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高體三教授治療肝膽疾病學(xué)術(shù)思想研究

發(fā)布時(shí)間:2018-03-10 11:31

  本文選題:高體三 切入點(diǎn):肝膽疾病 出處:《河南中醫(yī)藥大學(xué)》2016年碩士論文 論文類(lèi)型:學(xué)位論文


【摘要】:國(guó)家級(jí)名老中醫(yī)高體三教授,在精研岐黃、仲景、黃氏之說(shuō)的基礎(chǔ)上,結(jié)合自身多年臨床實(shí)踐經(jīng)驗(yàn),立足于臟腑生理特性,獨(dú)創(chuàng)了“水暖土和木達(dá)”三陰學(xué)術(shù)思想。臨證中運(yùn)用“水暖土和木達(dá)”學(xué)術(shù)思想,論治三陰疑難雜病,療效顯著,受到廣大病患及業(yè)界同仁的一致贊譽(yù)。目的:本研究項(xiàng)目基于肝膽疾病多發(fā)頻發(fā)的現(xiàn)狀,積極響應(yīng)國(guó)家關(guān)于繼承名老中醫(yī)臨證經(jīng)驗(yàn)及學(xué)術(shù)思想的政策號(hào)召,全面系統(tǒng)總結(jié)高體三教授治療肝膽疾病的臨床經(jīng)驗(yàn)及學(xué)術(shù)思想。高老擅長(zhǎng)從三陰辨治各種疑難雜病,對(duì)肝膽疾病治療具有其獨(dú)特的認(rèn)識(shí)和見(jiàn)解,取得了良好的治療效果。因此,研究挖掘高體三教授治療肝膽疾病的辨治和用藥特色,具有較大的臨床指導(dǎo)價(jià)值。方法:本文通過(guò)對(duì)高體三教授學(xué)術(shù)論著、手稿、筆記、臨床案例等的收集、整理歸納,運(yùn)用文獻(xiàn)法、數(shù)據(jù)挖掘法、訪(fǎng)談法等多種科學(xué)統(tǒng)計(jì)方法,來(lái)深化對(duì)肝膽生理病理的認(rèn)識(shí)和理解,深入研究高體三教授治療肝膽疾病的獨(dú)到見(jiàn)解,挖掘高體三教授治療肝膽疾病學(xué)術(shù)經(jīng)驗(yàn)。本研究采用頻數(shù)統(tǒng)計(jì)方法,對(duì)高體三教授治療頭痛的醫(yī)案中所用藥物進(jìn)行頻數(shù)統(tǒng)計(jì)分析,并從中挖掘規(guī)律,為總結(jié)高體三教授治療肝膽疾病的臨證經(jīng)驗(yàn)提供強(qiáng)有力的支撐;采用Microsoft Excel軟件建立高體三教授治療頭痛醫(yī)案信息數(shù)據(jù)庫(kù);應(yīng)用SPSS 17.0統(tǒng)計(jì)軟件及Microsoft Excel軟件對(duì)所涉及的所有藥物及藥類(lèi)的使用頻率、性味歸經(jīng)等進(jìn)行統(tǒng)計(jì)分析。總結(jié)歸納高體三教授治療肝膽疾病的遣方用藥規(guī)律,為高體三教授治療肝膽疾病學(xué)術(shù)思想經(jīng)驗(yàn)的可推廣性和可操作性奠定基礎(chǔ),為發(fā)揚(yáng)高體三教授獨(dú)創(chuàng)的“水暖土和木達(dá)”三陰學(xué)術(shù)思想服務(wù),同時(shí)也是在做一些有益的嘗試。結(jié)果:本研究分為以下兩部分來(lái)具體闡述高體三教授治療肝膽疾病學(xué)術(shù)思想。第一部分高體三教授治療肝膽疾病學(xué)術(shù)內(nèi)涵本研究分為兩個(gè)方面:一方面是從“理、法、方、藥”四點(diǎn)來(lái)深入剖析高體三教授治療肝膽疾病學(xué)術(shù)經(jīng)驗(yàn):(1)理:高體三教授著眼于肝脾腎三臟,深化對(duì)肝膽生理病理的認(rèn)知;(2)法:高體三教授基于對(duì)肝膽生理病理的認(rèn)識(shí),提出治療肝膽疾病的法則;(3)方:通過(guò)對(duì)高體三教授治療肝膽疾病所運(yùn)用的臨證驗(yàn)方的列舉,來(lái)展現(xiàn)高體三教授臨證遣方用藥時(shí)的靈活多變;(4)藥:通過(guò)對(duì)高體三教授常用藥物的展示,來(lái)彰顯治療肝膽疾病的用藥特色。另一方面是重點(diǎn)介紹高體三教授治療脅痛、眩暈、頭痛、積聚(ve瘕)、癭病等經(jīng)典案例。第二部分高體三教授治療頭痛病例統(tǒng)計(jì)及臨證用藥特色本研究?jī)?nèi)容是運(yùn)用醫(yī)學(xué)統(tǒng)計(jì)學(xué)方法對(duì)所收集整理的病歷,加以處理分析,進(jìn)而建立高體三教授治療頭痛臨床病案數(shù)據(jù)庫(kù)。通過(guò)對(duì)高體三教授治療頭痛所用藥物的性味、歸經(jīng)進(jìn)行頻數(shù)統(tǒng)計(jì)分析,梳理出高體三教授治療肝膽疾病的遣方用藥規(guī)律。結(jié)論:本研究是在“高體三教授臨床經(jīng)驗(yàn)、學(xué)術(shù)思想研究”的基礎(chǔ)之上,從理、法、方、藥四個(gè)方面進(jìn)一步深入研究整理挖掘高體三教授治療肝膽疾病的思想經(jīng)驗(yàn)。理:肝(膽)發(fā)病,脾腎密切相關(guān)。法:三陰同調(diào)為綱,調(diào)理肝膽為目。方:根據(jù)理法特點(diǎn),創(chuàng)制臨證驗(yàn)方。藥:立足于肝脾腎,擅用溫?zé)崴幬铩8唧w三教授治療肝(膽)疾病立足于肝脾腎同調(diào),旨在恢復(fù)肝膽正常生理功能,以達(dá)到驅(qū)除疾病之目的。如此“水暖土和木達(dá)”則機(jī)體健康無(wú)病。
[Abstract]:The national name of old Chinese high three Professor, in the research of Zhongjing, Qi Huang, Huang Shi said on the basis, combined with their years of experience in clinical practice, based on the physiological characteristics of the organs, the original "plumbing and soil -" Three Yin Lin "academic thought. Using the plumbing soil and academic thought -" card, on the treatment of three yin difficult disease, a significant effect, by the majority of patients and industry colleagues unanimously praised. Objective: this research project of hepatobiliary diseases frequently based on the positive response to the state of inheriting old Chinese medicine academic thought and clinical experience of the policy call, clinical experience and academic thoughts comprehensively and systematically summed up high three professors in the treatment of hepatobiliary disease. From three at high old Yin in treating miscellaneous diseases, has its unique understanding and insights of hepatobiliary disease treatment, achieved good therapeutic effect. Therefore, research on mining high body three professor of treatment of liver and gallbladder The disease treatment and medication characteristics, has great clinical value. Methods: Based on the high volume three Professor academic works, manuscripts, notes, summarize the clinical case collection, collation, use of literature, data mining method, interview method and other statistical methods of science, to deepen knowledge and understanding