钦安卢氏医学关于咳嗽与喘证的证治研究

发布时间：2019-04-03 17:33

【摘要】：目的:钦安卢氏医学认为人身所以立命者在于一气周流,基于此认识结合《黄帝内经》和《伤寒杂病论》的原文,探讨咳嗽和喘证形成的机理,并阐明钦安卢氏医学辨治咳嗽和喘证的思路以及用药的特色。方法:首先通过对《黄帝内经》和《伤寒杂病论》中关于咳嗽和喘证的论述进行总结归纳,并对钦安卢氏的著作进行系统的整理,结合导师的指导以及临床案例的疏理,总结出咳嗽和喘证形成的机理以及钦安卢氏医学对咳嗽和喘证的辨治思路和用药法则。结果:元气是人身的本原,人的生命的生成以及一切生命活动都有赖于元气的作用,人的健康是建立在一元之气周流不息的基础之上的。而咳嗽和喘证的形成就是由于人感受外邪或者内伤导致气机在肺的周流不畅所致,这其中最主要的因素就是外受寒邪和(或)内伤寒饮。在这个认识的基础上在辨证论治的思想指导下仲景治疗咳嗽和喘证均在肺胃上用药,而钦安卢氏医学创立了以疏导肺络法为主的方法来治疗咳嗽和喘证,同时为了更好的预防和治疗咳嗽和喘证十分强调病人自身的衣食的养护和收功法的运用,以使元气更加强健而周流无碍。结论:仲景与钦安卢氏医学都从一元论的角度认识人的生理和病理,而对于人体疾病的治疗就要在强健元气和疏通元气运行的道路上用力。在咳嗽和喘证的治疗上仲景以调理肺胃,维护元气为法,而钦安卢氏医学秉承了仲景的治疗法则,用疏导肺络法疏导肺胃为主兼调其它脏腑,在病人恢复期使用四逆法恢复元气,使得咳嗽和喘证的治疗有很长远的疗效。
[Abstract]:Objective: to study the mechanism of cough and wheezing syndrome by combining the original text of Huangdi Neijing and Typhoid Miscellaneous Diseases, according to Qin an Lu's medical opinion that the person is in the circulation of qi, and based on this understanding and combining with the original text of Huangdi Neijing and the theory of typhoid miscellaneous diseases. The thinking of treating cough and wheezing syndrome and the characteristics of drug use in Qin'an Lu's medicine were also expounded. Methods: the cough and wheezing syndrome were summarized and summarized in Huangdi Neijing and Typhoid Miscellaneous Diseases, and the works of Qin'an Lushi were systemically sorted out, combined with the guidance of the tutor and the dredging of clinical cases. This paper summarizes the mechanism of cough and wheeze syndrome and the thinking of differentiation and treatment of cough and wheeze syndrome in Qin'an Lu's medicine. Results: vital energy is the origin of human being, the formation of human life and all life activities depend on the action of vital energy, and human health is based on the endless flow of monistic qi. The formation of cough and wheezing syndrome is caused by the feeling of external evil or internal injury, and the main factor is the external cold evil and / or internal typhoid drink. On the basis of this understanding, under the guidance of the thought of syndrome differentiation and treatment, Zhongjing used drugs in the lung and stomach for the treatment of cough and wheezing, while Qin'an Lu's medicine established a method to treat cough and wheezing mainly with the method of soothing and guiding lung collaterals. At the same time, in order to better prevent and treat cough and wheezing syndrome, emphasis is placed on the maintenance of patients' own clothing and food and the application of the method of receiving work, so as to make the vitality stronger and the circulation unhindered. Conclusion: both Zhong Jing and Qin'an Lu's medicine know the physiology and pathology of human beings from the perspective of monism, and the treatment of human diseases should be forced on the road of invigorating vital energy and dredging the operation of invigorating qi. In the treatment of cough and wheezing syndrome, Zhong Jing took regulating the lung and stomach and maintaining vital energy as the method, while Qin an Lu's medicine adhered to the treatment rule of Zhong Jing, and used the method of dredging lung and collaterals to soothe the lungs and stomach as well as adjust other viscera. The treatment of cough and wheezing syndrome has a long-term effect by using the four-inverse method to recover the vital energy during the recovery period of the patient.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.1

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