基于古代文献对颤证证候要素的研究

发布时间：2018-10-30 15:32

【摘要】：目的:通过对颤证古代文献的整理、研究,探讨历代医家对颤证的病名、病因、病机、病状体征以及证治方药规律的理论研究,填补颤证古代文献研究的空缺,探讨中医古代文献中关于颤证的证候要素、病位及应证组合规律,以期为中医临床辨证治疗颤证提供参考。方法:通过检索《中华医典》中颤证的相关古代文献,采用传统文献学研究方法整理和研究相关条文,总结出历代医家对颤证的病名沿革、病因、病机、病状体征以及证治方药规律,并采用现代统计学方法提取出文献中的证候要素、病位要素,建立2个Excel数据库,包括文献来源数据库、证候要素数据库,应用统计学软件SPSS22.0对证候要素进行频数统计分析,结合中医药理论对得出的结果总结讨论。结果:1.通过对《中华医典》进行关键词检索,共检索古代文献5672条,最终纳入与颤证相关的古代文献共计420条,其中涉及的证候的条文有323条,检索出文献条文涉及至民国以前的古籍医书共111本。2.通过统计与分析颤证的古代文献中证候要素及应证组合规律,得出:(1)颤证的病位要素肝、脾、肾、心、肺;(2)病性证候要素主要有内风、气虚、血虚、阴虚、痰、内火、风、阳虚、血瘀、气郁、热、精亏、毒、气滞、内湿、阳亢、寒、阴盛;(3)颤证病性证候要素的组合主要是气血相关证候要素、阴阳相关证候要素与内生五气的独立组合和相互组合。(4)颤证相关古代文献中病性证候要素与病位证候要素之间的组合中主要有肝内风、脾气虚、肝内火、肝阴虚、肾阴虚、脾血虚。结论:通过对颤证古代文献系统分析研究,根据统计得出的证候要素排序结果,结合中医学理论提出了:(1)颤证的主要病位要素为肝、脾、肾;(2)颤证的主要证候病性因素为阴虚风动、气血两虚、痰火瘀滞;(3)颤证的病理性质总属本虚标实。
[Abstract]:Objective: to explore the theoretical study on the name, etiology, pathogenesis, symptoms and signs of the tremor syndrome, and the regularity of the prescription and medicine in order to fill the gap in the ancient literature research on the tremor syndrome through the collation and study of the ancient literature on the tremor syndrome. This paper discusses the syndromes elements, disease position and syndrome combination in ancient Chinese medicine literature, in order to provide reference for clinical treatment of fibrillation syndrome. Methods: by retrieving the relevant ancient documents of the tremor syndrome in the Chinese Medical Code, and using the traditional documentary research method to sort out and study the relevant articles, we summarized the history, etiology, pathogenesis of the disease of the tremor syndrome by the physicians in the past dynasties, and found out the history of the disease, the etiology and the pathogenesis of the disease. The symptoms and signs as well as the rule of syndrome and treatment prescriptions were extracted from the literature by modern statistical method, and two Excel databases were established, including the database of literature source, the database of syndromes and the factors of syndromes. The statistical software SPSS22.0 was used to analyze the frequency of syndromes, and the results were summarized and discussed in combination with the theory of traditional Chinese medicine. The result is 1: 1. Through the keyword retrieval of Chinese Medical Code, a total of 5672 ancient documents were searched, and a total of 420 ancient documents related to tremor syndrome were included, among which 323 articles related to syndromes were included. Retrieval of literature provisions related to the Republic of China before the ancient books of medicine a total of 111. 2. Through statistics and analysis of syndromes and syndromes in ancient literature, it is concluded that: (1) liver, spleen, kidney, heart and lung; (2) the main factors of disease syndrome are internal wind, qi deficiency, blood deficiency, yin deficiency, phlegm, internal fire, wind, yang deficiency, blood stasis, qi depression, heat, essence deficiency, toxin, qi stagnation, internal dampness, yang hyperactivity, cold, Yin Sheng; (3) the combination of syndromes of fibrillation syndrome is mainly qi and blood related syndromes. The independent combination and mutual combination of Yin and Yang related syndromes and endogenous five qi. (4) the combination of disease syndrome elements and disease position syndrome elements in ancient literature mainly include intrahepatic wind, spleen qi deficiency, intrahepatic fire, liver yin deficiency, and so on. Kidney yin deficiency, spleen blood deficiency. Conclusion: based on the systematic analysis of ancient literature on the syndrome of tremor, according to the results of the sorting of syndromes obtained by statistics, combined with the theory of traditional Chinese medicine, the following points are put forward: (1) the main factors of the disease position of the tremor syndrome are liver, spleen and kidney; (2) the main syndromes of fibrillation syndrome were Yin deficiency and wind movement, qi and blood deficiency, phlegm and fire stagnation.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R241

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