李小娟教授分阶段论治消渴病泄泻经验总结
发布时间：2018-08-09 12:16
【摘要】：目的:对李小娟教授临床诊断治疗消渴病泄泻的经验进行归纳总结,分析其学术思想、论治方法及常用方药经验,为临床疾病的治疗提供指导性参考。方法:在查阅和研究大量相关文献和资料的基础上,跟师出诊,参加医疗实践,认真观察并及时总结、积累其临床经验。结果:李小娟教授认为消渴病气阴两虚、阴损及阳而致脾肾两伤,是消渴病泄泻的发病基础;外感寒湿、过用寒凉苦寒、饮食不节、情绪波动是消渴病泄泻的诱发因素;而久病正气亏虚、瘀血阻络是消渴病泄泻反复发作、缠绵难愈的病根。消渴病泄泻的治疗过程中,根据消渴病泄泻的临床特点,借用妇科崩漏之“塞流、澄源、复旧”三法来分阶段论治:急则治其标,塞流即是止泻,是治疗消渴病泄泻的紧急措施;澄源即是正本清源,辨证论治,将消渴病泄泻分为脾胃亏虚、脾肾阳虚、湿热蕴结、肝郁犯脾四个证型,是治疗消渴病泄泻的根本手段;复旧即善后固本,是巩固泄泻缓解后的重要阶段。治疗过程中应以健脾祛湿补肾为主,同时由于糖尿病久病入络,故注意应用活血通络药物。结论:消渴病泄泻本虚标实,缓急分明,具有明显的阶段性,故分阶段论治是治疗消渴病泄泻的有效方法,值得在临床上推广,并进一步研究、完善。
[Abstract]:Objective: to summarize the experience of Professor Li Xiaojuan in clinical diagnosis and treatment of diarrhea of thirst disease, analyze its academic thought, treatment method and experience of common prescription and medicine, and provide guidance reference for the treatment of clinical disease. Methods: on the basis of consulting and studying a large number of relevant documents and materials, follow the teacher to visit, take part in the medical practice, observe and summarize in time, accumulate its clinical experience. Results: professor Li Xiaojuan thought that deficiency of qi and yin, damage of yang and spleen and kidney injury caused by Xiaoke disease were the basis of diarrhea, exogenous cold and dampness, excessive use of cold and cold, unsuitable diet, and emotional fluctuation were the inducing factors of diarrhea. And chronic disease deficiency of qi and blood stasis is the root of recurrent diarrhea and lingering disease. In the course of treatment of diarrhea, according to the clinical characteristics of diarrhea, three methods of gynecological leakage, such as "stopper flow, clear source, restoration of old", are used to treat the diarrhea in stages: if it is urgent, it will be treated as the standard, and the stoppage will be a stop to diarrhea. It is an urgent measure to treat diarrhea of thirst disease, that is to say, Chengyuan is the source of the disease and is treated by differentiation of symptoms and signs. The diarrhea of the disease is divided into four types: deficiency of spleen and stomach, deficiency of spleen and kidney yang, accumulation of dampness and heat, invasion of spleen by liver depression, which is the fundamental method for treating diarrhea of thirst disease. The restoration is the consolidation of the aftercare, is the consolidation of diarrhea relief after an important stage. In the course of treatment, invigorating spleen, dispelling dampness and tonifying the kidney, and applying drugs of activating blood circulation and dredging collaterals should be paid attention to because of the long illness of diabetes. Conclusion: the diarrhea of Xiaoke disease is characterized by deficiency of the essence, clear order of urgency and obvious stages. Therefore, the treatment by stages is an effective method for the treatment of diarrhea, which is worth popularizing in clinical practice, and further research and improvement.
【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
，
本文编号：2174047
[Abstract]:Objective: to summarize the experience of Professor Li Xiaojuan in clinical diagnosis and treatment of diarrhea of thirst disease, analyze its academic thought, treatment method and experience of common prescription and medicine, and provide guidance reference for the treatment of clinical disease. Methods: on the basis of consulting and studying a large number of relevant documents and materials, follow the teacher to visit, take part in the medical practice, observe and summarize in time, accumulate its clinical experience. Results: professor Li Xiaojuan thought that deficiency of qi and yin, damage of yang and spleen and kidney injury caused by Xiaoke disease were the basis of diarrhea, exogenous cold and dampness, excessive use of cold and cold, unsuitable diet, and emotional fluctuation were the inducing factors of diarrhea. And chronic disease deficiency of qi and blood stasis is the root of recurrent diarrhea and lingering disease. In the course of treatment of diarrhea, according to the clinical characteristics of diarrhea, three methods of gynecological leakage, such as "stopper flow, clear source, restoration of old", are used to treat the diarrhea in stages: if it is urgent, it will be treated as the standard, and the stoppage will be a stop to diarrhea. It is an urgent measure to treat diarrhea of thirst disease, that is to say, Chengyuan is the source of the disease and is treated by differentiation of symptoms and signs. The diarrhea of the disease is divided into four types: deficiency of spleen and stomach, deficiency of spleen and kidney yang, accumulation of dampness and heat, invasion of spleen by liver depression, which is the fundamental method for treating diarrhea of thirst disease. The restoration is the consolidation of the aftercare, is the consolidation of diarrhea relief after an important stage. In the course of treatment, invigorating spleen, dispelling dampness and tonifying the kidney, and applying drugs of activating blood circulation and dredging collaterals should be paid attention to because of the long illness of diabetes. Conclusion: the diarrhea of Xiaoke disease is characterized by deficiency of the essence, clear order of urgency and obvious stages. Therefore, the treatment by stages is an effective method for the treatment of diarrhea, which is worth popularizing in clinical practice, and further research and improvement.
【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
，
本文编号：2174047
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