diff --git a/acupuncture-framework/src/main/java/com/acupuncture/framework/web/service/WebDmsLoginService.java b/acupuncture-framework/src/main/java/com/acupuncture/framework/web/service/WebDmsLoginService.java index 9f65dacb..f5a40b40 100644 --- a/acupuncture-framework/src/main/java/com/acupuncture/framework/web/service/WebDmsLoginService.java +++ b/acupuncture-framework/src/main/java/com/acupuncture/framework/web/service/WebDmsLoginService.java @@ -62,7 +62,7 @@ public class WebDmsLoginService public String login(String username, String password, String code, String uuid) { // 验证码校验 -// validateCaptcha(username, code, uuid); + validateCaptcha(username, code, uuid); // 登录前置校验 loginPreCheck(username, password); // 用户验证 diff --git a/document/TreamtmentPgTemplate.docx b/document/TreamtmentPgTemplate.docx new file mode 100644 index 00000000..ea3e716b --- /dev/null +++ b/document/TreamtmentPgTemplate.docx @@ -0,0 +1,87 @@ +-------------------------------------------------------------------------------- +{{h_name}}评估报告 +基本信息 +姓名：{{name}} +性别：{{sex}} +年龄：{{age}} +编号：{{visitNum}} +责任医生：{{doctor}} +检查日期：{{visitTime}} +主要诊断 +{{Clinical_diagnosis}} +病情评估 +-------------------------------------------------------------------------------- +{{?rtcf_flag}} +人体成分分析结果 +体型类型：{{PG_RTCF_TXLX}} +身体年龄：{{PG_RTCF_STNL}} +健康评分：{{PG_RTCF_JKPF}} +体重：{{PG_RTCF_TZ}} +去脂体重：{{PG_RTCF_QZTZ}} +肌肉：{{PG_RTCF_JRL}} +水分：{{PG_RTCF_TBW}} +蛋白质：{{PG_RTCF_DBZ}} +骨质：{{PG_RTCF_GZ}} +骨骼肌：{{PG_RTCF_GGJ}} +脂肪：{{PG_RTCF_ZF}} +腰臀比：{{PG_RTCF_WHR}} +体质指数：{{PG_RTCF_BMI}} +体脂百分比：{{PG_RTCF_PBF}} +内脏脂肪指数：{{PG_RTCF_NZZFSP}} +-------------------------------------------------------------------------------- +{{/rtcf_flag}} +-------------------------------------------------------------------------------- +{{?bsjg_flag}} +中医体质辨识结果 +主要体质： {{PG_TZBS_ZYTZ}} +兼夹体质： {{PG_TZBS_JJTZ}} +{{/bsjg_flag}} +{{?ttpg_flag}} +体态评估结果 + 序号 + 量表名称 + 评分 + 1 + TAPS体态自觉评估 + {{score1}} + 2 + TRACE体态临床评估 + {{score2}} + 3 + SRS-22问卷评估 + {{score3}} +{{/ttpg_flag}} +{{?smpg_flag}} +失眠评估结果 + 序号 + 量表名称 + 评分 + 1 + 患者健康问卷(PHQ-9)评估 + {{score4}} + 2 + Epworth嗜睡评估 + {{score5}} + 3 + 匹兹堡睡眠质量指数(PSQI)评估 + {{score6}} +{{/smpg_flag}} +{{?jlpg_flag}} +焦虑评估结果 + 序号 + 量表名称 + 评分 + 1 + 汉密尔顿抑郁评估(HAMD-24) + {{score7}} + 2 + 焦虑自评(SAS) + {{score8}} +{{/jlpg_flag}} + + + + 测评人： +审核人： +报告日期：{{report_date}} + diff --git a/sql/acupuncture-master.sql b/sql/acupuncture-master.sql new file mode 100644 index 00000000..55f7f4c4 --- /dev/null +++ b/sql/acupuncture-master.sql @@ -0,0 +1,3567 @@ +/* + Navicat Premium Data Transfer + + Source Server : sd.tall.wiki-ssh + Source Server Type : MySQL + Source Server Version : 100323 + Source Host : localhost:3306 + Source Schema : acupuncture + + Target Server Type : MySQL + Target Server Version : 100323 + File Encoding : 65001 + + Date: 06/04/2025 23:54:51 +*/ + +SET NAMES utf8mb4; +SET FOREIGN_KEY_CHECKS = 0; + +-- ---------------------------- +-- Table structure for ams_screen_wx_qr_code +-- ---------------------------- +DROP TABLE IF EXISTS `ams_screen_wx_qr_code`; +CREATE TABLE `ams_screen_wx_qr_code` ( + `id` bigint NOT NULL COMMENT 'id', + `url` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '二维码地址', + `path` varchar(256) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '生成path', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '医院ID', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 1代表删除）', + `contacts` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系人', + `phone` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系电话', + `address` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '地址', + `center_id` bigint NULL DEFAULT NULL, + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '筛查小程序码信息' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of ams_screen_wx_qr_code +-- ---------------------------- +INSERT INTO `ams_screen_wx_qr_code` VALUES (1901635952820113408, '/profile/upload/qrCode1742220316343.jpg', 'https://test.tall.wiki/acupunctureClient/screening/h5?tenantId=2&tenantName=山西因孚医院', 2, NULL, 'zhangsan', '2025-03-17 22:05:16', '', '2025-03-19 17:11:00', 1, NULL, NULL, NULL, NULL); + +-- ---------------------------- +-- Table structure for dms_tenant +-- ---------------------------- +DROP TABLE IF EXISTS `dms_tenant`; +CREATE TABLE `dms_tenant` ( + `id` bigint NOT NULL COMMENT '组织ID', + `code` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '租户CODE，唯一', + `name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '组织名称', + `leader` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '负责人', + `contact_phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系电话', + `status` tinyint NULL DEFAULT NULL COMMENT '状态(0启用 1禁用)', + `data_source_id` bigint NULL DEFAULT NULL COMMENT '数据源ID', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_name`(`name` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '医疗机构组织表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of dms_tenant +-- ---------------------------- +INSERT INTO `dms_tenant` VALUES (1, 'MASTER', '主库', '李四', '13666666666', 0, 1, 0, '', '2025-02-11 14:12:47', 'admin', '2025-04-03 20:53:03', NULL); +INSERT INTO `dms_tenant` VALUES (2, 'SXYFYY', '山西因孚医院', '张三', '13888888888', 0, 2, 0, '', '2025-02-14 14:13:24', 'admin', '2025-02-21 14:23:55', NULL); +INSERT INTO `dms_tenant` VALUES (1899003675367747584, 'STZWSY', '三塘镇卫生院', '钟副院长：13657719733/吴副：18172342179', '13657719733', 0, 1899004714963742720, 0, 'admin', '2025-03-10 15:45:32', 'admin', '2025-03-10 16:12:03', NULL); +INSERT INTO `dms_tenant` VALUES (1899021124771299328, NULL, '南宁市第八人民医院', '赵主任', '18100766288', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:54:52', '', '2025-03-10 16:54:52', NULL); +INSERT INTO `dms_tenant` VALUES (1899021275120320512, NULL, '五塘镇卫生院', '中医科陈福泽主任、陈北生院长', '18172397259', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:55:28', '', '2025-03-10 16:55:28', NULL); +INSERT INTO `dms_tenant` VALUES (1899021323279319040, NULL, '明秀东社区卫生服务中心', '陈红：13397719437，副站长周达夫13507880766', '13397719437', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:55:40', '', '2025-03-10 16:55:40', NULL); +INSERT INTO `dms_tenant` VALUES (1899021381445926912, NULL, '五象秋月社区卫生服务中心', '国壮医务部张洪瑞部长', '15077102530', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:55:54', '', '2025-03-10 16:55:54', NULL); +INSERT INTO `dms_tenant` VALUES (1899021431433641984, NULL, '运德社区卫生服务中心', '唐艳君站长', '18178113021', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:56:06', '', '2025-03-10 16:56:06', NULL); +INSERT INTO `dms_tenant` VALUES (1899021486106394624, NULL, '三塘镇四塘卫生院', '赵副院长，陈毅成副院长', '18154628465', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:56:19', '', '2025-03-10 16:56:19', NULL); +INSERT INTO `dms_tenant` VALUES (1899021557673803776, NULL, '良庆镇卫生院', '康复科张主任，医务科黄培权', '18276167626', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:56:36', '', '2025-03-10 16:56:36', NULL); +INSERT INTO `dms_tenant` VALUES (1899021598224334848, NULL, '大塘镇中心卫生院', '医务科庞冬雁', '13907869873', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:56:45', '', '2025-03-10 16:56:45', NULL); +INSERT INTO `dms_tenant` VALUES (1899021666394357760, NULL, '东沟岭社区卫生服务中心', '李小勇站长，邓善东', '18376735406', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:57:02', '', '2025-03-10 16:57:02', NULL); +INSERT INTO `dms_tenant` VALUES (1899021697033748480, NULL, '昆仑镇中心卫生院', '梁祖荧副院长15977763977；中医科科长13481026979', '15977763977', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:57:09', '', '2025-03-10 16:57:09', NULL); +INSERT INTO `dms_tenant` VALUES (1899021733117345792, NULL, '金禾湾社区卫生服务中心', '施可良', '13768111206', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:57:17', '', '2025-03-10 16:57:17', NULL); +INSERT INTO `dms_tenant` VALUES (1899021773156171776, NULL, '马山县中医医院', '陆科长', '15878769574', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:57:27', '', '2025-03-10 16:57:27', NULL); +INSERT INTO `dms_tenant` VALUES (1899022009782026240, NULL, '广西国际壮医医院明秀分院', '彭医生', '13344442222', 0, 1899004714963742720, 0, 'admin', '2025-03-10 16:58:23', 'admin', '2025-03-11 14:25:06', NULL); +INSERT INTO `dms_tenant` VALUES (1899022489119670272, NULL, '东兰县中医医院', '韦丹丹', '19178928297', 0, 1899004714963742720, 0, 'admin', '2025-03-10 17:00:18', '', '2025-03-10 17:00:18', NULL); +INSERT INTO `dms_tenant` VALUES (1901557972215377920, NULL, '明秀分院', '', '', 0, 1899004714963742720, 0, 'admin', '2025-03-17 16:55:24', 'admin', '2025-03-17 16:55:40', NULL); + +-- ---------------------------- +-- Table structure for dms_user +-- ---------------------------- +DROP TABLE IF EXISTS `dms_user`; +CREATE TABLE `dms_user` ( + `id` bigint NOT NULL COMMENT '用户ID', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '租户ID', + `user_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户账号', + `password` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '密码', + `nick_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户昵称', + `email` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '用户邮箱', + `phonenumber` varchar(11) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '手机号码', + `sex` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '用户性别（0男 1女 2未知）', + `slaver_admin` tinyint NULL DEFAULT NULL COMMENT '是否是租户管理员', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '帐号状态（0正常 1停用）', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '上报管理表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of dms_user +-- ---------------------------- +INSERT INTO `dms_user` VALUES (-2135568384, 1901557972215377920, 'cs1', '$2a$10$ZjYqEWGQGnS8MZL2YscWHeCk/0Sra3qBLTjsdtYd1ZK/IcwaBypEi', 'cs1', '', '', '0', NULL, '0', 1, 'admin', '2025-03-27 21:41:17', '', '2025-03-28 08:56:33', NULL); +INSERT INTO `dms_user` VALUES (-2118823936, 1901557972215377920, 'cs3', '$2a$10$pJ5chCt/GJTKym2UVsp2Tu9BS27EgyvlOLCHdnO3eHb2WxyK1yhiC', 'cs3', '', '', '0', NULL, '0', 1, 'admin', '2025-03-27 21:51:25', '', '2025-03-28 08:56:37', NULL); +INSERT INTO `dms_user` VALUES (-2114678784, 1901557972215377920, 'cszh', '$2a$10$P15OcM9HqpRpEiGfox60nuIH5TRXFKoWgWkRSuSecT8cf68focm7i', '测试账号', '', '', '0', NULL, '0', 1, 'admin', '2025-03-28 08:55:57', '', '2025-03-28 08:56:40', NULL); +INSERT INTO `dms_user` VALUES (-2101313536, 1901557972215377920, 'zhangsan1', 'admin123', '张三', '', '18888888888', '0', NULL, '0', 1, 'admin', '2025-03-28 16:09:03', '', '2025-03-28 20:43:06', NULL); +INSERT INTO `dms_user` VALUES (-2071965696, 1901557972215377920, 'zhangsa2', 'admin123', '张三', '', '18888888838', '0', NULL, '0', 1, 'admin', '2025-03-28 16:12:25', '', '2025-03-28 20:43:03', NULL); +INSERT INTO `dms_user` VALUES (-2047492096, 1899021431433641984, 'ydfwzx', '$2a$10$TE6FOf4mDhpt58i0acJvkeWVyIJtC.DYbw0GHhLUrjptzD6zFoD46', '运德社区卫生服务中心', '', '', '0', NULL, '0', 0, 'admin', '2025-03-27 11:27:37', 'admin', '2025-03-27 11:27:37', NULL); +INSERT INTO `dms_user` VALUES (-1972076544, 1, 'senyi', '$2a$10$vMWTxuu73No6d/dBuqLTq.io.hIr6adWK0cQlKnpDLZfGiwdN2V..', '11', '', '', '0', NULL, '0', 1, 'admin', '2025-02-21 15:28:26', '', '2025-02-21 15:28:31', NULL); +INSERT INTO `dms_user` VALUES (-1921724416, 1899021557673803776, 'lqzwsy', '$2a$10$Tk8I4f2jbXiKwjQ23YBSRut2S4Las96.k1D99uKSINdv7zX73PUAS', '良庆镇卫生院', '', '', '0', NULL, '0', 0, 'admin', '2025-03-10 17:32:04', '', '2025-03-10 17:32:04', NULL); +INSERT INTO `dms_user` VALUES (-1893974016, 2, 'cszh2', '$2a$10$0G.zilY18kaWwxz4eJq9luKWAYnK5/tknCQvp/OiUfl41q/SRhc9q', '测试账号22', '', '', '0', 0, '0', 0, 'admin', '2025-03-28 21:16:29', 'admin', '2025-03-28 21:16:28', NULL); +INSERT INTO `dms_user` VALUES (-1863020544, 1899021773156171776, 'msxzyyy', '$2a$10$lcjP4IO41hudxYvO2xFRLeAcIXkEGUx5TibtEWfX0K4kQYBl9qyEe', '马山县中医医院', '', '', '0', NULL, '0', 0, 'admin', '2025-03-10 17:39:35', '', '2025-03-10 17:39:35', NULL); +INSERT INTO `dms_user` VALUES (-1795833856, 1899021381445926912, 'wxqyfwzx', '$2a$10$IkK9e3UkSg4RFzFmj1tb8u8.WMrsg3bnQnUgcDLNdEvBftMLQUgka', '五象秋月社区卫生服务中心', '', '', '0', NULL, '0', 0, 'admin', '2025-03-10 17:24:08', '', '2025-03-10 17:24:08', NULL); +INSERT INTO `dms_user` VALUES (-1741361152, 1899021431433641984, 'ydfwzxsh', '$2a$10$7da3oV6T3MpA14oFZ.QOL.6ECcz1gWT/ogyePnHr8gW7xU47FO2b2', '运德社区卫生服务中心', '', '', '0', NULL, '0', 0, 'admin', '2025-03-17 17:56:13', '', '2025-03-17 17:56:13', NULL); +INSERT INTO `dms_user` VALUES (-1607143424, 1899021557673803776, 'lqzwsysh', '$2a$10$z0.dnNhS5F0Snvh.cDOd/eTjdGL.OOiQxJnuECkly6QnYAaxrvhZy', '良庆镇卫生院（审核）', '', '', '0', NULL, '0', 0, 'admin', '2025-03-17 17:57:57', '', '2025-03-17 17:57:57', NULL); +INSERT INTO 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'随访方式（0电话随访；1入户随访；2到院随访）', + `followup_type` tinyint NULL DEFAULT NULL COMMENT '随访类型（0单次；1周期）', + `frequency` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '随访频次（cron表达式）', + `followup_month` int NULL DEFAULT NULL COMMENT ' 随访总月数 ', + `person_in_charge` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '负责医生名称', + `person_in_charge_username` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '负责医生账号', + `follow_window_adys` int NULL DEFAULT NULL, + `remind_time` int NULL DEFAULT NULL, + `status` tinyint NULL DEFAULT NULL COMMENT '队列状态(0启用； 1禁用）', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_name`(`name` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '随访队列配置表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of fms_followup_queue +-- ---------------------------- +INSERT INTO `fms_followup_queue` VALUES (10, '减重队列', 0, 1, '0 0 0 ? * 1', 3, '张三', 'admin', 7, 7, 1, 0, 1, '', '2025-02-21 16:53:38', 'admin', '2025-02-21 16:53:38', NULL); +INSERT INTO `fms_followup_queue` VALUES (11, '失眠队列', 0, 1, '0 0 0 ? * 1', 3, '张三', 'admin', 7, 7, 1, 0, 1, '', '2025-02-21 17:37:06', 'admin', '2025-02-21 17:37:06', NULL); + +-- ---------------------------- +-- Table structure for fms_followup_task +-- ---------------------------- +DROP TABLE IF EXISTS `fms_followup_task`; +CREATE TABLE `fms_followup_task` ( + `id` bigint NOT NULL COMMENT '工单ID', + `patient_id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `age` int NULL DEFAULT NULL COMMENT '患者年龄', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证； 1护照； 2军官证）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '证件号码', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `queue_id` bigint NOT NULL COMMENT '随访队列ID', + `times` int NULL DEFAULT NULL COMMENT '第几次随访', + `start_time` datetime NULL DEFAULT NULL COMMENT '有效开始时间', + `end_time` datetime NULL DEFAULT NULL COMMENT '有效结束时间', + `status` tinyint NULL DEFAULT NULL COMMENT '随访状态（0待随访, 1已随访, 2失访(手动标记)） 超期根据时间判断 超期已随访', + `lost_reason` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '失访原因', + `followuper` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '随访人', + `followup_time` timestamp NULL DEFAULT NULL COMMENT '随访时间', + `followup_text` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '随访内容', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_patient_id`(`patient_id` ASC) USING BTREE, + INDEX `idx_queue_id`(`queue_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '随访工单表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of fms_followup_task +-- ---------------------------- +INSERT INTO `fms_followup_task` VALUES (1892882365625425920, 1891818019071778816, '郑智川', NULL, NULL, 0, 27, '汉族', 9, '16634482172', NULL, NULL, NULL, 11, 1, '2025-02-23 00:00:00', '2025-02-26 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-02-21 18:21:38', '', '2025-02-21 18:21:38', NULL); +INSERT INTO `fms_followup_task` VALUES (1905444428441522176, 1902919958048063488, '张力', 'zhangli', 'zl', 0, 43, '回族', 12, '19820315646', 0, '140107198203156433', 2, 10, 2, '2025-03-30 00:00:00', '2025-04-02 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-28 10:18:47', '', '2025-03-28 10:18:48', NULL); +INSERT INTO `fms_followup_task` VALUES (1905444428688986113, 1902901395870498816, '白光', 'baiguang', 'bg', 1, 51, '汉族', 16, '18767895678', 0, '140107197310243781', 2, 10, 3, '2025-03-30 00:00:00', '2025-04-02 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-28 10:18:47', '', '2025-03-28 10:18:48', NULL); + +-- ---------------------------- +-- Table structure for fms_patient_queue_relation +-- ---------------------------- +DROP TABLE IF EXISTS `fms_patient_queue_relation`; +CREATE TABLE `fms_patient_queue_relation` ( + `patient_id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `birth_date` date NULL DEFAULT NULL COMMENT '出生日期', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证； 1护照； 2军官证）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '证件号码', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `queue_id` bigint NOT NULL COMMENT '队列ID', + `del_flag` tinyint NOT NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `discharge_time` datetime NULL DEFAULT NULL, + `task_flag` tinyint NULL DEFAULT NULL, + `id` bigint NOT NULL, + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '患者与随访队列关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of fms_patient_queue_relation +-- ---------------------------- +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:03:01', '', '2025-03-11 10:07:09', NULL, '2025-02-19 00:00:00', NULL, 1899279864758083584); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:10:49', '', '2025-03-11 10:11:32', NULL, '2025-02-19 00:00:00', NULL, 1899281827000295424); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:10:49', '', '2025-03-11 10:11:32', NULL, '2025-02-19 00:00:00', NULL, 1899281827021266944); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:10:49', '', '2025-03-11 10:11:32', NULL, '2025-02-19 00:00:00', NULL, 1899281827046432768); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:10:49', '', '2025-03-11 10:11:32', NULL, '2025-02-19 00:00:00', NULL, 1899281827096764416); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:11:32', '', '2025-03-11 10:11:47', NULL, '2025-02-19 00:00:00', NULL, 1899282010660478976); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:11:32', '', '2025-03-11 10:11:47', NULL, '2025-02-19 00:00:00', NULL, 1899282010681450496); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:11:32', '', '2025-03-11 10:11:47', NULL, '2025-02-19 00:00:00', NULL, 1899282010710810624); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:11:32', '', '2025-03-11 10:11:47', NULL, '2025-02-19 00:00:00', NULL, 1899282010735976448); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:11:47', '', '2025-03-11 10:14:02', NULL, '2025-02-19 00:00:00', NULL, 1899282071968620544); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:11:47', '', '2025-03-11 10:14:02', NULL, '2025-02-19 00:00:00', NULL, 1899282071985397760); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:11:47', '', '2025-03-11 10:14:02', NULL, '2025-02-19 00:00:00', NULL, 1899282072002174976); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:11:47', '', '2025-03-11 10:14:02', NULL, '2025-02-19 00:00:00', NULL, 1899282072018952192); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:14:02', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282639210487808); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 1, 'admin', '2025-03-11 10:14:02', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282639227265024); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:14:02', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282639248236544); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:14:02', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282639277596672); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 0, 'admin', '2025-03-11 10:14:38', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282788066336768); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 1, 0, 'admin', '2025-03-11 10:14:38', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282788091502592); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 0, 'admin', '2025-03-11 10:14:38', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282788112474112); +INSERT INTO `fms_patient_queue_relation` VALUES (1892400732061409280, '川定时任务1', NULL, NULL, 0, '2025-02-20', '汉族', 9, '13333334444', NULL, NULL, NULL, 2, 0, 'admin', '2025-03-11 10:14:38', '', '2025-03-11 10:14:38', NULL, '2025-02-19 00:00:00', NULL, 1899282788137639936); +INSERT INTO `fms_patient_queue_relation` VALUES (1892153106254573568, '川1', NULL, NULL, 0, '2025-02-01', '汉族', 9, '15534433443', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:20:05', '', '2025-03-11 15:12:03', NULL, '2025-02-12 00:00:00', NULL, 1899284162028052480); +INSERT INTO `fms_patient_queue_relation` VALUES (1892153106254573568, '川1', NULL, NULL, 0, '2025-02-01', '汉族', 9, '15534433443', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 10:20:05', '', '2025-03-11 15:12:03', NULL, '2025-02-12 00:00:00', NULL, 1899284162049024000); +INSERT INTO `fms_patient_queue_relation` VALUES (1892153106254573568, '川1', NULL, NULL, 0, '2025-02-01', '汉族', 9, '15534433443', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 15:12:03', '', '2025-03-11 15:18:22', NULL, '2025-02-12 00:00:00', NULL, 1899357635299569664); +INSERT INTO `fms_patient_queue_relation` VALUES (1892153106254573568, '川1', NULL, NULL, 0, '2025-02-01', '汉族', 9, '15534433443', NULL, NULL, NULL, 2, 1, 'admin', '2025-03-11 15:12:03', '', '2025-03-11 15:18:22', NULL, '2025-02-12 00:00:00', NULL, 1899357635324735488); +INSERT INTO `fms_patient_queue_relation` VALUES (1892153106254573568, '川1', NULL, NULL, 0, '2025-02-01', '汉族', 9, '15534433443', NULL, NULL, NULL, 