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外感方面有關畢業論文參考文獻格式,與六經辨證中醫治療外感發熱47例臨床觀察相關本科畢業論文提綱

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摘 要 :目的:觀察六經辨證中醫治療外感發熱的臨床療效.方法:運用傷寒六經辨證思路應用傷寒經方純中醫治療外感發熱.結果:運用六經辨證中醫治療外感發熱總有效率為95.74%.結論:運用傷寒六經辨證中醫治療外感發熱是有效的治療方法.


為什么要寫外感論文
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關 鍵 詞 :六經辨證;外感發熱

【中圖分類號】R241 【文獻標識碼】A 【文章編號】1672-3783(2012)08-0088-01

外感發熱是指感受六淫之邪或溫熱疫毒之氣,導致營衛失和,臟腑陰陽失調,出現病理性體溫升高,伴有惡寒、面赤、煩躁、脈數等為主要臨床表現的一類外感病證.《傷寒論》作为歷史上第一部研究外感熱病的專著,系統地論述了外感熱病的病因病機和證治規律,以陰陽為綱,創造性地提出了六經辨證理論,成为后世對外感熱病辨證論治的綱領.廣東省中醫院中醫經典臨床應用研究基地自開科以來以中醫經典理論為指導,運用六經辨證純中醫治療外感發熱,療效確切,茲將系統觀察的47例患者治療情況報告如下:

六經辨證中醫治療外感發熱47例臨床觀察參考屬性評定
有關論文范文主題研究: 關于外感的論文范文 大學生適用: 專科畢業論文、函授論文
相關參考文獻下載數量: 72 寫作解決問題: 寫作技巧
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所屬大學生專業類別: 寫作技巧 論文題目推薦度: 最新題目

1.臨床資料

47例為廣東省中醫院中醫經典臨床應用研究基地住院病例,入院中醫診斷均為外感發熱,入院當天即運用傷寒六經辨證思路純中醫治療,住院過程中均無使用抗病毒、抗菌藥物及糖皮質激素類藥物.其中男16例,女31例;年齡最小者18歲,最大者95歲,平均年齡65.7歲;發熱病程為12h-60天,平均病程5.01天;入院當天最高體溫為37.2-40.3度,平均38.92度.西醫診斷方面,肺部感染31例,急性氣管、支氣管炎5例,泌尿系感染5例,上呼吸道感染5例,不明原因發熱1例.

2.治療方案

2.1 六經辨證思路

2.1.1 病在三陽:惡寒發熱伴見惡風頭痛、身痛、骨節疼痛、喘促、無汗或汗出、煩渴或渴欲飲水、小便不利等,脈浮、浮緩或浮緊,辨為太陽病;身熱汗出、日脯潮熱伴見口渴喜飲、心煩、便秘,腹滿疼痛拒按,譫語甚則神志不清等,脈洪大或沉實有力,舌苔黃燥,辨為陽明病;寒熱往來伴見口苦咽干目眩,胸脅苦滿,默默不欲飲食,心煩欲吐,脈弦,辨為少陽病;兼見兩經脈證者,辨為兩經合病或并病.


本文來源:http://www.jstht.com/tigang/453305.html

2.1.2 病在三陰:發熱伴見腹滿嘔吐,食欲不振,腹瀉時痛,喜溫喜按,口不渴,舌淡苔白,脈遲或緩,辨為太陰病;發熱惡寒伴見但欲寐,四肢厥冷,下利清谷,脈沉細、微細,辨為太少兩感;手足厥

關于六經辨證中醫治療外感發熱47例臨床觀察的本科畢業論文范文
外感方面有關論文范文素材
冷,無熱惡寒,舌淡,脈細欲絕,或手足厥冷,煩熱口渴,小便黃赤,舌苔黃,脈滑,則辨為厥陰病.

