本文選題：陰黃 + 證候要素��； 參考：《湖南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究以宋元明清時(shí)期陰黃證醫(yī)案為研究對(duì)象,從文獻(xiàn)原文中提取相關(guān)信息進(jìn)行整理及分析,探索陰黃的學(xué)術(shù)思想及證候規(guī)律。方法:收集整理宋元明清期間陰黃相關(guān)醫(yī)案,提取其中的脈象、癥狀、證候要素并進(jìn)行標(biāo)準(zhǔn)化處理后,建立數(shù)據(jù)庫(kù),運(yùn)用SPSS17.0統(tǒng)計(jì)軟件對(duì)癥狀、脈象進(jìn)行頻數(shù)、因子及聚類統(tǒng)計(jì)分析,對(duì)證候要素及證候靶位進(jìn)行頻數(shù)及應(yīng)證組合規(guī)律研究后結(jié)合中醫(yī)學(xué)理論綜合分析。結(jié)果:搜集陰黃文獻(xiàn)213條,符合納入標(biāo)準(zhǔn)166條,記錄94個(gè)癥狀變量,20個(gè)脈象變量,得出證候要素共25個(gè)、證候要素靶位10個(gè)和證候組合69個(gè)。通過(guò)頻數(shù)分析及因子分析發(fā)現(xiàn),宋元明清醫(yī)案中陰黃證主要癥狀有身黃、目黃、尿黃、腹脹滿、面色晦暗、納差食少、發(fā)熱、肢倦乏力、畏寒等33個(gè);脈象以細(xì)、虛、弱、沉、遲脈等為主;常見證候要素為:氣虛、內(nèi)濕、陽(yáng)虛、內(nèi)寒、血瘀、陰虛、內(nèi)熱、寒、血虛、濕、氣郁、精髓虧虛等,其中氣虛最為多見;病位主要位于脾腎肝胃,與心、肺、小腸、大腸亦有聯(lián)系。通過(guò)應(yīng)證組合得到五大證型即:脾虛濕阻證、寒濕困脾證、脾腎陽(yáng)虛濕困證、氣血虧虛證、陰虛血瘀證,是臨床常見的陰黃證型。結(jié)論:宋元明清醫(yī)家認(rèn)為陰黃乃虛實(shí)夾雜之證,其病因病機(jī)主要有:寒濕蘊(yùn)脾、脾虛濕盛、脾腎陽(yáng)虛、氣滯血瘀、氣血兩虛、肝腎陰虛、肝脾血瘀,五臟六腑、氣血陰陽(yáng)虧虛為本,寒、濕、氣、痰、火、瘀互結(jié)為標(biāo)。陰黃起病癥狀雖呈多樣化表現(xiàn),但多歸于陰證、虛證范疇,證候要素以兩兩組合為主要形式,氣虛濕阻、陽(yáng)虛內(nèi)濕是最常見組合。
[Abstract]:Objective: this study took the case of Yin and Yellow Syndrome in Song, Yuan, Ming and Qing dynasties as the research object, extracted the relevant information from the original literature for collation and analysis, and explored the academic thought and syndromes of Yin-Huang. Methods: collect and sort out the related medical records of Yin and Yellow in Song, Yuan, Ming and Qing dynasties, extract the pulse, symptoms, syndromes and standardized treatment, set up the database, and use SPSS 17.0 statistical software to carry on the frequency of symptom and pulse. Factor and cluster statistical analysis, syndromes and syndromes target of the frequency and syndrome combination of the study combined with the theory of traditional Chinese medicine comprehensive analysis. Results: 213 yin-yellow literature were collected, 166 were in accordance with inclusion criteria, 94 symptom variables and 20 pulse variables were recorded, 25 syndromes were obtained, 10 target sites of syndromes and 69 syndromes combinations were obtained. Through frequency analysis and factor analysis, it was found that the main symptoms of Yin-Huang syndrome in the medical records of Song, Yuan, Ming and Qing dynasties were yellow of body, yellow of eyes, yellow of urine, full of abdominal distension, dark complexion, little appetite, fever, fatigue of limbs, cold, etc. The pulse was fine, weak, heavy, etc. The common syndromes are qi deficiency, internal dampness, yang deficiency, internal cold, blood stasis, yin deficiency, internal heat, cold, blood deficiency, dampness, qi depression, essence deficiency, etc. The small intestine and the large intestine are also associated. Five types of syndrome were obtained through the combination of syndromes: spleen deficiency and dampness obstruction syndrome, cold and dampness syndrome, spleen and kidney yang deficiency syndrome, qi and blood deficiency syndrome, yin deficiency and blood stasis syndrome, which are common type of yin and yellow syndrome in clinic. Conclusion: the doctors of Song Yuan, Ming and Qing dynasties thought that the syndrome of Yin Huang Nai deficiency and excess was mainly caused by cold dampness and spleen, spleen deficiency and dampness, spleen and kidney yang deficiency, qi stagnation and blood stasis, qi and blood deficiency, liver and kidney yin deficiency, liver and spleen blood stasis, and five viscera and six Fu organs. Qi-blood yin-yang deficiency for this, cold, dampness, qi, phlegm, fire, blood stasis is the standard. Although the symptoms of yin-yellow onset are diversified, most of them belong to the category of Yin syndrome, deficiency syndrome, syndrome elements are mainly in the form of two combinations, Qi deficiency and dampness block, Yang deficiency internal dampness is the most common combination.
【學(xué)位授予單位】：湖南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

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