本文選題：呂英　切入點：氣一元論　出處：《南方醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的兒童腫瘤包括實體瘤和血液系統(tǒng)腫瘤兩大類,是威脅兒童生命健康的主要疾病。目前現(xiàn)代醫(yī)學(xué)常用的治療方法包括手術(shù)、化療、放療和造血干細胞移植等。呂英教授為李可中醫(yī)藥學(xué)術(shù)流派國家傳承基地主任,臨床擅用純中醫(yī)的方法防治兒童腫瘤。因此,本文通過系統(tǒng)整理呂英教授立足“氣一元論”治療兒童腫瘤的經(jīng)驗,總結(jié)出一套對治兒童腫瘤,提高患兒生存質(zhì)量的中醫(yī)治療方法。方法首先通過閱讀參悟呂英教授出版的專著,搜集整理各類專業(yè)期刊和研討會所發(fā)表的論文和講座課件,以及未發(fā)表的文稿及診療醫(yī)案,總結(jié)常用的方藥及其藥物配伍機理,掌握其學(xué)術(shù)精髓(六氣為一氣的變現(xiàn))及辨證方法。其次,通過臨床跟診,學(xué)習導(dǎo)師參悟醫(yī)理的方法:運用天地規(guī)律、生命規(guī)律、疾病規(guī)律,透過現(xiàn)象抓本質(zhì),運用“逐癥分析,由博返約”將復(fù)雜的癥狀約為六經(jīng)辨證,體現(xiàn)出了“以病機統(tǒng)萬病,執(zhí)萬病之牛耳”的中醫(yī)治病捷徑。最后通過逐癥分析臨床病例來驗證其學(xué)術(shù)經(jīng)驗。結(jié)論呂英教授立足“氣一元論”,從元氣、中氣、萌芽、三陰三陽來論治兒童腫瘤。其近30年臨床實踐表明:兒童腫瘤的主要病機是患兒先天稟賦元陽不足,冰伏三陰,寒熱虛實夾雜,六氣絞結(jié)成形導(dǎo)致五臟六腑氣機升降出入乖亂。故在臨床治療中醫(yī)者不可只著眼于疾病本身,更需注重的是患兒正氣之多少。臨證時需分清主次、輕重、緩急,時刻顧護患兒的元氣、中氣、萌芽。因小兒總體的生理特點為“心肝常有余,肺脾腎常不足”,對應(yīng)臨床就是少陽升發(fā)之力強盛,而土氣偏不足,加之部分兒童腫瘤可表現(xiàn)出三陰熱化到陽明界面的火熱燥,故臨床治療中見到各種火熱燥時,需要先厘清火熱燥的來源,不可妄用涼藥,恐折殺萌芽,傷及陽根。因“三陰統(tǒng)于太陰”、“陽明之燥熱永不敵太陰之寒濕”,故可利用“治太陰,保少陰”之法,通過健運中氣,厚土伏火,恢復(fù)患兒自身的圓運動;而當生死關(guān)頭,陽氣將亡,又必須以回陽救逆為急,則可選用李可老中醫(yī)的破格救心湯;若出現(xiàn)陰竭時則需用引火湯導(dǎo)龍歸海,引火歸原;若出現(xiàn)胃氣將絕,必先救胃氣為急,則可選用理中湯、四君子湯等方藥。討論兒童腫瘤作為威脅兒童健康的頭號殺手,其發(fā)病機制大多尚不明確,中西醫(yī)均無療效確切的治療手段,呂英教授立足“氣一元論”用純中醫(yī)的方法來論治各種兒童腫瘤雖然取得了可喜的臨床效果,但因病例總數(shù)及患兒個體差異的限制,其學(xué)術(shù)經(jīng)驗還只能供部分經(jīng)驗豐富的中醫(yī)師作為臨床參考,難以形成明確的兒童腫瘤臨床中醫(yī)診療方案。如何更好的將呂英教授立足“氣一元論”治療兒童腫瘤的學(xué)術(shù)經(jīng)驗系統(tǒng)化、規(guī)范化,以便更好地在臨床推廣,將是我們需要更長時間來研究的課題。
[Abstract]:Objective Children's tumors include solid tumors and hematological tumors, which are the main diseases threatening children's life and health.At present, the commonly used treatments in modern medicine include surgery, chemotherapy, radiotherapy and hematopoietic stem cell transplantation.Professor Lu Ying is director of the National inheritance Base of Li Ke academic School of traditional Chinese Medicine.Therefore, this paper summarizes a set of traditional Chinese medicine treatment methods for treating children's tumors and improving their quality of life by systematically sorting out Professor Lu Ying's experience of treating children's tumors based on Qi monism.Methods by reading the monographs published by Professor Lu Ying, we collected and sorted out the papers and lecture courseware published in various professional journals and seminars, as well as the unpublished manuscripts and medical records of diagnosis and treatment, and summarized the commonly used prescriptions and their compatibility mechanism.Master the essence of its academic (six Qi for the realization of one Qi) and dialectical methods.Secondly, through clinical follow up, the method of learning tutors' participation and understanding of medical principles: using the law of heaven and earth, the law of life, the law of disease, grasping the essence through the phenomenon, applying "analysis by symptom," making the complex symptoms about syndrome differentiation of the six meridians by "returning to the covenant".It reflects the short-cut of Chinese medicine to cure the disease with the pathogenesis of the disease and the ear of the cow with the disease of ten