本文關(guān)鍵詞：戰(zhàn)麗彬教授治療郁證及共病郁證的臨床經(jīng)驗(yàn)總結(jié)　出處：《大連醫(yī)科大學(xué)》2016年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 戰(zhàn)麗彬 學(xué)術(shù)思想 臨床經(jīng)驗(yàn) 郁證 共病郁證

【摘要】：目的:隨著現(xiàn)代生活節(jié)奏加快,經(jīng)濟(jì)的快速增長(zhǎng),個(gè)體對(duì)于社會(huì)生活的多種應(yīng)激、變化不能良好適應(yīng),使得心身疾病在現(xiàn)代疾病譜上不斷凸顯。這種心身疾病,對(duì)個(gè)體體能狀態(tài)上具有十分大的危害,不僅僅會(huì)嚴(yán)重困擾個(gè)體的生活,而且增加了其他疾病治療的復(fù)雜程度。目前越來(lái)越多的臨床工作者認(rèn)為社會(huì)心理因素對(duì)于心身疾病的發(fā)生發(fā)展,有著極為重要的致病作用。目前現(xiàn)代醫(yī)學(xué)以生物-心理-社會(huì)醫(yī)學(xué)模式作為指導(dǎo),對(duì)心身疾病已經(jīng)有了深刻的認(rèn)識(shí),治療方法也逐漸發(fā)展日益多元。然而考慮實(shí)際臨床工作中心身疾病具有較高復(fù)發(fā)性,難治愈,在病程中易復(fù)燃或復(fù)發(fā)。故而從祖國(guó)醫(yī)學(xué)角度出發(fā),挖掘名老中醫(yī)診療經(jīng)驗(yàn),為心身疾病患者積極尋找其他安全、有效的治療方法,提高患者生活質(zhì)量,具有重要臨床意義。戰(zhàn)麗彬教授在多年的臨床實(shí)踐過(guò)程中,結(jié)合經(jīng)典論著,對(duì)郁證及共病郁證的診療思路獨(dú)到,治療效果顯著。故本研究通過(guò)系統(tǒng)收集2013-2015年戰(zhàn)麗彬教授門(mén)診臨床醫(yī)案,歸納分析她診治情志病的學(xué)術(shù)思想、經(jīng)驗(yàn)及臨床用藥規(guī)律,從而以中醫(yī)藥治療手段為著眼,為心身疾病的診治尋找新的突破。此外本文通過(guò)對(duì)戰(zhàn)麗彬教授診治郁證及共病郁證進(jìn)行探討,對(duì)于繼承和發(fā)揚(yáng)名老中醫(yī)的學(xué)術(shù)思想也具有十分重要意義。方法:本研究主要運(yùn)用兩種研究方法:文獻(xiàn)采集,臨床醫(yī)案分析。具體內(nèi)容分為兩個(gè)部分:第一部分,通過(guò)臨床侍診,收集、整理、研習(xí)戰(zhàn)麗彬教授大量醫(yī)案,并結(jié)合教授的悉心指導(dǎo),對(duì)戰(zhàn)麗彬教授治療郁證的治學(xué)經(jīng)驗(yàn)及臨床學(xué)術(shù)思想進(jìn)行分析、總結(jié)。第二部分,戰(zhàn)麗彬教授在多年臨床實(shí)踐中對(duì)情志致病有深刻體會(huì)。并從共病郁證角度出發(fā),極具創(chuàng)新的認(rèn)識(shí)和理解了臨床中婦科疾病、腸易激綜合征、高脂血癥等臨床常見(jiàn)疾病。故本部分內(nèi)容,則重點(diǎn)從戰(zhàn)麗彬教授特色鮮明的治學(xué)思想及臨床經(jīng)驗(yàn)出發(fā),對(duì)戰(zhàn)麗彬教授共病郁證的臨床用藥經(jīng)驗(yàn)及防治方法進(jìn)行概括總結(jié)。第三部分,利用傳統(tǒng)的醫(yī)案分析方法,選取典型郁證-呃逆、經(jīng)斷前后諸癥共病郁證、痹癥共病郁證三病進(jìn)行舉例分析,從而將戰(zhàn)麗彬教授從治學(xué)經(jīng)驗(yàn)、臨床學(xué)術(shù)思想到臨床效果進(jìn)行全面總結(jié)。結(jié)果:第一部分:戰(zhàn)麗彬教授發(fā)展了郁證的理論思想,較早的提出診治郁證的“從中醫(yī)體質(zhì)學(xué)說(shuō)角度,論治人群郁證易感性”、“從形神合一角度,論郁證與臟腑功能的雙向影響”、“基于臟腑理論,從肝脾同調(diào)角度,論治郁證”三方面學(xué)術(shù)思想。第二、三部分:戰(zhàn)麗彬教授治療臨床常見(jiàn)疾病共病郁證的體會(huì)。戰(zhàn)麗彬教授中西醫(yī)匯通,創(chuàng)新的將現(xiàn)代醫(yī)學(xué)對(duì)心身疾病的認(rèn)識(shí)及我國(guó)先賢學(xué)術(shù)思想相融合,結(jié)合自身多年臨床實(shí)踐,從共病郁證角度出發(fā),認(rèn)識(shí)和理解了婦科疾病、腸易激綜合征、高脂血癥的發(fā)生、發(fā)展過(guò)程及防治,形成極具個(gè)人特色的臨床診療經(jīng)驗(yàn)。并通過(guò)選取經(jīng)典醫(yī)案具體闡述其對(duì)郁證-呃逆、經(jīng)斷前后諸癥共病郁證、痹癥共病郁證的臨床辨證論治思路和診療方案。結(jié)論:戰(zhàn)麗彬教授常從中醫(yī)古籍汲取營(yíng)養(yǎng),學(xué)貫古今,且學(xué)古而不泥古,作為一名中西醫(yī)匯通的現(xiàn)代中西醫(yī)結(jié)合專(zhuān)家,她常將現(xiàn)代醫(yī)學(xué)對(duì)診治疾病的認(rèn)識(shí),同古代先賢的學(xué)術(shù)思想巧妙融合,并結(jié)合當(dāng)今社會(huì)所特有人文、經(jīng)濟(jì)特點(diǎn),在臨床實(shí)踐過(guò)程中,積累了豐富的經(jīng)驗(yàn)。尤其對(duì)于郁證及共病郁證的認(rèn)識(shí)和治療上,更形成了完善的理法方藥體系,并在臨床上驗(yàn)證,取得了顯著的治療效果,其學(xué)術(shù)思想和經(jīng)驗(yàn)有著較強(qiáng)的臨床指導(dǎo)作用,為臨床中醫(yī)藥治療心身疾病提供了新思路和新手段。本文第二、三部分的醫(yī)案分析則是戰(zhàn)麗彬教授的新穎學(xué)術(shù)思想、及其實(shí)際應(yīng)用于臨床可獲得顯著療效的具體而強(qiáng)有力的證明。
[Abstract]:Objective: with the accelerated pace of modern life, the rapid growth of the economy, the individual stress for a variety of social life, can not adapt well to the changes, psychosomatic diseases continue to highlight in the modern disease spectrum. This has very big psychosomatic diseases, the harm to the individual physical condition, will not only seriously troubled individual life, but also increase the complexity of the treatment of other diseases. At present, more and more clinical workers believe that social and psychological factors for the occurrence and development of psychosomatic diseases, has a very vital role in the development of modern medicine. The bio psycho social medical model as a guide to psychosomatic diseases has been profound understanding, treatment is also gradually increasing multiple however. Considering the actual clinical work center disease with high recurrent, difficult to cure, easy to relapse or recurrence in the course of the disease. Therefore, from the perspective of traditional Chinese Medicine Hair, mining experience of famous Chinese medicine diagnosis and treatment, for patients with psychosomatic diseases actively looking for other safe and effective treatment, improve the quality of life of patients, has important clinical significance. Professor Zhan Libin in clinical practice for many years, combined with the classic theory, diagnosis and treatment of depression and comorbidity of depressive syndrome and unique treatment effect. In this study, through the systematic collection of clinical medical professor Zhan Libin outpatient 2013-2015, diagnosis and treatment