《伤寒杂病论》痞之证治规律探析

发布时间：2018-01-18 12:38

本文关键词：《伤寒杂病论》痞之证治规律探析　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：课题研究目的:痞是《伤寒杂病论》中重要的病证,也是现今临床上常见的中医病证。为使临证时能够得到理论依据和启发,将通过对《伤寒杂病论》中有关条文进行归纳与整理研究的方式,明晰痞的概念源流,了解张仲景运用腹诊诊断痞的技术,认识痞的证治特点及把握方药应用规律,以便在临床中结合个体状况选取相应的方剂进行辨证论治。研究方法:收集先秦两汉至明清医家关于痞的重要文献,考证痞的字义及概念变迁,并参考相应西医病名;整理《伤寒杂病论》中腹诊内容及近现代腹诊研究,参照联系中西医的腹诊分区,通过腹诊鉴别痞和类似病证;对比痞的十五个不同方证,解析各自方剂的配伍,搜索方剂的现代研究。结果:1、梳理了古今医家和学者对痞的相关论著和文献资料。2、明确了腹诊在《伤寒杂病论》中的应用以及和痞的紧密联系。3、厘清辨析了痞的各种证候,及其方剂的应用规律。结论:从历代医家对痞的论述中认识到其概念及病因病机,再将腹诊恰当地融入到临床诊断中,提高诊断水平,最后腹证方证相应,在痞的诊疗过程中发挥出中医辨证论治的特色,提高痞的治愈率,消除病患的痛苦。总之,研究《伤寒杂病论》痞之证治规律,有着十分重要的临床实际意义。
[Abstract]:Objective: ruffian disease is an important disease syndrome in the theory of typhoid fever, and it is also a common TCM disease syndrome in clinical practice. In order to make clinical syndrome can get theoretical basis and inspiration. Through the way of summarizing and studying the relevant articles in Typhoid and miscellaneous diseases, we will clarify the source of the concept of ruffian and understand Zhang Zhongjing's technique of using abdominal diagnosis to diagnose the ruffies. Understand the characteristics of the syndrome and treatment of the ruffian and grasp the law of the application of prescriptions in order to select the corresponding prescriptions for syndrome differentiation and treatment combined with the individual situation. Research methods: collect the important literature on the ruffian from pre-Qin and Han dynasties to Ming and Qing dynasties. The textual research proves the character meaning and the concept change of the ruffian, and refers to the corresponding western medicine disease name; Sorting out the contents of middle abdominal diagnosis and modern abdominal diagnosis, referring to the division of abdominal diagnosis related to traditional Chinese and western medicine, differentiating the ruffian and similar diseases by abdominal diagnosis. Comparing fifteen different prescription syndromes of ruffian, analyzing the compatibility of their prescriptions, searching for the modern research of prescriptions. Result: 1, combing the literature and literature of ancient and modern doctors and scholars on ruffian. This paper clarifies the application of abdominal diagnosis in Typhoid complex Disease and its close relation with ruffiness, and clarifies the differentiation of various syndromes of ruffian diseases. Conclusion: the concept, etiology and pathogenesis of the disease were recognized from the exposition of the doctors in the past dynasties, and then the abdominal diagnosis was properly integrated into the clinical diagnosis to improve the diagnostic level, and finally, the abdominal syndrome prescription was appropriate. In the process of diagnosis and treatment of ruffian diseases, it is of great significance to study the law of syndrome and treatment of patients with typhus and miscellaneous diseases, to improve the cure rate and to eliminate the pain of the patients.
【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】：2017
【分类号】：R222

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