本文選題：提壺揭蓋　切入點：治法　出處：《福建中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:梳理提壺揭蓋治法的發(fā)展歷程,發(fā)掘理論內(nèi)涵,以求進一步充實、完善提壺揭蓋治法。較為系統(tǒng)的歸納總結(jié)出提壺揭蓋治法臨床適應(yīng)病證的方藥配伍,期望更好的在臨床上發(fā)揮療效。方法:課題采用文獻研究方法,以中國知網(wǎng)數(shù)據(jù)庫、讀秀知識庫以及《中華醫(yī)典》(升級版)作為檢索工具,結(jié)合手工檢索,搜集整理得到大量有關(guān)提壺揭蓋治法理論方藥資料。結(jié)果:1.在歷史源流部分,提壺揭蓋法是由朱丹溪所創(chuàng),但是其中所蘊含的學(xué)術(shù)思想在早期醫(yī)學(xué)著作中均有體現(xiàn),后世醫(yī)家又進一步發(fā)展、創(chuàng)新該治法理論。2.在內(nèi)涵探討部分,認為該治法是運用宣肺以及升提的方藥通利小便,現(xiàn)今把涌吐方藥以及取嚏方藥歸入其中,還有把針灸、推拿這些能夠起到宣肺升提氣機的外治法都歸入該治法范疇。在主治病證方面多是以治療下焦壅塞阻滯不通的病證為主。3.在方藥探析中分析了該治法中藥主要包括辛溫宣肺方藥、辛涼宣肺方藥、升提方藥、涌吐方藥、取嚏方藥,且大多具有通利二便的功效。4.在適應(yīng)病證的方藥運用與配伍中,分析了治療小便難、腎性水腫、肝硬化腹水抓住水濕內(nèi)蘊之病機,以及若有輕微風寒表證而小便排除不暢,皆可考慮配合宣肺利水中藥。另外根據(jù)"肺與大腸相表里"的理論,在辨證治療各種類型便秘療效不佳的情況下均可配合使用杏仁、桔梗、紫菀宣肅肺氣。5.在討論與展望部分分析認為該治法主要針對下焦壅塞阻滯不通的疾病,若將其它病證歸入該治法范疇,仍有待進一步商榷。另外根據(jù)該治法中藥的屬性以及君臣佐使的配伍理念提出該類藥物在整個處方中的劑量宜小。結(jié)論:應(yīng)用提壺揭蓋治法治療下焦壅塞阻滯不通的病證具有一定的臨床實用價值,值得再進一步深入挖掘。
[Abstract]:Objective: to sort out the course of development and explore the theoretical connotation in order to further enrich and perfect the method of lifting the lid of the pot, and systematically sum up the prescription and compatibility of the method of lifting and removing the lid of the pot for clinical adaptation to disease syndrome. Methods: using the literature research method, the database of Chinese knowledge network, the knowledge base of reading show and the Chinese Medical Code (upgraded edition) were used as retrieval tools, combined with manual retrieval. Collected and sorted out a large number of theoretical and medicinal materials on the lifting of pots and capping. Results: 1. In the historical source part, the method of lifting the lid of pots was created by Zhu Danxi, but the academic ideas contained therein were reflected in early medical works. Later physicians further developed, innovating the theory of the treatment. 2. In the discussion of its connotation, it is believed that the treatment is the use of Xuan Lung and the prescription of Shengzhi Tongli to urinate. Nowadays, the prescriptions for vomiting and choking are included, and acupuncture and moxibustion are also included. Massage can play a role in promoting the lung to lift the Qi machine are classified as the treatment of the category. In the main treatment of disease syndrome is mainly the treatment of the lower scorch block block. 3. In the analysis of the Chinese medicine treatment of the main package of traditional Chinese medicine. Including Xin-wen Xian-fei prescription, Xin-liang Xuan Fei prescription, Sheng Fang recipe, surging and emetic prescription, and taking hellebores prescription, and most of them have the effect of "Tonglianerstool" .4.In the application and compatibility of the prescription to adapt to the disease syndrome, the treatment of difficulty in urination and renal edema is analyzed. The pathogenesis of ascites grabbing water dampness in cirrhotic cirrhosis, and if there is a mild wind-cold syndrome, and if urination is ruled out, we may consider cooperating with Xuan Fei Li Shui Chinese medicine. In addition, according to the theory of "lung and large intestine," Almond, Platycodon grandiflorum, Aster Xuan Su lung qi .5.In the part of discussion and prospect, it is concluded that the treatment is mainly aimed at the diseases with lower scorch choking and block impassable, under the condition of poor effect of syndrome differentiation and treatment of various types of constipation. If other diseases and symptoms are classified as such, In addition, according to the character of the traditional Chinese medicine and the compatibility idea of the emissary, it is suggested that the dosage of this kind of medicine in the whole prescription should be small. Conclusion: it is not necessary to use the method of lifting the pot to remove the cap in the treatment of the blockage of the lower scorch. The disease syndromes have certain clinical and practical value. It is worth further digging.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R289

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