牙齿与五脏六腑相关的理论及应用研究

发布时间：2018-03-13 10:48

本文选题：牙齿　切入点：五脏六腑　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：本文论述了中医学关于牙齿的基本认识:牙、齿的名称及所指的部位,从名称区分,牙属阳,齿属阴,从部位区分,统言之则牙齿无异,析言之则牙在后齿在前,或牙在前齿在后;牙齿的生长、发育过程中,从乳牙萌生到易齿、从恒牙萌生再到恒牙枯脱,其盛衰始终与肾气的充盛程度息息相关;牙齿的生理功能,主咬与嚼、辅助发音、展示情貌、示人年龄。本文论述了牙齿与经络的直接络属关系,探讨了牙齿与肾膀胱、脾胃、肺大肠、肝胆、心之间的关系,总结了从肾、脾胃、肺大肠、肝胆、心等五脏六腑治疗牙痛的论治规律、方药特点。研究发现牙痛从肾论治,多采用填精补气法、滋补肾阴法、温补肾阳法、阴阳双补法,方药常选六味地黄丸、金匮肾气丸、知柏地黄丸、左归丸、右归丸、龟鹿二仙丹等;从脾胃论治,多采用养阴清胃法、健脾除湿法,方药常选清胃散、玉女煎、参苓白术散、二陈汤等;从肺大肠论治,多采用散寒止痛法、疏风清热法、通腑泄热法,方药常选细辛汤、愈痛汤、大承气汤等;从肝胆论治,多采用疏肝泻火法、缓肝养血法,方药常选柴胡疏肝散、龙胆泻肝汤、丹栀逍遥散等;从心论治,多采用清心泻火法、化痰活血法,方药常选导赤散、瓜蒌薤白半夏汤、桃红四物汤等。从不同的牙齿对应不同的经络(分牙归经)角度出发,通过整理归类文献,总结了牙齿与五脏六腑的对应关系:上牙齿多对应腑,下牙齿多对应脏;上正中牙齿多对应心,下正中牙齿多对应肾;左右两旁,上牙齿多对应胃,下牙齿多对应脾;左侧牙齿多对应肝胆,右侧牙齿多对应肺大肠。总结出治疗牙痛的各经首选药物:心经,黄连、麦冬;肾经,知母、黄柏;胃经,白芷、川芎、石膏;脾经,白芍、白术;大肠经,大黄、枳壳;肺经,黄芩、桔梗;胆经,龙胆草、羌活;肝经,栀子、柴胡。希望本研究对完善藏象学说整体观的内涵及临床治疗牙痛等牙齿疾病有所裨益。
[Abstract]:This paper discusses the basic understanding of teeth in traditional Chinese medicine: teeth, the name of teeth and the parts they refer to, according to the name, the teeth belong to Yang, the teeth belong to yin, and the teeth are distinguished from the parts. In general, the teeth are the same as those of the teeth, but the teeth are before the posterior teeth if they are analyzed. Or teeth in the front teeth after; in the growth and development of the teeth, from the initiation of the deciduous teeth to the change of teeth, from the initiation of the permanent teeth to the decay of the permanent teeth, the rise and fall of the teeth is always closely related to the degree of kidney Qi filling; the physiological function of the teeth, the main bite and chewing, and the auxiliary pronunciation, This paper discusses the direct relationship between teeth and meridians, discusses the relationship between teeth and kidney, spleen and stomach, lung, large intestine, liver and bile, heart and heart, and summarizes the relationship between the kidney, spleen and stomach, lung, large intestine, liver and gallbladder. The study found that the treatment of toothache from kidney to kidney was mostly treated by filling essence and supplementing qi, nourishing kidney yin, warming kidney yang, yin and yang tonifying both yin and yang, and the prescriptions of Liuwei dihuang pill and jinkui Shenqi pill were often used in the treatment of toothache. Zhibai Dihuang Pill, Zuo Gui Pill, Yougui Pill, Guilu Erxian decoction, etc. According to the treatment of spleen and stomach, the method of nourishing Yin and clearing stomach, strengthening spleen and removing dampness, the Chinese medicine Chang Xuan Qing Wei San, Yu Nu decoction, Shen Ling Atractylodes Powder, er Chen Tang and so on; treat from lung large intestine, etc. Most of them adopt the methods of dispersing cold and relieving pain, thinning wind and clearing away heat, clearing away heat from the Fu organs, and prescribing the traditional Chinese medicine, such as Asarum decoction, Yutong decoction, Dachengqi decoction, etc. According to the treatment of liver and gallbladder, the method of soothing the liver and reducing the fire, slowing the liver and nourishing the blood, the formula is often used, the prescription is Bupleurum to soothe the liver, and the Longdan Xiaogan decoction. Dan Zhi Xiaoyao San and so on; treating from the heart, the method of clearing the heart and reducing fire, expelling phlegm and activating blood circulation, often selecting and guiding red powder, Gualou Xiebai Banxia decoction, Taohong Siwu decoction, etc. Starting from different teeth corresponding to different meridians and collaterals. By sorting out and classifying the literature, the corresponding relationship between the teeth and the viscera is summarized: the upper teeth correspond to the viscera, the lower teeth correspond to the viscera; the upper and middle teeth correspond to the heart, and the lower middle teeth correspond to the kidneys; on both sides of the left and right, the upper teeth correspond to the stomach. The lower teeth correspond to the spleen; the left teeth correspond to the liver and gallbladder; the right teeth correspond to the lung and large intestine. The preferred drugs for the treatment of toothache are summarized as follows: heart Channel, Coptis chinensis, Ophiopogon japonicus, Kidney Channel, Anemarrhena, Phellodendron chinensis, stomach Channel, Radix angelicae dahurica, Chuanxiong, gypsum, spleen Meridian, Radix Paeoniae Alba, Atractylodes macrocephala; large intestine meridian, rhubarb, Fructus Aurantii; Pulmonary Channel, Radix Scutellariae, Platycodon grandiflorum; Gentian Channel, Gentian Herb, Notopter@@. Chaihu hope this study will be helpful to improve the connotation of holism and clinical treatment of tooth pain and other dental diseases.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R223.1

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