【摘要】：目的:通過對顫證古代文獻的整理、研究,探討歷代醫(yī)家對顫證的病名、病因、病機、病狀體征以及證治方藥規(guī)律的理論研究,填補顫證古代文獻研究的空缺,探討中醫(yī)古代文獻中關(guān)于顫證的證候要素、病位及應(yīng)證組合規(guī)律,以期為中醫(yī)臨床辨證治療顫證提供參考。方法:通過檢索《中華醫(yī)典》中顫證的相關(guān)古代文獻,采用傳統(tǒng)文獻學(xué)研究方法整理和研究相關(guān)條文,總結(jié)出歷代醫(yī)家對顫證的病名沿革、病因、病機、病狀體征以及證治方藥規(guī)律,并采用現(xiàn)代統(tǒng)計學(xué)方法提取出文獻中的證候要素、病位要素,建立2個Excel數(shù)據(jù)庫,包括文獻來源數(shù)據(jù)庫、證候要素數(shù)據(jù)庫,應(yīng)用統(tǒng)計學(xué)軟件SPSS22.0對證候要素進行頻數(shù)統(tǒng)計分析,結(jié)合中醫(yī)藥理論對得出的結(jié)果總結(jié)討論。結(jié)果:1.通過對《中華醫(yī)典》進行關(guān)鍵詞檢索,共檢索古代文獻5672條,最終納入與顫證相關(guān)的古代文獻共計420條,其中涉及的證候的條文有323條,檢索出文獻條文涉及至民國以前的古籍醫(yī)書共111本。2.通過統(tǒng)計與分析顫證的古代文獻中證候要素及應(yīng)證組合規(guī)律,得出:(1)顫證的病位要素肝、脾、腎、心、肺;(2)病性證候要素主要有內(nèi)風(fēng)、氣虛、血虛、陰虛、痰、內(nèi)火、風(fēng)、陽虛、血瘀、氣郁、熱、精虧、毒、氣滯、內(nèi)濕、陽亢、寒、陰盛;(3)顫證病性證候要素的組合主要是氣血相關(guān)證候要素、陰陽相關(guān)證候要素與內(nèi)生五氣的獨立組合和相互組合。(4)顫證相關(guān)古代文獻中病性證候要素與病位證候要素之間的組合中主要有肝內(nèi)風(fēng)、脾氣虛、肝內(nèi)火、肝陰虛、腎陰虛、脾血虛。結(jié)論:通過對顫證古代文獻系統(tǒng)分析研究,根據(jù)統(tǒng)計得出的證候要素排序結(jié)果,結(jié)合中醫(yī)學(xué)理論提出了:(1)顫證的主要病位要素為肝、脾、腎;(2)顫證的主要證候病性因素為陰虛風(fēng)動、氣血兩虛、痰火瘀滯;(3)顫證的病理性質(zhì)總屬本虛標(biāo)實。
[Abstract]:Objective: to explore the theoretical study on the name, etiology, pathogenesis, symptoms and signs of the tremor syndrome, and the regularity of the prescription and medicine in order to fill the gap in the ancient literature research on the tremor syndrome through the collation and study of the ancient literature on the tremor syndrome. This paper discusses the syndromes elements, disease position and syndrome combination in ancient Chinese medicine literature, in order to provide reference for clinical treatment of fibrillation syndrome. Methods: by retrieving the relevant ancient documents of the tremor syndrome in the Chinese Medical Code, and using the traditional documentary research method to sort out and study the relevant articles, we summarized the history, etiology, pathogenesis of the disease of the tremor syndrome by the physicians in the past dynasties, and found out the history of the disease, the etiology and the pathogenesis of the disease. The symptoms and signs as well as the rule of syndrome and treatment prescriptions were extracted from the literature by modern statistical method, and two Excel databases were established, including the database of literature source, the database of syndromes and the factors of syndromes. The statistical software SPSS22.0 was used to analyze the frequency of syndromes, and the results were summarized and discussed in combination with the theory of traditional Chinese medicine. The result is 1: 1. Through the keyword retrieval of Chinese Medical Code, a total of 5672 ancient documents were searched, and a total of 420 ancient documents related to tremor syndrome were included, among which 323 articles related to syndromes were included. Retrieval of literature provisions related to the Republic of China before the ancient books of medicine a total of 111. 2. Through statistics and analysis of syndromes and syndromes in ancient literature, it is concluded that: (1) liver, spleen, kidney, heart and lung; (2) the main factors of disease syndrome are internal wind, qi deficiency, blood deficiency, yin deficiency, phlegm, internal fire, wind, yang deficiency, blood stasis, qi depression, heat, essence deficiency, toxin, qi stagnation, internal dampness, yang hyperactivity, cold, Yin Sheng; (3) the combination of syndromes of fibrillation syndrome is mainly qi and blood related syndromes. The independent combination and mutual combination of Yin and Yang related syndromes and endogenous five qi. (4) the combination of disease syndrome elements and disease position syndrome elements in ancient literature mainly include intrahepatic wind, spleen qi deficiency, intrahepatic fire, liver yin deficiency, and so on. Kidney yin deficiency, spleen blood deficiency. Conclusion: based on the systematic analysis of ancient literature on the syndrome of tremor, according to the results of the sorting of syndromes obtained by statistics, combined with the theory of traditional Chinese medicine, the following points are put forward: (1) the main factors of the disease position of the tremor syndrome are liver, spleen and kidney; (2) the main syndromes of fibrillation syndrome were Yin deficiency and wind movement, qi and blood deficiency, phlegm and fire stagnation.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R241

