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中医脾胃理论与重症肌无力研究 脾胃病重症肌无力中医治疗法 学术源流 病因病机 证候特点 辨证论...
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本书从重症肌无力的概念、学术源流、病因病机、证候特点、辨证论治、方药等方面进行总结,较系统地展示了中医对重症肌无力的认识与思辨,丰富了脾胃理论的学术内涵。本书集学术、临床、科研和经验于一体,系统总结分析,并对诊治重症肌无力的验案进行解析,对临床实践指导性强,具有一定的理论价值和临床应用价值,适合中医药学者阅读参考。
本书分为六章,包括重症肌无力、中医脾胃理论与重症肌无力、中医脾胃理论的形成和发展、脾胃理论的现代研究、岭南脾胃新说——中医脾-线粒体相关理论、重症肌无力的治疗、基于脾胃理论诊治重症肌无力验案解析等。通过文献研究,从纵向和横向两方面对脾胃理论与重症肌无力进行研究,展示中医对重症肌无力的认识与辨思,凝练脾胃理论的学术观点,力图为现代医学界关于重症肌无力的概念、学术源流、病因病机、证候特点、辨证论治、方药等方面建立一个相对清晰的认识,且脾胃理论与重症肌无力通过国医大师学术思想、学术成果、具体病历,将理论与实际临床紧密结合,指导临床实践。
潘华峰,教授,广州中医药大学副校长,兼任中国民族医学脾胃分会副会长,中西医结合学会基础理论专业委员会副主任委员,广东省传统医学会副会长,研究方向为中医药防治脾胃理论。
刘友章,教授,广东省著名脾胃病专家,广东省传统医学会会长,师从国医大师邓铁涛教授,从事神经肌肉疾病、脾胃消化病研究,率先提出中医“脾-线粒体相关”理论,为中医理论创新提供了范例。
第一章 重症肌无力的医学认识及难点
第一节 现代医学对重症肌无力的认识 / 002
一、重症肌无力概述 / 002
二、重症肌无力的流行病学特点 / 005
三、重症肌无力的常见致病因素 / 006
四、重症肌无力的免疫学机制 / 007
第二节 中医对重症肌无力的认识 / 017
一、痿病 / 017
二、睑废 / 020
三、视歧 / 020
四、大气下陷 / 021
五、现代中医名家对重症肌无力的认识 / 021
六、小结 / 023
第三节 重症肌无力的医学研究难点 / 025
一、发病机制尚不明确 / 025
二、临床常用治疗效果不显著 / 026
三、难治性重症肌无力 / 026
四、胸腺切除与重症肌无力 / 027
五、重症肌无力伴其他自身免疫性疾病 / 027
六、中医药诊治重症肌无力规范性有待提高 / 027
第二章 中医脾胃理论研究
第一节 脾胃理论的基本内涵 / 032
一、脾的生理功能与特性 / 032
二、胃的功能与特性 / 035
三、脾胃的综合协调功能 / 036
四、脾胃与五脏的关系 / 037
五、脾胃与六腑的关系 / 039
六、脾胃与奇恒之腑的关系 / 041
七、脾胃与精、神、气、血、津液的关系 / 042
第二节 脾胃理论的形成与发展 / 045
一、在《黄帝内经》中萌芽 / 045
二、在《伤寒杂病论》中奠定临床证治基础 / 048
三、通过《脾胃论》进行系统建立和阐发 / 051
四、明清时期各家学说充实和发展脾胃理论 / 056
第三节 脾胃理论的现代研究 / 062
一、脾主运化 / 062
二、脾主生血、统血 / 064
三、脾主肌肉 / 065
四、脾在液为涎 / 067
五、“四季脾旺不受邪” / 068
六、“脾”的内分泌功能 / 069
第三章 中医脾胃理论与重症肌无力的基础研究
第一节 基于脾胃理论对重症肌无力病因病机的认识 / 076
一、病因 / 076
二、病机 / 078
第二节 基于脾胃理论辨析重症肌无力相关证候 / 082
一、眼肌型重症肌无力相关证候 / 082
二、全身型重症肌无力相关证候 / 083
三、重症肌无力危象相关证候 / 088
第三节 基于脾胃理论对重症肌无力治法特点的认识 / 091
一、眼肌型重症肌无力相关治法 / 091
二、全身型重症肌无力相关治法 / 092
三、重症肌无力危象相关治法 / 095
第四节 脾胃理论对重症肌无力的现代研究 / 098
一、从脾胃论治重症肌无力的学术源流 / 098
二、基于脾胃理论的重症肌无力现代研究 / 100
第四章 岭南脾胃新说与重症肌无力研究
第一节 岭南脾胃理论传承与发展 / 110
一、岭南医学与岭南脾胃理论 / 110
二、岭南脾胃理论的学术源流述要 / 110
三、学术争鸣引发岭南脾胃新学说 / 117
第二节 中医“脾-线粒体相关”理论的提出与学术探讨 / 120
一、理论内涵 / 120
二、中医“脾-线粒体相关”理论阐释 / 121
第三节 中医“脾-线粒体相关”理论的临床研究 / 125
一、脾虚患者胃肠黏膜线粒体超微结构研究 / 125
二、痿病患者肌肉线粒体超微结构研究 / 126
三、健中愈疡片对胃溃疡线粒体 DNA 修复酶调控机制的临床研究 / 127
四、消化性溃疡中医证型与线粒体细胞色素氧化酶相关研究 / 128
第四节 中医“脾-线粒体相关”理论的实验研究 / 130
一、 阿霉素对线粒体的损害及六君子汤(TJ-43)的保护作用机理
研究 / 130
二、脾主运化与细胞线粒体相关性的理论与实验研究 / 130
三、健中愈疡片对胃溃疡线粒体 DNA 修复酶调控机制的实验研究 / 132
四、脾虚证线粒体氧化损伤以及线粒体基因及其表达改变的研究 / 133
第五节 中医脾主肌肉理论指导下的重症肌无力临床治疗特色 / 135
一、“脾胃虚损,五脏相关”理论诊治重症肌无力 / 135
二、刘友章教授中医“脾-线粒体相关”理论诊治重症肌无力 / 136
第六节 中医“脾-线粒体相关”理论与重症肌无力 / 138
第五章 中医脾胃理论与重症肌无力的治疗研究
第一节 中医脾胃理论对重症肌无力的传统治疗研究 / 142
一、方药治疗 / 142
二、中医特色综合治疗 / 156
第二节 中医脾胃理论对重症肌无力的传统调护研究 / 182
一、脾胃理论指导下的养生心态——养生八字诀 / 182
二、脾胃理论指导下重症肌无力患者作息与运动调养 / 184
三、脾胃理论指导下重症肌无力患者饮食调养 / 188
第三节 中医脾胃理论对重症肌无力的现代临床研究 / 191
一、口服汤药与西医治疗的结合 / 192
二、中成药结合西药治疗 / 193
三、中西医结合解决治疗难题 / 194
四、其他中医特色治疗 / 195
五、中医特色护理调护 / 197
第六章 基于脾胃理论诊治重症肌无力验案研究
第一节 当代医家诊治案例研究 / 202
一、方和谦 / 202
二、程莘农 / 204
三、周仲瑛 / 206
四、李济仁 / 208
五、颜德馨 / 212
六、熊继柏 / 214
第二节 岭南医家诊治案例 / 218
一、邓铁涛教授对重症肌无力的认识 / 218
二、刘友章教授治疗重症肌无力验案 / 237
后 记 / 257
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