田玉美教授治疗脾胃疾病学术思想及临床经验研究
发布时间：2018-10-08 10:20
【摘要】：田玉美是湖北省仙桃市人,湖北中医药大学教授、湖北省著名中医,全国第一批、第二批名老中医师带徒指导老师,国务院特殊津贴享受者。田老出身中医世家,自少时即从祖父习医,从事中医临床与《金匮要略》教学多年。田老在学习、继承前人理论和经验的基础上,知常达变,法古而不泥古,勇于探索,形成了自己的治疗体系,在临床中获取了显著疗效。本文试从脾胃病的生理病理特点及田玉美教授对脾胃病治疗的认识与临床经验出发,在导师李云海副教授的指导下,就田老治疗脾胃病证的医案进行整理分析,并结合平时跟师抄方时从田老处所获的医学见解,以具体病症为依据,从诊疗特点、治法特色、用药特点与规律、常用药对等方面系统地总结田老对脾胃病论治的理解与治疗特色。重点从以下三方面着手：(1)将田玉美教授近两年的脾胃病医案按病名进行归类整理,包括跟师、从导师、师兄师姐处获得田玉美教授的原始病案；(2)对分散于著作、期刊杂志(报纸)及学术会议论文集中的,由田教授本人、学术继承人及徒弟、所在单位名医学术思想传承工作室所撰写或著述的医学论文文集、专著以及其他研究机构或个人已经总结或论述的田教授关于脾胃病的诊疗经验与医论医话进行系统整理；(3)结合所整理的田玉美教授诊治脾胃病经验及医案提炼并阐述其诊治脾胃病的核心思想。本文主要的研究材料为近两年跟随田玉美教授抄方、导师或师兄师姐处的脾胃病医案及由田教授本人、学术继承人及徒弟、所在单位名医学术思想传承工作室所撰写或著述的与脾胃疾病相关的医学论文、专著,以及其他研究机构或个人已经总结或论述的田教授关于脾胃病的诊疗经验与医论医话,并排除记录不全者(病情、方药等)、仅就诊一次者(明确药后即愈者保留)的病案。本文准备通过资料整理、文献综述、比较分析、系统阐述等方法来研究田玉美教授的脾胃病治疗经验,其中以系统阐述为主,首先从生理机制、病因病机、辨证论治及临床调护等方面入手,阐述脾胃病的古代文献源流及现代医家诊疗特色；其次从理、法、方、药等方面全面论述田教授诊疗脾胃病方面的学术思想及临床经验,并通过田老诊疗胃痛、痞满、呕吐、噎膈、呃逆、腹痛、泄泻、便秘等脾胃病症的经典验案分析其诊治精粹。田玉美教授吸收各家治疗脾胃病经验与理论的精华部分,结合自己多年的临证经验,探索出了自己的诊疗思路。田老的脾胃病诊疗思想可大致概括为：在整体观的指导下,诊病注重四诊合参,辨证以脏腑为核心,辨证辨病相结合,顾护胃气为原则,区别脾胃的不同特点,以脾胃为中心兼顾五脏论治脾胃病。
[Abstract]:Tian Yumei is a native of Xiantao, Hubei Province, a professor of Hubei University of traditional Chinese Medicine, famous Chinese medicine in Hubei Province, the first batch in the country, the second group of old Chinese medicine doctors with apprentice guidance teacher, the State Council special allowance recipients. Tian Lao came from a family of traditional Chinese medicine. He studied medicine from his grandfather and taught Chinese medicine and synopsis of the Golden Chamber for many years. On the basis of studying, inheriting the previous theories and experiences, Tian Lao knew and changed frequently, and was brave to explore, and formed his own treatment system, and obtained remarkable curative effect in clinic. Based on the physiological and pathological characteristics of spleen and stomach disease and Professor Tian Yumei's understanding and clinical experience in the treatment of spleen and stomach disease, and under the guidance of Li Yunhai, an associate professor, this paper makes an analysis of the medical records of Tian Lao's treatment of spleen and stomach disease. And combined with the medical opinions obtained from Tian Lao when copying the prescription with the teacher at ordinary times, according to the specific disease, from the characteristics of diagnosis and treatment, from the characteristics of medication, and from the characteristics and laws of drug use, The understanding and treatment characteristics of Tian Lao's treatment of spleen and stomach diseases were summarized systematically. It focuses on the following three aspects: (1) classifying the medical records of Professor Tian Yumei's spleen and stomach diseases in the past two years according to the name of the disease, including following the teacher, obtaining the original medical records of Professor Tian Yumei from his mentor, brother and sister, and (2) distributing the original medical records of Professor Tian Yumei from his works. A collection of medical papers written or written by Professor Tian himself, academic successors and apprentices in journals (newspapers) and academic conferences. The monographs and other research institutions or individuals have summarized or discussed Professor Tian's experience in the diagnosis and treatment of spleen and stomach diseases and the medical theory of medicine for a systematic arrangement; (3) combined with the experience of Professor Tian Yumei in the diagnosis and treatment of spleen and stomach disease and the medical records, the core ideas of his diagnosis and treatment of spleen and stomach disease were expounded. The main research materials in this paper are following professor Tian Yumei's copy of the doctor's case of spleen and stomach diseases in the past two years, including professor Tian himself, academic successor and apprentice The medical papers and monographs related to spleen and stomach diseases written or written by the famous doctors' academic thought inheritance Studio in their units, as well as Professor Tian's experience in diagnosis and treatment of spleen and stomach diseases and the medical theory of medicine that have been summarized or discussed by other research institutions or individuals, Exclusion of incomplete records (illness, prescription, etc.), only one visit (clear after the cure is retained) medical records. This paper intends to study Professor Tian Yumei's experience in the treatment of spleen and stomach diseases by means of data collation, literature review, comparative analysis, systematic elaboration, etc. Starting with the treatment of syndrome differentiation and clinical nursing, this paper expounds the ancient literature source of spleen and stomach disease and the characteristics of diagnosis and treatment of modern doctors. Secondly, it comprehensively discusses Professor Tian's academic thoughts and clinical experience in the diagnosis and treatment of spleen and stomach diseases from the aspects of theory, method, prescription and medicine. Through the diagnosis and treatment of stomach pain, fullness, vomiting, choking, hiccup, abdominal pain, diarrhea, constipation and other spleen and stomach disease classic case analysis of its diagnosis and treatment essence. Professor Tian Yumei absorbed the essence of the experience and theory of treating spleen and stomach diseases, combined with his own clinical experience for many years, explored his own diagnosis and treatment ideas. Tian Lao's thought of diagnosis and treatment of spleen and stomach diseases can be roughly summarized as follows: under the guidance of the holistic view, the diagnosis of diseases pays attention to the four diagnoses and ginseng, the differentiation of symptoms and signs is the core of the zang-fu organs, the combination of syndrome differentiation and disease differentiation, the principle of protecting the stomach and qi, and differentiating the different characteristics of the spleen and stomach. Take spleen and stomach as the center to treat spleen and stomach disease.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R256.3
