【摘要】：目的:本課題通過(guò)研究嶺南地區(qū)中醫(yī)文獻(xiàn),以中醫(yī)理論為指導(dǎo)搜集整理關(guān)于嶺南婦科常見(jiàn)病食療的內(nèi)容,采用傳統(tǒng)文獻(xiàn)和數(shù)理統(tǒng)計(jì)相結(jié)合的方法,經(jīng)規(guī)范化處理后,運(yùn)用現(xiàn)代統(tǒng)計(jì)學(xué)技術(shù)對(duì)數(shù)據(jù)信息進(jìn)行數(shù)據(jù)統(tǒng)計(jì)和數(shù)據(jù)挖掘,總結(jié)出嶺南地區(qū)中醫(yī)食療法治療婦科常見(jiàn)病常用食材的性味歸經(jīng)、食用方法以及食物之間相關(guān)性等,以期探究嶺南地區(qū)中醫(yī)食療預(yù)防和治療婦科常見(jiàn)病的理論依據(jù)、方法及規(guī)律,在一定程度上為中醫(yī)藥治療婦科常見(jiàn)病提供更全面的理論基礎(chǔ)。方法:選取嶺南地區(qū)有代表性的婦科書(shū)、醫(yī)方書(shū)、本草書(shū),以廣州中醫(yī)藥大學(xué)圖書(shū)館館藏書(shū)源為首選,輔以電子中醫(yī)醫(yī)籍文獻(xiàn)檢索,收集檢索婦科常見(jiàn)病關(guān)鍵詞有關(guān)的食物及食物復(fù)方。根據(jù)關(guān)鍵詞將篩選出的食物和食物復(fù)方建立excel數(shù)據(jù)庫(kù)。食物數(shù)據(jù)庫(kù)包括食物名、性味、歸經(jīng)、功效以及食物出現(xiàn)頻次,食療方劑數(shù)據(jù)庫(kù)包括方名、組成食物、主治以及劑型。運(yùn)用計(jì)算機(jī)的方法,整理、歸納各項(xiàng)數(shù)據(jù),并運(yùn)用統(tǒng)計(jì)軟件對(duì)excel數(shù)據(jù)庫(kù)中錄入的數(shù)據(jù)進(jìn)行頻數(shù)分析。結(jié)果:1.本研究共收集到嶺南婦科崩漏食療的食物22味,食物出現(xiàn)總頻次為37次。其中出現(xiàn)次數(shù)最多的食物為阿膠,出現(xiàn)6次,占16.22%;酒出現(xiàn)5次,占13.51%;藕出現(xiàn)4次,占10.81%。平性食物出現(xiàn)次數(shù)最多,為18次,占48.65%,溫性食物出現(xiàn)13次,占35.14%,。甘味食物出現(xiàn)次數(shù)最多,為30次,占61.22%;苦味食物出現(xiàn)7次,占14.29%;辛味食物出現(xiàn)6次,占12.24%。嶺南婦科崩漏食療的食物歸經(jīng)順序?yàn)?肝經(jīng)脾經(jīng)胃經(jīng)肺經(jīng)腎經(jīng)=心經(jīng)大腸經(jīng)。嶺南婦科文獻(xiàn)中崩漏食療的食物中補(bǔ)益類(lèi)食物出現(xiàn)次數(shù)最多,為17次,占45.95%,其中以補(bǔ)血類(lèi)食物出現(xiàn)最多。其次為理血類(lèi)食物出現(xiàn)12次,占32.43%。本研究共收集到嶺南婦科崩漏食療方6首,出現(xiàn)的食物有12味,出現(xiàn)頻次較多的食物為粳米、醋、酒,各出現(xiàn)2次,其余食物各出現(xiàn)1次。粥劑、湯劑及酒劑三種劑型均出現(xiàn)2次,各占33.33%。2.本研究共收集到嶺南婦科胎漏、胎動(dòng)不安食療的食物33味,食物出現(xiàn)總頻次為81次。