本文選題：賈六金 + 學(xué)術(shù)思想　； 參考：《北京中醫(yī)藥大學(xué)》2016年博士論文

【摘要】：研究目的：全面繼承賈六金教授半個多世紀(jì)以來治療疾病的珍貴學(xué)術(shù)思想和豐富的臨床經(jīng)驗,從而指導(dǎo)臨床實踐,提高臨床療效,重點學(xué)習(xí)賈六金教授治療小兒腹痛及其他小兒脾系疾病的經(jīng)驗。研究方法和內(nèi)容：通過文獻研究和理論研究,挖掘賈六金教授學(xué)術(shù)思想產(chǎn)生的淵源,對其進行客觀深入的研究,進而升華成具有臨床指導(dǎo)意義的學(xué)術(shù)理論；通過跟師、臨證、授課等方式總結(jié)老師的辨證論治經(jīng)驗,檢驗跟師成果；并在門診選取小兒腹部中寒型腹痛患者70例,隨機分為兩組,各35例,分別服用香烏止痛湯與養(yǎng)臟湯治療,對照研究,比較臨床療效。研究結(jié)果本論文分為四部分第一部分：賈六金教授學(xué)術(shù)淵源概述賈老師認(rèn)為,《黃帝內(nèi)經(jīng)》總結(jié)了戰(zhàn)國以前的醫(yī)學(xué)成就,并為戰(zhàn)國以后的中國醫(yī)學(xué)發(fā)展提供了理論指導(dǎo),是中國醫(yī)藥學(xué)發(fā)展的理論基礎(chǔ)和源泉；《傷寒雜病論》是又一部中國傳統(tǒng)醫(yī)學(xué)巨著之一,它系統(tǒng)地分析了傷寒的原因、癥狀、發(fā)展階段和處理方法,創(chuàng)造性地確立了對傷寒病的“六經(jīng)分類”的辨證施治原則,奠定了理、法、方、藥的理論基礎(chǔ)；《本草綱目》是我國醫(yī)藥寶庫中的一份珍貴遺產(chǎn),它不僅為中國藥物學(xué)的發(fā)展作出了重大貢獻,而且對世界醫(yī)藥學(xué)、植物學(xué)、動物學(xué)、礦物學(xué)、化學(xué)的發(fā)展也產(chǎn)生了深遠(yuǎn)的影響；《溫病條辨》創(chuàng)立了三焦辨證綱領(lǐng),為清代溫病學(xué)說標(biāo)志性專著。其中一些學(xué)術(shù)見解直到現(xiàn)在仍為臨床醫(yī)家所重視�！夺t(yī)學(xué)三字經(jīng)》、《瀕湖脈學(xué)》、《湯頭歌訣》及《藥性歌括四百味》被稱為中醫(yī)四小經(jīng)典,是中醫(yī)啟蒙必讀之作。《小兒藥證直訣》、《幼科發(fā)揮》、《醫(yī)宗金鑒·幼科雜病心法要訣》及《幼幼集成》作為兒科專業(yè)四經(jīng)典,給后人留下了無盡的財富。山西名醫(yī)李翰卿不僅精于中醫(yī)內(nèi)科、婦科,而且在兒科、外科及老年病學(xué)方面亦研究頗深。張光煜秉承家學(xué),博采眾長,尤精于兒科,擅治時行病,辨證重視小兒生理特點,論治因病制方,中病即止。業(yè)醫(yī)50余載,臨證經(jīng)驗十分豐富。當(dāng)代名醫(yī)徐小圃、王伯岳、董廷瑤、趙心波、江育仁、劉弼臣等在中醫(yī)界均獨樹一幟,是賈老學(xué)習(xí)的楷模。賈老博采眾長,醫(yī)耕不輟,結(jié)合自己的臨床感悟,形成了自己獨特的學(xué)術(shù)思想體系。第二部分：賈六金教授學(xué)術(shù)思想概述1、中西結(jié)合,優(yōu)勢互補賈老師認(rèn)為,西醫(yī)長于微觀認(rèn)識疾病,在疾病的定性、定位、診斷上占優(yōu)勢：中醫(yī)長于宏觀認(rèn)識疾病,只有辨病與辨證相結(jié)合,縱橫識病,才能明確診斷,提高療效。2、重視組合,繼承創(chuàng)新賈老臨床習(xí)慣使用復(fù)方、組方,既有繼承,又有創(chuàng)新。他認(rèn)為,多方合用加減化裁后用于臨床,可以增強其功用,擴大其主治范圍,拓展方劑對臨床表現(xiàn)的覆蓋面,以適應(yīng)各種復(fù)雜病癥。3、四診合參,尤重望診賈老在繼承前人望診經(jīng)驗的基礎(chǔ)上,將“有諸內(nèi)者,必形諸外”的理論靈活運用于臨床,總結(jié)出望咽喉辨寒熱的經(jīng)驗,指導(dǎo)臨床用藥每收奇效。其中口咽部望診包括口唇、牙齒、牙齦、頰粘膜、軟腭、咽、扁桃體等內(nèi)容。4、多法并舉,擅用“和清”“和”、“清”二法,分別屬中醫(yī)八法之一。賈老指出：和解少陽謂之和；調(diào)理肝脾謂之和；表里雙解謂之和；寒熱并用謂之和。同時“和”法還可用于亞健康調(diào)理及疾病恢復(fù)期調(diào)理。另外賈老認(rèn)為小兒為純陽之體,陽常有余,陰常不足,邪氣襲人易化火助熱,又因小兒多見感染性疾病,而感染性疾病多見熱證,因此臨床亦擅用“清”法。5、臟腑辨證,各有側(cè)重賈老臨床治療一般熱性病多從肺論治；慢性病多責(zé)之脾腎；急性病多在肝、心。6、內(nèi)科雜病,從脾論治脾乃后天之本,四季脾旺不受邪,增強脾胃功能,可達到預(yù)防疾病、提高免疫力的作用。賈老師認(rèn)為,脾虛生百病,在辨證處方時尤重視脾胃,提出內(nèi)科雜病從脾論治。第三部分：賈六金教授臨床經(jīng)驗總結(jié)系統(tǒng)總結(jié)了賈老師治療小兒脾系疾病的治療特點,分別介紹了賈老師臨床治療滯頤、口瘡、嘔吐、厭食、積滯、脾疳、便秘、新生兒黃疸、泄瀉、小兒遺尿、痹癥、眩暈共十二個病證的臨床經(jīng)驗及體會,并總結(jié)了賈老臨床應(yīng)用平胃散、七味白術(shù)散的用方經(jīng)驗及特點。第四部分：香烏止痛湯治療小兒腹部中寒型腹痛的臨床研究選取小兒腹部中寒型腹痛的患兒70例,隨機分為兩組各35例,中藥香烏止痛湯組為試驗組,養(yǎng)臟湯組為對照組進行研究,在中醫(yī)證候療效和主癥改善方面,兩組比較差異有統(tǒng)計學(xué)意義,試驗組在改善腹痛的程度、發(fā)作頻率及腹痛持續(xù)時間等主要癥狀方面優(yōu)于對照組。
[Abstract]:Objective: to comprehensively inherit professor Jia Liujin's precious academic thought and rich clinical experience for more than half a century of disease treatment, so as to guide clinical practice and improve clinical efficacy, and to focus on the experience of Professor Jia Liujin in treating children's abdominal pain and other children's spleen diseases. Research methods and contents: through literature research and theory. Research, excavate the origin of Professor Jia Liujin's academic thought, study it objectively and deeply, and then sublimate the academic theory with clinical guiding significance; summarize the teacher's syndrome differentiation and treatment experience through the way of teacher, clinical