寒饮蕴肺证的理论研究及其辨证要点的临床调研

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1、山东中医药大学硕士学位论文寒饮蕴肺证的理论研究及其辨证要点的临床调研姓名：王洪武申请学位级别：硕士专业：中医基础理论指导教师：孙广仁2003.4.20提要妒舰铆本文讨论了寒饮蕴肺证的概念、源流、形成机瑗、诊断要点，良及该谣与薜气行水和肺阳化饮的关系。寒饮蕴肺证魑临床肺病中常见的～种证莜，怒由肺阳行永功能失调而产生的俸随呼吸失常的一种水饮伏肺证。寒饮蕴肺证的形成与肺气行水、肺阳‘、、HH-—_，__’一化饮的功能失调密切相关。并运用临庶流行病学调查方法(DME)，对寒饮蕴肺证的疰状进学壤率绞计，总结出该迁的辨证要点为：咳噗气逆、胸阎憋喘、咳痰清赫或泡沫痰、提寒菠冷、嚣苔鑫腻

2、戴鑫潺，辣g玄潺或弦紧，或燕痰多、喉中痰鸣。这与文献总结的寒饮蕴自乖证的辨证要点纂奉符台。关键词寒饮蕴肺诞；i$；礴聪：】晒床调查nvestigateontheCIinicalMainSymptomoftheSyndromeofC10d—rheumLyingLatentintheLungSpeciaity：BasiCTheoryofTCMAuthor：WangHongwuTutor：Prof．SunGuangren’AbstractThisthesisdealswiththesyndromeofcold-rheumlyinglatentintheiungincluding

3、theconception，derivationandthedevelopirigmechanismofthissyndrome，alsotherelationshipbetweenthissyndromeandthelung—qi’sfunctionofregulatingthewatermetabolism．AndalsogiyestheprinciplesofdiagnosesandtherapyaswelIastheherbformula．Thesyndromeofcold—rheumlying】atentjnthelungcanoftenbefoundinthe

4、clinicallungdisease，causedbythedysfunctionoflung—yangtoregulatethebody—fluid，andthissyndromeisoftenassociatedwiththebreathdysfunctionofthelung．Thesyndromeofcoldrheumlyinglatentinthelungiscausedbyyangdeficiencycombinedwiththecoldattack，andinthelaststagedevelopsintolungcoldcombinedwithyangd

5、eficiencyandcoldrheumlyinginthelung，ithasclosetelationshipwithlung—qiand】ung—yang’sfunctionofregulatingthebody—fluidmetabolism．Intheclinic，westatisticalltheprobabilityofthesymptomsofthecold—rheumlyinglatentinthelungbythemethodofcIinicalepidemi。l。gy(B糕￡)，anddrawthemainsymptomsofthissyndrom

6、eincludesasthma，e。ugh。stuffychest，suffocated，thewateryphlegmorthefoamyrheumandalsothe8versiontocoldoffourlimbs，whiteandslipperyorgreasytonguefur，wirYandslipperyortensepulse，withassociatedsymptomsandsignslotsofphIegm，wheezingsoundinthethroat，et．Thisresu]tisinaccord*'iththemainsymptomsofthi

7、ssyndromefromtheTCM’sbib]iography-Keywordssyndromeofcold—rheumlyinglatentinthelung：mainsymptomsofsyndrome：clinicalinvestigate(DME)柬饮蕴肺证的理论研究厦其辩证要点的临床调研引言寒饮蕴肺证，是由于外感或内伤等原因导致的与呼吸功能相关的肺行水功能失调而出现的伴随气体交换功能失常的一种水饮伏肺证。该证是中医临床常见的肺病证候之一，多见于慢性阻塞性肺病、肺心痛、支气管哮喘、呼吸窘迫征、外感或慢性心功能不全引