袁海波教授辨治胸痹心悸经验的分析-analysis of professor yuan haibos experience in treating chest obstruction and palpitation.docxVIP

中文摘要目的：本文分析了名老中医经验传承的现状及存在的问题，提出我们努力的方向及方法。通过导师辨治胸痹心悸的医案，利用现代信息技术挖掘数据的功能，分析本病发病及病机特点、治法及用药规律，总结出跟师传承的方法，阐明导师辨治胸痹心悸的临床理论与实践经验，以期为今后名老中医经验的传承提供参考。方法：通过收集50例胸痹心悸病例，建立胸痹心悸病例数据库，采用频数统计等数据分析方法，利用Excel表格及SPSS软件19.0统计软件对胸痹心悸病例的基本信息、舌脉、病机、处方方药进行系统研究，探讨其发病及病机特点，分析治法及用药规律。结果：经研究得出：气血虚弱、心脉瘀阻是胸痹心悸的病机关键，发病与心脾关系密切，同时与肝、肺、肾相关，而痰瘀的作用不可忽视，研究证实：益气养血、化瘀通脉为其治疗大法。本文总结得出导师治疗胸痹心悸遣方用药重在调理气血；兼顾他脏同治；化瘀祛痰，尤宜调气；导师的辨治特色：注重顾护脾胃、用药平和；临证加减，贵在变通；医嘱调护明确。结论：本课题是一种新的探索方法，探索一条教育与传承相结合的方法是突出中医药特色和优势的具体体现。通过对袁老胸痹心悸辨治经验的总结及医案的书写，研究探索一条教育与传承相结合的方法，使袁海波教授的学术经验更具有可重复性、可学习性、可推广性，更好地发挥中医药治疗冠心病的优势，为继承名老中医经验提供新的思路和可借鉴经验，为中医药宝库增添光辉。关键词：胸痹心悸传承方法证治规律用药规律医案总结TheStudyofProfessorYuan’sExperienceofIndentifyingandTreatmentonChestStuffinessandPalpitationLiXiyun(ChineseInternalMedicine)DirectedbyProfessorYuanHaiboAbstractObjectives:ThispaperanalyzesthestatusandexistingproblemsoftheinheritanceoftheexperiencesofthefamousandveterandoctorsoftraditionalChinesemedicine,andputforwardthedirectionandmethodofourefforts.Accordingtothetypicalconsiliasoftherecogizationandtreatmentofchestnumblesspalpitationwrittenbythementor,usingmoderninformationtechnology’sfuctionofsearchingdata,analyzethemorbidityandpathogenesisfeatures,therapeuticmethodandusingdrugsregularityofthisdisease,summesupourlineagemethod，clarifiestheclinnicaltheoryandpracticalexperienceaboutthementor’sindentifyingandtreatmentofchestnumblesspalpitation,inordertoprovidereferencesfortheinheritanceoftheexperienceofthefamousandveteranTCMs.Methods:Bymeansofcollecting50casesofchestnumblesspaopitation,establishingtheclinicalcasedatabase,adoptingthefrequencystatisticsandotherdataanalysismetnods,usingEXCELandtheSPASS19.0statisticalsoftwaremakeasystemresearchonthebasicinformationofchestnumblesspalpitation,lingualvein,pathogenesisandtheprescriptionsofthechestnumblesspalpitation,toprobintothecharacteristicsofitspathogenesis,analyzethetherapyandusingdrugregularities.Resaults:Bythestudy,thekeypathogenesisofthechestnumblesspalpitationistheweaknessofqiandbloodandtheheartvessalblockagestasis