發(fā)布時間：2018-05-07 06:59

  本文選題：功能性腹脹 + 痞證��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：功能性腹脹(Functional bloating,FB)屬于功能性胃腸病(Functional gastrointestinal disorders,FGIDs)中功能性腸道疾病(Functional bowel disorders,FBD)的一組癥狀譜。本課題將從祖國醫(yī)學(xué)的角度,對謝晶日教授診治FB進(jìn)行科學(xué)的研究。目的:通過相關(guān)的統(tǒng)計學(xué)方法,分析并總結(jié)謝晶日教授診治FB的辨證方法及藥物的使用規(guī)律。方法:(1)收集數(shù)據(jù):運(yùn)用電子信息診療系統(tǒng)收集1 08例FB患者的性別、年齡、首診處方、中醫(yī)證型診斷。(2)數(shù)據(jù)預(yù)處理:將數(shù)據(jù)(性別、年齡、證型、藥物)的規(guī)范化描述。(3)建立數(shù)據(jù)庫:將數(shù)據(jù)輸入數(shù)據(jù)庫,本庫的內(nèi)容包括性別、年齡、證型、藥物。性別按男女分類,男記為" 1",女記為“0”;年齡按年齡段分類,屬于該段者記為"1",反之記為“0”;按證型、藥物的有無,有者記為"1",無者記為"0"。(4)統(tǒng)計學(xué)分析:使用SPSS 19.0對數(shù)據(jù)庫中的數(shù)據(jù)進(jìn)行統(tǒng)計分析。建立性別比例圖、年齡分布表、證候類型分布表、藥物使用頻次表、藥物功效頻次統(tǒng)計表、聚類分析圖。結(jié)果:(1)108例FB患者按中醫(yī)證型分類,肝胃不和型患者最多,飲食內(nèi)停和胃陰不足型患者最少。其中,肝胃不和者29例,占比26.85%;脾胃虛寒者24例,占比22.22%;脾胃濕熱者16例,占比14.82%;痰濕中阻者15例,占比13.89%;飲食內(nèi)停者12例,占比11.11%;胃陰不足者12例,占比11.11%。(2)患者初診處方共有中藥藥物71味,使用頻次百分比超過50%的藥物有6味,分別是白術(shù)、茯苓、陳皮、黨參、佛手、砂仁。(3)謝晶日教授治療FB最常使用補(bǔ)虛、理氣、利水滲濕和化濕藥,占總藥物使用次數(shù)的71.81%。(4)對使用頻次最高的50味藥物進(jìn)行聚類分析,可以分成7類藥物:第1類藥物:黃連、吳茱萸、檳榔;第2類藥物:梔子、黃芩、大黃等;第3類藥物:丁香、木香、白豆蔻等;第4類藥物:藿香、豬苓、澤瀉等;第5類藥物:柴胡、香櫞、白芍等;第6類藥物:白術(shù)、陳皮、茯苓等;第7類藥物:北沙參、石斛、生地黃等。結(jié)論:謝晶日教授認(rèn)為脾胃虛弱導(dǎo)致氣機(jī)不暢是FBE主要病機(jī),還另有肝郁、痰飲、濕熱、食積等病理變化。謝晶日教授治療FB,重視臟腑間的相互作用,強(qiáng)調(diào)肝脾同調(diào),以健脾疏肝為基本治法。注重氣機(jī)的調(diào)暢,恢復(fù)脾氣升清、胃氣降濁的正常生理功能。謝晶日教授治療FB的治法以補(bǔ)虛、理氣為主,再輔助以化痰、祛濕、清熱、養(yǎng)陰等治法。
[Abstract]:Functional abdominal distention is a group of symptom spectrum of functional bowel disordersof functional gastrointestinal disordersof functional gastroenteropathy (FGIDs). From the point of view of traditional Chinese medicine, Professor Xie Jingri's diagnosis and treatment of FB will be studied scientifically. Objective: to analyze and summarize Professor Xie Jingri's diagnosis and treatment of FB by statistical methods. Methods data were collected by using electronic information diagnosis and treatment system. Sex, age, prescription of first visit, diagnosis of TCM syndrome type. 2) data preprocessing: data (sex, age, syndrome type, type of FB) were collected. The standardized description of drugs. 3) establish a database: enter the data into the database. The contents of this database include gender, age, syndromes, drugs. Sex is classified by sex as "1" for men and "0" for women, "1" for those who belong to the paragraph by age, and "0" for those who belong to the paragraph. Statistical analysis: SPSS 19.0 was used to analyze the data in the database. Establish sex ratio chart, age distribution table, syndrome type distribution table, drug use frequency table, drug efficacy frequency statistical table, cluster analysis chart. Results 108 cases of FB patients with FB were classified according to TCM syndromes. The patients with liver and stomach disharmony type were the most, the patients with diet stopping and stomach yin deficiency type were the least. Of these, 29 cases (26.85%) were at odds with the liver and stomach; 24 cases (22.2222) had cold deficiency of the spleen and stomach; 16 cases (14.82%) had dampness and heat of the spleen and stomach; 15 cases (13.89%) were obstructed in phlegm and dampness; 12 cases (11.11%) were stopped in the diet; 12 cases were deficient in stomach yin. There are 71 kinds of traditional Chinese medicine in the prescriptions of patients at first visit, and there are 6 kinds of drugs that use more than 50% of the drugs. They are Atractylodes macrocephala, Poria cocos, Chen Pei, Codonopsis pilosula, Buddha hand, Amomum villosum.) Professor Xie Jingri's treatment of FB is most often used to replenish deficiency and regulate qi. Cluster analysis of 50 drugs with the highest frequency of use can be divided into seven categories: class 1: Coptis chinensis, Evodia rutaecarpa, Areca nut; Class 2: Gardenia jasminoides, Scutellaria baicalensis, Rhubarb et al; class 3 drugs: clove, woody, cardamom, etc.; class 4: patchouli, Polyporus umbellata, alisma et al.; class 5: Radix Bupleurum, Citron, Radix Paeoniae Alba, class 6: Atractylodes macrocephala, Chen Pei, Poria cocos, etc. Class 7: Radix Ginseng, Dendrobium, Rehmannia et al. Conclusion: professor Xie Jingri thinks that deficiency of spleen and stomach leading to unobstructed qi is the main pathogenesis of FBE, and there are also pathological changes such as liver depression, phlegm and drink, dampness and heat, food accumulation and so on. Professor Xie Jingri treated FB with emphasis on the interaction between viscera and viscera, emphasizing the homology of liver and spleen, and taking invigorating the spleen and soothing the liver as the basic treatment method. Pay attention to the unobstructed Qi, restore the temperament clear, the normal physiological function of stomach qi. Professor Xie Jingri's treatment of FB is based on tonifying deficiency, regulating qi, and then helping to eliminate phlegm, remove dampness, clear heat and nourish yin.
【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】：R249;R259

