基于“象思维”弱精子症的理论探讨与临床研究

发布时间：2018-03-11 16:06

本文选题：象　切入点：象思维　出处：《湖北中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：[目的]运用“象思维”探讨弱精子症的病因病机,为弱精子症辨证治疗提供新的角度和思路。归纳总结导师治疗弱精子症经验,提出治疗弱精子症遣方用药之法,以更好的为临床服务。[方法]从认识论角度出发,采用文献整理的研究方法,查阅古今关于象思维的文献资料。[结果]“象”分为物象、具象、意象三个类别。动物之大象是象内涵的起点,古人通过对大象动物含义的衍生,逐渐丰富着象的内涵;衍生出天象的含义,天象对人类健康产生影响;衍生出相貌之象的含义,相貌之象是中医辨证的重要依据;此三者皆属于物象的范畴,是象思维路径观物取象的体现,而形象逻辑思维是其主要表现形式。随着思维活动的增强逐渐衍生出象征的含义,并在具象思维的应用下,通过将脉象具象化,用以推导脏腑之象,是中医辨证的另一重要来源,而中医取象比类的思维方法则是象思维应用的另一重要成果。此三者皆属于具象的范畴,是象思维路径立象以尽意的体现。意象是象思维路径中得意忘象的体现,通过对物象、具象的归纳、总结、推衍生成意向。象形文字的演化过程便体现了象思维得意忘象的过程。而卦象模型则是对自然之理的高度总结,并对中医认识疾病产生深远影响。象思维模型对精子的认识:阴阳模型是象思维模型中最基本的思维模型,将精液与女性生殖之精对比精液属阳,将精液分阴阳,精子属阳,精浆属阴。藏象模型是对脏腑功能的总结,通过对精子“诸生宗室”之象的归纳总结,将其纳入肾藏象模型,是象思维“立象以尽意”的体现。五行模型是连接脏腑与自然界关系的纽带,通过所立肾之藏象阐述五行模型下对弱精子症的认识。部分弱精子症患者,舌脉无明显异常,仅以精液参数异常为其主要临床表现,辨证困难。而基于象思维,可以通过对精液“所视之象”与“所闻之象”的观察对弱精子症进行辨证。所视之象包括精液量、性状、颜色、微观之象,所闻之象包括精液的气味、患者所述病史。通过对其把握,从而进行辨证治疗是象思维路径的体现。总结导师理论及临床经验。导师运用“清金资水”“调火治水”法治疗弱精子症的理论及其临床经验,并在临床上取得了较好的治疗效果。[结论]象思维是中医的原创思维,其通过观物取象,立象尽意构建象模型,并通过象模型对未知事物进行联系,比类,以达到认识事物的目的。弱精子症病因病机尚未明确,因此基于象思维探讨弱精子症的病因病机符合这一阶段对疾病认识的要求。通过象思维辨证论治弱精子症取得了良好的临床效果。
[Abstract]:[Objective] the use of "explore the etiology and pathogenesis of asthenospermia like thinking", provide a new perspective and ideas for asthenospermia. Summarize the syndrome differentiation and treatment in the treatment of asthenospermia tutor experience, put forward in the treatment of asthenospermia prescriptions of the law, in order to better clinical services. From the perspective of epistemology method], adopting the research method of literature, like the literature on access to ancient and modern thinking results.] "image" is divided into images, figurative, imagery of the three categories. The connotation of the animal elephant is like a starting point, through to the ancient elephant animal meaning derived, gradually enrich the connotation of image derived from the astronomical meaning; the sky has an impact on human health; looks like derived meaning, looks like is an important basis for TCM syndrome differentiation; the three of them belong to the category of objects, like the path of thinking view takes the image of the image is the main form of logical thinking Now. With the enhancement of thinking activity gradually derived from the symbolic meaning and application in concrete thinking under the pulse embodiment, used to derive the organs of the elephant, is another important source of TCM, and TCM analogy thinking method class is like another important application of the results of thinking three. This belongs to the concrete category, is like the path of thinking reflected in the legislation as do. The image is reflected in the path of thinking like dizzy with success, based on the summary of figurative images, induction, deduction, generating intention. The evolution process of hieroglyphs embody the process of image thinking. And the model of dizzy with success it is highly summarized on the nature of science, and the cognition of traditional Chinese medicine have a profound impact on sperm disease. Like the thinking model of understanding: the Yin and Yang model is as the most basic thinking model thinking model, semen and female reproductive essence of semen The semen is Yang, yin and Yang, sperm is Yang, seminal Yin. Zang viscera function model is summarized, based on "the students of imperial clan" sperm like the summary will be incorporated into the kidney like model is like thinking "image to reflect the meaning" five lines. The model is a link between viscera and nature relationship, through the legislation of kidney viscera on understanding of asthenospermia five line model. Part of patients with asthenospermia, tongue veins showed no abnormalities, only with abnormal semen parameters as the main clinical manifestations, diagnosis difficult. Based on the image thinking, through the observation of semen "visual image" and "smell like" the syndrome of asthenospermia. Visual image including semen volume, color, characters, microscopic image, smell like the smell of semen, the patient history. Through the grasp, which is like the syndrome differentiation and treatment reflect the thinking path. Summarize the theory and clinical experience of tutor. Teachers use "Qing Jin Zi water" and "fire control" in the treatment of asthenospermia theory and clinical experience, and in clinic and achieved a better therapeutic effect. Conclusion] like thinking is the original thinking of Chinese medicine, by watching for images, image building as a model, and the model of the unknown contact than class, in order to achieve the purpose of understanding things. Asthenospermia pathogenesis is not yet clear, so as to explore the thinking based on the etiology and pathogenesis of asthenospermia with this stage on the understanding of the disease. Through the image thinking of syndrome differentiation and treatment of asthenospermia obtained a good clinical effect.

【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R277.5

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