【摘要】：目的:對李小娟教授臨床診斷治療消渴病泄瀉的經驗進行歸納總結,分析其學術思想、論治方法及常用方藥經驗,為臨床疾病的治療提供指導性參考。方法:在查閱和研究大量相關文獻和資料的基礎上,跟師出診,參加醫(yī)療實踐,認真觀察并及時總結、積累其臨床經驗。結果:李小娟教授認為消渴病氣陰兩虛、陰損及陽而致脾腎兩傷,是消渴病泄瀉的發(fā)病基礎;外感寒濕、過用寒涼苦寒、飲食不節(jié)、情緒波動是消渴病泄瀉的誘發(fā)因素;而久病正氣虧虛、瘀血阻絡是消渴病泄瀉反復發(fā)作、纏綿難愈的病根。消渴病泄瀉的治療過程中,根據消渴病泄瀉的臨床特點,借用婦科崩漏之“塞流、澄源、復舊”三法來分階段論治:急則治其標,塞流即是止瀉,是治療消渴病泄瀉的緊急措施;澄源即是正本清源,辨證論治,將消渴病泄瀉分為脾胃虧虛、脾腎陽虛、濕熱蘊結、肝郁犯脾四個證型,是治療消渴病泄瀉的根本手段;復舊即善后固本,是鞏固泄瀉緩解后的重要階段。治療過程中應以健脾祛濕補腎為主,同時由于糖尿病久病入絡,故注意應用活血通絡藥物。結論:消渴病泄瀉本虛標實,緩急分明,具有明顯的階段性,故分階段論治是治療消渴病泄瀉的有效方法,值得在臨床上推廣,并進一步研究、完善。
[Abstract]:Objective: to summarize the experience of Professor Li Xiaojuan in clinical diagnosis and treatment of diarrhea of thirst disease, analyze its academic thought, treatment method and experience of common prescription and medicine, and provide guidance reference for the treatment of clinical disease. Methods: on the basis of consulting and studying a large number of relevant documents and materials, follow the teacher to visit, take part in the medical practice, observe and summarize in time, accumulate its clinical experience. Results: professor Li Xiaojuan thought that deficiency of qi and yin, damage of yang and spleen and kidney injury caused by Xiaoke disease were the basis of diarrhea, exogenous cold and dampness, excessive use of cold and cold, unsuitable diet, and emotional fluctuation were the inducing factors of diarrhea. And chronic disease deficiency of qi and blood stasis is the root of recurrent diarrhea and lingering disease. In the course of treatment of diarrhea, according to the clinical characteristics of diarrhea, three methods of gynecological leakage, such as "stopper flow, clear source, restoration of old", are used to treat the diarrhea in stages: if it is urgent, it will be treated as the standard, and the stoppage will be a stop to diarrhea. It is an urgent measure to treat diarrhea of thirst disease, that is to say, Chengyuan is the source of the disease and is treated by differentiation of symptoms and signs. The diarrhea of the disease is divided into four types: deficiency of spleen and stomach, deficiency of spleen and kidney yang, accumulation of dampness and heat, invasion of spleen by liver depression, which is the fundamental method for treating diarrhea of thirst disease. The restoration is the consolidation of the aftercare, is the consolidation of diarrhea relief after an important stage. In the course of treatment, invigorating spleen, dispelling dampness and tonifying the kidney, and applying drugs of activating blood circulation and dredging collaterals should be paid attention to because of the long illness of diabetes. Conclusion: the diarrhea of Xiaoke disease is characterized by deficiency of the essence, clear order of urgency and obvious stages. Therefore, the treatment by stages is an effective method for the treatment of diarrhea, which is worth popularizing in clinical practice, and further research and improvement.
【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】：2016
【分類號】：R249;R255.4
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本文編號：2174047