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作者简介:
刘兴烈,中山大学附属第六医院硕士研究生导师,中医学博士,中医师承中国首届国医大师周仲瑛教授(南京中医药大学),中国中医药学会亚健康分会副主任委员、中国中医药学会治未病与亚健康分会副会长、中华中医药中药实验药理分会常务委员、世界中医药学会联合会肿瘤外治法专业委员会常务理事、广东省药理学会中药药理专业委员会常务委员。
张诗军,中山大学附属第一医院,博士研究生导师,医学博士,广东省名中医。中国中西医结合学会理事,广东省中西医结合学会副会长,中国抗癌协会肿瘤营养与支持专业委员会中西医结合学组副主任委员,广东省中西医结合学会亚健康专业委员会主委, 广东省中医药学会肝病专业委员会副主委,世界中医药联合会体质专业委员会理事。德国杜伊斯堡-埃森大学医学院访问学者。
内容简介:
本书主要分上篇、下篇、附篇三部分。上篇,主要从药膳之道、认识太极阴阳五行等方面阐述了药膳基础理论和基本知识。下篇,纲举目张,重点介绍了常见食材和“药食两用”中药的性味、归经、主要功效、适应证、用法,并提供了大量的具有可操作性的药膳处方。附篇,介绍了我国首届国医大师、著名中医学家周仲瑛教授的部分“原汁原味”药食病案。
编辑推荐:
本书内容丰富、通俗易懂,具有较高的实用价值和较好的可操作性。开篇对中医太极、阴阳、五行等中医基础理论的介绍十分精彩,结合天干地支等时空关系,进行深入浅出地论述;下篇收集各类药膳方,纲举目张,可供读者酌情选用;附篇为国医大师周仲瑛的病案集,编者对每一病案给予透彻的点评,便于读者对国医大师处方用药思路的理解。该书为中医师研修教材,兼具实用参考书的特性,对中医学生、中医药工作者及广大读者均具有较高指导意义。
目录
上篇 导论
第一章 药膳之道········································································003
第一节 如何理解“药膳之道”····················································· 004
第二节 如何研习药膳古医籍······················································· 005
第二章 认识太极阴阳五行····························································008
第一节 溯本求源,熟谙太极······················································· 008
第二节 阴阳五行,大道至简······················································· 010
第三节 通晓时空······································································ 030
第四节 明了天地人万物相应······················································· 038
第三章 逐层参透脏腑经络····························································042
第一节 手太阴肺经及皮部·························································· 043
第二节 手阳明大肠经及皮部······················································· 044
第三节 足阳明胃经及皮部·························································· 045
第四节 足太阴脾经及皮部·························································· 047
第五节 手少阴心经及皮部·························································· 048
第六节 手太阳小肠经及皮部······················································· 049
第七节 足太阳膀胱经及皮部······················································· 050
第八节 足少阴肾经及皮部·························································· 052
第九节 手厥阴心包经及皮部······················································· 053
第十节 手少阳三焦经及皮部······················································· 054
第十一节 足少阳胆经及皮部······················································· 055
第十二节 足厥阴肝经及皮部······················································· 057
第十三节 督脉及皮部································································ 058
第十四节 任脉及皮部································································ 059
第四章 药膳为什么能调理身体······················································060
第一节 食材的整体性································································ 060
第二节 食材的四气五味与五行、五脏的关系·································· 061
第三节 食材的其他自然属性······················································· 065
第四节 食材的行走路径····························································· 068
第五节 道地食材与顺时采摘食用················································· 072
第六节 食材的人工属性····························································· 074
第七节 重视大自然的力量·························································· 079
第八节 药膳的特点、分类及应用原则··········································· 085
第九节 食材的配伍··································································· 097
第十节 禁忌············································································ 100
第五章 明确药膳食谱与食材的关系················································ 108
第一节 君臣佐使······································································ 108
第二节 用食材如用兵,用药膳食谱如用阵····································· 111下篇
下篇 常用药膳原料与药膳配方
第六章 常见谷豆类药膳······························································· 117
第一节 糯米类········································································· 117
第二节 小麦类········································································· 120
第三节 马铃薯类······································································ 122
第四节 黄豆类········································································· 124
第五节 绿豆类········································································· 128
第六节 豆腐类········································································· 129
第七章 常见蔬菜、野菜类药膳······················································ 131