本文编号：2256414
[Abstract]:Tian Yumei is a native of Xiantao, Hubei Province, a professor of Hubei University of traditional Chinese Medicine, famous Chinese medicine in Hubei Province, the first batch in the country, the second group of old Chinese medicine doctors with apprentice guidance teacher, the State Council special allowance recipients. Tian Lao came from a family of traditional Chinese medicine. He studied medicine from his grandfather and taught Chinese medicine and synopsis of the Golden Chamber for many years. On the basis of studying, inheriting the previous theories and experiences, Tian Lao knew and changed frequently, and was brave to explore, and formed his own treatment system, and obtained remarkable curative effect in clinic. Based on the physiological and pathological characteristics of spleen and stomach disease and Professor Tian Yumei's understanding and clinical experience in the treatment of spleen and stomach disease, and under the guidance of Li Yunhai, an associate professor, this paper makes an analysis of the medical records of Tian Lao's treatment of spleen and stomach disease. And combined with the medical opinions obtained from Tian Lao when copying the prescription with the teacher at ordinary times, according to the specific disease, from the characteristics of diagnosis and treatment, from the characteristics of medication, and from the characteristics and laws of drug use, The understanding and treatment characteristics of Tian Lao's treatment of spleen and stomach diseases were summarized systematically. It focuses on the following three aspects: (1) classifying the medical records of Professor Tian Yumei's spleen and stomach diseases in the past two years according to the name of the disease, including following the teacher, obtaining the original medical records of Professor Tian Yumei from his mentor, brother and sister, and (2) distributing the original medical records of Professor Tian Yumei from his works. A collection of medical papers written or written by Professor Tian himself, academic successors and apprentices in journals (newspapers) and academic conferences. The monographs and other research institutions or individuals have summarized or discussed Professor Tian's experience in the diagnosis and treatment of spleen and stomach diseases and the medical theory of medicine for a systematic arrangement; (3) combined with the experience of Professor Tian Yumei in the diagnosis and treatment of spleen and stomach disease and the medical records, the core ideas of his diagnosis and treatment of spleen and stomach disease were expounded. The main research materials in this paper are following professor Tian Yumei's copy of the doctor's case of spleen and stomach diseases in the past two years, including professor Tian himself, academic successor and apprentice The medical papers and monographs related to spleen and stomach diseases written or written by the famous doctors' academic thought inheritance Studio in their units, as well as Professor Tian's experience in diagnosis and treatment of spleen and stomach diseases and the medical theory of medicine that have been summarized or discussed by other research institutions or individuals, Exclusion of incomplete records (illness, prescription, etc.), only one visit (clear after the cure is retained) medical records. This paper intends to study Professor Tian Yumei's experience in the treatment of spleen and stomach diseases by means of data collation, literature review, comparative analysis, systematic elaboration, etc. Starting with the treatment of syndrome differentiation and clinical nursing, this paper expounds the ancient literature source of spleen and stomach disease and the characteristics of diagnosis and treatment of modern doctors. Secondly, it comprehensively discusses Professor Tian's academic thoughts and clinical experience in the diagnosis and treatment of spleen and stomach diseases from the aspects of theory, method, prescription and medicine. Through the diagnosis and treatment of stomach pain, fullness, vomiting, choking, hiccup, abdominal pain, diarrhea, constipation and other spleen and stomach disease classic case analysis of its diagnosis and treatment essence. Professor Tian Yumei absorbed the essence of the experience and theory of treating spleen and stomach diseases, combined with his own clinical experience for many years, explored his own diagnosis and treatment ideas. Tian Lao's thought of diagnosis and treatment of spleen and stomach diseases can be roughly summarized as follows: under the guidance of the holistic view, the diagnosis of diseases pays attention to the four diagnoses and ginseng, the differentiation of symptoms and signs is the core of the zang-fu organs, the combination of syndrome differentiation and disease differentiation, the principle of protecting the stomach and qi, and differentiating the different characteristics of the spleen and stomach. Take spleen and stomach as the center to treat spleen and stomach disease.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R256.3
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