熄风化痰法及其临床运用研究
[Abstract]:1 the objective of this study was to clarify the academic origin of wind and sputum and extinguish the weathering phlegm, to clarify the evolution of the connotation of related concepts, and to clarify the basic theory of the method of extinguishing weathering phlegm from the etiology and pathogenesis, clinical syndromes, compound treatment and prescription analysis, and to sum up the application of.2 research method in the study of stroke, epilepsy, vertigo, tremor, and infantile wind. 2.1 Literature method (1) Ancient Literature: with the "phlegm" as the retrieval word, the ancient books included in the Chinese medical code (Fifth Edition) were retrieved, and the data related to "wind phlegm" were collected and collected in combination with the clinical compulsory reading series of Chinese medicine, "reading show" and so on. And four parts were classified according to the medical theory, the herbal medicine, the prescription book, the medical case medicine and so on. (2) modern periodicals: With "wind phlegm", "extinguishing the wind" and "phlegm" as the retrieval words, in the Chinese knowledge network, Wanfang, VIP and other databases, 852 articles are collected. Among them, 798 papers, 30 dissertations and 24 conference papers, analysis and summary of theory, experiment, clinical related development. (3) tool books, textbooks and modern Treatises: reference < Chinese Dictionary > > > > 10 parts of the instrument book, 12 parts of the textbook of internal medicine medicine, and 50 books of "TCM phlegm disease research and clinical", including the theories related to "wind phlegm", "wind and phlegm extinguishing and phlegm," and the experience of clinical diagnosis and treatment, such as "wind phlegm", "Fang Feng" and "clinical diagnosis and treatment", are analyzed and summed up by the methods of medical history in.2.2 medical history and the longitudinal combing of ancient literature about wind phlegm. Medicine, medical case medicine and so on, outline the development characteristics of each historical period; to clarify the academic origin of the academic origin of the wind and phlegm and extinguish the phlegm by the.2.3 theory research method on the collected data, through the analysis and summary of the academic viewpoint of the representative doctors on wind phlegm, extinguishing the phlegm method, clarifying the basic theory of wind phlegm, extinguishing the wind and removing phlegm, and to the ancient and modern doctors The experience of clinical diagnosis and treatment was abstracted, and the rules and rules of clinical application of weathering phlegm in the treatment of related diseases were summed up. The results of.3 study were 3.1. The theories related to the "internal movement of the liver" in the period of the Han Dynasty and the Han Dynasty in the Pre-Qin and Han Dynasties and the "internal movement of the liver" were recorded, and the description of the syndrome similar to "wind phlegm" in the later generations was described; < Shennong Ben Cao Jing > recorded In the Sui and Tang Dynasties, the theory of "wind phlegm can cause headache", "wind phlegm can lead to eye disease" and other related theories were put forward in the Wei, Jin, Sui and Tang Dynasties, and the exposition of Xu Sibo's "phlegm heat phase and dynamic wind" has laid a foundation for the theory development of "phlegm heat generating wind"; many records have been recorded. The prescription for the treatment of wind phlegm. In the two Song period, there was a discussion about the causes of the wind phlegm syndrome and the characteristics of the related syndromes; the treatment principle of "treating wind phlegm first along its Qi" was put forward; the treatment method and prescription of the wind phlegm syndrome were more specific, and the prescription for the later generations believed to have the effect of extinguishing the phlegm and treating the internal wind and carrying the phlegm syndrome. The theory of "internal wind" has been developed, and Zhu Danxi has put forward the theory of "phlegm heat generating wind". Many doctors interpret wind phlegm from the etiology, pathogenesis and clinical syndromes of wind and sputum, but still lack theoretical discussion on "internal wind carrying phlegm", and have created many representative prescriptions for later generations to put out the efficacy of weathering phlegm and treat the internal wind with phlegm syndrome. In the Ming and Qing Dynasties, the basic theory of wind and phlegm was enriched in the Ming and Qing Dynasties, and the principle of "Shu Feng and phlegm method to treat the external wind and the phlegm syndrome, the rule of extinguishing the phlegm with the wind and carrying the phlegm syndrome" was basically established. The records of the prescription were more specific, The method of "extinguishing the phlegm and eliminating phlegm" is put forward, and its treatment of internal wind and phlegm is clearly defined. In recent modern times, wind phlegm and wind and phlegm method are defined. The method of eliminating weathering phlegm is the treatment of wind phlegm with the wind and sputum. At the same time, it widens the scope of the treatment of disease by the method of extinguishing weathering phlegm; especially in clinical diagnosis and treatment, it pays more attention to the method of eliminating weathering phlegm