其中出現(xiàn)次數(shù)最多的食物為阿膠,出現(xiàn)9次,占11.11%,其次為雞蛋,出現(xiàn)6次,占7.41%,甘草出現(xiàn)5次,占6.17%。平性食物出現(xiàn)次數(shù)最多,為45次,占55.56%,其次為溫性食物出現(xiàn)31次,占38.37%。甘味食物出現(xiàn)次數(shù)最多,為61次,占68.54%,其次為辛味食物21次,占23.6%。嶺南婦科胎漏、胎動(dòng)不安食療的食物歸經(jīng)順序?yàn)?脾經(jīng)肺經(jīng)胃經(jīng)腎經(jīng)肝經(jīng)心經(jīng)大腸經(jīng)膀胱經(jīng)=小腸經(jīng)。嶺南婦科胎漏、胎動(dòng)不安食療的食物中補(bǔ)益類(lèi)食物出現(xiàn)次數(shù)最多,為50次,占61.73%,其中以補(bǔ)氣類(lèi)食物出現(xiàn)最多。其次為解表類(lèi)食物出現(xiàn)11次,占13.58%,利水祛濕類(lèi)食物出現(xiàn)10次,占12.35%。本研究共收集到嶺南婦科胎漏、胎動(dòng)不安食療方13首,出現(xiàn)的食物有19味,其中阿膠出現(xiàn)次數(shù)最多,為4次,甘草出現(xiàn)3次,蔥白、酒、雞蛋、糯米各出現(xiàn)2次,余食物各出現(xiàn)1次,食療劑型中菜肴出現(xiàn)的次數(shù)最多為7次,占53.85%,其次為湯劑,出現(xiàn)4次,占30.77%,酒劑出現(xiàn)2次,占15.38%。3.本研究共收集到嶺南婦科帶下病食療的食物16味,食物出現(xiàn)總頻次為26次。其中出現(xiàn)次數(shù)最多的食物為茯苓,出現(xiàn)5次,占19.23%。平性食物出現(xiàn)次數(shù)最多,為14次,占53.85%,溫性食物、寒性食物各出現(xiàn)6次,各占23.08%。甘味食物出現(xiàn)次數(shù)最多,為22次,占66.67%。嶺南婦科帶下病食療的食物歸經(jīng)順序?yàn)?脾經(jīng)肺經(jīng)胃經(jīng)腎經(jīng)心經(jīng)肝經(jīng)大腸經(jīng)=膀胱經(jīng)小腸經(jīng)。嶺南婦科帶下病食療的食物中補(bǔ)益類(lèi)食物出現(xiàn)次數(shù)最多,為,占34.62%;其次為利水祛濕類(lèi),占23.08%;清熱類(lèi)占19.23%;理血類(lèi)及固澀類(lèi)各占11.54%。其中補(bǔ)益類(lèi)食物以補(bǔ)氣類(lèi)食物最多。嶺南婦科帶下病共收集食療方5首,其中有食物9味,其中雞蛋出現(xiàn)2次,其余食物均出現(xiàn)1次。嶺南婦科帶下病食療方劑中湯劑出現(xiàn)的次數(shù)最多為3次,占60%,其次為菜肴、丸劑,各1次,各占20%。4.本研究共統(tǒng)計(jì)到嶺南嶺南婦科不孕類(lèi)的食物29味,食物出現(xiàn)的總頻次為59次。出現(xiàn)次數(shù)最多的為酒,出現(xiàn)7次,占11.86%;茯苓出現(xiàn)4次,占6.78%;醋出現(xiàn)3次,占5.08%。溫性食物出現(xiàn)次數(shù)最多,為31次,占52.54%,平性食物出現(xiàn)26次,占44.07%。甘味食物出現(xiàn)次數(shù)最多,為45次,占54.22%,其次為辛味食物15次,占18.07%,苦味食物出現(xiàn)14次,占16.87%,酸味食物出現(xiàn)6次,占7.23%,咸味食物出現(xiàn)3次,占3.61%。食物歸經(jīng)順序?yàn)?