《食医心鉴》调治脾胃系疾病食药使用规律研究  

Study of Regularity of Use of Food Drugs in Regulating and Treating Diseases of Spleen and Stomach In Shi Yi Xin Jian

作　　者：谢今 刘华东[1] 文翠芳 徐智敏 XIE Jin;LIU Huadong;WEN Cuifang;XU Zhimin(Nanjing University of Chinese Medicine,Jiangsu Nanjing China 210000)

机构地区：[1]南京中医药大学,江苏南京210000

出　　处：《中医学报》2022年第4期901-904,共4页Acta Chinese Medicine

基　　金：江苏高校优势学科建设工程资助项目(PAPD)。

摘　　要：目的:研究《食医心鉴》调治脾胃系疾病食药使用规律。方法:收集《食医心鉴》调治脾胃系疾病方剂,对其调治脾胃系疾病及食药使用情况进行统计分析。结果:收集到《食医心鉴》调治脾胃系疾病方剂80首,共调治疾病5种,包括泄泻、胃痞、噎膈、胃痛、呕吐,以泄泻最多,占总频次的46.25%。80首方剂使用食药共77种,总频次231次;食物52种,占总频次的81.39%,以粳米最多;药物25种,占总频次的18.61%,以红曲最多。泄泻病常用食药为粳米、花椒、葱白;胃痞病常用食药为花椒、生姜、粳米、食盐;噎膈病常用食药为陈皮、粳米、茯苓、肉桂;胃痛病常用食药为红曲、粳米、葱白、桃仁;呕吐病常用食药为面粉、鸡子白、羊肉。调治脾胃系疾病常用食药组合有花椒、粳米;食盐、粳米;食盐、花椒等,且粳米、花椒、食盐关联最强。结论:《食医心鉴》食药调治脾胃系疾病组方以食物为主,药物为辅。治法以温养脾胃为主,兼顾补肾以护土。《食医心鉴》以辛温化湿调治泄泻;散寒补中调治胃痞;疏肝理气化痰调治噎膈;活血化瘀、甘缓止痛调治胃痛;温养中焦、补血填精调治呕吐。Objective: To study the regularity of the use of food and drugs for regulating and treating diseases of the Spleen and Stomach system in Shi Yi Xin Jian.Methods: Collect the prescriptions of Shi Yi Xin Jian for regulating and treating diseases of the Spleen and Stomach, and statistically analyze the treatment of diseases and the use of food and drugs.Results: Collected 80 prescriptions for the treatment of Spleen and Stomach diseases in the Shi Yi Xin Jian,and a total of 5 diseases were treated, including diarrhea, gastric tuberculosis, choking, stomach pain, and vomiting.Diarrhea was the most frequent, accounting for 46.25% of the total frequency.The 80 prescriptions used 77 kinds of food and medicine, with a total frequency of 231 times.52 kinds of food, accounting for 81.39% of the total frequency, with japonica rice the most.25 kinds of medicine, accounting for 18.61% of the total frequency, with red yeast rice the most.The commonly used food drugs for diarrhea are japonica rice, Chinese pepper, and green onion.The common food drugs for gastric tuberculosis are Chinese pepper, ginger, japonica rice, and salt.Common food drugs for diarrhea are tangerine peel, japonica rice, tuckahoe, and cinnamon.Common food drugs for stomach pain are red Qu, japonica rice, green onion, peach kernel.And common food drugs for vomiting are flour, chicken white, and mutton.Commonly used food and medicine combinations for regulating spleen and stomach diseases include Chinese prickly ash, japonica rice;salt, japonica rice;salt, prickly ash, etc.And japonica rice, pepper, and salt have the strongest association.Conclusion: The prescription of Shi Yi Xin Jian for regulating Spleen and Stomach diseases is mainly food, supplemented by medicine.The general treatment method is mainly to warm the Spleen and Stomach, take into account the Kidneys and protect the soil.With pungent in flavor and warm in character of the durgs, which can dispel Dampness, diarrhea can be regulated and treated;by dissipating cold and nourishing the Zhong Qi, s

关 键 词：脾胃系疾病 《食医心鉴》 食药 泄泻 胃痞 噎膈 胃痛 呕吐 

分 类 号：R256.3[医药卫生—中医内科学]