基于病案数据挖掘的周惠芳教授辨治黄体功能不全性不孕症的经验总结

发布时间：2018-01-16 21:24

本文关键词：基于病案数据挖掘的周惠芳教授辨治黄体功能不全性不孕症的经验总结　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本文旨在通过对周惠芳教授的完整门诊病案的回顾性数据挖掘,总结出导师在治疗临床常见妇科疾病时遣方用药上的普遍规律,并重点突出地探讨了导师治疗黄体功能不全性不孕症的独到经验,以期为中医药治疗该病提供新思路、新方法。方法：文献综述分为两部分,第一部分论述了西医学对黄体功能不全性不孕症的认识概况,包括该病的病理生理、发病机制、诊断标准及其主要的治疗方式；第二部分探讨了中医学对黄体功能不全性不孕症病因病机的认识以及该病的辨治概况。经验总结部分笔者通过侍诊学习；周惠芳教授亲自讲授；收集、分析病案,归纳经验；参考周惠芳教授所撰写文章等方法,以收集、整理、录入、分析病案资料为基础,结合传统中医经典进行分析探讨,对周惠芳教授治疗妇科常见病的高频药物,常用方剂进行归纳总结,并重点对其辨治黄体功能不全性不孕症的临证经验进行总结和探讨。结果：①周惠芳教授临床上最常使用的高频药物：淮山药、菟丝子、牡丹皮、续断、炒扁豆、山萸肉、煨木香、熟地黄、炒白芍、云茯苓等；②周惠芳教授治疗临床妇科疾病,最常选用的方剂：助孕汤、龟胶地黄汤、补肾促排卵汤、加减归芍地黄汤等；③周惠芳教授认为黄体功能不全性不孕症的核心病机是肾阳偏虚,夹有肝郁；④周惠芳教授治疗黄体功能不全性不孕症,有其独到见解,具体特点总结如下：补肾调周,分期论治；辨证论治,专方专用；衷中参西,各取所长；调畅情志,规律生活。结论：周惠芳教授治疗妇科疾病以补肾调周为根本大法,多选用补益肾阴肾阳、活血养血之品。周惠芳教授认为肾阳偏虚、夹有肝郁乃黄体功能不全性不孕症的主要病机,治疗上当以补肾调周为本,辩证论治、运用专方助孕合剂,酌情结合西医、西药,同时注重情志疏导,方能收获良效。
[Abstract]:Objective: the purpose of this paper is to summarize the general rule of prescribing drugs in the treatment of common gynecological diseases by using retrospective data mining of the complete outpatient medical records of Professor Zhou Huifang. The unique experience of tutor in treating luteal insufficiency infertility was discussed in order to provide new ideas and methods for the treatment of this disease. Methods: literature review was divided into two parts. The first part discusses the understanding of luteal insufficiency infertility in western medicine, including pathophysiology, pathogenesis, diagnostic criteria and main treatment methods. The second part discusses the understanding of the etiology and pathogenesis of luteal insufficiency infertility and the general situation of differentiation and treatment of the disease in traditional Chinese medicine. Professor Zhou Huifang taught in person; Collect, analyze medical records, sum up experience; Referring to the articles written by Professor Zhou Huifang, based on collecting, collating, inputting and analyzing the medical records, and combining with the classic of traditional Chinese medicine, the high frequency drugs used by Professor Zhou Huifang for the treatment of gynecological diseases are discussed. The common prescriptions were summarized and the clinical experience of differentiation and treatment of luteal insufficiency infertility was summarized and discussed. Results Professor Huifang Zhou Huifang was the most frequently used high frequency medicine in clinical practice: Huai yam. Dodder, peony skin, Dipsacus, fried lentils, cornwood meat, simmering wood, cooked Rehmannia, fried white peony, cloud Poria cocos and so on; 2Professor Zhou Huifang's treatment of clinical gynecological diseases, the most commonly used prescriptions: the decoction of assisting pregnancy, the decoction of Guijiao Dihuang, the decoction of tonifying the Kidney and promoting ovulation, the decoction of adding and subtracting the decoction of Radix Paeoniae Dihuang and so on; 3Professor Zhou Huifang thought that the core pathogenesis of luteal insufficiency infertility was deficiency of kidney yang and liver depression. 4Professor Zhou Huifang in the treatment of luteal insufficiency infertility, has its own unique views, specific characteristics summarized as follows: tonifying the kidney and regulating week, treatment by stages; Treatment based on syndrome differentiation, special prescription; Zhongshen West, each to take advantage of; Conclusion: professor Zhou Huifang's treatment of gynecological diseases is based on tonifying the kidney and regulating the week, and more choose the product of tonifying kidney yin and kidney yang, promoting blood circulation and nourishing blood. Professor Zhou Huifang thinks that kidney yang is partial deficiency. There is liver depression is the main pathogenesis of luteal insufficiency infertility, treatment should be based on tonifying the kidney and regulating weeks, dialectical treatment, the use of special prescription to help pregnancy mixture, appropriate combination of Western medicine, Western medicine, at the same time pay attention to emotional dredging. We can reap good results.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R271.14

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