《傷寒雜病論》痞之證治規(guī)律探析
本文關鍵詞:《傷寒雜病論》痞之證治規(guī)律探析 出處:《南京中醫(yī)藥大學》2017年碩士論文 論文類型:學位論文
【摘要】:課題研究目的:痞是《傷寒雜病論》中重要的病證,也是現(xiàn)今臨床上常見的中醫(yī)病證。為使臨證時能夠得到理論依據(jù)和啟發(fā),將通過對《傷寒雜病論》中有關條文進行歸納與整理研究的方式,明晰痞的概念源流,了解張仲景運用腹診診斷痞的技術(shù),認識痞的證治特點及把握方藥應用規(guī)律,以便在臨床中結(jié)合個體狀況選取相應的方劑進行辨證論治。研究方法:收集先秦兩漢至明清醫(yī)家關于痞的重要文獻,考證痞的字義及概念變遷,并參考相應西醫(yī)病名;整理《傷寒雜病論》中腹診內(nèi)容及近現(xiàn)代腹診研究,參照聯(lián)系中西醫(yī)的腹診分區(qū),通過腹診鑒別痞和類似病證;對比痞的十五個不同方證,解析各自方劑的配伍,搜索方劑的現(xiàn)代研究。結(jié)果:1、梳理了古今醫(yī)家和學者對痞的相關論著和文獻資料。2、明確了腹診在《傷寒雜病論》中的應用以及和痞的緊密聯(lián)系。3、厘清辨析了痞的各種證候,及其方劑的應用規(guī)律。結(jié)論:從歷代醫(yī)家對痞的論述中認識到其概念及病因病機,再將腹診恰當?shù)厝谌氲脚R床診斷中,提高診斷水平,最后腹證方證相應,在痞的診療過程中發(fā)揮出中醫(yī)辨證論治的特色,提高痞的治愈率,消除病患的痛苦?傊,研究《傷寒雜病論》痞之證治規(guī)律,有著十分重要的臨床實際意義。
[Abstract]:Objective: ruffian disease is an important disease syndrome in the theory of typhoid fever, and it is also a common TCM disease syndrome in clinical practice. In order to make clinical syndrome can get theoretical basis and inspiration. Through the way of summarizing and studying the relevant articles in Typhoid and miscellaneous diseases, we will clarify the source of the concept of ruffian and understand Zhang Zhongjing's technique of using abdominal diagnosis to diagnose the ruffies. Understand the characteristics of the syndrome and treatment of the ruffian and grasp the law of the application of prescriptions in order to select the corresponding prescriptions for syndrome differentiation and treatment combined with the individual situation. Research methods: collect the important literature on the ruffian from pre-Qin and Han dynasties to Ming and Qing dynasties. The textual research proves the character meaning and the concept change of the ruffian, and refers to the corresponding western medicine disease name; Sorting out the contents of middle abdominal diagnosis and modern abdominal diagnosis, referring to the division of abdominal diagnosis related to traditional Chinese and western medicine, differentiating the ruffian and similar diseases by abdominal diagnosis. Comparing fifteen different prescription syndromes of ruffian, analyzing the compatibility of their prescriptions, searching for the modern research of prescriptions. Result: 1, combing the literature and literature of ancient and modern doctors and scholars on ruffian. This paper clarifies the application of abdominal diagnosis in Typhoid complex Disease and its close relation with ruffiness, and clarifies the differentiation of various syndromes of ruffian diseases. Conclusion: the concept, etiology and pathogenesis of the disease were recognized from the exposition of the doctors in the past dynasties, and then the abdominal diagnosis was properly integrated into the clinical diagnosis to improve the diagnostic level, and finally, the abdominal syndrome prescription was appropriate. In the process of diagnosis and treatment of ruffian diseases, it is of great significance to study the law of syndrome and treatment of patients with typhus and miscellaneous diseases, to improve the cure rate and to eliminate the pain of the patients.
【學位授予單位】:南京中醫(yī)藥大學
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:R222
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