李佩文教授肺癌辨治思想及组方规律研究

发布时间：2018-04-15 23:01

本文选题：肺癌 + 李佩文　；参考：《北京中医药大学》2017年硕士论文

【摘要】：本论文主要探讨了李佩文教授治疗肺癌的临床经验,通过跟诊学习、质性访谈、软件统计等方式,总结了李佩文教授的辨治思想和处方用药规律。全文可分为以下三个部分:第一部分是中西医文献综述。通过对中医古典医籍和现代文献的梳理,从病因病机、治则治法等角度总结出肺癌的中医证治概况;通过检索现代医学研究进展,从病因、分类、治疗等角度归纳出肺癌的西医研究进展。第二部分为李佩文教授肺癌辨治思想研究。本人通过跟随李教授出诊、查房,定期进行病例讨论和答疑解惑,主要通过质性研究的方法总结提炼出李教授的临证辨治思维,主要为重视脏腑相关理论和引经药等的应用。第三部分为李佩文教授肺癌组方用药规律研究。本研究基于中医传承辅助系统V2.5软件,对李教授的肺癌处方进行数据挖掘分析,统计出处方中药物的使用频次、性味及归经,确定药物之间的关联规则,并生成核心处方及衍生新处方,并对李教授的用药思路进行分析,总结出其"相反相成、以和为贵"的遣方思想、"脏腑相关、五脏一体"的组方精神。
[Abstract]:This paper mainly discusses the clinical experience of Professor Li Peiwen in the treatment of lung cancer, and summarizes Professor Li Pei-wen 's thinking of differentiation and treatment and the law of prescribing drug use by means of follow study, qualitative interview, software statistics and so on.The full text can be divided into the following three parts: the first part is the literature review of traditional Chinese and western medicine.Through combing the classical medical books and modern literature of Chinese medicine, the author summarizes the general situation of TCM syndrome and treatment of lung cancer from the angles of etiology, pathogenesis, principles and methods of treatment, and by searching the progress of modern medical research, classifying the causes and diseases of lung cancer,Treatment and other aspects of lung cancer summarized the progress of Western medicine research.The second part is Professor Li Peiwen's thought of differentiation and treatment of lung cancer.Through following Professor Li's visit to the clinic, rounds, periodic case discussions and answers to questions, I summarized and abstracted Professor Li's thinking of clinical syndrome differentiation and treatment by qualitative research, mainly for the application of the theory of viscera and the introduction of classics and medicines and so on.The third part is professor Li Peiwen lung cancer prescription drug law research.Based on the software V2.5 of traditional Chinese Medicine (TCM) inheritance Assistant system, the data mining and analysis of Professor Li's lung cancer prescriptions are carried out, and the frequency of drug use, the quality of drugs and the return to the classics in prescriptions are counted, and the association rules between drugs are determined.The core prescriptions and new prescriptions were generated, and professor Li's thinking of drug use was analyzed. The author summed up his idea of "opposite and complementary, taking harmony as the most important", and the spirit of "the viscera are related to each other and the five viscera are one body".
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R273

【参考文献】