解乐业教授学术思想与临床经验总结及英芪和胃丸治疗幽门螺杆菌阳性慢性胃炎的临床研究

发布时间：2018-01-01 18:00

本文关键词：解乐业教授学术思想与临床经验总结及英芪和胃丸治疗幽门螺杆菌阳性慢性胃炎的临床研究　出处：《山东中医药大学》2016年博士论文　论文类型：学位论文

【摘要】：本文分三个部分介绍了解乐业教授学术思想与临床经验总结及英芪和胃丸治疗幽门螺杆菌阳性慢性胃炎的临床研究。第一部分:介绍了解乐业学术渊源。解乐业教授出生于中医世家,全国优秀中医临床人才。在30余年的临床工作中,积累了丰富的临床经验,尤其对幽门螺杆菌相关性胃病的辨治,强调了外邪与内伤并存的病因论点,提出了邪毒学说,在根除幽门螺杆菌研究方面有新的突破。解乐业教授创制的英芪和胃丸,在根除幽门螺杆菌、修复胃粘膜方面,取得了很好的疗效。第二部分:介绍了解乐业学术思想和临床经验。解乐业教授强调中医治病必须以辨证论治为根本;提出问诊为本,脉诊为要;主张审症求因,明辨病机;指出依法立方,药求效专;特别重视脾升胃降的生理特性,提出脾胃升降和谐论;注重脾虚胃滞,补通相兼;提倡应用西医对疾病的诊断技术和手段,为中医辨证提供有力的帮助,促进辨证与辨病有机的结合。治疗慢性胃炎从病机入手,重视调畅气机,擅用活血化瘀,提倡寒热并用,兼顾清热解毒,注重调和营卫,注意顾护胃阴。在针灸治疗疼痛方面,提出了多项原则,如循经求源、辨经论治、气机为要、分清缓急、心神并重。第三部分:解乐业学术经验的临床研究。统计来自威海市中医院门诊或病房的120例患者,试验组服用英芪和胃丸,对照组服用雷贝拉唑肠溶片、甲硝唑片、阿莫西林胶囊、胶体果胶铋胶囊,试验组和对照组在疾病总有效率、症状疗效、中医症状积分、内镜疗效、幽门螺杆菌清除率方面有显著性差异(P0.05)。确立了清热解毒,补气养血,修复疮疡,及早防变的治疗原则。证实了英芪和胃丸为根除幽门螺杆菌和治疗幽门螺杆菌阳性慢性胃炎开辟了新的途径。
[Abstract]:This article is divided into three parts to introduce the clinical research on the treatment of Helicobacter pylori positive chronic gastritis with Yingqi and Wei pills. Introduction to understanding the academic origins of music. Professor Xie Leye was born in a traditional Chinese medicine family. In more than 30 years of clinical work, accumulated a wealth of clinical experience, especially for the treatment of Helicobacter pylori related gastropathy, emphasizing the external pathogens and internal injury co-exist in the cause of argument. The theory of evil toxin has been put forward, which has made a new breakthrough in the research of eradication of Helicobacter pylori. In the aspect of eliminating Helicobacter pylori and repairing gastric mucosa, Ying Qi and Wei Pill, which was created by Professor Xie Le Ye, has been put forward. The second part is to introduce the academic thought and clinical experience of Leye. Professor Xie Leye emphasizes that TCM treatment must be based on differentiation of symptoms and signs. Put forward inquiry and diagnosis as the basis, pulse diagnosis as the need; It is advocated that the cause of the disease should be examined and the pathogenesis should be clearly distinguished. It is pointed out that according to law, the law is cubic and the medicine is effective. Pay special attention to the physiological characteristics of spleen rising and stomach descending, and put forward the theory of spleen and stomach rising and falling harmoniously; Pay attention to spleen deficiency stomach stagnation, tonifying phase; To promote the application of western medicine in the diagnosis of diseases, to provide strong help for TCM syndrome differentiation, to promote the organic combination of syndrome differentiation and disease differentiation. To treat chronic gastritis from the pathogenesis, pay attention to regulating qi, good at promoting blood circulation and removing blood stasis. Promote the use of cold and heat, both heat and detoxification, pay attention to the harmony of Ying Wei, care to protect stomach yin. In acupuncture and moxibustion treatment of pain, put forward a number of principles, such as seeking source along the meridian, differentiation and treatment, Qi for the important, clear priorities. The third part: clinical study on the academic experience of Xie Le. 120 patients from clinic or ward of Weihai Hospital of traditional Chinese Medicine were counted. The experimental group took Yingqi and Wei pills and the control group took rabeprazole enteric-coated tablets. Metronidazole tablets, amoxicillin capsules, colloidal bismuth pectin capsules, the experimental group and the control group in the total effective rate, symptom efficacy, TCM symptom score, endoscopic efficacy. There was significant difference in the clearance rate of Helicobacter pylori (P0.05). It was established to clear heat and detoxify, replenish qi and nourish blood, and repair the sore. The principle of early prevention and treatment of chronic gastritis with Helicobacter pylori infection has been proved to be a new way for the eradication of Helicobacter pylori and the treatment of Helicobacter pylori positive chronic gastritis.
【学位授予单位】：山东中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R249;R259

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