本文選題：高體三　切入點：肝膽疾病　出處：《河南中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：國家級名老中醫(yī)高體三教授,在精研岐黃、仲景、黃氏之說的基礎上,結合自身多年臨床實踐經驗,立足于臟腑生理特性,獨創(chuàng)了“水暖土和木達”三陰學術思想。臨證中運用“水暖土和木達”學術思想,論治三陰疑難雜病,療效顯著,受到廣大病患及業(yè)界同仁的一致贊譽。目的:本研究項目基于肝膽疾病多發(fā)頻發(fā)的現(xiàn)狀,積極響應國家關于繼承名老中醫(yī)臨證經驗及學術思想的政策號召,全面系統(tǒng)總結高體三教授治療肝膽疾病的臨床經驗及學術思想。高老擅長從三陰辨治各種疑難雜病,對肝膽疾病治療具有其獨特的認識和見解,取得了良好的治療效果。因此,研究挖掘高體三教授治療肝膽疾病的辨治和用藥特色,具有較大的臨床指導價值。方法:本文通過對高體三教授學術論著、手稿、筆記、臨床案例等的收集、整理歸納,運用文獻法、數(shù)據挖掘法、訪談法等多種科學統(tǒng)計方法,來深化對肝膽生理病理的認識和理解,深入研究高體三教授治療肝膽疾病的獨到見解,挖掘高體三教授治療肝膽疾病學術經驗。本研究采用頻數(shù)統(tǒng)計方法,對高體三教授治療頭痛的醫(yī)案中所用藥物進行頻數(shù)統(tǒng)計分析,并從中挖掘規(guī)律,為總結高體三教授治療肝膽疾病的臨證經驗提供強有力的支撐;采用Microsoft Excel軟件建立高體三教授治療頭痛醫(yī)案信息數(shù)據庫;應用SPSS 17.0統(tǒng)計軟件及Microsoft Excel軟件對所涉及的所有藥物及藥類的使用頻率、性味歸經等進行統(tǒng)計分析。總結歸納高體三教授治療肝膽疾病的遣方用藥規(guī)律,為高體三教授治療肝膽疾病學術思想經驗的可推廣性和可操作性奠定基礎,為發(fā)揚高體三教授獨創(chuàng)的“水暖土和木達”三陰學術思想服務,同時也是在做一些有益的嘗試。結果:本研究分為以下兩部分來具體闡述高體三教授治療肝膽疾病學術思想。第一部分高體三教授治療肝膽疾病學術內涵本研究分為兩個方面:一方面是從“理、法、方、藥”四點來深入剖析高體三教授治療肝膽疾病學術經驗:(1)理:高體三教授著眼于肝脾腎三臟,深化對肝膽生理病理的認知;(2)法:高體三教授基于對肝膽生理病理的認識,提出治療肝膽疾病的法則;(3)方:通過對高體三教授治療肝膽疾病所運用的臨證驗方的列舉,來展現(xiàn)高體三教授臨證遣方用藥時的靈活多變;(4)藥:通過對高體三教授常用藥物的展示,來彰顯治療肝膽疾病的用藥特色。另一方面是重點介紹高體三教授治療脅痛、眩暈、頭痛、積聚(ve瘕)、癭病等經典案例。第二部分高體三教授治療頭痛病例統(tǒng)計及臨證用藥特色本研究內容是運用醫(yī)學統(tǒng)計學方法對所收集整理的病歷,加以處理分析,進而建立高體三教授治療頭痛臨床病案數(shù)據庫。通過對高體三教授治療頭痛所用藥物的性味、歸經進行頻數(shù)統(tǒng)計分析,梳理出高體三教授治療肝膽疾病的遣方用藥規(guī)律。結論:本研究是在“高體三教授臨床經驗、學術思想研究”的基礎之上,從理、法、方、藥四個方面進一步深入研究整理挖掘高體三教授治療肝膽疾病的思想經驗。理:肝(膽)發(fā)病,脾腎密切相關。法:三陰同調為綱,調理肝膽為目。方:根據理法特點,創(chuàng)制臨證驗方。藥:立足于肝脾腎,擅用溫熱藥物。高體三教授治療肝(膽)疾病立足于肝脾腎同調,旨在恢復肝膽正常生理功能,以達到驅除疾病之目的。如此“水暖土和木達”則機體健康無病。
[Abstract]:The national name of old Chinese high three Professor, in the research of Zhongjing, Qi Huang, Huang Shi said on the basis, combined with their years of experience in clinical practice, based on the physiological characteristics of the organs, the original "plumbing and soil -" Three Yin Lin "academic thought. Using the plumbing soil and academic thought -" card, on the treatment of three yin difficult disease, a significant effect, by the majority of patients and industry colleagues unanimously praised. Objective: this research project of hepatobiliary diseases frequently based on the positive response to the state of inheriting old Chinese medicine academic thought and clinical experience of the policy call, clinical experience and academic thoughts comprehensively and systematically summed up high three professors in the treatment of hepatobiliary disease. From three at high old Yin in treating miscellaneous diseases, has its unique understanding and insights of hepatobiliary disease treatment, achieved good therapeutic effect. Therefore, research on mining high body three professor of treatment of liver and gallbladder The disease treatment and medication characteristics, has great clinical value. Methods: Based on the high volume three Professor academic works, manuscripts, notes, summarize the clinical case collection, collation, use of literature, data mining method, interview method and other statistical methods of science, to deepen knowledge and understanding of the physiology and pathology of liver and gallbladder the study of three professors in the treatment of hepatobiliary disease insights, three mining high academic experience of Professor of treatment of hepatobiliary diseases. This research adopts the method of frequency statistics, Professor Gao Tisan treatment for headache in the medical records of frequency statistical analysis, and the rules from the data, provide strong support for the