發(fā)布時間：2018-01-03 06:41

  本文關(guān)鍵詞：藏醫(yī)辛味飲食對“普胃酶灼”干預(yù)的機理研究　出處：《青海大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 藏醫(yī)辛味 飲食食量 藏醫(yī)普胃酶灼 干預(yù) 機理

【摘要】：研究背景:隨著社會的發(fā)展,人們的生活水平不斷提高,在飲食和起居等方面有了翻天覆地的變化;飲食的種類及食法具有多樣性,現(xiàn)如今甜、酸、辛味飲食的攝入量表現(xiàn)出日益增高的趨勢,其中辛味飲食不僅受人們喜愛,且攝入量相對較高,辛味飲食對“普胃酶灼”(pho bavi me drod)即“藏醫(yī)火熱學(xué)說”機理有較大的影響。而藏醫(yī)的“普胃酶灼”猶如人體精華之基本、臨床治療之原則、養(yǎng)生保健之方法,使其平衡紊亂,可引起多種疾病,故合理食用辛味飲食等各方面使“普胃酶灼”平衡,是無病者長壽和患病者治療的最佳方法。研究目的:藏醫(yī)辛味飲食對“普胃酶灼”干預(yù)的機理研究為核心目的,且進一步可分為:1.探討辛味食物的性質(zhì)及功能,分析辛味飲食的食量現(xiàn)狀。2.探索藏醫(yī)“普胃酶灼”的特征,制定評定量表。3.挖掘辛味飲食與“普胃酶灼”之間潛在的關(guān)聯(lián)。4.分析按性別等基本信息與辛味飲食攝入量和“普胃酶灼”有無關(guān)聯(lián)或差異。5.根據(jù)體質(zhì)、年齡、四季等變量不同,擬定如何合理飲食的指導(dǎo)方案。研究方法:文獻研究:首先藏醫(yī)藥經(jīng)典書籍中,搜集和分析辛味食藥的性質(zhì),適食的益處與過食的危害。其次,基于藏醫(yī)對“普哇”(pho ba)的定義、結(jié)構(gòu)進行分析,且整理和歸納與“普胃酶灼”有關(guān)的癥狀,以出現(xiàn)頻率選取具有代表性癥狀制定其評定量表。最后,在單味藥物和組方中搜集和匯總對“普胃酶灼”有益的食藥。從而分析辛味飲食與“普胃酶灼”之間的關(guān)系制定合理的調(diào)查問卷。調(diào)查研究:已制定的問卷經(jīng)專家和導(dǎo)師修正后,對青海大學(xué)成人教育學(xué)院的學(xué)生隨機(分層抽樣)選取60名學(xué)生進行預(yù)調(diào)查,分析其問卷的合理性,并再次修正后對青海大學(xué)藏醫(yī)學(xué)院的437名學(xué)生以回顧調(diào)查法進行答卷,收集和整理問卷以待分析。分析數(shù)據(jù)方面:1.將收集的數(shù)據(jù)在2013 Microsoft Excel和2013 Microsoft Access中統(tǒng)一和歸納。2.在統(tǒng)計軟件SPSS Statistics 20.0里通過X2檢驗、t檢驗、雙變量相關(guān)分析Speearman、回歸曲線估計等方法對數(shù)據(jù)進行數(shù)據(jù)分析。3.明確所需分析變量之間的統(tǒng)計意義,并對結(jié)果進行全面討論。研究結(jié)果:文獻研究:1.藏醫(yī)辛味主要是由五源中的火源和風(fēng)源,尤其是火源偏盛而成;主要成分為揮發(fā)油;在藏醫(yī)及中醫(yī)所記載的溫性藥物所占比例最高。2.辛味食藥主要醫(yī)治“普胃酶灼”衰弱所誘發(fā)的疾病,如“培根”性疾病,并具有消食開胃,祛除“曲色”(chu ser)、“森”(srin),治療腫瘤、尿潴留、惡瘡等功效;但辛味食藥過量,可引起遺精、暈厥、焦渴等癥狀。3.“普胃酶灼”的最終本質(zhì)為藏醫(yī)三因即:“隆”、“赤巴”、“培根”,其在攝取精華、醫(yī)治疾病、代謝糟粕等各方面都起到了不可缺少的作用。4.以藏醫(yī)古籍為基礎(chǔ)搜集和歸納“普胃酶灼”過盛和衰敗的評定癥候群,其過盛時可出現(xiàn)易消化、體熱、胃痛、口臭、易發(fā)汗且有異味、焦渴、油膩食物致頭痛、眼球發(fā)黃、上吐下瀉偏黃、晚上難眠白天嗜睡、舌苔黃膩、皮膚發(fā)黃等十二個。衰敗時易出現(xiàn)消化不良、飯后不適、胃飽滿感、懶惰、胃脹、腹瀉、體鵼、呃逆及嘔吐、晝夜嗜睡、腸鳴、便秘等十二個。5.在單味藥物和組方中對“普胃酶灼”平衡有益的如蓽撥、小米椒、高良姜、石榴等,組方有六味嘎啦扎散和四味石榴散等。調(diào)查研究:現(xiàn)狀:辛味飲食的攝入量不斷增高,如一天吃一至兩次的樣本占總體的80%,吃微辣或中辣的占85%。同樣,大部分年輕人具有的“普胃酶灼”失衡的癥狀,其中“酶灼”衰弱的癥狀尤為突出。關(guān)聯(lián):隨著辛味飲食攝入量的增加,“普胃酶灼”過盛或衰敗之癥候量表的總值逐漸增高(P0.05);辛味飲食的變量中,常吃麻辣燙類飲食、辛味零食、油炸食品時“普胃酶灼”癥候量表總值依然上升(P0.05);在性別方面,女性的辛味飲食攝入量和“普胃酶灼”異常的量表總值遠高于男性(P0.05)。年齡方面,隨著年齡的增高,辛味飲食攝入量降低,可癥狀增多(P0.05)。另外,不習(xí)慣吃辛辣食物或著重合理飲食者,辛味食物攝入量較低,且“普胃酶灼”衰敗的癥狀也很低(P0.05)。研究結(jié)論:本研究以藏醫(yī)養(yǎng)生保健學(xué)為理論宗旨,以藏醫(yī)飲食療法、起居療法、藏醫(yī)藥理學(xué)和病機學(xué)等為基礎(chǔ),結(jié)合現(xiàn)代問卷調(diào)查和數(shù)據(jù)統(tǒng)計方法,共同分析后闡明辛味飲食對“普胃酶灼”干預(yù)的機理;其對如今提倡治未病,呼吁食療的現(xiàn)狀具有一定的指導(dǎo)和推進意義,并對辛味飲食和“普胃酶灼”等宏觀學(xué)說進行歸類和分層,且擬定評定量表;使飲食的攝入量和“酶灼”的盛衰得意量化。另在藏醫(yī)古籍中搜集了常用食物之間的生克關(guān)系,并整理了對“普胃酶灼”有益的經(jīng)典藥方,使食藥同用、主于食療;身病同調(diào)、主于調(diào)身,從而對實踐藏醫(yī)食療法、研究藏醫(yī)“酶灼”學(xué)、探索藏藥六味學(xué)、完善藏醫(yī)養(yǎng)生學(xué)等方面皆有較好的意義。
[Abstract]:Background: with the development of society, people's living standard continues to improve, with the changes in turn the world upside down eating and living; diet type and diet diversity, now sweet, sour, pungent food intake showed a rising trend, the pungent diet not only loved by the people, and the intake is relatively high, pungent diet on general stomach enzymes (PHO Bavi me Drod. ")" has great influence on Tibetan hot theory "and" general medicine. The mechanism of gastric enzyme burning "like human essence of the basic principle of the method, clinical treatment, health care, which can cause a variety of imbalance. The disease, reasonable