藏医对“赤巴目塞

发布时间：2018-01-14 20:01

本文关键词：藏医对“赤巴目塞病”与其他疾病导致“目赛症”的关联性临床研究　出处：《青海大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:试图通过藏医古代文献整理与临床实践相结合的方法对赤巴目塞进行的一项研究,探讨藏医学对目塞诊治的理论认识,总结目塞病治疗的规律和方法,探索目塞的临床治疗方案,为临床工作和研究工作提供新的思路。方法:研究运用文献学:1、以目塞为关键词,对《四部医典》和古典文献60部进行搜索,并对“目塞”病相关经文进行分析,以总结出藏医文献中关于“目塞”病的论述。2、以“目塞”为关键词,对《四部医典》和60多部藏医古代著作文献进行检索,收集引起目塞症的110种疾病进行比较分析,找出它们之间的异同。3、研究藏医学对目塞的认识,将目塞形成的病因病机进行系统分类并加以论述,为临床目塞的辩治提供一定的思路。结果:1、通过对《四部医典》和60多部藏医古代著作文献进行检索研究分析得出目塞类型分为目塞病与目塞症;2、本次对目塞病与目塞症的相关性研究中得出目塞病的发病病因除了赤巴引起目塞外,还可因胃和肝脏痞块挤压胆腑导致胆管内胆汁外溢到全身血管、赤巴外隆、培根、消化不良、血、黄水、森、热疫等间接原因影响赤巴外溢引起目塞症而导致目塞病的发病;结论:本次研究通过临床实践与《四部医典》和60多部藏医古代著作文献相结合进行研究,根据不同病因所引起的目塞病,可将目塞病分为四种类型:第一种为病根赤症,以胆汁过量失调致病;第二种为火热赤症,是由于隆和培根消化不良夺位,侵入主消化的赤巴部位,迫使胆汁外溢而致病;第三种为胆腑赤症,是由于胃与肝脏里的痞块挤压胆腑,或者胆腑本身长有痞块,迫使胆汁外溢,口吐黄液,蔓延致病;第四种为通常赤巴,是胆腑主消化的胆汁失调或者消化赤巴导致血热紊乱,或者瘟疫引起胆汁扩散,或者饮食起居不当引起胆汁扩散,外溢于肌肤和眼睛,出现肉塞和目塞致病。本次对目塞病的病因进行的全方位分析研究,对临床医生在目塞病的鉴别诊断和治疗中有一定的应用价值,可供临床实践工作中广泛参考应用。
[Abstract]:Objective: to explore the theoretical understanding of the diagnosis and treatment of eye plug in Tibetan medicine, and to summarize the rule and method of treatment of eye plug disease by combining the ancient literature of Tibetan medicine with clinical practice. To explore the clinical treatment scheme of eye plug and to provide a new way of thinking for clinical work and research methods: to search for 60 pieces of classical literature and four medical classics by using bibliography: 1 and taking eye stopper as the key word. In order to sum up the discussion of "Mucks" disease in Tibetan medical literature, the article analyzes the relevant scriptures of "Mucai" disease, and takes "Muzao" as the key word. In this paper, the author searched the ancient literature of "four medical classics" and more than 60 ancient Tibetan medicine works, collected 110 diseases that caused eye obstruction, found out the similarities and differences between them, and studied the understanding of eye stoppers in Tibetan medicine. The etiology and pathogenesis of eye plug formation were systematically classified and discussed in order to provide some ideas for clinical diagnosis and treatment of eye plug. Results: 1. Through the retrieval and analysis of the four medical classics and more than 60 ancient works of Tibetan medicine, it is concluded that the types of eye plug can be divided into eye plug disease and eye plug disease. 2. In the study of the correlation between mustache disease and eye stopper disease, it was concluded that the etiology of the disease was not only caused by red bar, but also by the stomach and liver bulge squeezing the bile organs to the blood vessels of the whole body. The indirect causes such as chiba carmine, bacon, dyspepsia, blood, yellow water, Sen, febrile disease and so on affect the occurrence of eye stopper disease caused by chiba spillover. Conclusion: this study is based on clinical practice, combined with "four medical codes" and more than 60 ancient Tibetan medical literature, according to different etiology caused by eye stopper disease. The disease can be divided into four types: the first is the root disease, which is caused by excessive bile disorder; The second is pyropyretic erythemia, which is caused by dyspepsia of long and Bacon, invading the part of red bar of main digestion, forcing bile to overflow and causing disease. The third is choledochomycosis because the bulge in the stomach and liver squeezes the gall, or the gall has bulge itself, forcing the bile to spill out, spit the yellow liquid in the mouth, and spread the disease. There are 4th kinds of common red bar, which are the bile maladjustment of choledochal organs and digestion, or the disorder of blood and fever caused by the digestion of red bar, or the spread of bile caused by pestilence, or by improper eating and drinking, which spills over the skin and eyes. This omni-directional analysis and study on the etiology of eye stopper disease has certain application value in the differential diagnosis and treatment of eye plug disease. It can be widely used in clinical practice.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R29

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