2.2 辨證用藥分析:三陽病33例,其中太陽病10例,根據脈證的不同方劑分別予麻黃湯、麻黃桂枝各半湯、麻杏石甘湯、麻杏苡甘湯、五苓散、小青龍湯;少陽病11例,方劑予小柴胡湯;太陽少陽合病8例,方劑予柴胡桂枝湯;太陽陽明合病2例,方劑予葛根湯.三陰病14例,其中太陰病1例,方劑予理中湯;太少兩感13例,方劑予麻黃附子細辛湯.

3.治療結果

3.1 療效標準:參照《中藥新藥臨床研究指導原則》[1]擬訂.臨床痊愈:治療3天以內體溫恢復正常,癥狀全部消失;顯效:治療3天以內體溫恢復正常,大部分癥狀消失;有效:治療3天以內體溫較前下降,主要癥狀部分消失;無效:治療3天以內體溫未降或升高,主要癥狀無改善.

3.2 總體療效:痊愈12例,顯效24例,有效9例,無效2例,總有效率95.74%.

3.3 住院天數:住院天數最短1天,最長20天,平均住院9.46天,<7天的13人,占27.65%,≥7天且<14天的26人,占55.31%,≥14天的8人,占17.02%.

4.臨床體會

4.1 發揮中醫優勢,治療外感發熱:外感發熱屬常見病、多發病,現代醫學認為乃病毒、細菌或其它病原體所致,常規予抗病毒、抗菌藥物等治療.然而大多數外感發熱患者經上述治療后發熱可退,卻常出現多汗,頭暈,腹瀉,食欲下降等不良反應,尤其近年来由于各類抗生素的濫用,部分外感發熱患者往往運用大劑量抗感染藥物效果不佳,常出現熱退后體溫反彈.濫用抗生素還可能發生過敏等不良反應,表現為皮疹、藥物熱、哮喘,重者可發生藥物過敏性休克甚至死亡[2].

據筆者觀察,我科所收治的外感發熱病例若辨證準確,選方得當,往往可迅速緩解癥狀,常常能在三天內體溫降至正常,甚至“一劑熱退”. 若在疾病初起階段即開始中醫辨證治療,則效果往往較好,因為未經醫療干預,最能反映疾病本來面貌,有助于準確的辨證論治.而反復經過西醫退熱藥、抗生素等治療干預后,容易出現“變證”,甚至“壞病”,中醫辨證起來往往比較困難,同時在一定程度上也影響療效.經過辨證治療熱退后,往往體溫不會再反彈,正如《內經》云“邪去則正安”.同時,中醫治療減少了抗生素不良反應的發生,提高了安全性.

4.2 嚴守六經辨證,謹遵古方配伍:六經辨證是仲景為外感熱病確立的行之有效的辨證方法.它將外感熱病劃分為太陽、陽明、少陽、太陰、少陰、厥陰等六個疾病不同的階段,然后根據各個不同階段的不同癥狀及病機的特點,分別給予辨證論治.所以六經病辨證,實質上是對外感疾病不同階段的綜合性認識.它包括了人體正氣的強弱、外感邪氣的輕重,機體的反應程度、病情的轉歸趨勢以及體現在外表的各種癥狀的綜合反應.六經辨證的三陽三陰既代表了外感熱病的六種疾病類型,又代表臟腑病位的深淺層次,因此六經辨證論治方法對外感疾病具有較大指導意義.[3]

六經病均有各自提綱證,如原文第1條“太陽之為病,脈浮、頭項強痛而惡寒”,第263條“少陽之為病,口苦、咽干、目眩也.”《傷寒論》曰“觀其脈證,知犯何逆,隨證治之.”故應根據六經病的提綱,對復雜癥狀進行分析辨別,从而確定屬于何經病證,再決定相應的治療原則和方法.除了六經病主證主方外,其余每一湯方都有若干條文敘證,在臨床中運用六經辨證治療外感熱病不能浮光掠影,必须仔細研讀,領悟原文的精髓,方能抓主要的關鍵的證候特征,符合其病機而應用.

