本文選題：冠心病 + 心絞痛��； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:通過回顧性分析方法,探究冠心病病機(jī)變化規(guī)律,并歸納總結(jié)董波教授“從氣論治”冠心病學(xué)術(shù)思想。材料與方法:通過對2008-2015年間,5250例冠心病住院患者中醫(yī)證型及中醫(yī)證素所占構(gòu)成比進(jìn)行回顧性調(diào)查研究,采用雙人雙錄法建立Excel數(shù)據(jù)庫,通過統(tǒng)計、分析所有的調(diào)查數(shù)據(jù),建立專用數(shù)據(jù)庫,統(tǒng)計各個證型及證素出現(xiàn)的頻次、頻率,以探究冠心病中醫(yī)病機(jī)演變規(guī)律。并通過收集、分析導(dǎo)師臨床資料,歸納、總結(jié)董波教授“從氣論治”冠心病學(xué)術(shù)思想,包括疾病分期,辨證論治要點(diǎn)以及自擬方劑。結(jié)果:1.回顧性分析中醫(yī)證型分析中,冠心病心絞痛所占比例最高的中醫(yī)證型為氣陰兩虛兼血瘀證,達(dá)37.15%;慢性心力衰竭所占比例最高的中醫(yī)證型為為陽虛水泛證,達(dá)29.31%。2.回顧性分析中醫(yī)證素分析中,虛證類所占構(gòu)成比最高的分別是冠心病心絞痛氣虛達(dá)47.81%;慢性心力衰竭陽虛達(dá)47.91%。實(shí)證類所占構(gòu)成比最高的分別是冠心病心絞痛血瘀,達(dá)88.69%;慢性心力衰竭水飲,達(dá)45.44%。各個時期病理產(chǎn)物各異,冠心病心絞痛期以氣滯、痰濁、血瘀為主,慢性心力衰竭期以水飲、血瘀為主。3.董波教授通過回顧性分析,指出冠心病病理基礎(chǔ)為“心氣不足”,將冠心病分為三個時期,以“本虛標(biāo)實(shí)”發(fā)展至“本虛偏盛”為其病機(jī)演變過程。故提出“從氣論治”冠心病學(xué)術(shù)思想,以“初期和氣、中期補(bǔ)氣行氣、后期益氣”為治療原則,并自擬中藥湯劑進(jìn)行治療。結(jié)論:1.通過回顧性分析得出結(jié)論:冠心病總屬本虛標(biāo)實(shí)之證,以“本虛標(biāo)實(shí)”發(fā)展至“本虛偏盛”為其病機(jī)演變過程。中醫(yī)證素氣虛在整個疾病過程中占較大比重,各個時期病理產(chǎn)物各異。2.董波教授提出“從氣論治”冠心病新思想,認(rèn)為心氣不足貫穿冠心病始終。3.董波教授認(rèn)為冠心病治療原則以“初期和氣、中期補(bǔ)氣行氣、后期益氣”為主。4.董波教授根據(jù)冠心病不同時期各自病機(jī)特點(diǎn),自擬方藥辨治冠心病。
[Abstract]:Objective: to explore the regularity of pathogenesis of coronary heart disease by retrospective analysis, and summarize professor Dong Bo's academic thought of treating coronary heart disease from Qi. Materials and methods: by retrospective investigation of TCM syndromes and the proportion of TCM syndromes in 5250 inpatients with coronary heart disease (CHD) from 2008 to 2015, Excel database was established by double recording method, and all the investigation data were analyzed by statistics. To establish a special database and count the frequency and frequency of syndromes and syndromes in order to explore the evolution of TCM pathogenesis of coronary heart disease. Through collecting and analyzing the clinical data of tutor, summarizing Professor Dong Bo's academic thought of "treating coronary heart disease from Qi", including stages of disease, main points of syndrome differentiation and treatment, and self-prescription. The result is 1: 1. Retrospective analysis of TCM syndrome type analysis, coronary heart disease angina pectoris accounted for the highest proportion of TCM syndromes for qi and yin deficiency and blood stasis syndrome, up to 37.15; chronic heart failure accounted for the highest proportion of TCM syndromes is Yang deficiency and water flooding syndrome, up to 29.31. 2. In the retrospective analysis of TCM syndromes, the highest proportion of deficiency syndrome was found in angina pectoris of coronary heart disease (CHD) and chronic heart failure (CHF). The highest proportion of the components were coronary heart disease angina pectoris blood stasis up to 88.69; chronic heart failure water drink up to 45.4445. The pathological products vary from stage to stage. Angina pectoris of coronary heart disease is mainly composed of Qi stagnation, phlegm turbidity, blood stasis, and chronic heart failure is mainly water drink and blood stasis. Through retrospective analysis, Professor Dong Bo points out that the pathological basis of coronary heart disease is "deficiency of heart qi", which divides coronary heart disease into three periods. Therefore, the author puts forward the academic thought of "treating coronary heart disease from Qi", taking "initial harmony, invigorating Qi in the middle period, replenishing Qi in later period" as the treatment principle, and making the Chinese medicine decoction to treat it. Conclusion 1. Through retrospective analysis, it is concluded that coronary heart disease is always the syndrome of the original deficiency and the standard reality, and its pathogenesis evolves from "the deficiency of the original deficiency to the deficiency of the deficiency" to "the deficiency of the original deficiency and the excess of the natural deficiency". Deficiency of qi in TCM syndromes occupies a large proportion in the whole process of the disease, the pathological products of each stage are different. 2. 2. Professor Dong Bo put forward the new idea of "treating coronary heart disease from Qi", and thought that deficiency of heart qi ran through coronary heart disease all the time. Professor Dong Bo believes that the principle of coronary heart disease treatment is "primary harmony qi, medium-term reinforcing qi, late-stage invigorating qi". 4. 4. Professor Dong Bo according to the different periods of coronary heart disease their pathogenesis characteristics, self-prescription treatment of coronary heart disease.
【學(xué)位授予單位】：遼寧中醫(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

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