2, 0, 'admin', '2025-03-11 15:18:22', '', '2025-03-11 15:18:22', NULL, '2025-02-12 00:00:00', NULL, 1899359223955136512); +INSERT INTO `fms_patient_queue_relation` VALUES (1892153106254573568, '川1', NULL, NULL, 0, '2025-02-01', '汉族', 9, '15534433443', NULL, NULL, NULL, 2, 0, 'admin', '2025-03-11 15:18:22', '', '2025-03-11 15:18:22', NULL, '2025-02-12 00:00:00', NULL, 1899359223992885248); + +-- ---------------------------- +-- Table structure for pms_patient +-- ---------------------------- +DROP TABLE IF EXISTS `pms_patient`; +CREATE TABLE `pms_patient` ( + `id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `birth_date` date NULL DEFAULT NULL COMMENT '出生日期', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证；1护照或外国人永居证； 2港澳居民来往内地通行； 3台湾居民来往大陆通行证； 4其他；）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '证件号码', + `source` tinyint NULL DEFAULT NULL COMMENT '数据来源(0筛查, 1录入, 2HIS)', + `current_illness_history` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '现病史，存储格式：[\"高血压\",\"脑血管病\"]', + `del_flag` tinyint NOT NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `current_illness_history_qt` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL, + PRIMARY KEY (`id`) USING BTREE, + UNIQUE INDEX `UNI_ID_CARD`(`id_card` ASC) USING BTREE, + INDEX `idx_phone`(`phone` ASC) USING BTREE, + INDEX `idx_id_card`(`id_card` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '患者基本信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of pms_patient +-- ---------------------------- + +-- ---------------------------- +-- Table structure for pms_treatment +-- ---------------------------- +DROP TABLE IF EXISTS `pms_treatment`; +CREATE TABLE `pms_treatment` ( + `id` bigint NOT NULL COMMENT '诊疗记录ID', + `patient_id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `age` int NULL DEFAULT NULL COMMENT '患者就诊年龄', + `birth_date` date NULL DEFAULT NULL COMMENT '出生日期', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证； 1护照； 2军官证）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '证件号码', + `visit_type` tinyint NULL DEFAULT NULL COMMENT '0门诊; 1住院', + `visit_number` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '门诊号/住院号', + `visit_time` datetime NULL DEFAULT NULL COMMENT '就诊时间/住院时间', + `discharge_time` datetime NULL DEFAULT NULL COMMENT '出院时间', + `doctor` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '责任医生名称', + `dept_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '责任医生科室', + `diagnosis_code` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '主要诊断ICD/TCD编码', + `diagnosis_name` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '主要诊断名称', + `status` tinyint NULL DEFAULT NULL COMMENT '档案状态(0保存, 1待审核, 2通过, 3驳回)', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_patient_id`(`patient_id` ASC) USING BTREE, + INDEX `idx_doctor`(`doctor` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '诊疗档案表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of pms_treatment +-- ---------------------------- + +-- ---------------------------- +-- Table structure for pms_treatment_record +-- ---------------------------- +DROP TABLE IF EXISTS `pms_treatment_record`; +CREATE TABLE `pms_treatment_record` ( + `id` bigint NOT NULL, + `treatment_id` bigint NULL DEFAULT 0 COMMENT '诊疗id', + `question_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '题目code', + `answer` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '题目答案', + `time` datetime NOT NULL COMMENT '发生时间', + `source_id` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '数据来源ID(0筛查, 1录入, 2HIS)', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_treatment_id`(`treatment_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_bin COMMENT = '急救记录表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of pms_treatment_record +-- ---------------------------- + +-- ---------------------------- +-- Table structure for rms_report_management +-- ---------------------------- +DROP TABLE IF EXISTS `rms_report_management`; +CREATE TABLE `rms_report_management` ( + `id` bigint NOT NULL COMMENT '上报ID', + `report_title` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '上报标题', + `report_type` bigint NOT NULL COMMENT '上报类型', + `time_range_start` date NULL DEFAULT NULL COMMENT '时间范围开始', + `time_range_end` date NULL DEFAULT NULL COMMENT '时间范围结束', + `status` tinyint NULL DEFAULT 0 COMMENT '上报状态', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '上报管理表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of rms_report_management +-- ---------------------------- +INSERT INTO `rms_report_management` VALUES (1892880655146328064, '标题1', 1892870889707696128, '2025-02-01', '2025-02-15', 0, 1, 'admin', '2025-02-21 18:14:50', '', '2025-02-21 18:29:10', NULL); +INSERT INTO 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utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '上报类型表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of rms_report_type +-- ---------------------------- +INSERT INTO `rms_report_type` VALUES (1892868304724611072, '型名称', 1, 'admin', '2025-02-21 17:35:48', 'admin', '2025-02-21 17:36:09', NULL); +INSERT INTO `rms_report_type` VALUES (1892870583783550976, '11111111', 1, 'admin', '2025-02-21 17:34:49', '', '2025-02-21 17:35:32', NULL); +INSERT INTO `rms_report_type` VALUES (1892870889707696128, '上报', 0, 'admin', '2025-02-21 17:36:02', '', '2025-02-21 17:36:02', NULL); +INSERT INTO `rms_report_type` VALUES (1892876384053096448, '11', 1, 'admin', '2025-02-21 17:57:52', '', '2025-02-21 17:57:57', NULL); + +-- ---------------------------- +-- Table structure for scr_hospital +-- ---------------------------- +DROP TABLE IF EXISTS `scr_hospital`; +CREATE TABLE `scr_hospital` ( + `id` bigint NOT NULL COMMENT 'id', + `parent_id` bigint NULL DEFAULT 0 COMMENT '父医院id', + `area` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '市所属地区信息', + `name` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '医院名称', + `code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '医院编号', + `dept_id` bigint NULL DEFAULT NULL COMMENT '部门ID', + `county_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '县Code', + `level` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '医院等级(一级二级)', + `level1` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '医院等级1(甲等乙等)', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE 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'2025-03-17 22:44:14', 0); +INSERT INTO `scr_screening_detail` VALUES (1901645759094484992, 1901645755747430400, 'SCWJ-SUBMIT', '1742222654494', '2025-03-17 22:44:14', '2025-03-17 22:44:14', NULL); +INSERT INTO `scr_screening_detail` VALUES (1901646803031584768, 1901646802830258176, 'SCWJ-NAME', '测试患者23', '2025-03-17 22:48:23', '2025-03-17 22:48:23', 0); +INSERT INTO `scr_screening_detail` VALUES (1901646803195162624, 1901646802830258176, 'SCWJ-SEX', '男', '2025-03-17 22:48:23', '2025-03-17 22:48:23', 0); +INSERT INTO `scr_screening_detail` VALUES (1901646803383906304, 1901646802830258176, 'SCWJ-BIRTH', '1980-03-05', '2025-03-17 22:48:23', '2025-03-17 22:48:23', 0); +INSERT INTO `scr_screening_detail` VALUES (1901646803539095552, 1901646802830258176, 'SCWJ-AGE', '45', '2025-03-17 22:48:23', '2025-03-17 22:48:23', 0); +INSERT INTO `scr_screening_detail` VALUES (1901646803715256320, 1901646802830258176, 'SCWJ-PHONE', '18534353638', '2025-03-17 22:48:23', '2025-03-17 22:48:23', 0); +INSERT 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COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '手机号', + `city` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '市名', + `county` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '县名', + `province` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '省名称', + `hospital_level` tinyint(1) NULL DEFAULT 0 COMMENT '医院等级 2:二级 3:三级', + `hospital_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '医院名称', + `departments` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '科室', + `user_id` bigint NULL DEFAULT 0 COMMENT '用户id', + `screen_id` bigint NULL DEFAULT 0 COMMENT '问卷id', + `submit_status` tinyint(1) NULL DEFAULT 0 COMMENT '提交状态(0-保存,1-提交)', + `position_id` bigint NULL DEFAULT 0 COMMENT '职位id', + `tenant_id` bigint NULL DEFAULT NULL, + `rzsc_result` int NULL DEFAULT NULL COMMENT '认知筛查结果', + `screen_type` tinyint NULL DEFAULT NULL COMMENT '筛查类型', + `screen_result` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '筛查结论', + `del_flag` tinyint NULL DEFAULT NULL, + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `pinyin_full` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL, + `pinyin_simple` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL, + PRIMARY KEY (`id`) USING BTREE, + INDEX `user_id_index`(`user_id` ASC) USING BTREE, + INDEX `questionnaire_id_index`(`screen_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '筛查记录表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of scr_screening_record +-- ---------------------------- +INSERT INTO `scr_screening_record` VALUES (1901594498211053568, '测试患者02', NULL, 56, '18534353638', '', '', '', 0, '', '', 0, 2, 1, 0, 2, NULL, NULL, NULL, 0, '', NULL, '', NULL, NULL, 'ce shi huan zhe 0 2', 'cshz02'); +INSERT INTO `scr_screening_record` VALUES (1901595066644103168, '测试患者03', NULL, 79, '18534353638', '', '', '', 0, '', '', 0, 2, 1, 0, 2, NULL, NULL, NULL, 0, '', NULL, '', NULL, NULL, 'ce shi huan zhe 0 3', 'cshz03'); +INSERT INTO `scr_screening_record` VALUES (1901640500871761920, '测试患者03', NULL, 51, '18534353638', '', '', '', 0, '', '', 0, 2, 1, 0, 2, NULL, NULL, NULL, 0, '', NULL, '', NULL, NULL, 'ce shi huan zhe 0 3', 'cshz03'); +INSERT INTO `scr_screening_record` VALUES (1901643864355454976, '郑', NULL, 0, '16634446666', '', '', '', 0, '', '', 0, 2, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-03-17 22:36:42', '', NULL, NULL, 'zheng', 'z'); +INSERT INTO `scr_screening_record` VALUES (1901645367195496448, '测试患者02', NULL, 80, '18534353638', '', '', '', 0, '', '', 0, 2, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-03-17 22:42:41', '', NULL, NULL, 'ce shi huan zhe 0 2', 'cshz02'); +INSERT INTO `scr_screening_record` VALUES (1901645755747430400, '卫泽照', NULL, 1, '18135100170', '', '', '', 0, '', '', 0, 2, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-03-17 22:44:13', '', NULL, NULL, 'wei ze zhao', 'wzz'); +INSERT INTO `scr_screening_record` VALUES (1901646802830258176, '测试患者23', NULL, 45, '18534353638', '', '', '', 0, '', '', 0, 2, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-03-17 22:48:23', '', NULL, NULL, 'ce shi huan zhe 2 3', 'cshz23'); + +-- ---------------------------- +-- Table structure for sys_config +-- ---------------------------- +DROP TABLE IF EXISTS `sys_config`; +CREATE TABLE `sys_config` ( + `config_id` int NOT NULL AUTO_INCREMENT COMMENT '参数主键', + `config_name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '参数名称', + `config_key` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '参数键名', + `config_value` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '参数键值', + `config_type` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT 'N' COMMENT '系统内置（Y是 N否）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`config_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 100 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '参数配置表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_config +-- ---------------------------- +INSERT INTO `sys_config` VALUES (1, '主框架页-默认皮肤样式名称', 'sys.index.skinName', 'skin-blue', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '蓝色 skin-blue、绿色 skin-green、紫色 skin-purple、红色 skin-red、黄色 skin-yellow'); +INSERT INTO `sys_config` VALUES (2, '用户管理-账号初始密码', 'sys.user.initPassword', '123456', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '初始化密码 123456'); +INSERT INTO `sys_config` VALUES (3, '主框架页-侧边栏主题', 'sys.index.sideTheme', 'theme-dark', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '深色主题theme-dark，浅色主题theme-light'); +INSERT INTO `sys_config` VALUES (4, '账号自助-验证码开关', 'sys.account.captchaEnabled', 'true', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '是否开启验证码功能（true开启，false关闭）'); +INSERT INTO `sys_config` VALUES (5, '账号自助-是否开启用户注册功能', 'sys.account.registerUser', 'false', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '是否开启注册用户功能（true开启，false关闭）'); +INSERT INTO `sys_config` VALUES (6, '用户登录-黑名单列表', 'sys.login.blackIPList', '', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '设置登录IP黑名单限制，多个匹配项以;分隔，支持匹配（*通配、网段）'); + +-- ---------------------------- +-- Table structure for sys_dept +-- ---------------------------- +DROP TABLE IF EXISTS `sys_dept`; +CREATE TABLE `sys_dept` ( + `dept_id` bigint NOT NULL AUTO_INCREMENT COMMENT '部门id', + `parent_id` bigint NULL DEFAULT 0 COMMENT '父部门id', + `ancestors` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '祖级列表', + `dept_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '部门名称', + `order_num` int NULL DEFAULT 0 COMMENT '显示顺序', + `leader` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '负责人', + `phone` varchar(11) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系电话', + `email` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '邮箱', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '部门状态（0正常 1停用）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + PRIMARY KEY (`dept_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 110 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '部门表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_dept +-- ---------------------------- +INSERT INTO `sys_dept` VALUES (100, 0, '0', '若依科技', 0, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (101, 100, '0,100', '深圳总公司', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (102, 100, '0,100', '长沙分公司', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (103, 101, '0,100,101', '研发部门', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (104, 101, '0,100,101', '市场部门', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (105, 101, '0,100,101', '测试部门', 3, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (106, 101, '0,100,101', '财务部门', 4, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (107, 101, '0,100,101', '运维部门', 5, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (108, 102, '0,100,102', '市场部门', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (109, 102, '0,100,102', '财务部门', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); + +-- ---------------------------- +-- Table structure for sys_dict_data +-- ---------------------------- +DROP TABLE IF EXISTS `sys_dict_data`; +CREATE TABLE `sys_dict_data` ( + `dict_code` bigint NOT NULL AUTO_INCREMENT COMMENT '字典编码', + `dict_sort` int NULL DEFAULT 0 COMMENT '字典排序', + `dict_label` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典标签', + `dict_value` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典键值', + `dict_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典类型', + `css_class` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '样式属性（其他样式扩展）', + `list_class` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '表格回显样式', + `is_default` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT 'N' COMMENT '是否默认（Y是 N否）', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '状态（0正常 1停用）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`dict_code`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 100 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '字典数据表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_dict_data +-- ---------------------------- +INSERT INTO `sys_dict_data` VALUES (1, 1, '男', '0', 'sys_user_sex', '', '', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '性别男'); +INSERT INTO `sys_dict_data` VALUES (2, 2, '女', '1', 'sys_user_sex', '', '', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '性别女'); +INSERT INTO `sys_dict_data` VALUES (3, 3, '未知', '2', 'sys_user_sex', '', '', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '性别未知'); +INSERT INTO `sys_dict_data` VALUES (4, 1, '显示', '0', 'sys_show_hide', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '显示菜单'); +INSERT INTO `sys_dict_data` VALUES (5, 2, '隐藏', '1', 'sys_show_hide', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '隐藏菜单'); +INSERT INTO `sys_dict_data` VALUES (6, 1, '正常', '0', 'sys_normal_disable', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (7, 2, '停用', '1', 'sys_normal_disable', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '停用状态'); +INSERT INTO `sys_dict_data` VALUES (8, 1, '正常', '0', 'sys_job_status', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (9, 2, '暂停', '1', 'sys_job_status', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '停用状态'); +INSERT INTO `sys_dict_data` VALUES (10, 1, '默认', 'DEFAULT', 'sys_job_group', '', '', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '默认分组'); +INSERT INTO `sys_dict_data` VALUES (11, 2, '系统', 'SYSTEM', 'sys_job_group', '', '', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统分组'); +INSERT INTO `sys_dict_data` VALUES (12, 1, '是', 'Y', 'sys_yes_no', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统默认是'); +INSERT INTO `sys_dict_data` VALUES (13, 2, '否', 'N', 'sys_yes_no', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统默认否'); +INSERT INTO `sys_dict_data` VALUES (14, 1, '通知', '1', 'sys_notice_type', '', 'warning', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '通知'); +INSERT INTO `sys_dict_data` VALUES (15, 2, '公告', '2', 'sys_notice_type', '', 'success', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '公告'); +INSERT INTO `sys_dict_data` VALUES (16, 1, '正常', '0', 'sys_notice_status', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (17, 2, '关闭', '1', 'sys_notice_status', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '关闭状态'); +INSERT INTO `sys_dict_data` VALUES (18, 99, '其他', '0', 'sys_oper_type', '', 'info', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '其他操作'); +INSERT INTO `sys_dict_data` VALUES (19, 1, '新增', '1', 'sys_oper_type', '', 'info', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '新增操作'); +INSERT INTO `sys_dict_data` VALUES (20, 2, '修改', '2', 'sys_oper_type', '', 'info', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '修改操作'); +INSERT INTO `sys_dict_data` VALUES (21, 3, '删除', '3', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '删除操作'); +INSERT INTO `sys_dict_data` VALUES (22, 4, '授权', '4', 'sys_oper_type', '', 'primary', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '授权操作'); +INSERT INTO `sys_dict_data` VALUES (23, 5, '导出', '5', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '导出操作'); +INSERT INTO `sys_dict_data` VALUES (24, 6, '导入', '6', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '导入操作'); +INSERT INTO `sys_dict_data` VALUES (25, 7, '强退', '7', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '强退操作'); +INSERT INTO `sys_dict_data` VALUES (26, 8, '生成代码', '8', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '生成操作'); +INSERT INTO `sys_dict_data` VALUES (27, 9, '清空数据', '9', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '清空操作'); +INSERT INTO `sys_dict_data` VALUES (28, 1, '成功', '0', 'sys_common_status', '', 'primary', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (29, 2, '失败', '1', 'sys_common_status', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '停用状态'); +INSERT INTO `sys_dict_data` VALUES (30, 0, '肥胖症', 'E66.0', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (31, 1, '失眠病', 'F51.0', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (32, 2, '中风病', 'I63', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (33, 3, '面瘫病', 'G51.802', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (34, 4, '项痹病', 'M47.221+G55.2*', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (35, 5, '腰痛病', 'M51.202', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (36, 6, '痉挛性斜颈', 'G24.300', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (37, 7, '其他', '', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (38, 0, '隐形肥胖型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (39, 1, '脂肪过多型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (40, 2, '肥胖型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (41, 3, '肌肉不足型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (42, 4, '健康匀称型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (43, 5, '超重肌肉型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (44, 6, '消瘦型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (45, 7, '低脂肪型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (46, 8, '运动员型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (47, 0, '平和质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (48, 1, '气虚质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (49, 2, '阳虚质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (50, 3, '阴虚质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (51, 4, '痰湿质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (52, 5, '湿热质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (53, 6, '血瘀质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (54, 7, '气郁质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (55, 8, '特禀质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (56, 0, '毫针/电针疗法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (57, 1, '温针疗法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (58, 2, '耳穴贴压疗法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (59, 3, '穴位埋针法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (60, 4, '穴位埋线法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (61, 0, '足三里', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (62, 1, '中脘', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (63, 