基于一气周流理论探析多囊卵巢综合征的病机及王昕教授经验总结

发布时间：2018-05-03 12:36

  本文选题：多囊卵巢综合征 + 病机　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：黄元御(1705-1758),清代乾隆年间著名医家,非常推崇《内经》、《难经》、《伤寒论》、《金匮要略》等经典著作,并继承阴阳学说、五行学说、六气学说以及气化学说,将其精髓融会贯通于一体,结合多年临床确践广闻、心悟体会,著有《四圣心源》,诸多章目共谱“土枢四象、一气周流”之理,执简驭繁,举纲目张,在临床应用中可有效地指导疾病的辨证论治。多囊卵巢综合征临床证候复杂多样,病机变化多端,各家对此各执一词,众说纷纭,临床不易辨治。笔者试从“一气周流”角度入手,从最本质的气的层次探析多囊卵巢综合征的病机,初步将本病病机归为水寒、土湿、木郁,尤以水寒土湿为根本。脏腑功能失调必会导致气机升降运转失序,从而产生各式病理状态。脾肾阳虚日久,导致阳不制阴,阴阳失衡与气机逆乱恶性循环,妄生痰湿、血瘀。病理产物与气机郁滞互成鬼使,人体自难复康。故临证诊治多囊卵巢综合征时,可依据“一气周流”理论,温水寒、燥脾土、疏木气的同时,结合具体情况灵活辨证论治,修复源头的同时处理显现情况,帮助一气运转起来,实现治本与对症共举,使人体阴阳气血随着“周流之气”按部就班地各行其道、各使其责,以致土枢四象、一气周流、阴阳相济、气血归和。笔者试从“一气周流”入手,从根本论述,以气的角度剖析多囊卵巢综合征的病机,研学导师多年临床诊疗经验,试为临床中多囊卵巢综合征的辨治提供更广阔的论治方向及思路。
[Abstract]:Huang Yuan-yu (1705-1758), a famous physician in the Qianlong period of the Qing Dynasty, highly respected classical works such as the Internal Classic, the difficult Classic, the Theory of febrile Diseases, the synopsis of the Golden Chamber, and inherited the theory of Yin and Yang, the five elements, the six Qi Theory and the Theory of Gasification, so as to integrate its essence into one. Combined with many years of clinical experience, the author of "four saints heart source", many chapters of the common spectrum of "earth pivot four images, one gas around the flow" of the principle, hold simple and complex, the program can effectively guide the clinical application of the disease dialectical treatment. The clinical syndrome of polycystic ovary syndrome is complicated and varied. The author tries to analyze the pathogenesis of polycystic ovary syndrome (PCOS) from the point of view of "one-gas circulation" and from the most essential level of qi, and initially classify the pathogenesis of the disease as water cold, soil wet, wood depression, especially water cold and soil dampness as the fundamental. The disorder of the viscera function will lead to the disorder of the ascending and descending movement of the gas engine, which will result in various pathological states. Spleen and kidney yang deficiency for a long time, leading to yang do not control yin, yin-yang imbalance and qi-qi reverse chaos vicious circle, sputum and dampness, blood stasis. Pathological products and qi stagnation mutual into ghosts, the human body is difficult to recover. Therefore, in the diagnosis and treatment of polycystic ovary syndrome, according to the theory of "one-gas circumfluence", warm water cold, dry spleen soil, thinning wood and qi, combined with specific conditions, can be treated with flexible differentiation of symptoms and signs, and at the same time, when repairing the source, it can deal with the appearing situation and help the one-gas to run. To achieve the treatment of the root causes and symptomatic treatment, so that the human body with the "circumfluence of Qi" according to their own ways, each of their responsibilities, so that the earth pivoting four elephants, one gas flow, Yin and Yang together, Qi and blood return to harmony. The author tries to analyze the pathogenesis of polycystic ovary syndrome (PCOS) from the point of view of qi from the point of view of "one gas circulation", and the experience of clinical diagnosis and treatment of polycystic ovary syndrome is many years. The aim is to provide a broader approach to the treatment of polycystic ovary syndrome (PCOS).
【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】：R249;R271.9
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本文编号：1838507