李小娟教授治疗消渴合并郁病经验总结
发布时间：2018-08-07 14:38
【摘要】：糖尿病合并抑郁症是指患糖尿病(DM)之后出现的抑郁症,主要表现为精神抑郁、情绪悲观、思维迟缓、兴趣减退等。本病在临床中十分常见,可见于糖尿病的任何时期,中医将本病归属为“消渴合并郁病”范畴。吾师李小娟教授从医近三十年,勤求古训,博采众方,根据多年临床经验,将消渴合并郁病定为本虚标实之证,本虚者:以气虚、阴虚为本,并贯穿疾病的各个阶段;标实者:痰浊、瘀血、热邪等病理产物,三者相互博结,气血津液运行不畅,结于胸膈、清窍,而出现精神抑郁、表情淡漠,喜欢独处,易哭或精神亢奋、性情急躁、心烦易怒、不寐等临床表现。李小娟教授主张以化痰瘀、调气血为本病的基本治疗原则,以靶向辨证为本病的辨治思想,临床疗效显著。目的:探究李小娟教授辨证治疗消渴合并郁病的临床经验,进行归纳与总结。材料与方法:通过跟师,进行临床学习并收集相关病例,进而了解导师对消渴合并郁病的中医病因病机的看法、辨证论治、及临床用药规律,最终分析总结出导师治疗消渴合并郁病的临证经验。结果:1.李小娟教授认为消渴合并郁病病位在于肝、脾两脏,病机特点为本虚标实。本虚为:气阴两虚;标实为:痰浊、瘀血、热邪等病理产物,三者相互博结,气血津液运行不畅,结于胸膈、清窍。2.李小娟教授认为,消渴日久,发为郁病,标实的“痰瘀”贯穿本病始末。痰浊与瘀血不仅是病理产物,又可作为致病因素加重本病病情。3.李小娟教授主张以化痰瘀、调气血为本病的治疗原则,以靶向辨证为本病的辨治思想,治疗上主张效方加效药,善用经典,疗效显著。结论:李老师主张化痰瘀、调气血治疗消渴合并郁病,临床疗效显著,具有临床指导意义,值得广泛应用。
[Abstract]:Diabetes mellitus combined with depression refers to depression after suffering from diabetes mellitus (DM), mainly manifested in mental depression, emotional pessimism, slow thinking, decreased interest and so on. This disease is very common in clinical practice, can be seen in any period of diabetes, Chinese medicine classified the disease as "Xiaoke combined with depression" category. Professor Li Xiaojuan, my teacher, has been in medicine for nearly 30 years, often seeking ancient admonition and collecting many prescriptions. According to the clinical experience of many years, the combination of thirst and depression is regarded as the syndrome of deficiency of essence and reality, which is based on deficiency of qi, deficiency of yin, and runs through every stage of the disease; Standard solid: phlegm turbid, blood stasis, heat evil and other pathological products, the three mutual knot, blood and fluid flow is not smooth, knot in chest diaphragm, clear orifices, and appear mental depression, expression indifferent, like to be alone, easy to cry or hyperactive, temperament irritable, Perturbed irritability, insomnia and other clinical manifestations. Professor Li Xiaojuan advocates the basic treatment principle of resolving phlegm and blood stasis, regulating qi and blood as the basic treatment principle and the thought of differentiating and treating the disease with the aim of syndrome differentiation, and the clinical curative effect is remarkable. Objective: to explore the clinical experience of professor Li Xiaojuan in treating thirst with depression. Materials and methods: through clinical study and collection of related cases, the tutor's views on TCM etiology and pathogenesis, syndrome differentiation and treatment, and clinical drug use were studied. Finally, the clinical experience of the tutor in the treatment of Xiaoke combined with depression was summarized. The result is 1: 1. Professor Li Xiaojuan thinks that the location of Xiaoke combined with depression lies in the liver and spleen. This deficiency is: deficiency of qi and yin; standard is: phlegm turbidity, blood stasis, heat evil and other pathological products, the three mutually abundant knot, Qi and blood body fluid operation is not smooth, knot in chest diaphragm, clear orifices. 2. Professor Li Xiaojuan believes that the long period of thirst, hair depression, the standard "phlegm and blood stasis" throughout the disease. Phlegm turbidity and blood stasis are not only pathological products, but also can be used as pathogenic factors to aggravate the disease. Professor Li Xiaojuan advocated the principle of resolving phlegm and blood stasis, regulating qi and blood as the principle of treating this disease, and treating the disease with the aim of differentiation of symptoms and signs. Conclusion: teacher Li advocated resolving phlegm and blood stasis, regulating qi and blood to treat thirst with depression.
【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;R255.4;R277.7
，
本文编号：2170342
[Abstract]:Diabetes mellitus combined with depression refers to depression after suffering from diabetes mellitus (DM), mainly manifested in mental depression, emotional pessimism, slow thinking, decreased interest and so on. This disease is very common in clinical practice, can be seen in any period of diabetes, Chinese medicine classified the disease as "Xiaoke combined with depression" category. Professor Li Xiaojuan, my teacher, has been in medicine for nearly 30 years, often seeking ancient admonition and collecting many prescriptions. According to the clinical experience of many years, the combination of thirst and depression is regarded as the syndrome of deficiency of essence and reality, which is based on deficiency of qi, deficiency of yin, and runs through every stage of the disease; Standard solid: phlegm turbid, blood stasis, heat evil and other pathological products, the three mutual knot, blood and fluid flow is not smooth, knot in chest diaphragm, clear orifices, and appear mental depression, expression indifferent, like to be alone, easy to cry or hyperactive, temperament irritable, Perturbed irritability, insomnia and other clinical manifestations. Professor Li Xiaojuan advocates the basic treatment principle of resolving phlegm and blood stasis, regulating qi and blood as the basic treatment principle and the thought of differentiating and treating the disease with the aim of syndrome differentiation, and the clinical curative effect is remarkable. Objective: to explore the clinical experience of professor Li Xiaojuan in treating thirst with depression. Materials and methods: through clinical study and collection of related cases, the tutor's views on TCM etiology and pathogenesis, syndrome differentiation and treatment, and clinical drug use were studied. Finally, the clinical experience of the tutor in the treatment of Xiaoke combined with depression was summarized. The result is 1: 1. Professor Li Xiaojuan thinks that the location of Xiaoke combined with depression lies in the liver and spleen. This deficiency is: deficiency of qi and yin; standard is: phlegm turbidity, blood stasis, heat evil and other pathological products, the three mutually abundant knot, Qi and blood body fluid operation is not smooth, knot in chest diaphragm, clear orifices. 2. Professor Li Xiaojuan believes that the long period of thirst, hair depression, the standard "phlegm and blood stasis" throughout the disease. Phlegm turbidity and blood stasis are not only pathological products, but also can be used as pathogenic factors to aggravate the disease. Professor Li Xiaojuan advocated the principle of resolving phlegm and blood stasis, regulating qi and blood as the principle of treating this disease, and treating the disease with the aim of differentiation of symptoms and signs. Conclusion: teacher Li advocated resolving phlegm and blood stasis, regulating qi and blood to treat thirst with depression.
【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;R255.4;R277.7
，
本文编号：2170342
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