本文關(guān)鍵詞： 遲莉麗教授 學術(shù)思想 臨床經(jīng)驗 研究　出處：《山東中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的:中醫(yī)藥的繼承和發(fā)展都離不開名中醫(yī)。遲莉麗教授醫(yī)理精湛,學識淵博,中西醫(yī)貫通,師承全國名老中醫(yī)隗繼武教授,本文通過對遲莉麗教授學術(shù)專著、論文等資料的整理,研究遲莉麗教授辨治脾胃病的學術(shù)思想、臨床經(jīng)驗,使遲莉麗教授的寶貴學術(shù)經(jīng)驗得以更好的繼承和發(fā)揚,以提高治療脾胃病的臨床療效。方法:收集遲莉麗教授從2014-4至2015-12月份的門診病歷及病房病歷,遲教授學術(shù)專著、論文,并分析整理,撰寫研究論文,從以下三方面總結(jié)研究:1.遲莉麗教授的學術(shù)思想包括辨證思路及治療大法兩部分2.遲莉麗教授的臨床經(jīng)驗包括胃病、腸病兩部分3.用藥特點。結(jié)果:1.她在辨證方面強調(diào)遵循三大基本原則,即中西醫(yī)結(jié)合、三因治宜、辨病求因。遲莉麗教授對舌診的造詣頗深,認為病淺者辨苔,病深者辨舌,本研究深入總結(jié)了她辨舌診病的經(jīng)驗。遲教授善從情志方面診治疾病,重視從肝脾和肝胃論治,并闡發(fā)內(nèi)經(jīng)中“二陽之病發(fā)心脾”之論,治當寧心安神,闡發(fā)“諸氣伖郁,皆屬于肺”之論,當滋肺陰,宣肺氣以暢情志之法。她精研六郁的癥治之法。脾病從濕論治,倡導三焦同治,喜用芳香輕靈。2.在臨床經(jīng)驗方面,遲師認為脾臟的病理特點是“陽氣不足,陰氣有余”,故脾病多虛、多寒。胃腑的病理特點是“陽常有余,陰常不足”,胃病多實、多熱,論治胃病時尤重“胃陰、脾陽”的固護,她善用和法,認為脾胃是寒熱虛實錯雜證的易發(fā)臟腑。重視辨病與辨證相結(jié)合,辨證的基礎(chǔ)上處處體現(xiàn)辨病用藥的特色。治療腸病方面,對于腸易激綜合征,當以抑木扶土,自擬理腸飲加減療效頗佳。對于功能性便秘,遲莉麗教授以陰陽為綱,以虛實為本,詳辨陰凝還是陽結(jié),重視增液及通腑。辨治潰瘍性結(jié)腸炎,她認為“虛”、“毒”、“瘀”為的病機關(guān)鍵,其中脾氣虧虛為發(fā)病之本、濕熱痰毒為發(fā)病之標、氣滯血瘀貫穿疾病始終,內(nèi)瘍癰膿的形成為局部病理變化,總結(jié)出三期論治的理論,發(fā)作期急則治標,以清利濕熱毒瘀為主,緩解期標本兼治,健脾與清利濕熱毒瘀同施,緩解期多見脾腎兩虛,瘀阻腸絡(luò),治當補益脾腎,兼清余邪,通絡(luò)活血。3.用藥方面,遲教授用藥不求新奇,平淡中常顯佳效,無論藥味、藥量皆斟酌妥帖,絲絲入扣。她善用甘潤濡養(yǎng),慎用燥烈之品,以芳香輕靈為主,避免重伐沉降等。本文總結(jié)分析其善用藥對10余組。結(jié)論:遲教授珍貴的學術(shù)思想和豐富床經(jīng)驗,值得我們?nèi)ダ^承和深入探研。
[Abstract]:Objective: the inheritance and development of traditional Chinese medicine can not be separated from famous Chinese medicine. The research on the academic thought and clinical experience of Professor Chi Lili's diagnosis and treatment of spleen and stomach disease makes the valuable academic experience of Professor Chi Lili better inherit and carry forward. Methods: the outpatient and ward medical records of Professor Chi Lili from 2014-4 to 2015-12 were collected. Writing a research paper, summarizing the following three aspects of research: 1. Professor Chi Lili's academic thought includes two parts: dialectical thinking and treatment. 2. Professor Chi Lili's clinical experience includes stomach diseases. Results 1. She emphasized following three basic principles in differentiation of symptoms and signs, that is, combination of traditional Chinese and western medicine, treatment of three reasons, seeking cause of disease differentiation. Professor Chi Lili was quite accomplished in tongue diagnosis. This study summarized her experience in diagnosis of tongue diseases. Professor Chi was good at diagnosing diseases from the aspect of emotion and attached importance to the treatment from liver and spleen and liver and stomach. And expound the theory of "the disease of two yang and the heart and spleen" in the Internal Classic, cure the heart and calm the mind, elucidate the theory that "all qi and depression belong to the lung", when the lung yin. The method of promoting lung qi with unobstructed emotion. She studied the method of treating the syndrome of six depression. Spleen disease was treated from dampness, advocating the same treatment of three jiao, and liking to use fragrance and light spirit. 2. In clinical experience, Chi Shi thought that the pathological characteristic of spleen was "deficiency of yang qi". Yin Qi has more than ", so spleen disease more asthenia, more cold." the pathological characteristics of the stomach organs are "Yang often surplus, Yin often insufficient", stomach diseases more solid, more heat, in the treatment of stomach diseases, especially the "stomach Yin, spleen Yang" of the solid care, she uses the method of harmony. It is believed that spleen and stomach are easy to produce zang-fu organs of the complex syndrome of cold and heat deficiency and deficiency, and pay attention to the combination of disease differentiation and syndrome differentiation, and on the basis of differentiation of symptoms and signs, the characteristics of medicine for differentiation of diseases should be reflected everywhere. In the treatment of bowel disease, for the irritable bowel syndrome, the inhibition of wood and soil should be used to support the soil. For functional constipation, Professor Chi Lili takes Yin and Yang as the outline, takes the deficiency and reality as the foundation, distinguishes the Yin coagulation or the yang knot in detail, pays attention to increasing the liquid and the opening up the Fu organs, discriminates and treats ulcerative colitis, she thinks "deficiency". "toxin", "stasis" for the pathogenesis of the key, in which the deficiency of temper is the root of the disease, damp-heat phlegm toxin is the standard of the disease, Qi stagnation and blood stasis throughout the disease, the formation of abscess and abscess is local pathological changes. Summing up the theory of three stages of treatment, the attack is urgent to treat the symptoms, mainly Qingli damp-heat toxin stasis, remission period of both symptoms and symptoms, spleen and Qingli damp-heat toxin and blood stasis at the same time, in the remission period more see spleen and kidney deficiency, stasis obstruction of intestinal collaterals. Treatment when tonifying the spleen and kidney, while clearing the remaining evil, clearing the collaterals and activating blood. 3. In the aspect of medication, Professor Chi did not seek novelty in medication, plain and obvious effect, regardless of the medicine taste, the amount of medicine were considered properly, silk into the buckle. She made good use of the sweet moisturizing and nourishing. This article summarized and analyzed the utilization of the medicine for more than 10 groups. Conclusion: Chi teaches precious academic thoughts and rich bed experience. It is worth us to inherit and explore deeply.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R249;R256.3

