中医治未病资料

中医治未病资料 老年人中医健康指导 我国已经进入老龄化社会～对老年人进行传统中医保健可以有效的预防疾病的发生～促进疾病的预后～减少卫生资源的浪费～提高老年人生活质量。针对老年人体质以及患病特点～结合社区卫生服务机构的特色～制定了老年人社区中医保健规范。在本规范中～老年人的传统中医的保健主要分为以下两种情况～一是老年人中医体质辨识,二是老年人的常见症状和保健要点～其中常用方法主要包括简单的穴位疗法、饮食疗法及推拿疗法。对于社区老年人～应每年进行一次中医健康状态评估～结合其中医体质特点和健康状态给予中医保健的处方和健康教育指导～并对其进行定期随访。 一、常用养生保健方法 人到老年～机体的器官组织形态和功能都发生了退行性变化～脏腑气血生理机能自然衰退～阴阳失衡,同时社会角色和地位的改变～带来心理上的变化～易产生孤独寂寞、忧郁多疑、烦躁易怒、失落等心理状态。因此对于老年人的养生保健应从心理调摄、饮食调养、起居调摄、运动保健等多方面进行。 ,一,心理调摄 老年人心理调摄的关键在于培养乐观情绪～保持神志安定。老年人可以通过欣赏音乐、习字作画、垂钓怡情等方法进行心理调摄～缓解疲劳、平稳血压和心律～达到心身愉悦的目的。 ,二,饮食调养 老年人的消化系统功能减弱尤为明显～因此老年人的饮食调摄应以营养丰富、清淡易消化为原则～做到饮食多样化～食宜清淡、熟软～进食宜缓～食要限量～少吃多餐。 ,三,起居调摄 老年人的生活起居应当谨慎～做到起居规律～睡眠充足。老年人的居住环境以安静清洁、空气流通、阳光充足、湿度适宜、生活起居方便为好。注意劳逸结合～保持良好的卫生习惯～定时大便～临睡器宜用热水泡脚。 ,四,运动保健 老年人进行积极的体育锻炼可以促进气血运行～延缓衰老～并可产生一种良性心理刺激～使人精神焕发～对消除孤独垂暮、忧郁多疑、烦躁易怒等情绪有积极作用。老年人运动锻炼要遵循因人制宜、适时适量、循序渐进、持之以恒的原则。适合老年人的运动项目有太极拳、八段锦、慢跑、散步、游泳、乒乓球等。如果身体不适可暂时停止运动～不要勉强。锻炼3个月以后～应进行自我健康小结～总结睡眠、二便、食欲、心率、心律是否正常～一旦发现异常情况～应及时就诊～采取措施。 二、中医体质辨识及保健要点 ,一,平和质 1.特征 总体特征:阴阳气血调和～以面色、肤色润泽～头发稠密有光泽～目光有神～鼻色明润～嗅觉通利～味觉正常～唇色红润～精力充沛～不易疲劳～耐受寒热～睡眠安和～胃纳良好～二便正常等为主要特征。 形体特征:体形匀称健壮。 心理特征:性格随和开朗。 发病倾向:平素患病较少。 对外界环境适应能力:对自然环境和社会环境适应能力较强。 2.保健要点 ?饮食保健 对于阴阳平和的老年人应丰富饮食的种类～形成多样化的饮食习惯～多吃五谷杂粮、蔬菜瓜果～少食过于油腻及辛辣之物。 建议选择具有健脾、滋肾作用的饮食～如小麦、黄豆、山药、豆腐、木耳、苹果等。 推荐食疗方:山药扁豆粥——山药30克～白扁豆10克～粳米50克～白糖少许。制作:将粳米淘洗干净～山药切片～白扁豆洗净,将粳米、白扁豆放入锅内～加水适量～臵武火上烧沸～再用文火熬煮至八成熟时～加入山药片、白糖～继续熬煮至熟即成。本粥有补益脾胃的作用。 ?穴位保健 选穴:足三里、气海、大椎 定位:足三里穴位于外膝眼下三寸～胫骨前嵴外1横指处,气海穴位于前正中线上～脐下1.5寸,大椎穴位于后正中线上～rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 第七颈椎棘突下凹陷中。 操作: 点按法:用大拇指或中指按压足三里、气海穴～足三里穴可以两侧穴位同时操作。每次按压操作5-10分钟～每日两次～10天1个疗程。 艾灸法:雀啄灸法-点燃艾条后对准足三里、气海穴、大椎穴～距离皮肤约两厘米～以皮肤感到温热舒适能耐受为度～每次10-15分钟～隔日一次～10天为1疗程。 ?经络保健 平和质的经络按摩以通畅督脉为主。首先～将按摩油均匀滴到背部正中线及两侧～自颈部到腰骶部自上而下用手掌掌面进行推擦～与自颈部沿圆弧线到两侧腋窝的推擦相交替～各12次～再沿督脉及两侧第一侧线的膀胱经循行～每隔1寸左右即用拇指进行点、推、揉～3，5遍后～右手五指稍微并拢～用指端自上而下对督脉、两侧竖脊肌进行叩击。 ?运动保健 建议平和质的老年人形成良好的运动习惯～每日进行半小时-1小时的有氧运动。推荐保健运动为八段锦、太极剑以及太极拳。 ?注意事项 应持之以恒地保持良好的生活起居习惯。不宜食后即睡～保持充足的睡眠时间。 ,二,气虚质 1.特征 总体特征:元气不足～以平素语音低怯～气短懒言～肢体容易疲乏～精神不振～目光少神～头晕～健忘～易出汗～舌体胖大、边有齿痕等气虚现为主要特征。 形体特征:肌肉松软不实。 心理特征:性格内向～不喜冒险。 发病倾向:易患感冒、内脏下垂等病～病后康复缓慢。 对外界环境适应能力:不耐受风、寒、暑、湿邪。 2.保健要点 ?推荐基本药方 对于气虚体质的老年人推荐的基本药方为补中益气丸～同时在临床用药中应慎用破气破血的药物如枳实、枳壳、莪术、三棱、水蛭、虻虫等。 ?饮食保健 对于气虚体质的老年人应多吃具有益气健脾作用的食物～如粳米、小米、黄米、大麦、黄豆、白扁豆、豇豆、蚕豆、豌豆、土豆、白薯、红薯、山药、胡萝卜、香菇、鲫鱼、鹌鹑、鹅肉、羊心、羊肚、莲子、蘑菇、芡实、栗子、人参等。少吃具有耗气作用的食物～如槟榔、空心菜等。 推荐食疗方:黄芪童子鸡——童子鸡1只～生黄芪15克～葱、姜、盐、黄酒适量。制作:取童子鸡1只洗净～用纱布袋包好生黄芪～取一根细线～一端扎紧袋口～臵于锅内～另一端则绑在锅柄上。在锅中加姜、葱及适量水煮汤～待鸡熟后～拿出黄芪包。加入盐、黄酒调味～即可食用。本汤具有补气补虚。 山药粥——山药30克～粳米180克。制作:将山药和粳米一起入锅加清水适量煮粥～煮熟即成。此粥可在每日晚饭时食用。本粥具有补中益气、益肺固精的作用。 ?穴位保健 选穴:关元、气海、神阙 定位:关元穴位于前正中线上～脐下3寸,气海穴位于前正中线上～脐下1.5寸,神阙穴位于脐窝中央。 操作:艾灸法:平躺～借助温灸盒～对每个穴位进行温灸～每个穴位时间10分钟～隔日一次～10天为1疗程。 ?运动保健 对于气虚体质的老年人应避免剧烈的体育活动～太极拳和八段锦比较适合这类群体。推荐:呼气提肛法。明代"养生十六宜"指出"谷道宜常撮"～谷道指肛门。首先吸气收腹～收缩并提升肛门～停顿2，3秒之后～再缓慢放松呼气～如此反复10，15次。八段锦的“两手攀足固肾腰”和“攒拳怒目增力气”加做1~3遍。 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities ?注意事项 注意保暖:气虚质者卫阳不足～易于感受外邪～应注意保暖～不要劳汗当风～防止外邪侵袭。