儿童肺炎名老中医医案研究

发布时间：2018-03-26 10:07

本文选题：名老中医医案　切入点：儿童肺炎　出处：《辽宁中医药大学》2012年硕士论文

【摘要】：目的：本研究对当代名中医儿童肺炎医案进行整理统计分析，发现名老中医对于儿童肺炎辩证、选方用药等方面的共性认识，，为临床医生更加深刻理解、全面掌握名中医学术思想和临证经验，更好地指导临床工作奠定基础。方法：对全国名老中医药专家的儿童肺炎的医案，严格按照纳入标准、排除标准进行筛选，将符合条件的106例医案，利用Mrcrosoft excel，按具体的条目进行输入，并对输入儿童肺炎医案的一般情况、辨证特点、用药规律三方面数据进行整理分析，记录结果。并对分析的结果结合病例资料进行归纳总结、推导结论，找出其中蕴含的相关性、规律、特点，导出结论。结果： 1.证型分布：106例医案中，以异名同证原则进行归类，以出现的频数从高到低排列：痰热闭肺证（22例、20.75%）、风热闭肺证（20例、18.87%）、肺脾气虚证（11例、10.38%）、风寒闭肺证（10例、9.43%）、邪陷厥阴证（9例、8.49%）、心阳虚衰证（8例、7.55%）、毒热闭肺证（6例、5.66%）、阴虚肺热证（6例、5.66%）。 2.症状分析：106例医案中，症状出现频次前四位为咳嗽（91例、85.85%）发热（85例、80.19%）、喘促（65例、61.32%）痰鸣（50.00%）。 3.用药方面：儿童肺炎常用药物（前二十位）有：甘草（53例、50.00%）杏仁（49例、46.23%）、麻黄（39例、36.79%）、石膏（27例、25.47%）、黄芩（22例、20.75%）、川贝（20例、18.87%）、连翘（20例、18.87%）、金银花（20例、18.87%）、麦冬（18例、16.98%）、半夏（20例、18.87%）、陈皮（15例、14.15%）、枇杷叶（14例、13.21%）薄荷（13例、12.26%）、桔梗（13例、12.26%）、牛黄（12例、11.32%）、苏子（12例、11.32%）、芦根（11例、10.38%）、葶苈子（11例、10.38%）、党参（10例、9.43%）、茯苓（10例、9.43%）。结论： 1.通过对儿童肺炎名老中医医案的研究，得出对于不同证型的症状与治疗用药的特点。 2.名老中医对于儿童肺炎喘嗽的治疗用药及诊疗思路。
[Abstract]:Objective: to analyze the medical records of children's pneumonia in contemporary famous Chinese medicine, and find out that famous old Chinese medicine has a common understanding of the dialectical and prescription of children's pneumonia, so as to give clinicians a better understanding of it. Master the famous Chinese medicine academic thought and clinical experience, better guide the clinical work lay the foundation. Methods: according to the inclusion criteria and exclusion criteria, the medical records of pediatric pneumonia of old Chinese medicine specialists in China were screened, and 106 cases of medical records that met the requirements were input according to the specific items by using Mrcrosoft excel. In addition, the general situation, syndrome differentiation characteristics and drug use law of the medical records of children pneumonia were analyzed and recorded. The results of the analysis were summarized and the conclusion was deduced by combining the analysis results with the data of the cases. Find out the correlation, law, characteristic and deduce the conclusion. Results:. 1. According to the principle of synonym and synonym, the distribution of syndromes in 106 medical cases was classified. The frequency ranges from high to low: phlegm-heat blocking lung syndrome (22 cases), phlegm heat closing lung syndrome (22 cases), wind heat closing lung syndrome (20 cases), wind and heat closing lung syndrome (20 cases), syndrome of lung and spleen Qi deficiency syndrome (11 cases) with 10 cases of syndrome of syndrome of deficiency of lung and spleen (10.38), wind cold syndrome of closing lung syndrome (10 cases), syndrome of closing lung and closing lung syndrome of wind and cold (n = 10) with 9 cases of 8.499.49A, syndrome of heart and yang deficiency and failure syndrome (n = 8) with 7.555A, toxic heat of lung syndrome (n = 6) with 5.66D, with heat syndrome of Yin deficiency and lung syndrome (n = 6). 2. Symptom analysis in 106 medical cases, the first four cases of symptom frequency were cough (91 cases, 85.85) fever (85 cases, 80.19), asthma (65 cases, 61.32), phlegm (50.005). 3. Medication: common drugs for pneumonia in children (first 20) are: licorice 53 cases (50.00g) almonds 46.232o, ephedra 39 cases 36.79g, gypsum 27 cases 25.4747, Scutellaria baicalensis 22 cases 20.7575), Chuanbei 20 cases 18.8787, Forsythia suspensa 20 cases 18.877.20 cases 18.8787, Ophiopodium japonicum 18.8787, Ophiopodium japonicus 16.98m. There were 20 cases with 18.87m, 15 cases with pericarpium, 14 cases with loquat leaf, 14 cases with loquat leaf.) there were 13 cases with menthol (12.26m), 13 cases with platycodon (12 cases) with 12.26m, 12 cases with Niuhuang (12 cases) with 11.32C, 12 cases with perilla (11.32), 11 cases with root (10.38um), 11 cases with lividipine (10.38%), 10 cases with Codonopsis (9.43m), 10 cases with Tuckia (9.43). Conclusion:. 1. The characteristics of symptoms and medication for different syndrome types were obtained through the study of the medical records of famous and old Chinese medicine for children's pneumonia. 2. Treatment and treatment of pneumonia and cough in children by famous Chinese medicine.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R249;R272

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