本文選題：三果湯　切入點：血象　出處：《青海大學(xué)》2017年碩士論文

【摘要】：這篇論文以三果湯對血常規(guī)、血脂的指標影響和它的臨床藥效研究為重點。主要涉及四個大問題:一、三果湯的藥效和臨床應(yīng)用;二、放血時的選擇脈管,健康人和高血脂患者的選脈;三、三果湯對健康人和高血脂患者血象指標變化對比研究;四、三果湯對高血脂患者的臨床療效研究。為了闡釋上述四個問題,我把此篇論文分成四個章節(jié)后較詳細剖析其原因及結(jié)果等。第一章、開始較粗略的闡述三果湯的臨床運用變化(歷史),以及訶子、毛訶子、余甘子的鑒定和三果湯的制劑和藥效。最后通過《中國藏醫(yī)藥大全》收錄的一百多部藏醫(yī)臨床經(jīng)驗書籍中所記載的三果湯的運用和種類歸納后做成問卷,并在青海省藏醫(yī)院、玉樹州藏醫(yī)院、黃南州藏醫(yī)院、河南縣蒙藏醫(yī)院、尖扎縣藏醫(yī)院選擇住院醫(yī)師以上的三十名醫(yī)生作為問卷對象做調(diào)查問卷,后通過各選項占比次序確定此次試驗的用藥方法。第二章、因為當代醫(yī)學(xué)和藏醫(yī)學(xué)的理論思維方式不同,故在脈管和血液的功能和命名等的認識有所區(qū)別,所以在此章節(jié)中我首先對當代醫(yī)學(xué)和藏醫(yī)對脈管和血液認識做較粗略的對比后,較詳細的闡釋藏醫(yī)學(xué)的動脈和靜脈的認識,以及對放血選脈的方法。最后通過《中國藏醫(yī)藥大全》收錄的一百多部藏醫(yī)臨床經(jīng)驗記和相關(guān)論文中對此次兩類研究對象所常選的穴位歸納后做成問卷,并在上述五家藏醫(yī)院中選擇職業(yè)醫(yī)師及以上的三十名醫(yī)生作為問卷對象做調(diào)查問卷,后通過各選項占比次序確定此次健康人和高血脂患者的取血處。第三章、在簽訂相關(guān)協(xié)議后對所選十名健康人在服藥前后,即服藥前在肘內(nèi)靜脈抽取三毫升血液做全血細胞計數(shù)五分類檢驗,之后連續(xù)五天以每天三次煎熬服用三果湯后在相同部位抽取三毫升做相同的檢驗做前后對比。高血脂患者也簽訂相關(guān)協(xié)議后在服藥前選取肘內(nèi)靜脈抽取三毫升血液做血細胞計數(shù)五分類檢驗和血脂五項,之后連續(xù)五天內(nèi)以每日三次煎熬三果湯服用后在肘內(nèi)靜脈和頭靜脈各抽取三毫升血液做血細胞計數(shù)五分類檢驗和血脂五項并做服藥前后血象指標變化對比。通過服藥前后和不同穴位血樣檢驗指標對比可驗證三果湯對血樣的作用。第四章、本章主要是介紹三果湯對高血脂患者的臨床療效研究,以為高血脂在臨床上無特殊癥狀,所以我在這里主要用過前后血象指標變化對比為根據(jù)來闡述其臨床療效。血象指標的觀察,即在服藥后五天抽取血液的血脂四項變化和服藥錢的血脂變化對比,以及在停藥后三天在同一部位抽取血液并做血脂四項的各指標變化和服藥前各血脂變化對比觀察來判定其療效。
[Abstract]:In this thesis, three fruit soup on the blood index, lipid profile and clinical efficacy of it as the key point. Mainly involves four major problems: first, pharmacodynamics and clinical application of three fruit soup; two, choose the selected pulse blood vessel, healthy people and patients with high blood lipids; three, three fruit soup a comparative study of healthy people and patients with high blood lipids blood index changes; four, study on clinical effect of three fruit Decoction on patients with hyperlipidemia. In order to explain the above four problems, I put this paper into four chapters after the detailed analysis of its causes and results. In the first chapter, the paper started slightly coarse clinical application three fruit soup (History), and Terminalia, Mao Terminalia, preparation and pharmacodynamics and identification of Phyllanthus emblica fruit soup Three. Use recorded more than 100 Tibetan medicine clinical experience through Chinese Tibetan medicine books "included in the Guinness > three fruit soup and then made a questionnaire type Yushu Traditional Tibetan Hospital in Qinghai Province, and Tibetan Hospital, Huangnan Hospital of Tibetan, Mongolian and Tibetan Hospital of Henan County, Jianzha County Tibet hospital hospital thirty doctors physicians over as the questionnaire questionnaire, through various options accounted for the test to determine the drug than order. In the second chapter, because of modern medicine and Tibetan medicine the theory of thinking in different ways, so the difference in the understanding of the vascular and blood function and naming, so in this chapter I firstly on modern medicine and medicine knowledge compared to roughly on the vasculature and blood, know more detailed explanation of the Tibetan medicine arteries and veins, veins and methods on bloodletting. Finally, Chinese < Tibetan Medicine > more than 100 Tibetan medicine Daquan included clinical experience and related papers on the object of the two institutes often choose points summarized and made questionnaire in the five reservoir In the choice of occupation hospital physician and above thirty doctors as the questionnaire questionnaire, through various options accounted for the blood of healthy people and patients with high blood lipids the ratio is determined. In the third chapter, in order, signed the relevant agreement on the selected ten healthy people before and after medication, namely before taking vein at the elbow in take three milliliters of blood do blood cell count five classification test, five consecutive days after the three suffering a daily dose of three fruit soup Three ml extraction at the same position to do the same test before and after comparison. Hyperlipemia patients also signed a related agreement before taking the medicine in the selection of three milliliters of blood extraction elbow vein blood cell count five the classification test and five blood lipids, after five consecutive days to three times a day from three fruit soup after taking vein at the elbow and head vein from each three ml of blood blood cell count five classification test and five blood lipids And compared the changes of hemogram before and after treatment. Compared before and after treatment and different points of blood test indicators can be tested three fruit soup on the blood samples. In the fourth chapter, this chapter mainly introduces the clinical curative effect of three fruit Decoction on patients with hyperlipidemia, high blood fat free thought special symptoms in clinic, so here I am mainly used for comparison before and after the change of hemogram according to the clinical curative effect observation. Hemogram, the changes of blood lipid in contrast to five days after taking blood lipid four changes and drug money, and in three days after stopping at the same site and changes of blood lipid indexes and drug four the changes of blood lipid before each observation to determine the therapeutic effect.

【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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本文編號：1717118