and the method of activating blood and removing blood stasis. Combined with the basic theory of ".3.2", the basic concept of "3.2.1" to extinguish the weathering phlegm method is to extinguish the weathering phlegm method, which refers to the treatment of the internal wind carrying the phlegm with the combination of the prescription of the extinguishing wind medicine and the treatment of the internal wind with the phlegm. The specific methods include the elimination of the wind, the sputum extinguishing, the wind and the phlegm, the wind and the phlegm. In combination with the method of dredging collaterals, opening the orifices, dryness and damp method, clearing heat method, nourishing yin method, and activating blood method, the applicable scope of the related disease syndrome.3.2.2 extinguishing phlegm method (1) the etiology and pathogenesis of the internal wind carrying phlegm syndrome, the main cause of the disease includes the emotional failure, the loss of fatigue, the diet, the aging body and failure, the basic pathogenesis refers to the internal movement of the liver, the basic pathogenesis refers to the liver wind, and the basic pathogenesis. (2) there are three types of syndromes in the syndrome of internal wind carrying phlegm: liver wind carrying phlegm, blocking meridian, liver wind carrying phlegm, disturbing clear orifices, and carrying phlegm in the liver wind, the combined treatment of.3.2.3 quenching and weathering phlegm method of the heart God, the method of extinguishing the wind and phlegm and collaterals on the basis of extinguishing the wind and eliminating phlegm, combined with the method of dredging collaterals, is the main clinical treatment with the mouth eye, oblique, hemiplegia and so on. The treatment of wind and phlegm obstructing the collaterals of wind and collaterals of wind and phlegm obstructing the collaterals; the representative prescription has the true Fang Bazi pill, the wind and the phlegm pill, etc. the method of extinguishing the wind and eliminating phlegm, combining the method of opening the orifices on the basis of extinguishing the wind and eliminating phlegm, is used to treat the main clinical manifestation of the wind phlegm, which is the golden foil town heart pill and so on. The method refers to the treatment of the main clinical manifestations of the liver wind and the phlegm damp syndrome, with the treatment of headache and vertigo as the main clinical manifestation. The representative prescription is Banxia Baizhi Tianma soup. The method of clearing heat and eliminating weathering phlegm is used in combination with the method of clearing heat and extinguishing the weathering phlegm, and treating the phlegm thermal wind syndrome with high fever and two eyes as the main clinical manifestation. The treatment method: the representative prescription has amber holding the Dragon pill and so on. The method of nourishing yin and eliminating weathering phlegm means the combination of the method of nourishing yin and the method of eliminating the weathering phlegm. The treatment of wind phlegm and yin deficiency syndrome is treated; its indications are often accompanied by the basic syndromes of the internal wind and the phlegm, and often accompanied by the soft, flush, hand, foot and heart of the waist and knees, and the representative prescription has six flavors of rehmannia pill and Da tonic Yin pill. The method of extinguishing wind and promoting phlegm and activating blood circulation refers to the treatment of wind phlegm and blood stasis syndrome by quenching the sputum and activating blood and removing stasis. Its indications are often accompanied by numbness and pain of the limbs, purple dark and bruises in the tongue, except for the basic syndromes of internal wind carrying phlegm; the prescription of the representative prescription is on the basis of extinguishing the wind and phlegm, and the products of activating blood and removing blood stasis, such as Salvia miltiorrhiza,.3.2.4 extinguish weathering phlegm. The representative prescription of the method is the Banxia Baizhi Tianma soup to extinguish the weathered phlegm, invigorate the spleen and dampness, mainly treat the liver wind and the phlegm disturbance caused by the headache and vertigo. The treatment of phlegm and collaterals, the main treatment of the liver wind and phlegm, obstruct the meridian syndrome in the apoplexy of the meridian. The amber hold the Dragon pill to extinguish the weathering phlegm, to clear the heat and to be frightened, to treat the children with the wind and the phlegm heat, to extinguish the weathering phlegm in the golden foil town heart pill, to open the orifices, to treat the acute and slow shock with the liver wind to disturb the phlegm, the slow spleen, the fetal shock and the commonly used drugs to extinguish the weathering phlegm by.3.2.5. The representative drugs, such as Dun Nan star, Bombyx Silkworm, Southern Star, and bezoar, were summed up, and the frequency analysis of the prescriptions with the efficacy of extinguishing the wind and eliminating phlegm was carried out. It was found that the highest frequency of compatibility except for the extinguishing of wind and phlegm drugs was the antipyretic drug, the antipyretic drug, and the supplement of Qi, and the highest frequency of the single flavor drugs was the Gastrodia