基于明清时期医案产后痹辨治规律研究

发布时间：2018-04-17 17:43

本文选题：产后痹 + 辨证分型　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:通过对古代医案中产后痹的发病诱因、症状体征、所用方药进行研究,分析探讨产后痹证型与用药规律。方法:采用理论研究和医案研究相结合的方法。1.理论研究:结合近年相关书籍及文献,探讨产后痹的病因病机与治疗规律的关系。2.医案研究:查询检索电子出版软件《中华医典》医案部分,并利用Excle,Spss软件,对符合纳入标准的106例产后痹医案进行整理分析,将其分为不同证型,总结症状及用药规律。结果:1.理论研究发现产后体虚,邪气侵犯是产后痹的主要病机,驱邪扶正是产后痹的主要治法。产后痹可分为五种证型,分别为气血亏虚证、肝肾亏虚证、外邪侵袭证、瘀血阻络证、肝气不舒证五个证型。2.医案研究利用Excle软件及Spss软件的数据分析功能,分别得出:2.1产后痹的诱因频次:症状频次感寒2次、产育多胎2次、产后过劳2次等。2.2产后痹症状主要为:肢节疼痛48次、活动受限27次、腰酸痛27次、四肢麻木21次等。2.3产后痹的药物频次:当归68次、茯苓47次、白芍33次、桂枝26次等。2.4产后痹药物分类:补虚药37种、解表药18种、清热药22种、活血化瘀药14种等。结论1.产后痹的主要病机是经脉痹阻不通;产后痹的主要治法是扶正祛邪通络。2.产后痹的证型有:气血亏虚型、肝肾亏虚型、外邪侵袭型、瘀血阻络型、肝气不舒型。3.产后痹的发病诱因有感寒、产育多胎、产后过劳等。4.产后痹的常见症状主要是肢节疼痛、活动受限、腰酸痛、四肢麻木等。5.产后痹的常用药物主要有当归、茯苓、白芍、桂枝等。6.药物分类有补虚药、解表药、清热药、活血化瘀药等。
[Abstract]:Objective: to study the causes, symptoms and signs of postpartum arthralgia in ancient medical records, and to analyze the pattern of postpartum arthralgia syndrome and its drug use.Methods: the method of combining theoretical research with medical case study was used.Theoretical study: combined with relevant books and literature in recent years, to explore the etiology and pathogenesis of postpartum arthralgia and the relationship between treatment law. 2.Medical records research: the part of medical records of electronic publishing software "Chinese Medical Code" was searched, and 106 cases of postpartum arthralgia cases which were included in the standard were sorted out and analyzed by using the software of Excle-Spss, which were divided into different syndromes, symptoms and drug use rules.The result is 1: 1.Theoretical study found that postpartum body deficiency, invasion of evil qi is the main pathogenesis of postpartum arthralgia, exorcism is the main treatment of postpartum arthralgia.Postpartum arthralgia can be divided into five syndromes: deficiency of qi and blood, deficiency of liver and kidney, invasion of external evil, stagnation of blood and collaterals, and deficiency of liver qi.Based on the data analysis function of Excle software and Spss software, the results of medical record study showed that the inducement frequency of postpartum arthralgia was as follows: frequency of symptoms, frequency of cold, 2 times of birth and birth, and 2 times of postpartum overwork. 2.2 the main postpartum symptoms were: limb pain 48 times.Activity restriction 27 times, lumbar soreness 27 times, limb numbness 21 times. 2.3 drugs frequency of postpartum arthralgia: Angelica sinensis 68 times, Poria cocos 47 times, white peony arthralgia 33 times, Guizhi 26 times .2.4 postpartum medicine classification: tonifying and deficiency drugs 37, antitable drugs 18, heat clearing drugs 22,14 kinds of drugs for promoting blood circulation and removing blood stasis.Conclusion 1.The main pathogenesis of postpartum arthralgia is the obstruction of the meridian, and the main treatment of postpartum arthralgia is to strengthen the qi, dispel the evil and unblock the collaterals. 2.The syndrome types of postpartum arthralgia are: deficiency of qi and blood, deficiency of liver and kidney, invasion of external evil, obstruction of collaterals by blood stasis, and deficiency of liver-qi.The causes of postpartum arthralgia are cold, labor and labor.The common symptoms of postpartum arthralgia are limb pain, limited movement, pain in the waist, numbness of limbs, and so on.The commonly used drugs for postpartum arthralgia are angelica sinensis, Poria cocos, Radix Paeoniae Alba, Guizhi branch and so on.Drugs are classified as tonifying drugs, antitabular drugs, heat-clearing drugs, blood-activating drugs and so on.
【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】：2017
【分类号】：R249;R271.43

【相似文献】