腎經(jīng)=脾經(jīng)胃經(jīng)肝經(jīng)肺經(jīng)心經(jīng)大腸經(jīng)膀胱經(jīng)。嶺南婦科不孕食療的食物中補(bǔ)益類(lèi)食物最多,出現(xiàn)27次,占45.76%;其次為理血類(lèi)食物出現(xiàn)12次,占20.34%;利水祛濕類(lèi)、溫里祛寒類(lèi)食物各出現(xiàn)6次,各占10.17%,補(bǔ)益類(lèi)食物中出現(xiàn)次數(shù)最多的為補(bǔ)陽(yáng)類(lèi)和補(bǔ)氣類(lèi)。嶺南婦科不孕共收集到食療方9首,其中有食物22味,其中酒出現(xiàn)次數(shù)最多,為4次;醋、茯苓各出現(xiàn)3次,食療劑型中丸劑出現(xiàn)的次數(shù)最多為6次,占66.67%,其次為菜肴出現(xiàn)2次,占22.22%,湯劑出現(xiàn)1次,占11.11%。結(jié)論:1.嶺南婦科崩漏食療的食物以甘味、平性食物居多,歸經(jīng)以入肝經(jīng)、脾經(jīng)、胃經(jīng)、肺經(jīng)為主,功效以補(bǔ)益類(lèi)、理血類(lèi)食物為主,其中補(bǔ)益類(lèi)食物中補(bǔ)血類(lèi)出現(xiàn)次數(shù)最多。嶺南婦科崩漏食療方中最常見(jiàn)的食物為粳米、醋、酒,常用方劑劑型為湯劑、粥劑、酒劑。2.嶺南婦科胎漏、胎動(dòng)不安食療的食物以甘味、平性食物居多,歸經(jīng)以入脾經(jīng)、肺經(jīng)、胃經(jīng)、腎經(jīng)為主,功效以補(bǔ)益類(lèi)、解表類(lèi)、利水祛濕類(lèi)常見(jiàn),其中補(bǔ)益類(lèi)食物中補(bǔ)氣類(lèi)出現(xiàn)最多。嶺南婦科胎漏、胎動(dòng)不安食療方中最常見(jiàn)的食物為阿膠、甘草,常用方劑劑型為菜肴。3.嶺南婦科帶下病食療的食物以甘味、平性食物居多,歸經(jīng)以入脾經(jīng)、肺經(jīng)、胃經(jīng)、腎經(jīng)食物為主,功效以補(bǔ)益類(lèi)、利水祛濕類(lèi)常見(jiàn),其中補(bǔ)益類(lèi)食物中以補(bǔ)氣類(lèi)出現(xiàn)最多。嶺南婦科帶下病食療方中最常見(jiàn)的食物為雞蛋,常用食療劑型為湯劑。4.嶺南婦科不孕病食療的食物以甘味、溫性食物居多,歸經(jīng)以入腎經(jīng)、脾經(jīng)、胃經(jīng)、肝經(jīng)居多,功效以補(bǔ)益類(lèi)為最多,其中以補(bǔ)陽(yáng)類(lèi)及補(bǔ)氣類(lèi)食物出現(xiàn)最多。嶺南婦科不孕癥食療方中最常見(jiàn)的食物為酒、茯苓、醋,常用食療劑型為丸劑。中醫(yī)講究藥食同用,寓治于食,治養(yǎng)結(jié)合,合適的飲食在臨床中疾病的預(yù)防、治療及預(yù)后方面有重要作用。通過(guò)對(duì)嶺南婦科常見(jiàn)病食療食物及復(fù)方的統(tǒng)計(jì)分析,有助于醫(yī)生在臨床中指導(dǎo)患者飲食,有助于嶺南婦科常見(jiàn)病的預(yù)防、治療和康復(fù),食療可作為臨床治療方法的一種補(bǔ)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.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R271.1

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