论文标题:心悸病证的古代文献研究与学术源流探讨
The Influence That Electric Acupuncture Pretreatment Done to the Formalin Caused Pain Rat"s Painful Behavior Response, the Different Gene"s Expression and NOS
论文作者 程德纲
论文导师 严季澜,论文学位 硕士,论文专业 中医医史文献
论文单位 北京中医药大学,点击次数 146,论文页数 76页File Size4396k
2005-05-01论文网 http://www.lw23.com/lunwen_652545212/ 辨证论治;病因病机;心悸;诊断
deciding how to treat according to the result of syndrome-differentiation ; etiology and pathogenes is ;heart palpitation; diagnosis
心悸包括惊悸、怔忡,是指因气血阴阳亏虚、痰饮瘀血阻滞导致心失所养、心脉不畅,引起患者发作性自觉心中急剧跳动、惊慌不安、不能自主为主要表现的一种心系病证。现代社会竞争激烈,工作、生活节奏加快,使得该病发病率一直居高不下。中医对心悸的治疗从整体出发,辨证施治,在疗效等方面有着明显优势,因而日益受到了人们重视。从先秦到清末两千多年间,历代医家在长期临床实践中积累了丰富的心悸病证治疗经验,并留下了大量的文献资料。本文通过以文献研究和学术源流探讨的方式,系统地整理、总结心悸病证的古代文献,从而为现代临床治疗心悸提供参考和借鉴。本文内容分为心悸病证的定义、范围及病名沿革与不同历史时期对心悸病证的认识两大部分。第一部分首先介绍了心悸病证的定义与范围,按现代中医的标准对心悸病证作出明确的定义,指出该病所包含的西医病名范围,其他疾病有相似主症表现的也包括在此范围内。由于古代文献中心悸病证的相关病名有很多,所以在这一部分里,还对心悸病证相关病名的历史沿革情况进行了梳理。第二部分分先秦两汉、魏晋南北朝及隋唐、宋金元、明清四个历史时期,系统地阐述古代医家对心悸病名、病候、病因、病机、诊断、治疗及预防调护等方面的认识与发展沿革,并作学术源流探讨。总的看来,历代医家对心悸病证的认识大体分为三个阶段:先秦两汉时期初步奠定了理论基础和辨证论治原则,魏晋南北朝及隋唐时期则积累了大量治疗方剂;宋金元时期对病因病机的认识相继有所发挥,并进一步丰富了治疗方法;明清时期作了更深入的研究及更全面的总结,使心悸病证辨证论治体系发展趋于成熟。这些丰富的理论、经验、学术思想对今人的研究具有宝贵的借鉴价值和指导意义。
Heart palpitation consisting of palpitation and fearful throbbing is one of common clinical syndromes which is clinically manifested as feeling irregularity in the force or rhythm of the heartbeat .The fast tempo of life in modern society may cause nervous , tired , anxious in mind and they can change into the cause of heart palpitation. According to statistics , its incidence tends to increase gradually year after year especially in the group consist of young man. It is caused by all kinds of pathogens . it is difficult to judge the pathogen clearly by force of diagnostic channel in western medicine in many cases. Traditional Chinese medicine and pharmacy therapy is widely concerned as its predominance over comprehensive action resulting from its taking the whole body into consideration.Many doctors and clinicians gradually consummate its pathogen and onset law and main points of syndrome differentiation and summarize comprehensive experience of clinical administration and accumulate plenty of relative literatures during their clinical observation and practical recognition over two thousand years from pre-Qin dynasty to the end of Qing dynasty. After collecting data which is related to heart palpitation generally, we filtrated, sorted and analyzed it .Historical origin and development and special advance in each dynasty were narrated in the literatures of TCM from pre-Qin to the end of Qing dynasty and characteristics in different phase was retrospect and studied in this article which will be beneficial to make profound exploration on the treatment and use experience for reference and enlighten clinicians.There are two parts in this disquisition. The contents of the first chapter is the first part which determined the definition and range of heart palpitation in this disquisition and made its clear definition according to the standard of modern Chinese medicine and made certain the range of diseases and disorders in western medicine included in heart palpitation and other diseases manifested as similarly main symptoms were also be taken into the same range. Many relative disease names of this symptoms existed in the ancient literatures were also listed and analyzed. Heart palpitation discussed in this disquisition is included in internal medicine.The contents of the second to the sixth chapter is the second part of thedisquisition which was divided mainly according to the dynasty into the following phases as the pre-Qin-two Han , Jin-Tang ,Song -Jin-Yuan,Ming-Qing dynasty. Much space was applied to the exploring and discussing about the important treatises and standpoint of physicians in each dynasty. Advancing and original points were all absorbed into this disquisition ,and origin from which the ideal derived was also analyzed. At the beginning of each phase ,characteristic of content which included following ,innovation and development recorded in relative literature was introduced in the first instance. Afterwards ,keystone was put on meticulous analysis which was related to representative literature. Among them , pathogenesis, diagnosis, differentiation, treatment ,peculiar medicine using .nursing and prevention etc were all involved in. In order to find out origin of frame of reference of arrhythmia ,we narrated all the life of those who has made excellent contribution in heart palpitation treatment briefly .All those theory ,experience of administration and scientific ideal will provide valuable reference and instruction for the researchers in modern times.
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