李七一教授辨治汗证的临床经验与学术思想初探

发布时间：2018-01-12 21:31

本文关键词：李七一教授辨治汗证的临床经验与学术思想初探　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:汗证是临床常见病证,李七一教授在汗证诊治方面具有丰富的经验,现将李教授对汗证的辨证论治、处方用药规律等进行归纳总结,以探讨其治疗汗证的临床经验和学术思想。方法:收集2016年5月至2017年4月符合中医诊断标准的在江苏省中医院名医堂第4诊室就诊的汗证患者,按照中医证候辨证标准,从156份病例中筛选出属于湿热内蕴、表虚失固、阴虚内热、瘀热内伏四个证型的患者各30例,进行一般资料、汗证的中医症状积分等资料的数据采集,以李七一教授临证实际诊治为依据,给予各组治疗方药,观察分析治疗前后患者中医症状积分变化,对比疗效差异。结果:四组患者的年龄、性别、治疗前中医症状积分总分比较无统计学差异,具有可比性。各组患者经治疗后湿热内蕴证愈显率73.3%,表虚失固证愈显率70.00%,阴虚内热证愈显率66.67%,瘀热内伏证愈显率63.33%,各证型治疗前后中医症状总积分及各具体项目积分变化均有统计学差异(P0.05),但四组疗效之间比较,无统计学差异。四个主要症状:对出汗次数、汗出面积、皮肤湿度、不适感觉均得到明显改善,有统计学意义。结论:李七一教授治疗汗证疗效确切显著,值得进一步挖掘和研究。
[Abstract]:Objective: sweat syndrome is a common clinical disease syndrome, Professor Li Qiyi has rich experience in the diagnosis and treatment of sweat syndrome. Professor Li's syndrome differentiation and treatment, prescription drug use law and so on are summarized. Methods: from May 2016 to April 2017, the patients who met the criteria of TCM diagnosis in the fourth clinic of the famous Medical Hall of Jiangsu Provincial traditional Chinese Medicine Hospital were collected. According to the standard of syndrome differentiation of TCM, 30 cases were selected from 156 cases which belong to dampness and heat accumulation, form deficiency lost solid, Yin deficiency internal heat, stasis heat internal latent four syndrome types, 30 cases, for general data. According to the actual diagnosis and treatment of Professor Li Qi I, the TCM symptom integral of the patients before and after treatment was observed and analyzed. Results: the age, sex and total score of TCM symptom score before treatment were not statistically different in the four groups. After treatment, the recovery rate of dampness and heat accumulation syndrome in each group was 73.3%. The obvious rate of the syndrome was 70.00g, 66.67g and 63.33% respectively, and that of Yin deficiency and internal heat was 66.67 and 63.33% respectively. Before and after treatment, there were statistical differences in the total score of TCM symptom and the change of integral of each specific item before and after treatment, but there was no statistical difference among the four groups. Four main symptoms: the number of sweating. The sweating area, skin humidity and discomfort were all improved significantly, with statistical significance. Conclusion: professor Li Qiyi's curative effect on sweating syndrome is definite and remarkable, which is worthy of further excavation and study.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R255.9

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