本文關(guān)鍵詞：謝晶日教授治療慢性胰腺炎的臨床經(jīng)驗(yàn)總結(jié)　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:通過對(duì)謝晶日教授門診慢性胰腺炎患者病例的收集、研究,總結(jié)謝晶日教授對(duì)慢性胰腺炎病因病機(jī)的認(rèn)識(shí),分析謝晶日教授診治慢性胰腺炎的臨證思想、用藥規(guī)律。方法:收集、整理2006年01月到2016年01月慢性胰腺炎患者的門診病歷,按照診斷標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn)、排除標(biāo)準(zhǔn)篩選,將符合條件的121例患者的病歷建立數(shù)據(jù)庫(kù),應(yīng)用Excel 2003對(duì)慢性胰腺炎的中醫(yī)病名、辨證分型進(jìn)行頻數(shù)、頻率分析,并對(duì)收集患者的病歷首診處方的中藥從用藥頻數(shù)、藥性、藥味、藥物功效(類別)方面進(jìn)行頻數(shù)、頻率統(tǒng)計(jì),應(yīng)用SPSS19.0軟件用對(duì)使用頻率≥10%的中藥進(jìn)行系統(tǒng)聚類分析統(tǒng)計(jì)。結(jié)果:1.121例慢性胰腺炎患者的中醫(yī)病名診斷分別為脅痛、腹痛、痞滿、胃痛、泄瀉、呃逆、吞酸、反酸,各自出現(xiàn)的頻數(shù)為55、26、18、14、3、3、1、1。2.121例慢性胰腺炎患者的辨證分型分別為濕熱蘊(yùn)結(jié)證、肝郁脾胃證、瘀血阻絡(luò)證、脾虛濕盛證和脾胃虛寒證,各有55例、43例、15例、5例、3例。3.121例慢性胰腺炎患者的首診處方中共用中藥129味,總的用藥頻數(shù)為2436次,用藥頻率大于50%的藥物有柴胡、紫蘇子、金錢草、郁金、佛手、厚樸、焦白術(shù)、白豆蔻、砂仁、烏藥。4.121例慢性胰腺炎患者的首診處方中使用頻率≥10%的中藥進(jìn)行系統(tǒng)聚類分析,5≤距離≤10的藥物組合有佛手、砂仁、紫蘇子,金錢草、郁金,白豆蔻、草豆蔻、烏藥,薏苡仁、蒼術(shù),枳實(shí)、檳榔,姜黃、白芷、威靈仙,黃芩、梔子,炒麥芽、焦山楂、焦神曲、陳皮,炒蒲黃、五靈脂、制乳香、炒沒藥,豬苓、澤瀉,延胡索、炒九香蟲,煅瓦楞子、浙貝母、海蛤粉、海螵蛸,代赭石、旋復(fù)花,石斛、北沙參、天花粉,當(dāng)歸、川芎,煅龍骨、煅牡蠣、靈磁石,火麻仁、郁李仁。5.121例慢性胰腺炎患者的首診處方中,辛味藥用藥903次,苦味藥用藥771次,甘味藥用藥618次,咸味藥用藥108次,酸味藥用藥36次。6.121例慢性胰腺炎患者的首診處方中,溫性藥用藥1238次,寒性藥用藥850次,平性藥用藥340次,熱性藥用藥7次,涼性藥用藥1次。7.121例慢性胰腺炎患者的首診處方中,共用藥2436次,化濕藥用藥337次,理氣藥用藥323次,活血化瘀藥用藥290次,補(bǔ)虛藥用藥267次,利水滲濕藥用藥233次,清熱藥198次,化痰止咳平喘藥用藥163次,解表藥用藥149次,消食藥用藥140次,瀉下藥用藥60次,驅(qū)蟲藥用藥52次,安神藥用藥48次,收澀藥用藥47次,祛風(fēng)濕藥用藥45次,平肝息風(fēng)藥用藥40次,止血藥用藥26次,破血消ve藥用藥9次,溫里藥用藥7次,解毒燥濕殺蟲止癢藥用藥2次。結(jié)論:1.謝晶日教授治療慢性胰腺炎的主要臨證思想是以通調(diào)代補(bǔ)益,以通、調(diào)為兩大法則。2.謝晶日教授治療慢性胰腺炎常選用的藥物有柴胡、紫蘇子、金錢草、郁金、佛手、厚樸、焦白術(shù)、白豆蔻、砂仁、烏藥。3.謝晶日教授治療慢性胰腺炎常選用的藥物組合有佛手、砂仁、紫蘇子,金錢草、郁金,白豆蔻、草豆蔻、烏藥,薏苡仁、蒼術(shù),枳實(shí)、檳榔,姜黃、白芷、威靈仙,黃芩、梔子,炒麥芽、焦山楂、焦神曲、陳皮,炒蒲黃、五靈脂、制乳香、炒沒藥,豬苓、澤瀉,延胡索、炒九香蟲,煅瓦楞子、浙貝母、海蛤粉、海螵蛸,代赭石、旋復(fù)花,石斛、北沙參、天花粉。4.謝晶日教授治療慢性胰腺炎的中藥藥味多為辛味和苦味,藥性多為溫性和寒性。
[Abstract]:Objective: Based on Professor xiejingri in outpatients with chronic pancreatitis were collected, research, summary of Professor xiejingri understanding of chronic pancreatitis etiology machine, analysis of drug law professor xiejingri in diagnosis and treatment of chronic pancreatitis. Methods: clinical thoughts, collecting, finishing in 2006 2016 01 months to 01 months in patients with chronic pancreatitis outpatient medical records, according to the diagnostic criteria, inclusion criteria, exclusion criteria, will meet the conditions of the 121 patient records database, TCM application of Excel 2003 in chronic pancreatitis, differentiation frequency, frequency analysis, and traditional Chinese medicine prescription on the first diagnosis records were collected from the frequency of drug use, drug. Drugs, drug efficacy (category) of frequency, frequency statistics, application of SPSS19.0 software in the cluster analysis of statistical frequency of more than 10% of the use of traditional Chinese medicine. Results: 1.121 cases of patients with chronic pancreatitis. Disease diagnosis were chest pain, abdominal pain, fullness, stomach pain, diarrhea, hiccup, Tunsuan, acid reflux, the respective frequency differentiation of 55,26,18,14,3,3,1,1.2.121 patients of chronic pancreatitis were damp heat syndrome, liver stagnation and spleen stomach syndrome, blood stasis syndrome, spleen deficiency and dampness of spleen deficiency syndrome, each of the 55 cases, 43 cases, 15 cases, 5 cases, 3 cases of first prescription.3.121 patients of chronic pancreatitis in common Chinese medicine 129 flavor, the total medication frequency was 2436 times, medication frequency more than 50% with Radix Bupleuri, perilla seed, Herba Lysimachiae, turmeric, bergamot, Magnolia, white cardamom, coke, Amomum the use of traditional Chinese medicine, the frequency is more than 10%.4.121 cases of prescription medicine for patients with chronic pancreatitis in cluster analysis, 5 = a distance less than or equal to 10 drug combinations with bergamot, Amomum, perilla, Desmodium, turmeric, cardamom, grass cardamom, Radix Linderae, coix seed, Atractylodes, citrus aurantium, areca, Jiang Huang, angelica, 濞佺伒浠，

本文編號(hào)：1385159