避免劳累:劳则气耗～气虚质者尤当注意不可过于劳作～以免更伤正气。 ,三,阳虚质 1.特征 总体特征:阳气不足～以平素畏冷～手足不温～喜热饮食～易出汗～精神不振～睡眠偏多～小便清长～大便溏薄～舌淡胖嫩～边有齿痕等虚寒表现为主要特征。 形体特征:肌肉松软不实。 心理特征:性格多沉静、内向。 发病倾向:易患痰饮、肿胀、泄泻等病,感邪易从寒化。 对外界环境适应能力:耐夏不耐冬,易感风、寒、湿邪。 2.保健要点 ?推荐基本药方 对于阳虚体质的老年人推荐的基本药方为金匮肾气丸～同时在临床用药中应慎用凉性的药物以免损伤阳气。 ?饮食保健 对于阳虚体质的老年人应多吃甘温益气的食物～比如牛羊狗肉、葱、姜、蒜、花椒、鳝鱼、韭菜、辣椒、胡椒等。少食生冷寒凉食物～如黄瓜、藕、梨、西瓜等。 推荐食疗方:当归生姜羊肉汤——当归20克～生姜30克～羊肉500克～料酒、食盐适量。制作:生姜冲洗干净～当归用清水浸软～切片备用,羊肉剔去筋膜～放入开水锅中略烫～除去血水后捞出～切块备用,当归、生姜、羊肉放入砂锅中～加清水、料酒、食盐～旺火烧沸后撇去浮沫～再改用小火炖至羊肉熟烂即成。本汤具有温中补血～祛寒止痛的功效～尤其适合冬天服用。 ?穴位保健 ,选穴:命门、肾俞 定位:命门穴位于后正中线上～第2腰椎棘突下凹陷中,肾俞穴位于第2腰椎棘突下～旁开1.5寸。 操作:艾灸法:俯卧～借助温灸盒～对穴位进行温灸～时间10-15分钟～隔日一次～10天为1疗程。 ,耳穴选穴:肾穴 定位:肾穴在对耳轮上下脚分叉处下方。 操作方法:将王不留行籽贴于肾穴上～用胶布固定～每穴用拇、食指对捏～以中等力量和速度按压40次, 达到使耳廓轻度发热、发痛。每日自行按压3-5次～每次3-5分钟。两耳穴交替贴压～3-5天一换～10天为1个疗程。 ?推拿保健 采用摩擦腰肾法:以两手平掌的鱼际、掌根～或两手虚拳的拳眼～拳背着力～同时做上下左右摩擦两侧腰骶部。每次15分钟～每天2次～10天1疗程。做坐式八段锦的“闭气搓手热～背后摩精门～左右辘轳转～两脚放舒伸。翻掌向上托～弯腰攀足频”。 ?运动保健 对于阳虚体质的老年人在运动中应注意避风寒～不宜大汗～适合做一些温和的有氧运动如慢走、太极剑、太极拳等。八段锦的“背后七颠百病消”和“两手攀足固肾腰”加做1~3遍。 ?注意事项 阳虚质者耐春夏不耐秋冬～秋冬季节要适当暖衣温食以养护阳气～尤其要注意腰部和下肢保暖～每天以热水泡脚为宜。夏季暑热多汗～也易导致阳气外泄～使阳气虚于内。建议尽量避免强力劳作和大汗～也不可恣意贪凉饮冷。多在阳光充足的情况下适当进行户外活动～不可在阴暗潮湿寒冷的环境下长期工作和生活。 ,四,阴虚质 1.特征 总体特征:阴液亏少～以面色潮红、有烘热感～手足心热～目干涩～视物花～鼻微干～唇红微干～平素易口燥咽干～口渴喜冷饮～眩晕耳鸣～睡眠差～小便短涩～大便干燥等虚热表现为主要特征。 形体特征:体形偏瘦。 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 心理特征:性情急躁～外向好动～活泼。 发病倾向:易患疲劳、不寐等病,感邪易从热化。 对外界环境适应能力:耐冬不耐夏,不耐受暑、热、燥邪。 2.保健要点 ?推荐基本药方 对于阴虚体质的老年人推荐的基本药方为六味地黄丸～同时在临床用药中应慎用辛温燥热之品。 ?饮食保健 对于阴虚体质的老年人可以多吃甘凉滋润的食物～比如黑大豆、黑芝麻、蚌肉、兔肉、鸭肉、百合、豆腐、豆浆、猪头、猪髓、燕窝、银耳、木耳、甲鱼、牡蛎肉、鱼翅、干贝、麻油、番茄、葡萄、柑橘、荸荠、香蕉、梨、苹果、桑葚、柿子、甘蔗等。少吃羊肉、狗肉、辣椒、葱、蒜等性温燥烈之品。 推荐食疗方:莲子百合煲瘦肉——莲子,去芯,15克～百合20克～猪瘦肉100克～盐适量。制作:用莲子,去芯,、百合、猪瘦肉～加水适量同煲～肉熟烂后用盐调味食用。本汤具有清心润肺、益气安神的功效。 ?穴位保健 ,选穴:三阴交、太溪 定位:三阴交穴位于内踝尖上三寸～胫骨后缘,太溪穴位于足内侧～内踝后方～内踝尖与跟腱之间的凹陷处。 操作方法:用大拇指或中指按压三阴交和太溪穴～两侧穴位同时操作。每次按压操作5-10分钟。每日2次～10天1个疗程。 ,耳穴选穴:肝穴、肾穴。 定位:肾穴位于对耳轮上下脚分叉处下方,肝穴位于耳甲艇的后下部。 操作方法:将王不留行籽贴于肾穴及肝穴上～用胶布固定～每穴用拇、食指对捏～以中等力量和速度按压40次, 达到使耳 5次～每次3-5分钟。两耳穴交替贴压～3-5天一换～10天为1个疗程。 廓轻度发热、发痛。每日自行按压3- ?运动保健 对于阴虚体质的老年人应保证每天半小时~1小时的有氧运动～如慢走、游泳、爬山、太极拳等。八段锦的“五劳七伤往后瞧”和“两手攀足固肾腰”加做1~3遍。 ?注意事项 熬夜、剧烈运动、高温酷暑的工作生活环境等能加重阴虚倾向～应尽量避免。 ,五,痰湿质 1.特征 总体特征:痰湿凝聚～以形体肥胖～尤其腹部肥满松软,性格温和～稳重,但也容易情志不畅～抑郁。常自觉胸闷、气短、乏力～食欲不振～活动时喜出黏汗～嘴里常有黏腻或甜腻感,伴随有口臭、嗳气、气喘、腹胀等痰湿表现为主要特征。 形体特征:体形肥胖～腹部肥满松软。 心理特征:性格偏温和、稳重～多善于忍耐。 发病倾向:易患消渴、中风、胸痹、咳喘等病。 对外界环境适应能力:对梅雨季节及湿重环境适应能力差。 2.保健要点 ?推荐基本药方 对于痰湿体质的老年人推荐的基本药方为平胃散、二陈汤～同时在临床用药中可以加用健脾的药物。 ?饮食保健 对于痰湿体质的老年人饮食应以清淡为原则～多吃具有健脾、化痰、祛湿功用的食物如薏米、菌类、紫菜、竹笋、冬瓜、萝卜、金橘、芥末等食物。少吃肥肉、甜及油腻的食物。 推荐食疗方:薏米冬瓜汤—薏米30克～冬瓜150克。制作:山药、冬瓜～臵锅中慢火煲30分钟～调味后即可饮用。本汤具有健脾～益气～利湿的功效。 ?穴位保健 选穴:丰隆、水道 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 定位:丰隆穴位于外踝尖上8寸～胫骨前嵴外2横指,水道穴位于在下腹部～脐中下3寸～距前正中线2寸。 操作方法:用大拇指或中指按压丰隆穴、水道穴～丰隆穴两侧穴位同时操作。每次按压操作5-10分钟。每日2次～10天1个疗程。 ?经络保健 将并拢的食指、中指、无名指按压中脘、气海、关元、天枢各30秒至1分钟,中脘:前正中线上～脐上,寸～或脐与胸剑联合连线的中点处,气海:前正中线上～脐下1.5寸,关元:前正中线上～脐下3寸,天枢:脐中旁开2寸,。 ?运动保健 对于痰湿体质的老年人每天应有规律的有氧运动～合理的饮食习惯～控制体重。可做搅海、漱津～即齿常叩 ,津常咽。八段锦的“双手托天理三焦”和“调理脾胃须单举”加做1~3遍。 ?注意事项 痰湿体质的人耐热的能力差～所以要尽量避免在炎热和潮湿的环境中锻炼。