elata, scorpion, stiffness. Five diseases, such as apoplexy, epileptic syndrome, vertigo, vertigo, tremor, and infantile wind, were used in the combination of the combination of Rhizoma Aconiti with gastrodia elata, the compatibility of Rhizoma Pinelliae and Rhizoma Pinelliae in the combination of Gastrodia elata, Rhizoma silkworm and white aconite, and five diseases such as apoplexy, epilepsy syndrome, vertigo, tremor, and infantile wind. Analysis and summary are conducted with the analysis of the corresponding medical cases. Stroke is used to treat stroke with the treatment of weathering phlegm. It is mainly used to treat the meridian syndrome, the liver wind carries the phlegm and the wind phlegm stasis syndrome in the recovery period of the stroke, among which the liver wind carries the phlegm obstruction and the meridian syndrome, which is due to the deficiency of the liver kidney yin and the hyperactivity of yang hyperactivity, It is caused by blocking phlegm and obstructing the meridian and collaterals. The representative prescription has the real white ball, the wind and the phlegm pill added, the liver wind carries the phlegm in the viscera closed syndrome, which is due to the liver wind carrying the phlegm in Inner Mongolia Qing Qiao, representing the prescription with Ditan soup and so on; the wind phlegm stasis syndrome caused by the wind phlegm and stasis is caused by the wind phlegm and stasis block. The epilepsy syndrome is treated with the method of weathering phlegm to treat epileptic syndrome, the main treatment of epilepsy with wind phlegm blocking syndrome. On the basis of the wind internal motion, in the foundation of extinguishing the phlegm and eliminating phlegm on the basis of the combination of Chinese angelica, Salvia miltiorrhiza and blood circulation to remove stasis, vertigo and weathering phlegm method were used to treat vertigo, mainly to treat vertigo and phlegm disturbance. For a long time, the blood flow is not smooth, and the blood stasis is caused by blood stasis and blood stasis. The representative prescriptions are added and subtracted by the antelope horn and hooked Riner soup. The children's wind extinguishing wind and weathering phlegm method is used to treat children's wind, mainly treating the phlegm and thermal wind syndrome of children's wind. The representative prescription is amber holding dragon pill, Jin foil town heart pill, etc. In the treatment of other syndromes, such as the numbness of the wind and phlegm obstructing the meridians, the spasmodic syndrome, the headache caused by the wind phlegm, the wind phlegm and the mind caused by the heart, the epilepsy, the madness, etc.. In the clinical diagnosis and treatment of the disease, the combination of the disease and the syndrome, the rational use of the.4 research conclusion (1) to extinguish the weathering phlegm method, is to use the combination of the extinguishing drug and the chemical phlegm medicine. The treatment of internal wind and phlegm syndrome, including eliminating the wind, eliminating phlegm and extinguishing the wind, searching wind and eliminating phlegm, cutting wind and eliminating phlegm, often aimed at the pathogenesis of the disease and its specific syndrome characteristics, combined with the method of dredging collaterals, opening the orifices, dry wet method, heat clearing, nourishing yin method, living blood method and so on, in the treatment of the internal wind carrying the phlegm as the main pathogenesis of the disease. The cause of the wind carrying the phlegm syndrome mainly includes the emotional failure, the loss of labor, the diet and the aging and aging, the basic pathogenesis is the liver wind whirling, the phlegm disturbance and the extinguishing phlegm, including the liver wind carrying phlegm, the obstruction of the meridian syndrome, the liver wind carrying phlegm, the perturbed clearing syndrome, the liver wind carrying phlegm, the Inner Mongolia heart God syndrome. The representative prescription has Banxia. Baizhi Tianma soup, fixed eclampsia pill, fairy Jieyu Dan, real white ball, amber pellet, golden foil town heart pill, and other representative drugs with extinguishing wind and phlegm effect are Dan Nan star, white Bombyx Silkworm, Tiannan star, bezoar and so on. (2) there are a variety of diseases treated by clinical use of weathering sputum method, mainly used for stroke, epilepsy, vertigo, tremor, children's wind and other diseases. The method of analysis and extinguishing the weathering phlegm was mainly used to treat the meridian syndrome, the liver wind carrying the phlegm obstruction in the phlegm, the wind phlegm stasis syndrome in the recovery period of the stroke, the wind phlegm obstruction syndrome of the epileptic syndrome, the vertigo wind sputum perturbed syndrome, the phlegm heat syndrome of the tremor syndrome, the phlegm heat syndrome of the infantile wind, and so on. Besides, it was commonly used in treatment. Wind phlegm closed the meridian caused by numbness, spasmodic syndrome, wind phlegm to disturb the headache caused by clearing the orifices, wind phlegm blinded by the mind caused by the syncope, epilepsy, madness, and so on. Clinical, when the combination of disease and syndrome, dialectical legislation.
【学位授予单位】:中国中医科学院
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R242
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