中医内科学讲义资料课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,甲中内学,积聚,准安市第二人民医院中医科,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,甲中内学,1,定义,积聚是指因正气亏虚,脏腑失和,气滞,血瘀、痰浊蕴结于腹,引发腹内结块,或胀或痛为主要临床特征的病证,积聚分述有别,积触之有形,固定不移,痛有定处;聚触之无形,聚散无常,痛,无定处,n古代文献中亦有癥瘕、痃癖之名,此亦,属积聚范畴。,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,定义,2,病因病机,n积聚的发生,乃多种致病因素协同作用,的结果,凡外感邪毒,日久不去,或情,志抑郁,久而不解,或饮食伤脾,酿生,痰浊,以及虚劳、黄疸等病缠绵不愈,均可导致气滞血瘀,而成积聚于腹,n但聚证以气机阻滞为先,积证以瘀血凝,结为要。,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,病因病机,3,1、情志抑郁,气滞血瘀,聚证,聚而不散,情志抑郁,所愿不遂,气机阻滞,瘀血内停,气滞日脉络受阻积证,血行不畅结而成块,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,1、情志抑郁,气滞血瘀,4,2、饮食内伤,酿生痰浊,酒食不节,损伤、湿浊痰饮聚证,饥饱失宜,脾胃,内聚阻,滞气机,久,气滞血瘀,积证,脉络阻滞,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,2、饮食内伤,酿生痰浊,5,3、邪毒稽留,胶结阻滞,寒湿热,诸邪,脏腑失和,痰浊内聚,气机,侵袭人体,痰食交阻阻滞/聚证,留着不去,病久入络,积证,脉涩血凝,结为积块,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,3、邪毒稽留,胶结阻滞,6,4、它病转归,日久成积,黄疸日久不退,络脉不畅,瘀血内阻,久疟不愈,气血凝滞,结为疟母,积证,感染血吸虫,虫阻血络,气血运行不畅,血络瘀滞,虚劳日久,气滞血瘀,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,4、它病转归,日久成积,7,积,辨证论治,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,积,8,治疗原则,聚证病在气分,故重在调气,疏肝,理气,行气消聚为其常法;,积证病在血分,故重在理血,活血,化瘀,散结软坚乃其常规,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,治疗原则,9,分证论治,Evaluadon only.,ch Asposeslides for NET 4o dient P,Evaluation only.,Created with Aspose Slides for NET 4.0 dient Profilo,71,Copyright 2019-2019Aspose Pty L,分证论治,10,中医内科学讲义资料课件,11,中医内科学讲义资料课件,12,中医内科学讲义资料课件,13,中医内科学讲义资料课件,14,中医内科学讲义资料课件,15,中医内科学讲义资料课件,16,中医内科学讲义资料课件,17,中医内科学讲义资料课件,18,中医内科学讲义资料课件,19,中医内科学讲义资料课件,20,中医内科学讲义资料课件,21,中医内科学讲义资料课件,22,中医内科学讲义资料课件,23,中医内科学讲义资料课件,24,中医内科学讲义资料课件,25,中医内科学讲义资料课件,26,中医内科学讲义资料课件,27,中医内科学讲义资料课件,28,中医内科学讲义资料课件,29,中医内科学讲义资料课件,30,