阎小萍教授运用“清法”治疗风湿病临床经验浅析
发布时间：2018-08-20 09:57
【摘要】：目的"清法"为中医治法的八法之一,是中医临床的主要治疗方法,是指运用寒凉性质的方药治疗里热证的方法。导师阎小萍教授从医四十余载,在各种风湿病的中西医结合诊治方面积累了丰富的临床经验,对于风湿病的病因病机、诊断治疗等方面有着独到见解,本文总结了阎小萍教授运用"清法"辨治风湿病的学术思想和临床经验。方法本论文主要分为两个部分,第一部分主要通过文献采集的方法,总结从古至今各医家对于"清法"的认识和临床运用。第二部分主要是阐释阎小萍教授对中医治法和中医风湿病的理解以及运用"清法"辨治风湿病的学术思想和临床经验。通过对导师病案的收集与分析,总结阎小萍教授临床运用"清法"治疗风湿病遣方用药特点。结果中医学是祖国传统医学,中医治法是中医学基础理论之一,"清法"为中医治法八法之一,是中医临床的主要治疗方法。古往今来,历代医家对"清法"均有自己的认识和临床运用经验。阎小萍教授在研读中医经典古籍的基础上,结合临床经验,对中医风湿病有着深层次的理解,首先对中医风湿病的含义做了阐述,病因病机方面,阎小萍教授认为正气不足是中医风湿病发病的内在条件,风寒湿热等邪气是发病的外在因素,并注重风湿病"动变制化"规律,突出"从化"理论。阎小萍教授之"补肾强骨"、"活血通络"、"调和营卫"、"调肝健脾"等辨治法则在风湿病治疗中取得了良好疗效。同时创造性的提出综合强化序贯治疗,为中医风湿病治疗提供新思路。阎小萍教授在临床治疗中突出"治未病"的学术思想,包括未病先防和既病防变两个方面,着重强调预防疾病的发生和早发现早治疗的重要性。阎小萍教授行医四十余载,善用中医治法,在运用"清法"治疗风湿病方面有自己独到见解。阎小萍教授在运用"清法"辨治风湿病时注重"寒热为纲"的辨治论,突出清脏腑邪气,重视脏腑功能在风湿病中的重要作用,同时提倡"内外兼治",重视外治法的临床运用。阎小萍教授在运用"清法"治疗具体疾病时又有不同的侧重点,如强直性脊柱炎(大偻)注重补肾强骨、养肝柔筋、干燥综合征(燥痹)注重补肾清热育阴、回纹型风湿病(周痹)注重"急则治其标,缓则之气本"的原则,急性期清热祛风、除湿通络为主,缓解期补益肝肾,顾护脾胃等,,临床运用每获良效。结论"清法"是中医学重要治法之一,在风湿病的治疗中有着重要应用。阎小萍教授善用中医治法治疗风湿病,她认为风湿病多以虚为本,或属本虚标实之候,治疗应从整体出发,个体化治疗。阎小萍教授运用"清法"辨治风湿病注重"寒热为纲",突出脏腑辨证,提倡"内外兼治",其学术思想完善,临床经验丰富,临床上得到很好的疗效。
[Abstract]:Objective "Qing method" is one of the eight methods of TCM treatment, it is the main method of TCM clinical treatment, and refers to the method of treating heat syndrome by using cold medicine. Professor Yan Xiaoping, a tutor who has been in medicine for more than 40 years, has accumulated rich clinical experience in the diagnosis and treatment of various rheumatic diseases by integrating traditional Chinese and western medicine. He has unique views on the etiology, pathogenesis, diagnosis and treatment of rheumatism. This paper summarizes Professor Yan Xiaoping's academic thought and clinical experience in treating rheumatism with Qing method. Methods this paper is divided into two parts. The first part summarizes the understanding and clinical application of "Qing method" by literature collection. The second part is mainly to explain Professor Yan Xiaoping's understanding of TCM treatment and rheumatism, as well as the academic thought and clinical experience of treating rheumatism by using "Qing method". Based on the collection and analysis of tutor's medical records, Professor Yan Xiaoping's clinical application of "Qing method" in the treatment of rheumatic diseases was summarized. Results TCM is the traditional medicine of the motherland, TCM treatment is one of the basic theories of TCM, "Qing method" is one of the eight methods of TCM treatment, and it is the main treatment method of TCM clinic. Through the ages, physicians had their own understanding and clinical experience of Qing Law. Professor Yan Xiaoping has a deep understanding of rheumatism in traditional Chinese medicine on the basis of studying classical ancient books of traditional Chinese medicine and combining with clinical experience. First of all, he expounds the meaning of rheumatism in traditional Chinese medicine, the etiology and pathogenesis of rheumatism. Professor Yan Xiaoping thinks that the deficiency of proper qi is the internal condition of rheumatism in TCM, and the evil factors such as wind, cold, dampness and heat are the external factors of the disease, and pay attention to the law of "dynamic transformation" of rheumatism, and stress the theory of "consonance". Professor Yan Xiaoping's differentiation and treatment such as "tonifying kidney and strengthening bone", "activating blood circulation and dredging collaterals", "reconciling Ying Wei", "regulating liver and strengthening spleen" and so on, have obtained good curative effect in the treatment of rheumatism. At the same time, we creatively put forward comprehensive intensive sequential therapy, which provides a new idea for the treatment of rheumatism in traditional Chinese medicine. Professor Yan Xiaoping has emphasized the academic thought of "preventing disease before treatment" in clinical treatment, including prevention of disease before illness and prevention of both disease and change, with emphasis on the importance of preventing the occurrence of disease and early discovery and treatment. Professor Yan Xiaoping has practiced medicine for more than 40 years, and has his own unique views on the treatment of rheumatism by using "Qing method". Professor Yan Xiaoping pays attention to the theory of "cold and heat as the outline" when using "Qing method" to distinguish and treat rheumatism, highlights the evil spirit of clearing the viscera, attaches importance to the important role of the function of zang-fu organs in rheumatism, and advocates "both internal and external treatment" and attaches importance to the clinical application of the external treatment method. Professor Yan Xiaoping has different emphases in the treatment of specific diseases, such as ankylosing spondylitis (big rickets) pay attention to tonifying kidney and strengthening bone, nourishing liver and soft tendons, and Sjogren syndrome (dryness) pay attention to tonifying kidney and clearing away heat and nourishing yin. Return striated type rheumatism (Zhou Bi) pay attention to "urgent is treated its standard, slow is Qi this" principle, acute phase clears heat dispels wind, dehumidify and clear collaterals is main, remission period invigorates liver and kidney, care to protect spleen and stomach and so on, clinical use obtains each good effect. Conclusion Qing method is one of the most important methods in traditional Chinese medicine and has important application in the treatment of rheumatism. Professor Yan Xiaoping makes good use of traditional Chinese medicine to treat rheumatism. She thinks that rheumatism is mostly based on deficiency, or is a sign of deficiency, treatment should be from the whole, individualized treatment. Professor Yan Xiaoping uses "Qing method" to distinguish and treat rheumatism by focusing on "cold and heat as the outline", highlighting the syndrome differentiation of zang-fu organs and advocating "internal and external treatment". His academic thought is perfect, clinical experience is rich, and the clinical effect is very good.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R259
