高体三教授治疗肝胆疾病学术思想研究

发布时间：2018-03-10 11:31

本文选题：高体三　切入点：肝胆疾病　出处：《河南中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：国家级名老中医高体三教授,在精研岐黄、仲景、黄氏之说的基础上,结合自身多年临床实践经验,立足于脏腑生理特性,独创了“水暖土和木达”三阴学术思想。临证中运用“水暖土和木达”学术思想,论治三阴疑难杂病,疗效显著,受到广大病患及业界同仁的一致赞誉。目的:本研究项目基于肝胆疾病多发频发的现状,积极响应国家关于继承名老中医临证经验及学术思想的政策号召,全面系统总结高体三教授治疗肝胆疾病的临床经验及学术思想。高老擅长从三阴辨治各种疑难杂病,对肝胆疾病治疗具有其独特的认识和见解,取得了良好的治疗效果。因此,研究挖掘高体三教授治疗肝胆疾病的辨治和用药特色,具有较大的临床指导价值。方法:本文通过对高体三教授学术论著、手稿、笔记、临床案例等的收集、整理归纳,运用文献法、数据挖掘法、访谈法等多种科学统计方法,来深化对肝胆生理病理的认识和理解,深入研究高体三教授治疗肝胆疾病的独到见解,挖掘高体三教授治疗肝胆疾病学术经验。本研究采用频数统计方法,对高体三教授治疗头痛的医案中所用药物进行频数统计分析,并从中挖掘规律,为总结高体三教授治疗肝胆疾病的临证经验提供强有力的支撑;采用Microsoft Excel软件建立高体三教授治疗头痛医案信息数据库;应用SPSS 17.0统计软件及Microsoft Excel软件对所涉及的所有药物及药类的使用频率、性味归经等进行统计分析。总结归纳高体三教授治疗肝胆疾病的遣方用药规律,为高体三教授治疗肝胆疾病学术思想经验的可推广性和可操作性奠定基础,为发扬高体三教授独创的“水暖土和木达”三阴学术思想服务,同时也是在做一些有益的尝试。结果:本研究分为以下两部分来具体阐述高体三教授治疗肝胆疾病学术思想。第一部分高体三教授治疗肝胆疾病学术内涵本研究分为两个方面:一方面是从“理、法、方、药”四点来深入剖析高体三教授治疗肝胆疾病学术经验:(1)理:高体三教授着眼于肝脾肾三脏,深化对肝胆生理病理的认知;(2)法:高体三教授基于对肝胆生理病理的认识,提出治疗肝胆疾病的法则;(3)方:通过对高体三教授治疗肝胆疾病所运用的临证验方的列举,来展现高体三教授临证遣方用药时的灵活多变;(4)药:通过对高体三教授常用药物的展示,来彰显治疗肝胆疾病的用药特色。另一方面是重点介绍高体三教授治疗胁痛、眩晕、头痛、积聚(ve瘕)、瘿病等经典案例。第二部分高体三教授治疗头痛病例统计及临证用药特色本研究内容是运用医学统计学方法对所收集整理的病历,加以处理分析,进而建立高体三教授治疗头痛临床病案数据库。通过对高体三教授治疗头痛所用药物的性味、归经进行频数统计分析,梳理出高体三教授治疗肝胆疾病的遣方用药规律。结论:本研究是在“高体三教授临床经验、学术思想研究”的基础之上,从理、法、方、药四个方面进一步深入研究整理挖掘高体三教授治疗肝胆疾病的思想经验。理:肝(胆)发病,脾肾密切相关。法:三阴同调为纲,调理肝胆为目。方:根据理法特点,创制临证验方。药:立足于肝脾肾,擅用温热药物。高体三教授治疗肝(胆)疾病立足于肝脾肾同调,旨在恢复肝胆正常生理功能,以达到驱除疾病之目的。如此“水暖土和木达”则机体健康无病。
[Abstract]:The national name of old Chinese high three Professor, in the research of Zhongjing, Qi Huang, Huang Shi said on the basis, combined with their years of experience in clinical practice, based on the physiological characteristics of the organs, the original "plumbing and soil -" Three Yin Lin "academic thought. Using the plumbing soil and academic thought -" card, on the treatment of three yin difficult disease, a significant effect, by the majority of patients and industry colleagues unanimously praised. Objective: this research project of hepatobiliary diseases frequently based on the positive response to the state of inheriting old Chinese medicine academic thought and clinical experience of the policy call, clinical experience and academic thoughts comprehensively and systematically summed up high three professors in the treatment of hepatobiliary disease. From three at high old Yin in treating miscellaneous diseases, has its unique understanding and insights of hepatobiliary disease treatment, achieved good therapeutic effect. Therefore, research on mining high body three professor of treatment of liver and gallbladder The disease treatment and medication characteristics, has great clinical value. Methods: Based on the high volume three Professor academic works, manuscripts, notes, summarize the clinical case collection, collation, use of literature, data mining method, interview method and other statistical methods of science, to deepen knowledge and understanding of the physiology and pathology of liver and gallbladder the study of three professors in the treatment of hepatobiliary disease insights, three mining high academic experience of Professor of treatment of hepatobiliary diseases. This research adopts the method of frequency statistics, Professor Gao Tisan treatment for headache in the medical records of frequency statistical analysis, and the rules from the data, provide strong support for the summary of high body three professor of clinical experience