從經(jīng)典到臨床癭病課件整理

從經(jīng)典到臨床淺談癭病的辨證辨病論治天津中醫(yī)藥大學(xué)第二附屬醫(yī)院內(nèi)分泌科李晉宏從經(jīng)典到臨床1主要內(nèi)容癭病的經(jīng)典理論癭病的病因譜變化癭病的臨床病名解析治療癭病方劑的用藥規(guī)律癭病的辨證辨病論治經(jīng)驗(yàn)分享主要內(nèi)容2癭病經(jīng)典理論中醫(yī)內(nèi)科學(xué)癭病經(jīng)典理論3一、定義:癭病是以頸前喉結(jié)兩旁結(jié)塊腫大為主要臨床特征的一類疾病古籍中有稱癭、癭氣、癭瘤、癭囊、影袋等名者。一、定義:4二、文獻(xiàn)摘要、病因病機(jī):癭的發(fā)病與水土和情志因素有關(guān)《三國志·魏書》引《魏略》有“發(fā)憤生癭”《諸病源候論·癭候》認(rèn)為“諸山水黑土中,出泉流者,不可久居,常食令人作癭病,動(dòng)氣增患《圣濟(jì)總錄·癭瘤門》“山居多癭頸,處險(xiǎn)而癭也”二、文獻(xiàn)摘要5、分類:《圣濟(jì)總錄·癭瘤門》從病因的角度進(jìn)行了分類,“石癭、泥癭、勞癭、憂癭、氣癭是為五癭。石與泥則因山水飲食而得之;憂、勞、氣則本于七情〃?！度驑O一病證方論·癭瘤證治》主要根據(jù)癭病局部癥狀的不同,提出了癭病的另外一種分類:“堅(jiān)硬不可移者,名曰石癭;皮色不變,即名肉癭;筋脈露結(jié)者,名筋癭;赤脈交絡(luò)者,名血癭;隨憂愁消長者,名氣癭?！逼鋵Ρ静〉姆诸惛泻吓R床實(shí)際,、分類:63、治療晉代《肘后方》首先用昆布、海藻治療癭病?！度驑O一病證方論癭瘤證治》謂:“五癭皆不可妄決破,決破則膿血崩潰,多致天枉?！睆?qiáng)調(diào)治療以內(nèi)服藥物為主,不可輕易施以刀針?！度彘T事親·癭》指出,常食海帶、海藻、昆布可消癭,以之作為防治癭病的方法。3、治療7《本草綱目》明確指出黃藥子有“涼血降火,消癭解毒”的功效《外科正宗·癭瘤論》認(rèn)為采用的主要治法是”行散氣血"、”行痰順氣、″活血散堅(jiān)",該書所載的海藻玉壺湯等方,至今仍為臨床所習(xí)用。《本草綱目》明確指出黃藥子有“涼8討論范圍現(xiàn)代醫(yī)學(xué)的以甲狀腺腫大為主要臨床表現(xiàn)的疾病可參照本節(jié)辨證論治,如單純性甲狀腺腫、甲狀腺功能亢進(jìn)癥、甲狀腺炎、甲狀腺腺瘤、甲狀腺癌等。討論范圍9橘本病橘本病10從經(jīng)典到臨床癭病課件整理11從經(jīng)典到臨床癭病課件整理12從經(jīng)典到臨床癭病課件整理13從經(jīng)典到臨床癭病課件整理14從經(jīng)典到臨床癭病課件整理15從經(jīng)典到臨床癭病課件整理16從經(jīng)典到臨床癭病課件整理17從經(jīng)典到臨床癭病課件整理18從經(jīng)典到臨床癭病課件整理19從經(jīng)典到臨床癭病課件整理20從經(jīng)典到臨床癭病課件整理21從經(jīng)典到臨床癭病課件整理22從經(jīng)典到臨床癭病課件整理23從經(jīng)典到臨床癭病課件整理24從經(jīng)典到臨床癭病課件整理25從經(jīng)典到臨床癭病課件整理26從經(jīng)典到臨床癭病課件整理27從經(jīng)典到臨床癭病課件整理28從經(jīng)典到臨床癭病課件整理29從經(jīng)典到臨床癭病課件整理30從經(jīng)典到臨床癭病課件整理31從經(jīng)典到臨床癭病課件整理32從經(jīng)典到臨床癭病課件整理33從經(jīng)典到臨床癭病課件整理34從經(jīng)典到臨床癭病課件整理35從經(jīng)典到臨床癭病課件整理36從經(jīng)典到臨床癭病課件整理37從經(jīng)典到臨床癭病課件整理38從經(jīng)典到臨床癭病課件整理39從經(jīng)典到臨床癭病課件整理40從經(jīng)典到臨床癭病課件整理41從經(jīng)典到臨床癭病課件整理42從經(jīng)典到臨床癭病課件整理43從經(jīng)典到臨床癭病課件整理44從經(jīng)典到臨床癭病課件整理45從經(jīng)典到臨床癭病課件整理46從經(jīng)典到臨床癭病課件整理47從經(jīng)典到臨床癭病課件整理48從經(jīng)典到臨床癭病課件整理49從經(jīng)典到臨床癭病課件整理50從經(jīng)典到臨床癭病課件整理51從經(jīng)典到臨床癭病課件整理52從經(jīng)典到臨床癭病課件整理53從經(jīng)典到臨床癭病課件整理54從經(jīng)典到臨床癭病課件整理55從經(jīng)典到臨床癭病課件整理56從經(jīng)典到臨床癭病課件整理57從經(jīng)典到臨床癭病課件整理58從經(jīng)典到臨床癭病課件整理59從經(jīng)典到臨床癭病課件整理60從經(jīng)典到臨床癭病課件整理61從經(jīng)典到臨床癭病課件整理62從經(jīng)典到臨床癭病課件整理63從經(jīng)典到臨床癭病課件整理64從經(jīng)典到臨床癭病課件整理65從經(jīng)典到臨床癭病課件整理66從經(jīng)典到臨床癭病課件整理67從經(jīng)典到臨床癭病課件整理68從經(jīng)典到臨床癭病課件整理69從經(jīng)典到臨床癭病課件整理70從經(jīng)典到臨床癭病課件整理71從經(jīng)典到臨床癭病課件整理72從經(jīng)典到臨床癭病課件整理73從經(jīng)典到臨床癭病課件整理74從經(jīng)典到臨床癭病課件整理75從經(jīng)典到臨床癭病課件整理76從經(jīng)典到臨床癭病課件整理77從經(jīng)典到臨床癭病課件整理78從經(jīng)典到臨床癭病課件整理79從經(jīng)典到臨床癭病課件整理80從經(jīng)典到臨床癭病課件整理81從經(jīng)典到臨床癭病課件整理82從經(jīng)典到臨床癭病課件整理83從經(jīng)典到臨床癭病課件整理84從經(jīng)典到臨床癭病課件整理85從經(jīng)典到臨床癭病課件整理86從經(jīng)典到臨床癭病課件整理87從經(jīng)典到臨床癭病課件整理88從經(jīng)典到臨床癭病課件整理89從經(jīng)典到臨床癭病課件整理90從經(jīng)典到臨床癭病課件整理91從經(jīng)典到臨床癭病課件整理92從經(jīng)典到臨床癭病課件整理93從經(jīng)典到臨床癭病課件整理94從經(jīng)典到臨床癭病課件整理95從經(jīng)典到臨床癭病課件整理96從經(jīng)典到臨床癭病課件整理97從經(jīng)典到臨床癭病課件整理98從經(jīng)典到臨床癭病課件整理99從經(jīng)典到臨床癭病課件整理100從經(jīng)典到臨床癭病課件整理101從經(jīng)典到臨床癭病課件整理102從經(jīng)典到臨床癭病課件整理103從經(jīng)典到臨床癭病課件整理104從經(jīng)典到臨床癭病課件整理105從經(jīng)典到臨床淺談癭病的辨證辨病論治天津中醫(yī)藥大學(xué)第二附屬醫(yī)院內(nèi)分泌科李晉宏從經(jīng)典到臨床106主要內(nèi)容癭病的經(jīng)典理論癭病的病因譜變化癭病的臨床病名解析治療癭病方劑的用藥規(guī)律癭病的辨證辨病論治經(jīng)驗(yàn)分享主要內(nèi)容107癭病經(jīng)典理論中醫(yī)內(nèi)科學(xué)癭病經(jīng)典理論108一、定義:癭病是以頸前喉結(jié)兩旁結(jié)塊腫大為主要臨床特征的一類疾病古籍中有稱癭、癭氣、癭瘤、癭囊、影袋等名者。一、定義:109二、文獻(xiàn)摘要、病因病機(jī):癭的發(fā)病與水土和情志因素有關(guān)《三國志·魏書》引《魏略》有“發(fā)憤生癭”《諸病源候論·癭候》認(rèn)為“諸山水黑土中,出泉流者,不可久居,常食令人作癭病,動(dòng)氣增患《圣濟(jì)總錄·癭瘤門》“山居多癭頸,處險(xiǎn)而癭也”二、文獻(xiàn)摘要110、分類:《圣濟(jì)總錄·癭瘤門》從病因的角度進(jìn)行了分類,“石癭、泥癭、勞癭、憂癭、氣癭是為五癭。石與泥則因山水飲食而得之;憂、勞、氣則本于七情〃?！度驑O一病證方論·癭瘤證治》主要根據(jù)癭病局部癥狀的不同,提出了癭病的另外一種分類:“堅(jiān)硬不可移者,名曰石癭;皮色不變,即名肉癭;筋脈露結(jié)者,名筋癭;赤脈交絡(luò)者,名血癭;隨憂愁消長者,名氣癭?！逼鋵Ρ静〉姆诸惛泻吓R床實(shí)際,、分類:1113、治療晉代《肘后方》首先用昆布、海藻治療癭病?！度驑O一病證方論癭瘤證治》謂:“五癭皆不可妄決破,決破則膿血崩潰,多致天枉。”強(qiáng)調(diào)治療以內(nèi)服藥物為主,不可輕易施以刀針?！度彘T事親·癭》指出,常食海帶、海藻、昆布可消癭,以之作為防治癭病的方法。