基于岭南地区文献研究探讨妇科常见病的食疗方法与规律

发布时间：2018-08-08 11:58

【摘要】：目的:本课题通过研究岭南地区中医文献,以中医理论为指导搜集整理关于岭南妇科常见病食疗的内容,采用传统文献和数理统计相结合的方法,经规范化处理后,运用现代统计学技术对数据信息进行数据统计和数据挖掘,总结出岭南地区中医食疗法治疗妇科常见病常用食材的性味归经、食用方法以及食物之间相关性等,以期探究岭南地区中医食疗预防和治疗妇科常见病的理论依据、方法及规律,在一定程度上为中医药治疗妇科常见病提供更全面的理论基础。方法:选取岭南地区有代表性的妇科书、医方书、本草书,以广州中医药大学图书馆馆藏书源为首选,辅以电子中医医籍文献检索,收集检索妇科常见病关键词有关的食物及食物复方。根据关键词将筛选出的食物和食物复方建立excel数据库。食物数据库包括食物名、性味、归经、功效以及食物出现频次,食疗方剂数据库包括方名、组成食物、主治以及剂型。运用计算机的方法,整理、归纳各项数据,并运用统计软件对excel数据库中录入的数据进行频数分析。结果:1.本研究共收集到岭南妇科崩漏食疗的食物22味,食物出现总频次为37次。其中出现次数最多的食物为阿胶,出现6次,占16.22%;酒出现5次,占13.51%;藕出现4次,占10.81%。平性食物出现次数最多,为18次,占48.65%,温性食物出现13次,占35.14%,。甘味食物出现次数最多,为30次,占61.22%;苦味食物出现7次,占14.29%;辛味食物出现6次,占12.24%。岭南妇科崩漏食疗的食物归经顺序为:肝经脾经胃经肺经肾经=心经大肠经。岭南妇科文献中崩漏食疗的食物中补益类食物出现次数最多,为17次,占45.95%,其中以补血类食物出现最多。其次为理血类食物出现12次,占32.43%。本研究共收集到岭南妇科崩漏食疗方6首,出现的食物有12味,出现频次较多的食物为粳米、醋、酒,各出现2次,其余食物各出现1次。粥剂、汤剂及酒剂三种剂型均出现2次,各占33.33%。2.本研究共收集到岭南妇科胎漏、胎动不安食疗的食物33味,食物出现总频次为81次。其中出现次数最多的食物为阿胶,出现9次,占11.11%,其次为鸡蛋,出现6次,占7.41%,甘草出现5次,占6.17%。平性食物出现次数最多,为45次,占55.56%,其次为温性食物出现31次,占38.37%。甘味食物出现次数最多,为61次,占68.54%,其次为辛味食物21次,占23.6%。岭南妇科胎漏、胎动不安食疗的食物归经顺序为:脾经肺经胃经肾经肝经心经大肠经膀胱经=小肠经。岭南妇科胎漏、胎动不安食疗的食物中补益类食物出现次数最多,为50次,占61.73%,其中以补气类食物出现最多。其次为解表类食物出现11次,占13.58%,利水祛湿类食物出现10次,占12.35%。本研究共收集到岭南妇科胎漏、胎动不安食疗方13首,出现的食物有19味,其中阿胶出现次数最多,为4次,甘草出现3次,葱白、酒、鸡蛋、糯米各出现2次,余食物各出现1次,食疗剂型中菜肴出现的次数最多为7次,占53.85%,其次为汤剂,出现4次,占30.77%,酒剂出现2次,占15.38%。3.本研究共收集到岭南妇科带下病食疗的食物16味,食物出现总频次为26次。其中出现次数最多的食物为茯苓,出现5次,占19.23%。平性食物出现次数最多,为14次,占53.85%,温性食物、寒性食物各出现6次,各占23.08%。甘味食物出现次数最多,为22次,占66.67%。岭南妇科带下病食疗的食物归经顺序为:脾经肺经胃经肾经心经肝经大肠经=膀胱经小肠经。岭南妇科带下病食疗的食物中补益类食物出现次数最多,为,占34.62%;其次为利水祛湿类,占23.08%;清热类占19.23%;理血类及固涩类各占11.54%。其中补益类食物以补气类食物最多。岭南妇科带下病共收集食疗方5首,其中有食物9味,其中鸡蛋出现2次,其余食物均出现1次。岭南妇科带下病食疗方剂中汤剂出现的次数最多为3次,占60%,其次为菜肴、丸剂,各1次,各占20%。4.本研究共统计到岭南岭南妇科不孕类的食物29味,食物出现的总频次为59次。出现次数最多的为酒,出现7次,占11.86%;茯苓出现4次,占6.78%;醋出现3次,占5.08%。温性食物出现次数最多,为31次,占52.54%,平性食物出现26次,占44.07%。甘味食物出现次数最多,为45次,占54.22%,其次为辛味食物15次,占18.07%,苦味食物出现14次,占16.87%,酸味食物出现6次,占7.23%,咸味食物出现3次,占3.61%。食物归经顺序为:肾经=脾经胃经肝经肺经心经大肠经膀胱经。岭南妇科不孕食疗的食物中补益类食物最多,出现27次,占45.76%;其次为理血类食物出现12次,占20.34%;利水祛湿类、温里祛寒类食物各出现6次,各占10.17%,补益类食物中出现次数最多的为补阳类和补气类。岭南妇科不孕共收集到食疗方9首,其中有食物22味,其中酒出现次数最多,为4次;醋、茯苓各出现3次,食疗剂型中丸剂出现的次数最多为6次,占66.67%,其次为菜肴出现2次,占22.22%,汤剂出现1次,占11.11%。结论:1.岭南妇科崩漏食疗的食物以甘味、平性食物居多,归经以入肝经、脾经、胃经、肺经为主,功效以补益类、理血类食物为主,其中补益类食物中补血类出现次数最多。岭南妇科崩漏食疗方中最常见的食物为粳米、醋、酒,常用方剂剂型为汤剂、粥剂、酒剂。2.岭南妇科胎漏、胎动不安食疗的食物以甘味、平性食物居多,归经以入脾经、肺经、胃经、肾经为主,功效以补益类、解表类、利水祛湿类常见,其中补益类食物中补气类出现最多。岭南妇科胎漏、胎动不安食疗方中最常见的食物为阿胶、甘草,常用方剂剂型为菜肴。3.岭南妇科带下病食疗的食物以甘味、平性食物居多,归经以入脾经、肺经、胃经、肾经食物为主,功效以补益类、利水祛湿类常见,其中补益类食物中以补气类出现最多。岭南妇科带下病食疗方中最常见的食物为鸡蛋,常用食疗剂型为汤剂。4.岭南妇科不孕病食疗的食物以甘味、温性食物居多,归经以入肾经、脾经、胃经、肝经居多,功效以补益类为最多,其中以补阳类及补气类食物出现最多。岭南妇科不孕症食疗方中最常见的食物为酒、茯苓、醋,常用食疗剂型为丸剂。中医讲究药食同用,寓治于食,治养结合,合适的饮食在临床中疾病的预防、治疗及预后方面有重要作用。通过对岭南妇科常见病食疗食物及复方的统计分析,有助于医生在临床中指导患者饮食,有助于岭南妇科常见病的预防、治疗和康复,食疗可作为临床治疗方法的一种补充。