syndrome, teaching and so on, and examine 70 cases of middle cold abdominal pain in the abdomen of the children. The machine is divided into two groups, each of which 35 cases are treated with Xiang Wu Zhitong soup and Yang Zang decoction, and the comparative clinical effect is compared. The results of the study are divided into four parts. This thesis is divided into four parts: the summary of Professor Jia's academic origin that "Huangdi Neijing" summed up the medical achievements before the Warring States and provided the Chinese medical development after the Warring States period. Theoretical guidance is the theoretical basis and source of the development of Chinese medicine and pharmacology. The theory of typhoid and miscellaneous diseases is one of the great works of traditional Chinese medicine. It systematically analyzes the causes, symptoms, development stages and treatment methods of typhoid fever, and creatively establishes the principle of syndrome differentiation and treatment of the "six meridian classification" of typhoid fever, laying a rational, legal, prescription and medicine. The basis of the theory; < Compendium of Materia Medica > is a precious heritage in the treasure house of China's medicine. It not only has made great contributions to the development of Chinese pharmacology, but also has a profound influence on the development of world medicine, botany, zoology, mineralogy and chemistry. Symbolic monographs. Some of these academic views are still attached to clinical doctors. < medical three >, < near Lake pulse >, "decoction of the soup >" and "four hundred flavors of medicinal herbs > > four small classics of traditional Chinese Medicine) are the compulsory reading of traditional Chinese medicine. As the four classic of Pediatrics, the four classics of Pediatrics left endless wealth for future generations. Li Hanqing, a famous doctor, is not only proficient in traditional Chinese medicine, gynecology, but also in pediatrics, surgery and geriatrics. Zhang Guangyu adheres to the family, especially in pediatrics, especially in pediatrics. 50 years of medical treatment, the experience of medical treatment is very rich. Xu Xiaopu, Wang Boyue, Dong Tingyao, Zhao Xin Bo, Jiang Yuren and Liu Bichen are all unique in traditional Chinese medicine and are the model of Jia Lao learning. Professor Liu Jin's academic thought is summarized 1, the combination of Chinese and western, the complementary advantage Jia teacher thinks that western medicine is longer than microcosmic understanding of disease, in the qualitative, positioning and diagnosis of diseases: Traditional Chinese medicine is longer than macro understanding of disease, only the combination of disease and syndrome differentiation, vertical and horizontal recognition can diagnose, improve the curative effect.2, attach importance to combination, inherit innovation Jia old clinical With the habit of using the compound and the group, it has both inheritance and innovation. He believes that the combined use of addition and subtraction for clinical use can enhance its function, expand the scope of its treatment, expand the coverage of the prescription to the clinical manifestations, adapt to the various complex diseases.3, the four diagnosis of the combined