基于“肝腎學(xué)說”理論在月經(jīng)病治療中臨床應(yīng)用的研究
發(fā)布時間:2018-04-14 16:01
本文選題:肝腎學(xué)說 + 月經(jīng)病 ; 參考:《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文
【摘要】:研究目的:本研究通過系統(tǒng)收集及整理中醫(yī)典籍及龍江韓氏婦科流派著,進行歸納整理,分析"肝腎學(xué)說"理論的起源、發(fā)展。通過收集龍江韓氏婦科傳承人韓延華和劉麗教授門診月經(jīng)病患者,對其中的中醫(yī)辨證、治法以及用藥進行統(tǒng)計分析,擬找出其中醫(yī)辨證、治法及用藥規(guī)律,從而為優(yōu)化月經(jīng)病的中醫(yī)治療提供依據(jù)。研究方法:本課題通過對韓延華教授和劉麗教授門診電腦診斷月經(jīng)病患者2000例,針對頻率較大的月經(jīng)病300例進行中醫(yī)辨證、治法以及用藥進行歸納,運用EXCEL及SPSS 17.0統(tǒng)計軟件進行統(tǒng)計分析。研究結(jié)果:運用"肝腎學(xué)說"理論治療月經(jīng)病的病例中頻率最高的為崩漏占33.30%,其次為閉經(jīng)占30.70%;常見證型為腎氣虛、腎陰虛,肝腎陰虛,腎陽虛,肝氣郁結(jié),分別占16.29%,18.75%,13.66%,12.08%,10.94%;常見治法主要為補腎益氣,滋腎益陰,溫腎助陽,滋陰養(yǎng)肝補腎,疏肝解郁,分別占16.83%,17.40%,14.53%,13.79%,9.85%;出現(xiàn)頻率較高的藥為熟地、山茱萸、川斷、海螵蛸、牛膝、阿膠、杜仲、白芍、牡蠣、桑寄生、當(dāng)歸,其歸經(jīng)以肝腎經(jīng)為主。結(jié)論:1.運用"肝腎學(xué)說"理論治療的月經(jīng)病主要包括崩漏、閉經(jīng)等。2.論治療的月經(jīng)病的主要證型為腎氣虛、腎陰虛,腎陽虛,肝腎陰虛等。3.治法以補腎益氣,滋腎益陰,溫腎助陽,滋陰養(yǎng)肝補腎,疏肝解郁為主。4.頻率較高藥物主要囊括于育陰止崩湯,百靈育陰湯,百靈調(diào)肝湯,育陰補血湯。
[Abstract]:Objective: to analyze the origin and development of the theory of "liver and kidney" by systematically collecting and sorting out the classical books of traditional Chinese medicine and Han's gynaecological schools of Longjiang River.By collecting Han Yanhua and Liu Li outpatients with menstrual diseases in the outpatient department of Han's gynecological heritage in Longjiang, the author makes a statistical analysis of TCM syndrome differentiation, treatment method and drug use, and intends to find out the TCM syndrome differentiation, treatment method and drug use law.So as to optimize the treatment of menstrual disease in traditional Chinese medicine to provide the basis.Methods: 2000 patients with menstrual disease diagnosed by computer in outpatient clinic of Professor Han Yanhua and Professor Liu Li were summarized by TCM syndrome differentiation, treatment and medication.EXCEL and SPSS 17.0 statistical software were used for statistical analysis.Results: in the treatment of menstrual diseases with "liver-kidney theory", the highest frequency was insipidus 33.30, followed by amenorrhea 30.70.The common syndromes were kidney-qi deficiency, kidney-yin deficiency, liver-kidney yin deficiency, kidney-yang deficiency, and stagnation of liver qi.The common methods are mainly tonifying kidney and tonifying qi, nourishing kidney and nourishing yin, warming kidney and helping yang, nourishing yin and nourishing liver, tonifying the kidney, relieving liver and relieving depression, accounting for 16.83N 17.40N 14.53N 14.53N 13.799.85. the drugs with high frequency are cooked ground, Cornus officinalis, broken Sichuan, Cuttlebone, Achyranthes, Ejiao, Eucommia, Paeonia Alba, etc.Oyster, mulberry parasitism, angelica sinensis, its return to the liver and kidney meridian.Conclusion 1.The theory of "liver and kidney theory" is used to treat menstrual diseases, including insipidus, amenorrhea, and so on.The main syndromes of menstrual disease treated are deficiency of kidney qi, deficiency of kidney yin, deficiency of kidney yang, deficiency of liver and kidney yin, etc.Treatment to tonify the kidney invigorate qi, nourish kidney and yin, warm the kidney and help yang, nourish yin and nourish the liver and invigorate the kidney, and soothe the liver and relieve the depression mainly. 4.High frequency drugs mainly include Yuyin Zhibong decoction, Bailing Yuyin decoction, Bailing Tiaogan decoction, Yuyin Buxue decoction.
【學(xué)位授予單位】:黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2017
【分類號】:R271.11
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