本文编号：2193210
[Abstract]:Objective "Qing method" is one of the eight methods of TCM treatment, it is the main method of TCM clinical treatment, and refers to the method of treating heat syndrome by using cold medicine. Professor Yan Xiaoping, a tutor who has been in medicine for more than 40 years, has accumulated rich clinical experience in the diagnosis and treatment of various rheumatic diseases by integrating traditional Chinese and western medicine. He has unique views on the etiology, pathogenesis, diagnosis and treatment of rheumatism. This paper summarizes Professor Yan Xiaoping's academic thought and clinical experience in treating rheumatism with Qing method. Methods this paper is divided into two parts. The first part summarizes the understanding and clinical application of "Qing method" by literature collection. The second part is mainly to explain Professor Yan Xiaoping's understanding of TCM treatment and rheumatism, as well as the academic thought and clinical experience of treating rheumatism by using "Qing method". Based on the collection and analysis of tutor's medical records, Professor Yan Xiaoping's clinical application of "Qing method" in the treatment of rheumatic diseases was summarized. Results TCM is the traditional medicine of the motherland, TCM treatment is one of the basic theories of TCM, "Qing method" is one of the eight methods of TCM treatment, and it is the main treatment method of TCM clinic. Through the ages, physicians had their own understanding and clinical experience of Qing Law. Professor Yan Xiaoping has a deep understanding of rheumatism in traditional Chinese medicine on the basis of studying classical ancient books of traditional Chinese medicine and combining with clinical experience. First of all, he expounds the meaning of rheumatism in traditional Chinese medicine, the etiology and pathogenesis of rheumatism. Professor Yan Xiaoping thinks that the deficiency of proper qi is the internal condition of rheumatism in TCM, and the evil factors such as wind, cold, dampness and heat are the external factors of the disease, and pay attention to the law of "dynamic transformation" of rheumatism, and stress the theory of "consonance". Professor Yan Xiaoping's differentiation and treatment such as "tonifying kidney and strengthening bone", "activating blood circulation and dredging collaterals", "reconciling Ying Wei", "regulating liver and strengthening spleen" and so on, have obtained good curative effect in the treatment of rheumatism. At the same time, we creatively put forward comprehensive intensive sequential therapy, which provides a new idea for the treatment of rheumatism in traditional Chinese medicine. Professor Yan Xiaoping has emphasized the academic thought of "preventing disease before treatment" in clinical treatment, including prevention of disease before illness and prevention of both disease and change, with emphasis on the importance of preventing the occurrence of disease and early discovery and treatment. Professor Yan Xiaoping has practiced medicine for more than 40 years, and has his own unique views on the treatment of rheumatism by using "Qing method". Professor Yan Xiaoping pays attention to the theory of "cold and heat as the outline" when using "Qing method" to distinguish and treat rheumatism, highlights the evil spirit of clearing the viscera, attaches importance to the important role of the function of zang-fu organs in rheumatism, and advocates "both internal and external treatment" and attaches importance to the clinical application of the external treatment method. Professor Yan Xiaoping has different emphases in the treatment of specific diseases, such as ankylosing spondylitis (big rickets) pay attention to tonifying kidney and strengthening bone, nourishing liver and soft tendons, and Sjogren syndrome (dryness) pay attention to tonifying kidney and clearing away heat and nourishing yin. Return striated type rheumatism (Zhou Bi) pay attention to "urgent is treated its standard, slow is Qi this" principle, acute phase clears heat dispels wind, dehumidify and clear collaterals is main, remission period invigorates liver and kidney, care to protect spleen and stomach and so on, clinical use obtains each good effect. Conclusion Qing method is one of the most important methods in traditional Chinese medicine and has important application in the treatment of rheumatism. Professor Yan Xiaoping makes good use of traditional Chinese medicine to treat rheumatism. She thinks that rheumatism is mostly based on deficiency, or is a sign of deficiency, treatment should be from the whole, individualized treatment. Professor Yan Xiaoping uses "Qing method" to distinguish and treat rheumatism by focusing on "cold and heat as the outline", highlighting the syndrome differentiation of zang-fu organs and advocating "internal and external treatment". His academic thought is perfect, clinical experience is rich, and the clinical effect is very good.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R259
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