of emotional disease inductive analysis of her academic thought, law of experience and clinical medication, so as to Chinese medicine treatment for eyes, looking for a new breakthrough for the diagnosis and treatment of heart disease. In addition this paper discusses professor Zhan Libin on the treatment of melancholia and comorbidity melancholia, also has very important significance to inherit and carry forward the name of the old Chinese medicine academic thought. Methods: This study used two research methods: literature collection, clinical case analysis Specific content is divided into two parts: the first part, through the clinical diagnosis of paternity, collection, collation, research professor Zhan Libin a large number of medical records, and with the guidance of Professor, Professor Zhan Libin thought on treating depression with teaching experience and clinical academic analysis summary. The second part, Professor Zhan Libin have a deep understanding of emotional diseases in many years of clinical practice. Starting from the comorbidity of depression angle, innovative understanding and understanding of the clinical gynecological disease, irritable bowel syndrome, hyperlipidemia and other common clinical diseases. This part is mainly from the academic thought and clinical experience of Professor Zhan Libin's distinctive features of clinical experience method of prevention and cure of Professor Zhan Libin comorbid depression syndrome were summarized. The third part, using the method of analysis of traditional medical records, typical depression - hiccup, menopausal disorder comorbid depression syndrome, arthralgia comorbidity For example three depression disease, and Professor Zhan Libin from the teaching experience, clinical academic thoughts to clinical effect was comprehensively summarized. Results: the first part: Professor Zhan Libin developed the theory of thought of melancholia, earlier proposed diagnosis and treatment of depression syndrome "from the perspective of the Physique Theory of Chinese medicine, on the treatment of depression syndrome susceptibility," the crowd "from the perspective of one spirit, mutual influence" theory of melancholia and viscera function, based on the theory of internal organs, liver and spleen from the perspective of coherence, the three aspects of the academic thought of treating depression syndrome ". The second, third part: the experience of Professor Zhan Libin in the treatment of depression in clinical common disease. Professor Zhan Libin, the confluence of Chinese and Western medicine, the combination of innovation understanding of modern medicine on psychosomatic diseases and our fathers academic thoughts, combined with their years of clinical practice, starting from the comorbidity of depression angle, the recognition and understanding of the gynecological disease, irritable bowel syndrome, hyperlipidemia Occurrence, development process and prevention, clinical experience form very personal characteristics. And through the selection of classic cases illustrate its hiccup of depression syndrome, menopausal disorder comorbid depression syndrome, the treatment and treatment of arthralgia syndrome clinical dialectical thinking the comorbidity of depression syndrome. Conclusion: Professor Zhan Libin often draw nutrition from ancient Chinese medicine, science and science through ancient and modern, ancient and not imitation, as a modern western medicine Huitong combining traditional Chinese and Western medicine expert, she often will know modern medicine for diagnosis and treatment of the disease, with the ancient sages of the academic thought of fusion, and combining with the current social, cultural and economic characteristics, in clinical practice, has accumulated rich experience. Especially the cognition and treatment for depression and comorbid depression syndrome, also formed the perfect prescription system, and verified in clinical practice, has achieved remarkable curative effect, the academic thought and experience are strong Clinical guidance, provides new ideas and new methods for clinical medicine in the treatment of psychosomatic diseases. Case analysis of the second, third part is the new academic thought of Professor Zhan Libin, and its clinical application can obtain significant effect of specific and powerful proof.

