董波教授“从气论治”冠心病学术思想总结

发布时间：2018-06-19 09:43

本文选题：冠心病 + 心绞痛　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目的:通过回顾性分析方法,探究冠心病病机变化规律,并归纳总结董波教授“从气论治”冠心病学术思想。材料与方法:通过对2008-2015年间,5250例冠心病住院患者中医证型及中医证素所占构成比进行回顾性调查研究,采用双人双录法建立Excel数据库,通过统计、分析所有的调查数据,建立专用数据库,统计各个证型及证素出现的频次、频率,以探究冠心病中医病机演变规律。并通过收集、分析导师临床资料,归纳、总结董波教授“从气论治”冠心病学术思想,包括疾病分期,辨证论治要点以及自拟方剂。结果:1.回顾性分析中医证型分析中,冠心病心绞痛所占比例最高的中医证型为气阴两虚兼血瘀证,达37.15%;慢性心力衰竭所占比例最高的中医证型为为阳虚水泛证,达29.31%。2.回顾性分析中医证素分析中,虚证类所占构成比最高的分别是冠心病心绞痛气虚达47.81%;慢性心力衰竭阳虚达47.91%。实证类所占构成比最高的分别是冠心病心绞痛血瘀,达88.69%;慢性心力衰竭水饮,达45.44%。各个时期病理产物各异,冠心病心绞痛期以气滞、痰浊、血瘀为主,慢性心力衰竭期以水饮、血瘀为主。3.董波教授通过回顾性分析,指出冠心病病理基础为“心气不足”,将冠心病分为三个时期,以“本虚标实”发展至“本虚偏盛”为其病机演变过程。故提出“从气论治”冠心病学术思想,以“初期和气、中期补气行气、后期益气”为治疗原则,并自拟中药汤剂进行治疗。结论:1.通过回顾性分析得出结论:冠心病总属本虚标实之证,以“本虚标实”发展至“本虚偏盛”为其病机演变过程。中医证素气虚在整个疾病过程中占较大比重,各个时期病理产物各异。2.董波教授提出“从气论治”冠心病新思想,认为心气不足贯穿冠心病始终。3.董波教授认为冠心病治疗原则以“初期和气、中期补气行气、后期益气”为主。4.董波教授根据冠心病不同时期各自病机特点,自拟方药辨治冠心病。
[Abstract]:Objective: to explore the regularity of pathogenesis of coronary heart disease by retrospective analysis, and summarize professor Dong Bo's academic thought of treating coronary heart disease from Qi. Materials and methods: by retrospective investigation of TCM syndromes and the proportion of TCM syndromes in 5250 inpatients with coronary heart disease (CHD) from 2008 to 2015, Excel database was established by double recording method, and all the investigation data were analyzed by statistics. To establish a special database and count the frequency and frequency of syndromes and syndromes in order to explore the evolution of TCM pathogenesis of coronary heart disease. Through collecting and analyzing the clinical data of tutor, summarizing Professor Dong Bo's academic thought of "treating coronary heart disease from Qi", including stages of disease, main points of syndrome differentiation and treatment, and self-prescription. The result is 1: 1. Retrospective analysis of TCM syndrome type analysis, coronary heart disease angina pectoris accounted for the highest proportion of TCM syndromes for qi and yin deficiency and blood stasis syndrome, up to 37.15; chronic heart failure accounted for the highest proportion of TCM syndromes is Yang deficiency and water flooding syndrome, up to 29.31. 2. In the retrospective analysis of TCM syndromes, the highest proportion of deficiency syndrome was found in angina pectoris of coronary heart disease (CHD) and chronic heart failure (CHF). The highest proportion of the components were coronary heart disease angina pectoris blood stasis up to 88.69; chronic heart failure water drink up to 45.4445. The pathological products vary from stage to stage. Angina pectoris of coronary heart disease is mainly composed of Qi stagnation, phlegm turbidity, blood stasis, and chronic heart failure is mainly water drink and blood stasis. Through retrospective analysis, Professor Dong Bo points out that the pathological basis of coronary heart disease is "deficiency of heart qi", which divides coronary heart disease into three periods. Therefore, the author puts forward the academic thought of "treating coronary heart disease from Qi", taking "initial harmony, invigorating Qi in the middle period, replenishing Qi in later period" as the treatment principle, and making the Chinese medicine decoction to treat it. Conclusion 1. Through retrospective analysis, it is concluded that coronary heart disease is always the syndrome of the original deficiency and the standard reality, and its pathogenesis evolves from "the deficiency of the original deficiency to the deficiency of the deficiency" to "the deficiency of the original deficiency and the excess of the natural deficiency". Deficiency of qi in TCM syndromes occupies a large proportion in the whole process of the disease, the pathological products of each stage are different. 2. 2. Professor Dong Bo put forward the new idea of "treating coronary heart disease from Qi", and thought that deficiency of heart qi ran through coronary heart disease all the time. Professor Dong Bo believes that the principle of coronary heart disease treatment is "primary harmony qi, medium-term reinforcing qi, late-stage invigorating qi". 4. 4. Professor Dong Bo according to the different periods of coronary heart disease their pathogenesis characteristics, self-prescription treatment of coronary heart disease.
【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;R259

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