[Abstract]:Objective: by studying the literature of traditional Chinese medicine in south of the Five Ridges, this subject collects and collects the contents of common diseases of gynecology in south of the Five Ridges with the guidance of traditional Chinese medicine and combines traditional literature with mathematical statistics. After standardization, data statistics and data mining of data information are carried out by modern statistics technology, and south of the Five Ridges is summed up. In order to explore the theoretical basis, method and law of TCM diet prevention and treatment of common gynecologic diseases in south of the Five Ridges, the traditional Chinese medicine therapy for common diseases of gynecology is commonly used in the treatment of common diseases in south of the Five Ridges area. : select the representative Department of gynecology books, medical books and books in south of the Five Ridges area, take the book source of the library of Guangzhou University of Chinese Medicine as the first choice, supplemented by the retrieval of the electronic medical records, collect the food and food compound related to the key words of gynecologic diseases, and establish the Excel database of food and food compound according to the key words. The database includes food name, sexual taste, return, efficacy and frequency of food occurrence. The diet prescription database consists of square names, food, main treatment and dosage forms. Using computer methods, sorting, and induction of data, and using statistical software to analyze the data recorded in the Excel database. Results: 1. research collects mountains Southern gynecologic dietotherapy food was 22 flavors, and the total frequency of food was 37 times. The most frequent food was gelatin, 6 times, 16.22%, 5 times, 13.51% of wine, 4 times in 10.81%., 18 times, 48.65%, 13 times, 35.14%, and the most frequent occurrence of food, 30, 30, 30, 30, 30 times, 30, 30, 30 times, 30, 30, 30 times, 30 Times, accounting for 61.22%, 7 times, 14.29% bitterness food, 6 times, and the order of 12.24%. south of the Five Ridges gynecologic dietetic food, the liver meridian through the stomach meridian, the kidney meridian, the kidney meridian, the heart meridian of the heart meridian, and the food in the south of the Five Ridges gynecologic literature, the most times, 17 times, and 45.95%. The second was the emergence of the most 12 times for the blood class food, which accounted for 6 in the 32.43%. Department of gynecologic dietetic therapy in south of the Five Ridges. There were 12 flavors of food in the Department of gynaecology. There were more frequent food for japonica rice, vinegar and wine, each appeared 2 times, and the rest of the food appeared 1 times. The congee agent, soup and liquor three formulations all appeared 2 times, each accounted for the 33.33%.2. study. In south of the Five Ridges, 33 flavors of gynecologic leaks and unsafe dietotherapy were found, and the total frequency of food was 81 times. The most frequent food was gelatin, 9 times, 11.11%, 6 times, 7.41%, and Glycyrrhiza 5 times, 45 times, 55.56%, and 31 times for warm food. 61 times, 61 times, accounted for 68.54%, 61 times, followed by 21 times of bitter food, accounting for 23.6%. in south of the Five Ridges, and the order of the food for the unsafe diet of fetal