补肾健脾方治疗脾肾气虚型厌食的临床观察

发布时间：2018-03-01 14:08

本文关键词： 厌食脾肾气虚补肾健脾　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:厌食是儿科常见病,长期厌食可导致营养不良、贫血等并发症,长期得不到治疗会影响患儿的生长发育。针对厌食,历代中医医家多从脾胃角度论治。历代医家经过大量的临床也验证了调理脾胃是治疗厌食的基本大法,尤其以补益脾气为最常见治疗方法。临床上从脾肾气虚证论治厌食的医家仅有少数。导师通过研究发现:临床上从补肾健脾法治疗脾肾气虚型厌食可取得较满意的疗效,此类型厌食除脾肾气虚外,常伴有食积、湿浊、郁热等邪气内停。治疗上除补益脾肾之气外,还辅以行气化湿、消食清热。本课题拟通过对健脾补肾方治疗脾肾气虚型厌食进行系统性、规范性的研究,从而为开阔治疗厌食的方法思路、提高厌食治愈率提供客观的依据。方法:采用随机对照实验的方法,将受试按预先确定的随机数分配到以下两组:治疗组:内服自拟"补肾健脾方"方:菟丝子、补骨脂、白术、党参、炙甘草、厚朴花、法半夏、连翘、神曲。对照组:厌食颗粒。治疗时间为2周。治疗前、治疗后各记录一次积分。治疗2周结束时进行疗效评价。结果:①治疗后两组患者总有效率比较,差异有统计学意义(P=0.040.05),提示治疗组疗效优于对照组。②治疗后,两组患儿中医证候总分比较,差异有统计学意义(P=O.010.05),提示治疗组中医证候改善优于对照组。③两组各项证候积分对比:在食量、四肢肤温、大便评分比较,治疗组患儿改善优于对照组。在面色、精神评分方面比较,两组患儿证候改善疗效相当。结论:补肾健脾方具有补益脾肾、行气化湿、消食清热之功效。治疗脾肾气虚证厌食具有较好的疗效,值得临床推广。
[Abstract]:Objective: anorexia is a common disease in pediatrics. Long-term anorexia can lead to malnutrition, anemia and other complications. Chinese medicine doctors of all dynasties have mostly treated them from the point of view of spleen and stomach. After a large number of clinical experiences, doctors have also proved that regulating the spleen and stomach is the basic method of treating anorexia. There are only a few doctors who treat anorexia from spleen and kidney qi deficiency syndrome in clinic. The tutor found that the method of tonifying kidney and invigorating spleen can obtain satisfactory curative effect in treating anorexia of spleen and kidney qi deficiency in clinic, especially in treating anorexia of deficiency of spleen and kidney qi by the method of tonifying spleen and strengthening spleen, and treating anorexia with deficiency of spleen and kidney qi. This type of anorexia, in addition to deficiency of spleen and kidney qi, often accompanied by accumulation of food, dampness, stagnation and heat, etc. In addition to tonifying the spleen and kidney, it is accompanied by vaporizing dampness. This subject aims to make a systematic and normative study on the treatment of deficiency of qi and deficiency of spleen and kidney by the prescription of invigorating the spleen and tonifying the kidney, so as to open the way for the treatment of anorexia. Methods: by means of randomized controlled trial, the subjects were assigned to the following two groups according to predetermined random numbers: the treatment group: take the recipe of tonifying kidney and invigorating spleen: Cuscuta chinensis, Psoralea psoraleae, et al. Atractylodes macrocephala, Codonopsis, Radix Glycyrrhizae, Magnolia officinalis, Rhizoma Pinelliae, Forsythia Forsythia, Shenqu. Control group: anorexia granules. Treatment time is 2 weeks. Results the total effective rate of the two groups after treatment was compared and the difference was statistically significant, indicating that the curative effect of the treatment group was better than that of the control group after 2 weeks of treatment. The difference of TCM syndromes between the two groups was statistically significant, indicating that the improvement of TCM syndromes in the treatment group was better than that in the control group. The improvement of the treatment group was better than that of the control group. In the aspect of facial color and mental score, the two groups had the same curative effect on the improvement of syndrome. Conclusion: Bushen Jianpi prescription has the function of tonifying the spleen and kidney, and taking the dampness of gasification. The effect of eliminating food and clearing away heat. Treating anorexia of spleen and kidney qi deficiency syndrome has better curative effect and is worth popularizing clinically.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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