肝气虚证之理论研究

发布时间：2018-01-03 19:35

本文关键词：肝气虚证之理论研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:肝藏象是中医藏象理论的重要组成部分,然而历代医家在论及肝藏象时多论述肝气逆、肝血虚、肝阳上亢等,鲜有论及肝气虚,肝气虚证并未得到历代医家包括现代临床医者的重视,文献中也较少有关于肝气虚证的系统论述。本文通过梳理古今文献,系统整理肝气虚证的理论渊源、病因病机、临床表现、诊断标准及治疗方药,以期为现代学者及临床医家提供系统的指导。方法:本文主要采用文献整理研究和理论分析探讨的方法,并运用文献计量学,通过对有关肝气及肝气虚证的医著及文献进行收集、整理、归纳和总结,对肝气虚证之学术观点进行研究。成果:肝气虚证始源于《内经》,隋唐宋、明清时期也有相关记载。肝气虚证被忽视的原因大概有以下三点:肝脏为病易郁易亢;易与肝气郁结、脾气虚弱相混淆;受“肝无补法”的误导。肝气虚又称肝气不足,是指肝之精气不足,功能减弱,致升发无力,疏泄不及的病理变化。肝气虚证的病因病机为禀赋不足,素体气虚;七情所伤,情志不畅;肝血不足,伤及肝气;脾肾亏虚,影响肝气;滥用理气之品伤及肝气。肝气虚证的临床表现为足厥阴肝经循行部位的症状以及肝功能失职的症状。肝气虚证的治疗以补益肝气为首务,辅之以补养肝血,兼以顾护脾胃和肾,切莫疏忽疏肝理气。通过整理古今文献发现,古代和现代治疗肝气虚证最常用的药物分别为细辛和黄芪,以补虚药为主,多使用甘味药和温性药,由此归纳总结建立了补肝气方。结论:本文通过对肝气虚证的文献整理和理论分析研究,初步构建了肝气虚证的基础理论框架,对完善中医肝藏象学说有一定的理论意义和现实指导意义。
[Abstract]:Objective: it is an important part of the traditional Chinese medicine storage theory of liver Tibetan elephant. However, in discussing liver storage image, physicians of all dynasties have discussed the inverse of liver qi, deficiency of liver blood, hyperactivity of liver yang and so on, and seldom discussed the deficiency of liver qi. Deficiency of liver-qi syndrome has not been paid attention to by doctors in past dynasties, including modern clinicians, and there is less systematic discussion on liver-qi deficiency syndrome in the literature. This article systematically arranges the theoretical origin of liver-qi deficiency syndrome by combing the ancient and modern literature. Etiology and pathogenesis, clinical manifestations, diagnostic criteria and treatment prescriptions, in order to provide systematic guidance for modern scholars and clinicians. Methods: this paper mainly adopts the methods of literature collation and theoretical analysis. And the use of bibliometrics, through the liver qi and deficiency of liver-qi syndrome and literature collection, collation, induction and summary. Research on the academic viewpoint of liver-qi deficiency syndrome. Results: liver-qi deficiency syndrome originated from the "Internal Classic", Sui, Tang and Song dynasties. There were also related records during the Ming and Qing dynasties. The reasons for the neglect of liver-qi deficiency syndrome were as follows: the liver was prone to illness and hyperactivity; Easy to be confused with liver-qi stagnation and weak temper; Be misled by "liver without replenishing law". Liver qi deficiency also is called liver qi insufficiency, is to point to the deficiency of vital energy of the liver, the function is weakened, cause rise to make hair weak, dredge the pathological change that can not catharsis. The etiology and pathogenesis of liver qi deficiency syndrome is endowment insufficiency. Deficiency of qi; Seven feelings hurt, emotional unobstructed; Deficiency of liver blood, injury to liver qi; Deficiency of spleen and kidney, affecting liver qi; The clinical manifestations of deficiency of liver-qi syndrome are the symptoms of the meridian of the liver of foot Jueyin and the symptoms of dereliction of function of liver. The treatment of deficiency of liver-qi is to replenish the liver-qi and nourish the liver and blood. Through sorting out the ancient and modern literature, it was found that the most commonly used drugs for the treatment of liver-qi deficiency syndrome were Asarum and Astragalus, respectively, with the main medicine of tonifying deficiency. It is concluded that the basic theoretical framework of liver-qi deficiency syndrome is preliminarily constructed through the literature review and theoretical analysis of liver-qi deficiency syndrome. It has certain theoretical and practical significance to improve the theory of liver storage and image in traditional Chinese medicine.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R228

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