movement: the number of tonifying foods in the food of the spleen through the lung through the kidney meridian through the kidney meridian through the heart meridian through the bladder meridian = the small intestine meridian, the south of the Five Ridges gynecologic fetus leak and the fetal dynamic unsafe diet. At the most, 50 times, accounting for 61.73%, the most of them were gas supplement food, followed by 11 times, 13.58%, and 10 times of water and dampness, which accounted for 13 of South of the Five Ridges's gynecologic fetal leaks, 13 prom, 19 foods, and 4 times, and 3 times in Glycyrrhiza. Green onion, wine, egg, and glutinous rice appeared 2 times each, and the remaining food appeared 1 times. The number of dishes in the diet dosage form was 7 times, accounting for 53.85%, followed by the decoction, 4 times, 30.77%, and 2 times in the 15.38%.3. study. The total frequency of food was 26 times. The frequency of food was 26 times. The most food for Poria, 5 times, the emergence of 5 times, accounting for the highest number of 19.23%. flat food, 14 times, 53.85%, warm food, cold food 6 times each, each accounted for the largest number of 23.08%. sweet food, 22 times, accounting for 66.67%. south of the Five Ridges gynecologic dietetic food order: spleen meridian meridian meridian through the kidney meridian through the large intestine meridian = bladder The number of tonifying foods in the diet of South of the Five Ridges gynecologic dietotherapy was the most frequent, accounting for 34.62%, the second was the Rewater and dampness, accounting for 23.08%, and the clearing heat class accounted for 19.23%, and the blood type and the astringent category accounted for 11.54%. of the tonifying food most. In south of the Five Ridges, 5 of the diet treatments were collected, including 9 food. Among them, the egg appeared 2 times, and the rest of the food appeared 1 times. The times of the decoction of South of the Five Ridges gynecologic dietotherapy prescription was 3 times, accounting for 60%, followed by dishes, pills, and 1 times, each of which accounted for 29 flavors of South of the Five Ridges south of the Five Ridges gynecologic infertility, and the total frequency of food appeared 59 times. The largest number of times was wine. 7 times, accounting for 11.86%, 4 times, 3 times, 3 times, 3 times, 31 times, 52.54%, and 26 times, which accounted for the most times, 45 times, 54.22%, 45, 54.22%, 14, 16.87%, and sour food. 7.23%, 7.23% salty food appeared 3 times, accounting for 3.61%. food order: the kidney meridian = spleen meridian through the stomach meridian through the heart meridian through the heart meridian through the large intestine through the bladder meridian. South of the Five Ridges gynecologic dietotherapy food of the most kind of food, 27 times, accounting for 45.76%, followed by 12 times, 20.34% of the blood type food, 6 times in the water and the dispelling the dampness, and the temperature and dispel cold food 6 times each, each 10.17%, the most of the number of tonic