周鸿飞教授治疗中风后尿潴留的经验总结

发布时间：2018-06-28 16:33

  本文选题：中风 + 尿潴留　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：中风后尿潴留是临床上常见的症状,表现为尿液潴留于膀胱却不能排出。给患者造成痛苦的同时,还严重影响了患者病情的恢复。该病属于中医“癃闭”范畴,其主要是由于病后体虚,由于饮食不节,情志所伤,或瘀浊内停,外邪侵袭而引发的膀胱气化不利,小便闭塞不通。本文参考大量文献资料,在文献综述方面论述中医治疗中风后尿潴留的临床研究进展,包括针刺,灸法,中药及其他疗法对于本病的治疗效果。正文从传统医学和现代医学两方面论述了对于中风后尿潴留的认识后,主要从病因病机、证治特点和选穴特色方面论述周鸿飞教授针刺治疗本病的学术思想及其经验,并结合病房典型病例进行探讨。周鸿飞教授认为中风后尿潴留的病位主要在膀胱,但与肺、肝、脾、肾关系密切,其病机主要在于气虚不化,阴虚生热,瘀血阻内,最终导致膀胱气化不利而引起的小便不利。周教授认为本病虽有实象,却因发于中风之后而多为虚证或本虚标实之证。故以“益气开窍”为法,通利同时补气,祛邪不忘扶正,以恢复膀胱气化功能,使得小便通畅。在“因人制宜”和“因证治宜”的治疗基础上,以强刺激至阴穴为治疗特点,激发膀胱经气,通利经脉气血,取得了令人满意的疗效,深受广大患者的好评。
[Abstract]:Urinary retention after stroke is a common clinical symptom characterized by urinary retention in the bladder but not excreted. To the patient caused pain, but also seriously affected the patient's recovery. The disease belongs to the category of "dysphagia", which is mainly due to the deficiency of body after the disease, because the diet is not good, the emotion is injured, or the blood stasis is stopped inside, the bladder gasification caused by the invasion of external pathogens is unfavorable, and the urination is blocked and impassable. This article, referring to a large number of literature, discusses the clinical research progress of TCM in the treatment of urinary retention after stroke, including acupuncture, moxibustion, Chinese medicine and other treatments for the treatment of this disease. The text discusses the understanding of urinary retention after stroke from two aspects of traditional medicine and modern medicine, and mainly discusses the academic thought and experience of Professor Zhou Hongfei in the treatment of this disease from the aspects of etiology and pathogenesis, characteristics of syndrome and treatment and characteristics of acupoint selection. The typical cases in the ward were discussed. Professor Zhou Hongfei thinks that the disease position of urinary retention after stroke is mainly in the bladder, but it is closely related to lung, liver, spleen and kidney. Its pathogenesis mainly lies in the deficiency of qi, yin deficiency and heat, and blood stasis, which ultimately leads to the unfavorable urination caused by bladder gasification. Professor Zhou believes that although the disease is real, it occurs after a stroke and is usually due to deficiency or deficiency. Therefore, "Yiqi Kai orifices" as a method, Tongli at the same time tonifying qi, dispelling evil do not forget to correct, in order to restore the function of bladder gasification, make the urine smooth. On the basis of the treatment of "according to the conditions of people" and "treating due to syndrome", the strong stimulation of acupoint to yin was used to stimulate the bladder meridian qi and blood, and the curative effect was satisfactory, which was well received by the majority of patients.
【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】：R249;R277.7
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本文编号：2078643