运用“透热转气”思想从“毒”论治急性冠脉综合征

发布时间：2018-06-06 12:13

本文选题：毒 + 急性冠脉综合征　；参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:明确“毒”的概念,梳理“毒”的源流,探寻“毒”的来源,区分“毒”的种类;探寻急性冠脉综合征中医“毒”邪致病的病因病机及辨证施治规律,提出新的治法,充分发挥中医药在预防和治疗疑难疾病上的优势和特色,为中药治疗急性冠脉综合征提供理论依据。材料与方法:通过查阅文献,阅读经典,临床试验,以中医理论为基础,并与导师多年临床经验相结合,借鉴叶天士“入营犹可透热转气”的治疗思想,透毒外出,打通药物与毒邪之间的障碍,使药物直接作用于毒邪,从“毒”论治急性冠脉综合征。以下为研究内容:1.关于“毒”的研究1.1“毒”的含义及源流1.2“毒”的致病特点1.3“毒”与急性冠脉综合征的关系2.运用“透热转气”思想从“毒”论治急性冠脉综合征的方法2.1急性冠脉综合症的病因病机2.2“透热转气”思想概述2.3从“毒”论治急性冠脉综合征的方法结果:1.毒有外感内生之分,急性冠脉综合征为内生之毒。寒邪侵袭、饮食不节、情志失调、劳倦内伤、年迈体虚皆是本病发生的诱因,也是毒邪产生的基础,气血不畅,脏腑功能异常,导致“痰”、“瘀”、“热”相互胶结,反复发作,迁延难愈,其证属本虚标实。2.急性冠脉综合征是在心的气血阴阳不足或肝脾肺肾失调的基础上,兼有“痰”、“瘀”、“热”等病理产物阻于心脉,相互搏结,导致病情迁延难愈,病位深疴,发病急骤,变化复杂,极易引起病情恶化,危及患者生命。故运用叶天士“透热转气”的思想,从治疗“毒”的角度,透邪外出,打通药物与毒邪之间的障碍,使药物直接作用于毒邪,以治疗急性冠脉综合征。结论:1.心脉痹阻,肝、脾、肺、肾功能失调是急性冠脉综合征发生的基础,“痰”、“瘀”、“热”等毒邪致病,瘀阻心脉是导致病情急骤,变证丛生,迁延难愈的主要因素。痰瘀热三者相互搏结是急性冠脉综合征的病理基础,对发病起主导作用,属本虚标实,虚实夹杂之证。2.运用“透热转气”的思想,从“毒”论治急性冠脉综合征。通过类似打破营卫之间障碍的方法,透邪外出,打通药物与毒邪之间的障碍,使药物直接作用于毒邪,以达到治疗的目的,为急性冠脉综合征的中医治疗提供理论依据,拓展急性冠脉综合征治疗的新思路。
[Abstract]:Objective: to clarify the concept of "poison", comb the source of "poison", explore the source of "poison", distinguish the type of "toxin", explore the etiology, pathogenesis and treatment law of TCM "toxin" evil in acute coronary syndrome, and put forward new treatment methods. To give full play to the advantages and characteristics of traditional Chinese medicine in the prevention and treatment of difficult diseases and to provide theoretical basis for the treatment of acute coronary syndrome. Materials and methods: by consulting literature, reading classics, clinical trials, based on the theory of traditional Chinese medicine, and combining with the clinical experience of many years, Ye Tianshi's treatment thought of "heat permeating heat can still be transferred to Qi" was used for reference, and the drug permeation went out. To clear the obstacle between drug and toxin evil, make drug act directly on toxin evil, treat acute coronary syndrome from poison. The following is the research content: 1. Study on the meaning of "toxin" 1.1. The relationship between "toxin" and Acute Coronary Syndrome (ACS). The method of treating Acute Coronary Syndrome with the thought of "Heat Transforming Qi" 2.1 the etiology and Pathogenesis of Acute Coronary Syndrome (ACS) 2.2.The thought of "transpiring Heat from Heat to Qi" 2.3 the result of treatment of Acute Coronary Syndrome by "toxin": 1: 1. The acute coronary syndrome is endogenetic. The invasion of cold evil, unhealthy diet, emotional disorder, tired internal injury, aging and deficiency of body are all the inducements of the disease and the basis for the production of toxic evil. The disorder of qi and blood, abnormal function of viscera and organs lead to mutual cementation of "phlegm", "stasis" and "heat". Repeated attacks, the delay is difficult to heal, its syndromes belong to the original virtual standard. 2. Acute coronary syndrome is based on deficiency of Qi, blood, yin and yang in the heart, liver, spleen, lung and kidney disorders, and has pathological products such as "phlegm", "blood stasis", "heat" and other pathological products that block the heart pulse and fight each other, leading to the prolonged and difficult recovery of the condition, deep disease, and sudden onset of disease. The changes are complex and can easily lead to the deterioration of the disease and endanger the life of the patient. Therefore, using Ye Tianshi's thought of "heat permeating and transforming qi", from the perspective of treating "poison", the permeating evil goes out, and the obstacle between drug and toxin evil is cleared up, so that the drug can directly affect the toxin evil to treat acute coronary syndrome. Conclusion 1. The maladjustment of heart and veins, liver, spleen, lung and kidney is the basis of acute coronary syndrome. Phlegm, blood stasis and heat are the main factors that lead to acute sudden disease, numerous syndromes, and difficult recovery. Phlegm, stasis and heat are the pathological basis of acute coronary syndrome and play a leading role in the pathogenesis of acute coronary syndrome. By using the idea of "heat permeating and changing qi", acute coronary syndrome was treated from "toxin". Through the similar method of breaking the barrier between Ying and Wei, go out through evil, clear the obstacle between drug and toxin evil, make the drug act directly on toxin evil, in order to achieve the purpose of treatment, and provide the theoretical basis for TCM treatment of acute coronary syndrome. To develop a new approach to the treatment of acute coronary syndrome.
【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】：R259

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