战丽彬教授治疗郁证及共病郁证的临床经验总结

发布时间：2018-01-01 18:46

本文关键词：战丽彬教授治疗郁证及共病郁证的临床经验总结　出处：《大连医科大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:随着现代生活节奏加快,经济的快速增长,个体对于社会生活的多种应激、变化不能良好适应,使得心身疾病在现代疾病谱上不断凸显。这种心身疾病,对个体体能状态上具有十分大的危害,不仅仅会严重困扰个体的生活,而且增加了其他疾病治疗的复杂程度。目前越来越多的临床工作者认为社会心理因素对于心身疾病的发生发展,有着极为重要的致病作用。目前现代医学以生物-心理-社会医学模式作为指导,对心身疾病已经有了深刻的认识,治疗方法也逐渐发展日益多元。然而考虑实际临床工作中心身疾病具有较高复发性,难治愈,在病程中易复燃或复发。故而从祖国医学角度出发,挖掘名老中医诊疗经验,为心身疾病患者积极寻找其他安全、有效的治疗方法,提高患者生活质量,具有重要临床意义。战丽彬教授在多年的临床实践过程中,结合经典论著,对郁证及共病郁证的诊疗思路独到,治疗效果显著。故本研究通过系统收集2013-2015年战丽彬教授门诊临床医案,归纳分析她诊治情志病的学术思想、经验及临床用药规律,从而以中医药治疗手段为着眼,为心身疾病的诊治寻找新的突破。此外本文通过对战丽彬教授诊治郁证及共病郁证进行探讨,对于继承和发扬名老中医的学术思想也具有十分重要意义。方法:本研究主要运用两种研究方法:文献采集,临床医案分析。具体内容分为两个部分:第一部分,通过临床侍诊,收集、整理、研习战丽彬教授大量医案,并结合教授的悉心指导,对战丽彬教授治疗郁证的治学经验及临床学术思想进行分析、总结。第二部分,战丽彬教授在多年临床实践中对情志致病有深刻体会。并从共病郁证角度出发,极具创新的认识和理解了临床中妇科疾病、肠易激综合征、高脂血症等临床常见疾病。故本部分内容,则重点从战丽彬教授特色鲜明的治学思想及临床经验出发,对战丽彬教授共病郁证的临床用药经验及防治方法进行概括总结。第三部分,利用传统的医案分析方法,选取典型郁证-呃逆、经断前后诸症共病郁证、痹症共病郁证三病进行举例分析,从而将战丽彬教授从治学经验、临床学术思想到临床效果进行全面总结。结果:第一部分:战丽彬教授发展了郁证的理论思想,较早的提出诊治郁证的“从中医体质学说角度,论治人群郁证易感性”、“从形神合一角度,论郁证与脏腑功能的双向影响”、“基于脏腑理论,从肝脾同调角度,论治郁证”三方面学术思想。第二、三部分:战丽彬教授治疗临床常见疾病共病郁证的体会。战丽彬教授中西医汇通,创新的将现代医学对心身疾病的认识及我国先贤学术思想相融合,结合自身多年临床实践,从共病郁证角度出发,认识和理解了妇科疾病、肠易激综合征、高脂血症的发生、发展过程及防治,形成极具个人特色的临床诊疗经验。并通过选取经典医案具体阐述其对郁证-呃逆、经断前后诸症共病郁证、痹症共病郁证的临床辨证论治思路和诊疗方案。结论:战丽彬教授常从中医古籍汲取营养,学贯古今,且学古而不泥古,作为一名中西医汇通的现代中西医结合专家,她常将现代医学对诊治疾病的认识,同古代先贤的学术思想巧妙融合,并结合当今社会所特有人文、经济特点,在临床实践过程中,积累了丰富的经验。尤其对于郁证及共病郁证的认识和治疗上,更形成了完善的理法方药体系,并在临床上验证,取得了显著的治疗效果,其学术思想和经验有着较强的临床指导作用,为临床中医药治疗心身疾病提供了新思路和新手段。本文第二、三部分的医案分析则是战丽彬教授的新颖学术思想、及其实际应用于临床可获得显著疗效的具体而强有力的证明。
[Abstract]:Objective: with the accelerated pace of modern life, the rapid growth of the economy, the individual stress for a variety of social life, can not adapt well to the changes, psychosomatic diseases continue to highlight in the modern disease spectrum. This has very big psychosomatic diseases, the harm to the individual physical condition, will not only seriously troubled individual life, but also increase the complexity of the treatment of other diseases. At present, more and more clinical workers believe that social and psychological factors for the occurrence and development of psychosomatic diseases, has a very vital role in the development of modern medicine. The bio psycho social medical model as a guide to psychosomatic diseases has been profound understanding, treatment is also gradually increasing multiple however. Considering the actual clinical work center disease with high recurrent, difficult to cure, easy to relapse or recurrence in the course of the disease. Therefore, from the perspective of traditional Chinese Medicine Hair, mining experience of famous Chinese medicine diagnosis and treatment, for patients with psychosomatic diseases actively looking for other safe and effective treatment, improve the quality of life of patients, has important clinical significance. Professor Zhan Libin in clinical practice for many years, combined with the classic theory, diagnosis and treatment of depression and comorbidity of depressive syndrome and unique treatment effect. In this study, through the systematic collection of clinical medical professor Zhan Libin outpatient 2013-2015, diagnosis and treatment of emotional disease inductive analysis of her academic thought, law of experience and clinical medication, so as to Chinese medicine treatment for eyes, looking for a new breakthrough for the diagnosis and treatment of heart disease. In addition this paper discusses professor Zhan Libin on the treatment of melancholia and comorbidity melancholia, also has very important significance to inherit and carry forward the name of the old Chinese medicine academic thought. Methods: This study used two research methods: literature collection, clinical case analysis Specific content is divided into two parts: the first part, through the clinical