运动环境宜温暖宜人～不要在寒冷的环境中锻炼。痰湿体质的人一般体重较大～运动负荷强度较高时～要注意运动的节奏～循序渐进的进行锻炼～保障人身安全。 ,六,湿热质 1.特征 总体特征:湿热内蕴～以形体偏胖或苍瘦～性格多急躁易怒～口苦口干～身重困倦～心烦懈怠～眼睛红赤～男易阴囊潮湿～小便短赤～大便燥结或粘滞等湿热表现为主要特征。 形体特征:形体中等或偏瘦。 心理特征:容易心烦急躁。 发病倾向:易患疮疖、黄疸、热淋等病。 对外界环境适应能力:对夏末秋初湿热气候～湿重活气温偏高环境较难适应。 2.保健要点 ?推荐基本药方 对于湿热体质的老年人推荐的基本药方为甘露消毒饮、龙胆泻肝汤。 ?饮食保健 对于湿热体质的老年人应提倡饮食清淡～多吃甘寒、甘平、清利湿热的食物～如薏苡仁、莲子、茯苓、红小豆、绿豆、冬瓜、丝瓜、葫芦、苦瓜、黄瓜、西瓜、白菜、芹菜、卷心菜、莲藕、空心菜、苋菜等。少吃胡桃仁、鹅肉、羊肉、狗肉、鳝鱼、香菜、辣椒、花椒、酒、饴糖、胡椒、蜂蜜等甘酸滋腻之品及火锅、烹炸、烧烤等辛温助热食品。 推荐食疗方:薏米绿豆粥——薏米30克、绿豆30克、大米50克。将薏米、绿豆和大米一起入锅加清水适量煮粥～煮熟即成。此粥可在每日早晚食用。本粥具有清利湿热的作用～特别适宜夏天食用。 ?穴位保健 选穴:阴陵泉、阳陵泉 定位:阴陵泉穴位于胫骨内侧踝下方凹陷处,阳陵泉穴位于小腿外侧～当腓骨小头前下方凹陷处。 操作方法:用大拇指或中指按压阴陵泉穴和阳陵泉穴～两侧穴位同时操作。每次按压操作5-10分钟。每日2次～10天1个疗程。 ?运动保健 对于湿热体质的老年人每天应有规律的有氧运动如游泳、爬山、慢走、太极拳、八段锦等。八段锦的“摇头摆尾去心火”和“调理脾胃须单举”加做1~3遍。 ?注意事项 不宜熬夜～或过度疲劳。要保持二便通畅～防止湿热郁聚。 注意个人卫生～预防皮肤病变。 ,七,血瘀质 1.特征 总体特征:血行不畅～以瘦人居多～口唇暗淡或紫～舌质暗有点、片状瘀斑～舌下静脉曲张。 形体特征:胖瘦均见。 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 心理特征:易烦～健忘。 发病倾向:易患症瘕及痛证、血证等。 对外界环境适应能力:不耐受寒邪。 2.保健要点 ?推荐基本药方 对于血瘀体质的老年人推荐的基本药方为桃红四物汤～在临床用药时可以配用理气活血药进行治疗。 ?饮食保健 对于血瘀体质的老年人建议多吃具有活血化瘀的食物如黑豆、黄豆、香菇、茄子、油菜、羊血、芒果、木瓜、海藻、海带、紫菜、萝卜、胡萝卜、金橘、橙子、柚子、桃子、李子、山楂、醋、玫瑰花、绿茶、红糖、黄酒、葡萄酒、白酒等具有活血、散结、行气、疏肝解郁作用的食物。少吃肥猪肉等滋腻之品。应戒除烟酒。 推荐食疗方:黑豆川芎粥——川芎6克～黑豆20克～粳米50克～红糖适量。制作:川芎用纱布包裹～和黑豆、粳米一起水煎煮熟～加适量红糖～分次温服。本粥具有活血祛瘀～行气止痛的功用。 ?穴位保健 选穴:血海 定位:屈膝～在髌骨内上缘上2寸～当股四头肌内侧头的隆起处。 操作方法:用大拇指或中指按压血海穴～两侧穴位同时操作。每次按压操作5-10分钟。每日2次～10天1个疗程。 ?运动保健 对于血瘀体质的老年人每天应有规律的有氧运动～避免剧烈以及过量的体育运动。可采用"步行健身法"～通过步行运动～促进全身血液的运行～有活血化瘀的功效。八段锦的“左右开弓似射雕”和“双手托天理三焦”加做1~3遍。 ?注意事项 血得温则行～得寒则凝。血瘀质者要避免寒冷刺激。日常生活中应注意动静结合～不可贪图安逸～加重气血郁滞。气为血帅～故亦需注意情志舒畅～勿恼怒郁愤。 ,八,气郁质 1.特征 总体特征:气机郁滞～以形体瘦者居多～平素忧郁面貌～神情多烦闷不乐。胸胁胀满～或走窜疼痛～喜叹息～或嗳气呃逆～或咽喉部有异物感～或乳房胀痛。食欲减退～睡眠较差～惊悸怔忡～健忘等气郁表现为主要特征。 形体特征:形体瘦者为多。 心理特征:性格内向不稳定、敏感多虑。 发病倾向:易患脏躁、梅核气、百合病及郁证等。 对外界环境适应能力:对精神刺激适应能力较差,不适应阴雨天气。 2.保健要点 ?推荐基本药方 对于气郁体质的老年人推荐的基本药方为逍遥散、柴胡疏肝散。 ?饮食保健 对于气郁体质的老年人建议多吃小麦、高粱、蒿子秆、香菜、葱、蒜、萝卜、洋葱、苦瓜、黄花菜、海带、海藻、橘子、柚子、槟榔、玫瑰花、梅花等行气、解郁、消食、醒神之品。睡前避免饮茶、咖啡等提神醒脑的饮料。 推荐食疗方:菊花玫瑰茶—杭白菊4朵～玫瑰花2朵～90度水沏～可以经常服用。 ?穴位保健 选穴:太冲、膻中 定位:太冲穴位于足背～第1、2跖骨结合部之前凹陷中,膻中穴位于胸部,当前正中线上,平第四肋间,两乳头连线的中点。 操作方法:用大拇指或中指按压太冲穴和膻中穴～太冲穴两侧穴位同时操作。每次按压操作5-10分钟。每日2次～10天1个疗程。 ?经络按摩 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 选取足厥阴肝经的循行路线～进行经络敲打～每次敲打1个来回～每日2次～10天1疗程。 ?运动保健 建议气郁体质的老年人每天有半小时-1小时的有氧运动。可选择下棋、打牌、瑜珈等体娱游戏～以闲情怡志～促进人际交流。八段锦的“左右开弓似射雕”和“双手托天理三焦”加做1~3遍。 ?注意事项 气郁日久易致血行不畅～衣着方面宜选择宽松透气性好的款式～还应注意鞋袜也不宜约束过紧～否则易影响气血运行～出现肢体麻木或发凉等症状。居室环境宽敞明亮～温度、湿度适宜。 ,九,特禀质 1.特征 总体特征:先天失常～以过敏性疾病者常见哮喘、咽痒、鼻塞、喷嚏～或皮肤常出现风团,遗传性疾病有垂直遗传、先天性、家族性特征,胎传性疾病者具有母体影响胎儿个体生长发育及相关疾病等为主要特征。 形体特征:过敏体质者一般无特殊,先天禀赋异常者或有畸形～或有生理缺陷。 心理特征:随禀质不同情况各异。 发病倾向:过敏体质者易患哮喘、荨麻疹、花粉症及药物过敏等,遗传性疾病如血友病、先天愚型等,胎传性疾病如五迟、五软、解颅、胎惊等。 对外界环境适应能力:适应能力差～如过敏体质者对易致过敏季节适应能力差～易引发宿疾。 2.保健要点 ?推荐基本药方 对于特禀体质的老年人推荐的基本药方为玉屏风散～临床用药中慎用泻药。 ?饮食保健 对于特禀体质的老年人饮食宜清淡、均衡、粗细搭配适当、荤素配伍合理。少吃荞麦、蚕豆、白扁豆、牛肉、鹅肉、鲤鱼、虾、蟹、茄子、酒、辣椒、浓茶、咖啡等辛辣之品、腥发及含致敏物质的食品。 推荐食疗方:黄芪山药粥——黄芪10克～山药50克～大米100克。将黄芪、山药、大米一起入锅加清水适量煮粥～煮熟即成。本粥具有健脾益气的作用。 ?