第一节 冬瓜类········································································· 131
第二节 丝瓜类········································································· 139
第三节 南瓜类········································································· 147
第四节 黄瓜类········································································· 150
第五节 西葫芦瓜类··································································· 160
第六节 苦瓜类········································································· 161
第七节 葫芦瓜类······································································ 169
第八节 西红柿类······································································ 172
第九节 旱芹类········································································· 176
第十节 水芹类········································································· 177
第十一节 苋类········································································· 178
第十二节 黄芽白菜类································································ 178
第十三节 菘菜类······································································ 180
第十四节 甘蓝类······································································ 180
第十五节 菠菜类······································································ 181
第十六节 蕹菜类······································································ 183
第十七节 韭菜类······································································ 184
第十八节 金针菜类··································································· 185
第十九节 莴苣类······································································ 190
第二十节 茼蒿类······································································ 191
第二十一节 芥菜类··································································· 191
第二十二节 莙荙菜类································································ 192
第二十三节 冬葵叶类································································ 193
第二十四节 落葵类··································································· 194
第二十五节 芫荽类··································································· 196
第二十六节 椿叶类··································································· 197
第二十七节 枸杞子叶类····························································· 198
第二十八节 蕨类······································································ 199
第二十九节 苜蓿类··································································· 200
第八章 常见果品类药膳·······························································202
第一节 苹果类········································································· 202
第二节 香蕉类········································································· 204
第三节 菠萝类········································································· 205
第四节 葡萄类········································································· 206
第五节 无花果类······································································ 207
第六节 草莓类········································································· 209
第七节 芒果类········································································· 210
第八节 栗子类········································································· 211
第九节 落花生类······································································ 212
第九章 常见禽肉类药膳······························································· 213
第一节 鸡类············································································ 213
第二节 鸭肉类········································································· 220
第三节 鹅肉类········································································· 223
第四节 鸽肉类········································································· 225
第五节 鹌鹑类········································································· 226
第六节 燕窝类········································································· 227
第十章 常见畜肉类药膳·······························································229
第一节 猪类············································································ 229
第二节 野猪肉类······································································ 241
第三节 牛类············································································ 242
第四节 羊类············································································ 247
