中风急症临床辩证的文献研究

【作者】 刘亮；

【导师】 谢克庆；

【作者基本信息】 成都中医药大学 ， 中医医史文献， 2004， 硕士

【摘要】 中风在临床上是一种常见病、多发病。在中风急性期及时采取中西医结合的方法治疗，是降低病死率、减轻致残率的关键。中风病临床辨证的研究，是中医学对中风病研究的核心。 中风急症传统辨证和现代研究，尚未取得共识，不利于中医中风急症临床辨证研究的进一步深入。 本文分析了病因、病位、病性、病势、体质与证候之间的关系以及历代医家对中风急症辨证要素和病名的认识，从多角度研究中风急症辨证的方法和思路，通过中风急症证候的发展史和古代文献研究、近代文献、现代文献的对比研究，阐明中风急症临床辨证需辨明病因、病位、病性、病势、病名、体质等诸多辨证要素，这样才能掌握中风急症的辨证核心，对中风急症的辨证方法、证候的规范化、辨病与辨证相结合都将有积极意义。更多还原

【Abstract】 Stroke is a common and frequently happened disease in clinic which requires us to make early management by combining use of the methods of both traditional Chinese medicine (TCM) and western medicine as the key to lower the mortality and disability rate. To study clinical manifestations is essential for TCM to study this disease.There is some deviation in the treatment by differentiation using TCM theories and Modern studies in the emergent period of stroke.This article analyzed the correlations among the cause of the disease, the site of the disease, the characters of the disease, the tendency of the disease, the manifestations of the disease and the constitution of the patient based on the theory that the cause of the disease acts on the sites of the disease to form some determined characters of the disease which have some determined tendency of the disease. This article analyzed the main points of differentiation and the understanding of the designation of diseases through studying the phylogeny of stroke emergency manifestations, the archaic literatures and the comparison of neoteric literatures and modern literatures. This article studied the methods and ways of thinking of the differentiation for stroke emergency form multiple point of view. From the analysis and the study, it can be concluded that the cause of disease, the site of disease, the characters of the disease, the tendency of the disease, the designation of the disease and the constitution of the patient should be made clear as the main points for clinical differentiation of stroke emergency. Only by this can we master the essence of the differentiation of stroke emergency having affirmative significance for the standardization of differentiation and the combination of differential diagnosis and differentiation.更多还原