桃核承氣湯加味治療與便秘相關(guān)之急性腦出血的臨床療效觀察.pdf

1、北京中醫(yī)藥大學(xué)碩士學(xué)位論文桃核承氣湯加味治療與便秘相關(guān)之急性腦出血的臨床療效觀察姓名：謝茂源申請學(xué)位級別：碩士專業(yè)：中醫(yī)臨床基礎(chǔ)（傷寒論）指導(dǎo)教師：姜元安200505012桃核承氣湯加睞治療與便秘十目關(guān)之急性脯出廊的臨床療效觀察ABSTRACTPatientsofacuteintracranialhemorrhageusualIyhavesymptomsofbowelexcessivenesssuchasconstipation，hal

2、itosis，irritation，flushface，coughwithsputumyellowishgreasetonguecoatingwithpetechiaeorecehymosisinthetongue，orcurvedveinsunderthetongue，tautandslipperypulse，inadditiontodifferentdegreesofpsyebologioalchangesandparalysis。

3、Peristalsisofga8trointestinalsystemisinhibitedinthepatientofacuteintracranialhemorrhagewithfoodstayingintheintestineoveralongtimeAsaresult，toxinsintheintestine81caareabsorbediritethecirculation，whichaggravatesthedisturba

4、nceofcirculationofthebrainBecausetheobstructivebowelmakesitnowayout，thephlegm—firegoesupwardtodisturbthelueidorifice，aggravatingthepsychologicaldisturbanceAdequatetreatmenttoinducetheheatdownwardsbymeansofdredgingthebowe

5、lscanrecoverthenormaldownwardstateo￡thebowelsandletthephlegmfireinthegastrointestinalsystemoutofthebodyquicklyWhentheturbidevilgoesdownwardandoutofthebody，itcannotgoupwardtodisturbthemind，andthusthemindisrecoveredBesides

6、，thecurativemethodofurgentpurgationhastheeffectofsavingyin，whichcanpreventnotonlytheexhaustionofyinbutalsotheextinctionofyang，ThedisturbanceofcirculationinbrainisthebasicpathologicalchangeofacuteintracranialhemorrhageIti

7、sfollowedbycerebraledemaandincreasedintracranialpressureTherefore，thetherapeuticmethodofpurgingtheheatwithbloodstasisissuitablefortheclinicalrequirementoftreatingacuteintracranialhemorrhageWeuseTaoHeChengQiTangPlustopurg

8、etheheatwithbloodstasisItcancleantoxinsfromtheintestines，lowertheabdominalpressure，correcttheintracr8狂i8lpressureandcerebraledemaaswellasimprovehypoxiaofbraintissuesThereare70casesthatareinconformitywiththeobservationsta

9、ndardsofacuteintracranialhemorrhageinthreeyearsThetotalcuratireeffectis94％whenTaoHeChengQiTangPlusisappliedinthetreatment。Usually。thepatientsdischargedblackstoolintwotosixhoursaftertakingTaoHeChengQiTangPlusThedischarged

10、amountisdirectlyrelatedtothebowelstateTherefore，touseadequatedosageofDaiHuang(rhubarbroot)accordingtothepatients’constitutionalstateisveryimportanttoensuretorecoverthenormalbowelstateassoonaspossiblewhenapplyingTaoHeChen