郭兆剛教授治療兒童腺樣體肥大的臨證學(xué)術(shù)思想總結(jié)
發(fā)布時間：2018-09-19 12:43
【摘要】：目的:兒童腺樣體肥大作為兒童常見病,對兒童生長發(fā)育所產(chǎn)生的影響,得到了普遍重視。郭兆剛教授是云南省名中醫(yī),擅長治療耳鼻喉科各種疾病。本文通過臨床歸納郭兆剛教授對小兒腺樣體肥大的臨證治法、臨床用藥、及加減規(guī)律,以系統(tǒng)總結(jié)郭兆剛教授對小兒腺樣體肥大的臨床思想及學(xué)術(shù)經(jīng)驗使其對本病的證治思想得到繼承與發(fā)揚,為中醫(yī)臨床提供借鑒與參考。方法:閱讀相關(guān)古代文獻,檢索現(xiàn)代醫(yī)學(xué)對兒童腺樣體肥大的相關(guān)文獻論述,同時在跟師的學(xué)習(xí)中,收集郭兆剛教授治療本病的病例資料、診療信息,并做好門診記錄及筆記。進而歸納總結(jié)郭兆剛教授對本病的病機認識、治療方法、用藥規(guī)律。結(jié)果:郭兆剛教授認為小兒臟腑嬌嫩,形氣未充是兒童腺樣體肥大發(fā)病的內(nèi)在因素,在此基礎(chǔ)上外邪內(nèi)犯,內(nèi)外合邪,壅阻氣機,化熱、生痰、致瘀,變生腺樣體肥大諸證。臨床當通過“望、聞、問、切、查”五診,仔細辨之,根據(jù)辨證予以益氣固表、疏風(fēng)散邪、宣肺通竅、益氣活血、行氣通竅等治法,達到整體論治的觀念。從而使兒童達到陰平陽秘的狀態(tài),打斷因腺樣體肥大引起的惡性循環(huán),恢復(fù)其正常良性循環(huán),待腺樣體自然萎縮,則其引發(fā)的諸證消失。避免了激素及手術(shù)治療可能帶來的危害,取得了較好的臨床效果。結(jié)論:通過本次的研究總結(jié)了郭兆剛教授對兒童腺樣體肥大病因病機、臨床辯證及用藥規(guī)律。導(dǎo)師以整體觀進行論治,審證求因,從因論治。重視臟腑嬌嫩的本因,輔以通竅的思想,臨床治療中效果顯著,緩解了腺樣體肥大兒童的痛苦,發(fā)揮了中藥治療的安全性、持續(xù)性,顯效性等特點,對中醫(yī)臨床醫(yī)生治療本病給予了參考與指導(dǎo)。
[Abstract]:Objective: the effect of adenoid hypertrophy on children's growth and development as a common disease in children has been paid more and more attention. Professor Guo Zhaogang is a famous traditional Chinese medicine in Yunnan Province, specializing in the treatment of various diseases of otolaryngology. In this paper, Professor Guo Zhaogang's clinical treatment of adenoid hypertrophy in children, clinical medication, and the rule of addition and subtraction are summarized. By systematically summarizing Professor Guo Zhaogang's clinical thought and academic experience on adenoid hypertrophy in children, his thought on syndrome and treatment of this disease has been inherited and carried forward, which provides reference and reference for the clinical practice of traditional Chinese medicine. Methods: to read the relevant ancient literature, to search the literature about children's adenoid hypertrophy in modern medicine, at the same time to collect the case data, diagnosis and treatment information of Professor Guo Zhaogang in the study of follow teacher, and to make good records and notes of outpatient service. Then summarize Professor Guo Zhaogang's understanding of the pathogenesis of the disease, treatment methods, drug use law. Results: professor Guo Zhaogang thought that the internal factors of children's adenoid hypertrophy were delicate viscera and unfilled form qi. On the basis of this, internal and external pathogenic factors, internal and external evil, obstruction of qi, heat, phlegm, blood stasis and hypertrophy of adenoid were all syndromes. Clinical practice should pass "look, smell, ask, cut, check" five diagnoses, distinguish it carefully, according to differentiation to give Yiqi solid table, dispersing wind and dispersing evil, purging lung and opening orifices, benefiting qi and activating blood, and so on, so as to achieve the concept of holistic treatment. In order to make the children reach the state of yin and pacification, break the vicious circle caused by adenoid hypertrophy, restore its normal virtuous circle, and when the adenoid atrophies naturally, the symptoms will disappear. It avoids the possible harm of hormone and surgical treatment, and obtains better clinical effect. Conclusion: professor Guo Zhaogang has summarized the etiology, pathogenesis, clinical dialectical and drug use of adenoid hypertrophy in children. Mentors to the overall view of treatment, examination of the cause of evidence, from the cause of treatment. Paying attention to the delicate cause of the viscera, accompanied by the idea of opening the orifices, has had a remarkable effect in clinical treatment, alleviated the suffering of children with adenoid hypertrophy, and brought into play the characteristics of the safety, sustainability, and effectiveness of the treatment of traditional Chinese medicine. It provides reference and guidance for the treatment of this disease by TCM clinicians.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249;R276.1
本文編號：2250156
[Abstract]:Objective: the effect of adenoid hypertrophy on children's growth and development as a common disease in children has been paid more and more attention. Professor Guo Zhaogang is a famous traditional Chinese medicine in Yunnan Province, specializing in the treatment of various diseases of otolaryngology. In this paper, Professor Guo Zhaogang's clinical treatment of adenoid hypertrophy in children, clinical medication, and the rule of addition and subtraction are summarized. By systematically summarizing Professor Guo Zhaogang's clinical thought and academic experience on adenoid hypertrophy in children, his thought on syndrome and treatment of this disease has been inherited and carried forward, which provides reference and reference for the clinical practice of traditional Chinese medicine. Methods: to read the relevant ancient literature, to search the literature about children's adenoid hypertrophy in modern medicine, at the same time to collect the case data, diagnosis and treatment information of Professor Guo Zhaogang in the study of follow teacher, and to make good records and notes of outpatient service. Then summarize Professor Guo Zhaogang's understanding of the pathogenesis of the disease, treatment methods, drug use law. Results: professor Guo Zhaogang thought that the internal factors of children's adenoid hypertrophy were delicate viscera and unfilled form qi. On the basis of this, internal and external pathogenic factors, internal and external evil, obstruction of qi, heat, phlegm, blood stasis and hypertrophy of adenoid were all syndromes. Clinical practice should pass "look, smell, ask, cut, check" five diagnoses, distinguish it carefully, according to differentiation to give Yiqi solid table, dispersing wind and dispersing evil, purging lung and opening orifices, benefiting qi and activating blood, and so on, so as to achieve the concept of holistic treatment. In order to make the children reach the state of yin and pacification, break the vicious circle caused by adenoid hypertrophy, restore its normal virtuous circle, and when the adenoid atrophies naturally, the symptoms will disappear. It avoids the possible harm of hormone and surgical treatment, and obtains better clinical effect. Conclusion: professor Guo Zhaogang has summarized the etiology, pathogenesis, clinical dialectical and drug use of adenoid hypertrophy in children. Mentors to the overall view of treatment, examination of the cause of evidence, from the cause of treatment. Paying attention to the delicate cause of the viscera, accompanied by the idea of opening the orifices, has had a remarkable effect in clinical treatment, alleviated the suffering of children with adenoid hypertrophy, and brought into play the characteristics of the safety, sustainability, and effectiveness of the treatment of traditional Chinese medicine. It provides reference and guidance for the treatment of this disease by TCM clinicians.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249;R276.1
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