reference, especially on the basis of the successor to the experience of the predecessors. Inside, the theory of "must be all outside" is applied flexibly to the clinic, summing up the experience of looking at the cold and heat of the throat of the pharynx and throat, guiding the miraculous effect of the clinical medication. In the pharynx, the examination includes lips, teeth, gums, buccal mucosa, the soft palate, pharynx, tonsil and so on, and the two methods of "harmony" and "Qing", "Qing", are one of the eight methods of Chinese medicine. The old points out: reconcile the sum of the sun, adjust the sum of the liver and spleen, the sum of the double solution predicate of the liver and the spleen, the cold and heat and the use of predicate. At the same time, the "harmony" method can also be used in the subhealth conditioning and the recovery period of the disease. In addition, Jia Lao thinks that children are the body of pure Yang. Diseases, and infectious diseases often see the heat syndrome, so the clinical use of "Qing" method.5, the viscera syndrome differentiation, each has the emphasis on the treatment of general heat STD from the lung theory, the chronic disease multiple responsibility of the spleen and kidney; acute disease mostly in the liver, the heart.6, medical miscellaneous disease, the spleen from the spleen is the day after the spleen, spleen and stomach function, can be achieved to enhance the spleen and stomach function, can be achieved pre - function, can achieve pre - function of spleen and stomach, can achieve pre - function, can be achieved preconditioning, can achieve pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - Pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can achieve pre - Pre - function, can achieve pre - pre - function, can achieve pre - pre - function, can In the third part: the third part: Professor Jia's clinical experience summarization systematically summarizes the treatment characteristics of the treatment of children's spleen diseases, and introduces Jia's clinical treatment of hysteria, stomatitis and vomiting, respectively. Vomiting, anorexia, stagnation, spleen chancre, constipation, neonate jaundice, diarrhea, infantile enuresis, arthralgia and vertigo were twelve clinical experiences and experiences, and the clinical experience and characteristics of the clinical application of Jia Lao's clinical application of flat stomach powder and seven flavours of Baizhu powder were summed up. The fourth part: the clinical study on the treatment of abdominal middle cold abdominal pain in children by Xiang Wu Zhitong soup 70 children with middle cold abdominal pain were divided into two groups, each of which was divided into 35 cases. The group of Xiang Wu Zhitong decoction group was the experimental group and the control group was studied in the control group. The difference between the two groups was statistically significant in the curative effect of TCM syndrome and the improvement of the main symptoms. The experimental group was the main symptom in improving the degree of abdominal pain, the frequency of the attack and the duration of abdominal pain. The surface is superior to the control group.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：博士
【學(xué)位授予年份】：2016
【分類號】：R249;R272

