中医瘿病病因病机理论框架结构研究
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摘要
依据中医经典和医家著作及现代进展与成果,深入研究和具体阐明瘿病的中医病因、病机理论框架,总结其内在发展规律。瘿病的病因可概括为情志所伤;饮食不当、水土失宜;体质差异、劳倦所伤。病机为肝郁气滞;肺脾气结、炼津生痰;血瘀入络,初步形成了对瘿病病因、病机理论认识的基本框架。
Based on the classical and writings of Chinese medicine and the progress and achievements of modern medicine,the author elaborates the TCM etiology and pathogenesis theory of Ying disease,and summarizes its inherent development law.The cause can be summarized as sentimental injury,improper diet,physical differences and labor injury. The pathogenesis is liver Qi stagnation,lung and spleen Qi stagnation,refining body fluid into phlegm,blood stasis in the collaterals,initially forming the basic framework of understanding of etiology and pathogenesis of Ying bing.
Based on the classical and writings of Chinese medicine and the progress and achievements of modern medicine,the author elaborates the TCM etiology and pathogenesis theory of Ying disease,and summarizes its inherent development law.The cause can be summarized as sentimental injury,improper diet,physical differences and labor injury. The pathogenesis is liver Qi stagnation,lung and spleen Qi stagnation,refining body fluid into phlegm,blood stasis in the collaterals,initially forming the basic framework of understanding of etiology and pathogenesis of Ying bing.
引文
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[3]王焘.中医非物质文化遗产临床经典名著:外台秘要方[M].北京:中国医药科技出版社,2011.
[4]王怀隐,等编.太平圣惠方上[M].北京:人民卫生出版社,1964:1050.
[5]严用和.中医非物质文化遗产临床经典读本:严氏济生方[M].北京:中国医药科技出版社,2012.
[6]孔林,于峥,苏静,等.瘿病(地方性甲状腺肿)情志病因原理探析[J].中国中医基础医学杂志,2017,23(7):904-906.
[7]陈士铎.洞天奥旨[M].北京:中国医药科技出版社,2016.
[8]沈金鳌.杂病源流犀烛[M].北京:人民卫生出版社,2006:79.
[9]赵佶.圣济总录[M].上海:上海科学技术出版社,2015:2109.
[10] Zimmermann MB. Thyroid gland:iodine deficiency and thyroid nodul[J]. NatRev Endocrinol,2014,10(12):707-708.
[11]于晓会,范晨玲,单忠艳,等.不同碘摄入量对甲状腺肿和甲状腺结节影响的前瞻性研究[J].中华内分泌代谢杂志,2009,25(3):255-259.
[12]任艳婷,贾清珍,张向东,等.山西省不同碘摄入量地区育龄妇女甲状腺疾病调查[J].中华流行病学杂志,2014,35(1):45-48.
[13]柳林,卢洪文,冯剑,等.健康体检者7097名甲状腺结节检出情况与临床特点[J].中华临床医师杂志:电子版,2014,8(14):90-94.
[14]盖宝东,张学文,崔俊生,等. 4453例结节性甲状腺肿临床流行病学调查[J].中国地方病防治杂志,2003,18(2):118-120.
[15]张仲景.金医要略[M].北京:人民卫生出版社,2006:85.
[16]吴谦.外科心法要诀(医宗金鉴临证心法丛书)[M].北京:中国医药科技出版社,2012.
[17]皇甫中.明清中医临证小丛书:明医指掌[M].北京:中国医药科技出版社,1997.
[18]朱棣等.普济方[M].北京:中国中医药出版社,1959:629.
[19]佚名.黄帝内经·素问[M].北京:人民卫生出版社,2005:93.
[20]叶天士.临证指南医案[M].北京:人民卫生出版社,2006:271.
[21]周文采.外科集验方[M].北京:学苑出版社,