【摘要】：目的:本文旨在總結(jié)喬文軍教授對重癥肌無力病因病機的認識及辨證論治痿證的經(jīng)驗,為臨床治療提供新思路。方法:1.查閱大量文獻,撰寫綜述,學(xué)習(xí)有關(guān)痿證病因病機及辨證論治的古代文獻論述及現(xiàn)代研究進展。2.每周跟隨老師出診,針對痿證的病因病機、診斷分型、遣方用藥特色向老師求教,分析、歸納和總結(jié)老師對痿證的治療經(jīng)驗。結(jié)果:在總結(jié)前人的經(jīng)驗及查閱文獻后,喬文軍教授認為痿證的病因病機有以下的特點:痿證的根本病機為五臟虛損,臟腑之間的平衡紊亂,耗傷五臟精氣,致使氣血津液虧虛,其中尤以脾腎陽虛為主要病機。五臟受損,氣血生化乏源,又間接導(dǎo)致了氣血津液的不足,致使筋脈肌肉失卻濡養(yǎng),不能束筋骨、通利關(guān)節(jié),終致肌肉痿軟無力,發(fā)為本病。病變臟腑主要責(zé)之于脾腎,病位在肌肉,常夾濕熱、夾痰。故治療多兼顧化濕清熱、祛痰。方藥以復(fù)方黃杞湯為主方進行加減,臨床每每奏效。結(jié)論:1.吾師認為治療痿證需以“補脾益腎,升舉陽氣”為基本治療原則,并“化濕祛痰、補益宗氣”。2.吾師以脾腎論痿證,以五臟氣血辨痿證,以復(fù)方黃杞湯化裁,因人制宜,臨床療效較顯著。3.吾師重視痿證的預(yù)防調(diào)護。
[Abstract]:Objective: to summarize Professor Qiao Wenjun's understanding of the etiology and pathogenesis of myasthenia gravis and to provide new ideas for clinical treatment. Method 1: 1. Consult a large number of literature, write a review, learn about the etiology and pathogenesis of impotence syndrome and treatment of ancient literature and modern research progress. 2. Follow the teacher to visit every week, according to the etiology and pathogenesis of impotence syndrome, diagnosis and typing, send the characteristics of medicine to the teacher for advice, analysis, induction and summary of the teacher's experience in the treatment of impotence syndrome. Results: after summing up the previous experience and consulting the literature, Professor Qiao Wenjun thought that the etiology and pathogenesis of impotence syndrome had the following characteristics: the basic pathogenesis of impotence syndrome was deficiency of the five viscera, the balance between the viscera and the viscera was disordered, and the vital qi of the five viscera was consumed. Lead to deficiency of qi, blood and fluid, especially spleen and kidney yang deficiency as the main pathogenesis. Damage of the five viscera, lack of biochemical sources of qi and blood, and indirectly lead to deficiency of qi and blood body fluid, resulting in muscle loss and nourishment, unable to bind muscles and bones, Tongli joint, resulting in muscle impotence and weakness, and the disease. Pathological organs are mainly responsible for spleen and kidney, the disease is in the muscle, often dampness and heat, phlegm. Therefore, the treatment of both dehumidification and heat, expectorant. Prescription to compound Huangqi decoction mainly for addition and subtraction, clinical often effective. Conclusion 1. My teacher believes that the treatment of impotence syndrome should be "tonifying the spleen and tonifying the kidney, raising Yang Qi" as the basic treatment principle, and "dehumidifying phlegm, tonifying Zong Qi". 2. My teacher to spleen and kidney on the basis of impotence syndrome, with the five Zang Qi and blood impotence syndrome, with compound Huangqi decoction, tailored to suit the situation, the clinical efficacy is more significant. 3. My teacher attaches importance to the prevention and nursing of impotence syndrome.
【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;R277.7

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本文編號：2234034