本文選題：牙齒　切入點：五臟六腑　出處：《遼寧中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：本文論述了中醫(yī)學關(guān)于牙齒的基本認識:牙、齒的名稱及所指的部位,從名稱區(qū)分,牙屬陽,齒屬陰,從部位區(qū)分,統(tǒng)言之則牙齒無異,析言之則牙在后齒在前,或牙在前齒在后;牙齒的生長、發(fā)育過程中,從乳牙萌生到易齒、從恒牙萌生再到恒牙枯脫,其盛衰始終與腎氣的充盛程度息息相關(guān);牙齒的生理功能,主咬與嚼、輔助發(fā)音、展示情貌、示人年齡。本文論述了牙齒與經(jīng)絡(luò)的直接絡(luò)屬關(guān)系,探討了牙齒與腎膀胱、脾胃、肺大腸、肝膽、心之間的關(guān)系,總結(jié)了從腎、脾胃、肺大腸、肝膽、心等五臟六腑治療牙痛的論治規(guī)律、方藥特點。研究發(fā)現(xiàn)牙痛從腎論治,多采用填精補氣法、滋補腎陰法、溫補腎陽法、陰陽雙補法,方藥常選六味地黃丸、金匱腎氣丸、知柏地黃丸、左歸丸、右歸丸、龜鹿二仙丹等;從脾胃論治,多采用養(yǎng)陰清胃法、健脾除濕法,方藥常選清胃散、玉女煎、參苓白術(shù)散、二陳湯等;從肺大腸論治,多采用散寒止痛法、疏風清熱法、通腑泄熱法,方藥常選細辛湯、愈痛湯、大承氣湯等;從肝膽論治,多采用疏肝瀉火法、緩肝養(yǎng)血法,方藥常選柴胡疏肝散、龍膽瀉肝湯、丹梔逍遙散等;從心論治,多采用清心瀉火法、化痰活血法,方藥常選導赤散、瓜蔞薤白半夏湯、桃紅四物湯等。從不同的牙齒對應(yīng)不同的經(jīng)絡(luò)(分牙歸經(jīng))角度出發(fā),通過整理歸類文獻,總結(jié)了牙齒與五臟六腑的對應(yīng)關(guān)系:上牙齒多對應(yīng)腑,下牙齒多對應(yīng)臟;上正中牙齒多對應(yīng)心,下正中牙齒多對應(yīng)腎;左右兩旁,上牙齒多對應(yīng)胃,下牙齒多對應(yīng)脾;左側(cè)牙齒多對應(yīng)肝膽,右側(cè)牙齒多對應(yīng)肺大腸�？偨Y(jié)出治療牙痛的各經(jīng)首選藥物:心經(jīng),黃連、麥冬;腎經(jīng),知母、黃柏;胃經(jīng),白芷、川芎、石膏;脾經(jīng),白芍、白術(shù);大腸經(jīng),大黃、枳殼;肺經(jīng),黃芩、桔梗;膽經(jīng),龍膽草、羌活;肝經(jīng),梔子、柴胡。希望本研究對完善藏象學說整體觀的內(nèi)涵及臨床治療牙痛等牙齒疾病有所裨益。
[Abstract]:This paper discusses the basic understanding of teeth in traditional Chinese medicine: teeth, the name of teeth and the parts they refer to, according to the name, the teeth belong to Yang, the teeth belong to yin, and the teeth are distinguished from the parts. In general, the teeth are the same as those of the teeth, but the teeth are before the posterior teeth if they are analyzed. Or teeth in the front teeth after; in the growth and development of the teeth, from the initiation of the deciduous teeth to the change of teeth, from the initiation of the permanent teeth to the decay of the permanent teeth, the rise and fall of the teeth is always closely related to the degree of kidney Qi filling; the physiological function of the teeth, the main bite and chewing, and the auxiliary pronunciation, This paper discusses the direct relationship between teeth and meridians, discusses the relationship between teeth and kidney, spleen and stomach, lung, large intestine, liver and bile, heart and heart, and summarizes the relationship between the kidney, spleen and stomach, lung, large intestine, liver and gallbladder. The study found that the treatment of toothache from kidney to kidney was mostly treated by filling essence and supplementing qi, nourishing kidney yin, warming kidney yang, yin and yang tonifying both yin and yang, and the prescriptions of Liuwei dihuang pill and jinkui Shenqi pill were often used in the treatment of toothache. Zhibai Dihuang Pill, Zuo Gui Pill, Yougui Pill, Guilu Erxian decoction, etc. According to the treatment of spleen and stomach, the method of nourishing Yin and clearing stomach, strengthening spleen and removing dampness, the Chinese medicine Chang Xuan Qing Wei San, Yu Nu decoction, Shen Ling Atractylodes Powder, er Chen Tang and so on; treat from lung large intestine, etc. Most of them adopt the methods of dispersing cold and relieving pain, thinning wind and clearing away heat, clearing away heat from the Fu organs, and prescribing the traditional Chinese medicine, such as Asarum decoction, Yutong decoction, Dachengqi decoction, etc. According to the treatment of liver and gallbladder, the method of soothing the liver and reducing the fire, slowing the liver and nourishing the blood, the formula is often used, the prescription is Bupleurum to soothe the liver, and the Longdan Xiaogan decoction. Dan Zhi Xiaoyao San and so on; treating from the heart, the method of clearing the heart and reducing fire, expelling phlegm and activating blood circulation, often selecting and guiding red powder, Gualou Xiebai Banxia decoction, Taohong Siwu decoction, etc. Starting from different teeth corresponding to different meridians and collaterals. By sorting out and classifying the literature, the corresponding relationship between the teeth and the viscera is summarized: the upper teeth correspond to the viscera, the lower teeth correspond to the viscera; the upper and middle teeth correspond to the heart, and the lower middle teeth correspond to the kidneys; on both sides of the left and right, the upper teeth correspond to the stomach. The lower teeth correspond to the spleen; the left teeth correspond to the liver and gallbladder; the right teeth correspond to the lung and large intestine. The preferred drugs for the treatment of toothache are summarized as follows: heart Channel, Coptis chinensis, Ophiopogon japonicus, Kidney Channel, Anemarrhena, Phellodendron chinensis, stomach Channel, Radix angelicae dahurica, Chuanxiong, gypsum, spleen Meridian, Radix Paeoniae Alba, Atractylodes macrocephala; large intestine meridian, rhubarb, Fructus Aurantii; Pulmonary Channel, Radix Scutellariae, Platycodon grandiflorum; Gentian Channel, Gentian Herb, Notopter@@. Chaihu hope this study will be helpful to improve the connotation of holism and clinical treatment of tooth pain and other dental diseases.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R223.1

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