3、治療112《本草綱目》明確指出黃藥子有“涼血降火,消癭解毒”的功效《外科正宗·癭瘤論》認(rèn)為采用的主要治法是”行散氣血"、”行痰順氣、″活血散堅(jiān)",該書所載的海藻玉壺湯等方,至今仍為臨床所習(xí)用?！侗静菥V目》明確指出黃藥子有“涼113討論范圍現(xiàn)代醫(yī)學(xué)的以甲狀腺腫大為主要臨床表現(xiàn)的疾病可參照本節(jié)辨證論治,如單純性甲狀腺腫、甲狀腺功能亢進(jìn)癥、甲狀腺炎、甲狀腺腺瘤、甲狀腺癌等。討論范圍114橘本病橘本病115從經(jīng)典到臨床癭病課件整理116從經(jīng)典到臨床癭病課件整理117從經(jīng)典到臨床癭病課件整理118從經(jīng)典到臨床癭病課件整理119從經(jīng)典到臨床癭病課件整理120從經(jīng)典到臨床癭病課件整理121從經(jīng)典到臨床癭病課件整理122從經(jīng)典到臨床癭病課件整理123從經(jīng)典到臨床癭病課件整理124從經(jīng)典到臨床癭病課件整理125從經(jīng)典到臨床癭病課件整理126從經(jīng)典到臨床癭病課件整理127從經(jīng)典到臨床癭病課件整理128從經(jīng)典到臨床癭病課件整理129從經(jīng)典到臨床癭病課件整理130從經(jīng)典到臨床癭病課件整理131從經(jīng)典到臨床癭病課件整理132從經(jīng)典到臨床癭病課件整理133從經(jīng)典到臨床癭病課件整理134從經(jīng)典到臨床癭病課件整理135從經(jīng)典到臨床癭病課件整理136從經(jīng)典到臨床癭病課件整理137從經(jīng)典到臨床癭病課件整理138從經(jīng)典到臨床癭病課件整理139從經(jīng)典到臨床癭病課件整理140從經(jīng)典到臨床癭病課件整理141從經(jīng)典到臨床癭病課件整理142從經(jīng)典到臨床癭病課件整理143從經(jīng)典到臨床癭病課件整理144從經(jīng)典到臨床癭病課件整理145從經(jīng)典到臨床癭病課件整理146從經(jīng)典到臨床癭病課件整理147從經(jīng)典到臨床癭病課件整理148從經(jīng)典到臨床癭病課件整理149從經(jīng)典到臨床癭病課件整理150從經(jīng)典到臨床癭病課件整理151從經(jīng)典到臨床癭病課件整理152從經(jīng)典到臨床癭病課件整理153從經(jīng)典到臨床癭病課件整理154從經(jīng)典到臨床癭病課件整理155從經(jīng)典到臨床癭病課件整理156從經(jīng)典到臨床癭病課件整理157從經(jīng)典到臨床癭病課件整理158從經(jīng)典到臨床癭病課件整理159從經(jīng)典到臨床癭病課件整理160從經(jīng)典到臨床癭病課件整理161從經(jīng)典到臨床癭病課件整理162從經(jīng)典到臨床癭病課件整理163從經(jīng)典到臨床癭病課件整理164從經(jīng)典到臨床癭病課件整理165從經(jīng)典到臨床癭病課件整理166從經(jīng)典到臨床癭病課件整理167從經(jīng)典到臨床癭病課件整理168從經(jīng)典到臨床癭病課件整理169從經(jīng)典到臨床癭病課件整理170從經(jīng)典到臨床癭病課件整理171從經(jīng)典到臨床癭病課件整理172從經(jīng)典到臨床癭病課件整理173從經(jīng)典到臨床癭病課件整理174從經(jīng)典到臨床癭病課件整理175從經(jīng)典到臨床癭病課件整理176從經(jīng)典到臨床癭病課件整理177從經(jīng)典到臨床癭病課件整理178從經(jīng)典到臨床癭病課件整理179從經(jīng)典到臨床癭病課件整理180從經(jīng)典到臨床癭病課件整理181從經(jīng)典到臨床癭病課件整理182從經(jīng)典到臨床癭病課件整理183從經(jīng)典到臨床癭病課件整理184從經(jīng)典到臨床癭病課件整理185從經(jīng)典到臨床癭病課件整理186從經(jīng)典到臨床癭病課件整理187從經(jīng)典到臨床癭病課件整理188從經(jīng)典到臨床癭病課件整理189從經(jīng)典到臨床癭病課件整理190從經(jīng)典到臨床癭病課件整理191從經(jīng)典到臨床癭病課件整理192從經(jīng)典到臨床癭病課件整理193從經(jīng)典到臨床癭病課件整理194從經(jīng)典到臨床癭病課件整理195從經(jīng)典到臨床癭病課件