本文關(guān)鍵詞：基于中醫(yī)整體觀研究林平主任功能性消化不良診療經(jīng)驗　出處：《福建中醫(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： 功能性消化不良 中醫(yī)整體觀 五臟相關(guān) 病證結(jié)合 調(diào)臟運氣湯

【摘要】：目的：基于中醫(yī)整體觀思維,探討研究導(dǎo)師林平主任運用五臟相關(guān)理論診斷治療功能性消化不良的學(xué)術(shù)思想,分析總結(jié)導(dǎo)師以自擬“調(diào)臟運氣湯”為基本方,根據(jù)患者兼夾證和主要癥狀進行加減用藥的臨床治療經(jīng)驗。方法：整理分析導(dǎo)師發(fā)表的9篇功能性消化不良相關(guān)研究論文,結(jié)合跟診中聆聽導(dǎo)師的分析教誨及對相關(guān)病案進行研究等方法,研究總結(jié)導(dǎo)師基于中醫(yī)整體觀思維提出的功能性消化不良基本病機,以“調(diào)臟運氣湯”為基本方,隨兼夾證和主要癥狀進行加減的用藥規(guī)律、臨證經(jīng)驗和特色方法。結(jié)果：(1)以中醫(yī)整體思維認識基本病機。FD病位涉及脾、肝、胃、心、肺、腎及大腸、小腸等諸多臟腑,基本病機是脾虛、肝胃腸氣機郁滯、心神不寧；(2)治療上把握基本病機,五臟并調(diào)。調(diào)整基本病機貫穿治療始終,同時關(guān)注五臟協(xié)調(diào)；(3)自擬“調(diào)臟運氣湯”作為基本方。仿“柴芍六君子湯”之意,去壅滯之黨參,加入炒麥芽以助運化,再入引經(jīng)藥,充分體現(xiàn)中醫(yī)整體思維；(4)隨證和癥加減用藥。根據(jù)患者的兼夾證和主要癥狀對“調(diào)臟運氣湯”進行加減選藥；(5)注重調(diào)整平衡。一是注重調(diào)節(jié)局部與整體的平衡,以局部促進整體、以整體帶動局部,使氣機調(diào)達、升降有節(jié),使機體氣血津液運行無礙,二是強調(diào)諸臟“和”,諸臟腑陰陽平衡協(xié)調(diào)；(6)強調(diào)藥性平和味甘。藥到病所,所用之藥當以平和為要,視其兼證而稍作調(diào)整,不可過于刺激而加重病情,不能過于香燥而傷津,不能過于滋膩而礙脾,不能過于苦澀而拒藥；(7)強調(diào)內(nèi)外治療并舉。提倡中藥內(nèi)服,外敷泡足,整體治療達到疏肝健脾,調(diào)暢氣機、寧心安神等五臟并調(diào)的作用,充分體現(xiàn)中醫(yī)臨床診療特色；(8)飲食以清淡、易消化食物為主,主張細嚼慢咽,少吃多餐以減少胃腸負擔；(9)強調(diào)治養(yǎng)結(jié)合。初期七分治三分養(yǎng),中期三分治七分養(yǎng),后期二分治八分養(yǎng)；(10)倡導(dǎo)調(diào)整生活起居。情志調(diào)暢,起居有節(jié),使臟腑氣血歸于平衡協(xié)調(diào)。諸法合用,從而達到五臟和調(diào),恢復(fù)機能的效果。結(jié)論：(1)林平主任以中醫(yī)整體觀為指導(dǎo)、運用五臟相關(guān)理論診斷治療功能性消化不良的學(xué)術(shù)思想,治療上強調(diào)把握基本病機、五臟并調(diào)；(2)以自擬“調(diào)臟運氣湯”為基本方,隨證和癥加減用藥,符合“病證結(jié)合”的治療思想；(3)注重調(diào)整平衡、用藥性平味甘、強調(diào)內(nèi)外治療并舉、飲食清淡、注重治養(yǎng)結(jié)合和倡導(dǎo)調(diào)整生活起居等中醫(yī)思維,對功能性消化不良的治療具有較好的臨床意義。
[Abstract]:Objective: based on the holistic thinking of traditional Chinese medicine, this paper discusses the academic thought of using the theory of five visceral organs to diagnose and treat functional dyspepsia, and analyzes and sums up the tutor's basic prescription of "Tiaojiangyong decoction". Methods: according to the clinical experience of adding and subtracting drugs to patients with syndrome and main symptoms. Methods: nine related research papers on functional dyspepsia published by our tutor were analyzed. Combined with the analysis and instruction of listening to the tutor in the diagnosis and the research on the relevant medical records, the study summarized the basic pathogenesis of functional dyspepsia proposed by the tutor based on the holistic thinking of traditional Chinese medicine. Take "Tiaojiangyong decoction" as the basic prescription, along with the drug law of adding and subtracting the syndrome and the main symptoms, clinical experience and characteristic method. Results: 1) understanding the basic pathogenesis. FD disease position involves the spleen with the whole thinking of traditional Chinese medicine. Liver, stomach, heart, lung, kidney, large intestine, small intestine and many other organs, the basic pathogenesis is spleen deficiency, liver and gastrointestinal qi stagnation, restlessness; (2) grasping the basic pathogenesis and regulating the five viscera organs in the treatment. Adjusting the basic pathogenesis throughout the treatment and paying attention to the coordination of the five viscera organs at