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《伤寒杂病论》食疗思想探析OA

An Analysis of Dietary Therapy Thoughts in Treatise on Cold Damage and Miscellaneous Diseases

中文摘要英文摘要

《伤寒杂病论》承《黄帝内经》食疗理论,构建了契合六经辨证、兼具理论与临床实操的中医食疗体系.其食疗思想核心是以"药食同源"为根本原则,将食疗深度融入伤寒杂病诊疗的全过程.张仲景以六经为纲,依病位、病性、传变规律辨证施食,秉持食助药力、食缓药性的原则,确立轻症优先食疗应用准则,凸显食疗温和护正优势;同时提出饮食宜忌,强调辨食材性味、鲜劣及病机病性择宜避害,规避食材相克、杂食伤正风险,兼顾饮食卫生与安全.《伤寒杂病论》将食疗与临床实践深度结合,奠定了中医食疗的临床规范,为后世食疗体系发展夯实基础.

Treatise on Cold Damage and Miscellaneous Diseases inherits the dietary therapy theories from Inner Canon of Huangdi,and establishes a traditional Chinese medicine(TCM)dietary therapy system compatible with the six-meridian syndrome differentiation,which integrates theories and clinical practice.The core of its dietary therapy thoughts takes"homology of medicine and food"as the fundamental principle,and integrates dietary therapy deeply into the whole process of diagnosis and treatment of cold damage and miscellaneous diseases.Taking the six meridians as the guiding framework,Zhang Zhongjing implemented dietary treatment based on syndrome differentiation according to disease location,disease nature and transmission rules.Adhering to the principle that food assists medicinal efficacy and moderates medicinal properties,he established the criterion that dietary therapy should be prioritized for mild diseases,highlighting the advantage of dietary therapy in gently protecting healthy Qi.Meanwhile,he put forward dietary contraindications and indications,stressing that suitable food should be selected and harmful ones avoided by distinguishing the nature and flavor,freshness and quality of food materials as well as disease mechanism and disease nature.He aimed to prevent risks including incompatibility between food ingredients and impairment of healthy Qi caused by mixed diets,and attached importance to dietary hygiene and safety.Treatise on Cold Damage and Miscellaneous Diseases deeply integrates dietary therapy with clinical practice,establishes the clinical norms of TCM dietary therapy,and lays a solid foundation for the development of the dietary therapy system in later generations.

张玉辉;赵凯维;田伟;刘理想

中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700首都医科大学附属北京中医医院,北京 100010中国中医科学院中医基础理论研究所,北京 100700

医药卫生

《伤寒杂病论》食疗药食同源

Treatise on Cold Damage and Miscellaneous DiseasesDietary therapyHomology of medicine and food

《中国中医基础医学杂志》 2026 (10)

2153-2157,5

中国中医科学院科技创新工程项目(CI2021A00312)

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