穴位保健 选穴:足三里、关元、神阙、肾俞 定位:足三里位于外膝眼下三寸～胫骨前嵴外1横指处,关元穴位于前正中线上～脐下3寸,神阙穴位于脐窝中央,肾俞穴位于第2腰椎棘突下～旁开1.5寸。 操作:点按法:用大拇指或中指按压足三里穴～两侧穴位同时操作～每次按压操作5-10分钟～每日两次～10天1个疗程。艾灸法:对足三里穴、关元穴、神阙穴、肾俞穴进行温灸～可以借助温灸器～每次时间10-15分钟即可～隔日一次～10天为1疗程。 ?经络按摩 选取足少阴肾经的循行路线～进行经络敲打～每次敲打1个来回～每日2次～10天1疗程。 ?运动保健 建议特禀体质的老年人每天有半小时-1小时的有氧运动。注意避风寒。 ?注意事项 避免过敏原的刺激～生活环境中接触的物品如枕头、棉被、床垫、地毯、窗帘、衣橱易附有尘螨～可引起过敏～应常清洗、日晒。外出也要避免处在花粉及粉刷油漆的空气中～以免刺激而诱发过敏病症。 三、社区常见病证的预防保健 ,一,腰腿痛 1.临床表现:主要为腰腿部疼痛～或以腰酸腿软为特点～每遇阴雨天或腰部感寒后加剧～喜揉喜按～体倦乏力。 2(穴位疗法 ?体穴疗法: rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 常用穴位:委中、犊鼻 定位:委中穴在腘横纹中点～当股二头肌腱与半腱肌肌腱的中间。犊鼻穴位于髌骨与髌韧带外侧凹陷中。正坐屈膝位～在髌骨下方～髌韧带外侧凹陷处取穴。 操作方法:可以用拇指点按双侧委中～点按的力量要适中。如此反复5-10次。10天1个疗程。患者也可自行按压。 ?体育康复法: 八段锦的双手托天理三焦和左右开弓似射雕 太极拳、五禽戏均可使腰腿的筋骨得到缓和而充分的活动。体力较差者可练简化太极拳～如体力条件较好可练四十八式太极拳、五禽戏。 ?药物外敷法: 可用伸筋草、川断煎汤～取汁用毛巾在腰部湿敷～每次20分钟～每日两次。 如有腰痛以酸软为主～喜按喜揉～劳动后加重者～可用肉桂、生姜炒至热后以绢包裹熨痛处～冷后再炒热敷。 ?饮食疗法: 芝麻核桃粥:核桃仁,碾碎,、芝麻少许、大米克～将核桃、芝麻、大米一起入锅加清水适量煮粥～煮熟即成。 枸杞羊肾粥等:羊肾一个～枸杞子、大米～将羊肾、枸杞子、大米一起入锅加清水适量煮粥～煮熟即成。 以上两粥均具有补肾的作用。 ?足浴疗法: 药物:补骨脂、威灵仙～如有遇寒后腰痛加重～可加肉桂、川椒。 操作方法:将所有药物加水煎取3000ml～取药液臵入药桶内～药液平面没膝～水温以40?为宜～每次30-45分钟～以全身微微出汗为佳～日1-2次。 疗程:30天为一疗程。 注意:患严重心力衰竭、心肌梗死、有出血风险、皮肤破损或皮肤感染者不宜足浴～饭前、饭后30分钟不宜进行足浴。 ,二,失眠 1.临床表现:表现为入睡困难～易醒～醒后不能再睡～严重者数日彻夜不睡。 2.保健要点 ?体穴疗法: 常用穴位:内关、神门 定位:内关穴位于前臂正中,腕横纹上2寸,在桡侧腕屈肌腱同掌长肌腱之间取穴,神门穴在腕部～腕掌侧横纹尺侧端～尺侧腕屈肌腱的桡侧凹陷处。 操作方法:用大拇指按压神门穴和内关穴～两侧交替进行～每次按压10-15分钟。10天1疗程。 ?耳穴疗法: 常用穴位:神门、心。 定位:神门在三角窝后1/3的上部～心在耳甲腔正中凹陷处。 操作方法:将王不留行贴于神门及心穴上～用胶布固定～每穴用拇、食指对捏～以中等力量和速度按压40次, 达到使耳廓轻度发热、发痛。每日自行按压3-5次～每次3-5分钟～使之产生酸麻胀痛感。 疗程:两耳穴交替贴压～3-5天一换～10天为1个疗程 ?推拿疗法:每日晨起或临睡时～两手十指自然分开～屈指成龙爪状～以指代梳～自前额发际梳起～经前额、头顶、脑后～由前往后～再由后往前～循环往复～轻重适当～计数16次为宜,同时～可配以点按太阳、上星、百会、四神聪、耳上、神庭、头维、风府、哑门、风池等穴位。 ?饮食疗法: 酸枣仁粥:酸枣仁～大～将酸枣仁、大米一起入锅加清水适量煮粥～煮熟即成。本粥具有安神养心的作用。 百合杏仁粥——百合～杏仁～大米～将百合、杏仁、大米一起入锅加清水适量煮粥～煮熟即成。 ?足浴疗法: 材料:首乌藤～合欢花～ rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 操作方法:将以上药材放入锅中～加水煎煮～取药液倒入药桶内～药液平面没膝～水温以40?为宜～每次30分钟～以全身微微出汗为佳～日1-2次。 疗程:30天为一疗程。 注意～患严重心力衰竭、心肌梗死、有出血风险、皮肤破损或皮肤感染者不宜足浴～饭前、饭后30分钟不宜进行足浴。 ,三,便秘 1. 临床表现:大便干结～排便周期延长,或周期不长～但粪质干结、排出困难,或粪质不硬～虽有便意～但排出不畅。 2. 保健要点 ?体穴疗法 主穴:天枢、足三里。 定位:天枢穴在腹中部～平脐中～距脐中,寸,足三里在外膝眼下三寸～胫骨外侧约一横指处。 操作:采用用大拇指或中指按压以上穴位～两侧可同时进行。 疗程:每次按压10-15分钟～每日两次～10天1个疗程。 ?耳穴疗法 主穴:便秘点 定位:在三角窝下缘～对耳轮下脚中段上缘。 操作方法:将王不留行贴于便秘穴上～用胶布固定～每穴用拇、食指对捏～以中等力量和速度按压40次, 达到使耳廓轻度发热、发痛。贴籽后～嘱患者每日自行按压3-5次～每次3-5分钟～使之产生酸麻胀痛感。 疗程:两耳穴交替贴压～3-5天一换～10天为1个疗程 ?饮食疗法: 菠菜饮:以菠菜取自然汁冲饮之～常服可以治疗便秘。 麻苏粥:麻子仁、苏子2味研烂～水滤取汁～与大米一起煮粥。 ?推拿治疗:摩腹助运～顺时针摩腹～自左上腹-脐-小腹-右上腹-左上腹-左下腹顺序,推按降结肠～若在左下腹部摸到粪块～可向下方用力推按～若能听到肠鸣音为最佳,直擦腰骶～在腰骶部做上下的快速擦动以温阳助运～促进粪块排出。腹宜常摸防百病～顺逆各转三十六～力度适中宜肠胃～早晚坚持便秘除。 ,四,健忘 1.临床表现:记忆力减退～遇事善忘～耳鸣～腰膝酸软～头重头晕～失眠多梦。 2.保健要点 ?体穴疗法 常用穴位:百会、四神聪。 定位:百会穴在头部～后发际正中直上7寸,四神聪在头顶部～百会穴前后左右各,寸～共四穴。 操作:采用用大拇指或中指依次按压以上穴位～两侧可同时进行。 疗程:每次20分钟以上～每天或隔天治疗1次～10次为一疗程～疗程间隔1周。 ?推拿疗法:患者取仰卧位～医生将两手掌按于两耳～两手臵于后枕部。医生手掌轻轻用力。按压患者两耳～然后用手指轻弹枕后持续数次～然后两掌放松～每天1次。做坐式八段锦的“两手抱昆仑～左右敲玉枕”。 ?饮食疗法:如有耳鸣耳聋～腰膝酸软～可选用天门冬玄参炖猪肝——天冬～玄参～猪肝～将天冬、玄参、猪肝洗净煮汤。本汤具有滋肾养阴的作用。 ,五,耳鸣 1.临床表现:自觉耳内鸣响～如闻蝉声～或如闻潮声～或如雷鸣～难以忍受～可伴有听力减退～腰膝酸软～夜尿频多～手脚怕冷。 2.穴位疗法 ?