本文選題：眩暈 + 從脾論治��； 參考：《遼寧中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:通過跟師學習了解李德新教授中醫(yī)辨治眩暈的診治經(jīng)驗,臨證時遣方用藥的特點,及對本病的預防。方法:1.查閱對眩暈病因病機認識,治療時遣方用藥特點及對本病積極預防相關方面的古今文獻,了解眩暈的古今研究進展。2.收集整理李師治療眩暈病例,經(jīng)與文獻對比,分析整理,從而得出李德新教授治療眩暈的經(jīng)驗。結果:1.李師認為,眩暈為病,多責于風、痰、虛三個方面,而風、痰、虛三者,實為眩暈病病機發(fā)展至不同階段所產(chǎn)生的病理變化及病理產(chǎn)物,強調(diào)眩暈發(fā)生的主要病臟在肝、脾、腎,但其根本是后天充養(yǎng)不足,后天不足亦可導致先天失養(yǎng)。2.李師認為,中醫(yī)學中的眩暈與現(xiàn)代醫(yī)學中的眩暈有所區(qū)別,中醫(yī)學的眩暈往往獨自為病。然而,眩暈之病因病機雖錯綜復雜,但概括言之,其本宗不離虛、實二字,多屬虛中之虛或虛中之實。臨床論治時,要分清虛實之關鍵,從而運用或補或瀉之法,辨證施治,方可獲效。3.李師臨證治療眩暈時,對于主病臟在肝者,用藥避免剛烈之品,而用滋潤之藥;對于主病臟在脾者,健脾和胃的同時,兼顧祛痰燥濕,常以半夏白術天麻湯為基礎方;對于主病臟在腎者,宜補肝益腎,益精填髓,同時補益脾胃,以后天養(yǎng)先天,以左歸丸為基礎方。結論:1.眩暈發(fā)生的主要病臟在肝、脾、腎,其根本是后天充養(yǎng)不足。而風、痰、虛三者,實為反應眩暈病理變化的病理產(chǎn)物。2.眩暈為病,虛實夾雜,但多因虛致病,分清虛實之關鍵,選相應補瀉之法。3.臨證治療時,抓住眩暈為病之主臟,將肝、脾、腎三臟并調(diào)的宗旨貫穿其中,善于顧護脾胃,善用經(jīng)方,對癥施法,精煉巧妙。
[Abstract]:Objective: to understand the experience of professor Li Dexin in the diagnosis and treatment of vertigo, the characteristics of prescribing medicine and the prevention of the disease. Method 1: 1. To understand the etiology and pathogenesis of vertigo, the characteristics of prescribing drugs and the relevant literature on prevention of vertigo, and to understand the research progress of vertigo. 2. The experience of professor Li Dexin in the treatment of vertigo was obtained by collecting and sorting out the cases of vertigo treated by Li Shi and comparing with the literature. The result is 1: 1. Li Shi believes that vertigo is a disease, mostly responsible for wind, phlegm, and deficiency, and wind, phlegm, and vacuity are the pathological changes and pathological products produced by the pathogenesis of vertigo at different stages, emphasizing that the main diseases of vertigo occur in the liver and spleen. Kidney, but its fundamental is the acquired deficiency, acquired deficiency can lead to congenital loss. 2. Li Shi believes that vertigo in traditional Chinese medicine is different from vertigo in modern medicine. However, although the etiology and pathogenesis of vertigo are complicated, in general terms, the original form of dizziness is empty and solid, most of which belong to vacuity in vacuity or reality in vacuity. In clinical treatment, it is necessary to distinguish the key of deficiency and reality, so as to use or supplement or reduce the law, dialectical treatment, in order to achieve effectiveness. 3. When treating vertigo with the syndrome of Li Shi-lin, for those whose main disease is viscera in the liver, the medicine is used to avoid the strong and strong substance, and the medicine is used to moisturize the spleen, to strengthen the spleen and stomach, and at the same time, to dispel phlegm and dampness, and often take the Banxia Atractylodes Tianma decoction as the basic prescription; For the main disease in the kidney, it is appropriate to nourish the liver and nourish the kidney, tonify the marrow, replenish the spleen and stomach, and nourish the nature after the day, taking Zuogui Pill as the base. Conclusion 1. Vertigo occurs mainly in the liver, spleen, kidney, which is basically the acquired deficiency of nourishment. Wind, phlegm and deficiency are the pathological products of vertigo. Vertigo is a disease, empty and solid inclusion, but mostly due to the deficiency of illness, the key to distinguish the deficiency and reality, choose the corresponding method of reinforcing diarrhea. 3. In the treatment of clinical syndrome, we should grasp vertigo as the main organ of the disease, run through the purpose of liver, spleen and kidney, be good at protecting spleen and stomach, make good use of the prescriptions of the Meridian, apply the method to the syndrome and refine it skillfully.
【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】：2017
【分類號】：R249;R255.3

【參考文獻】

相關期刊論文 前10條

1 王振華;;趙文霞應用補中益氣湯治療眩暈經(jīng)驗[J];河南中醫(yī);2016年11期

2 萬小林;王俊力;馮莉;陳國華;;中醫(yī)論述眩暈[J];亞太傳統(tǒng)醫(yī)藥;2016年13期

3 張杰;李莉;唐林;孟靜巖;;脾陽虛證用藥規(guī)律淺析[J];河南中醫(yī);2016年05期

4 姬翔;裴可;張行;楊傳華;;從脾論治眩暈病經(jīng)驗拾萃[J];中國中醫(yī)藥現(xiàn)代遠程教育;2016年05期

5 劉周婷;蒙定水;;蒙定水教授從脾論治原發(fā)性高血壓臨證經(jīng)驗[J];亞太傳統(tǒng)醫(yī)藥;2016年04期

6 劉文華;歐洋;劉輝;崔吉英;;運用經(jīng)典理論辨治眩暈臨床體會[J];遼寧中醫(yī)雜志;2013年09期

7 楊利;路潔;路喜善;路志正;;路志正教授治療眩暈經(jīng)驗擷英[J];世界中西醫(yī)結合雜志;2012年12期

8 田紅軍;曹清慧;馬艷東;李英杰;;李英杰老師調(diào)理脾胃法治療眩暈經(jīng)驗[J];中國中醫(yī)急癥;2012年10期

9 趙見文;張顏偉;;田軍彪教授辨治眩暈經(jīng)驗[J];河南中醫(yī);2011年03期

10 柳傳鴻;;試論眩暈五臟辨治[J];現(xiàn)代中醫(yī)藥;2010年02期

，

本文編號：1917536