thousand diseases.Finally, its academic experience is verified by symptomatic analysis of clinical cases.Conclusion based on Qi monism, Professor Lu Ying treats childhood tumors from Qi, Qi, germination and Sanyin and Sanyang.The clinical practice in recent 30 years shows that the main pathogenesis of children's tumor is the deficiency of congenital endowment of Yuanyang, the cold and the three yin, the inclusion of cold and heat, and the formation of six-gas strangulation, which leads to the disorder of the movement of organs and organs.Therefore, in clinical treatment, the doctor should not only focus on the disease itself, but also pay more attention to the number of healthy children.Clinical needs to distinguish between primary and secondary, light and urgent, care for the child's vitality, midair, germination.Because the overall physiological characteristics of children are "heart and liver are often more than, lung, spleen and kidney are often insufficient," the corresponding clinical is that the strength of small yang rising is strong, and the earth qi is insufficient. In addition, some children's tumors can show fire and dryness from the heat of three yin to the interface of Yangming.Therefore, when we see various kinds of hot dryness in clinical treatment, we need to clarify the source of hot dryness first.Because "three yin is unified in Taiyin" and "the heat of Yang Ming never fosters the cold and dampness of Taiyin", the method of "treating Taiyin and protecting little yin" can be used to restore the child's round movement through healthy transportation of midair, thick earth and fire, and when the moment of life or death comes to an end, Yang Qi will die.If it is urgent to return to the Yang and save the adverse, you can choose Old Li Ke's decoction to save your heart. If you run out of yin, you will need to use fire soup to lead the dragon back to the sea, and the fire will go back to the original. If there is a stomach qi, you must first save the stomach qi as a hurry, then you can choose the Lizhong Tang.Sijunzi decoction and other prescriptions.It is discussed that children's tumor is the number one killer threatening children's health, and the pathogenesis of it is still unclear, and there is no effective treatment method in both Chinese and western medicine.Professor Lu Ying based on "Qi monism" used pure Chinese medicine to treat all kinds of children's tumors, although they have achieved gratifying clinical results, they are limited by the total number of cases and the individual differences of children.Its academic experience can only be used as a clinical reference for some experienced TCM doctors, and it is difficult to form a definite clinical diagnosis and treatment scheme for children's tumor.How to better systematize and standardize Professor Lu Ying's academic experience in treating children's tumor based on "Qi monism", so as to popularize it better in clinic, will be a subject that we need to study for a longer time.
【學(xué)位授予單位】：南方醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249;R273

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本文編號：1720959