diagnosis of paternity, collection, collation, research professor Zhan Libin a large number of medical records, and with the guidance of Professor, Professor Zhan Libin thought on treating depression with teaching experience and clinical academic analysis summary. The second part, Professor Zhan Libin have a deep understanding of emotional diseases in many years of clinical practice. Starting from the comorbidity of depression angle, innovative understanding and understanding of the clinical gynecological disease, irritable bowel syndrome, hyperlipidemia and other common clinical diseases. This part is mainly from the academic thought and clinical experience of Professor Zhan Libin's distinctive features of clinical experience method of prevention and cure of Professor Zhan Libin comorbid depression syndrome were summarized. The third part, using the method of analysis of traditional medical records, typical depression - hiccup, menopausal disorder comorbid depression syndrome, arthralgia comorbidity For example three depression disease, and Professor Zhan Libin from the teaching experience, clinical academic thoughts to clinical effect was comprehensively summarized. Results: the first part: Professor Zhan Libin developed the theory of thought of melancholia, earlier proposed diagnosis and treatment of depression syndrome "from the perspective of the Physique Theory of Chinese medicine, on the treatment of depression syndrome susceptibility," the crowd "from the perspective of one spirit, mutual influence" theory of melancholia and viscera function, based on the theory of internal organs, liver and spleen from the perspective of coherence, the three aspects of the academic thought of treating depression syndrome ". The second, third part: the experience of Professor Zhan Libin in the treatment of depression in clinical common disease. Professor Zhan Libin, the confluence of Chinese and Western medicine, the combination of innovation understanding of modern medicine on psychosomatic diseases and our fathers academic thoughts, combined with their years of clinical practice, starting from the comorbidity of depression angle, the recognition and understanding of the gynecological disease, irritable bowel syndrome, hyperlipidemia Occurrence, development process and prevention, clinical experience form very personal characteristics. And through the selection of classic cases illustrate its hiccup of depression syndrome, menopausal disorder comorbid depression syndrome, the treatment and treatment of arthralgia syndrome clinical dialectical thinking the comorbidity of depression syndrome. Conclusion: Professor Zhan Libin often draw nutrition from ancient Chinese medicine, science and science through ancient and modern, ancient and not imitation, as a modern western medicine Huitong combining traditional Chinese and Western medicine expert, she often will know modern medicine for diagnosis and treatment of the disease, with the ancient sages of the academic thought of fusion, and combining with the current social, cultural and economic characteristics, in clinical practice, has accumulated rich experience. Especially the cognition and treatment for depression and comorbid depression syndrome, also formed the perfect prescription system, and verified in clinical practice, has achieved remarkable curative effect, the academic thought and experience are strong Clinical guidance, provides new ideas and new methods for clinical medicine in the treatment of psychosomatic diseases. Case analysis of the second, third part is the new academic thought of Professor Zhan Libin, and its clinical application can obtain significant effect of specific and powerful proof.

【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R277.7

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