in the treatment of hepatobiliary disease; using Microsoft Excel software to establish a high body three Professor headache medical information database; application of statistical software SPSS 17 and Microsoft Excel software Frequency of use of all drugs and drug classes involved, tropism of taste and statistical analysis. Summarize the rules of prescriptions induction high body three professor in the treatment of hepatobiliary disease, for the treatment of hepatobiliary diseases professor Gao Tisan's academic thinking and experience can be extended and can lay the foundation of operation, to develop the high three original professor the "plumbing and soil -" Three Yin academic services, but also to do some beneficial attempts. Results: This study is divided into two parts to expound the high three academic thought of Professor of treatment of hepatobiliary diseases. The first part of the high three professor for academic connotation of hepatobiliary disease in this study is divided into two aspects: A is from "science, law, medicine," four points to an in-depth analysis of three high academic experience of Professor of treatment of hepatobiliary diseases: (1): high volume three Professor focus on liver spleen kidney three dirty, deepening of hepatobiliary physiology and pathology of the cognitive law; (2): Professor Gao Tisan understanding of the physiology and pathology of the liver in the treatment of hepatobiliary disease based on the proposed rule; (3): through the list of high volume three professor in treatment of hepatobiliary diseases use proven to show high side, three professor of clinical prescription is flexible; (4): Based on the commonly used drugs drug high body three Professor show, to highlight the treatment of hepatobiliary disease medication characteristics. On the other hand is introduced three treating chest pain, dizziness, headache, accumulation (VE mass), gall disease and other classic case. The second part high body three headache cases treated by Professor of statistics and the characteristics of clinical medicine the research content is the use of statistical methods to collect medical records, processing analysis, and then establish a high body three Professor clinical database. Through the treatment of headache medicines for the taste of high volume three professor of treatment of headache, normalized by the frequency analysis, comb A high body three Professor rules of prescriptions in the treatment of hepatobiliary disease. Conclusion: This study is in the "high three professor of clinical experience, academic thought of" on the basis of the law, parties, drugs, four aspects of further research on finishing mining high body three professor in the treatment of hepatobiliary disease thought experience. Daniel: liver (bile) disease, spleen and kidney are closely related. Method: Three Yin homology as the key link, for the purpose of regulating courage. According to the theory and method of characteristics: creation of proven medicine. Based on the spleen and kidney, use warm drugs. Professor Gao Tisan in the treatment of liver disease (bile) based on liver and spleen and kidney, to hepatobiliary recovery normal physiological function, in order to achieve the purpose of disease. So get rid of "plumbing and soil -" the body healthy.

【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R259

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