本文選題：張鳴鶴教授 + 數(shù)據(jù)分析　； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：本研究由兩部分組成,首先通過深化理論認(rèn)識,探索研究路線。然后通過整理收集由張鳴鶴教授診治且收獲良效的風(fēng)濕病活動期關(guān)節(jié)炎患者的病歷資料,以中醫(yī)傳承軟件作為技術(shù)支持,對眾多病歷的處方數(shù)據(jù)進(jìn)行相關(guān)關(guān)系分析,獲取疾病治療的核心藥物,在此基礎(chǔ)上通過以方測證、有是證用是藥等原理,進(jìn)行處方數(shù)據(jù)的深層次挖掘,并結(jié)合文獻(xiàn)查閱及既往侍診中所記錄的張老用藥經(jīng)驗,對張老治療部分活動期關(guān)節(jié)炎的學(xué)術(shù)觀點、辨證思路及用藥經(jīng)驗作出分析整理,由知其然過渡至知其所以然,深化理論及用藥認(rèn)識,以進(jìn)一步指導(dǎo)臨床學(xué)習(xí)。通過本研究的探討,加深了對中西醫(yī)優(yōu)勢相參診療疾病的認(rèn)識,即將中醫(yī)辨證施治的個體化思路與西醫(yī)認(rèn)識疾病的客觀規(guī)范化思路相結(jié)合,以探尋疾病診療的最優(yōu)方案。因處風(fēng)濕病活動期的關(guān)節(jié)炎,具有炎熱毒邪致痹的相同病理損害,故以清熱解毒作為治療大法;據(jù)本病病因多為風(fēng)寒濕邪,且久病邪深,需給邪以出路,故重用祛風(fēng)除濕藥,以驅(qū)表達(dá)邪。因此風(fēng)濕病活動期關(guān)節(jié)炎的治療以清熱解毒藥聯(lián)用祛風(fēng)除濕藥為主。除此之外,治療需依據(jù)個體差異、病氣之偏勝分而論治,并通過對用藥原則及藥物性能的靈活把握,選用具有清熱解毒、祛風(fēng)除濕、止痹痛、通經(jīng)絡(luò)、活血行血、化瘀散結(jié)、利水消腫等數(shù)效兼?zhèn)渲?配伍組方,確保用藥精準(zhǔn),療效可靠。
[Abstract]:This research consists of two parts. Firstly, the research route is explored by deepening the theoretical understanding. Then through collating and collecting the medical records of active arthritis patients with rheumatism treated and treated by Professor Zhang Minghe, taking the traditional Chinese medicine inheritance software as the technical support, the correlation analysis of prescribing data of many medical records is carried out. On the basis of obtaining the core drugs for the treatment of the disease, and on the basis of testing the evidence by the prescription, including the principle of whether the syndrome is used or the medicine is used, to carry out the deep-level mining of the prescription data, and combining with the experience of Zhang Lao's medication recorded in the literature review and previous consultations, In order to further guide clinical study, Zhang Lao's academic viewpoint on treating some active arthritis, dialectical thinking and medication experience were analyzed and sorted out, from knowing its nature to knowing its reason, deepening its theory and understanding of drug use. Through the discussion of this study, it deepens the understanding of the advantages of TCM and Western medicine in the diagnosis and treatment of diseases, that is, the combination of individualized thinking of TCM dialectical treatment and objective and standardized thinking of western medicine understanding of diseases, in order to explore the best scheme of diagnosis and treatment of diseases. Because arthritis in the active phase of rheumatism has the same pathological damage as arthralgia caused by hot toxin evil, it uses clearing heat and detoxification as the major treatment method. According to the etiology of this disease, most of them are wind, cold and dampness evil, and the long illness is deep, so it is necessary to give the evil a way out, so it is necessary to reuse the medicine for dispelling wind and removing dampness. To exorcise evil spirits. Therefore, rheumatism active arthritis treatment with heat-clearing and detoxification combined with dispelling wind and dehumidification drugs. In addition, the treatment should be based on individual differences, the partial victory of disease and qi, and through the flexible grasp of the principles of drug use and the performance of the drug, it should be selected to have the characteristics of clearing heat and detoxifying, dispelling wind and removing dampness, stopping arthralgia, opening channels and collaterals, activating blood circulation, and resolving blood stasis and dispersing knot. Lishui, detumescence and other effective drugs, compatible with the prescription, to ensure that the drug is accurate, effective and reliable.
【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】：R249;R259

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 單鋒;袁媛;郝近大;黃璐琦;;獨活、羌活的本草源流考[J];中國中藥雜志;2014年17期

2 劉昆侖;;張鳴鶴應(yīng)用貓眼草、貓爪草治療風(fēng)濕免疫性疾病經(jīng)驗[J];湖南中醫(yī)雜志;2014年07期

3 張立亭;婁俊東;;張鳴鶴教授治療類風(fēng)濕關(guān)節(jié)炎的經(jīng)驗[J];風(fēng)濕病與關(guān)節(jié)炎;2013年07期

4 張曉琳;徐金娣;朱玲英;劉麗芳;李松林;徐宏喜;;中藥川芎研究新進(jìn)展[J];中藥材;2012年10期

5 婁俊東;張立亭;;張鳴鶴治療骨關(guān)節(jié)炎經(jīng)驗淺析[J];社區(qū)醫(yī)學(xué)雜志;2012年17期

6 宿樹蘭;葉亮;尚爾鑫;范欣生;段金廒;華永慶;唐于平;;基于層次聚類分析與數(shù)據(jù)圖形化技術(shù)探討少腹逐瘀湯與溫經(jīng)湯的組方配伍特點[J];中華中醫(yī)藥雜志;2011年10期

7 解紀(jì)惠;劉梅珍;崔麗芹;;清痹湯治療膝骨關(guān)節(jié)炎的VAS評分WOMAC骨關(guān)節(jié)炎指數(shù)的變化[J];河北中醫(yī)藥學(xué)報;2011年01期

8 薛t，

本文編號：2020389