“提壶揭盖”治法研究

发布时间：2018-03-23 02:20

本文选题：提壶揭盖　切入点：治法　出处：《福建中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:梳理提壶揭盖治法的发展历程,发掘理论内涵,以求进一步充实、完善提壶揭盖治法。较为系统的归纳总结出提壶揭盖治法临床适应病证的方药配伍,期望更好的在临床上发挥疗效。方法:课题采用文献研究方法,以中国知网数据库、读秀知识库以及《中华医典》(升级版)作为检索工具,结合手工检索,搜集整理得到大量有关提壶揭盖治法理论方药资料。结果:1.在历史源流部分,提壶揭盖法是由朱丹溪所创,但是其中所蕴含的学术思想在早期医学著作中均有体现,后世医家又进一步发展、创新该治法理论。2.在内涵探讨部分,认为该治法是运用宣肺以及升提的方药通利小便,现今把涌吐方药以及取嚏方药归入其中,还有把针灸、推拿这些能够起到宣肺升提气机的外治法都归入该治法范畴。在主治病证方面多是以治疗下焦壅塞阻滞不通的病证为主。3.在方药探析中分析了该治法中药主要包括辛温宣肺方药、辛凉宣肺方药、升提方药、涌吐方药、取嚏方药,且大多具有通利二便的功效。4.在适应病证的方药运用与配伍中,分析了治疗小便难、肾性水肿、肝硬化腹水抓住水湿内蕴之病机,以及若有轻微风寒表证而小便排除不畅,皆可考虑配合宣肺利水中药。另外根据"肺与大肠相表里"的理论,在辨证治疗各种类型便秘疗效不佳的情况下均可配合使用杏仁、桔梗、紫菀宣肃肺气。5.在讨论与展望部分分析认为该治法主要针对下焦壅塞阻滞不通的疾病,若将其它病证归入该治法范畴,仍有待进一步商榷。另外根据该治法中药的属性以及君臣佐使的配伍理念提出该类药物在整个处方中的剂量宜小。结论:应用提壶揭盖治法治疗下焦壅塞阻滞不通的病证具有一定的临床实用价值,值得再进一步深入挖掘。
[Abstract]:Objective: to sort out the course of development and explore the theoretical connotation in order to further enrich and perfect the method of lifting the lid of the pot, and systematically sum up the prescription and compatibility of the method of lifting and removing the lid of the pot for clinical adaptation to disease syndrome. Methods: using the literature research method, the database of Chinese knowledge network, the knowledge base of reading show and the Chinese Medical Code (upgraded edition) were used as retrieval tools, combined with manual retrieval. Collected and sorted out a large number of theoretical and medicinal materials on the lifting of pots and capping. Results: 1. In the historical source part, the method of lifting the lid of pots was created by Zhu Danxi, but the academic ideas contained therein were reflected in early medical works. Later physicians further developed, innovating the theory of the treatment. 2. In the discussion of its connotation, it is believed that the treatment is the use of Xuan Lung and the prescription of Shengzhi Tongli to urinate. Nowadays, the prescriptions for vomiting and choking are included, and acupuncture and moxibustion are also included. Massage can play a role in promoting the lung to lift the Qi machine are classified as the treatment of the category. In the main treatment of disease syndrome is mainly the treatment of the lower scorch block block. 3. In the analysis of the Chinese medicine treatment of the main package of traditional Chinese medicine. Including Xin-wen Xian-fei prescription, Xin-liang Xuan Fei prescription, Sheng Fang recipe, surging and emetic prescription, and taking hellebores prescription, and most of them have the effect of "Tonglianerstool" .4.In the application and compatibility of the prescription to adapt to the disease syndrome, the treatment of difficulty in urination and renal edema is analyzed. The pathogenesis of ascites grabbing water dampness in cirrhotic cirrhosis, and if there is a mild wind-cold syndrome, and if urination is ruled out, we may consider cooperating with Xuan Fei Li Shui Chinese medicine. In addition, according to the theory of "lung and large intestine," Almond, Platycodon grandiflorum, Aster Xuan Su lung qi .5.In the part of discussion and prospect, it is concluded that the treatment is mainly aimed at the diseases with lower scorch choking and block impassable, under the condition of poor effect of syndrome differentiation and treatment of various types of constipation. If other diseases and symptoms are classified as such, In addition, according to the character of the traditional Chinese medicine and the compatibility idea of the emissary, it is suggested that the dosage of this kind of medicine in the whole prescription should be small. Conclusion: it is not necessary to use the method of lifting the pot to remove the cap in the treatment of the blockage of the lower scorch. The disease syndromes have certain clinical and practical value. It is worth further digging.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R289

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