第五节 狗肉类········································································· 249
第六节 兔肉类········································································· 251
第七节 猫肉类········································································· 253
第八节 鹿肉类········································································· 254
第九节 驴肉类········································································· 255
第十一章 常见奶蛋类药膳····························································257
第一节 鸡蛋类········································································· 257
第二节 鸭蛋类········································································· 259
第三节 鹅蛋类········································································· 260
第四节 鸽蛋类········································································· 260
第五节 牛奶类········································································· 263
第六节 羊奶类········································································· 264
第七节 马乳类········································································· 265
第十二章 常见水产类药膳····························································267
第一节 鲤鱼类········································································· 267
第二节 鳖类············································································ 269
第三节 龟类············································································ 271
第四节 海带类········································································· 272
第五节 紫菜类········································································· 274
第六节 蟹类············································································ 275
第七节 对虾类········································································· 276
第八节 海参类········································································· 276
第九节 乌贼鱼类······································································ 278
第十节 海蜇类········································································· 279
第十一节 石首鱼类··································································· 280
第十二节 带鱼类······································································ 281
第十三节 牡蛎肉类··································································· 282
第十四节 文蛤肉类··································································· 284
第十五节 泥鳅类······································································ 285
第十六节 鳝鱼类······································································ 286
第十七节 鳜鱼类······································································ 287
第十八节 鲫鱼类······································································ 288
第十三章 常见调味品、其他佐料药膳·············································290
第一节 常见蔬菜类调味品·························································· 290
第二节 常见中药类调味品·························································· 292
第十四章 常见中药食物类药膳······················································298
第一节 常见补虚类··································································· 298
第二节 平肝熄风类··································································· 322
第三节 安神类········································································· 323
第四节 止咳平喘类··································································· 325
第五节 化痰类········································································· 326
第六节 活血化瘀类··································································· 328
第七节 止血类········································································· 331
第八节 消食类········································································· 332
第九节 理气类········································································· 334
第十节 温里类········································································· 336
第十一节 化湿类······································································ 337
第十二节 祛风湿类··································································· 339
第十三节 解表类······································································ 342
第十四节 清热类······································································ 344
第十五节 其他类······································································ 349
