鲍严钟治疗男性特发性少弱精子症的学术思想及用药规律

发布时间：2018-04-16 03:11

本文选题：特发性少弱精子症 + 学术思想　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：目的本研究通过对鲍严钟老师治疗特发性少弱精子症的临床病例的搜集、整理,并利用统计及数据分析来揭示其治疗特发性少弱精子症的用药规律,以总结其治疗特发性少弱精子症的学术思想,提高中医药辨治特发性少弱精子症的临床疗效,更好地继承和发展中医药事业。方法本研究通过查阅鲍严钟老师临证经验相关文献,通过临床跟师等方法,收集鲍老2014年06月至2016年06月期间在杭州市红十字会医院生殖科门诊就诊的特发性少弱精子症相关病例,选纳有效的患者共171例,共计1008诊次。将患者基本信息、方药录入excel2010制成数据库,检验无误后导入SPSS 20.0系统。采用频数统计分析、聚类分析等,并据此探讨鲍老治疗特发性少弱精子症的用药规律,总结鲍老治疗特发性少弱精子症的学术思想经验。结果1.总结出4点鲍老诊治特发性少弱精子症的学术思想。2.得到1008张处方所涉及114味中药的用药频数和分类;得到51味核心药物及其药味、药性和归经;得到常用药对频数,及各个证型的高频药物的核心组合。结论本研究对鲍严钟老师治疗特发性少弱精子症的学术思想和用药规律进行了初步研究。得出鲍老的主要学术思想,包括“五诊合参,尤重舌象”、“责之于肾,重视肝脾”、“首重补肾,兼调肝脾,清补兼施”等,贯穿整个诊治过程;得出鲍老治疗该病的常用药对、核心组合,并由此得出鲍老的用药规律,中药以补虚药、清热药、活血化瘀药、理气药为主,归经以肾肝脾为主等,从而为该病临床治疗提供依据。
[Abstract]:Objective to collect and sort out the clinical cases of teacher Bao Yan-zhong 's treatment of idiopathic oligozoospermia, and use statistics and data analysis to reveal the rule of drug use in the treatment of idiopathic oligozoospermia.In order to summarize its academic thought of treating idiopathic oligozoospermia, improve the clinical effect of TCM differentiation and treatment of idiopathic oligozoospermia, and better inherit and develop the cause of Chinese medicine.Methods in this study, by consulting the literature related to teacher Bao Yan-zhong 's clinical experience in clinical practice and other methods,From June 2014 to June 2016, Baolao collected idiopathic oligozoospermia related cases in the outpatient clinic of Reproductive Department of Hangzhou Red Cross Hospital, and selected 171 effective patients, a total of 1008 visits.The basic information of patients was input into the excel2010 database and the SPSS 20.0 system was imported.By means of frequency statistics and cluster analysis, this paper discussed the law of Baolao's treatment of idiopathic oligozoospermia, and summarized the academic thought experience of Baolao's treatment of idiopathic oligozoospermia.Result 1.Summarize 4 points Baolao diagnosis and treatment of idiopathic oligozoospermia. 2. 2.The drug frequency and classification of 114 Chinese medicines involved in 1008 prescriptions were obtained; 51 core drugs and their taste, medicinal properties and meridians were obtained; and the core combinations of common drug pairs and high frequency drugs of each syndrome type were obtained.Conclusion in this study, the academic thought and drug use of teacher Bao Yan-zhong in the treatment of idiopathic oligozoospermia were preliminarily studied.The main academic thoughts of Bao Lao, including "five consultations and ginseng, especially the tongue", "responsibility to the kidney, to the liver and spleen", "first to tonify the kidney, to regulate the liver and spleen, and to clear and nourish the spleen", run through the whole process of diagnosis and treatment.The common drug pair and core combination of Baolao treatment for the disease were obtained, and the law of Baolao's medication was obtained. The traditional Chinese medicine consisted of tonifying deficiency medicine, clearing away heat, activating blood circulation and removing blood stasis, mainly regulating qi, and returning to the meridian as the main medicine, such as kidney, liver and spleen, etc.So as to provide the basis for the clinical treatment of the disease.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R277.5

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