summary of high body three professor of clinical experience in the treatment of hepatobiliary disease; using Microsoft Excel software to establish a high body three Professor headache medical information database; application of statistical software SPSS 17 and Microsoft Excel software Frequency of use of all drugs and drug classes involved, tropism of taste and statistical analysis. Summarize the rules of prescriptions induction high body three professor in the treatment of hepatobiliary disease, for the treatment of hepatobiliary diseases professor Gao Tisan's academic thinking and experience can be extended and can lay the foundation of operation, to develop the high three original professor the "plumbing and soil -" Three Yin academic services, but also to do some beneficial attempts. Results: This study is divided into two parts to expound the high three academic thought of Professor of treatment of hepatobiliary diseases. The first part of the high three professor for academic connotation of hepatobiliary disease in this study is divided into two aspects: A is from "science, law, medicine," four points to an in-depth analysis of three high academic experience of Professor of treatment of hepatobiliary diseases: (1): high volume three Professor focus on liver spleen kidney three dirty, deepening of hepatobiliary physiology and pathology of the cognitive law; (2): Professor Gao Tisan understanding of the physiology and pathology of the liver in the treatment of hepatobiliary disease based on the proposed rule; (3): through the list of high volume three professor in treatment of hepatobiliary diseases use proven to show high side, three professor of clinical prescription is flexible; (4): Based on the commonly used drugs drug high body three Professor show, to highlight the treatment of hepatobiliary disease medication characteristics. On the other hand is introduced three treating chest pain, dizziness, headache, accumulation (VE mass), gall disease and other classic case. The second part high body three headache cases treated by Professor of statistics and the characteristics of clinical medicine the research content is the use of statistical methods to collect medical records, processing analysis, and then establish a high body three Professor clinical database. Through the treatment of headache medicines for the taste of high volume three professor of treatment of headache, normalized by the frequency analysis, comb A high body three Professor rules of prescriptions in the treatment of hepatobiliary disease. Conclusion: This study is in the "high three professor of clinical experience, academic thought of" on the basis of the law, parties, drugs, four aspects of further research on finishing mining high body three professor in the treatment of hepatobiliary disease thought experience. Daniel: liver (bile) disease, spleen and kidney are closely related. Method: Three Yin homology as the key link, for the purpose of regulating courage. According to the theory and method of characteristics: creation of proven medicine. Based on the spleen and kidney, use warm drugs. Professor Gao Tisan in the treatment of liver disease (bile) based on liver and spleen and kidney, to hepatobiliary recovery normal physiological function, in order to achieve the purpose of disease. So get rid of "plumbing and soil -" the body healthy.

【學位授予單位】：河南中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R249;R259

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