附篇 药食病案选
案一 慢性阻塞性肺病,咳喘案···················································· 355
案二 疑肺心病,咳喘案····························································· 357
案三 喘证案············································································ 359
案四 支气管扩张,咯血案·························································· 362
案五 支气管哮喘,哮病案·························································· 364
案六 虚体感冒案······································································ 367
案七 肺痨,肺结核案································································ 368
案八 慢性支气管炎,内伤咳嗽案················································· 369
案九 冠心病,胸痹案································································ 371
案十 慢性心力衰竭,心衰案······················································· 375
案十一 房颤,心悸案································································ 377
案十二 心动过缓案··································································· 385
案十三 房性期前收缩案····························································· 387
案十四 原发性高血压································································ 390
案十五 眩晕、心悸案································································ 398
案十六 多病丛集案··································································· 400
案十七 尿路结石,石淋案·························································· 406
案十八 慢性肾盂肾炎,腰痛案···················································· 407
案十九 糖尿病肾脏疾病并冠心病介入术后,消渴肾病并胸痹案·········· 409
案二十 过敏性紫癜性肾炎,血证案·············································· 411
案二十一 系统性红斑狼疮性肾炎,邪毒肾病案······························· 413
案二十二 慢性前列腺炎,淋证案················································· 416
案二十三 前列腺增生症、脑梗死,癃闭、中风案···························· 418
案二十四 病毒性肾炎,尿血案···················································· 420
案二十五 生殖膀胱炎,经行血淋案·············································· 421
案二十六 慢性肾炎,慢肾风案···················································· 424
案二十七 肾病综合征,水肿案···················································· 427
案二十八 IgA 肾病,腰痛案······················································· 428
案二十九 高血压肾病并糖尿病,眩晕、消渴、尿浊案······················ 430
案三十 慢性肾功能衰竭,溺毒案················································· 431
病案研习小结············································································ 444
主要参考书目··············································································445
精彩章节截取:
第七节 重视大自然的力量
《黄帝内经·素问·宝命全形论》指出:“天覆地载,万物悉备,莫贵于人。”“夫人生于地,悬命于天,天地合气,命之曰人。”可见,人是最宝贵的,需要呵护。如何呵护?精研医术。养身是医术的具体体现,实际上就是求助于自己的饮食调养。饮食调养,离不开大自然。大自然已经告诉人类,地球上任何角落的自然之物无论草木,还是虫鸟,包括食材原料,其变化都与地球公转、自转,以及日月星辰有关。大自然对人类格外恩赐,恩赐给人类的东西远远多于其他动物,可以说人类是万物之贼,但唯有中华民族用天地人物四者合一的整体论思想指导养身,重视大自然的力量。
中华民族是敬畏大自然、重视大自然力量的民族,创造了天人相应理论。天人相应理论,主要体现于万物同源、同气相求、体用一源无间三个方面。万物同源:人与万物,是自然界的组成部分,必须遵循自然界万物运行的规律;人与万物,和谐相处共存,相互进行物质与能量交换。例如稻谷生长于热带雨林气候区、热带季风气候区、亚热带季风气候区等,与该气候区的生命个体,都秉天地阴阳之气而生,都遵循大自然生命自然规律。稻米,色白应肺,属金,性凉,养育该地区人群,清该地区人群多余之阳热之气。稻秆、稻根须有清热养阴生津的效果,煎汤所制之茶,也符合该地区人群普遍阳热体质。人以天地之气生,四时之法成。日常生活中,应全面认识天地自然与人事的变化规律,在使用食材时应该顺应天地自然规律,从而达到最佳的养身效果;食材是天地造化的结晶,天地之气的变动必然影响到食材的效果,故《黄帝内经·素问·至真要大论》提出“司岁备物”的要诀,其大意是使用食材等,应当依据食材原料的生长年份与气候。食材的性能与生长、采集的季节气候紧密相关。
同气相求:人与食材等都秉受天地之气而生,都是生命的个体,故动植物具有与人类相似的生理与病理过程。当人体或动物出现疾病的时候,会本能地利用某些植物或动物的相应部位所蕴含的特异的“气”,去补充所缺失的“气”,或纠正某些部位的病气,从而发挥调治作用。例如小儿遗尿,可用炖猪膀胱桑螵蛸汤。再如,同样是雨水,立春的雨水与立冬后10日至小雪时段的雨水作用大不一致。立春的雨水秉受春天升发之气,可以用来炖人参、黄芪、五指毛桃等升提中气的药食同源之品,可以预防中气下陷证。立冬后10日至小雪时段的雨水,又称液雨水,百虫饮之皆伏藏,用之烹调食材,有辅助杀虫的效果。《温病条辨》指出:“治上焦如羽(非轻不举),治中焦如衡(非平不安),治下焦如权(非重不沉)。”由此得到启发,质地轻清的食材属阳而上浮,质地重浊的食材属阴而下沉。菊花、薄荷、紫苏叶质地轻清,上浮而走肺,用之为食材,起码有预防外感风邪之效。醋龟甲、醋鳖甲为重浊之物,下趋而走肾。这些都是同气相求理论的具体应用。
体用一源无间(出自《易传》:“至微者,理也;至著者,象也。体用一源,显微无间。”):揭示了体与用的辨证关系。运用“体用一源无间”理论,可以探究食材的功效,主要从四方面着眼。一是依据食材的形体探究其功用。例如做豆腐使用的熟石膏,是由生石膏火烧煅制而成,有咸涩味,而生石膏,色白,晶莹剔透,是能够起死回生的四大药(人参、大黄、附子、石膏)之一。“石膏”之“石”字,意指石膏是一质地较重的石头,能往身,尤其在头上。肺在脏腑中位置最高,有华盖之称,五脏六腑所有的火,肺都要承受;胃,为多气多血之腑,也容易生火。五脏六腑之火,都会影响肺及胃。然肝升肺降、脾升胃降,构成机体升降浮沉的生理循环。肺气与胃气以下降为顺,若邪火太过,肺胃之气降之不及,肺胃之火象就明显。石膏能镇降肺胃之火,火随之而降,顺应肺胃之气而下降。“石膏”之“膏”字,有滋润的意思,润就能生津。虽然后世许多医家认为生石膏大寒,但《神农本草经》则说生石膏微寒,到底是微寒还是大寒?生石膏有大寒之体,但兼具有发散为阳的辛甘之味,使生石膏大寒之性往外散发,故有微寒之用。二是从食材体质探讨其功用,例如燥性食材得天气多,能调养湿性之体;润性食材得地气多,能调养燥性之体。三是从食材之质地轻重探讨其功用,如薄荷、紫苏叶质地轻,有发表去实的效果。四是依据食材之体,探究食材作用的选择性。调养上部,当用食材头部;调养中部,当用食材身部;调养下部,当用尾部。学习药膳要有一种开放、灵通的心态,不应把食性看得太死,食性就像人的性格那样。比如石膏用对路了,就是微寒,反之就是大寒。
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