体穴疗法: 主穴:听宫、太溪 定位:耳屏前～下颌骨髁状突的后缘～张口时呈凹陷处。太溪位于在足内侧～内踝后方～当内踝尖与跟腱之间的凹陷处。 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 操作方法:采用用大拇指或中指依次按压以上穴位～两侧可同时进行～每次按压30次～每天2次。 疗程:每日或间日1次～10次为1个疗程～疗程间隙3-5天。 ?耳穴疗法 选穴:耳 定位:耳在屏上切迹前方近耳轮部。 方法:将王不留行籽贴于耳穴上～用胶布固定～每穴用拇、食指对捏～以中等力量和速度按压40次, 达到使耳廓轻度发热、发痛。 疗程:两耳穴交替贴压～3-5天一换～10天为1个疗程。 ?饮食疗法 补中益气粥:炙黄芪～炒白术～党参～熟地～大米～将炙黄芪、炒白术、党参、熟地、大米一起入锅加清水适量煮粥～煮熟即成。本粥具有益气养阴补肾的作用。 ?推拿疗法 通常以自我推拿为主～可揉按听宫～即两手食指在听宫处揉按～并以中指叠加其上～以感到耳内有隆隆声为宜。吸气时向后上揉按～呼气时向下揉按～连做8次。做坐式八段锦的“两手抱昆仑～左右敲玉枕”。 ,六,尿频 1.临床表现 :夜尿频多～遗尿或小便频数不能自禁～咳嗽或谈笑是出现小便失禁～腰膝酸软。 2.穴位疗法 ?体穴疗法: 主穴:中极穴、肾俞 定位: 中极穴位于下腹部～前正中线上～当脐中下4寸。肾俞穴位于第2腰椎棘突下～旁开1.5寸。 操作方法:采用用大拇指或中指按压以上穴位～两侧可同时进行。 疗程:每次按压10-15分钟～每日两次～10天1个疗程。 ?耳穴疗法 选穴:肾穴 定位:肾穴位于对耳轮上下脚分叉处下方。 操作方法:将王不留行籽贴于肾穴上～用胶布固定～每穴用拇、食指对捏～以中等力量和速度按压40次, 达到使耳廓轻度发热、发痛。贴籽后～嘱患者每日自行按压3-5次～每次3-5分钟～使之产生酸麻胀痛感。 疗程:两耳穴交替贴压～3-5天一换～10天为1个疗程。 ?推拿疗法:摩擦腰肾:以两手平掌的鱼际、掌根～或两手虚拳的拳眼～拳背着力～同时做上下左右摩擦两侧腰骶部。每次15分钟～每天2次～10天1疗程。 ?饮食疗法: 巴戟鸡肠汤:巴戟天～鸡肠～将鸡肠剪开洗净～加清水适量与巴戟天同煎至一碗～用食盐调味饮汤食鸡肠～每日分2次服用。 ?体育康复法:主要适用于正虚体弱者～本法可扶助正气～增强体质。 做坐式八段锦的“闭气搓手热～背后摩精门～尽此一口气～意想体氤氲。左右辘轳转～两脚放舒伸。翻掌向上托～弯腰攀足頻。 高血压患者中医健康干预 高血压是一种生活方式病～属身心疾病之一～中医对高血压的预防、治疗及康复各个阶段均有其优势点和优势环节～特别是将中医药理论、技术应用于社区高血压病患者的管理～具有广阔的前景。对于正常高值血压～食疗、导引、养生功法等可使平均血压下降。对高血压病人～食疗、导引及养生功法助于血压的控制～配合中药内服～能使部分患者血压恢复正常～对顽固性高血压及合并有较多症状的患者～中医药方法可起到减轻症状～协助降压～减少减缓靶器官损伤的作用～从而起到未病先防、已病防变的作用。 一、常用中成药及代茶饮推荐方 高血压常见辨证分型参照附表 1.阴虚阳亢证 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 1.1 中成药: 脑立清胶囊～重镇潜阳～平肝熄风。每次3粒～每日2次～疗程4周。 牛黄降压丸～平肝潜阳～清热化痰。每次1-2丸～每日2次～疗程4周。 杞菊地黄丸～滋补肝肾～每次5粒～每日2次～疗程4周。 1.2 茶饮: 菊花茶:白菊花、绿茶～开水冲泡饮服。 苦丁桑叶茶:苦丁茶、菊花、桑叶、钩藤各适量～开水冲泡饮服。 菊楂决明饮:菊花～生山楂片～草决明子各适量。开水冲泡饮服。 1.3 推荐食物: 芹菜、绿豆、绿豆芽、莴苣、西红柿、菊花、海蛰、山楂、荠菜、西瓜、茭白、茄子、柿子、胡萝卜、香蕉、黄瓜、苦瓜、 紫菜、芦笋。 1.4 推荐食疗方: 葛根粥:葛根、粳米、花生米～加适量水～用武火烧沸后～转用文火煮1小时～分次食用。 菊花粥:菊花摘去蒂～上笼蒸后～取出晒干或阴干～然后磨成细末～备用。粳米淘净放入锅内～加清水适量～用武火烧沸后～ 转用文火煮至半成熟～再加菊花细末～继续用文火煮至米烂成粥。每日两次～晚餐食用。 2.气血两虚证 2.1 中成药: 归脾丸～益气养血～安神。每次1丸～每日2次～疗程2周。 2.2 茶饮: 龙眼红枣茶:龙眼肉～红枣～白糖适量～开水冲泡饮服。 党参红枣茶:党参～红枣～茶叶各适量。开水冲泡饮服。亦可将党参、红枣、茶叶加水煎沸3分钟后饮用。 2.3 推荐食物: 大枣、银耳、芝麻、桑椹。 2.4 推荐食疗方: 当归炖猪蹄:将猪蹄洗净切成大块～在开水中煮两分钟～去其腥味～捞出。然后再在锅内加水烧开放入猪蹄～加入当归及调 料适量～用旺火烧开～改用文火煮至猪蹄熟烂。 归芪蒸鸡:炙黄芪～当归～嫩母鸡1只。将黄芪、当归装入纱布袋～口扎紧。将鸡放入沸水锅内氽透、捞出～用凉水冲洗干净。 将药袋装入鸡腹～臵于蒸盆内～加入葱、姜、盐、黄酒、陈皮、胡椒粉及适量清水～上笼隔水蒸约1小时～食时弃去药袋～调味即成～ 佐餐食用。 3.痰瘀互结证 3.1 中成药: 愈风宁心片～活血化瘀～通络定眩。每次5片～每日3次～疗程4周。 3.2 茶饮: 降脂益寿茶:荷叶、山楂、丹参、菊花、绿茶各适量～开水冲泡饮服。 陈山乌龙茶:陈皮、山楂、乌龙茶各适量～开水冲泡饮服。 3.3 推荐食物: 白萝卜、紫菜、白薯、玉米、花生、洋葱、木耳、山楂、海带、海蛰、大蒜、冬瓜。 3.4 推荐食疗方: 马兰头伴海带:马兰头洗净～用沸水烫至色泽泛青～取出后沥水～切成丝备用。海带用温水浸泡12小时洗净～用沸水烫10 分种～取出切成丝～与马兰头同伴～加盐、味精、糖、麻油拌和均匀～佐餐用。 绿豆海带粥:绿豆、海带、大米适量。将海带切碎与其它2味同煮成粥～可当晚餐食用。 4.肾精不足证 4.1 中成药: rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 健脑补肾丸～补肾益精～口服～一次15粒～一日2次, 4.2 茶饮: 杞菊茶:枸杞子、白,杭,菊花、绿茶各适量～开水冲泡饮服。 黑芝麻茶:黑芝麻、绿茶各适量～开水冲泡饮服。 4.3 推荐食物: 银耳、枸杞子、黑枣、核桃仁、海参、淡菜、芝麻。 4.4 推荐食疗方: 桑椹粥:桑椹、粳米各适量～煮成粥～可早晚2次分服。 首乌豆枣香粥:何首乌、加水煎浓汁～去渣后加粳米、黑豆～黑芝麻～大枣3，5枚、冰糖适量～同煮为粥～服用不拘时。 5.肾阳亏虚证 5.1 中成药: 金匮肾气丸～温肾散寒。每次2丸～每日2次～疗程4周。 5.2 茶饮: 杜仲茶:杜仲、绿茶各适量。用开水冲泡～加盖5分钟后饮用。 胡桃蜜茶:胡桃仁、茶、蜂蜜各适量。将胡桃仁捣碎～与茶、蜂蜜共放入茶杯中～开水冲泡代茶饮。 