【相似文獻】

相關(guān)期刊論文 前10條

1 閆川慧;張俊龍;郭蕾;李東明;;帕金森病與顫證的差異與交融[J];遼寧中醫(yī)雜志;2012年08期

2 胡斌;;顫證治驗三則[J];浙江中醫(yī)學(xué)院學(xué)報;1991年03期

3 任芳;郭煒;;顏乾麟治療顫證經(jīng)驗舉隅[J];山西中醫(yī)學(xué)院學(xué)報;2006年04期

4 景寬;王富春;;顫證針刺治驗四則[J];中醫(yī)雜志;1989年12期

5 田俊清;;甘芍湯加味治療顫證舉隅[J];湖南中醫(yī)雜志;2011年04期

6 劉菲;李平;;探討顫證的經(jīng)絡(luò)辨證[J];中華針灸電子雜志;2014年04期

7 賈行磊;;相修平治療顫證驗案舉隅[J];中醫(yī)學(xué)報;2009年05期

8 侯振萍;趙云霞;;劉淑霞治療顫證經(jīng)驗[J];河南中醫(yī);2012年09期

9 周曉軍,吳建國;口眼中藥合脈絡(luò)寧注射液靜滴治愈顫證1例[J];上海中醫(yī)藥雜志;1993年12期

10 王亞麗,張學(xué)文;顫證病理機制及治療的實驗研究[J];陜西中醫(yī)學(xué)院學(xué)報;1999年06期

相關(guān)會議論文 前4條

1 何崇;;關(guān)于幾個顫證病案淺議[A];中國針灸學(xué)會臨床分會第八次學(xué)術(shù)大會論文集[C];2000年

2 白雪;楊思進;;楊思進教授治療“顫證”的經(jīng)驗[A];中國中西醫(yī)結(jié)合學(xué)會養(yǎng)生學(xué)與康復(fù)醫(yī)學(xué)專業(yè)委員會委員會議暨第七次學(xué)術(shù)研討會論文集[C];2011年

3 賈仰民;楊丹紅;;帕金森病之中醫(yī)角度淺探[A];浙江省針灸學(xué)會第五次會員代表大會學(xué)術(shù)論文匯編[C];2008年

4 駱常義;向光全;;顫證案[A];巴渝國醫(yī)傳承——重慶市第四批全國老中醫(yī)專家學(xué)術(shù)經(jīng)驗繼承文集[C];2012年

相關(guān)重要報紙文章 前1條

1 湖南省中醫(yī)藥研究院附屬醫(yī)院主任醫(yī)師 卜獻春;柔肝熄風(fēng)止顫證[N];大眾衛(wèi)生報;2014年

相關(guān)博士學(xué)位論文 前1條

1 李曉梅;帕金森病防治方藥的文獻研究和定顫飲對帕金森病防治機理的探討[D];南京中醫(yī)藥大學(xué);2007年

相關(guān)碩士學(xué)位論文 前4條

1 劉冠影;針刺治療肝風(fēng)內(nèi)動型顫證的臨床觀察[D];遼寧中醫(yī)藥大學(xué);2015年

2 韓麗;基于古代文獻對顫證證候要素的研究[D];山東中醫(yī)藥大學(xué);2016年

3 李曉梅;顫證防治方藥的中醫(yī)文獻研究[D];山東中醫(yī)藥大學(xué);2004年

4 楊宗保;血管性帕金森綜合征中醫(yī)證候的臨床研究[D];福建中醫(yī)學(xué)院;2004年

，

本文編號：2300406