基于“肝肾学说”理论在月经病治疗中临床应用的研究

发布时间：2018-04-14 16:01

本文选题：肝肾学说 + 月经病　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：研究目的:本研究通过系统收集及整理中医典籍及龙江韩氏妇科流派著,进行归纳整理,分析"肝肾学说"理论的起源、发展。通过收集龙江韩氏妇科传承人韩延华和刘丽教授门诊月经病患者,对其中的中医辨证、治法以及用药进行统计分析,拟找出其中医辨证、治法及用药规律,从而为优化月经病的中医治疗提供依据。研究方法:本课题通过对韩延华教授和刘丽教授门诊电脑诊断月经病患者2000例,针对频率较大的月经病300例进行中医辨证、治法以及用药进行归纳,运用EXCEL及SPSS 17.0统计软件进行统计分析。研究结果:运用"肝肾学说"理论治疗月经病的病例中频率最高的为崩漏占33.30%,其次为闭经占30.70%;常见证型为肾气虚、肾阴虚,肝肾阴虚,肾阳虚,肝气郁结,分别占16.29%,18.75%,13.66%,12.08%,10.94%;常见治法主要为补肾益气,滋肾益阴,温肾助阳,滋阴养肝补肾,疏肝解郁,分别占16.83%,17.40%,14.53%,13.79%,9.85%;出现频率较高的药为熟地、山茱萸、川断、海螵蛸、牛膝、阿胶、杜仲、白芍、牡蛎、桑寄生、当归,其归经以肝肾经为主。结论:1.运用"肝肾学说"理论治疗的月经病主要包括崩漏、闭经等。2.论治疗的月经病的主要证型为肾气虚、肾阴虚,肾阳虚,肝肾阴虚等。3.治法以补肾益气,滋肾益阴,温肾助阳,滋阴养肝补肾,疏肝解郁为主。4.频率较高药物主要囊括于育阴止崩汤,百灵育阴汤,百灵调肝汤,育阴补血汤。
[Abstract]:Objective: to analyze the origin and development of the theory of "liver and kidney" by systematically collecting and sorting out the classical books of traditional Chinese medicine and Han's gynaecological schools of Longjiang River.By collecting Han Yanhua and Liu Li outpatients with menstrual diseases in the outpatient department of Han's gynecological heritage in Longjiang, the author makes a statistical analysis of TCM syndrome differentiation, treatment method and drug use, and intends to find out the TCM syndrome differentiation, treatment method and drug use law.So as to optimize the treatment of menstrual disease in traditional Chinese medicine to provide the basis.Methods: 2000 patients with menstrual disease diagnosed by computer in outpatient clinic of Professor Han Yanhua and Professor Liu Li were summarized by TCM syndrome differentiation, treatment and medication.EXCEL and SPSS 17.0 statistical software were used for statistical analysis.Results: in the treatment of menstrual diseases with "liver-kidney theory", the highest frequency was insipidus 33.30, followed by amenorrhea 30.70.The common syndromes were kidney-qi deficiency, kidney-yin deficiency, liver-kidney yin deficiency, kidney-yang deficiency, and stagnation of liver qi.The common methods are mainly tonifying kidney and tonifying qi, nourishing kidney and nourishing yin, warming kidney and helping yang, nourishing yin and nourishing liver, tonifying the kidney, relieving liver and relieving depression, accounting for 16.83N 17.40N 14.53N 14.53N 13.799.85. the drugs with high frequency are cooked ground, Cornus officinalis, broken Sichuan, Cuttlebone, Achyranthes, Ejiao, Eucommia, Paeonia Alba, etc.Oyster, mulberry parasitism, angelica sinensis, its return to the liver and kidney meridian.Conclusion 1.The theory of "liver and kidney theory" is used to treat menstrual diseases, including insipidus, amenorrhea, and so on.The main syndromes of menstrual disease treated are deficiency of kidney qi, deficiency of kidney yin, deficiency of kidney yang, deficiency of liver and kidney yin, etc.Treatment to tonify the kidney invigorate qi, nourish kidney and yin, warm the kidney and help yang, nourish yin and nourish the liver and invigorate the kidney, and soothe the liver and relieve the depression mainly. 4.High frequency drugs mainly include Yuyin Zhibong decoction, Bailing Yuyin decoction, Bailing Tiaogan decoction, Yuyin Buxue decoction.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R271.11

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