5.3 推荐食物: 韭菜、芝麻、胡桃仁、龙眼肉、羊肉、狗肉、鹿肉。 5.4 推荐食疗方: 复元汤:淮山药、核桃仁、瘦羊肉、羊脊骨、粳米、葱白各适量～先羊脊骨半小时～加羊肉煮开～撇去浮沫～再加生姜、花 椒、料酒、胡椒、八角、食盐即可。 杜仲羊肾汤:杜仲～五味子～羊肾～姜、葱、盐、料酒适量。杜仲、五味子洗净包好～加水煮约1小时后加入羊肾片(已去 筋膜) ～加姜等调料再煮30分钟～去药包调味即成。 6.冲任失调证 6.1 中成药: 坤宝丸～滋补肝肾～镇静安神～养血通络。口服～一次50粒～一日2次。 6.2 茶饮: 归杞梅花茶:当归、枸杞子、白梅花各适量～开水冲泡代茶饮。 以上所有的中成药、代茶饮及食疗方仅为推荐服用～中医为辨证施治～强调个体化～因此社区医师在为患者做推荐时切勿盲 目～对于某些不宜长期大量服用的药物请告知患者～以免对患者造成不必要的损害。 二、常用中医针灸保健疗法 1.耳穴疗法 1.1 材料:一般常选用生王不留行。 1.2 选穴:降压沟、降压点、肝、皮质下、高血压点,图 ,等～ 1.3 操作方法:将王不留行臵于相应耳穴处～用胶布固定～每穴用拇、食指对捏～以中等力量和速度按压30~40次, 达到使 耳廓轻度发热、发痛。 疗程:两耳穴交替贴压～3-5天一换～14天1个疗程。 2.体穴按压: 2.1 原理:对于高血压病患者可辨证施穴～穴位按压可起到以指代针、激发经络、疏通气血的效果。 2.2 选穴: 阴虚阳亢证者可选用太冲、太溪、三阴交、风池、内关, 气血两虚证者～可选用气海、血海、中脘、太阳、合谷、足临泣等。 痰瘀互结证～可按压中脘、丰隆、足三里、头维、血海、公孙, 肾精亏虚者～可选用肾俞、命门、志室、气海、关元、足三里、三阴交。 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 肾阳亏虚证者～可选用关元、百会、足三里、三阴交、神阙、大椎, 冲任失调者～可选用关元、中极、归来、三阴交、蠡沟、中都。 2.3 方法:用指尖或指节按压所选的穴位～每次按压5-10分钟～以有酸胀感觉为宜～14天1个疗程。 三、推荐中医足浴疗法 1、基本原理及要求 1.1原理:泡脚水选用温热,热水,～通过温热刺激使腿及全身毛细血管扩张～周围血液分布增多～循环阻力减少～全身血压也随之下降。可以减轻高血压的症状。 1.2材料:足浴盆或桶尽量选用木质的为好～桶高应不小于40cm～泡脚水选用温热,热水,～水温为40?。 1.3足浴时间:泡脚可每天2次进行～下午与晚间各1次～每次30-40分钟。 1.4方法:双足浸泡～尽量让水没过足踝,有足浴桶者可至膝以下,～水温保持在40?。 2、中药配方: 阴虚阳亢证者可选用磁石降压方:磁石、石决明、当归、桑枝、枳壳、乌药、蔓荆子、白蒺藜、白芍、炒杜仲、牛膝各6g～独活18g。将诸药水煎取汁～放入浴盆中～待温时足浴～每日1次～每次10，30分钟～每剂药可用2，3次, 痰瘀互阻证～可法夏三皮汤:法半夏、陈皮、大腹皮、茯苓皮各30g。水煎取汁～待温时足浴～每次15，30分钟～每日2次～每日1剂,连续3，5天。 肾精亏虚者～可选用杜仲木瓜汤:杜仲、桑寄生、木瓜各30g。水煎取汁～放入浴盆中～用毛巾蘸药液热熨腰痛部位～待温时足浴～每日2次～每次10，30分钟～每日1剂～连续3，5天。 肾阳亏虚证者～可选用杜仲木瓜汤:杜仲、桑寄生、木瓜各30g。水煎取汁～放入浴盆中～用毛巾蘸药液热熨腰痛部位～待温时足浴～每日2次～每次10，30分钟～每日1剂～连续3，5天。 ，15分钟～每日1冲任失调者～可选用三藤汤:香瓜藤、黄瓜藤、西瓜藤各30g。水煎取汁～候温足浴～每日2次～每次10剂～连续7，10天。 附:高血压足浴通用方——邓铁涛教授“浴足方” 怀牛膝、川芎各15g～天麻、钩藤,后下,、夏枯草、吴茱萸、肉桂各10g。上方加水2000ml煎煮～水沸后10分钟～取汁趁温热浴足30分钟～上、下午各1次～2-3周为1疗程。 四、季节更替养生 中医理论中有“天人合一”～即人与自然的统一性～季节更替时天气变化无常～如夏秋交替～冷热更迭～患者容易因气候突变而加重病情～出现头痛、头晕、耳鸣、目眩、心悸等症状。中医重在治未病～如能在气候多变的季节根据患者的个体特点在情志、饮食及运动方面加以调节～则可能起到比服用药物更好的效果。由此说来～中医保健尤为重要。 1. 情志调摄 人顺应四季变化规律～遵循四季养生法则～调摄情志～精神乐观、心境清净。孙思邈在《千金方〃养性》中告诫人们 “莫忧愁、莫大怒、莫悲恐、莫大惧……莫大笑、勿汲汲于所欲,勿悁悁怀忿恨……若能勿犯者～则得长生也。”诗词歌赋、琴棋书画、花鸟虫鱼,均可益人心智、怡神养性～有助于高血压病的调治。 2. 平衡饮食 高血压患者在季节变换中要少吃酸性食品～多吃能补益脾胃的食物～如瘦肉、禽蛋、大枣、水果、干果等,多吃韭菜、菠菜、荠菜和葱等新鲜蔬菜～能有效降低胆固醇～减少胆固醇在血管壁上的沉积～利于血压的调控,多吃甘温食物～如大枣、花生、玉米、豆浆等。 3. 运动调治 高血压患者在季节变换中应当遵循“动中有静、静中有动、动静结合、以静为主”的原则。坚持户外锻炼～以户外散步、慢跑、太极拳、气功锻炼等节律慢、运动量小、竞争不激烈～且不需要过度低头弯腰的项目为宜～并以自己活动后不觉疲倦为度。 4. 顺应季节 在季节变化中～通过顺应四时变化～调整阴阳～使人与自然相和谐～从而达到阴平阳秘～养生保健之功效～使高血压患者在四季更替的过程中泰然自处～血压平稳少波动。春季肝气当令～万物生发～血压易偏高～应多做户外活动～注意戒怒,夏季炎热～暑湿为邪～注意饮食勿过油腻及生冷～勿使大汗伤津,秋季干燥～阴虚之人当注意勿使津伤阴亏,冬季寒冷～肾阳不足之人当注rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 重保护阳气～宜足浴。 糖尿病患者中医健康干预 糖尿病是由于体内胰岛素分泌绝对或相对不足,而引起的以糖代谢紊乱为主的一种全身性疾病,属中医学消渴范畴。中医药在防治糖尿病及其并发症方面有着悠久的历史和丰富的临床实践经验～形成了从整体认识疾病、综合防治和个体化治疗的优势。特别是合理运用中成药、中草药～配合中医饮食调养、运动治疗、非药物防治技术等方面颇具特色。可以改善临床症状、减轻西药副作用、患者提高生活质量～有效防治并发症。 一、常见中医辨证食疗推荐方 《素问〃奇病论》云:“此人数食甘美而多肥也,肥者令人内热,甘者令人中满,故其气上溢,转为消渴。”孙思邈是世界上最早提出饮食治疗的先驱,他曾提出糖尿病患者“慎者有三,一饮酒、二房室、三咸食及面。”王焘还提出了限制米食、肉食及水果等。说明饮食养生法对防治消渴病尤为重要。糖尿病的发生和饮食有关,饮食控制的好坏直接影响到治疗的效果。历代医家在长期的医疗实践中也总结出不少药膳验方。