【相似文獻】

相關(guān)期刊論文 前10條

1 張延齡;循證醫(yī)學(xué)與外科臨床經(jīng)驗總結(jié)[J];醫(yī)學(xué)文選;2002年06期

2 吳玉濤;祁靜;吳宗柏;;淺議臨床經(jīng)驗總結(jié)中的幾個問題[J];云南中醫(yī)中藥雜志;2007年01期

3 杜治政;;把臨床經(jīng)驗總結(jié)的水平提高一步[J];醫(yī)學(xué)與哲學(xué);1980年01期

4 劉代焰;陶永松;余艷林;;回顧性臨床經(jīng)驗總結(jié)成敗因素初探[J];醫(yī)學(xué)與哲學(xué);1987年02期

5 魯芳,徐仲明;上頜竇出血壞死性息肉26例臨床經(jīng)驗總結(jié)[J];四川醫(yī)學(xué);1999年03期

6 陶樹貴;;下肢動脈硬化性閉塞癥臨床經(jīng)驗總結(jié)[J];首都醫(yī)藥;2010年12期

7 李紅斌,楊改琴,吳晨燕;趙惠馨兩經(jīng)三行法為主治療失眠臨床經(jīng)驗總結(jié)[J];安徽中醫(yī)臨床雜志;2002年05期

8 閔存云;;黃松柏治療腫瘤臨床經(jīng)驗總結(jié)[J];中國中醫(yī)藥信息雜志;2006年09期

9 孫耀君;;絕經(jīng)后取環(huán)的臨床經(jīng)驗總結(jié)[J];臨床和實驗醫(yī)學(xué)雜志;2006年04期

10 周金群;歐春;;歐春老師治療痔疾便血的臨床經(jīng)驗總結(jié)[J];深圳中西醫(yī)結(jié)合雜志;2012年01期

相關(guān)會議論文 前9條

1 張穎;楊濱;劉銅華;;消渴病臨床經(jīng)驗總結(jié)的方法學(xué)研究現(xiàn)狀[A];第八次全國中醫(yī)糖尿病學(xué)術(shù)大會論文匯編[C];2005年

2 陳國忠;夏李明;;周德麗教授治療腫瘤臨床經(jīng)驗總結(jié)[A];中華中醫(yī)藥學(xué)會脾胃病分會第二十三次全國脾胃病學(xué)術(shù)交流會論文匯編[C];2011年

3 朱江;;治療慢性非細(xì)菌性前列腺炎臨床經(jīng)驗總結(jié)[A];第一屆全國中西醫(yī)結(jié)合男科學(xué)術(shù)會議論文匯編[C];2001年

4 黃河清;;中西醫(yī)結(jié)合治療肺炎的臨床經(jīng)驗總結(jié)[A];第七次全國中西醫(yī)結(jié)合呼吸病學(xué)術(shù)交流大會論文匯編（二）[C];2004年

5 趙志河;;TMD的正畸治療及常規(guī)正畸治療中應(yīng)該注意的鉭學(xué)問題(臨床經(jīng)驗總結(jié)附病例報告)[A];第四軍醫(yī)大學(xué)口腔醫(yī)院2004第七屆全國口腔正畸學(xué)術(shù)會議論文匯編[C];2004年

6 田文傲;;胃好舒散治療胃病的臨床經(jīng)驗總結(jié)及研究[A];中國中醫(yī)藥學(xué)會基層中醫(yī)藥會議�？痆C];1997年

7 修奇志;;朱正剛治療骨傷科疾病學(xué)術(shù)思想及臨床經(jīng)驗總結(jié)[A];巴渝國醫(yī)傳承——重慶市第四批全國老中醫(yī)專家學(xué)術(shù)經(jīng)驗繼承文集[C];2012年

