基于三大典册老年人便秘中医食疗方调治规律的关联分析  

Association Analysis on Treatment Rules of Chinese Medicine Diet-therapy Prescriptions for Senile Constipation Based on the Three Major Books

作　　者：葛莹莹 程燕飞 魏冕 黄晶晶 袁琨 叶然[1] GE Ying-ying;CHENG Yan-fei;WEI Mian;HUANG Jing-jing;YUAN Kuan;YE Ran(School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学护理学院,江苏南京210023

出　　处：《护理学报》2022年第17期70-74,共5页Journal of Nursing（China）

基　　金：江苏省中医药局科技项目(YB201806);江苏省研究生培养创新工程研究生实践创新计划(SJCX21_0808)。

摘　　要：目的探索三大典册老年人便秘食疗方的常用食物及中医食疗干预不同证候便秘的调治规律。方法收集《中医方剂大辞典》、《中医食疗方全录》、《中国药膳大辞典》中收载的调治老年人便秘的食疗方,提取方名、出处、组成等信息,采用Excel 2019进行频数分析、IBM SPSS Modeler 18.0进行关联分析。结果纳入食疗方105首,常见剂型为粥剂(32.4%)、汤剂(18.1%),涉及88味食物,最常用的食物为粳米(10.2%)、蜂蜜(7.1%)。中医食疗调治老年人便秘多用补虚类(20.3%)食药物质;性味归经方面,性以平(34.1%)、温(31.8%)为主;味多甘味(63.1%);归经以脾经(20.3%)、胃经(18.6%)、肺经(18.6%)居多;老年人便秘食疗方的主治证候以气虚秘(28.6%)为主。此外,气虚秘常用食物组合紫苏、火麻仁、粳米;血虚秘常用食物组合菠菜、粳米;阴虚秘常用食物组合牛奶、蜂蜜、芝麻;阳虚秘常用食物组合羊肾、肉苁蓉;气滞秘常用食物组合为郁李仁、薏苡仁;热积秘常用食物组合为金银花、蜂蜜。结论古今医家应用中医食疗调治老年人便秘时喜用粥剂,治法上以补虚为主,润下为用,同时重视调畅气机,遵循辨证施食原则。研究探索发现古今医家运用食物辨证调治老年人便秘的经验对临床老年人的便秘饮食护理具有一定指导意义。Objective To explore the commonly used foods for senile constipation and the treatment rules of Chinese medicine diet therapy for constipation with different syndromes based on the Three Major Books.Methods Diet-therapy prescriptions for treating senile constipation in Dictionary of Traditional Chinese Medicine Prescriptions,Full Records of Food Therapy Recipes of TCM and Dictionary of Chinese Medicinal Diet were collected.The information of source,composition,TCM types were extracted.Excel 2019 was used for frequency analysis,and SPSS Modeler 18.0 for association analysis.Results One hundred and five dietary prescriptions were collected.Common dosage forms were porridge(32.4%)and soup(18.1%).Eighty-eight kinds of food were included.Japonica rice(10.2%),and honey(7.1%)were the most commonly used food.Tonic homology of medicine and food substances(20.3%)were used more frequently in senile constipation treatment;In terms of food performance,the properties were mainly flat(34.1%)and warm(31.8%).The flavors were commonly sweet(63.1%);The spleen(20.3%),stomach(18.6%)and lung meridians(18.6%)were in the majority.The main types of senile constipation were constipation with qi deficiency(28.6%).Perilla,japonica rice,and cannabis were the common food combinations for constipation with qi deficiency;Spinach,and Japonica for constipation with blood deficiency;Milk,honey,and sesame for constipation with yin deficiency;Sheep kidney,and desert living cistanche for constipation with yang deficiency;Bunge cherry seed,and coix seed for constipation with qi stagnation;and honeysuckle and honey for heat-type constipation.Conclusion Ancient and modern doctors prefer to porridge when applying Chinese medicine food therapy for constipation in the elderly.The principle of treatment is to supplement deficiency and lubricate intestinal tract to pass stool.Attentions are paid to regulating the balance of the rise and fall of the qi,and choosing food according to syndrome differentiation,which has certain guiding significance for clinical

关 键 词：老年人便秘 数据挖掘 中医食疗 调治规律 辨证 

分 类 号：R248[医药卫生—中医临床基础]