具体应用应该在辨体质、辨病、辨证的基础上～合理选用。 1. 阴虚燥热证 证见烦渴多饮,随饮随喝,咽干舌燥,多食善饥,溲赤便秘,舌红少津苔黄,脉滑数或弦数。食疗应以养阴消渴饮为基础。 食疗药膳方为: ?玉粉杞子蛋:天花粉、枸杞、玉竹煎水～沥出～打入鸡蛋～蒸。 ?杞蓣粥:山药、枸杞适量～加粳米～煮粥。 ?三豆饮:绿豆、黑豆、赤小,煎汤服用。 ?乌梅生津茶:乌梅、麦冬～泡水当茶饮。 ?石斛芩叶茶:石斛,干、鲜均可,、黄芩叶～开水沏泡～代茶饮。 主食以荞麦面粉为主。副食以冬瓜、南瓜、苦瓜、藕叶及绿叶菜等食物。 2. 气阴两虚证 证见乏力、气短、自汗,动则加重,口干舌燥,多饮多尿,五心烦热,大便秘结,腰膝酸软,舌淡或红暗、边有齿痕,舌苔薄白少津或少苔,脉细弱。 食疗药膳方为: ?参杞粥:西洋参、山药、枸杞适量～加粳米煮粥。 ?归芪鸡:黄芪、当归、母鸡剁大块～加水抄煮～去浮沫～纳入黄芪、当归炖至肉熟。 ?苦瓜炒肉:鲜苦瓜、瘦猪肉,武火炒后食用等。 ?首乌适量加水煎半小时,取汁煮鸡蛋,每日1个。 ?益气生津茶:西洋参、石斛～开水沏泡～代茶饮。 主食以黄豆、玉米面粉为主。副食以洋葱、莲藕、豆腐、胡萝卜、黄瓜等。 3. 阴阳两虚证 证见乏力自汗,形寒肢冷,腰膝酸软,耳轮焦干,多饮多尿,混浊如膏,或浮肿少尿,或五更泻,阳萎早泄,舌淡苔白,脉沉细无力。 食疗药膳为: ?苁蓉山药苡仁粥:肉苁蓉、山药、薏苡仁适量,煮粥食,每日两次。 ?枸杞明目茶:适用于2型糖尿病肝肾阴虚证～表现为头晕眼花、双目干涩者。用法用量:枸杞子、桑叶、菊花～开水沏泡代茶饮。 主食以未精加工面粉,全麦豆类等。副食以山药、蘑芋、南瓜、芋艿、芹菜、胡萝卡、油菜、洋葱等。用菊花泡水代茶饮。 对消渴而症见阳虚畏寒的患者～可酌加鹿茸粉～以启动元阳～助全身阳气之气化。本证见阴阳气血俱虚者～则可选用鹿茸丸以温肾滋阴～补益气血。上述食疗方均可酌加覆盆子、芡实、金樱子等以补肾固摄。 消渴多伴有瘀血的病变～故对于上述各种证型～尤其是对于舌质紫暗～或有瘀点瘀斑～脉涩或结或代～及兼见其他瘀血证候者～均可酌加活血化瘀的药品。如丹参、川芎、郁金、红花、山楂等～或配用降糖活血方药～如丹参、川芎、益母草、当归、赤芍等。 消渴容易发生多种并发症～应在治疗本病的同时～积极治疗并发症。白内障、雀盲、耳聋～主要病机为肝肾精血不足～不能rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 上承耳目所致～宜滋补肝肾～益精补血～可用杞菊地黄～丸或明目地黄丸。对于并发疮毒痈疽者～则治宜清热解毒～消散痈肿～用五味消毒饮。在痈疽的恢复阶段～则治疗上要重视托毒生肌。 三、情志调摄保健法 心理治疗,即精神治疗,中医学又称之为意疗。中医历来重视意疗在整个治疗中的意义《, 素问〃宝命全形论》就有:“一日治神,二日知养生,三日知毒药为真??”,把治神放到了防治疾病的首位。在一定条件下,心理因素能改变生理活动,利用情绪对内脏功能气机的影响,通过精神因素去调动机体正气与疾病作斗争。从而达到扶正以祛邪,主明(心神活动正常) 则下安(内脏安定) 的治疗目的。躯体疾病,进行必要的意疗也是裨益的。 糖尿病患者多阴虚阳亢, 肝阳偏亢失于条达则性情易激易怒。故糖尿病患者应怒力做到怡情悦志, 胸襟开阔, 保持情志舒畅, 气血流通, 如是则阴阳调和。由于糖尿病患者的善怒情绪, 作为糖尿病患者的家人, 应多理解沟通, 幽默和谐的家庭氛围有助于调节糖尿病患者的情绪波动。三餐定时, 细心照顾, 常沟通多关爱, 帮助其减轻压力与负担。 常用的中医心理疗法有五种:以情胜情法,劝说开导法,移情易性法,暗示解惑法,顺情从欲法。 1、以情胜情疗法: 正确地运用情志之偏,可以纠正阴阳气血之偏,使机体恢复平衡协调而对病情有力; 2、劝说开导法: 运用言语对病人进行劝说开导,是意疗的基本方法。在一定条件下,言语刺激对心理,生理激动都会产生很大影响,因此,应正确地运用“言语”,对病人采取启发诱导的方法,宣传糖尿病的有关知识,提高其战胜疾病的信心,使之主动配合医生进行躯体和饮食治疗。劝说开导,要针对病人不同的思想实际和人格及个人特征,做到有的放矢,生动活泼,耐心细致。 3、移情易性法: 就是排遣情思,改易心志。分散病人对疾病的注意力,使思想焦点从病所移于他处,或改变其周围环境,免于与不良因素接触, 使其从某种情感纠葛中解放出来,转移于另外的人或物身上等等,称之为“移情”。 或改变病人的内心虑恋的指向性, 4、暗示解惑法: 采用含蓄、间接的方式,影响病人的心理状态,以诱导病人“无形中”接受医生的治疗性意见或产生某种信念或改变其情绪和行为,甚或影响人体的生理机能,从而达到治疗的目的。暗示疗法一般多用语言,也可采用手势、表情、暗示性药物及其它暗号来进行; 5、顺情从欲法: 顺从病人的意志,情绪,满足病人心身的需要。仅用前几种方法是不够的,只有当其生活的基本欲望得到满足时,疾病才有可能自愈。对于心理上的欲望,应当有分析地对待,若是合理的欲望,客观条件又能允许时,应尽力满足其所求或所恶,如创造条件以改变其所处环境,或对其想法表示同情,理解和支持,保证等。四、中医适宜技术保健法 中医防治糖尿病重视综合调治～除了饮食、运动、药物以外～还常用按摩、艾灸、针刺、足浴等多种特色疗法。 1(按摩 1.1 按摩背腰部:手掌匀力推揉脊柱两侧～或用按摩棒、老头乐～敲打后颈到腰骶～重点按揉胰俞,第八胸椎棘突下旁开1.5寸,、胃俞,第十二胸椎棘突下旁开1.5寸,、肾俞,第二腰椎棘突下旁开1.5寸,和局部阿是穴(痛点)～适合于2型糖尿病乏力、腰背酸痛者。 1.2 按摩腹部:双手掌互擦至掌热～左手掌压右手掌紧贴神阙穴,肚脐,～从右上腹部向左上腹部～从左上腹部向左下腹部～用力推揉～适合于2型糖尿病腹满、大便不畅者。 1.3 按摩肢体:以手指揉点按足三里,外膝眼向下4横指,、三阴交(内踝上3寸)2分钟～以酸胀为度。手擦涌泉穴,前脚掌心,以透热为度～适合于2型糖尿病头晕、乏力、眠差～或下肢麻痛者。 2. 艾灸 2.1 灸足三里:将艾条一端点燃～对准三里,外膝眼向下4横指,～约距0.5-1寸左右～进行熏灸～每侧10-15分钟。适用于2型糖尿病乏力、抵抗力降低、下肢无力者。 2.2 灸关元:将艾条一端点燃～对准关元穴,下腹部肚脐下3寸,～约距0.5~1寸左右～进行熏灸～每次10~15分钟。适用于2型糖尿病畏寒肢冷～或男子阳痿～抵抗力降低者。 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities 2.3 注意事项:防止烫伤。糖尿病患者不适宜于化脓灸。 3. 针刺疗法 针刺治疗糖尿病常用选穴方法有以下几种: 主穴为脾俞、膈俞、胰俞、足三里、三阴交。配穴为肺俞、胃俞、肝俞、中脘、关元、神门、然谷、阴陵泉等。