting out the ancient and modern literature, it was found that the most commonly used drugs for the treatment of liver-qi deficiency syndrome were Asarum and Astragalus, respectively, with the main medicine of tonifying deficiency. It is concluded that the basic theoretical framework of liver-qi deficiency syndrome is preliminarily constructed through the literature review and theoretical analysis of liver-qi deficiency syndrome. It has certain theoretical and practical significance to improve the theory of liver storage and image in traditional Chinese medicine.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R228

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張楠;張六通;張金璽;;肝氣虛證芻議[J];光明中醫(yī);2014年03期

2 孫飛;周海虹;;風(fēng)藥調(diào)肝探討[J];中醫(yī)雜志;2014年05期

3 劉建平;;從虛論治脂肪肝機(jī)理淺析[J];中醫(yī)臨床研究;2014年01期

4 祁向爭;王保和;徐強(qiáng);;肝氣盛衰在高血壓病中的作用機(jī)制探討[J];陜西中醫(yī);2013年08期

5 趙瑋婧;趙一峰;;從肝氣虛辨治閉經(jīng)[J];中國中醫(yī)藥信息雜志;2011年03期

6 王迎霞;劉志遠(yuǎn);李慶相;張運(yùn)巧;郭全合;李淑風(fēng);;丹紅注射液聯(lián)合甘利欣治療慢性乙型肝炎肝纖維化的臨床研究[J];西南國防醫(yī)藥;2011年02期

7 費(fèi)可;胡瑕瑜;鄒璐;劉兆宜;杜文婷;程磐基;;細(xì)辛臨床應(yīng)用與藥理作用研究進(jìn)展[J];上海中醫(yī)藥大學(xué)學(xué)報;2010年06期

8 余紹勇;;慢性乙型肝炎從肝氣虛論治體會[J];河南中醫(yī);2010年08期

9 張慧琴;;肝氣虛理論的研究概況[J];中醫(yī)雜志;2010年S1期

10 王登妮;徐軍全;宋維芳;張曉陽;王明亮;梁永剛;;黃芪對肝纖維化的防治作用[J];中國醫(yī)藥導(dǎo)報;2010年09期

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本文編號：1375313