本文關(guān)鍵詞：藏醫(yī)對“赤巴目塞病”與其他疾病導(dǎo)致“目賽癥”的關(guān)聯(lián)性臨床研究　出處：《青海大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 目塞 病因 類型 機(jī)制 定性

【摘要】：目的:試圖通過藏醫(yī)古代文獻(xiàn)整理與臨床實(shí)踐相結(jié)合的方法對赤巴目塞進(jìn)行的一項(xiàng)研究,探討藏醫(yī)學(xué)對目塞診治的理論認(rèn)識,總結(jié)目塞病治療的規(guī)律和方法,探索目塞的臨床治療方案,為臨床工作和研究工作提供新的思路。方法:研究運(yùn)用文獻(xiàn)學(xué):1、以目塞為關(guān)鍵詞,對《四部醫(yī)典》和古典文獻(xiàn)60部進(jìn)行搜索,并對“目塞”病相關(guān)經(jīng)文進(jìn)行分析,以總結(jié)出藏醫(yī)文獻(xiàn)中關(guān)于“目塞”病的論述。2、以“目塞”為關(guān)鍵詞,對《四部醫(yī)典》和60多部藏醫(yī)古代著作文獻(xiàn)進(jìn)行檢索,收集引起目塞癥的110種疾病進(jìn)行比較分析,找出它們之間的異同。3、研究藏醫(yī)學(xué)對目塞的認(rèn)識,將目塞形成的病因病機(jī)進(jìn)行系統(tǒng)分類并加以論述,為臨床目塞的辯治提供一定的思路。結(jié)果:1、通過對《四部醫(yī)典》和60多部藏醫(yī)古代著作文獻(xiàn)進(jìn)行檢索研究分析得出目塞類型分為目塞病與目塞癥;2、本次對目塞病與目塞癥的相關(guān)性研究中得出目塞病的發(fā)病病因除了赤巴引起目塞外,還可因胃和肝臟痞塊擠壓膽腑導(dǎo)致膽管內(nèi)膽汁外溢到全身血管、赤巴外隆、培根、消化不良、血、黃水、森、熱疫等間接原因影響赤巴外溢引起目塞癥而導(dǎo)致目塞病的發(fā)病;結(jié)論:本次研究通過臨床實(shí)踐與《四部醫(yī)典》和60多部藏醫(yī)古代著作文獻(xiàn)相結(jié)合進(jìn)行研究,根據(jù)不同病因所引起的目塞病,可將目塞病分為四種類型:第一種為病根赤癥,以膽汁過量失調(diào)致病;第二種為火熱赤癥,是由于隆和培根消化不良奪位,侵入主消化的赤巴部位,迫使膽汁外溢而致病;第三種為膽腑赤癥,是由于胃與肝臟里的痞塊擠壓膽腑,或者膽腑本身長有痞塊,迫使膽汁外溢,口吐黃液,蔓延致病;第四種為通常赤巴,是膽腑主消化的膽汁失調(diào)或者消化赤巴導(dǎo)致血熱紊亂,或者瘟疫引起膽汁擴(kuò)散,或者飲食起居不當(dāng)引起膽汁擴(kuò)散,外溢于肌膚和眼睛,出現(xiàn)肉塞和目塞致病。本次對目塞病的病因進(jìn)行的全方位分析研究,對臨床醫(yī)生在目塞病的鑒別診斷和治療中有一定的應(yīng)用價(jià)值,可供臨床實(shí)踐工作中廣泛參考應(yīng)用。
[Abstract]:Objective: to explore the theoretical understanding of the diagnosis and treatment of eye plug in Tibetan medicine, and to summarize the rule and method of treatment of eye plug disease by combining the ancient literature of Tibetan medicine with clinical practice. To explore the clinical treatment scheme of eye plug and to provide a new way of thinking for clinical work and research methods: to search for 60 pieces of classical literature and four medical classics by using bibliography: 1 and taking eye stopper as the key word. In order to sum up the discussion of "Mucks" disease in Tibetan medical literature, the article analyzes the relevant scriptures of "Mucai" disease, and takes "Muzao" as the key word. In this paper, the author searched the ancient literature of "four medical classics" and more than 60 ancient Tibetan medicine works, collected 110 diseases that caused eye obstruction, found out the similarities and differences between them, and studied the understanding of eye stoppers in Tibetan medicine. The etiology and pathogenesis of eye plug formation were systematically classified and discussed in order to provide some ideas for clinical diagnosis and treatment of eye plug. Results: 1. Through the retrieval and analysis of the four medical classics and more than 60 ancient works of Tibetan medicine, it is concluded that the types of eye plug can be divided into eye plug disease and eye plug disease. 2. In the study of the correlation between mustache disease and eye stopper disease, it was concluded that the etiology of the disease was not only caused by red bar, but also by the stomach and liver bulge squeezing the bile organs to the blood vessels of the whole body. The indirect causes such as chiba carmine, bacon, dyspepsia, blood, yellow water, Sen, febrile disease and so on affect the occurrence of eye stopper disease caused by chiba spillover. Conclusion: this study is based on clinical practice, combined with "four medical codes" and more than 60 ancient Tibetan medical literature, according to different etiology caused by eye stopper disease. The disease can be divided into four types: the first is the root disease, which is caused by excessive bile disorder; The second is pyropyretic erythemia, which is caused by dyspepsia of long and Bacon, invading the part of red bar of main digestion, forcing bile to overflow and causing disease. The third is choledochomycosis because the bulge in the stomach and liver squeezes the gall, or the gall has bulge itself, forcing the bile to spill out, spit the yellow liquid in the mouth, and spread the disease. There are 4th kinds of common red bar, which are the bile maladjustment of choledochal organs and digestion, or the disorder of blood and fever caused by the digestion of red bar, or the spread of bile caused by pestilence, or by improper eating and drinking, which spills over the skin and eyes. This omni-directional analysis and study on the etiology of eye stopper disease has certain application value in the differential diagnosis and treatment of eye plug disease. It can be widely used in clinical practice.
【學(xué)位授予單位】：青海大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R29

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