【摘要】：目的:通過(guò)研究腎腦相關(guān)的理論源流與病案實(shí)踐,探尋腎腦相關(guān)的機(jī)制、實(shí)質(zhì)與特征,挖掘腎腦相關(guān)的臨床意義及應(yīng)用模式,為腎腦相關(guān)疾病的診治提供新的靶點(diǎn)和思路。方法:采用文獻(xiàn)互證、邏輯推理、信息檢索等方法進(jìn)行研究。通過(guò)查閱經(jīng)典著作與檢索現(xiàn)代文獻(xiàn)相結(jié)合的方式,在運(yùn)用歸納、綜合、比較等具體研究方法的同時(shí),廣泛參閱了中醫(yī)學(xué)典籍與相關(guān)的哲學(xué)論著進(jìn)行理論研究。并借助《中國(guó)知網(wǎng)》與《中華醫(yī)典》等工具平臺(tái),進(jìn)行了典型醫(yī)案的個(gè)案分析。結(jié)果:1.形神一體之腎統(tǒng)一于腎氣。腦通過(guò)御氣而為一身之主�！澳I腦相關(guān)”表現(xiàn)為經(jīng)絡(luò)聯(lián)系、精髓化生、陰陽(yáng)屬性、神氣功能上的相互協(xié)調(diào)。2.腎腦相關(guān),以“陰陽(yáng)學(xué)說(shuō)”等深刻影響中醫(yī)理論的哲學(xué)命題為指導(dǎo),以經(jīng)脈絡(luò)屬和精髓化生為基礎(chǔ),以多元復(fù)雜的功能聯(lián)系為表現(xiàn)。3.腎腦相關(guān)有其特定的機(jī)制、實(shí)質(zhì)與特征,并作為一個(gè)整體對(duì)人體的生命存續(xù)、氣機(jī)升降、形神合一、情感記憶、行為動(dòng)作等產(chǎn)生重要影響。結(jié)論:腎腦相關(guān)于氣,氣機(jī)升降相因是腎腦互濟(jì)的機(jī)制。腎和腦兼具有先后天兩種屬性,腦為臟腑之主,腦神通過(guò)御氣而統(tǒng)御五臟神�！皻狻痹谀I—督脈—腦系統(tǒng)中,通過(guò)溝通“精”與“神”實(shí)現(xiàn)人體的自為自和及人身的形神合一。先天不足、勞逸過(guò)度和情志所傷,使精髓化生不足或氣機(jī)升降失調(diào),是腎腦相關(guān)病證的主要病因病機(jī)。結(jié)合藥物氣味,順應(yīng)腎、腦之特性用藥,及從督脈腧穴用針灸,填精益髓、調(diào)理氣機(jī),是治療腎腦相關(guān)病證的主要思路。氣之和與氣之順是腎腦相關(guān)的關(guān)鍵。
[Abstract]:Objective: to explore the mechanism, essence and characteristics of renal and brain correlation, explore its clinical significance and application model, and provide new targets and ideas for the diagnosis and treatment of renal brain related diseases. Methods: the methods of document mutual proof, logical reasoning and information retrieval were used. By referring to classical works and retrieving modern literature, this paper makes a theoretical study on classical Chinese medicine books and related philosophical works while using concrete research methods such as induction, synthesis, comparison and so on. A case study of typical medical records was carried out with the help of tools such as "China knowledge Network" and "Chinese Medical Code". The result is 1: 1. The kidney of form and spirit is unified in kidney qi. The brain is the master of the whole body through the abstinence of qi. The relationship between kidney and brain is manifested by the relationship between meridian, essence, yin and yang, and the coordination of the function of spirit and qi. 2. The relationship between kidney and brain is guided by the philosophical propositions of "Yin and Yang Theory", which deeply influence the theory of TCM, based on the meridian and essence of metamorphosis, and manifested by the multiple and complex functional relations. 3. The relationship between kidney and brain has its specific mechanism, essence and characteristics. As a whole, it has an important influence on the survival of human body, the rise and fall of Qi machine, the unity of form and spirit, emotional memory, behavior and so on. Conclusion: kidney and brain are related to qi and Qi mechanism is the mechanism of kidney and brain economy. The kidney and brain have two attributes: the brain is the master of the viscera, and the brain spirit controls the five zangshangshen by controlling qi. Qi in the kidney-du meridian-brain system, through the communication of "essence" and "God" to achieve the body's own self-harmony and physical form-spirit unity. The main etiology and pathogenesis of kidney and brain related diseases are deficiency of nature, overwork of labor and injury of emotion, so that the essence of the disease is insufficient or Qi machine rises and goes up and down. Combination of drug smell, compliance with the characteristics of kidney and brain, acupuncture and moxibustion from du meridian and acupoints, filling essence and nourishing marrow, regulating qi machine, are the main ideas for the treatment of kidney and brain related diseases. The sum of qi and the smooth flow of qi are the key factors related to kidney and brain.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R223.1

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