名老中医鲍严钟治疗慢性非细菌性前列腺炎的学术思想总结及用药规律研究

发布时间：2018-08-10 16:31

【摘要】：目的归纳总结鲍严钟老师治疗慢性非细菌性前列腺炎的学术思想及临床经验,对其处方进行现代信息化研究,明确其辨证思路和用药规律,从而提高该病的临床疗效,寻找治疗新思路,解除男性患者身心痛苦,获得良好的社会效益,对名医经验的继承和发扬有重要意义。方法收集和筛选2014年06月--2016年06月在杭州市红十字会医院生殖科鲍严钟门诊治疗的慢性非细菌性前列腺炎患者的处方并且建立数据库,利用Excel及SPASS统计入组病例中各证型方药中出现的中药种类及用药频次,从药味、功效及归经等角度研究鲍严钟老师的用药规律。结果1.总结7点鲍老治疗本病的学术思想。2.得到335张处方所涉及146味中药的用药频数和分类。3.得到60味核心药物及其药味、药性和归经。4.得到常用对药6组。结论1.鲍老治疗本病的学术思想主要包括以人为本,执药平治不妄投;明确前列腺的中医定位,理解其病理生理特点;在前列腺触诊下,创造性的把本病分成七个类型:在对本病辨证的基础上,尤重虚瘀两端论治;重视并发症治疗,包括性功能障碍和不育症;重视中医外治法;提出“慎起居、畅情志、禁烟忌酒”自身调护要求。2.鲍老治疗本病从用药频次看常用的有60味核心药物:甘草、炒枳壳、川牛膝、穿山甲、当归、鸡内金、路路通、太子参、败酱草、黄芪、虎杖、茯苓、王不留行、台乌药、生地黄、萆參、覆盆子、鹿角、人参、肉苁蓉、丹参、菟丝子、淫羊藿、黄柏、制首乌、夜交藤、仙茅、葫芦巴、枸杞子、女贞子、炒白芍、党参、泽泻、苍术、补骨脂、知母、神曲、佩兰、怀山药、蛇床子、陈皮、泽兰、巴戟天、山茱萸、川朴、丹皮、川芎、仙鹤草、酸枣仁、白术、煅龙骨、半枝莲、黄芩、藿香、车前子、续断、红花、香附、炒米仁、蒲公英。3.从药物功效统计结果看常用的有补虚药、活血祛瘀药、清热药、利水渗湿药等。4.从性味归经上统计来看,常用入肝、脾、肾经的药,药性上寒温并用,且在药味上使用较多的为苦味药、甘味药和辛味药等。5.常用的药对包括黄芪-人参,何首乌-当归,败酱草-虎杖,柴胡-郁金,仙茅-淫羊藿,牛膝-枳壳。
[Abstract]:Objective to summarize the academic thought and clinical experience of teacher Bao Yanzhong in the treatment of chronic non-bacterial prostatitis, to study its prescription with modern information technology, and to clarify its dialectical thinking and drug use law, so as to improve the clinical efficacy of the disease. It is of great significance for the famous doctors to inherit and carry forward their experiences by seeking a new way of treatment, relieving the mental and physical pain of male patients and obtaining good social benefits. Methods from June 2014 to June 2016, prescriptions of patients with chronic non-bacterial prostatitis treated in Department of Reproductive Medicine of Hangzhou Red Cross Hospital were collected and selected, and a database was established. Excel and SPASS were used to calculate the types and frequency of traditional Chinese medicine in each syndromes. From the aspects of medicinal taste, efficacy and return to the meridian, teacher Bao Yanzhong's drug use was studied. Result 1. Summing up 7 points Baolao treatment of this disease academic thinking. 2. The drug frequency and classification of 146 kinds of traditional Chinese medicine were obtained from 335 prescriptions. Get 60 kinds of core drugs and their flavor, medicinal properties and Gui Jing. 4. 6 groups of common antidrugs were obtained. Conclusion 1. Bao Lao's academic thoughts on the treatment of this disease mainly include taking the people as the basis, holding drugs to treat the patients without making a mistake; defining the position of the prostate in TCM and understanding its pathophysiological characteristics; and under the condition of palpation of the prostate, Creatively divide the disease into seven types: on the basis of differentiation of symptoms and signs, especially on the treatment of deficiency and blood stasis; attach importance to the treatment of complications, including sexual dysfunction and infertility; attach importance to the external treatment of traditional Chinese medicine; Ban smoking and avoid alcohol "self-regulation and protection requirements. 2." There are 60 kinds of core drugs commonly used in the treatment of this disease: liquorice, fried Fructus aurantii, Achyranthes bidentata, pangolin, Angelica sinensis, Neijin, Luotong, Radix Pseudostellariae, Astragalus chinensis, Astragalus membranaceus, Polygonum cuspidatum, Poria cocos, Wang Buliu, Taiwu, Radix Rehmanniae, Radix Diopsis, Raspberry, antler, Ginseng, Cistanche, Salvia miltiorrhiza, Cuscuta, Herba Epimedii, Cortex Phellodendri, Radix Polygoni, Rhizoma Lycii, Cucurbita, Fructus Lycii, Fructus Ligustrum, Stir-fried Radix Paeoniae Alba, Codonopsis, Radix Atractylodes, Psoralen, Anemarrhena, Shenqu, Peran, Huai yam, Cnidium, Chen Pei, Zelan, Morinda officinalis, Fructus Corni, Chuanpu, Danpi, Chuanxiong, Xianjao, Zizuren, Atractylodes macrocephala, Forge keel, Scutellaria, Pogostemon, Plantago, Radix Scutellariae, Pogostemon, Plantago, Dipsacus, Carthami, Fragrant, fried rice, dandelion. 3. From the statistical results of drug efficacy, the commonly used drugs, such as tonifying deficiency, activating blood circulation and removing blood stasis, clearing heat, promoting water and infiltrating dampness, and so on. 4. According to statistics, commonly used drugs into the liver, spleen, kidney meridian, the combination of cold and warm medicine, and in the taste of the use of more bitter medicine, sweet medicine and xingwei medicine, and so on. 5. Common drug pairs include Astragalus-Ginseng, Polygonum multiflorum-Angelica sinensis, Patrinia chinensis-Polygonum cuspidatum, Bupleurum-Tulip, Festuca-Epimedium, Achyranthes bidentata-Fructus Aurantii.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R277.5

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