2, '天枢', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (64, 3, '神门', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (65, 4, '三阴交', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (66, 5, '百会', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (67, 6, '安眠', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (68, 0, '治愈', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (69, 1, '显效', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (70, 2, '好转', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (71, 3, '无效', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); + +-- ---------------------------- +-- Table structure for sys_dict_type +-- ---------------------------- +DROP TABLE IF EXISTS `sys_dict_type`; +CREATE TABLE `sys_dict_type` ( + `dict_id` bigint NOT NULL AUTO_INCREMENT COMMENT '字典主键', + `dict_name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典名称', + `dict_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典类型', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '状态（0正常 1停用）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`dict_id`) USING BTREE, + UNIQUE INDEX `dict_type`(`dict_type` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 18 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '字典类型表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_dict_type +-- ---------------------------- +INSERT INTO `sys_dict_type` VALUES (1, '用户性别', 'sys_user_sex', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '用户性别列表'); +INSERT INTO `sys_dict_type` VALUES (2, '菜单状态', 'sys_show_hide', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '菜单状态列表'); +INSERT INTO `sys_dict_type` VALUES (3, '系统开关', 'sys_normal_disable', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统开关列表'); +INSERT INTO `sys_dict_type` VALUES (4, '任务状态', 'sys_job_status', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '任务状态列表'); +INSERT INTO `sys_dict_type` VALUES (5, '任务分组', 'sys_job_group', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '任务分组列表'); +INSERT INTO `sys_dict_type` VALUES (6, '系统是否', 'sys_yes_no', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统是否列表'); +INSERT INTO `sys_dict_type` VALUES (7, '通知类型', 'sys_notice_type', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '通知类型列表'); +INSERT INTO `sys_dict_type` VALUES (8, '通知状态', 'sys_notice_status', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '通知状态列表'); +INSERT INTO `sys_dict_type` VALUES (9, '操作类型', 'sys_oper_type', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '操作类型列表'); +INSERT INTO `sys_dict_type` VALUES (10, '系统状态', 'sys_common_status', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '登录状态列表'); +INSERT INTO `sys_dict_type` VALUES (11, '主要诊断', 'ims_zyzd', '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_dict_type` VALUES (12, '体系类型', 'ims_txlx', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (13, '体质', 'ims_tz', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (14, '针灸疗法', 'ims_zj', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (15, '针灸穴位', 'ims_xw', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (16, '药物', 'ims_yw', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (17, '治理效果', 'ims_zlxg', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); + +-- ---------------------------- +-- Table structure for sys_job +-- ---------------------------- +DROP TABLE IF EXISTS `sys_job`; +CREATE TABLE `sys_job` ( + `job_id` bigint NOT NULL AUTO_INCREMENT COMMENT '任务ID', + `job_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL DEFAULT '' COMMENT '任务名称', + `job_group` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL DEFAULT 'DEFAULT' COMMENT '任务组名', + `invoke_target` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '调用目标字符串', + `cron_expression` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT 'cron执行表达式', + `misfire_policy` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '3' COMMENT '计划执行错误策略（1立即执行 2执行一次 3放弃执行）', + `concurrent` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '1' COMMENT '是否并发执行（0允许 1禁止）', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '状态（0正常 1暂停）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '备注信息', + PRIMARY KEY (`job_id`, `job_name`, `job_group`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 100 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '定时任务调度表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_job +-- ---------------------------- +INSERT INTO `sys_job` VALUES (1, '系统默认（无参）', 'DEFAULT', 'ryTask.ryNoParams', '0/10 * * * * ?', '3', '1', '1', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_job` VALUES (2, '系统默认（有参）', 'DEFAULT', 'ryTask.ryParams(\'ry\')', '0/15 * * * * ?', '3', '1', '1', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_job` VALUES (3, '系统默认（多参）', 'DEFAULT', 'ryTask.ryMultipleParams(\'ry\', true, 2000L, 316.50D, 100)', '0/20 * * * * ?', '3', '1', '1', 'admin', '2025-02-08 17:42:06', '', NULL, ''); + +-- ---------------------------- +-- Table structure for sys_job_log +-- ---------------------------- +DROP TABLE IF EXISTS `sys_job_log`; +CREATE TABLE `sys_job_log` ( + `job_log_id` bigint NOT NULL AUTO_INCREMENT COMMENT '任务日志ID', + `job_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '任务名称', + `job_group` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '任务组名', + `invoke_target` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '调用目标字符串', + `job_message` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '日志信息', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '执行状态（0正常 1失败）', + `exception_info` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '异常信息', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + PRIMARY KEY (`job_log_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 1 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '定时任务调度日志表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_job_log +-- ---------------------------- + +-- ---------------------------- +-- Table structure for sys_logininfor +-- ---------------------------- +DROP TABLE IF EXISTS `sys_logininfor`; +CREATE TABLE `sys_logininfor` ( + `info_id` bigint NOT NULL AUTO_INCREMENT COMMENT '访问ID', + `user_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '用户账号', + `ipaddr` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '登录IP地址', + `login_location` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '登录地点', + `browser` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '浏览器类型', + `os` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '操作系统', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '登录状态（0成功 1失败）', + `msg` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '提示消息', + `login_time` datetime NULL DEFAULT NULL COMMENT '访问时间', + PRIMARY KEY (`info_id`) USING BTREE, + INDEX `idx_sys_logininfor_s`(`status` ASC) USING BTREE, + INDEX `idx_sys_logininfor_lt`(`login_time` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 797 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '系统访问记录' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_logininfor +-- ---------------------------- +INSERT INTO `sys_logininfor` VALUES (100, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-02-10 10:57:37'); +INSERT INTO `sys_logininfor` VALUES (101, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 10:59:17'); +INSERT INTO `sys_logininfor` VALUES (102, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:01:15'); +INSERT INTO `sys_logininfor` VALUES (103, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:27:01'); +INSERT INTO `sys_logininfor` VALUES (104, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:31:40'); +INSERT INTO `sys_logininfor` VALUES (105, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:33:54'); +INSERT INTO `sys_logininfor` VALUES (106, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 11:38:23'); +INSERT INTO `sys_logininfor` VALUES (107, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 14:12:40'); +INSERT INTO `sys_logininfor` VALUES (108, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 14:18:26'); +INSERT INTO `sys_logininfor` VALUES (109, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 14:32:12'); +INSERT INTO `sys_logininfor` VALUES (110, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 14:32:18'); +INSERT INTO `sys_logininfor` VALUES (111, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 15:48:49'); +INSERT INTO `sys_logininfor` VALUES (112, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 15:50:17'); +INSERT INTO `sys_logininfor` VALUES (113, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:21:54'); +INSERT INTO `sys_logininfor` VALUES (114, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:28:48'); +INSERT INTO `sys_logininfor` VALUES (115, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:28:51'); +INSERT INTO `sys_logininfor` VALUES (116, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:30:43'); +INSERT INTO `sys_logininfor` VALUES (117, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:30:47'); +INSERT INTO `sys_logininfor` VALUES (118, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:31:22'); +INSERT INTO `sys_logininfor` VALUES (119, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:31:27'); +INSERT INTO `sys_logininfor` VALUES (120, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:33:58'); +INSERT INTO `sys_logininfor` VALUES (121, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:36:22'); +INSERT INTO `sys_logininfor` VALUES (122, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:36:28'); +INSERT INTO `sys_logininfor` VALUES (123, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:38:24'); +INSERT INTO `sys_logininfor` VALUES (124, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:38:27'); +INSERT INTO `sys_logininfor` VALUES (125, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 09:24:54'); +INSERT INTO `sys_logininfor` VALUES (126, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'nested exception is org.apache.ibatis.exceptions.TooManyResultsException: Expected one result (or null) to be returned by selectOne(), but found: 2', '2025-02-11 10:45:47'); +INSERT INTO `sys_logininfor` VALUES (127, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-11 10:46:06'); +INSERT INTO `sys_logininfor` VALUES (128, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-11 10:48:21'); +INSERT INTO `sys_logininfor` VALUES (129, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'nested exception is org.apache.ibatis.exceptions.TooManyResultsException: Expected one result (or null) to be returned by selectOne(), but found: 2', '2025-02-11 10:48:23'); +INSERT INTO `sys_logininfor` VALUES (130, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 10:50:13'); +INSERT INTO `sys_logininfor` VALUES (131, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 11:04:52'); +INSERT INTO `sys_logininfor` VALUES (132, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 11:06:31'); +INSERT INTO `sys_logininfor` VALUES (133, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 11:23:04'); +INSERT INTO `sys_logininfor` VALUES (134, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 11:23:09'); +INSERT INTO `sys_logininfor` VALUES (135, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 11:26:45'); +INSERT INTO `sys_logininfor` VALUES (136, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 11:28:10'); +INSERT INTO `sys_logininfor` VALUES (137, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码已失效', '2025-02-11 11:29:26'); +INSERT INTO `sys_logininfor` VALUES (138, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-11 11:29:52'); +INSERT INTO `sys_logininfor` VALUES (139, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-11 11:30:18'); +INSERT INTO `sys_logininfor` VALUES (140, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 14:29:27'); +INSERT INTO `sys_logininfor` VALUES (141, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-11 14:31:27'); +INSERT INTO `sys_logininfor` VALUES (142, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-11 15:09:44'); +INSERT INTO `sys_logininfor` VALUES (143, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 16:00:10'); +INSERT INTO `sys_logininfor` VALUES (144, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 16:37:05'); +INSERT INTO `sys_logininfor` VALUES (145, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 17:34:54'); +INSERT INTO `sys_logininfor` VALUES (146, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 17:40:43'); +INSERT INTO `sys_logininfor` VALUES (147, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 18:21:02'); +INSERT INTO `sys_logininfor` VALUES (148, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 09:13:35'); +INSERT INTO `sys_logininfor` VALUES (149, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 10:15:32'); +INSERT INTO `sys_logininfor` VALUES (150, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 11:24:06'); +INSERT INTO `sys_logininfor` VALUES (151, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 14:13:19'); +INSERT INTO `sys_logininfor` VALUES (152, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 14:59:32'); +INSERT INTO `sys_logininfor` VALUES (153, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 16:28:36'); +INSERT INTO `sys_logininfor` VALUES (154, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 16:58:57'); +INSERT INTO `sys_logininfor` VALUES (155, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-12 17:47:03'); +INSERT INTO `sys_logininfor` VALUES (156, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-02-12 17:51:31'); +INSERT INTO `sys_logininfor` VALUES (157, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-12 17:52:30'); +INSERT INTO `sys_logininfor` VALUES (158, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-12 17:52:41'); +INSERT INTO `sys_logininfor` VALUES (159, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-12 18:16:58'); +INSERT INTO `sys_logininfor` VALUES (160, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-13 08:44:09'); +INSERT INTO `sys_logininfor` VALUES (161, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-13 08:45:48'); +INSERT INTO `sys_logininfor` VALUES (162, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-13 09:51:58'); +INSERT INTO `sys_logininfor` VALUES (163, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-13 17:40:14'); +INSERT INTO `sys_logininfor` VALUES (164, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-14 09:36:29'); +INSERT INTO `sys_logininfor` VALUES (165, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-14 11:30:07'); +INSERT INTO `sys_logininfor` VALUES (166, 'guanlizhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-14 13:56:37'); +INSERT INTO `sys_logininfor` VALUES (167, 'zhangsanAdmin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 13:57:06'); +INSERT INTO `sys_logininfor` VALUES (168, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-14 14:02:50'); +INSERT INTO `sys_logininfor` VALUES (169, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-14 14:03:32'); +INSERT INTO `sys_logininfor` VALUES (170, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-14 14:03:46'); +INSERT INTO `sys_logininfor` VALUES (171, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-14 14:03:57'); +INSERT INTO `sys_logininfor` VALUES (172, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-14 14:04:05'); +INSERT INTO `sys_logininfor` VALUES (173, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-14 14:04:19'); +INSERT INTO `sys_logininfor` VALUES (174, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-14 14:04:25'); +INSERT INTO `sys_logininfor` VALUES (175, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-14 14:04:42'); +INSERT INTO `sys_logininfor` VALUES (176, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-14 14:05:02'); +INSERT INTO `sys_logininfor` VALUES (177, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-14 14:05:20'); +INSERT INTO `sys_logininfor` VALUES (178, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-14 15:49:58'); +INSERT INTO `sys_logininfor` VALUES (179, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-14 15:50:03'); +INSERT INTO `sys_logininfor` VALUES (180, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-14 15:50:26'); +INSERT INTO `sys_logininfor` VALUES (181, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 15:52:30'); +INSERT INTO `sys_logininfor` VALUES (182, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-14 16:05:45'); +INSERT INTO `sys_logininfor` VALUES (183, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 16:05:51'); +INSERT INTO `sys_logininfor` VALUES (184, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-14 16:10:41'); +INSERT INTO `sys_logininfor` VALUES (185, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-14 16:10:46'); +INSERT INTO `sys_logininfor` VALUES (186, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 16:13:45'); +INSERT INTO `sys_logininfor` VALUES (187, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 16:14:35'); +INSERT INTO `sys_logininfor` VALUES (188, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 16:15:07'); +INSERT INTO `sys_logininfor` VALUES (189, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 16:16:33'); +INSERT INTO `sys_logininfor` VALUES (190, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-14 16:18:24'); +INSERT INTO `sys_logininfor` VALUES (191, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-15 09:00:17'); +INSERT INTO `sys_logininfor` VALUES (192, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-15 09:00:22'); +INSERT INTO `sys_logininfor` VALUES (193, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-15 09:00:42'); +INSERT INTO `sys_logininfor` VALUES (194, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-15 10:37:25'); +INSERT INTO `sys_logininfor` VALUES (195, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-15 10:37:31'); +INSERT INTO `sys_logininfor` VALUES (196, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-15 10:37:41'); +INSERT INTO `sys_logininfor` VALUES (197, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-15 13:42:11'); +INSERT INTO `sys_logininfor` VALUES (198, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-15 13:44:32'); +INSERT INTO `sys_logininfor` VALUES (199, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-15 13:44:39'); +INSERT INTO `sys_logininfor` VALUES (200, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-15 13:44:43'); +INSERT INTO `sys_logininfor` VALUES (201, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-15 15:25:45'); +INSERT INTO `sys_logininfor` VALUES (202, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-15 18:19:07'); +INSERT INTO `sys_logininfor` VALUES (203, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-15 21:11:39'); +INSERT INTO `sys_logininfor` VALUES (204, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-16 20:15:00'); +INSERT INTO `sys_logininfor` VALUES (205, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-17 08:38:17'); +INSERT INTO `sys_logininfor` VALUES (206, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-17 09:08:15'); +INSERT INTO `sys_logininfor` VALUES (207, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-17 09:21:48'); +INSERT INTO `sys_logininfor` VALUES (208, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-17 09:54:41'); +INSERT INTO `sys_logininfor` VALUES (209, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-17 09:57:16'); +INSERT INTO `sys_logininfor` VALUES (210, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-17 09:57:45'); +INSERT INTO `sys_logininfor` VALUES (211, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-17 11:25:01'); +INSERT INTO `sys_logininfor` VALUES (212, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-17 11:25:13'); +INSERT INTO `sys_logininfor` VALUES (213, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-17 20:14:47'); +INSERT INTO `sys_logininfor` VALUES (214, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-17 20:14:52'); +INSERT INTO `sys_logininfor` VALUES (215, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-17 20:15:39'); +INSERT INTO `sys_logininfor` VALUES (216, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 09:12:56'); +INSERT INTO `sys_logininfor` VALUES (217, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 09:13:17'); +INSERT INTO `sys_logininfor` VALUES (218, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 10:15:59'); +INSERT INTO `sys_logininfor` VALUES (219, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 10:18:05'); +INSERT INTO `sys_logininfor` VALUES (220, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 15:19:20'); +INSERT INTO `sys_logininfor` VALUES (221, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'Redis exception; nested exception is io.lettuce.core.RedisException: java.io.IOException: 远程主机强迫关闭了一个现有的连接。', '2025-02-18 16:05:36'); +INSERT INTO `sys_logininfor` VALUES (222, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 16:05:55'); +INSERT INTO `sys_logininfor` VALUES (223, 'zhangsna', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-18 16:33:16'); +INSERT INTO `sys_logininfor` VALUES (224, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 16:54:03'); +INSERT INTO `sys_logininfor` VALUES (225, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:15:29'); +INSERT INTO `sys_logininfor` VALUES (226, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:16:13'); +INSERT INTO `sys_logininfor` VALUES (227, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:17:33'); +INSERT INTO `sys_logininfor` VALUES (228, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:18:13'); +INSERT INTO `sys_logininfor` VALUES (229, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:18:22'); +INSERT INTO `sys_logininfor` VALUES (230, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:18:50'); +INSERT INTO `sys_logininfor` VALUES (231, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:19:33'); +INSERT INTO `sys_logininfor` VALUES (232, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:23:44'); +INSERT INTO `sys_logininfor` VALUES (233, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:24:02'); +INSERT INTO `sys_logininfor` VALUES (234, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:26:01'); +INSERT INTO `sys_logininfor` VALUES (235, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:28:40'); +INSERT INTO `sys_logininfor` VALUES (236, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:29:02'); +INSERT INTO `sys_logininfor` VALUES (237, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:34:22'); +INSERT INTO `sys_logininfor` VALUES (238, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:35:00'); +INSERT INTO `sys_logininfor` VALUES (239, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-18 17:50:59'); +INSERT INTO `sys_logininfor` VALUES (240, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-18 17:51:04'); +INSERT INTO `sys_logininfor` VALUES (241, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:53:05'); +INSERT INTO `sys_logininfor` VALUES (242, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 19:26:06'); +INSERT INTO `sys_logininfor` VALUES (243, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 19:26:35'); +INSERT INTO `sys_logininfor` VALUES (244, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 19:33:50'); +INSERT INTO `sys_logininfor` VALUES (245, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-18 19:34:37'); +INSERT INTO `sys_logininfor` VALUES (246, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-18 19:36:20'); +INSERT INTO `sys_logininfor` VALUES (247, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-18 20:00:07'); +INSERT INTO `sys_logininfor` VALUES (248, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-19 11:16:33'); +INSERT INTO `sys_logininfor` VALUES (249, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-19 13:49:23'); +INSERT INTO `sys_logininfor` VALUES (250, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-19 13:51:24'); +INSERT INTO `sys_logininfor` VALUES (251, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-19 14:30:37'); +INSERT INTO `sys_logininfor` VALUES (252, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-19 14:41:26'); +INSERT INTO `sys_logininfor` VALUES (253, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-19 14:43:04'); +INSERT INTO `sys_logininfor` VALUES (254, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-19 14:52:07'); +INSERT INTO `sys_logininfor` VALUES (255, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-19 14:56:41'); +INSERT INTO `sys_logininfor` VALUES (256, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-19 14:58:13'); +INSERT INTO `sys_logininfor` VALUES (257, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-19 14:59:39'); +INSERT INTO `sys_logininfor` VALUES (258, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-19 21:45:04'); +INSERT INTO `sys_logininfor` VALUES (259, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-21 09:22:01'); +INSERT INTO `sys_logininfor` VALUES (260, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 10:40:13'); +INSERT INTO `sys_logininfor` VALUES (261, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 11:07:18'); +INSERT INTO `sys_logininfor` VALUES (262, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-21 14:15:21'); +INSERT INTO `sys_logininfor` VALUES (263, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 14:15:37'); +INSERT INTO `sys_logininfor` VALUES (264, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 14:15:46'); +INSERT INTO `sys_logininfor` VALUES (265, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 14:16:17'); +INSERT INTO `sys_logininfor` VALUES (266, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-21 14:16:42'); +INSERT INTO `sys_logininfor` VALUES (267, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-21 14:17:23'); +INSERT INTO `sys_logininfor` VALUES (268, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-21 14:17:50'); +INSERT INTO `sys_logininfor` VALUES (269, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 14:17:58'); +INSERT INTO `sys_logininfor` VALUES (270, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-21 14:18:07'); +INSERT INTO `sys_logininfor` VALUES (271, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-21 14:18:57'); +INSERT INTO `sys_logininfor` VALUES (272, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-21 14:20:14'); +INSERT INTO `sys_logininfor` VALUES (273, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 14:20:20'); +INSERT INTO `sys_logininfor` VALUES (274, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 14:23:06'); +INSERT INTO `sys_logininfor` VALUES (275, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-21 15:33:02'); +INSERT INTO `sys_logininfor` VALUES (276, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 15:33:15'); +INSERT INTO `sys_logininfor` VALUES (277, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-21 15:33:21'); +INSERT INTO `sys_logininfor` VALUES (278, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 16:10:47'); +INSERT INTO `sys_logininfor` VALUES (279, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 17:04:36'); +INSERT INTO `sys_logininfor` VALUES (280, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 17:30:55'); +INSERT INTO `sys_logininfor` VALUES (281, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 17:31:02'); +INSERT INTO `sys_logininfor` VALUES (282, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-21 17:31:10'); +INSERT INTO `sys_logininfor` VALUES (283, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 17:31:17'); +INSERT INTO `sys_logininfor` VALUES (284, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 19:35:36'); +INSERT INTO `sys_logininfor` VALUES (285, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 19:43:40'); +INSERT INTO `sys_logininfor` VALUES (286, 'admin', '192.168.1.136', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '退出成功', '2025-02-21 19:45:57'); +INSERT INTO `sys_logininfor` VALUES (287, 'admin', '192.168.1.136', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-02-21 19:46:04'); +INSERT INTO `sys_logininfor` VALUES (288, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-21 19:46:21'); +INSERT INTO `sys_logininfor` VALUES (289, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 19:46:29'); +INSERT INTO `sys_logininfor` VALUES (290, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 19:54:02'); +INSERT INTO `sys_logininfor` VALUES (291, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-21 20:02:45'); +INSERT INTO `sys_logininfor` VALUES (292, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '1', '用户不存在/密码错误', '2025-02-23 10:05:15'); +INSERT INTO `sys_logininfor` VALUES (293, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-23 10:46:08'); +INSERT INTO `sys_logininfor` VALUES (294, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-23 10:46:25'); +INSERT INTO `sys_logininfor` VALUES (295, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-23 11:07:30'); +INSERT INTO `sys_logininfor` VALUES (296, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-23 11:36:27'); +INSERT INTO `sys_logininfor` VALUES (297, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-23 11:38:06'); +INSERT INTO `sys_logininfor` VALUES (298, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 17:56:24'); +INSERT INTO `sys_logininfor` VALUES (299, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 20:28:57'); +INSERT INTO `sys_logininfor` VALUES (300, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-03-04 21:21:21'); +INSERT INTO `sys_logininfor` VALUES (301, 'admin', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-04 21:31:12'); +INSERT INTO `sys_logininfor` VALUES (302, 'admin', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '退出成功', '2025-03-04 21:38:47'); +INSERT INTO `sys_logininfor` VALUES (303, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-03-04 21:41:28'); +INSERT INTO `sys_logininfor` VALUES (304, 'admin', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '退出成功', '2025-03-10 16:12:19'); +INSERT INTO `sys_logininfor` VALUES (305, 'zzccs', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '退出成功', '2025-03-10 16:12:39'); +INSERT INTO `sys_logininfor` VALUES (306, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 16:13:00'); +INSERT INTO `sys_logininfor` VALUES (307, 'admin', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-03-10 16:17:30'); +INSERT INTO `sys_logininfor` VALUES (308, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-10 16:24:05'); +INSERT INTO `sys_logininfor` VALUES (309, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 16:26:08'); +INSERT INTO `sys_logininfor` VALUES (310, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-10 16:30:44'); +INSERT INTO `sys_logininfor` VALUES (311, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-10 16:30:48'); +INSERT INTO `sys_logininfor` VALUES (312, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-10 16:48:01'); +INSERT INTO `sys_logininfor` VALUES (313, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-10 16:51:43'); +INSERT INTO `sys_logininfor` VALUES (314, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 16:52:36'); +INSERT INTO `sys_logininfor` VALUES (315, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 16:54:04'); +INSERT INTO `sys_logininfor` VALUES (316, 'nndbrmyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:02:54'); +INSERT INTO `sys_logininfor` VALUES (317, 'nndbrmyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:07:40'); +INSERT INTO `sys_logininfor` VALUES (318, 'nndbrmyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:09:38'); +INSERT INTO `sys_logininfor` VALUES (319, 'mxdfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:23:25'); +INSERT INTO `sys_logininfor` VALUES (320, 'wxqyfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:24:46'); +INSERT INTO `sys_logininfor` VALUES (321, 'wxqyfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:25:29'); +INSERT INTO `sys_logininfor` VALUES (322, 'ydfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:26:29'); +INSERT INTO `sys_logininfor` VALUES (323, 'stzstwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:27:23'); +INSERT INTO `sys_logininfor` VALUES (324, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:31:25'); +INSERT INTO `sys_logininfor` VALUES (325, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:31:35'); +INSERT INTO `sys_logininfor` VALUES (326, 'stzstwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:32:41'); +INSERT INTO `sys_logininfor` VALUES (327, 'lqzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:34:08'); +INSERT INTO `sys_logininfor` VALUES (328, 'dtzzxwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:35:02'); +INSERT INTO `sys_logininfor` VALUES (329, 'dglfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:36:26'); +INSERT INTO `sys_logininfor` VALUES (330, 'dglfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:37:20'); +INSERT INTO `sys_logininfor` VALUES (331, 'klzzxwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:37:30'); +INSERT INTO `sys_logininfor` VALUES (332, 'jhwfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:39:01'); +INSERT INTO `sys_logininfor` VALUES (333, 'msxzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 17:39:42'); +INSERT INTO `sys_logininfor` VALUES (334, 'msxzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:41:27'); +INSERT INTO `sys_logininfor` VALUES (335, 'dlxzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-10 17:41:46'); +INSERT INTO `sys_logininfor` VALUES (336, 'nndbrmyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:22:30'); +INSERT INTO `sys_logininfor` VALUES (337, 'nndbrmyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:22:34'); +INSERT INTO `sys_logininfor` VALUES (338, 'wtzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:22:51'); +INSERT INTO `sys_logininfor` VALUES (339, 'mxdfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:23:09'); +INSERT INTO `sys_logininfor` VALUES (340, 'wxqyfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:23:23'); +INSERT INTO `sys_logininfor` VALUES (341, 'ydfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:23:37'); +INSERT INTO `sys_logininfor` VALUES (342, 'stzstwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:23:58'); +INSERT INTO `sys_logininfor` VALUES (343, 'lqzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:24:05'); +INSERT INTO `sys_logininfor` VALUES (344, 'lqzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:24:11'); +INSERT INTO `sys_logininfor` VALUES (345, 'dtzzxwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:24:19'); +INSERT INTO `sys_logininfor` VALUES (346, 'dtzzxwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:24:22'); +INSERT INTO `sys_logininfor` VALUES (347, 'dglfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:24:29'); +INSERT INTO `sys_logininfor` VALUES (348, 'klzzxwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:24:40'); +INSERT INTO `sys_logininfor` VALUES (349, 'jhwfwzx', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:24:54'); +INSERT INTO `sys_logininfor` VALUES (350, 'msxzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:25:00'); +INSERT INTO `sys_logininfor` VALUES (351, 'msxzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:25:04'); +INSERT INTO `sys_logininfor` VALUES (352, 'dlxzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:25:10'); +INSERT INTO `sys_logininfor` VALUES (353, 'gxgjzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:25:22'); +INSERT INTO `sys_logininfor` VALUES (354, 'gxgjzyyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 18:25:26'); +INSERT INTO `sys_logininfor` VALUES (355, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 18:29:29'); +INSERT INTO `sys_logininfor` VALUES (356, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 09:47:10'); +INSERT INTO `sys_logininfor` VALUES (357, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 09:55:45'); +INSERT INTO `sys_logininfor` VALUES (358, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 10:00:26'); +INSERT INTO `sys_logininfor` VALUES (359, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 10:18:49'); +INSERT INTO `sys_logininfor` VALUES (360, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 10:27:04'); +INSERT INTO `sys_logininfor` VALUES (361, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 10:27:28'); +INSERT INTO `sys_logininfor` VALUES (362, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 10:39:31'); +INSERT INTO `sys_logininfor` VALUES (363, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 11:00:21'); +INSERT INTO `sys_logininfor` VALUES (364, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-11 11:03:36'); +INSERT INTO `sys_logininfor` VALUES (365, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 11:04:04'); +INSERT INTO `sys_logininfor` VALUES (366, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 11:12:37'); +INSERT INTO `sys_logininfor` VALUES (367, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-11 11:23:23'); +INSERT INTO `sys_logininfor` VALUES (368, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 11:24:34'); +INSERT INTO `sys_logininfor` VALUES (369, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-11 11:27:19'); +INSERT INTO `sys_logininfor` VALUES (370, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 11:27:35'); +INSERT INTO `sys_logininfor` VALUES (371, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-11 11:43:11'); +INSERT INTO `sys_logininfor` VALUES (372, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 11:45:08'); +INSERT INTO `sys_logininfor` VALUES (373, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-11 12:15:29'); +INSERT INTO `sys_logininfor` VALUES (374, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 13:44:03'); +INSERT INTO `sys_logininfor` VALUES (375, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 13:55:52'); +INSERT INTO `sys_logininfor` VALUES (376, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-11 14:18:06'); +INSERT INTO `sys_logininfor` VALUES (377, 'admin', '192.168.1.136', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '退出成功', '2025-03-11 14:26:15'); +INSERT INTO `sys_logininfor` VALUES (378, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-11 15:01:38'); +INSERT INTO `sys_logininfor` VALUES (379, 'admin', '192.168.1.136', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '退出成功', '2025-03-11 15:01:42'); +INSERT INTO `sys_logininfor` VALUES (380, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 15:02:13'); +INSERT INTO `sys_logininfor` VALUES (381, 'admin', '192.168.1.136', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-03-11 15:09:45'); +INSERT INTO `sys_logininfor` VALUES (382, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-11 15:38:53'); +INSERT INTO `sys_logininfor` VALUES (383, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 15:39:06'); +INSERT INTO `sys_logininfor` VALUES (384, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 16:01:02'); +INSERT INTO `sys_logininfor` VALUES (385, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 17:33:12'); +INSERT INTO `sys_logininfor` VALUES (386, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-11 17:33:54'); +INSERT INTO `sys_logininfor` VALUES (387, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-11 17:34:04'); +INSERT INTO `sys_logininfor` VALUES (388, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 17:58:11'); +INSERT INTO `sys_logininfor` VALUES (389, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-11 21:16:43'); +INSERT INTO `sys_logininfor` VALUES (390, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 21:16:51'); +INSERT INTO `sys_logininfor` VALUES (391, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-11 21:18:31'); +INSERT INTO `sys_logininfor` VALUES (392, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 08:37:24'); +INSERT INTO `sys_logininfor` VALUES (393, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 08:37:37'); +INSERT INTO `sys_logininfor` VALUES (394, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 08:42:31'); +INSERT INTO `sys_logininfor` VALUES (395, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:26:19'); +INSERT INTO `sys_logininfor` VALUES (396, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 09:26:36'); +INSERT INTO `sys_logininfor` VALUES (397, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:27:02'); +INSERT INTO `sys_logininfor` VALUES (398, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:27:12'); +INSERT INTO `sys_logininfor` VALUES (399, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 09:28:33'); +INSERT INTO `sys_logininfor` VALUES (400, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:28:33'); +INSERT INTO `sys_logininfor` VALUES (401, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:36:41'); +INSERT INTO `sys_logininfor` VALUES (402, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 09:38:40'); +INSERT INTO `sys_logininfor` VALUES (403, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:38:41'); +INSERT INTO `sys_logininfor` VALUES (404, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 09:50:32'); +INSERT INTO `sys_logininfor` VALUES (405, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 09:51:49'); +INSERT INTO `sys_logininfor` VALUES (406, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-12 09:53:56'); +INSERT INTO `sys_logininfor` VALUES (407, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:57:44'); +INSERT INTO `sys_logininfor` VALUES (408, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 09:57:57'); +INSERT INTO `sys_logininfor` VALUES (409, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 09:58:56'); +INSERT INTO `sys_logininfor` VALUES (410, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 09:59:04'); +INSERT INTO `sys_logininfor` VALUES (411, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 10:01:27'); +INSERT INTO `sys_logininfor` VALUES (412, 'nndbrmyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-12 10:32:47'); +INSERT INTO `sys_logininfor` VALUES (413, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '退出成功', '2025-03-12 10:51:18'); +INSERT INTO `sys_logininfor` VALUES (414, 'admin', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-03-12 10:51:23'); +INSERT INTO `sys_logininfor` VALUES (415, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-12 10:51:51'); +INSERT INTO `sys_logininfor` VALUES (416, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-12 14:14:10'); +INSERT INTO `sys_logininfor` VALUES (417, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-12 14:14:15'); +INSERT INTO `sys_logininfor` VALUES (418, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-15 09:00:42'); +INSERT INTO `sys_logininfor` VALUES (419, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-15 09:00:47'); +INSERT INTO `sys_logininfor` VALUES (420, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-03-15 09:00:54'); +INSERT INTO `sys_logininfor` VALUES (421, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-15 09:53:33'); +INSERT INTO `sys_logininfor` VALUES (422, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-15 18:36:24'); +INSERT INTO `sys_logininfor` VALUES (423, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-15 19:43:05'); +INSERT INTO `sys_logininfor` VALUES (424, 'admin', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-15 20:02:49'); +INSERT INTO `sys_logininfor` VALUES (425, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-03-15 20:03:06'); +INSERT INTO `sys_logininfor` VALUES (426, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-16 09:53:07'); +INSERT INTO `sys_logininfor` VALUES (427, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-16 10:56:08'); +INSERT INTO `sys_logininfor` VALUES (428, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-16 11:52:49'); +INSERT INTO `sys_logininfor` VALUES (429, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-16 11:57:11'); +INSERT INTO `sys_logininfor` VALUES (430, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-16 11:57:20'); +INSERT INTO `sys_logininfor` VALUES (431, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 08:55:03'); +INSERT INTO `sys_logininfor` VALUES (432, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-17 08:58:49'); +INSERT INTO `sys_logininfor` VALUES (433, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-17 09:34:08'); +INSERT INTO `sys_logininfor` VALUES (434, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-17 09:34:27'); +INSERT INTO `sys_logininfor` VALUES (435, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-17 09:34:35'); +INSERT INTO `sys_logininfor` VALUES (436, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-17 09:42:29'); +INSERT INTO `sys_logininfor` VALUES (437, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-17 10:53:58'); +INSERT INTO `sys_logininfor` VALUES (438, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-17 14:28:46'); +INSERT INTO `sys_logininfor` VALUES (439, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 15:35:07'); +INSERT INTO `sys_logininfor` VALUES (440, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-17 16:13:34'); +INSERT INTO `sys_logininfor` VALUES (441, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 16:56:25'); +INSERT INTO `sys_logininfor` VALUES (442, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-17 16:59:34'); +INSERT INTO `sys_logininfor` VALUES (443, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-17 17:06:35'); +INSERT INTO `sys_logininfor` VALUES (444, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 17:22:44'); +INSERT INTO `sys_logininfor` VALUES (445, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-17 17:32:35'); +INSERT INTO `sys_logininfor` VALUES (446, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 17:32:51'); +INSERT INTO `sys_logininfor` VALUES (447, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-17 17:32:51'); +INSERT INTO `sys_logininfor` VALUES (448, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 17:33:11'); +INSERT INTO `sys_logininfor` VALUES (449, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-17 17:33:11'); +INSERT INTO `sys_logininfor` VALUES (450, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-17 17:33:46'); +INSERT INTO `sys_logininfor` VALUES (451, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 17:36:23'); +INSERT INTO `sys_logininfor` VALUES (452, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 17:40:02'); +INSERT INTO `sys_logininfor` VALUES (453, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-17 17:40:59'); +INSERT INTO `sys_logininfor` VALUES (454, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 17:41:10'); +INSERT INTO `sys_logininfor` VALUES (455, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-17 17:51:58'); +INSERT INTO `sys_logininfor` VALUES (456, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 17:52:05'); +INSERT INTO `sys_logininfor` VALUES (457, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 19:28:14'); +INSERT INTO `sys_logininfor` VALUES (458, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-17 19:32:25'); +INSERT INTO `sys_logininfor` VALUES (459, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 19:32:32'); +INSERT INTO `sys_logininfor` VALUES (460, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-17 19:47:47'); +INSERT INTO `sys_logininfor` VALUES (461, 'mxfy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-17 20:32:06'); +INSERT INTO `sys_logininfor` VALUES (462, 'mxfy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-17 21:17:40'); +INSERT INTO `sys_logininfor` VALUES (463, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 21:57:15'); +INSERT INTO `sys_logininfor` VALUES (464, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-17 21:58:21'); +INSERT INTO `sys_logininfor` VALUES (465, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-17 22:09:39'); +INSERT INTO `sys_logininfor` VALUES (466, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-03-17 22:15:53'); +INSERT INTO `sys_logininfor` VALUES (467, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-17 23:44:16'); +INSERT INTO `sys_logininfor` VALUES (468, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-18 00:45:03'); +INSERT INTO `sys_logininfor` VALUES (469, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 00:45:32'); +INSERT INTO `sys_logininfor` VALUES (470, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 00:56:33'); +INSERT INTO `sys_logininfor` VALUES (471, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 00:56:52'); +INSERT INTO `sys_logininfor` VALUES (472, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 00:57:26'); +INSERT INTO `sys_logininfor` VALUES (473, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 00:57:45'); +INSERT INTO `sys_logininfor` VALUES (474, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-18 00:58:32'); +INSERT INTO `sys_logininfor` VALUES (475, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-18 00:58:41'); +INSERT INTO `sys_logininfor` VALUES (476, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 01:13:26'); +INSERT INTO `sys_logininfor` VALUES (477, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 01:13:29'); +INSERT INTO `sys_logininfor` VALUES (478, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-18 01:13:50'); +INSERT INTO `sys_logininfor` VALUES (479, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-18 01:13:55'); +INSERT INTO `sys_logininfor` VALUES (480, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-18 01:14:13'); +INSERT INTO `sys_logininfor` VALUES (481, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 01:14:20'); +INSERT INTO `sys_logininfor` VALUES (482, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 01:50:36'); +INSERT INTO `sys_logininfor` VALUES (483, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-18 01:55:28'); +INSERT INTO `sys_logininfor` VALUES (484, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 01:57:41'); +INSERT INTO `sys_logininfor` VALUES (485, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-18 01:59:34'); +INSERT INTO `sys_logininfor` VALUES (486, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 01:59:44'); +INSERT INTO `sys_logininfor` VALUES (487, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 03:00:59'); +INSERT INTO `sys_logininfor` VALUES (488, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-18 03:02:38'); +INSERT INTO `sys_logininfor` VALUES (489, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 03:04:21'); +INSERT INTO `sys_logininfor` VALUES (490, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-18 03:22:45'); +INSERT INTO `sys_logininfor` VALUES (491, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 03:24:33'); +INSERT INTO `sys_logininfor` VALUES (492, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-18 03:57:29'); +INSERT INTO `sys_logininfor` VALUES (493, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-18 15:27:14'); +INSERT INTO `sys_logininfor` VALUES (494, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-18 15:33:51'); +INSERT INTO `sys_logininfor` VALUES (495, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 08:52:57'); +INSERT INTO `sys_logininfor` VALUES (496, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-19 09:25:18'); +INSERT INTO `sys_logininfor` VALUES (497, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-19 09:29:22'); +INSERT INTO `sys_logininfor` VALUES (498, 'mxfy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-19 09:32:54'); +INSERT INTO `sys_logininfor` VALUES (499, 'mxfy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-19 10:52:56'); +INSERT INTO `sys_logininfor` VALUES (500, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-19 11:17:03'); +INSERT INTO `sys_logininfor` VALUES (501, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 11:17:41'); +INSERT INTO `sys_logininfor` VALUES (502, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-19 12:12:32'); +INSERT INTO `sys_logininfor` VALUES (503, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 12:12:46'); +INSERT INTO `sys_logininfor` VALUES (504, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 17:05:08'); +INSERT INTO `sys_logininfor` VALUES (505, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 17:07:21'); +INSERT INTO `sys_logininfor` VALUES (506, 'admin', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-03-19 17:11:14'); +INSERT INTO `sys_logininfor` VALUES (507, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-19 17:12:41'); +INSERT INTO `sys_logininfor` VALUES (508, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-19 17:12:50'); +INSERT INTO `sys_logininfor` VALUES (509, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 17:12:54'); +INSERT INTO `sys_logininfor` VALUES (510, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-19 17:29:46'); +INSERT INTO `sys_logininfor` VALUES (511, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-19 17:29:54'); +INSERT INTO `sys_logininfor` VALUES (512, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-19 17:29:57'); +INSERT INTO `sys_logininfor` VALUES (513, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 17:30:04'); +INSERT INTO `sys_logininfor` VALUES (514, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-19 17:30:17'); +INSERT INTO `sys_logininfor` VALUES (515, 'admin', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-03-19 17:30:30'); +INSERT INTO `sys_logininfor` VALUES (516, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-20 08:39:37'); +INSERT INTO `sys_logininfor` VALUES (517, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-20 08:39:51'); +INSERT INTO `sys_logininfor` VALUES (518, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-20 16:35:53'); +INSERT INTO `sys_logininfor` VALUES (519, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-20 18:03:44'); +INSERT INTO `sys_logininfor` VALUES (520, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-20 18:04:33'); +INSERT INTO `sys_logininfor` VALUES (521, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-20 18:10:18'); +INSERT INTO `sys_logininfor` VALUES (522, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-20 18:10:44'); +INSERT INTO `sys_logininfor` VALUES (523, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-20 18:11:47'); +INSERT INTO `sys_logininfor` VALUES (524, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-20 18:11:51'); +INSERT INTO `sys_logininfor` VALUES (525, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-20 18:12:00'); +INSERT INTO `sys_logininfor` VALUES (526, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-20 18:23:24'); +INSERT INTO `sys_logininfor` VALUES (527, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '验证码错误', '2025-03-20 18:55:46'); +INSERT INTO `sys_logininfor` VALUES (528, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-20 18:55:48'); +INSERT INTO `sys_logininfor` VALUES (529, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-20 18:56:51'); +INSERT INTO `sys_logininfor` VALUES (530, 'mxfy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-20 19:42:30'); +INSERT INTO `sys_logininfor` VALUES (531, 'mxfy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-20 19:43:01'); +INSERT INTO `sys_logininfor` VALUES (532, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-20 22:11:40'); +INSERT INTO `sys_logininfor` VALUES (533, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-20 22:15:23'); +INSERT INTO `sys_logininfor` VALUES (534, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-20 22:15:38'); +INSERT INTO `sys_logininfor` VALUES (535, 'mxfy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-20 22:16:09'); +INSERT INTO `sys_logininfor` VALUES (536, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-21 09:31:47'); +INSERT INTO `sys_logininfor` VALUES (537, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-21 09:31:52'); +INSERT INTO `sys_logininfor` VALUES (538, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-21 09:45:07'); +INSERT INTO `sys_logininfor` VALUES (539, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-21 09:45:18'); +INSERT INTO `sys_logininfor` VALUES (540, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-21 16:13:40'); +INSERT INTO `sys_logininfor` VALUES (541, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-21 16:13:44'); +INSERT INTO `sys_logininfor` VALUES (542, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-21 17:31:23'); +INSERT INTO `sys_logininfor` VALUES (543, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-21 17:31:31'); +INSERT INTO `sys_logininfor` VALUES (544, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-21 17:31:35'); +INSERT INTO `sys_logininfor` VALUES (545, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-21 22:03:31'); +INSERT INTO `sys_logininfor` VALUES (546, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-21 22:09:16'); +INSERT INTO `sys_logininfor` VALUES (547, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-22 09:47:47'); +INSERT INTO `sys_logininfor` VALUES (548, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-22 09:47:50'); +INSERT INTO `sys_logininfor` VALUES (549, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-22 09:47:56'); +INSERT INTO `sys_logininfor` VALUES (550, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-22 10:00:32'); +INSERT INTO `sys_logininfor` VALUES (551, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-22 16:25:48'); +INSERT INTO `sys_logininfor` VALUES (552, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-26 18:51:38'); +INSERT INTO `sys_logininfor` VALUES (553, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-26 21:36:27'); +INSERT INTO `sys_logininfor` VALUES (554, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-27 11:49:53'); +INSERT INTO `sys_logininfor` VALUES (555, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-27 22:16:31'); +INSERT INTO `sys_logininfor` VALUES (556, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-27 22:16:38'); +INSERT INTO `sys_logininfor` VALUES (557, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-27 22:18:57'); +INSERT INTO `sys_logininfor` VALUES (558, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-27 22:34:21'); +INSERT INTO `sys_logininfor` VALUES (559, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 08:54:00'); +INSERT INTO `sys_logininfor` VALUES (560, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-28 09:22:12'); +INSERT INTO `sys_logininfor` VALUES (561, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 14:54:45'); +INSERT INTO `sys_logininfor` VALUES (562, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 15:08:14'); +INSERT INTO `sys_logininfor` VALUES (563, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:10:41'); +INSERT INTO `sys_logininfor` VALUES (564, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:12:42'); +INSERT INTO `sys_logininfor` VALUES (565, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-28 15:15:41'); +INSERT INTO `sys_logininfor` VALUES (566, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:16:36'); +INSERT INTO `sys_logininfor` VALUES (567, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:17:30'); +INSERT INTO `sys_logininfor` VALUES (568, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:18:59'); +INSERT INTO `sys_logininfor` VALUES (569, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:19:43'); +INSERT INTO `sys_logininfor` VALUES (570, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-28 15:20:46'); +INSERT INTO `sys_logininfor` VALUES (571, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:20:49'); +INSERT INTO `sys_logininfor` VALUES (572, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:21:35'); +INSERT INTO `sys_logininfor` VALUES (573, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:22:05'); +INSERT INTO `sys_logininfor` VALUES (574, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:24:47'); +INSERT INTO `sys_logininfor` VALUES (575, 'stzstwsysh', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 15:37:36'); +INSERT INTO `sys_logininfor` VALUES (576, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-03-28 16:08:04'); +INSERT INTO `sys_logininfor` VALUES (577, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 16:08:07'); +INSERT INTO `sys_logininfor` VALUES (578, 'zhangsa1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-03-28 16:11:01'); +INSERT INTO `sys_logininfor` VALUES (579, 'zhangsa2', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-03-28 16:12:32'); +INSERT INTO `sys_logininfor` VALUES (580, 'zhangsa4', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 16:15:52'); +INSERT INTO `sys_logininfor` VALUES (581, 'zhangsa6', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 16:18:35'); +INSERT INTO `sys_logininfor` VALUES (582, 'stzstwsysh', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-28 16:40:17'); +INSERT INTO `sys_logininfor` VALUES (583, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-28 16:41:55'); +INSERT INTO `sys_logininfor` VALUES (584, 'zhangsa6', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 16:49:54'); +INSERT INTO `sys_logininfor` VALUES (585, 'zhangsa7', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 16:50:22'); +INSERT INTO `sys_logininfor` VALUES (586, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-28 16:54:08'); +INSERT INTO `sys_logininfor` VALUES (587, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 16:59:50'); +INSERT INTO `sys_logininfor` VALUES (588, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 17:00:04'); +INSERT INTO `sys_logininfor` VALUES (589, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-28 17:27:49'); +INSERT INTO `sys_logininfor` VALUES (590, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-28 17:27:55'); +INSERT INTO `sys_logininfor` VALUES (591, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-28 17:28:34'); +INSERT INTO `sys_logininfor` VALUES (592, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-28 17:35:55'); +INSERT INTO `sys_logininfor` VALUES (593, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 17:47:22'); +INSERT INTO `sys_logininfor` VALUES (594, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 17:47:31'); +INSERT INTO `sys_logininfor` VALUES (595, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-28 17:52:03'); +INSERT INTO `sys_logininfor` VALUES (596, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-28 17:52:49'); +INSERT INTO `sys_logininfor` VALUES (597, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 17:54:17'); +INSERT INTO `sys_logininfor` VALUES (598, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-28 17:57:08'); +INSERT INTO `sys_logininfor` VALUES (599, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 17:57:15'); +INSERT INTO `sys_logininfor` VALUES (600, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 17:57:19'); +INSERT INTO `sys_logininfor` VALUES (601, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-28 17:57:21'); +INSERT INTO `sys_logininfor` VALUES (602, 'zhangsa7', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-28 18:05:41'); +INSERT INTO `sys_logininfor` VALUES (603, 'zhangsa7', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 18:07:27'); +INSERT INTO `sys_logininfor` VALUES (604, 'zhangsa8', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-28 18:09:31'); +INSERT INTO `sys_logininfor` VALUES (605, 'zhangsan1', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 18:35:17'); +INSERT INTO `sys_logininfor` VALUES (606, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 18:37:41'); +INSERT INTO `sys_logininfor` VALUES (607, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 18:42:07'); +INSERT INTO `sys_logininfor` VALUES (608, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 18:42:17'); +INSERT INTO `sys_logininfor` VALUES (609, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 18:45:56'); +INSERT INTO `sys_logininfor` VALUES (610, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 18:46:08'); +INSERT INTO `sys_logininfor` VALUES (611, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:05:23'); +INSERT INTO `sys_logininfor` VALUES (612, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:07:39'); +INSERT INTO `sys_logininfor` VALUES (613, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 19:07:53'); +INSERT INTO `sys_logininfor` VALUES (614, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:07:58'); +INSERT INTO `sys_logininfor` VALUES (615, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:15:25'); +INSERT INTO `sys_logininfor` VALUES (616, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:15:39'); +INSERT INTO `sys_logininfor` VALUES (617, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:16:40'); +INSERT INTO `sys_logininfor` VALUES (618, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 19:16:58'); +INSERT INTO `sys_logininfor` VALUES (619, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:17:11'); +INSERT INTO `sys_logininfor` VALUES (620, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:24:06'); +INSERT INTO `sys_logininfor` VALUES (621, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:24:26'); +INSERT INTO `sys_logininfor` VALUES (622, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:24:47'); +INSERT INTO `sys_logininfor` VALUES (623, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 19:25:07'); +INSERT INTO `sys_logininfor` VALUES (624, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:25:11'); +INSERT INTO `sys_logininfor` VALUES (625, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:28:58'); +INSERT INTO `sys_logininfor` VALUES (626, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:29:10'); +INSERT INTO `sys_logininfor` VALUES (627, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:30:29'); +INSERT INTO `sys_logininfor` VALUES (628, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码已失效', '2025-03-28 19:33:42'); +INSERT INTO `sys_logininfor` VALUES (629, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:33:46'); +INSERT INTO `sys_logininfor` VALUES (630, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:33:53'); +INSERT INTO `sys_logininfor` VALUES (631, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 19:34:08'); +INSERT INTO `sys_logininfor` VALUES (632, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 19:44:35'); +INSERT INTO `sys_logininfor` VALUES (633, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:02:46'); +INSERT INTO `sys_logininfor` VALUES (634, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 20:03:16'); +INSERT INTO `sys_logininfor` VALUES (635, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码已失效', '2025-03-28 20:11:32'); +INSERT INTO `sys_logininfor` VALUES (636, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 20:11:36'); +INSERT INTO `sys_logininfor` VALUES (637, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:11:45'); +INSERT INTO `sys_logininfor` VALUES (638, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 20:21:59'); +INSERT INTO `sys_logininfor` VALUES (639, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:22:39'); +INSERT INTO `sys_logininfor` VALUES (640, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:26:25'); +INSERT INTO `sys_logininfor` VALUES (641, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:26:41'); +INSERT INTO `sys_logininfor` VALUES (642, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:27:19'); +INSERT INTO `sys_logininfor` VALUES (643, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:27:40'); +INSERT INTO `sys_logininfor` VALUES (644, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:27:51'); +INSERT INTO `sys_logininfor` VALUES (645, 'ry', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:28:42'); +INSERT INTO `sys_logininfor` VALUES (646, 'ry', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:28:50'); +INSERT INTO `sys_logininfor` VALUES (647, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:30:00'); +INSERT INTO `sys_logininfor` VALUES (648, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 20:30:06'); +INSERT INTO `sys_logininfor` VALUES (649, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:30:20'); +INSERT INTO `sys_logininfor` VALUES (650, 'ry', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:30:34'); +INSERT INTO `sys_logininfor` VALUES (651, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:30:59'); +INSERT INTO `sys_logininfor` VALUES (652, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:32:34'); +INSERT INTO `sys_logininfor` VALUES (653, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 20:33:26'); +INSERT INTO `sys_logininfor` VALUES (654, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:33:37'); +INSERT INTO `sys_logininfor` VALUES (655, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 20:35:00'); +INSERT INTO `sys_logininfor` VALUES (656, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:35:17'); +INSERT INTO `sys_logininfor` VALUES (657, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码已失效', '2025-03-28 20:35:47'); +INSERT INTO `sys_logininfor` VALUES (658, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 20:35:50'); +INSERT INTO `sys_logininfor` VALUES (659, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:35:53'); +INSERT INTO `sys_logininfor` VALUES (660, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:35:56'); +INSERT INTO `sys_logininfor` VALUES (661, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:38:32'); +INSERT INTO `sys_logininfor` VALUES (662, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 20:55:47'); +INSERT INTO `sys_logininfor` VALUES (663, 'cszh', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:56:06'); +INSERT INTO `sys_logininfor` VALUES (664, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:57:29'); +INSERT INTO `sys_logininfor` VALUES (665, 'cszh', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 20:57:31'); +INSERT INTO `sys_logininfor` VALUES (666, 'cszh', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 20:58:35'); +INSERT INTO `sys_logininfor` VALUES (667, 'cszh', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 20:58:39'); +INSERT INTO `sys_logininfor` VALUES (668, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:05:28'); +INSERT INTO `sys_logininfor` VALUES (669, 'cszh', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 21:31:47'); +INSERT INTO `sys_logininfor` VALUES (670, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 21:31:57'); +INSERT INTO `sys_logininfor` VALUES (671, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:32:01'); +INSERT INTO `sys_logininfor` VALUES (672, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 21:32:20'); +INSERT INTO `sys_logininfor` VALUES (673, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:32:32'); +INSERT INTO `sys_logininfor` VALUES (674, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 21:43:50'); +INSERT INTO `sys_logininfor` VALUES (675, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:44:24'); +INSERT INTO `sys_logininfor` VALUES (676, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 21:44:24'); +INSERT INTO `sys_logininfor` VALUES (677, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 21:45:25'); +INSERT INTO `sys_logininfor` VALUES (678, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:45:28'); +INSERT INTO `sys_logininfor` VALUES (679, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 21:47:15'); +INSERT INTO `sys_logininfor` VALUES (680, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:47:31'); +INSERT INTO `sys_logininfor` VALUES (681, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:57:44'); +INSERT INTO `sys_logininfor` VALUES (682, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 21:58:39'); +INSERT INTO `sys_logininfor` VALUES (683, 'cszh3', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-28 22:00:48'); +INSERT INTO `sys_logininfor` VALUES (684, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 22:30:27'); +INSERT INTO `sys_logininfor` VALUES (685, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-28 22:30:40'); +INSERT INTO `sys_logininfor` VALUES (686, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 22:30:43'); +INSERT INTO `sys_logininfor` VALUES (687, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 22:32:20'); +INSERT INTO `sys_logininfor` VALUES (688, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-28 22:32:30'); +INSERT INTO `sys_logininfor` VALUES (689, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-28 22:32:39'); +INSERT INTO `sys_logininfor` VALUES (690, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-29 13:54:29'); +INSERT INTO `sys_logininfor` VALUES (691, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-29 13:55:45'); +INSERT INTO `sys_logininfor` VALUES (692, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-29 13:55:53'); +INSERT INTO `sys_logininfor` VALUES (693, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-29 14:02:12'); +INSERT INTO `sys_logininfor` VALUES (694, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-29 14:02:20'); +INSERT INTO `sys_logininfor` VALUES (695, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-29 14:13:13'); +INSERT INTO `sys_logininfor` VALUES (696, 'cszh4', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-29 14:14:32'); +INSERT INTO `sys_logininfor` VALUES (697, 'cszh4', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-29 14:14:53'); +INSERT INTO `sys_logininfor` VALUES (698, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-29 14:15:14'); +INSERT INTO `sys_logininfor` VALUES (699, 'cszh4', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-03-29 14:16:15'); +INSERT INTO `sys_logininfor` VALUES (700, 'cszh4', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '退出成功', '2025-03-29 14:16:58'); +INSERT INTO `sys_logininfor` VALUES (701, 'cszh4', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-29 14:17:08'); +INSERT INTO `sys_logininfor` VALUES (702, 'cszh4', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-03-29 14:17:12'); +INSERT INTO `sys_logininfor` VALUES (703, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 19:46:36'); +INSERT INTO `sys_logininfor` VALUES (704, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 19:47:38'); +INSERT INTO `sys_logininfor` VALUES (705, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 19:47:44'); +INSERT INTO `sys_logininfor` VALUES (706, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 19:47:52'); +INSERT INTO `sys_logininfor` VALUES (707, 'zhagnsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 19:48:02'); +INSERT INTO `sys_logininfor` VALUES (708, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-30 19:48:11'); +INSERT INTO `sys_logininfor` VALUES (709, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 19:59:57'); +INSERT INTO `sys_logininfor` VALUES (710, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 20:00:28'); +INSERT INTO `sys_logininfor` VALUES (711, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-30 20:00:45'); +INSERT INTO `sys_logininfor` VALUES (712, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-30 20:00:54'); +INSERT INTO `sys_logininfor` VALUES (713, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-03-30 20:01:20'); +INSERT INTO `sys_logininfor` VALUES (714, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-30 20:01:24'); +INSERT INTO `sys_logininfor` VALUES (715, 'zhangsa8', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-03-31 09:28:08'); +INSERT INTO `sys_logininfor` VALUES (716, 'zhangsa8', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-31 09:29:11'); +INSERT INTO `sys_logininfor` VALUES (717, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-31 09:56:17'); +INSERT INTO `sys_logininfor` VALUES (718, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-31 09:56:41'); +INSERT INTO `sys_logininfor` VALUES (719, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-31 10:24:59'); +INSERT INTO `sys_logininfor` VALUES (720, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-31 14:18:20'); +INSERT INTO `sys_logininfor` VALUES (721, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-31 14:18:26'); +INSERT INTO `sys_logininfor` VALUES (722, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-31 14:38:57'); +INSERT INTO `sys_logininfor` VALUES (723, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-31 14:39:03'); +INSERT INTO `sys_logininfor` VALUES (724, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-31 14:39:19'); +INSERT INTO `sys_logininfor` VALUES (725, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-31 14:39:27'); +INSERT INTO `sys_logininfor` VALUES (726, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-03-31 14:53:52'); +INSERT INTO `sys_logininfor` VALUES (727, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-03-31 14:53:57'); +INSERT INTO `sys_logininfor` VALUES (728, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '验证码已失效', '2025-03-31 15:52:03'); +INSERT INTO `sys_logininfor` VALUES (729, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-31 15:52:05'); +INSERT INTO `sys_logininfor` VALUES (730, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '验证码错误', '2025-03-31 15:52:09'); +INSERT INTO `sys_logininfor` VALUES (731, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-31 15:52:11'); +INSERT INTO `sys_logininfor` VALUES (732, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-01 17:12:13'); +INSERT INTO `sys_logininfor` VALUES (733, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-02 09:20:58'); +INSERT INTO `sys_logininfor` VALUES (734, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 08:53:18'); +INSERT INTO `sys_logininfor` VALUES (735, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-04-03 11:26:05'); +INSERT INTO `sys_logininfor` VALUES (736, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 11:26:20'); +INSERT INTO `sys_logininfor` VALUES (737, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-04-03 11:26:27'); +INSERT INTO `sys_logininfor` VALUES (738, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 11:26:38'); +INSERT INTO `sys_logininfor` VALUES (739, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 11:26:56'); +INSERT INTO `sys_logininfor` VALUES (740, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-04-03 11:27:37'); +INSERT INTO `sys_logininfor` VALUES (741, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 11:33:31'); +INSERT INTO `sys_logininfor` VALUES (742, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 11:35:31'); +INSERT INTO `sys_logininfor` VALUES (743, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-04-03 11:43:00'); +INSERT INTO `sys_logininfor` VALUES (744, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 11:43:13'); +INSERT INTO `sys_logininfor` VALUES (745, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-04-03 11:43:26'); +INSERT INTO `sys_logininfor` VALUES (746, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 11:43:35'); +INSERT INTO `sys_logininfor` VALUES (747, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-04-03 12:16:31'); +INSERT INTO `sys_logininfor` VALUES (748, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 12:16:42'); +INSERT INTO `sys_logininfor` VALUES (749, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 12:32:54'); +INSERT INTO `sys_logininfor` VALUES (750, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 12:33:07'); +INSERT INTO `sys_logininfor` VALUES (751, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-04-03 12:33:15'); +INSERT INTO `sys_logininfor` VALUES (752, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 12:33:25'); +INSERT INTO `sys_logininfor` VALUES (753, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 12:37:43'); +INSERT INTO `sys_logininfor` VALUES (754, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 12:44:13'); +INSERT INTO `sys_logininfor` VALUES (755, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 12:56:05'); +INSERT INTO `sys_logininfor` VALUES (756, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-03 16:54:45'); +INSERT INTO `sys_logininfor` VALUES (757, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-04-03 16:55:40'); +INSERT INTO `sys_logininfor` VALUES (758, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '验证码错误', '2025-04-03 16:55:50'); +INSERT INTO `sys_logininfor` VALUES (759, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 16:55:55'); +INSERT INTO `sys_logininfor` VALUES (760, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-03 16:56:11'); +INSERT INTO `sys_logininfor` VALUES (761, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 17:21:35'); +INSERT INTO `sys_logininfor` VALUES (762, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 17:21:42'); +INSERT INTO `sys_logininfor` VALUES (763, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-03 17:21:50'); +INSERT INTO `sys_logininfor` VALUES (764, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '验证码错误', '2025-04-03 17:31:48'); +INSERT INTO `sys_logininfor` VALUES (765, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 17:31:51'); +INSERT INTO `sys_logininfor` VALUES (766, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 17:32:34'); +INSERT INTO `sys_logininfor` VALUES (767, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 17:35:39'); +INSERT INTO `sys_logininfor` VALUES (768, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-03 17:36:23'); +INSERT INTO `sys_logininfor` VALUES (769, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 18:05:02'); +INSERT INTO `sys_logininfor` VALUES (770, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-03 18:05:13'); +INSERT INTO `sys_logininfor` VALUES (771, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-04-03 18:05:40'); +INSERT INTO `sys_logininfor` VALUES (772, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-03 18:05:45'); +INSERT INTO `sys_logininfor` VALUES (773, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-03 20:51:00'); +INSERT INTO `sys_logininfor` VALUES (774, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-03 20:51:05'); +INSERT INTO `sys_logininfor` VALUES (775, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-04 21:15:42'); +INSERT INTO `sys_logininfor` VALUES (776, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-04 21:21:53'); +INSERT INTO `sys_logininfor` VALUES (777, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-05 11:31:48'); +INSERT INTO `sys_logininfor` VALUES (778, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-04-05 11:31:55'); +INSERT INTO `sys_logininfor` VALUES (779, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-05 11:32:06'); +INSERT INTO `sys_logininfor` VALUES (780, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-06 08:13:25'); +INSERT INTO `sys_logininfor` VALUES (781, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-06 08:16:26'); +INSERT INTO `sys_logininfor` VALUES (782, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-04-06 19:27:05'); +INSERT INTO `sys_logininfor` VALUES (783, 'nnsdqrmyy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-04-06 20:11:07'); +INSERT INTO `sys_logininfor` VALUES (784, 'nnsdqrmyy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-04-06 20:11:15'); +INSERT INTO `sys_logininfor` VALUES (785, 'nnsdqrmyy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-04-06 20:12:34'); +INSERT INTO `sys_logininfor` VALUES (786, 'nnsdqrmyy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-04-06 20:12:49'); +INSERT INTO `sys_logininfor` VALUES (787, 'nnsdqrmyy', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-04-06 20:15:46'); +INSERT INTO `sys_logininfor` VALUES (788, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-04-06 20:16:00'); +INSERT INTO `sys_logininfor` VALUES (789, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-04-06 20:20:05'); +INSERT INTO `sys_logininfor` VALUES (790, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-04-06 21:19:32'); +INSERT INTO `sys_logininfor` VALUES (791, 'zhangsan', '223.11.84.125', 'XX XX', 'Unknown', 'Unknown', '0', '登录成功', '2025-04-06 21:46:52'); +INSERT INTO `sys_logininfor` VALUES (792, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-04-06 22:21:18'); +INSERT INTO `sys_logininfor` VALUES (793, 'zhangsan', '223.11.84.125', 'XX XX', 'Unknown', 'Unknown', '0', '登录成功', '2025-04-06 23:20:29'); +INSERT INTO `sys_logininfor` VALUES (794, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-06 23:21:48'); +INSERT INTO `sys_logininfor` VALUES (795, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-04-06 23:35:34'); +INSERT INTO `sys_logininfor` VALUES (796, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-04-06 23:38:09'); + +-- ---------------------------- +-- Table structure for sys_menu +-- ---------------------------- +DROP TABLE IF EXISTS `sys_menu`; +CREATE TABLE `sys_menu` ( + `menu_id` bigint NOT NULL AUTO_INCREMENT COMMENT '菜单ID', + `menu_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '菜单名称', + `parent_id` bigint NULL DEFAULT 0 COMMENT '父菜单ID', + `order_num` int NULL DEFAULT 0 COMMENT '显示顺序', + `path` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '路由地址', + `component` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '组件路径', + `query` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '路由参数', + `route_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '路由名称', + `is_frame` int