《太平圣惠方》对腰脚疼痛的食治方剂分析  

Analysis on Prescriptions about Dietary Treatment among Patients with Pain in Lower Back and Leg from Taiping Shenghui Fang

作　　者：丁毅[1] 王国为[1] 徐雯洁[1] 徐世杰[1] 

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700

出　　处：《辽宁中医杂志》2015年第2期274-276,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：中国博士后基金资助项目(2013M530856);中国中医科学院基本科研业务费自主选题项目(YZ-1301)

摘　　要：《太平圣惠方》是我国第一部由政府组织编修的大型综合性方书,其认为腰脚湿痹是"风湿冷三气相攻而成也。气胜则通行流转,不为留滞。风湿冷气胜,则住于腰脚。是为湿痹。……风湿痹,冬多中人血脉腠理,则为诸风矣。本由外风邪,入于经络气俞也。"脚腰痛是"由肾气不足,受风邪之所为也。劳伤则肾虚,虚则受于风冷,与真气交争,故腰脚疼痛。"《太平圣惠方·食治腰脚疼痛诸方》认为"宜以食治之也",《太平圣惠方》所载食治腰脚疼痛诸方中,除了针对病证风、寒、湿的药物外,还运用米、面等与其相伍,如梅实仁粥方、豉酒方、婆罗粥方等方剂,这是借米、面之力调护脾胃,另有引风湿之药入脾经四肢之效。可见注意脾胃的调理,是提高治疗风寒湿痹疗效的一种有效的途径。Taiping Shenghui Fang is the first official prescription book compiled by the government in Song dynasty.This book is famous for its comprehensive contents and formally organized process.Pain in lower back and leg is identified as a kind of disease caused by pathogenic wind in patients with kidney-qi deficiency according to the theory of traditional Chinese medicine.The book advocates dietary treatment for the pain.There are hundreds of different kinds of dietary treatments listed in this book,such as rice or pasta combing with different herbs,which have different prescription names,for instance,Meishiren porridge,Chi wine,Poluo porridge and so on.The reason using rice and pasta is that they could regulate the function of stomach and spleen.It can improve patients＇ life quality and be helpful to treat the pain by strengthening the function of stomach and spleen.

关 键 词：太平圣惠方 腰脚痹病 食治方剂 

分 类 号：R247.1[医药卫生—中医临床基础]