本文選題：消渴病伴發(fā)不寐　切入點(diǎn)：經(jīng)驗(yàn)總結(jié)　出處：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:探尋吾師繼承馬智教授“調(diào)肝脾,安心神”治療不寐之經(jīng)驗(yàn)并將之發(fā)展應(yīng)用于消渴病伴發(fā)不寐治療中的辨證思想和遣方用藥特色,為中醫(yī)治療此病注入新思路。材料與方法:通過查閱吾師跟隨馬智教授學(xué)習(xí)期間之資料,及弟子跟師學(xué)習(xí)期間吾師所授經(jīng)驗(yàn)與對臨床典型病例的積累記錄,系統(tǒng)分析并總結(jié),以歸納吾師特色治療消渴病伴發(fā)不寐。結(jié)果:1.吾師對消渴病伴發(fā)不寐病因病機(jī)認(rèn)識:消渴病之本以氣陰兩虛為主,標(biāo)則以燥熱血瘀為重,不寐可發(fā)生于消渴病的任意發(fā)展階段,由多種因素影響致心神失養(yǎng)或心神受擾而不寐,其中多以肝脾為起病之源,病位在心。2.吾師辨證論治消渴病伴發(fā)不寐:(1)治療過程中重視辨清虛實(shí),強(qiáng)調(diào)補(bǔ)氣益陰之基礎(chǔ)性;(2)以“調(diào)肝脾,安心神”為治療原則,指導(dǎo)后續(xù)遣方用藥;(3)根據(jù)病程發(fā)展及臨床表現(xiàn)將此病分為陰虛內(nèi)熱,心神不寧;心腎不交,心神失養(yǎng);心脾兩虛,心神失養(yǎng);氣陰兩虛,肝郁化火擾神;痰熱內(nèi)擾,熱擾心神5種證型,辨證論治。結(jié)論:吾師對消渴病伴發(fā)不寐之中醫(yī)治療,臨床療效顯著,具有學(xué)習(xí)研究價(jià)值。
[Abstract]:Objective: to explore our teacher's experience in treating insomnia by inheriting Professor Ma Zhi's "regulating liver and spleen, soothing the heart and mind" and applying it to the dialectical thinking of syndrome differentiation and the characteristics of prescribing prescriptions in the treatment of dysentery associated with insomnia, so as to inject new ideas for the treatment of this disease by traditional Chinese medicine.Materials and methods: by consulting the data of my teacher during his study with Professor Ma Zhi, the experience of my teacher and the accumulation of typical clinical cases during the study of my disciple and teacher, a systematic analysis and summary were made.In order to sum up the characteristics of my teacher in the treatment of thirst accompanied by insomnia.The result is 1: 1.My teacher's understanding of the etiology and pathogenesis of diabetes associated with insomnia: the root of the disease is deficiency of qi and yin, the standard is dryness, heat and blood stasis, and insomnia can occur at any stage of the development of the disease.Many factors affect the heart and mind loss of nourishment or disturbance of the heart and mind, in which the liver and spleen are the source of the disease, and the disease is located in the heart. 2.In the course of treatment, we pay attention to the differentiation of deficiency and reality, and emphasize the foundation of replenishing qi and nourishing yin. 2) "regulating the liver and spleen, tranquilizing the heart and mind" is the treatment principle.According to the course of disease and clinical manifestations, the disease is divided into Yin deficiency and internal heat, heart and heart restlessness; heart and kidney disconnection, heart and spirit lose nourishment; heart and spleen deficiency, heart and spirit loss of nourishment; qi and yin deficiency, liver depression and fire disturbance; phlegm internal disturbance;Heat disturbs the heart spirit 5 kinds of syndromes, dialectical treatment.Conclusion: the clinical effect of my teacher on the treatment of dysentery accompanied with insomnia is significant and has the value of learning and research.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249;R256.23

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