consumption of all aspects of the" universal pungent diet gastric enzyme balance, is burning "healthy longevity and the best method of treatment. The prevalence of objective: To study the mechanism of the Tibetan diet pungent gastric enzyme intervention as the core." The purpose, and can be further divided into: 1. to explore the nature and function of pungent food intake,.2. analysis of the current situation of pungent diet on the features of Tibetan medicine "gastric enzyme burning", make between the rating scale of.3. mining and pungent diet "Pu gastric enzyme burning" association of.4. potential analysis by gender and other basic information and pungent diet the intake and gastric enzyme burning "has no association or difference of.5. according to the constitution, age, seasons and other variables are different, how to guide the plan reasonable diet. Research methods: literature research: first, the Tibetan medicine classic books, collect and analyze the nature of pungent food and medicine, the benefits of eating proper food and harm. Secondly, the" wow "based on Tibetan medicine (PHO BA) of the definition, structure analysis, and sums up related" gastric enzyme burning "symptoms, with the frequency of selecting representative symptom rating scale. The last, in the single drug Collect and summarize and prescription of "food and drug & gastric enzyme burning" beneficial. The questionnaire to analyze the relationship between diet and the pungent gastric enzyme burning "formulation reasonable. Investigation: established by experts and teachers Questionnaire Revised, the Adult Education Institute of Qinghai University students (random stratified sampling) 60 students were pre survey, analyse the rationality of the questionnaire, and again revised the Qinghai University Medicine College of 437 students in the survey of questionnaires, collect and analyze the questionnaire for data analysis: 1.. The data collected at 2013 Microsoft Excel and 2013 Microsoft in Access and.2. in unified induction the statistical software SPSS Statistics 20 by X2 test, t test, Speearman correlation analysis, regression curve estimation methods for data analysis of.3. data clearly needed analysis between variables The statistical significance, and the results were discussed. Results: the literature research: 1. Tibetan Xinwei is mainly composed of five sources of fire and air, especially fire piansheng and main component; volatile oil; the temperature of the drug contained in Tibetan medicine and traditional Chinese medicine the highest proportion of.2. Xin food taste medicine treatment of the gastric enzyme induced by Pu burning "debilitating diseases such as Bacon disease, and Xiaoshi appetizer, get rid of" quse "(Chu Ser)," Sen "(sRin), cancer treatment, urinary retention, malignant sores and other effects; but the pungent food and drug overdose, can cause left, syncope Jiaohe,.3." general symptoms such as stomach enzymes burning "ultimate nature of Tibetan three:" long "," Chi Ba "," Bacon ", the treatment of diseases in various aspects of metabolism, uptake of essence and dross have played a role in ancient Tibetan.4. indispensable basis of collecting and summing up" "excessive gastric enzyme burning and decline 璐ョ殑璇勫畾鐥囧，

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