of the physiology and pathology of liver and gallbladder the study of three professors in the treatment of hepatobiliary disease insights, three mining high academic experience of Professor of treatment of hepatobiliary diseases. This research adopts the method of frequency statistics, Professor Gao Tisan treatment for headache in the medical records of frequency statistical analysis, and the rules from the data, provide strong support for the summary of high body three professor of clinical experience in the treatment of hepatobiliary disease; using Microsoft Excel software to establish a high body three Professor headache medical information database; application of statistical software SPSS 17 and Microsoft Excel software Frequency of use of all drugs and drug classes involved, tropism of taste and statistical analysis. Summarize the rules of prescriptions induction high body three professor in the treatment of hepatobiliary disease, for the treatment of hepatobiliary diseases professor Gao Tisan's academic thinking and experience can be extended and can lay the foundation of operation, to develop the high three original professor the "plumbing and soil -" Three Yin academic services, but also to do some beneficial attempts. Results: This study is divided into two parts to expound the high three academic thought of Professor of treatment of hepatobiliary diseases. The first part of the high three professor for academic connotation of hepatobiliary disease in this study is divided into two aspects: A is from "science, law, medicine," four points to an in-depth analysis of three high academic experience of Professor of treatment of hepatobiliary diseases: (1): high volume three Professor focus on liver spleen kidney three dirty, deepening of hepatobiliary physiology and pathology of the cognitive law; (2): Professor Gao Tisan understanding of the physiology and pathology of the liver in the treatment of hepatobiliary disease based on the proposed rule; (3): through the list of high volume three professor in treatment of hepatobiliary diseases use proven to show high side, three professor of clinical prescription is flexible; (4): Based on the commonly used drugs drug high body three Professor show, to highlight the treatment of hepatobiliary disease medication characteristics. On the other hand is introduced three treating chest pain, dizziness, headache, accumulation (VE mass), gall disease and other classic case. The second part high body three headache cases treated by Professor of statistics and the characteristics of clinical medicine the research content is the use of statistical methods to collect medical records, processing analysis, and then establish a high body three Professor clinical database. Through the treatment of headache medicines for the taste of high volume three professor of treatment of headache, normalized by the frequency analysis, comb A high body three Professor rules of prescriptions in the treatment of hepatobiliary disease. Conclusion: This study is in the "high three professor of clinical experience, academic thought of" on the basis of the law, parties, drugs, four aspects of further research on finishing mining high body three professor in the treatment of hepatobiliary disease thought experience. Daniel: liver (bile) disease, spleen and kidney are closely related. Method: Three Yin homology as the key link, for the purpose of regulating courage. According to the theory and method of characteristics: creation of proven medicine. Based on the spleen and kidney, use warm drugs. Professor Gao Tisan in the treatment of liver disease (bile) based on liver and spleen and kidney, to hepatobiliary recovery normal physiological function, in order to achieve the purpose of disease. So get rid of "plumbing and soil -" the body healthy.

【學(xué)位授予單位】:河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類(lèi)號(hào)】:R249;R259

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