《傷寒淪》成書于東漢末年,当时寒疫大流行,發病急,傳變速,故仲景立方量大藥簡,力專效宏,方能阻斷病勢傳變,挽救危亡.但從明代開始,醫家根據“古之一兩,約今之一錢”的臆斷,使用經方僅原方的1/10,并且沿襲至今.然而,上海柯雪帆教授、山西李可老中醫已經提倡將《傷寒論》的應用,尤其是急性病的應用回歸到原方、原量、原服法.我科治療外感熱病運用《傷寒論》方劑多按原方原量,或遵原方配伍比例,根據病情輕重、病人的體質適當調整劑量,并嚴格按照古法服用,因經方組方嚴謹,君臣佐使分明,理深意奧,只要辨證明確,用之得當,往往能效如桴鼓.

參考文獻

[1] 中華人民共和國衛生部.中藥新藥臨床研究指導原則[M].北京:中國醫藥科技出版社,2002:58-60

[2] 葛明東.抗感染用抗生素的不良反應及臨床分析.山東醫藥,2009,49(21):79-80

[3] 黃家詔.探析熱病與六經辨證[J].廣西中醫藥,2010,33(4):23

免費論文參考文獻:

中醫臨床醫學論文
論文模板下載,臨床醫學論文模板中國中醫急癥西安交通大學研究生學位論文規范,()西交研〔200〕號,研究生學位論文是學位申請人為取得博士或碩士學位,向學位評定委員會提交的學術性研。

中醫臨床論文
論文模板下載,臨床醫學論文模板中國中醫急癥西安交通大學研究生學位論文規范,()西交研〔200〕號,研究生學位論文是學位申請人為取得博士或碩士學位,向學位評定委員會提交的學術性研。

腦梗塞治療論文
作的開展,更好地為中小學,幼兒園提。生物論文發表廣東摘要表,請從中國腫瘤生物治療雜志 (biother.。中醫內科論文題目鄭州大學病,癇病,顫病,痿證,痙病)的病因病機,辨證論治;常。

高血壓治療論文
對糖尿病病人盡早使用胰島素治療.已發表論文20余篇.,施仲源副主任醫師,男,從事中醫疑難雜癥治療和脊柱矯正工作. 任北。口腔醫學專業論文題目業畢業論文選題參考,1.合理用藥新內涵,藥。

中西醫結合治療論文
何撰寫醫學論文 ,題目:中西醫結合治療慢性盆腔炎的觀察及護理,姓名:劉雅麗,專業:中西醫結合,年級:2016級,學號:2016xxxxx,站點名稱,指。中西醫臨床醫學課程 ,中西。

生物治療論文
生物論文發表廣東摘要表,請從中國腫瘤生物治療雜志 (biother.。生物課程論文生物安全,生物安全堂表現;3)課程論文.,六,推薦教材及教學參考書,劉謙朱鑫泉.生物安全.北京。

口腔根管治療論文
學。口腔醫學論文發表美國黎,馬延山等7人1244例痙攣狀態的顯微神經外科手術治療2005-09中華神經外科雜志166張玉琪,王忠誠,馬振宇等7人兒童顱咽管瘤手術治療和長期隨訪200。

關于臨床醫學的論文
于大學女生的17個話題105臨床金娟好形象酷天下1常見病中醫辨證食療1乳品與人生1歐美神話故事1醫學 學1醫。臨床醫學論文模板資源與環境業必須具備的正常人體形態結構的基礎理論,基。

關于臨床醫學論文
于大學女生的17個話題105臨床金娟好形象酷天下1常見病中醫辨證食療1乳品與人生1歐美神話故事1醫學 學1醫。臨床醫學論文模板資源與環境業必須具備的正常人體形態結構的基礎理論,基。

口腔醫學根管治療論文
學,生物醫學工程,基礎醫學,臨床醫學,口。口腔醫學論文發表美國科治療2001-19中華醫學雜志139趙繼宗,周定標,周良輔等12人2464例高血壓腦出血外科治療多中心單盲研究2005。

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