健脾凉血法治疗放射性直肠炎经验总结及文献证治规律研究

发布时间：2018-06-18 09:52

本文选题：放射性直肠炎 + 中医药治疗　；参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:对导师应用健脾凉血法治疗放射性直肠炎进行经验总结,并通过文献研究总结中医在辨证治疗放射性直肠炎的中医临床治疗方法及用药规律。材料与方法:整理导师临床治疗放射性直肠炎病例,分析临床疗效与用药规律,总结临床诊治思路与用药经验。检索中国知网数据资源库(CNKI)、万方全文数据库,归纳整理了中医药治疗放射性直肠炎相关内容,重点分析目前有关中医辨证治疗及用药规律。结果:1.放疗为外感火热邪气,以热毒蕴结,耗气伤阴,损伤脾胃为基本病机。健脾凉血法是治疗放射性直肠炎的基本大法。清热解毒,凉血止血以地榆、槐花、白头翁、败酱草;脾胃虚弱以四君子汤加减,用药慎用温补。2.筛选出135篇涉及治法方药的文献,研究结果表明,临床治疗放射性直肠炎以清热凉血止血,补虚理气为主,常用经典方剂以白头翁汤、葛根芩连汤、参苓白术散为主,常用中药茯苓、黄连、白头翁、地榆、槐花、白术等。结论:放疗属外感火热邪气,病机热毒蕴结,耗气伤阴,损伤脾胃;结合文献证治规律研究证实健脾凉血法是治疗放射性直肠炎的基本大法。
[Abstract]:Objective: to summarize the experience of treating radioactive proctitis with the method of invigorating spleen and cooling blood, and to summarize the clinical treatment method and drug use rule of TCM in treating radioactive proctitis according to syndrome differentiation. Materials and methods: the clinical treatment of radiation proctitis was treated by tutor, the clinical curative effect and drug use rule were analyzed, and the clinical diagnosis and treatment thought and medication experience were summarized. To search the CNKI database and Wanfang full-text database, the related contents of traditional Chinese medicine in the treatment of radioactive proctitis were summarized, and the current law of TCM syndrome differentiation and drug use was analyzed. The result is 1: 1. Radiation therapy is external fiery heat evil gas, heat toxin accumulation knot, gas consumption injury Yin, damage spleen and stomach as the basic pathogenesis. The method of invigorating the spleen and cooling the blood is the basic method for the treatment of radioactive proctitis. Clearing heat and detoxification, cooling blood to stop bleeding with elm, Sophora japonica, Radix Pulsatilla, Prunus vulgaris; spleen and stomach weakness with Sijunzi decoction reduced, medication caution to warm up. 2. One hundred and thirty-five articles of literature related to the treatment of traditional Chinese medicine were selected. The results showed that the clinical treatment of radioactive proctitis was to clear heat, cool blood and stop bleeding, replenish deficiency and regulate qi, and commonly used classical prescriptions such as Baitouweng decoction, Gegen Qinlian decoction, Shenling Baizhu Powder, etc. Traditional Chinese medicine Poria cocos, Coptis, Weng, Ulmus pumila, Sophora japonica, Atractylodes macrocephala and so on. Conclusion: radiation therapy belongs to external fiery heat and evil gas, the pathogenesis of which is heat toxin accumulation, qi consumption and Yin injury, and spleen and stomach injury, combined with the study of the law of syndrome and treatment of literature, it is proved that the method of invigorating spleen and cooling blood is the basic method for the treatment of radioactive proctitis.
【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;R249

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