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 賈博宜;石靜;王穎;王影;王微;符思;;通降法治療功能性腹脹經(jīng)驗[J];環(huán)球中醫(yī)藥;2016年03期

2 王慧慧;張百霞;葉小彤;何帥兵;張燕玲;王耘;;基于“中藥作用機(jī)理輔助解析系統(tǒng)”的四逆散抗抑郁作用機(jī)制研究[J];中國中藥雜志;2015年19期

3 王峰;李小芳;周曉軍;;大柴胡湯加減治療功能性腹脹的效果[J];實(shí)用臨床醫(yī)藥雜志;2015年13期

4 詹原泉;王學(xué)川;;理中湯合平胃散加減治療中焦虛寒夾濕型功能性腹脹療效觀察[J];山西中醫(yī);2015年06期

5 傅海東;謝雙林;皇甫含萌;;參苓白術(shù)顆粒綜合治療功能性腹脹的臨床療效[J];遼寧中醫(yī)雜志;2015年04期

6 許衛(wèi)華;王微;李妮矯;呂冉;崔羽;符思;;加味三香湯治療脾虛痰濕型功能性腹脹的臨床觀察[J];中華中醫(yī)藥雜志;2014年03期

7 耿燕楠;劉子丹;宋紅春;陸為民;;徐景藩運(yùn)用升降理論診治脾胃病經(jīng)驗[J];中醫(yī)雜志;2014年01期

8 譚全會;李興華;;食物不耐受和功能性胃腸病關(guān)系的研究進(jìn)展[J];世界華人消化雜志;2013年25期

9 程義蓮;吳艷芝;;中藥足浴療法配合中藥內(nèi)服治療功能性腹脹的療效觀察[J];長江大學(xué)學(xué)報(自科版);2013年24期

10 張紅英;王進(jìn)海;李永;楊全新;劉杰;王莉;;功能性腹脹發(fā)病機(jī)制的研究[J];西安交通大學(xué)學(xué)報(醫(yī)學(xué)版);2013年06期

，

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