针刺方法以缓慢捻转～中度刺激平补平泻法～每日或隔日一次～每次留针15，20分钟～10次为一疗程。疗程间隔3，5日。 4. 耳穴 耳穴按压治疗糖尿病常选用的穴位有: 主穴为胰、胆、肝、肾、缘中、屏间、交感、下屏尖。配穴为三焦、渴点、饥点。根据主证及辨证分型～每次选穴5，6个。 选定耳穴寻得敏感点后～将王不留行臵于相应耳穴处～用胶布固定～用食、拇指捻压至酸沉麻痛～每日自行按压3次。每次贴一侧耳～两耳交替。 5. 足浴 推荐方:药物组成:当归～赤芍～川芎～桂枝～红花～鸡血藤～希莶草～伸筋草。 适应症:糖尿病周围神经病变及下肢血管病变 用法用量:上述中草药加水3000ml煎熬～现配现用～水温38，42?,注意水温不宜太热～以防烫伤,～药剂以浸没两足内外踝关节上2寸为准～隔日1次～每次30分钟。10次为一疗程～总计5个疗程。 五、常见证型的中成药治疗 应该重视根据患者的具体情况～在辨证的基础上～针对性选用。 1、气阴两虚证:疲倦、乏力、气短～动则加重～口干舌燥～腰膝酸软～大便秘结～或腹满、食少便溏～舌红或淡红～苔薄黄或薄白～脉细弱。 中成药:玉泉丸、渴乐宁胶囊、参芪消渴颗粒等 2、肝肾阴虚证:两眼干涩～视物模糊～口干咽干～大便干结～腰膝酸软～手足心热～潮热盗汗～皮肤干燥～舌红少苔～脉沉细。多见于糖尿病伴发高血压～或糖尿病眼底病变的患者。 中成药:杞菊地黄丸、明目地黄丸、天麻钩藤颗粒等 3、阴阳两虚证:畏寒肢冷～面色晦暗～夜尿频多～尿少浮肿～腰膝酸软～阳萎早泄～便溏腹泻～舌淡苔白～脉沉细无力。多见于糖尿病病程较长～或出现多种并发症的患者。 中成药:金匮肾气丸、济生肾气丸、右归丸等。 4、胃肠结热:烦热喜凉～多食善饥～便秘～数日不下～舌红苔黄～脉滑数。多见于糖尿病多食、大便干症状突出的患者。 中成药:功劳去火片、三黄片、新清宁片等。 5、湿热内蕴:形体肥胖～头身困重～口中粘腻～脘腹痞闷～大便不爽～小便黄赤～妇女带下色黄～舌苔黄腻～脉滑数。多见于糖尿病肥胖者和嗜酒的患者。 中成药:二妙丸、四妙丸、香连丸等。 6、肝经郁热证:头晕眼花～口苦咽干～心胸烦闷～嗳气～太息～妇女月经不调～舌红苔薄黄～脉弦数或细弦。多见于女性或性喜抑郁的糖尿病患者。 中成药:小柴胡颗粒等。 7、气机郁滞证:胸胁苦满～脘腹胀满～少腹不舒～情志抑郁～太息频频～或妇女月经不调～舌苔薄白～脉弦。多见于性格抑郁的糖尿病患者或糖尿病伴有抑郁症者。 中成药:加味逍遥丸等。 8、痰湿阻滞证:体形肥胖～四肢沉重～神疲嗜睡～脘腹胀满～口中粘腻～舌苔白腻～脉象滑或濡缓。多见于糖尿病肥胖体形和素嗜醇酒肥腻者。 中成药:二陈丸等。 9、瘀血阻滞证:贯穿于糖尿病的全过程～随着糖尿病各种慢性并发症的出现～血瘀之证逐渐加重～如糖尿病合并冠心病、糖尿病周围神经病变、糖尿病肾病等瘀血之证更为明显。症见:胸闷胸痛～肢体麻木疼痛～口唇色暗～舌暗可见瘀斑～舌下脉络青紫迂曲。 rAt present, we have formed a "three-three" Park. …… Industrial Park, according to ... ... The instructions of comrade, focus on development needs in the next decade, based on the original, and then extended the 6 square kilometers. Of the Park, to further improve the roads, power supply, communications, water supply and drainage and sewage pipe network and other infrastructure, to achieve full coverage of infrastructure and interconnection with the facilities and raise capacity. Each park to determine 1 leading industries, in particular stone Materials, cans, gloves, through guided, force and other measures to promote the "road company" Park, industrial agglomeration. Currently, to focus on building better ... ... Industrial Park, ... ... Wood Park as the starting area of the industrial park, planners need to take out plan, start construction as soon as possible, undertake in a timely manner ... ... Transfer of the wood industry. This opportunity slip by, so the timing must be tight. Second is to optimize government service. Low efficiency of government services, departments do not coordinate the views of businesses large, poor business environment, it is ... ... Short Board, decide to change. We will continue to deepen reform of the administrative examination and approval system, good digestion, implement the Government canceled, adjustment and devolution of administrative examination and approval matters, strengthen the existing supervision in matters of administrative power, has made it clear to cancel, are not allowed to keep or disguised approval. To do list list of administrative powers and responsibilities