本文選題：名老中醫(yī)醫(yī)案　切入點：兒童肺炎　出處：《遼寧中醫(yī)藥大學》2012年碩士論文

【摘要】：目的：本研究對當代名中醫(yī)兒童肺炎醫(yī)案進行整理統(tǒng)計分析，發(fā)現(xiàn)名老中醫(yī)對于兒童肺炎辯證、選方用藥等方面的共性認識，，為臨床醫(yī)生更加深刻理解、全面掌握名中醫(yī)學術思想和臨證經驗，更好地指導臨床工作奠定基礎。 方法：對全國名老中醫(yī)藥專家的兒童肺炎的醫(yī)案，嚴格按照納入標準、排除標準進行篩選，將符合條件的106例醫(yī)案，利用Mrcrosoft excel，按具體的條目進行輸入，并對輸入兒童肺炎醫(yī)案的一般情況、辨證特點、用藥規(guī)律三方面數(shù)據(jù)進行整理分析，記錄結果。并對分析的結果結合病例資料進行歸納總結、推導結論，找出其中蘊含的相關性、規(guī)律、特點，導出結論。 結果： 1.證型分布：106例醫(yī)案中，以異名同證原則進行歸類，以出現(xiàn)的頻數(shù)從高到低排列：痰熱閉肺證（22例、20.75%）、風熱閉肺證（20例、18.87%）、肺脾氣虛證（11例、10.38%）、風寒閉肺證（10例、9.43%）、邪陷厥陰證（9例、8.49%）、心陽虛衰證（8例、7.55%）、毒熱閉肺證（6例、5.66%）、陰虛肺熱證（6例、5.66%）。 2.癥狀分析：106例醫(yī)案中，癥狀出現(xiàn)頻次前四位為咳嗽（91例、85.85%）發(fā)熱（85例、80.19%）、喘促（65例、61.32%）痰鳴（50.00%）。 3.用藥方面：兒童肺炎常用藥物（前二十位）有：甘草（53例、50.00%）杏仁（49例、46.23%）、麻黃（39例、36.79%）、石膏（27例、25.47%）、黃芩（22例、20.75%）、川貝（20例、18.87%）、連翹（20例、18.87%）、金銀花（20例、18.87%）、麥冬（18例、16.98%）、半夏（20例、18.87%）、陳皮（15例、14.15%）、枇杷葉（14例、13.21%）薄荷（13例、12.26%）、桔梗（13例、12.26%）、牛黃（12例、11.32%）、蘇子（12例、11.32%）、蘆根（11例、10.38%）、葶藶子（11例、10.38%）、黨參（10例、9.43%）、茯苓（10例、9.43%）。 結論： 1.通過對兒童肺炎名老中醫(yī)醫(yī)案的研究，得出對于不同證型的癥狀與治療用藥的特點。 2.名老中醫(yī)對于兒童肺炎喘嗽的治療用藥及診療思路。
[Abstract]:Objective: to analyze the medical records of children's pneumonia in contemporary famous Chinese medicine, and find out that famous old Chinese medicine has a common understanding of the dialectical and prescription of children's pneumonia, so as to give clinicians a better understanding of it. Master the famous Chinese medicine academic thought and clinical experience, better guide the clinical work lay the foundation. Methods: according to the inclusion criteria and exclusion criteria, the medical records of pediatric pneumonia of old Chinese medicine specialists in China were screened, and 106 cases of medical records that met the requirements were input according to the specific items by using Mrcrosoft excel. In addition, the general situation, syndrome differentiation characteristics and drug use law of the medical records of children pneumonia were analyzed and recorded. The results of the analysis were summarized and the conclusion was deduced by combining the analysis results with the data of the cases. Find out the correlation, law, characteristic and deduce the conclusion. Results:. 1. According to the principle of synonym and synonym, the distribution of syndromes in 106 medical cases was classified. The frequency ranges from high to low: phlegm-heat blocking lung syndrome (22 cases), phlegm heat closing lung syndrome (22 cases), wind heat closing lung syndrome (20 cases), wind and heat closing lung syndrome (20 cases), syndrome of lung and spleen Qi deficiency syndrome (11 cases) with 10 cases of syndrome of syndrome of deficiency of lung and spleen (10.38), wind cold syndrome of closing lung syndrome (10 cases), syndrome of closing lung and closing lung syndrome of wind and cold (n = 10) with 9 cases of 8.499.49A, syndrome of heart and yang deficiency and failure syndrome (n = 8) with 7.555A, toxic heat of lung syndrome (n = 6) with 5.66D, with heat syndrome of Yin deficiency and lung syndrome (n = 6). 2. Symptom analysis in 106 medical cases, the first four cases of symptom frequency were cough (91 cases, 85.85) fever (85 cases, 80.19), asthma (65 cases, 61.32), phlegm (50.005). 3. Medication: common drugs for pneumonia in children (first 20) are: licorice 53 cases (50.00g) almonds 46.232o, ephedra 39 cases 36.79g, gypsum 27 cases 25.4747, Scutellaria baicalensis 22 cases 20.7575), Chuanbei 20 cases 18.8787, Forsythia suspensa 20 cases 18.877.20 cases 18.8787, Ophiopodium japonicum 18.8787, Ophiopodium japonicus 16.98m. There were 20 cases with 18.87m, 15 cases with pericarpium, 14 cases with loquat leaf, 14 cases with loquat leaf.) there were 13 cases with menthol (12.26m), 13 cases with platycodon (12 cases) with 12.26m, 12 cases with Niuhuang (12 cases) with 11.32C, 12 cases with perilla (11.32), 11 cases with root (10.38um), 11 cases with lividipine (10.38%), 10 cases with Codonopsis (9.43m), 10 cases with Tuckia (9.43). Conclusion:. 1. The characteristics of symptoms and medication for different syndrome types were obtained through the study of the medical records of famous and old Chinese medicine for children's pneumonia. 2. Treatment and treatment of pneumonia and cough in children by famous Chinese medicine.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R249;R272

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相關期刊論文 前2條

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