foods was the Buyang type and Qi supplementing. South of the Five Ridges gynecologic infertility collected 9 dietetic treatments, among which there were 22 flavors of food, among which the number of wine appeared most, 4 times, vinegar, Poria, 3 times each, 6 times, 66.67%, followed by 2 times, 22.22%, soup. 1 times, accounting for 1 times, accounting for 11.11%. conclusion: 1. the food in south of the Five Ridges gynecologic dietotherapy food with sweet, flat food is most, return to the liver meridian, spleen meridian, stomach meridian, lung meridian, function to supplement the class, the blood type food is the main, among which the tonifying kind of food is the most frequent. The most common food in south of the Five Ridges gynecologic dietotherapy is japonica rice, vinegar, wine. The commonly used prescriptions are soup, porridge, and liquor,.2. south of the Five Ridges gynecologic tyre leakage, and the food of fetal movement unsafe diet is sweetness and flat food. It is classified into the spleen meridian, lung meridian, stomach meridian, kidney meridian, function to supplement, dissolve table, and remove water and dispel dampness. Among them, the most kind of supplementing type food in the kind of tonifying food is found in south of the Five Ridges. The most common food in the treatment is gelatin, Glycyrrhiza, Glycyrrhiza, and commonly used prescriptions for food.3. south of the Five Ridges gynecologic dietotherapy for food with sweet and flat food, the most common food is to enter the spleen meridian, lung meridian, stomach meridian, kidney meridian food, function to supplement the class, water and dampness kind common, the tonifying kind of food in the tonifying food is the most. South of the Five Ridges gynecology take the lead. The most common food in the diet prescription is the egg, the commonly used diet dosage form is the decoction.4. south of the Five Ridges gynecologic infertility food for the food with sweet taste, warm food most, return to the kidney meridian, spleen meridian, stomach meridian, liver Sutra most, the effect is the most, among which the Buyang type and gas supplement food appear most. In south of the Five Ridges gynecologic infertility diet prescription most The common food is wine, Fuling, vinegar, and the common diet dosage form for the pill. Traditional Chinese medicine pays attention to the same use of medicine and food, combines treatment in food, treatment and nourishing combination, the appropriate diet has an important role in the prevention, treatment and prognosis of the disease in clinic. Through the statistical analysis of food and compound prescription of common diseases in south of the Five Ridges Department of gynaecology, it is helpful for doctors to guide patients in clinical practice. Diet is conducive to the prevention, treatment and rehabilitation of common gynecological diseases in south of the Five Ridges. Dietary therapy can be used as a supplement to clinical treatment.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R271.1

【参考文献】