杨善栋教授治疗老年病经验及培元通脑方治疗肾虚血瘀型急性缺血性中风30例临床观察

发布时间：2018-06-19 05:29

本文选题：杨善栋教授 + 扶阳育阴　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：目的:杨善栋教授从事中医临床40余年,先生自幼勤学好问,博览医书,集思广益,勤求古训,经过40余年的临床实践,逐渐形成其特有的诊疗思路与方法,尤其在诊治老年病、妇科病方面有独特的疗效,因此研究总结杨善栋教授的学术思想及临床经验有重要的意义。本文从病因病机、治疗方法、验案举例等方面介绍杨善栋教授“扶阳育阴”为特色治疗老年病经验,指出:阳气不足、阴液亏虚是老年人衰老和患病的关键要素,老年人的健康和长寿主要依赖于自身阳气的充足和阴阳的平衡,提出以“扶阳育阴”为主的治疗老年病方法,并前瞻性研究“扶阳育阴方剂”—“培元通脑方”对肾虚血瘀型急性缺血性中风的临床疗效观察。方法:1.通过文献检索,查阅专著及跟师侍诊对杨善栋教授的经验进行归纳、总结、提炼。2.将60例肾虚血瘀型急性缺血性中风患者随机分为治疗组30例,对照组30例;治疗组给予培元通脑方,结合西医抗血小板聚集、调脂、脑保护等治疗;对照组30例单纯应用西医治疗,观察两组患者治疗前后临床神经功能缺损程度评分、日常生活活动能力评分的变化。结果:1.杨善栋教授治疗老年病主要学术思想:扶阳育阴法治疗老年病、疑难杂症、慢性顽固性疾病,拟方多选用“附子”等善扶阳者为主,配合应用“地黄、山茱萸、枸杞”等育阴之品,往往能起沉疴,疗顽疾。2.治疗组神经功能缺损评分及日常生活能力评分均较对照组显著改善,明显减少了患者致残率、致死率,两组比较差异有统计学意义。结论:杨善栋教授辛勤耕耘40余年,积累了丰富的临床经验,本研究旨在总结杨善栋临床经验和学术思想,并通过研究扶阳育阴方剂—培元通脑方治疗肾虚血瘀型急性缺血性中风中的疗效观察,发现其可显著改善肾虚血瘀型急性缺血性中风的神经功能缺损和日常生活能力。
[Abstract]:Objective: Professor Yang Shandong has been engaged in traditional Chinese medicine for more than 40 years. Mr. Yang Shandong has been working diligently and diligently, reading medical books, thinking about medical books and seeking ancient training. After more than 40 years of clinical practice, he has gradually formed its unique thinking and method of diagnosis and treatment, especially in the diagnosis and treatment of geriatric diseases and gynecologic diseases. Therefore, the academic thoughts of Professor Yang Shandong are summarized and summarized. The clinical experience is of great significance. This article introduces professor Yang Shandong's experience in treating geriatric diseases from the aspects of etiology, pathogenesis, treatment and case case, and points out that the deficiency of Yang Qi and deficiency of the Yin liquid are the key elements of aging and disease of the elderly, and the health and longevity of the elderly depend mainly on the adequacy of their own Yang Qi. The balance of yin and Yang, put forward the treatment of senile disease mainly by "Fu Yang Yu Yin", and prospectively study the clinical efficacy of "Fuyang Yuyin prescription" - "Pei Yuan Tong brain recipe" for acute ischemic stroke of kidney deficiency and blood stasis. Method: 1. through literature retrieval, consulting the monographs and following the experience of Professor Yang Shandong with the teacher's service. 60 cases of acute ischemic stroke of kidney deficiency and blood stasis type were randomly divided into 30 cases in the treatment group and 30 cases in the control group. The treatment group was given the treatment of the anti platelet aggregation, lipid regulating and brain protection in the treatment group, and the 30 cases in the control group were treated with western medicine only, and the clinical neurological deficit scores of the two groups were observed before and after the treatment of the two groups. Results: 1. the main academic thoughts of Professor Yang Shandong in the treatment of geriatric diseases: the Fuyang Yuyin method is used to treat senile disease, difficult and complicated disease, chronic stubborn disease. 2. the scores of nerve function defect and daily life ability of the treatment group were significantly improved, and the rate of disability and mortality of the patients were significantly reduced. The difference between the two groups was statistically significant. Conclusion: Professor Yang Shandong worked hard for more than 40 years and accumulated rich clinical experience. This study aims to summarize the clinical experience and academic ideas of Yang Shandong. By studying the curative effect of Fuyang Yuyin prescription - Pei Yuan Tong Nao Fang on acute ischemic stroke of kidney deficiency and blood stasis type, it is found that it can significantly improve the nerve function defect and daily life ability of acute ischemic stroke of kidney deficiency and blood stasis type.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R255.2

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