NULL DEFAULT 1 COMMENT '是否为外链（0是 1否）', + `is_cache` int NULL DEFAULT 0 COMMENT '是否缓存（0缓存 1不缓存）', + `menu_type` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '菜单类型（M目录 C菜单 F按钮）', + `visible` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '菜单状态（0显示 1隐藏）', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '菜单状态（0正常 1停用）', + `perms` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '权限标识', + `icon` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '#' COMMENT '菜单图标', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '备注', + PRIMARY KEY (`menu_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 1091 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '菜单权限表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_menu +-- ---------------------------- +INSERT INTO `sys_menu` VALUES (1, '系统管理', 0, 1, 'system', NULL, '', '', 1, 0, 'M', '0', '0', '', 'system', 'admin', '2025-02-08 17:42:06', '', NULL, '系统管理目录'); +INSERT INTO `sys_menu` VALUES (2, '系统监控', 0, 2, 'monitor', NULL, '', '', 1, 0, 'M', '0', '0', '', 'monitor', 'admin', '2025-02-08 17:42:06', '', NULL, '系统监控目录'); +INSERT INTO `sys_menu` VALUES (3, '系统工具', 0, 3, 'tool', NULL, '', '', 1, 0, 'M', '0', '0', '', 'tool', 'admin', '2025-02-08 17:42:06', '', NULL, '系统工具目录'); +INSERT INTO `sys_menu` VALUES (100, '用户管理', 1, 1, 'user', 'system/user/index', '', '', 1, 0, 'C', '0', '0', 'system:user:list', 'user', 'admin', '2025-02-08 17:42:06', '', NULL, '用户管理菜单'); +INSERT INTO `sys_menu` VALUES (101, '角色管理', 1, 2, 'role', 'system/role/index', '', '', 1, 0, 'C', '0', '0', 'system:role:list', 'peoples', 'admin', '2025-02-08 17:42:06', '', NULL, '角色管理菜单'); +INSERT INTO `sys_menu` VALUES (102, '菜单管理', 1, 3, 'menu', 'system/menu/index', '', '', 1, 0, 'C', '0', '0', 'system:menu:list', 'tree-table', 'admin', '2025-02-08 17:42:06', '', NULL, '菜单管理菜单'); +INSERT INTO `sys_menu` VALUES (103, '部门管理', 1, 4, 'dept', 'system/dept/index', '', '', 1, 0, 'C', '0', '0', 'system:dept:list', 'tree', 'admin', '2025-02-08 17:42:06', '', NULL, '部门管理菜单'); +INSERT INTO `sys_menu` VALUES (104, '岗位管理', 1, 5, 'post', 'system/post/index', '', '', 1, 0, 'C', '0', '0', 'system:post:list', 'post', 'admin', '2025-02-08 17:42:06', '', NULL, '岗位管理菜单'); +INSERT INTO `sys_menu` VALUES (105, '字典管理', 1, 6, 'dict', 'system/dict/index', '', '', 1, 0, 'C', '0', '0', 'system:dict:list', 'dict', 'admin', '2025-02-08 17:42:06', '', NULL, '字典管理菜单'); +INSERT INTO `sys_menu` VALUES (106, '参数设置', 1, 7, 'config', 'system/config/index', '', '', 1, 0, 'C', '0', '0', 'system:config:list', 'edit', 'admin', '2025-02-08 17:42:06', '', NULL, '参数设置菜单'); +INSERT INTO `sys_menu` VALUES (107, '通知公告', 1, 8, 'notice', 'system/notice/index', '', '', 1, 0, 'C', '0', '0', 'system:notice:list', 'message', 'admin', '2025-02-08 17:42:06', '', NULL, '通知公告菜单'); +INSERT INTO `sys_menu` VALUES (108, '日志管理', 1, 9, 'log', '', '', '', 1, 0, 'M', '0', '0', '', 'log', 'admin', '2025-02-08 17:42:06', '', NULL, '日志管理菜单'); +INSERT INTO `sys_menu` VALUES (109, '在线用户', 2, 1, 'online', 'monitor/online/index', '', '', 1, 0, 'C', '0', '0', 'monitor:online:list', 'online', 'admin', '2025-02-08 17:42:06', '', NULL, '在线用户菜单'); +INSERT INTO `sys_menu` VALUES (110, '定时任务', 2, 2, 'job', 'monitor/job/index', '', '', 1, 0, 'C', '0', '0', 'monitor:job:list', 'job', 'admin', '2025-02-08 17:42:06', '', NULL, '定时任务菜单'); +INSERT INTO `sys_menu` VALUES (111, '数据监控', 2, 3, 'druid', 'monitor/druid/index', '', '', 1, 0, 'C', '0', '0', 'monitor:druid:list', 'druid', 'admin', '2025-02-08 17:42:06', '', NULL, '数据监控菜单'); +INSERT INTO `sys_menu` VALUES (112, '服务监控', 2, 4, 'server', 'monitor/server/index', '', '', 1, 0, 'C', '0', '0', 'monitor:server:list', 'server', 'admin', '2025-02-08 17:42:06', '', NULL, '服务监控菜单'); +INSERT INTO `sys_menu` VALUES (113, '缓存监控', 2, 5, 'cache', 'monitor/cache/index', '', '', 1, 0, 'C', '0', '0', 'monitor:cache:list', 'redis', 'admin', '2025-02-08 17:42:06', '', NULL, '缓存监控菜单'); +INSERT INTO `sys_menu` VALUES (114, '缓存列表', 2, 6, 'cacheList', 'monitor/cache/list', '', '', 1, 0, 'C', '0', '0', 'monitor:cache:list', 'redis-list', 'admin', '2025-02-08 17:42:06', '', NULL, '缓存列表菜单'); +INSERT INTO `sys_menu` VALUES (115, '表单构建', 3, 1, 'build', 'tool/build/index', '', '', 1, 0, 'C', '0', '0', 'tool:build:list', 'build', 'admin', '2025-02-08 17:42:06', '', NULL, '表单构建菜单'); +INSERT INTO `sys_menu` VALUES (116, '代码生成', 3, 2, 'gen', 'tool/gen/index', '', '', 1, 0, 'C', '0', '0', 'tool:gen:list', 'code', 'admin', '2025-02-08 17:42:06', '', NULL, '代码生成菜单'); +INSERT INTO `sys_menu` VALUES (117, '系统接口', 3, 3, 'swagger', 'tool/swagger/index', '', '', 1, 0, 'C', '0', '0', 'tool:swagger:list', 'swagger', 'admin', '2025-02-08 17:42:06', '', NULL, '系统接口菜单'); +INSERT INTO `sys_menu` VALUES (500, '操作日志', 108, 1, 'operlog', 'monitor/operlog/index', '', '', 1, 0, 'C', '0', '0', 'monitor:operlog:list', 'form', 'admin', '2025-02-08 17:42:06', '', NULL, '操作日志菜单'); +INSERT INTO `sys_menu` VALUES (501, '登录日志', 108, 2, 'logininfor', 'monitor/logininfor/index', '', '', 1, 0, 'C', '0', '0', 'monitor:logininfor:list', 'logininfor', 'admin', '2025-02-08 17:42:06', '', NULL, '登录日志菜单'); +INSERT INTO `sys_menu` VALUES (1000, '用户查询', 100, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1001, '用户新增', 100, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1002, '用户修改', 100, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1003, '用户删除', 100, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1004, '用户导出', 100, 5, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1005, '用户导入', 100, 6, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:import', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1006, '重置密码', 100, 7, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:resetPwd', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1007, '角色查询', 101, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1008, '角色新增', 101, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1009, '角色修改', 101, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1010, '角色删除', 101, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1011, '角色导出', 101, 5, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1012, '菜单查询', 102, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1013, '菜单新增', 102, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1014, '菜单修改', 102, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1015, '菜单删除', 102, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1016, '部门查询', 103, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1017, '部门新增', 103, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1018, '部门修改', 103, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1019, '部门删除', 103, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1020, '岗位查询', 104, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1021, '岗位新增', 104, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1022, '岗位修改', 104, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1023, '岗位删除', 104, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1024, '岗位导出', 104, 5, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1025, '字典查询', 105, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1026, '字典新增', 105, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1027, '字典修改', 105, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1028, '字典删除', 105, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1029, '字典导出', 105, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1030, '参数查询', 106, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1031, '参数新增', 106, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1032, '参数修改', 106, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1033, '参数删除', 106, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1034, '参数导出', 106, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1035, '公告查询', 107, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1036, '公告新增', 107, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1037, '公告修改', 107, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1038, '公告删除', 107, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1039, '操作查询', 500, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1040, '操作删除', 500, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1041, '日志导出', 500, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1042, '登录查询', 501, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1043, '登录删除', 501, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1044, '日志导出', 501, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1045, '账户解锁', 501, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:unlock', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1046, '在线查询', 109, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1047, '批量强退', 109, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:batchLogout', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1048, '单条强退', 109, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:forceLogout', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1049, '任务查询', 110, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1050, '任务新增', 110, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1051, '任务修改', 110, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1052, '任务删除', 110, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1053, '状态修改', 110, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:changeStatus', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1054, '任务导出', 110, 6, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1055, '生成查询', 116, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1056, '生成修改', 116, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1057, '生成删除', 116, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1058, '导入代码', 116, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:import', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1059, '预览代码', 116, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:preview', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1060, '生成代码', 116, 6, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:code', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1061, '患者档案', 0, 5, 'patientFile/index', 'patientFile/index.vue', NULL, '', 1, 0, 'C', '0', '0', 'patientFile:index', 'date-range', 'admin', '2025-02-11 14:32:30', 'admin', '2025-02-21 11:10:04', ''); +INSERT INTO `sys_menu` VALUES (1062, '诊疗档案', 0, 6, 'medicalFile/index', 'medicalFile/index.vue', NULL, '', 1, 0, 'C', '0', '0', 'medicalFile:index', 'education', 'admin', '2025-02-12 14:23:01', 'admin', '2025-02-21 11:10:09', ''); +INSERT INTO `sys_menu` VALUES (1064, '成员管理', 0, 4, '/member', '', NULL, '', 1, 0, 'M', '0', '0', 'member', 'peoples', 'admin', '2025-02-21 11:09:06', 'admin', '2025-02-21 11:10:26', ''); +INSERT INTO `sys_menu` VALUES (1065, '组织管理', 1064, 2, '/memberIndex', 'member/index.vue', NULL, '', 1, 0, 'C', '0', '0', 'member:index', 'component', 'admin', '2025-02-21 11:11:35', 'admin', '2025-02-21 13:57:04', ''); +INSERT INTO `sys_menu` VALUES (1066, '数据源管理', 1064, 1, '/dataSources', 'member/dataSources.vue', NULL, '', 1, 0, 'C', '0', '0', 'member:dataSources', 'radio', 'admin', '2025-02-21 13:58:22', 'admin', '2025-02-21 13:58:47', ''); +INSERT INTO `sys_menu` VALUES (1067, '组织账号', 1064, 3, 'account', 'member/account', NULL, '', 1, 0, 'C', '0', '0', 'member:account', 'build', 'admin', '2025-02-21 14:37:18', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1068, '随访档案', 0, 7, '/followFile', NULL, NULL, '', 1, 0, 'M', '0', '0', '', 'edit', 'admin', '2025-02-21 15:41:30', 'admin', '2025-02-21 16:25:38', ''); +INSERT INTO `sys_menu` VALUES (1069, '随访队列', 1068, 1, 'followIndex', 'followFile/index.vue', NULL, '', 1, 0, 'C', '0', '0', 'followFile:index', 'cascader', 'admin', '2025-02-21 15:42:08', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1070, '随访对象', 1068, 2, 'followSubjects', 'followFile/subjects.vue', NULL, '', 1, 0, 'C', '0', '0', 'followFile:subjects', 'log', 'admin', '2025-02-21 15:43:18', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1071, '随访工单', 1068, 3, 'followWork', 'followFile/work.vue', NULL, '', 1, 0, 'C', '0', '0', 'followFile:work', 'documentation', 'admin', '2025-02-21 15:43:57', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1072, '上报管理', 0, 9, '/report', NULL, NULL, '', 1, 0, 'M', '0', '0', '', 'link', 'admin', '2025-02-21 16:26:16', 'admin', '2025-03-17 17:07:44', ''); +INSERT INTO `sys_menu` VALUES (1073, '上报类型', 1072, 1, 'type', 'report/type.vue', NULL, '', 1, 0, 'C', '0', '0', 'report:type', 'color', 'admin', '2025-02-21 16:28:17', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1074, '上报管理', 1072, 2, 'manage', 'report/manage', NULL, '', 1, 0, 'C', '0', '0', 'report:manage', 'nested', 'admin', '2025-02-21 16:29:05', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1075, '诊疗档案详情', 0, 6, 'medicalFile/details', 'medicalFile/details.vue', NULL, '', 1, 0, 'C', '1', '0', 'medicalFile:details', '#', 'admin', '2025-03-03 19:32:18', 'admin', '2025-03-03 19:34:40', ''); +INSERT INTO `sys_menu` VALUES (1076, '提交审核', 1062, 9, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:examine', '#', 'admin', '2025-03-16 11:55:50', 'admin', '2025-03-17 15:43:33', ''); +INSERT INTO `sys_menu` VALUES (1077, '新增', 1062, 1, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:add', '#', 'admin', '2025-03-17 15:40:56', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1078, '删除', 1062, 2, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:del', '#', 'admin', '2025-03-17 15:41:20', 'admin', '2025-03-17 15:41:33', ''); +INSERT INTO `sys_menu` VALUES (1079, '修改', 1062, 3, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:edit', '#', 'admin', '2025-03-17 15:41:50', 'admin', '2025-03-17 15:42:53', ''); +INSERT INTO `sys_menu` VALUES (1080, '下载模版', 1062, 4, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:download', '#', 'admin', '2025-03-17 15:42:12', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1081, '导入', 1062, 5, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:import', '#', 'admin', '2025-03-17 15:42:26', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1082, '导出', 1062, 6, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:export', '#', 'admin', '2025-03-17 15:42:39', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1083, '档案详情', 1062, 7, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:details', '#', 'admin', '2025-03-17 15:43:15', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1084, '随访记录', 1062, 8, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:ecorde', '#', 'admin', '2025-03-17 15:43:29', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1085, '通过', 1062, 10, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:pass', '#', 'admin', '2025-03-17 15:44:09', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1086, '拒绝', 1062, 11, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:reject', '#', 'admin', '2025-03-17 15:45:35', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1087, '评估报告单', 1062, 12, '', NULL, NULL, '', 1, 0, 'F', '0', '0', 'medicalFile:index:report', '#', 'admin', '2025-03-17 15:54:23', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1088, '社区筛查', 0, 8, '/screening', NULL, NULL, '', 1, 0, 'M', '0', '0', NULL, 'dict', 'admin', '2025-03-17 17:08:12', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1089, '二维码', 1088, 1, 'screeningQR', 'screening/qrCode.vue', NULL, '', 1, 0, 'C', '0', '0', 'screening:qrCode', 'radio', 'admin', '2025-03-17 17:09:29', 'admin', '2025-03-17 17:10:44', ''); +INSERT INTO `sys_menu` VALUES (1090, '筛查列表', 1088, 1, 'screeningIndex', 'screening/index', NULL, '', 1, 0, 'C', '0', '0', 'screening:index', 'excel', 'admin', '2025-03-17 17:10:06', '', NULL, ''); + +-- ---------------------------- +-- Table structure for sys_notice +-- ---------------------------- +DROP TABLE IF EXISTS `sys_notice`; +CREATE TABLE `sys_notice` ( + `notice_id` int NOT NULL AUTO_INCREMENT COMMENT '公告ID', + `notice_title` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '公告标题', + `notice_type` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '公告类型（1通知 2公告）', + `notice_content` longblob NULL COMMENT '公告内容', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '公告状态（0正常 1关闭）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`notice_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 3 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '通知公告表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_notice +-- ---------------------------- +INSERT INTO `sys_notice` VALUES (1, '温馨提醒：2018-07-01 若依新版本发布啦', '2', 0xE696B0E78988E69CACE58685E5AEB9, '0', 'admin', '2025-02-08 17:42:07', '', NULL, '管理员'); +INSERT INTO `sys_notice` VALUES (2, '维护通知：2018-07-01 若依系统凌晨维护', '1', 0xE7BBB4E68AA4E58685E5AEB9, '0', 'admin', '2025-02-08 17:42:07', '', NULL, '管理员'); + +-- ---------------------------- +-- Table structure for sys_oper_log +-- ---------------------------- +DROP TABLE IF EXISTS `sys_oper_log`; +CREATE TABLE `sys_oper_log` ( + `oper_id` bigint NOT NULL AUTO_INCREMENT COMMENT '日志主键', + `title` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '模块标题', + `business_type` int NULL DEFAULT 0 COMMENT '业务类型（0其它 1新增 2修改 3删除）', + `method` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '方法名称', + `request_method` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '请求方式', + `operator_type` int NULL DEFAULT 0 COMMENT '操作类别（0其它 1后台用户 2手机端用户）', + `oper_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '操作人员', + `dept_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '部门名称', + `oper_url` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '请求URL', + `oper_ip` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '主机地址', + `oper_location` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '操作地点', + `oper_param` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '请求参数', + `json_result` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '返回参数', + `status` int NULL DEFAULT 0 COMMENT '操作状态（0正常 1异常）', + `error_msg` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '错误消息', + `oper_time` datetime NULL DEFAULT NULL COMMENT '操作时间', + `cost_time` bigint NULL DEFAULT 0 COMMENT '消耗时间', + PRIMARY KEY (`oper_id`) USING BTREE, + INDEX `idx_sys_oper_log_bt`(`business_type` ASC) USING BTREE, + INDEX `idx_sys_oper_log_s`(`status` ASC) USING BTREE, + INDEX `idx_sys_oper_log_ot`(`oper_time` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 95 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '操作日志记录' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_oper_log +-- ---------------------------- +INSERT INTO `sys_oper_log` VALUES (1, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '192.168.1.95', '内网IP', '{\"children\":[],\"component\":\"patientFile/index.vue\",\"createBy\":\"admin\",\"icon\":\"date-range\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuName\":\"患者档案\",\"menuType\":\"C\",\"orderNum\":4,\"params\":{},\"parentId\":0,\"path\":\"patientFile/index\",\"perms\":\"patientFile:index\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-11 14:32:30', 25); +INSERT INTO `sys_oper_log` VALUES (2, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '192.168.1.95', '内网IP', 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NULL, 1, '', '2025-02-15 18:19:34', 6); +INSERT INTO `sys_oper_log` VALUES (5, '用户管理', 5, 'com.acupuncture.web.controller.system.SysUserController.export()', 'POST', 1, 'zhangsan', NULL, '/system/user/export', '127.0.0.1', '内网IP', '{\"admin\":false,\"params\":{\"dataScope\":\"\"}}', NULL, 1, '', '2025-02-15 18:19:38', 1); +INSERT INTO `sys_oper_log` VALUES (6, '用户管理', 5, 'com.acupuncture.web.controller.system.SysUserController.export()', 'POST', 1, 'zhangsan', NULL, '/system/user/export', '127.0.0.1', '内网IP', '{\"admin\":false,\"params\":{\"dataScope\":\"\"}}', NULL, 1, '', '2025-02-18 17:40:13', 1); +INSERT INTO `sys_oper_log` VALUES (7, '用户管理', 5, 'com.acupuncture.web.controller.system.SysUserController.export()', 'POST', 1, 'zhangsan', NULL, '/system/user/export', '127.0.0.1', '内网IP', '{\"admin\":false,\"params\":{\"dataScope\":\"\"}}', NULL, 1, '', '2025-02-18 17:46:00', 1); +INSERT INTO `sys_oper_log` VALUES (8, '用户管理', 5, 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09:24:52', 10); +INSERT INTO `sys_oper_log` VALUES (62, '用户管理', 2, 'com.acupuncture.web.controller.system.SysUserController.edit()', 'PUT', 1, 'admin', NULL, '/system/user', '127.0.0.1', '内网IP', '{\"admin\":false,\"avatar\":\"\",\"createBy\":\"admin\",\"createTime\":\"2025-03-17 17:56:13\",\"delFlag\":\"0\",\"email\":\"\",\"loginIp\":\"\",\"nickName\":\"运德社区卫生服务中心\",\"params\":{},\"phonenumber\":\"\",\"postIds\":[],\"roleIds\":[3],\"roles\":[],\"sex\":\"0\",\"status\":\"0\",\"tenantId\":1899021431433641984,\"updateBy\":\"admin\",\"userId\":126,\"userName\":\"ydfwzxsh\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-28 09:24:59', 12); +INSERT INTO `sys_oper_log` VALUES (63, '用户管理', 2, 'com.acupuncture.web.controller.system.SysUserController.edit()', 'PUT', 1, 'admin', NULL, '/system/user', '127.0.0.1', '内网IP', '{\"admin\":false,\"avatar\":\"\",\"createBy\":\"admin\",\"createTime\":\"2025-03-17 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09:25:15', 9); +INSERT INTO `sys_oper_log` VALUES (65, '用户管理', 2, 'com.acupuncture.web.controller.system.SysUserController.edit()', 'PUT', 1, 