李德新教授从脾论治眩晕的经验撷萃
发布时间:2018-05-21 03:24
本文选题:眩晕 + 从脾论治 ; 参考:《辽宁中医药大学》2017年硕士论文
【摘要】:目的:通过跟师学习了解李德新教授中医辨治眩晕的诊治经验,临证时遣方用药的特点,及对本病的预防。方法:1.查阅对眩晕病因病机认识,治疗时遣方用药特点及对本病积极预防相关方面的古今文献,了解眩晕的古今研究进展。2.收集整理李师治疗眩晕病例,经与文献对比,分析整理,从而得出李德新教授治疗眩晕的经验。结果:1.李师认为,眩晕为病,多责于风、痰、虚三个方面,而风、痰、虚三者,实为眩晕病病机发展至不同阶段所产生的病理变化及病理产物,强调眩晕发生的主要病脏在肝、脾、肾,但其根本是后天充养不足,后天不足亦可导致先天失养。2.李师认为,中医学中的眩晕与现代医学中的眩晕有所区别,中医学的眩晕往往独自为病。然而,眩晕之病因病机虽错综复杂,但概括言之,其本宗不离虚、实二字,多属虚中之虚或虚中之实。临床论治时,要分清虚实之关键,从而运用或补或泻之法,辨证施治,方可获效。3.李师临证治疗眩晕时,对于主病脏在肝者,用药避免刚烈之品,而用滋润之药;对于主病脏在脾者,健脾和胃的同时,兼顾祛痰燥湿,常以半夏白术天麻汤为基础方;对于主病脏在肾者,宜补肝益肾,益精填髓,同时补益脾胃,以后天养先天,以左归丸为基础方。结论:1.眩晕发生的主要病脏在肝、脾、肾,其根本是后天充养不足。而风、痰、虚三者,实为反应眩晕病理变化的病理产物。2.眩晕为病,虚实夹杂,但多因虚致病,分清虚实之关键,选相应补泻之法。3.临证治疗时,抓住眩晕为病之主脏,将肝、脾、肾三脏并调的宗旨贯穿其中,善于顾护脾胃,善用经方,对症施法,精炼巧妙。
[Abstract]:Objective: to understand the experience of professor Li Dexin in the diagnosis and treatment of vertigo, the characteristics of prescribing medicine and the prevention of the disease. Method 1: 1. To understand the etiology and pathogenesis of vertigo, the characteristics of prescribing drugs and the relevant literature on prevention of vertigo, and to understand the research progress of vertigo. 2. The experience of professor Li Dexin in the treatment of vertigo was obtained by collecting and sorting out the cases of vertigo treated by Li Shi and comparing with the literature. The result is 1: 1. Li Shi believes that vertigo is a disease, mostly responsible for wind, phlegm, and deficiency, and wind, phlegm, and vacuity are the pathological changes and pathological products produced by the pathogenesis of vertigo at different stages, emphasizing that the main diseases of vertigo occur in the liver and spleen. Kidney, but its fundamental is the acquired deficiency, acquired deficiency can lead to congenital loss. 2. Li Shi believes that vertigo in traditional Chinese medicine is different from vertigo in modern medicine. However, although the etiology and pathogenesis of vertigo are complicated, in general terms, the original form of dizziness is empty and solid, most of which belong to vacuity in vacuity or reality in vacuity. In clinical treatment, it is necessary to distinguish the key of deficiency and reality, so as to use or supplement or reduce the law, dialectical treatment, in order to achieve effectiveness. 3. When treating vertigo with the syndrome of Li Shi-lin, for those whose main disease is viscera in the liver, the medicine is used to avoid the strong and strong substance, and the medicine is used to moisturize the spleen, to strengthen the spleen and stomach, and at the same time, to dispel phlegm and dampness, and often take the Banxia Atractylodes Tianma decoction as the basic prescription; For the main disease in the kidney, it is appropriate to nourish the liver and nourish the kidney, tonify the marrow, replenish the spleen and stomach, and nourish the nature after the day, taking Zuogui Pill as the base. Conclusion 1. Vertigo occurs mainly in the liver, spleen, kidney, which is basically the acquired deficiency of nourishment. Wind, phlegm and deficiency are the pathological products of vertigo. Vertigo is a disease, empty and solid inclusion, but mostly due to the deficiency of illness, the key to distinguish the deficiency and reality, choose the corresponding method of reinforcing diarrhea. 3. In the treatment of clinical syndrome, we should grasp vertigo as the main organ of the disease, run through the purpose of liver, spleen and kidney, be good at protecting spleen and stomach, make good use of the prescriptions of the Meridian, apply the method to the syndrome and refine it skillfully.
【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;R255.3
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