乔文军教授从脾肾辨治重症肌无力经验总结

发布时间：2018-09-10 09:23

【摘要】：目的:本文旨在总结乔文军教授对重症肌无力病因病机的认识及辨证论治痿证的经验,为临床治疗提供新思路。方法:1.查阅大量文献,撰写综述,学习有关痿证病因病机及辨证论治的古代文献论述及现代研究进展。2.每周跟随老师出诊,针对痿证的病因病机、诊断分型、遣方用药特色向老师求教,分析、归纳和总结老师对痿证的治疗经验。结果:在总结前人的经验及查阅文献后,乔文军教授认为痿证的病因病机有以下的特点:痿证的根本病机为五脏虚损,脏腑之间的平衡紊乱,耗伤五脏精气,致使气血津液亏虚,其中尤以脾肾阳虚为主要病机。五脏受损,气血生化乏源,又间接导致了气血津液的不足,致使筋脉肌肉失却濡养,不能束筋骨、通利关节,终致肌肉痿软无力,发为本病。病变脏腑主要责之于脾肾,病位在肌肉,常夹湿热、夹痰。故治疗多兼顾化湿清热、祛痰。方药以复方黄杞汤为主方进行加减,临床每每奏效。结论:1.吾师认为治疗痿证需以“补脾益肾,升举阳气”为基本治疗原则,并“化湿祛痰、补益宗气”。2.吾师以脾肾论痿证,以五脏气血辨痿证,以复方黄杞汤化裁,因人制宜,临床疗效较显著。3.吾师重视痿证的预防调护。
[Abstract]:Objective: to summarize Professor Qiao Wenjun's understanding of the etiology and pathogenesis of myasthenia gravis and to provide new ideas for clinical treatment. Method 1: 1. Consult a large number of literature, write a review, learn about the etiology and pathogenesis of impotence syndrome and treatment of ancient literature and modern research progress. 2. Follow the teacher to visit every week, according to the etiology and pathogenesis of impotence syndrome, diagnosis and typing, send the characteristics of medicine to the teacher for advice, analysis, induction and summary of the teacher's experience in the treatment of impotence syndrome. Results: after summing up the previous experience and consulting the literature, Professor Qiao Wenjun thought that the etiology and pathogenesis of impotence syndrome had the following characteristics: the basic pathogenesis of impotence syndrome was deficiency of the five viscera, the balance between the viscera and the viscera was disordered, and the vital qi of the five viscera was consumed. Lead to deficiency of qi, blood and fluid, especially spleen and kidney yang deficiency as the main pathogenesis. Damage of the five viscera, lack of biochemical sources of qi and blood, and indirectly lead to deficiency of qi and blood body fluid, resulting in muscle loss and nourishment, unable to bind muscles and bones, Tongli joint, resulting in muscle impotence and weakness, and the disease. Pathological organs are mainly responsible for spleen and kidney, the disease is in the muscle, often dampness and heat, phlegm. Therefore, the treatment of both dehumidification and heat, expectorant. Prescription to compound Huangqi decoction mainly for addition and subtraction, clinical often effective. Conclusion 1. My teacher believes that the treatment of impotence syndrome should be "tonifying the spleen and tonifying the kidney, raising Yang Qi" as the basic treatment principle, and "dehumidifying phlegm, tonifying Zong Qi". 2. My teacher to spleen and kidney on the basis of impotence syndrome, with the five Zang Qi and blood impotence syndrome, with compound Huangqi decoction, tailored to suit the situation, the clinical efficacy is more significant. 3. My teacher attaches importance to the prevention and nursing of impotence syndrome.
【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】：2017
【分类号】：R249;R277.7

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