the same time; "regulating the dirty luck soup" as the basic prescription. Imitating the meaning of "Chaijiaoliuliujunzi decoction", adding stir-fried malt to help transport, introducing medicine again, fully reflecting the whole thinking of traditional Chinese medicine; According to the symptoms and symptoms of the patients and the main symptoms of "Tiaozongyong decoction" to add or subtract drugs; Pay attention to adjust balance. One is pay attention to adjust the balance of part and whole, with part promote whole, with whole drive part, make Qi machine adjust to reach, rise and fall have a section, make body Qi blood body fluid runs unobstructed. The second is to emphasize the "harmony" of the viscera and the balance between yin and yang of the viscera; (6) emphasize that the medicine is gentle and sweet. The medicine used in the disease should be peaceful, and should be adjusted slightly according to its syndromes. It should not be too irritating to aggravate the illness. It should not be too fragrant to injure and injure the spleen. It should not be too greasy to interfere with the spleen. Do not reject drugs too bitter; The internal and external treatment of traditional Chinese medicine should be taken internally, the external application should be applied to the foot, and the whole treatment would achieve the functions of soothing liver and invigorating spleen, regulating qi, calming the heart and calming the mind, and fully reflecting the characteristics of clinical diagnosis and treatment of traditional Chinese medicine. The diet is light, easy to digest food, advocate chewing slowly, eat less to reduce gastrointestinal burden; It emphasizes the combination of management and nourishment. In the early period, the seven divisions are divided into three parts, in the middle period, the three parts are divided into seven parts, and in the later period, two parts are divided into eight parts; Advocate the adjustment of daily life. The mood is smooth, the living is in harmony, so that the viscera qi and blood are balanced and coordinated. All the methods are used to achieve the five viscera and the regulation. Conclusion: director Lin Ping, guided by the holistic view of traditional Chinese medicine, used the theory of the five viscera to diagnose and treat functional dyspepsia, and emphasized on grasping the basic pathogenesis and regulating the five viscera organs in the treatment of functional dyspepsia. (2) taking the self-made "Tiao Zang Julong decoction" as the basic prescription, the treatment thought of "combination of disease and syndrome" is conformed to the treatment thought of "combination of disease and syndromes". 3) pay attention to adjust balance, use medicine to balance taste, emphasize both internal and external treatment, light diet, pay attention to the combination of treatment and nourishment and advocate the adjustment of living and other traditional Chinese medicine thinking. It has good clinical significance for the treatment of functional dyspepsia.
【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】：2016
【分類號】：R249;R259

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