【參考文獻】

相關(guān)期刊論文 前10條

1 王璐;遲莉麗;;隗繼武對升陽益胃法的臨證發(fā)揮[J];北京中醫(yī)藥;2015年08期

2 孫大娟;遲莉麗;閆華;王帥;續(xù)海嘯;;加味理腸飲治療腹瀉型腸易激綜合征40例總結(jié)[J];湖南中醫(yī)雜志;2014年06期

3 遲莉麗;趙繼亭;;試探分期論治潰瘍性結(jié)腸炎[J];新中醫(yī);2014年03期

4 惠妍;遲莉麗;;遲莉麗教授治療膽固醇型膽囊結(jié)石經(jīng)驗[J];湖南中醫(yī)雜志;2013年07期

5 李寧寧;方秀才;;腦-腸軸在腸易激綜合征發(fā)病中的作用[J];胃腸病學和肝病學雜志;2013年02期

6 遲莉麗;劉秀梅;;通法治療慢性萎縮性胃炎[J];河南中醫(yī);2011年08期

7 遲莉麗;;從脾胃病談寒熱錯雜辨證及寒熱并用法[J];新中醫(yī);2009年10期

8 肖正華;林長喜;黃英;王天寶;曹朝陽;張葆現(xiàn);;620例慢性胃炎胃鏡黏膜象與舌苔關(guān)系的臨床觀察[J];北京中醫(yī);2005年06期

9 王小平;張珍玉;;論體質(zhì)與八綱證候[J];山東中醫(yī)學院學報;1989年04期

10 牛東生;汪輝東;;論火邪[J];陜西中醫(yī)學院學報;1983年03期

，

本文編號：1454967