段富津教授运用疏肝法治疗内科病证的经验研究

发布时间：2018-09-15 05:47

【摘要】：本研究以疏肝法作为切入点,通过进行临床的回顾性研究,以中医药理论知识为指导,依次应用观察法、比较法及数理统计分析法,对国医大师段富津教授在临床实践中从肝论治内科病证的方法进行归纳和分析,以期全面继承其学术思想,为临床治疗提供指导。首先,对疏肝法进行文献学研究,论述不同时期的医家和医籍对肝的认识及治法,立足古代文献,通过中医藏象学理论框架,整理疏肝法的立论依据。结合现代临床研究进展,为整理和总结段富津教授应用疏肝法治疗内科病证的辨治规律提供了理论依据。通过回顾分析207例处方中含有疏肝作用药物的典型病例,以方剂的配伍特点为基础,结合证候,归纳疏肝法的治法分类和应用病种,研究分析段富津教授运用疏肝法治疗内科病证的诊治思路和用药特点：1.从肝论治,疏肝为要。段富津教授在临床辨治不寐、心悸、呃逆、胁痛、腹痛、郁证等证,常从肝论治,故立疏肝法为基本大法。2.疏肝六法,百法备焉。疏肝六法即疏肝行气法、疏肝养血法、疏肝活血法、疏肝清热法、养阴疏肝法、健脾疏肝法。此六法既单独组方运用,又依病证之变而数法合用,以圆机活法。3.味辛入肝,“配伍”疏肝。入肝经且有辛散之性的药物,经配伍均可在方中具有疏肝作用,且“血中气药”、理气药、风药,与肝经药配伍亦多可具有疏肝之功。本研究总结了段富津教授应用疏肝法治疗内科病证的临床经验,并探索了从治法这一新角度研究名老中医组方用药特点和辨治疾病的思路,为进一步继承和发扬名老中医经验提供参考。
[Abstract]:This study takes the method of soothing the liver as the starting point, through the clinical retrospective study, guided by the theoretical knowledge of traditional Chinese medicine, and then applies the observation method, the comparative method and the mathematical statistical analysis method. This paper sums up and analyzes the methods of treating internal diseases and syndromes from liver in clinical practice by Professor Duan Fujin, a master of Chinese medicine, in order to inherit his academic thought and provide guidance for clinical treatment. First of all, the author studies the method of soothing the liver, discusses the understanding and treatment of liver by doctors and medical books in different periods, based on the ancient literature, collates the theoretical basis of the method of soothing the liver through the theoretical framework of traditional Chinese medicine. Combined with the progress of modern clinical research, this paper provides a theoretical basis for professor Duan Fujin's application of soothing liver method in the differentiation and treatment of internal diseases and syndromes. Based on the characteristics of prescription compatibility and syndromes, 207 cases of typical cases with soothing liver drugs in prescriptions were analyzed retrospectively. The classification and application of liver soothing methods were summarized. Research and analysis of Professor Duan Fujin's treatment of internal medicine syndrome with the method of soothing the liver, diagnosis and treatment thinking and characteristics of drug use: 1. Treat from liver, soothe liver is important. Professor Duan Fujin in clinical differentiation and treatment of insomnia, palpitations, hiccups, hypochondriac pain, abdominal pain, depression syndrome and other syndromes, often from the liver treatment, it is the basic law of soothing the liver. 2. The six methods of soothing the liver, the hundred methods of preparation. The six methods of soothing the liver are the method of soothing liver and qi, the method of soothing liver and nourishing blood, the method of soothing liver and activating blood, the method of soothing liver and clearing away heat, the method of nourishing yin and dispersing liver, and the method of strengthening spleen and soothing liver. The six methods were used separately, and combined with several methods according to the change of disease and syndrome, with round machine activity method. 3. Flavor Xin into the liver, "compatibility" soothing liver. The drugs that enter the liver meridian and have the nature of Xin San can soothe the liver in the prescription, and the combination of "qi medicine in blood", Qi regulating medicine, wind medicine, and liver meridian medicine can also have the function of soothing the liver. This study summarized the clinical experience of Professor Duan Fujin in treating internal diseases and syndromes with the method of soothing the liver, and explored the characteristics of traditional Chinese medicine prescriptions and the thinking of treating diseases from the new angle of treatment. To further inherit and carry forward the famous old Chinese medicine experience to provide reference.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R259

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