發(fā)布時間：2017-12-28 00:13

  本文關(guān)鍵詞：王昕教授治療氣虛血瘀型崩漏的臨床經(jīng)驗(yàn)　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 崩漏 氣虛血瘀 臨床經(jīng)驗(yàn) 退膜湯

【摘要】：崩漏是婦科臨床常見疑難疾病之一。其臨床表現(xiàn)主要是女子在非經(jīng)期時陰道突然大量出血,或量時多時少,淋漓不盡,可造成一系列并發(fā)癥,如貧血、不孕、生殖器官繼發(fā)感染等,甚至危及患者生命。本文綜述部分對中醫(yī)醫(yī)家及現(xiàn)代醫(yī)學(xué)對崩漏臨床治療加以整理分析。崩漏的病因病機(jī)復(fù)雜多樣,但其發(fā)生主要與腎-天癸-沖任-胞宮生殖軸的嚴(yán)重失調(diào)有關(guān)。中醫(yī)各家在治療崩漏時,根據(jù)其病機(jī)的側(cè)重點(diǎn)不同,遣方用藥各有特點(diǎn),但均取得了較好的臨床療效�，F(xiàn)代醫(yī)學(xué)的激素或診刮術(shù)治療,止血效果顯著,但復(fù)發(fā)率高,并具有一定的副作用及禁忌癥。正文部分回顧并整理了導(dǎo)師對本病的認(rèn)識及學(xué)術(shù)思想,并對導(dǎo)師治療本病的臨床經(jīng)驗(yàn)加以總結(jié)。導(dǎo)師在臨床工作三十余年,對崩漏的認(rèn)識有自己獨(dú)到的見解,認(rèn)為本病的發(fā)生多與脾氣虧虛,瘀血內(nèi)阻有關(guān)。脾氣虧虛,不能攝血,致經(jīng)血非時而下;崩漏失血日久,耗氣傷血,氣虛則運(yùn)血無力,瘀滯由生,形成血瘀;瘀血不去,離經(jīng)之血非時而下,又加重了氣血的損傷,氣虛與瘀血兩者互為因果,形成本虛標(biāo)實(shí)之證。導(dǎo)師在臨床辨證治療時,在出血期不拘泥單用收斂止血藥,而是塞流與澄源并顧,常用“退膜湯”加減治以益氣固沖,化瘀止血。待血止之后,再用調(diào)補(bǔ)脾腎二臟之法以復(fù)其舊。
[Abstract]:Is one of the most common gynecological diseases of uterine bleeding clinical. The clinical manifestations are mainly women's massive vaginal bleeding during the non menstrual period, or too much time and less dripping. It can cause a series of complications, such as anemia, infertility, secondary infection of reproductive organs, and even endanger the lives of patients. This paper reviews some of the Chinese medicine physicians and modern medicine for clinical treatment of uterine bleeding were analyzed. The etiology and pathogenesis of uterine bleeding is complicated, but the main and kidney Tiangui Chongren uterus reproductive axis serious disorder. The traditional Chinese medicine in the treatment of uterine bleeding, according to the pathogenesis of different prescriptions have different characteristics, but have achieved good clinical efficacy. The effect of hemostasis in modern medicine is remarkable, but the recurrence rate is high, and it has certain side effects and contraindications. The text reviews and collate the tutor's understanding of the disease and its academic thoughts, and summarizes the clinical experience of the tutor in the treatment of the disease. Tutor in more than thirty years of clinical understanding of metrorrhagia have their own unique insights, the incidence of this disease with spleen qi deficiency and blood stasis on. Spleen deficiency, failure of blood, blood and non induced bleeding; uterine bleeding time, the gas consumption of the injured blood, Qi blood stasis by weakness, the formation of blood stasis, blood stasis; do not go, blood and non, aggravated the damage of qi deficiency and blood stasis of blood, the two cost reciprocal causation, false superficiality. During clinical diagnosis and treatment, during the period of bleeding, the tutor does not stick to the single use of astringent hemostatic drugs, but rather rushing and clarifying the source. After the stop of blood, reuse the method of Tonifying the spleen and kidney of the two dirty methods to restore the old.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R249;R271.12
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本文編號：1343783