本文選題：衛(wèi)氣理論 + 支氣管哮喘��； 參考：《浙江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：支氣管哮喘是常見病、多發(fā)病,其反復(fù)發(fā)作、遷延不愈的特點(diǎn),給病人帶來了極大痛苦,是臨床工作中較為棘手的慢性疾病之一。衛(wèi)氣理論作為中醫(yī)經(jīng)典的基礎(chǔ)學(xué)說,其對于臨床實(shí)踐有著重要的指導(dǎo)意義。本研究即從衛(wèi)氣理論探討支氣管哮喘緩解期的防治。首先,對哮喘與衛(wèi)氣的相關(guān)性進(jìn)行了論證。通過查閱文獻(xiàn)發(fā)現(xiàn)哮喘具有"發(fā)必有外邪誘導(dǎo)"的特點(diǎn),而衛(wèi)氣的最主要功能在于防御外邪侵襲致病。是以哮喘發(fā)作與否與衛(wèi)氣的盛衰有關(guān),保證衛(wèi)氣功能的正�？梢詼p少哮喘的發(fā)作。繼而,依據(jù)《黃帝內(nèi)經(jīng)》及相關(guān)文獻(xiàn),對衛(wèi)氣相關(guān)理論進(jìn)行了較為詳細(xì)的歸納。衛(wèi)出三焦,即衛(wèi)氣根源于腎,由肝升發(fā)至中焦,接受水谷之精的充養(yǎng),經(jīng)脾升清至上焦,最后經(jīng)肺宣發(fā),而彌漫三焦,發(fā)揮防御、溫煦等功能。衛(wèi)氣行于脈外,與營相貫,由絡(luò)以通;與日月相應(yīng),具有晝夜和月節(jié)律性;且會主動(dòng)向邪氣定向移動(dòng),直至驅(qū)邪外出。衛(wèi)氣的病理狀態(tài)有虛損不足、運(yùn)行受阻、逆行無端、出入失常,而飲食失調(diào)、七情內(nèi)傷、六淫外侵是導(dǎo)致衛(wèi)氣運(yùn)行受阻的重要原因。通過對衛(wèi)氣理論探析后,更加明確了衛(wèi)氣與哮喘之間的密切關(guān)系。衛(wèi)氣的源出以腎、脾、肺為軸心,而哮喘病位在肺,常累及脾、腎功能,二者之間存在著負(fù)相關(guān),此消彼長。保障衛(wèi)氣的"出"和"行"即是防治哮喘。日常攝生對哮喘病人非常重要,暢情志、調(diào)飲食、勿勞累、慎起居、避風(fēng)寒是保障衛(wèi)氣出行的有效措施。藥物的治療需要調(diào)補(bǔ)三焦,以健運(yùn)肺脾腎三臟功能為核心,旁及肝、胃、大腸;而更重要的是暢通三焦,重點(diǎn)在于祛除肺內(nèi)之頑痰死血和透達(dá)肓膜伏邪,從而使衛(wèi)氣達(dá)到"出"有根,"行"無礙的狀態(tài)。衛(wèi)氣理論可用于支氣管哮喘緩解期的防治,從衛(wèi)氣防治哮喘能夠更好的把握疾病治療的全局,為臨床以及今后實(shí)驗(yàn)研究提供了思路和線索。
[Abstract]:Bronchial asthma is a common disease. It is one of the most difficult chronic diseases in clinical work. As the classical basic theory of traditional Chinese medicine, the theory of Wei Qi has important guiding significance for clinical practice. This study is to discuss the prevention and treatment of bronchial asthma in remission period from the theory of Wei Qi. Firstly, the correlation between asthma and Wei qi is demonstrated. It is found that asthma has the characteristic of "external pathogenic induction must exist in the hair", and the main function of Wei Qi is to prevent the invasion of exogenous pathogens. Asthma attack or not is related to the rise and fall of Weiqi, to ensure that the normal Wei Qigong can reduce the asthma attack. Then, according to Huangdi Internal Classic and related literature, the theory of Wei Qi is summarized in detail. Wei out three Jiao, that is, Wei Qi roots in the kidney, from liver hair to medium coke, accept the water valley essence of the charge and nourishment, through the spleen to clear the top coke, and finally through the lung propaganda hair, and diffuse three Jiao, play a defensive, warm and other functions. Wei Qi runs outside the pulse, intersecting with the camp, from collaterals to communication; corresponding to the sun and moon, with circadian and lunar rhythm; and will actively move to evil spirits, until the exorcism goes out. The pathological state of Weiqi is deficient, blocked, retrograde, unprovoked, and out of order, while eating disorders, internal injuries of seven emotions, and six invasion are the important reasons that lead to the obstruction of the operation of Wei Qi. After analyzing the theory of Wei Qi, the close relationship between Wei qi and asthma is more clear. The origin of Wei Qi is the kidney, spleen, lung as the axis, while asthma is located in the lung, often involving the spleen, kidney function, there is a negative correlation between the two. To protect the health-qi "out" and "action" is to prevent and treat asthma. Daily intake is very important for asthmatic patients, unobstructed mood, diet, not tired, careful living, avoiding wind and cold is an effective measure to ensure the travel of Wei Qi. The treatment of the drug needs to regulate and replenish the tri-Jiao, with the function of healthy lung, spleen and kidney as the core, bypassing the liver, stomach, and large intestine; and, more importantly, unblocking the tri-coke, which focuses on removing the stubborn phlegm, blood, dead blood in the lung, and permeating the latent evil of the cecum. So that Wei Qi to achieve "out" root, "line" unhindered state. The theory of Wei Qi can be used in the prevention and treatment of bronchial asthma in remission period. It can better grasp the whole situation of disease treatment from the perspective of Wei Qi to prevent asthma, which provides a clue for clinical and experimental research in the future.
【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R259

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