中医急救讲课稿课件.ppt

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,*,,*,,医急救,,医急救,1,,中医急救,概念范围与发展,中医急救的临床特点与病因病机概要,中医急救的诊断与辨证要点,中医急诊的治则与治法,常见中医急证的急救,,中医急救,2,,总述,中医急救的概念,中医急救的范围,中医急救的发展,,总述,3,,概念中医急救是对发病卒暴,病情险恶,病,性不清,病势危,生机欲败而未绝,不允许审因,査机,必须立即对症采取综合治疗以顿挫病势,,扭转病情,挽救生命,为进一步审因论治创造时,机的一种应急措施,,概念中医急救是对发病卒暴,病情险恶,病,4,,范围中医急救所涉及的范围极其广泛凡,医临床各科的疾病处于急、重、危、险阶段时均,属其范围从病势上分,它不仅它不仅包括奇兵,卒暴、慢性病急性发作,病情险急,易危急病人,生命的病、证、症,而且尚有因意外损伤,或伤,害等处在危急阶段者;从病证上分,包括了内科,外科、骨伤科、妇科、儿科等各科急证;从发病,时闯上分,有院前急救、院内急救、院后康复三,部分此外,它还包括通讯、运输、组织指挥等,,范围中医急救所涉及的范围极其广泛凡,5,,发展,春秋战国,【黄帝内经】对急症的含义与范围、病因,病机、病名、病象、诊断与鉴别诊断、治则与治法及转,归、预后、预防、护理等诸多方面均有一定的论述,东汉,张仲景【伤寒卒论】开创了中医急诊辨证论治,的先河,以六经和脏腑辨证论治热病、中风、出血、厥,逆等常见急诊的证治,并总结出病、证、理、法、,方、药等较为系统的理论,至今仍指导着临床急救。

金元四大家之一刘完素创立了火热病机,善治火热病,,尤对寒凉药物的使用具有独到见解,创立了行之有效的,辛凉救急方药发展,6,,发展,唐代孙思遵【千金要方,千金翼方】两书中,救方27首,强调综杏疗法,大量采用熏,洗,敷贴、吹、摩等方法,首创“导尿术”明代吴又可【瘟疫论】为治瘟疫的专书,在温病,学方面,不仅发展了多种“异气”的病源理论,而且创立了卫气营血、三焦等辩证思想,揭示,疾病发展的传变规律,充实了急救方药,如清新,开窍的“三宝”等针对急救的特点,创审脉,察舌、验齿、辨斑疹、察热型、审汗液、别闭脱,、辨痉厥等鉴别诊断方法,在此基础上进一步确,立了透邪、清气、和,化湿、通下、清营凉血,,豁痰并窍、回阳固脱等治疗大法发展,7,,发展,近四十余年,我国已形成中医急,,抢救手段的多样化,硏究手段的科学化,研制,了许多速效、高效、稳效、稳效、低毒的中药新,制剂,不断提高了中医急救的诊疗水平,进一步,拓宽了中医急救的研究范围,委屈三人类的健康,长寿做出了应有的贡献我国加入世界急诊医学协会,中医药在治疗急症,中做出了突出的贡献,这些辉煌的硕果充分说明,了中医急救具有广阔的发展前景发展,8,,中医急救的临床特点与病因病机概要,中医急救的临床特点,中医急救的病因病机,,中医急救的临床特点与病因病机概要,9,,临床特点,病因复杂,、病危证急,三、变化迅速,四、规律可循,,临床特点,10,,中医急救讲课稿课件,11,,中医急救讲课稿课件,12,,中医急救讲课稿课件,13,,中医急救讲课稿课件,14,,中医急救讲课稿课件,15,,中医急救讲课稿课件,16,,中医急救讲课稿课件,17,,中医急救讲课稿课件,18,,中医急救讲课稿课件,19,,中医急救讲课稿课件,20,,中医急救讲课稿课件,21,,中医急救讲课稿课件,22,,中医急救讲课稿课件,23,,中医急救讲课稿课件,24,,中医急救讲课稿课件,25,,中医急救讲课稿课件,26,,中医急救讲课稿课件,27,,中医急救讲课稿课件,28,,中医急救讲课稿课件,29,,中医急救讲课稿课件,30,,中医急救讲课稿课件,31,,中医急救讲课稿课件,32,,中医急救讲课稿课件,33,,中医急救讲课稿课件,34,,中医急救讲课稿课件,35,,中医急救讲课稿课件,36,,中医急救讲课稿课件,37,,中医急救讲课稿课件,38,,中医急救讲课稿课件,39,,中医急救讲课稿课件,40,,中医急救讲课稿课件,41,,中医急救讲课稿课件,42,,中医急救讲课稿课件,43,,中医急救讲课稿课件,44,,中医急救讲课稿课件,45,,中医急救讲课稿课件,46,,中医急救讲课稿课件,47,,中医急救讲课稿课件,48,,中医急救讲课稿课件,49,,中医急救讲课稿课件,50,,中医急救讲课稿课件,51,,中医急救讲课稿课件,52,,中医急救讲课稿课件,53,,中医急救讲课稿课件,54,,中医急救讲课稿课件,55,,中医急救讲课稿课件,56,,中医急救讲课稿课件,57,,中医急救讲课稿课件,58,,中医急救讲课稿课件,59,,中医急救讲课稿课件,60,,中医急救讲课稿课件,61,,中医急救讲课稿课件,62,,中医急救讲课稿课件,63,,中医急救讲课稿课件,64,,中医急救讲课稿课件,65,,中医急救讲课稿课件,66,,中医急救讲课稿课件,67,,中医急救讲课稿课件,68,,中医急救讲课稿课件,69,,中医急救讲课稿课件,70,。