基于标本缓急理论的内科轻症急腹症分阶段药食同源食疗方案探析OA
Staged food-medicine homology dietary therapy for mild acute abdomen in internal medicine based on the theory of root-manifestations priority
内科轻症急腹症是急诊常见的临床综合征,西医以解痉止痛、抗感染等药物对症治疗为主.目前国内外尚无针对该疾病的中医食疗指南,临床饮食指导多为笼统的"清淡饮食"原则,既未解决发作期常规饮食易加重胃肠负担的问题,也普遍忽视巩固期整体调理及复发预防.药食同源食疗安全、便捷,兼具饮食营养与辅助治疗双重作用,为填补这一临床空白提供了新思路.本研究基于"急则治其标,缓则治其本"的标本缓急理论,结合疾病"发作—缓解—恢复"的自然病程特点,探析内科轻症急腹症分阶段药膳食疗的应用逻辑.通过明确各阶段核心病机与食疗准则,提出发作期以流质药膳替代普通饮食、缓解期与巩固期逐步过渡的分阶段调理方案,初步构建了系统化的药食同源辅助干预模式.该模式可弥补内科轻症急腹症现有饮食干预的不足,为临床提供可操作的非药物干预参考.
Mild acute abdomen of internal medicine origin is a common clinical syndrome in emergency settings.In Western medicine,symptomatic treatment predominates,primarily using antispasmodics,analgesics,and anti-infective agents.Currently,there are no Chinese medicine dietary guidelines specifically for this condition either domestically or internationally,and clinical dietary advice is mostly limited to a vague"light diet"recommendation.This approach neither alleviates the problem that regular diet during the acute episode tends to increase gastrointestinal burden,nor adequately addresses holistic conditioning during the consolidation phase or prevention of recurrence.Food-medicine homologous dietary therapy,being safe,convenient,and possessing dual functions of nutritional support and adjunctive treatment,offers a new avenue to fill this clinical gap.Drawing on the theory of"treating the manifestations first in acute conditions and the root in remissive stages,and integrating the natural disease course characterized by"episode-remission-recovery",this study explores the application logic of staged food-medicine homologous dietary therapy for mild acute abdomen in internal medicine.By clarifying the core pathogenesis and dietary principles at each stage,this study proposes a staged management strategy:replacing ordinary meals with liquid medicinal diets during the acute episode,followed by gradual transitions during the remission and consolidation stages.This preliminary framework establishes a systematic food-medicine homologous adjunctive intervention model.This model has the potential to compensate for the shortcomings of existing dietary interventions for mild acute abdomen in internal medicine,and offers a practical,non-pharmacological reference for clinical management.
柳熠玲;邓芙蓉;黄永思;朱姝静;刘科;钟峰
湖南中医药大学第一附属医院,湖南 长沙 410007湖南中医药大学第一附属医院,湖南 长沙 410007湖南中医药大学第一附属医院,湖南 长沙 410007湖南中医药大学第一附属医院,湖南 长沙 410007湖南中医药大学第一附属医院,湖南 长沙 410007湖南中医药大学第一附属医院,湖南 长沙 410007
医药卫生
内科轻症急腹症标本缓急药食同源分阶段辅助治疗中医食疗
mild medical acute abdomenroot-manifestations priorityfood-medicine homologystaged adjunctive treatmentTCM diet therapy
《药食同源杂志》 2026 (6)
461-469,9
湖南省中医药管理局2024年度中医药科研课题重点课题(A2024021)湖南中医药大学2024年度研究生创新课题(2024CX055)2023年度国家自然科学基金项目(82374595).
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