【摘要】：目的:本文旨在總結(jié)喬文軍教授對(duì)重癥肌無(wú)力病因病機(jī)的認(rèn)識(shí)及辨證論治痿證的經(jīng)驗(yàn),為臨床治療提供新思路。方法:1.查閱大量文獻(xiàn),撰寫(xiě)綜述,學(xué)習(xí)有關(guān)痿證病因病機(jī)及辨證論治的古代文獻(xiàn)論述及現(xiàn)代研究進(jìn)展。2.每周跟隨老師出診,針對(duì)痿證的病因病機(jī)、診斷分型、遣方用藥特色向老師求教,分析、歸納和總結(jié)老師對(duì)痿證的治療經(jīng)驗(yàn)。結(jié)果:在總結(jié)前人的經(jīng)驗(yàn)及查閱文獻(xiàn)后,喬文軍教授認(rèn)為痿證的病因病機(jī)有以下的特點(diǎn):痿證的根本病機(jī)為五臟虛損,臟腑之間的平衡紊亂,耗傷五臟精氣,致使氣血津液虧虛,其中尤以脾腎陽(yáng)虛為主要病機(jī)。五臟受損,氣血生化乏源,又間接導(dǎo)致了氣血津液的不足,致使筋脈肌肉失卻濡養(yǎng),不能束筋骨、通利關(guān)節(jié),終致肌肉痿軟無(wú)力,發(fā)為本病。病變臟腑主要責(zé)之于脾腎,病位在肌肉,常夾濕熱、夾痰。故治療多兼顧化濕清熱、祛痰。方藥以復(fù)方黃杞湯為主方進(jìn)行加減,臨床每每奏效。結(jié)論:1.吾師認(rèn)為治療痿證需以“補(bǔ)脾益腎,升舉陽(yáng)氣”為基本治療原則,并“化濕祛痰、補(bǔ)益宗氣”。2.吾師以脾腎論痿證,以五臟氣血辨痿證,以復(fù)方黃杞湯化裁,因人制宜,臨床療效較顯著。3.吾師重視痿證的預(yù)防調(diào)護(hù)。
[Abstract]:Objective: to summarize Professor Qiao Wenjun's understanding of the etiology and pathogenesis of myasthenia gravis and to provide new ideas for clinical treatment. Method 1: 1. Consult a large number of literature, write a review, learn about the etiology and pathogenesis of impotence syndrome and treatment of ancient literature and modern research progress. 2. Follow the teacher to visit every week, according to the etiology and pathogenesis of impotence syndrome, diagnosis and typing, send the characteristics of medicine to the teacher for advice, analysis, induction and summary of the teacher's experience in the treatment of impotence syndrome. Results: after summing up the previous experience and consulting the literature, Professor Qiao Wenjun thought that the etiology and pathogenesis of impotence syndrome had the following characteristics: the basic pathogenesis of impotence syndrome was deficiency of the five viscera, the balance between the viscera and the viscera was disordered, and the vital qi of the five viscera was consumed. Lead to deficiency of qi, blood and fluid, especially spleen and kidney yang deficiency as the main pathogenesis. Damage of the five viscera, lack of biochemical sources of qi and blood, and indirectly lead to deficiency of qi and blood body fluid, resulting in muscle loss and nourishment, unable to bind muscles and bones, Tongli joint, resulting in muscle impotence and weakness, and the disease. Pathological organs are mainly responsible for spleen and kidney, the disease is in the muscle, often dampness and heat, phlegm. Therefore, the treatment of both dehumidification and heat, expectorant. Prescription to compound Huangqi decoction mainly for addition and subtraction, clinical often effective. Conclusion 1. My teacher believes that the treatment of impotence syndrome should be "tonifying the spleen and tonifying the kidney, raising Yang Qi" as the basic treatment principle, and "dehumidifying phlegm, tonifying Zong Qi". 2. My teacher to spleen and kidney on the basis of impotence syndrome, with the five Zang Qi and blood impotence syndrome, with compound Huangqi decoction, tailored to suit the situation, the clinical efficacy is more significant. 3. My teacher attaches importance to the prevention and nursing of impotence syndrome.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R249;R277.7

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉嵐劍;楊文娟;;重癥肌無(wú)力合并胸腺病變患者血清乙酰膽堿受體抗體、肌聯(lián)蛋白抗體和肌肉特異性酪氨酸激酶抗體的檢測(cè)意義[J];臨床薈萃;2016年07期

2 李柱一;;中國(guó)重癥肌無(wú)力診斷和治療指南2015[J];中華神經(jīng)科雜志;2015年11期

3 王英鵬;陳萍;李尊波;張峻;袁丹;甄偉蘭;曾慶紅;鞏忠;劉建軍;沈定國(guó);;糖皮質(zhì)激素沖擊治療誘發(fā)重癥肌無(wú)力危象臨床特點(diǎn)和危險(xiǎn)因素分析[J];中國(guó)現(xiàn)代神經(jīng)疾病雜志;2014年10期

4 張艷玲;;隨尚爾壽從肝風(fēng)論治重癥肌無(wú)力的體會(huì)[J];內(nèi)蒙古中醫(yī)藥;2014年19期

5 朱健清;;非手術(shù)治療重癥肌無(wú)力的研究進(jìn)展[J];內(nèi)科;2014年03期

6 趙元;于在誠(chéng);胡旭;張仁泉;王云海;劉偉;左劍輝;;外科治療重癥肌無(wú)力的臨床分析[J];安徽醫(yī)科大學(xué)學(xué)報(bào);2014年06期

7 任晉玉;程為平;;申脈、照海為主穴針刺治療重癥肌無(wú)力眼肌型9例[J];江蘇中醫(yī)藥;2014年06期

8 陳以明;鄧少蓮;;血漿置換術(shù)治療重癥肌無(wú)力的效果觀察[J];當(dāng)代醫(yī)學(xué);2014年12期

9 蘇雷;支修益;張毅;許慶生;劉寶東;陳東紅;胡牧;劉磊;錢(qián)坤;李元博;;胸腔鏡胸腺擴(kuò)大切除治療非胸腺瘤性重癥肌無(wú)力[J];中國(guó)微創(chuàng)外科雜志;2014年04期

10 王志強(qiáng);;他克莫司治療難治性重癥肌無(wú)力療效與安全性探討[J];中國(guó)實(shí)用醫(yī)藥;2014年09期

相關(guān)會(huì)議論文 前1條

1 劉倫旭;王允;寇瑛俐;車(chē)國(guó)衛(wèi);蒲強(qiáng);師路;蒲江濤;;電視胸腔鏡胸腺擴(kuò)大切除治療重癥肌無(wú)力41例[A];中華醫(yī)學(xué)會(huì)第六次全國(guó)胸心血管外科學(xué)術(shù)會(huì)議論文集（胸外科分冊(cè)）[C];2006年

相關(guān)博士學(xué)位論文 前2條

1 陳芳伶;中醫(yī)免疫學(xué)的構(gòu)建[D];山東中醫(yī)藥大學(xué);2011年

2 張曉麗;幾種舌苔蛋白組學(xué)初步研究[D];湖北中醫(yī)學(xué)院;2008年

，

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