【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R249;R277.7

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 ;腫瘤相關(guān)抑郁狀態(tài)中醫(yī)診療專(zhuān)家共識(shí)[J];中華中醫(yī)藥雜志;2015年12期

2 王東峰;劉秋梅;路涵;高五芝;;護(hù)理干預(yù)聯(lián)合柴胡加龍骨牡蠣湯對(duì)腫瘤患者心理狀態(tài)影響的臨床研究[J];中國(guó)中醫(yī)藥現(xiàn)代遠(yuǎn)程教育;2015年20期

3 王瑩;燕麗香;陳文彰;;老年惡性腫瘤患者抑郁的發(fā)生率及相關(guān)因素分析[J];中國(guó)醫(yī)藥指南;2015年28期

4 鄭坤;朱月梅;;舒郁寧心方加減辨治老年消化道腫瘤患者抑郁應(yīng)激的臨床效果[J];現(xiàn)代腫瘤醫(yī)學(xué);2015年15期

5 楊歌;劉金鋒;周華成;蔡振華;;普瑞巴林與加巴噴丁治療慢性呃逆的療效比較[J];中國(guó)藥房;2015年05期

6 張曉;王君;張永軍;包文龍;鄧德厚;;酸棗仁湯加味治療癌癥患者焦慮癥療效觀察[J];中華中醫(yī)藥學(xué)刊;2015年02期

7 呂玲玲;沈小珩;陳敬賢;;惡性腫瘤和抑郁動(dòng)物模型建立及血府逐瘀口服液干預(yù)的實(shí)驗(yàn)研究[J];遼寧中醫(yī)藥大學(xué)學(xué)報(bào);2014年09期

8 車(chē)勇;范宗nc;張琦君;;化痰導(dǎo)解湯治療惡性腫瘤患者抑郁障礙30例[J];河南中醫(yī);2014年08期

9 李強(qiáng);蘇艷玲;任為國(guó);郭旭利;魏小兵;;惡性腫瘤患者抑郁發(fā)生的相關(guān)因素分析[J];當(dāng)代醫(yī)學(xué);2014年20期

10 馬超;毛常峰;;經(jīng)方為主干預(yù)乳腺癌術(shù)后抑郁障礙[J];中國(guó)中醫(yī)藥現(xiàn)代遠(yuǎn)程教育;2013年14期

相關(guān)碩士學(xué)位論文 前7條

1 牟方祥;類(lèi)風(fēng)濕關(guān)節(jié)炎患者的心理健康狀況及其與生命質(zhì)量的關(guān)系研究[D];西南大學(xué);2015年

2 何莉莎;疏肝健脾方對(duì)瘤前抑郁型乳腺癌MDSC-NKT細(xì)胞免疫重塑調(diào)控的研究[D];中國(guó)中醫(yī)科學(xué)院;2014年

3 康娜;逍遙益生顆粒治療乳腺癌相關(guān)性抑郁機(jī)制及臨床觀察[D];北京中醫(yī)藥大學(xué);2014年

4 李響;健脾益腎法對(duì)于癌病合并抑郁狀態(tài)辨證為脾腎虧虛型的臨床療效觀察[D];北京中醫(yī)藥大學(xué);2014年

5 路艷星;中醫(yī)情志療法對(duì)肝郁型乳腺癌患者生存質(zhì)量的影響[D];廣州中醫(yī)藥大學(xué);2011年

6 張義榮;中醫(yī)情志療法對(duì)癌癥患者生活質(zhì)量影響的療效觀察[D];廣州中醫(yī)藥大學(xué);2009年

7 陸崇;乳腺癌抑郁癥調(diào)查及疏肝解郁法干預(yù)的研究[D];廣州中醫(yī)藥大學(xué);2008年

，

本文編號(hào)：1365771