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基于药食同治探讨太平圣惠方的小儿食疗特点

Exploring Characteristics of Pediatric Dietary Therapy in Peaceful Holy Benevolent Prescriptions Based on Combination of Medicine and Food Therapy
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摘要 目的 探析《太平圣惠方》中的小儿食疗特点,为小儿体质调养、疾病预防及治疗等提供思路。方法 筛选《太平圣惠方》中的小儿药食同治内服方,根据其所含品种分为食物、药物及药食两用三类,对各品种的性、味、归经、功效等进行频次统计分析,并建立数据库,借助古今医案云平台(V2.3.5)进行关联规则与复杂网络分析。结果 共筛选小儿药食同治内服方112个,计109个品种。在四气五味上,药食两用品种以温、平、甘、辛为主;食物品种以温、平、甘为主。在功效上,药食两用品种以补虚类、温里类为主。在归经上,药食两用品种均多归脾经,占比约23.60%。关联规则分析得出人参-甘草、陈皮-人参、陈皮-甘草3对有效强关联组合。复杂网络分析得到的核心组成为:人参、甘草、陈皮、白术、生姜、丁香、肉桂、当归。结论 《太平圣惠方》中小儿食疗常培补后天以养身;培土生金,甘辛并用,肺脾同调以疗疾;既重补养又顾口味。“甘草-人参-陈皮”为小儿食疗常用配伍组合。 Objective To explore the characteristics of pediatric dietary therapy in the Peaceful Holy Benevolent Prescriptions and provide the ideas for the physical adjustment,disease prevention and treatment of children.Methods The children′s internal dietotherapy prescriptions in Peaceful Holy Benevolent Prescriptions were screened and divided into food,medicine and dual-use food and medicine according to the varieties contained in the dietotherapy prescriptions.The frequency of the nature,taste,meridian tropism and efficacy of each variety were statistically analyzed,and a database was established.With the help of the ancient and modern medical record cloud platform(V2.3.5),the association rules and complex network analysis of the included children′s dietotherapy prescriptions were carried out.Result A total of 112 pediatric dietary therapies were selected,a total of 109 varieties.In terms of the four Qi and five tastes,the main types of dual-use varieties of food and medicine were mainly warm,flat,sweet and spicy.The main types of food were warm,flat and sweet.In terms of efficacy,the main types of dual-use varieties of food and medicine mainly included tonifying deficiency and warming the interior.In terms of meridian tropism,food and drug dual-use varieties mostly referred to the spleen meridian,accounting for about 23.60%.Association rule analysis showed that three pairs of strongly correlated material drug combinations were Renshen(Ginseng Radix et Rhizoma)-Gancao(Glycyrrhizae Radix et Rhizoma),Chenpi(Citri Reticulatae Pericarpium)-Renshen(Ginseng Radix et Rhizoma),Chenpi(Citri Reticulatae Pericarpium)-Gancao(Glycyrrhizae Radix et Rhizoma)respectively.Complex network analysis showed that the core group of children′s dietotherapy was Renshen(Ginseng Radix et Rhizoma),Gancao(Glycyrrhizae Radix et Rhizoma),Chenpi(Citri Reticulatae Pericarpium),Baizhu(Atractylodis Macrocephalae Rhizoma),Shengjiang(Zingiberis Rhizoma Recens),Dingxiang(Caryophylli Flos),Rougui(Cinnamomi Cortex)and Danggui(Angelicae Sinensis Radix).Conclusion In Peaceful Holy Benevolent Prescriptions,children′s dietary therapy often nourishes the acquired body to nourish the body.The methods of cultivating earth to generate gold,using both sweet and spicy herbs and regulating lung and spleen can treat diseases,emphasizing both tonifying and tastes.Gancao(Glycyrrhizae Radix et Rhizoma)-Renshen(Ginseng Radix et Rhizoma)-Chenpi(Citri Reticulatae Pericarpium)is a commonly used combination for pediatric dietary therapy.
作者 徐杨 胡春宇 郑珊珊 梁佳 XU ang;HU Chunyu;ZHENG Shanshan;LIANG Jia(TCM Clinic of China Academy of Chinese Medical Sciences(Training Center of China Academy of Chinese Medical Sciences),Beijing 100000,China;Graduate School of China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处 《辽宁中医杂志》 北大核心 2025年第7期145-149,I0003,共6页 Liaoning Journal of Traditional Chinese Medicine
基金 中国中医科学院科技创新工程项目(CI2021A00405) 北京市中医药科技发展资金项目(BJZYYB-2023-31)。
关键词 太平圣惠方 小儿 食疗 特点 Peaceful Holy Benevolent Prescriptions children diet therapy characteristic
作者简介 徐杨(1991-),女,河南濮阳人,主治医师,博士,研究方向:中医可穿戴设备的研发与临床检测,中医经典理论的现代研究。;通讯作者:梁佳(1983-),女,北京东城人,副研究员,硕士研究生导师,博士,研究方向:中医经典理论的现代研究,E-mail:liangjia1225@163.com。
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