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藥材認識
拼音索引:
A B C D E F G H J K L M N O P Q R S T W X Y Z

筆畫索引:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20以上

常用方劑

解表 清熱 溫里
瀉下 消導 祛濕
理氣 理血 補益
固澀 開竅 驅蟲
鎮潛熄風 祛風濕
止咳化痰平喘


  藥膳食療

食療的三大基本原則

正常字體  放大字體

   一、 辨證施膳
 
    辨證施治是中醫治療疾病的指導原則,即在臨床治療時要根據病情的寒熱虛實,結合病人的體質以相應的治療。只有在正確辨證的基礎上進行選食配膳,才能達到預期的效果。否則,不僅于病無益,反而會加重病情。
 
    中醫認為,臨床病證不外虛證、實證、寒證、熱證。如神疲氣短,倦怠懶言,舌質淡,脈虛無力等為虛證;形體壯實,脘腹脹滿,大便秘結,舌質紅,苔厚蒼老,脈實有力等為實證;怕冷喜暖,手足不溫,舌淡苔白,脈遲等為寒證;口渴喜冷,身熱出汗,舌紅苔黃,脈數等為熱證。根據中醫“虛者補之”、“實者瀉之”、“熱者寒之”、“寒者熱之”的治療原則,虛證患者以其陰陽氣血不同之虛,分別給予滋陰、補陽、益氣、補血的食療食品治之;實證患者應根據不同實證的證候,給予各種不同的祛除實邪的食療食品,如清熱化痰、活血化瘀、攻逐水邪等;寒性病證,給予溫熱性質的食療食品治之;熱性病證,給予寒涼性質的食療食品治之。
 
    另外,在辨證施膳的時候,還必須考慮個人的體質特點。例如形體肥胖之人多痰濕,宜多吃清淡化痰的食品;形體消瘦之人多陰虛血虧津少,宜多吃滋陰生津的食品。春季萬物始動、陽氣發越,此時要少吃肥膩、辛辣之物,以免助陽外泄,應多食清淡之菜蔬、豆類及豆制品;夏季炎熱多雨,宜吃些甘寒、清淡、少油的食品,如綠豆、西瓜、鴨肉等;秋季萬物收斂、燥氣襲人,宜吃些滋潤性質的食品,如乳類、蛋類等;冬季天寒地凍、萬物伏藏,此時最宜吃些溫熱御寒之品,如羊肉、狗肉、干姜等。
 
    二、全面膳食
 
    所謂全面膳食,就是要求在飲食內容上盡可能做到多樣化,講究葷素食、主副食、正餐和零食等之間的合理搭配。現代營養學認為人體所需要的各種營養素主要包括蛋白質、脂肪、糖類、維生素、礦物質、水和纖維素七大類物質。這幾大類營養素分別存在于不同種類的食物中,如糧食類食物主要含有豐富的糖類,蔬菜、水果中含有大量的維生素、礦物質和纖維素,魚、肉、奶、蛋類則是蛋白質的良好來源。如果一味追求素食,進食谷類、蔬菜類食物,摒棄或限制動物性食品的攝入,久則使蛋白質的供給不足,不能滿足機體新陳代謝的需要,可引起低蛋白血癥,也影響脂溶性維生素D、維生素E等的吸收,引起一系列癥狀。而效仿西方的膳食結構模式,大量攝入動物性食品,勢必使某些腫瘤如乳腺癌、前列腺癌、結腸癌、直腸癌等的發病率明顯升高,也使動脈硬化、冠心病、糖尿病、痛風等病的發生增多。所以,為了保持身體健康,必須采用平衡膳食,全面膳食。
 
    全面膳食是現代營蕎學一個基本的觀點,其實,在中醫食療學中也早有類似認識,如我國醫學典籍《黃帝內經》中曾經明確提出膳食配伍的原則:“五谷為養,五果為助,五畜為益,五菜為充,氣味合而服之,以補精益氣”。五谷,為米、麥及其他雜糧類食物的泛稱,五果、五菜則分別指古代的五種蔬菜和果品,五畜泛指肉類食品。谷、肉、果、菜這四大類食物,分別提供人體所需要的糖類、脂肪、蛋白質、礦物質、維生素、纖維素等,以滿足人體功能活動的需要。
 
    三、飲食有節
 
    飲食有節是指每天進食宜定時,定量,不偏食,不挑食。主要有兩層含義,一是指進食的量,一是指進食的時間。
 
    【定量】 飲食定量,主要強調飲食要有限度,保持不飽不饑,尤其是不暴飲暴食。否則會使腸胃功能紊亂,導致疾病的產生。如《黃帝內經》所說:“飲食自倍,腸胃乃傷”,《千金要方》更明確指出飲食過量的害處,“不欲極饑而食,食不可過飽;不欲極渴而飲,飲不可過多。飲食過多,則結積聚;渴飲過多,則成痰癖”。現代醫學認為,人體對飲食物的消化、吸收和利用,主要靠脾胃的功能正常,若飲食過量,短時間內突然進食大量食物,勢必加重胃腸負擔,使食物不能及時消化,進一步影響營養物質的吸收和輸布,從而產生一系列疾病。相反,進食過少,則脾胃氣血化生乏源,人體生命活動缺乏物質基礎,日久會導致營養不良以及相應病變的發生。因此,飲食有節,食量有度是保證身體健康的重要條件。
 
    【定時】 我國傳統的進食方法是一日三餐,即早、中、晚三餐。這與飲食在胃中停留和傳遞的時間有關。食物進入胃中,一般素食4小時,肉食約6小時,然后由胃經十二指腸進入小腸,當胃剖空到一定程度時,便產生饑餓感,故可再度進食。研究證明,早、中、晚這三個時間內人體的消化功能特別活躍。按照相對固定的時間,有規律地進食,可以保證消化、吸收功能有節奏地進行活動,脾胃協調配合,腸胃虛實交替,有張有弛,食物則可有條不紊地被消化、吸收和利用。若不分時間,隨意進食,零食不離口,就會使腸胃長時間工作,得不到休息,以致腸胃消化的正常規律被打破,胃腸虛實無度,久而久之可發生脾胃病變。
 
    在一日三餐中,歷來主張“早餐好,午餐飽,晚飯少”。這種說法有一定的科學性,與人體晝夜的生理變化有關。因為人身的陰陽氣血的運行,在晝夜中有盛衰的不同。早餐時間,經過一夜的休息,早晨陽氣活動開始旺盛,胃中處于相對空虛狀態,亟需補充營養,以滿足上午的工作需要;午餐時間,處于一日當中,且經半天的勞動,消耗較多,故宜適當多進食,才能彌補損耗,滿足下午勞動工作的需要;晚飯后,一般活動較少,消耗不多,故宜少食,否則常為致病之因。當然,一些夜生活豐富者,晚餐不僅要好,還要加夜宵。
 
(醫藥網整理,轉載請注明出處)

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