1.中国中医科学院广安门医院风湿病科,北京100051
陈悦宁,女,27岁,博士研究生。研究方向:中医风湿病临床与基础研究。
刘宏潇,E-mail:liuhongxiao_123@163.com
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陈悦宁,刘宏潇.基于半结构式访谈与扎根理论强直性脊柱炎中医辨治名家经验[J].北京中医药,2023,42(5):513-516.
CHEN Yue-ning,LIU Hong-xiao.Study on experience of famous traditional Chinese medicine experts in differentiation and treatment of ankylosing spondylitis based on semi-structured interview and grounded theory[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(05):513-516.
陈悦宁,刘宏潇.基于半结构式访谈与扎根理论强直性脊柱炎中医辨治名家经验[J].北京中医药,2023,42(5):513-516. DOI: 10.16025/j.1674-1307.2023.05.011.
CHEN Yue-ning,LIU Hong-xiao.Study on experience of famous traditional Chinese medicine experts in differentiation and treatment of ankylosing spondylitis based on semi-structured interview and grounded theory[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(05):513-516. DOI: 10.16025/j.1674-1307.2023.05.011.
目的,2,探析中医名家辨治强直性脊柱炎的临证经验。,方法,2,本研究纳入张鸣鹤、阎小萍、冯兴华、唐晓颇、朱婉华、王北、娄玉钤、王义军教授8位中医风湿病专家本人或学术传承人,进行半结构式访谈,记录并整理访谈内容,采用扎根理论对访谈资料进行编码分析及饱和性分析。,结果,2,本研究通过访谈8位对象,挖掘了20个开放式编码,进一步深化逻辑关系后得到诊治强直性脊柱炎的辨证要点、治疗原则、遣方用药3个主轴编码,初步构建了“名老中医辨治强直性脊柱炎临证经验”的理论框架。,结论,2,名老中医临证辨治强直性脊柱炎时,将补肾通督、扶正祛邪、杂合而治、分期论治、运用经典、辨病与辨证结合和配合现代检验结果做为诊治原则,遣方用药多选用虫类药、引经药、平补阴阳药、顾护胃气药、病证结合用药和血肉有情之品。
Objective,2,To explore the clinical experience of TCM experts in treating ankylosing spondylitis.,Methods,2,8 TCM rheumatology experts or their academic successor, including ZHANG Ming-he, YAN Xiao-ping, FENG Xing-hua, TANG Xiao-po, ZHU Wan-hua, WANG Bei, LOU Yu-qian and WANG Yi-jun, were included to conduct semi-structured interviews, record and sort out the interview contents, and adopt ground ed theory to encode and analyze the interview data.,Results,2,Through the interview on eight subjects, 20 open codes were excavated. After further deepening the logical relationship, three main shaft codes of diagnosis and treatment of ankylosing spondylitis were obtained, namely, key points of syndrome differentiation, treatment principles and prescription and medication, and the theoretical framework of "clinical experience of famous and old Chinese medicine practitioners in treating ankylosing spondylitis" was initially constructed.,Conclusion,2,When treating ankylosing spondylitis clinically, famous and old Chinese medicine experts take tonifying kidney and dredging Du meridian, strengthening body resistance and eliminating pathogenic factors, comprehensive methods, treating by stages, applying classics, combining disease differentiation with syndrome differentiation and cooperating with modern test results as the treatment principles. Insect drugs, meridian-guiding drugs, drugs for balancing yin and yang, drugs for protecting stomach qi, drugs for combining diseases and products with feelings of flesh and blood are mostly used in the prescriptions.
半结构式访谈扎根理论强直性脊柱炎中医学术经验专家经验传承
Semi-structured interviewsgrounded theoryankylosing spondylitisexperience in TCMinheritance of expert experience
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