张兰教授治疗女性更年期汗证临床经验总结

发布时间：2018-04-21 04:46

本文选题：更年期汗证 + 中医　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：在更年期综合征诸多内分泌、神经、精神等系统的一系列临床表现当中,汗证则较为突出,并且较为常见,很多情况下甚至以首发症状或者唯一临床症状发生。目前西医普遍认为更年期汗证的发生机制是由于雌激素分泌降低,导致相关的血管舒缩因子分泌异常,从而出现了汗出异常的临床症状。西医的治疗多采用激素替代疗法(hormone replacement therapy,HRT),随着研究深入则发现其存在一定隐患,因此患者接受度相对较低。中医药在更年期汗证的治疗方面疗效较为显著,受诸多患者认可。张兰教授从事内分泌疾病的临床治疗及科研工作数十载,临床中擅长个体化辨证论治,先辨脏腑后辨阴阳,整体分析患者病因病机,辨证准确后运用古方灵活加减进行治疗。张兰教授认为更年期汗证以心为标、肾为本,涉及肝脾,总属阴阳失衡,本文将从多方面对导师关于更年期汗证的病机辨证分析思路及临床治疗方法进行归纳概述。
[Abstract]:Among a series of clinical manifestations of climacteric syndrome, such as endocrine, nerve and mental systems, sweat syndrome is more prominent and more common. In many cases, even the first symptoms or the only clinical symptoms occur. At present, Western medicine generally thinks that the mechanism of climacteric sweating syndrome is due to the decrease of estrogen secretion, which leads to abnormal secretion of vasomotor and systolic and diastolic factors, thus presenting the clinical symptoms of abnormal sweating. Hormone replacement therapy is often used in the treatment of western medicine. With the further study, it is found that there are some hidden dangers, so the acceptance of patients is relatively low. Chinese medicine in menopausal sweating syndrome treatment is more significant, by many patients recognized. Professor Zhang Lan is engaged in the clinical treatment and scientific research of endocrine diseases for tens of years. He is good at individualized differentiation of symptoms and signs, first differentiating the viscera and then differentiating yin and yang, analyzing the etiology and pathogenesis of the patients as a whole, and using the ancient prescription to add and subtract flexibly after differentiation of symptoms and signs. Professor Zhang Lan thinks that climacteric sweating syndrome is based on heart, kidney, liver and spleen, and it belongs to the imbalance of yin and yang. This article will summarize the way of thinking and clinical treatment of supervisor's diagnosis and treatment of climacteric sweating syndrome from many aspects.
【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;R271.116

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