刘沈林教授治疗消化道疾病辨证论治心法
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
本论文共分为三个部分,在探讨辨证论治的源流、内涵及发展的基础上,初步总结了导师刘沈林教授治疗消化道疾病的辨证论治心法以及学术思想。
     第一部分回顾了辨证论治的发展源流,探讨了辨证论治的内涵、层次观和动态观,讨论了辨证论治与体质辨证、辨病论治、循证医学之间的关系,并总结了导师关于如何提高辨证论治水平的经验。阐述了辨证论治在治疗消化道疾病中的作用。
     第二部分根据三年从师体会,分十个部分介绍了刘沈林教授治疗消化道疾病辨证论治心法,分别为“四诊合参 望甲辨舌”,“擅用经方 圆机活法”,“明清医案 他山之石”,“多方组合,精心配伍”,“精研普济 寒温并用”“学不泥古 古方新用”,“善用达药 注重灵动”“病证结合 消瘤散结”,“斡旋中洲 顾护胃气”,“异病同治 一方多用”。
     第三部分介绍了笔者跟随导师侍诊三年来记录的部分医案、医话,具体体现了刘教授灵活运用中医辨证论治理论治疗消化疾病的特色经验和医院管理艺术。
This thesis summarizes my advisor Professor Shenlin Liu' s academic idea and experience in treatment determination based on syndrome differentiation in Traditional Chinese Medicine (TCM) of digestive malignant diseases It also explores the origins and development and content of treatment determination based on syndrome differentiation. It is divided into three parts as follows.
    Part 1. It Recalls the development origins in treatment determination based on syndrome differentiation, and explores its content, level and dynamic concept, discusses the relationship with physical proof, identify disease theory rule, and Xunzheng Medicine, and summarizes instructors on how to improve level in treatment determination based on syndrome differentiation.
    Part 2. According to Experience during my three-year mentorship with him in clinical practice treatment digestive diseases dvided into 10 parts , introduced Liu Chen Lin Professor . they are " comprehensive diagnosis by four methods, watching nails and distinguishing tongue " " Good at using classical prescription , Making changes according to specific conditions flexibly " " Referencing Ming and Qing Dynasties medicine case , Drawing quintessence , " Many kinds of prescriptions associationing , compatibility meticulously " . "Studying meticulously Pujifang Used simultaneously coldly and warmly" " Learning from the ancient experience but never sticking to it , Use ancient classical prescription to treat new disease" "Good at using familiar medicines, paying attention to dexterous and active " " Disease combines with syndrome to Treat tumour" "Pay attention to protecting the function of spleen and stomach" "Use the same method to treat different diseases ,
引文
[1] 刘成源,罗红艳 方药中教授辨证论治五步及其产生的理论基础[J]中国中医基 础医学杂志 2000年(6):44
    [2] 朱文锋 建立辨证统一体系之我见[J] 北京中医学院学报.1984 ~32
    [3] 郭子光 《伤寒论》证治实质的探讨[J]成都中医学院学报 1979(1):2
    [4] 肖德馨 六经辨证纲要[J]北京中医学院学报 1982。(2):19
    [5] 许水林 中医内科证治精要[M]武汉湖北科学技术出版社 1987。98
    [6] 何裕民 三为一体——辨症 辨病与辨证[J]北京中医掌院学报 1985(3):2—3
    [7] 刘时觉等 辨证层次论[J]浙江中医学院学报 2001(2):9
    [8] 姜春华 在中西医结合中对辨证论治的几点看祛[J] 新医药学杂志 1977(9):5
    [9] 李德新 证候规范刍议[J]辽宁中医杂志 1985 (8):2
    [10] 陈雪功 张红梅 对辨证学发展中五个问题的思考[J]中国中医基础医学杂志 2005年(5):326~3271
    [11] 邓铁涛 辨证论治是中医学之精髓.[J]中医药通报 2005(1):2~3
    [12] 李丽霞主编.中医诊断学.[M]广州:广东高等教育出版社 1988.(11)3~11
    [13] 沈自尹.微观辨证和辨证微观化[J] 中医杂志 1986,27(2)55-57
    [14] 邢斌等 循证医学时代中医学如何发展[J] 山东中医药大学学报 2003(3):90
    [15] 张立军,中西药抗消化性溃疡复发的研究近况[J],医药导报。2000。19(4):365
    [16] 王永炎,李明富。戴锡盂,中医内科学[M] 上海:上海科学技术出版社,1994:167
    [17] 徐福财,仇维荣,陈方焘,等 胃溃疡的内镜分期与胃脘痛辨证分型的关系[J] 中国中西医结合脾胃杂志 1996,4(2):72~75
    [18] 王长洪.陆字平,陈山泉.1216例胃病患者消化内镜与舌诊观察[J] 中国中西医结合消化杂志 2002,10(4):233.
    [19] 张文,刘秀清 幽门螺杆菌感染与胃粘膜淋巴组织增 生[J].中华内科杂志。1996,35(9):609.
    [1] 庞宇 观相与诊病[M] 广州:科学普及出版社 1991:36
    [2] 陈玉超,刘沈林,浅谈扶阳法在肿瘤治疗中的应用[J] 吉林中医药 2005(3)13~14
    [3] 陈玉超 舒鹏 刘沈林教授运用寒温并用法调治消化道肿瘤经验[J] 吉林中医药,2004(1)10~11
    [4] 邱佳信等 健脾法为主治疗晚期胃癌的探讨[J] 中医杂志 1992(8):23-25
    [1] 商洪涛,刘沈林 读案治秘十法[J] 中华实用中西医杂志 2006,(1):60
    [2] 钟亮,陈克敏 胃肠道肿瘤流行病学[J] 中国医学计算机成像杂志,2001,7(2):73
    [3] 刘沈林 徐景藩教授久泻证治琐谈[J] 实用中医内科杂志 1995,(2):4