8 李伯君;高長青;馬曉輝;姜勝利;朱朗標(biāo);王冬青;余翼飛;;575例法樂氏四聯(lián)癥手術(shù)治療的臨床經(jīng)驗總結(jié)[A];中華醫(yī)學(xué)會第七次全國胸心血管外科學(xué)術(shù)會議暨2007中華醫(yī)學(xué)會胸心血管外科青年醫(yī)師論壇論文集心血管外科分冊[C];2007年

9 齊玉珍;;張武主任醫(yī)師治療肝炎肝硬化學(xué)術(shù)思想及臨床經(jīng)驗總結(jié)[A];中華中醫(yī)藥學(xué)會脾胃病分會第二十四次全國脾胃病學(xué)術(shù)交流會論文匯編[C];2012年

相關(guān)博士學(xué)位論文 前6條

1 袁葉;賈六金學(xué)術(shù)思想與臨床經(jīng)驗總結(jié)及治療小兒腹部中寒型腹痛的研究[D];北京中醫(yī)藥大學(xué);2016年

2 張焱;賈六金學(xué)術(shù)思想和臨床經(jīng)驗總結(jié)及治療兒童咳嗽變異性哮喘的臨床研究[D];北京中醫(yī)藥大學(xué);2016年

3 王東紅;肖承`敖淌諮跛枷牒土俅簿樽芙峒爸瘟粕魴樘叼魴投嗄衣殉滄酆險韉牧俅慚芯縖D];北京中醫(yī)藥大學(xué);2011年

4 徐旭英;王應(yīng)麟學(xué)術(shù)思想與臨床經(jīng)驗總結(jié)及小兒上腭望診在咳嗽辨治中應(yīng)用的研究[D];北京中醫(yī)藥大學(xué);2011年

5 李明;周耀庭學(xué)術(shù)思想與臨床經(jīng)驗總結(jié)及治療濕阻膜原型發(fā)熱的臨床研究[D];北京中醫(yī)藥大學(xué);2011年

6 倪誠;王琦教授主病主方學(xué)術(shù)思想和臨床經(jīng)驗總結(jié)及治療變異性鼻炎的臨床研究[D];北京中醫(yī)藥大學(xué);2011年

相關(guān)碩士學(xué)位論文 前10條

1 劉曉麗;何學(xué)紅教授中西醫(yī)結(jié)合治療原發(fā)性腎病綜合征的臨床經(jīng)驗總結(jié)[D];遼寧中醫(yī)藥大學(xué);2009年

2 吳靜;王翠霞教授治療未破裂卵泡黃素化綜合征的臨床經(jīng)驗總結(jié)[D];遼寧中醫(yī)藥大學(xué);2013年

3 雷振華;秦國政教授治療膀胱過度活動綜合癥臨床經(jīng)驗總結(jié)[D];云南中醫(yī)學(xué)院;2012年

4 翟毓紅;沈家驥教授中醫(yī)學(xué)術(shù)思想與臨床經(jīng)驗總結(jié)[D];云南中醫(yī)學(xué)院;2011年

5 陳玉璽;張明波老師治療原發(fā)性三叉神經(jīng)痛臨床經(jīng)驗總結(jié)[D];遼寧中醫(yī)藥大學(xué);2015年

6 孫明霞;王應(yīng)麟教授學(xué)術(shù)思想與臨床經(jīng)驗總結(jié)和診治小兒外感發(fā)熱獨創(chuàng)望上腭及特色用藥研究[D];北京中醫(yī)藥大學(xué);2011年

7 鄧翠;張?zhí)m教授治療慢性淋巴細(xì)胞性甲狀腺炎臨床經(jīng)驗總結(jié)[D];遼寧中醫(yī)藥大學(xué);2012年

8 馮勇偉;谷世U喲跛枷胗肓俅簿樽芙峒氨嬤我鐘糝⒌難芯縖D];北京中醫(yī)藥大學(xué);2011年

9 孫元;名老中醫(yī)田從豁治療哮喘臨床經(jīng)驗總結(jié)[D];北京中醫(yī)藥大學(xué);2010年

10 劉清;陳彤云老師學(xué)術(shù)思想和臨床經(jīng)驗總結(jié)及治療粉刺理法方藥的研究[D];北京中醫(yī)藥大學(xué);2011年

，

本文編號：2039306