'admin', NULL, '/system/user', '127.0.0.1', '内网IP', '{\"admin\":false,\"avatar\":\"\",\"createBy\":\"admin\",\"createTime\":\"2025-03-17 17:58:41\",\"delFlag\":\"0\",\"email\":\"\",\"loginIp\":\"\",\"nickName\":\"东沟岭社区卫生服务中心（审核）\",\"params\":{},\"phonenumber\":\"\",\"postIds\":[],\"roleIds\":[3],\"roles\":[],\"sex\":\"0\",\"status\":\"0\",\"tenantId\":1899021666394357760,\"updateBy\":\"admin\",\"userId\":130,\"userName\":\"dglfwzxsh\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-28 09:25:23', 12); +INSERT INTO `sys_oper_log` VALUES (66, '个人信息', 2, 'com.acupuncture.web.controller.system.SysProfileController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/system/user/profile/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 18:38:56', 3); +INSERT INTO `sys_oper_log` VALUES (67, '个人信息', 2, 'com.acupuncture.web.controller.system.SysProfileController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/system/user/profile/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 18:39:21', 1); +INSERT INTO `sys_oper_log` VALUES (68, '个人信息', 2, 'com.acupuncture.web.controller.system.SysProfileController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/system/user/profile/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 18:39:41', 0); +INSERT INTO `sys_oper_log` VALUES (69, '个人信息', 2, 'com.acupuncture.web.controller.system.SysProfileController.updatePwd()', 'PUT', 1, 'admin', NULL, '/system/user/profile/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 18:54:23', 0); +INSERT INTO `sys_oper_log` VALUES (70, '个人信息', 2, 'com.acupuncture.web.controller.system.SysProfileController.updatePwd()', 'PUT', 1, 'admin', NULL, '/system/user/profile/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 18:54:38', 0); +INSERT INTO `sys_oper_log` VALUES (71, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 19:05:43', 3); +INSERT INTO `sys_oper_log` VALUES (72, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 19:05:49', 0); +INSERT INTO `sys_oper_log` VALUES (73, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 19:07:32', 6); +INSERT INTO `sys_oper_log` VALUES (74, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 19:08:16', 1); +INSERT INTO `sys_oper_log` VALUES (75, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-28 19:15:24', 16438); +INSERT INTO `sys_oper_log` VALUES (76, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码异常，请联系管理员\",\"code\":500}', 0, NULL, '2025-03-28 19:16:15', 24289); +INSERT INTO `sys_oper_log` VALUES (77, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码异常，请联系管理员\",\"code\":500}', 0, NULL, '2025-03-28 19:16:28', 3375); +INSERT INTO `sys_oper_log` VALUES (78, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码异常，请联系管理员\",\"code\":500}', 0, NULL, '2025-03-28 19:17:25', 222); +INSERT INTO `sys_oper_log` VALUES (79, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-28 19:24:01', 4153); +INSERT INTO `sys_oper_log` VALUES (80, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-28 19:24:44', 234); +INSERT INTO `sys_oper_log` VALUES (81, '用户管理', 2, 'com.acupuncture.web.controller.system.SysUserController.resetPwd()', 'PUT', 1, 'admin', '研发部门', '/system/user/resetPwd', '127.0.0.1', '内网IP', '{\"admin\":false,\"params\":{},\"updateBy\":\"admin\",\"userId\":2}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-28 21:11:49', 101); +INSERT INTO `sys_oper_log` VALUES (82, '用户管理', 2, 'com.acupuncture.web.controller.system.SysUserController.resetPwd()', 'PUT', 1, 'admin', '研发部门', '/system/user/resetPwd', '127.0.0.1', '内网IP', '{\"admin\":false,\"createBy\":\"admin\",\"createTime\":\"2025-03-28 21:08:08\",\"email\":\"\",\"nickName\":\"测试账号1\",\"params\":{},\"phonenumber\":\"\",\"sex\":\"0\",\"slaverAdmin\":1,\"status\":\"0\",\"tenantId\":2,\"tenantName\":\"山西因孚医院\",\"updateBy\":\"admin\",\"userName\":\"cszh1\"}', '{\"msg\":\"操作失败\",\"code\":500}', 0, NULL, '2025-03-28 21:12:47', 87); +INSERT INTO `sys_oper_log` VALUES (83, '用户管理', 2, 'com.acupuncture.web.controller.web.AdminDmsUserController.resetPwd()', 'POST', 1, 'admin', '研发部门', '/tenantUsers/resetPwd', '127.0.0.1', '内网IP', '{\"id\":1905613497943576576}', '{\"code\":200,\"data\":1,\"msg\":\"操作成功\"}', 0, NULL, '2025-03-28 21:31:40', 110); +INSERT INTO `sys_oper_log` VALUES (84, '用户管理', 2, 'com.acupuncture.web.controller.web.AdminDmsUserController.resetPwd()', 'POST', 1, 'admin', '研发部门', '/tenantUsers/resetPwd', '127.0.0.1', '内网IP', '{\"id\":1905613497943576576}', '{\"code\":200,\"data\":1,\"msg\":\"操作成功\"}', 0, NULL, '2025-03-28 21:32:17', 107); +INSERT INTO `sys_oper_log` VALUES (85, '用户管理', 2, 'com.acupuncture.web.controller.web.AdminDmsUserController.resetPwd()', 'POST', 1, 'admin', '研发部门', '/tenantUsers/resetPwd', '127.0.0.1', '内网IP', '{\"id\":1905863278017683456}', '{\"code\":200,\"data\":1,\"msg\":\"操作成功\"}', 0, NULL, '2025-03-29 14:13:06', 139); +INSERT INTO `sys_oper_log` VALUES (86, '用户管理', 2, 'com.acupuncture.web.controller.web.AdminDmsUserController.resetPwd()', 'POST', 1, 'admin', '研发部门', '/tenantUsers/resetPwd', '127.0.0.1', '内网IP', '{\"id\":1905863278017683456}', '{\"code\":200,\"data\":1,\"msg\":\"操作成功\"}', 0, NULL, '2025-03-29 14:15:35', 79); +INSERT INTO `sys_oper_log` VALUES (87, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'cszh4', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-03-29 14:16:37', 74); +INSERT INTO `sys_oper_log` VALUES (88, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'cszh4', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"新密码不能与旧密码相同\",\"code\":500}', 0, NULL, '2025-03-29 14:16:46', 146); +INSERT INTO `sys_oper_log` VALUES (89, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'cszh4', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-29 14:16:51', 225); +INSERT INTO `sys_oper_log` VALUES (90, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-04-03 11:27:32', 230); +INSERT INTO `sys_oper_log` VALUES (91, '用户管理', 2, 'com.acupuncture.web.controller.web.AdminDmsUserController.resetPwd()', 'POST', 1, 'admin', '研发部门', '/tenantUsers/resetPwd', '127.0.0.1', '内网IP', '{\"id\":1036005376}', '{\"code\":200,\"data\":1,\"msg\":\"操作成功\"}', 0, NULL, '2025-04-03 11:44:04', 93); +INSERT INTO `sys_oper_log` VALUES (92, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'admin', '研发部门', '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"修改密码失败，旧密码错误\",\"code\":500}', 0, NULL, '2025-04-03 12:16:10', 75); +INSERT INTO `sys_oper_log` VALUES (93, '个人信息', 2, 'com.acupuncture.web.controller.web.DmsLoginController.updatePwd()', 'PUT', 1, 'zhangsan', NULL, '/web/updatePwd', '127.0.0.1', '内网IP', '{}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-04-03 12:16:55', 229); +INSERT INTO `sys_oper_log` VALUES (94, '用户管理', 2, 'com.acupuncture.web.controller.web.AdminDmsUserController.resetPwd()', 'POST', 1, 'admin', '研发部门', '/tenantUsers/resetPwd', '127.0.0.1', '内网IP', '{\"id\":1906520106800844800}', '{\"code\":200,\"data\":1,\"msg\":\"操作成功\"}', 0, NULL, '2025-04-03 12:40:54', 81); + +-- ---------------------------- +-- Table structure for sys_post +-- ---------------------------- +DROP TABLE IF EXISTS `sys_post`; +CREATE TABLE `sys_post` ( + `post_id` bigint NOT NULL AUTO_INCREMENT COMMENT '岗位ID', + `post_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '岗位编码', + `post_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '岗位名称', + `post_sort` int NOT NULL COMMENT '显示顺序', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '状态（0正常 1停用）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`post_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 5 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '岗位信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_post +-- ---------------------------- +INSERT INTO `sys_post` VALUES (1, 'ceo', '董事长', 1, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_post` VALUES (2, 'se', '项目经理', 2, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_post` VALUES (3, 'hr', '人力资源', 3, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_post` VALUES (4, 'user', '普通员工', 4, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); + +-- ---------------------------- +-- Table structure for sys_role +-- ---------------------------- +DROP TABLE IF EXISTS `sys_role`; +CREATE TABLE `sys_role` ( + `role_id` bigint NOT NULL AUTO_INCREMENT COMMENT '角色ID', + `role_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '角色名称', + `role_key` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '角色权限字符串', + `role_sort` int NOT NULL COMMENT '显示顺序', + `data_scope` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '1' COMMENT '数据范围（1：全部数据权限 2：自定数据权限 3：本部门数据权限 4：本部门及以下数据权限）', + `menu_check_strictly` tinyint(1) NULL DEFAULT 1 COMMENT '菜单树选择项是否关联显示', + `dept_check_strictly` tinyint(1) NULL DEFAULT 1 COMMENT '部门树选择项是否关联显示', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '角色状态（0正常 1停用）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`role_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 4 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '角色信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_role +-- ---------------------------- +INSERT INTO `sys_role` VALUES (1, '超级管理员', 'admin', 1, '1', 1, 1, '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '超级管理员'); +INSERT INTO `sys_role` VALUES (2, '前台-填报角色', 'common', 2, '2', 1, 1, '0', '0', 'admin', '2025-02-08 17:42:06', 'admin', '2025-03-17 15:54:31', '普通角色'); +INSERT INTO `sys_role` VALUES (3, '前台-审核角色', 'qt_shjs', 3, '1', 1, 1, '0', '0', 'admin', '2025-03-16 11:56:45', 'admin', '2025-03-17 15:54:38', NULL); + +-- ---------------------------- +-- Table structure for sys_role_dept +-- ---------------------------- +DROP TABLE IF EXISTS `sys_role_dept`; +CREATE TABLE `sys_role_dept` ( + `role_id` bigint NOT NULL COMMENT '角色ID', + `dept_id` bigint NOT NULL COMMENT '部门ID', + PRIMARY KEY (`role_id`, `dept_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '角色和部门关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_role_dept +-- ---------------------------- +INSERT INTO `sys_role_dept` VALUES (2, 100); +INSERT INTO `sys_role_dept` VALUES (2, 101); +INSERT INTO `sys_role_dept` VALUES (2, 105); + +-- ---------------------------- +-- Table structure for sys_role_menu +-- ---------------------------- +DROP TABLE IF EXISTS `sys_role_menu`; +CREATE TABLE `sys_role_menu` ( + `role_id` bigint NOT NULL COMMENT '角色ID', + `menu_id` bigint NOT NULL COMMENT '菜单ID', + PRIMARY KEY (`role_id`, `menu_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '角色和菜单关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_role_menu +-- ---------------------------- +INSERT INTO `sys_role_menu` VALUES (2, 1); +INSERT INTO `sys_role_menu` VALUES (2, 2); +INSERT INTO `sys_role_menu` VALUES (2, 3); +INSERT INTO `sys_role_menu` VALUES (2, 100); +INSERT INTO `sys_role_menu` VALUES (2, 101); +INSERT INTO `sys_role_menu` VALUES (2, 102); +INSERT INTO `sys_role_menu` VALUES (2, 103); +INSERT INTO `sys_role_menu` VALUES (2, 104); +INSERT INTO `sys_role_menu` VALUES (2, 105); +INSERT INTO `sys_role_menu` VALUES (2, 106); +INSERT INTO `sys_role_menu` VALUES (2, 107); +INSERT INTO `sys_role_menu` VALUES (2, 108); +INSERT INTO `sys_role_menu` VALUES (2, 109); +INSERT INTO `sys_role_menu` VALUES (2, 110); +INSERT INTO `sys_role_menu` VALUES (2, 111); +INSERT INTO `sys_role_menu` VALUES (2, 112); +INSERT INTO `sys_role_menu` VALUES (2, 113); +INSERT INTO `sys_role_menu` VALUES (2, 114); +INSERT INTO `sys_role_menu` VALUES (2, 115); +INSERT INTO `sys_role_menu` VALUES (2, 116); +INSERT INTO `sys_role_menu` VALUES (2, 117); +INSERT INTO `sys_role_menu` VALUES (2, 500); +INSERT INTO `sys_role_menu` VALUES (2, 501); +INSERT INTO `sys_role_menu` VALUES (2, 1000); +INSERT INTO `sys_role_menu` VALUES (2, 1001); +INSERT INTO `sys_role_menu` VALUES (2, 1002); +INSERT INTO `sys_role_menu` VALUES (2, 1003); +INSERT INTO `sys_role_menu` VALUES (2, 1004); +INSERT INTO `sys_role_menu` VALUES (2, 1005); +INSERT INTO `sys_role_menu` VALUES (2, 1006); +INSERT INTO `sys_role_menu` VALUES (2, 1007); +INSERT INTO `sys_role_menu` VALUES (2, 1008); +INSERT INTO `sys_role_menu` VALUES (2, 1009); +INSERT INTO `sys_role_menu` VALUES (2, 1010); +INSERT INTO `sys_role_menu` VALUES (2, 1011); +INSERT INTO `sys_role_menu` VALUES (2, 1012); +INSERT INTO `sys_role_menu` VALUES (2, 1013); +INSERT INTO `sys_role_menu` VALUES (2, 1014); +INSERT INTO `sys_role_menu` VALUES (2, 1015); +INSERT INTO `sys_role_menu` VALUES (2, 1016); +INSERT INTO `sys_role_menu` VALUES (2, 1017); +INSERT INTO `sys_role_menu` VALUES (2, 1018); +INSERT INTO `sys_role_menu` VALUES (2, 1019); +INSERT INTO `sys_role_menu` VALUES (2, 1020); +INSERT INTO `sys_role_menu` VALUES (2, 1021); +INSERT INTO `sys_role_menu` VALUES (2, 1022); +INSERT INTO `sys_role_menu` VALUES (2, 1023); +INSERT INTO `sys_role_menu` VALUES (2, 1024); +INSERT INTO `sys_role_menu` VALUES (2, 1025); +INSERT INTO `sys_role_menu` VALUES (2, 1026); +INSERT INTO `sys_role_menu` VALUES (2, 1027); +INSERT INTO `sys_role_menu` VALUES (2, 1028); +INSERT INTO `sys_role_menu` VALUES (2, 1029); +INSERT INTO `sys_role_menu` VALUES (2, 1030); +INSERT INTO `sys_role_menu` VALUES (2, 1031); +INSERT INTO `sys_role_menu` VALUES (2, 1032); +INSERT INTO `sys_role_menu` VALUES (2, 1033); +INSERT INTO `sys_role_menu` VALUES (2, 1034); +INSERT INTO `sys_role_menu` VALUES (2, 1035); +INSERT INTO `sys_role_menu` VALUES (2, 1036); +INSERT INTO `sys_role_menu` VALUES (2, 1037); +INSERT INTO `sys_role_menu` VALUES (2, 1038); +INSERT INTO `sys_role_menu` VALUES (2, 1039); +INSERT INTO `sys_role_menu` VALUES (2, 1040); +INSERT INTO `sys_role_menu` VALUES (2, 1041); +INSERT INTO `sys_role_menu` VALUES (2, 1042); +INSERT INTO `sys_role_menu` VALUES (2, 1043); +INSERT INTO `sys_role_menu` VALUES (2, 1044); +INSERT INTO `sys_role_menu` VALUES (2, 1045); +INSERT INTO `sys_role_menu` VALUES (2, 1046); +INSERT INTO `sys_role_menu` VALUES (2, 1047); +INSERT INTO `sys_role_menu` VALUES (2, 1048); +INSERT INTO `sys_role_menu` VALUES (2, 1049); +INSERT INTO `sys_role_menu` VALUES (2, 1050); +INSERT INTO `sys_role_menu` VALUES (2, 1051); +INSERT INTO `sys_role_menu` VALUES (2, 1052); +INSERT INTO `sys_role_menu` VALUES (2, 1053); +INSERT INTO `sys_role_menu` VALUES (2, 1054); +INSERT INTO `sys_role_menu` VALUES (2, 1055); +INSERT INTO `sys_role_menu` VALUES (2, 1056); +INSERT INTO `sys_role_menu` VALUES (2, 1057); +INSERT INTO `sys_role_menu` VALUES (2, 1058); +INSERT INTO `sys_role_menu` VALUES (2, 1059); +INSERT INTO `sys_role_menu` VALUES (2, 1060); +INSERT INTO `sys_role_menu` VALUES (2, 1061); +INSERT INTO `sys_role_menu` VALUES (2, 1062); +INSERT INTO `sys_role_menu` VALUES (2, 1076); +INSERT INTO `sys_role_menu` VALUES (2, 1077); +INSERT INTO `sys_role_menu` VALUES (2, 1078); +INSERT INTO `sys_role_menu` VALUES (2, 1079); +INSERT INTO `sys_role_menu` VALUES (2, 1080); +INSERT INTO `sys_role_menu` VALUES (2, 1081); +INSERT INTO `sys_role_menu` VALUES (2, 1082); +INSERT INTO `sys_role_menu` VALUES (2, 1083); +INSERT INTO `sys_role_menu` VALUES (2, 1084); +INSERT INTO `sys_role_menu` VALUES (2, 1087); +INSERT INTO `sys_role_menu` VALUES (3, 1062); +INSERT INTO `sys_role_menu` VALUES (3, 1076); +INSERT INTO `sys_role_menu` VALUES (3, 1077); +INSERT INTO `sys_role_menu` VALUES (3, 1078); +INSERT INTO `sys_role_menu` VALUES (3, 1079); +INSERT INTO `sys_role_menu` VALUES (3, 1080); +INSERT INTO `sys_role_menu` VALUES (3, 1081); +INSERT INTO `sys_role_menu` VALUES (3, 1082); +INSERT INTO `sys_role_menu` VALUES (3, 1083); +INSERT INTO `sys_role_menu` VALUES (3, 1084); +INSERT INTO `sys_role_menu` VALUES (3, 1085); +INSERT INTO `sys_role_menu` VALUES (3, 1086); +INSERT INTO `sys_role_menu` VALUES (3, 1087); + +-- ---------------------------- +-- Table structure for sys_user +-- ---------------------------- +DROP TABLE IF EXISTS `sys_user`; +CREATE TABLE `sys_user` ( + `user_id` bigint NOT NULL AUTO_INCREMENT COMMENT '用户ID', + `dept_id` bigint NULL DEFAULT NULL COMMENT '部门ID', + `tenant_id` bigint NULL DEFAULT NULL, + `user_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户账号', + `nick_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户昵称', + `user_type` varchar(2) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '00' COMMENT '用户类型（00系统用户）', + `email` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '用户邮箱', + `phonenumber` varchar(11) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '手机号码', + `sex` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '用户性别（0男 1女 2未知）', + `avatar` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '头像地址', + `password` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '密码', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '帐号状态（0正常 1停用）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `login_ip` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '最后登录IP', + `login_date` datetime NULL DEFAULT NULL COMMENT '最后登录时间', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `slaver_admin` tinyint NULL DEFAULT NULL, + `tenant_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL, + `tenant_phone` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL, + PRIMARY KEY (`user_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 142 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '用户信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_user +-- ---------------------------- +INSERT INTO `sys_user` VALUES (1, 103, 1, 'admin', '若依', '00', 'ry@163.com', '15888888888', '1', '/profile/avatar/2025/03/04/zj_20250304161138A004.png', '$2a$10$F6Y/lsSA00lMjY4bZseqw.eg42ssF7Yd3QnI4am/QV1Cjitx1lyfm', '0', '0', '127.0.0.1', '2025-04-04 21:15:42', 'admin', '2025-02-08 17:42:06', '', '2025-04-04 21:15:42', '管理员', NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (2, 105, 1, 'ry', '若依', '00', 'ry@qq.com', '15666666666', '1', '', '$2a$10$bWkgYl7tT6dcP1OqtUYqNOjWNTDBDN2ekszqH/At6txJqy4aZGVaq', '0', '0', '127.0.0.1', '2025-04-06 23:38:09', 'admin', '2025-02-08 17:42:06', 'admin', '2025-04-06 23:38:09', '测试员', NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (3, 110, 1, 'zhangsan', '若依', '01', '', '13333333333', '1', '', '$2a$10$YoGF.d/r1h958q8WjZl6X.h6sTFaNvYNA12VeF7JM0fCdyMqg7SDu', '0', '0', '127.0.0.1', '2025-02-14 14:05:02', 'admin', '2025-02-08 17:42:06', 'admin', '2025-03-20 18:30:25', '测试员', NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (100, NULL, 1, 'senyi', '11', '00', '', '', '0', '', '$2a$10$vMWTxuu73No6d/dBuqLTq.io.hIr6adWK0cQlKnpDLZfGiwdN2V..', '0', '2', '', NULL, 'admin', '2025-02-21 15:28:26', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (101, NULL, 1, 'zzccs', 'zzccs', '00', '', '', '0', '', '$2a$10$PoYMOl46cvEkc8GXdwFdMuBYWRYWnzLb1wvRqvBvaSPXyNzuLYluq', '0', '2', '', NULL, 'admin', '2025-03-10 16:12:14', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (102, NULL, 1, 'stzwsy', '三塘镇卫生院', '00', '', '', '0', '', '$2a$10$qycIGx0EY6LsguvVg6ljzuLkWNO8zICM7aBN8y74GK2oVuZ6GGMNK', '0', '2', '', NULL, 'admin', '2025-03-10 16:12:38', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (103, NULL, 1, 'zzccs1', 'zzccs1', '00', '', '', '0', '', '$2a$10$FsRQUpB.PbJBY/kqFCkgD.RvyxBOxvAfQMZo8sIn5Jom4oaqkzbZW', '0', '2', '', NULL, 'admin', '2025-03-10 16:18:05', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (104, NULL, 1, 'zzccs', 'zzccs', '00', 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NULL); +INSERT INTO `sys_user` VALUES (108, 1899021323279319040, 1, 'mxdfwzx', '明秀东社区卫生服务中心', '00', '', '', '0', '', '$2a$10$cHYG81WzZfI03dH2YHdJ8eoixSskicTZ5xjNhyutWCpwLpPBkJK1y', '0', '0', '', NULL, 'admin', '2025-03-10 17:12:50', 'admin', '2025-03-17 17:14:44', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (109, 1899021381445926912, 1, 'wxqyfwzx', '五象秋月社区卫生服务中心', '00', '', '', '0', '', '$2a$10$IkK9e3UkSg4RFzFmj1tb8u8.WMrsg3bnQnUgcDLNdEvBftMLQUgka', '0', '0', '', NULL, 'admin', '2025-03-10 17:24:08', 'admin', '2025-03-17 17:14:50', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (110, 1899021431433641984, 1, 'ydfwzx', '运德社区卫生服务中心', '00', '', '', '0', '', '$2a$10$TE6FOf4mDhpt58i0acJvkeWVyIJtC.DYbw0GHhLUrjptzD6zFoD46', '0', '0', '', NULL, 'admin', '2025-03-10 17:25:52', 'admin', '2025-03-17 17:14:57', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (111, 1899021486106394624, 1, 'stzstwsy', '三塘镇四塘卫生院', '00', '', '', '0', '', 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NULL, NULL); +INSERT INTO `sys_user` VALUES (115, 1899021697033748480, 1, 'klzzxwsy', '昆仑镇中心卫生院', '00', '', '', '0', '', '$2a$10$YGyRm7ebdXuBKyFhnRkQJ.gM2GVSTtvUdiPz4BQT3hBDW3bd1FbLW', '0', '0', '', NULL, 'admin', '2025-03-10 17:37:07', 'admin', '2025-03-17 17:15:21', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (116, 1899021733117345792, 1, 'jhwfwzx', '金禾湾社区卫生服务中心', '00', '', '', '0', '', '$2a$10$ESsGnFQLJ6mCqzBaON5zSeuyc8rWdetR2tRGsZ6tzWpOYHz9afLCy', '0', '0', '', NULL, 'admin', '2025-03-10 17:38:14', 'admin', '2025-03-17 17:15:37', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (117, 1899021773156171776, 1, 'msxzyyy', '马山县中医医院', '00', '', '', '0', '', '$2a$10$lcjP4IO41hudxYvO2xFRLeAcIXkEGUx5TibtEWfX0K4kQYBl9qyEe', '0', '0', '', NULL, 'admin', '2025-03-10 17:39:35', 'admin', '2025-03-17 17:15:41', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (118, 1899022489119670272, 1, 'dlxzyyy', '东兰县中医医院', '00', '', '', '0', '', 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NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (122, NULL, 1899021124771299328, 'nndbrmyysh', '南宁市第八人民医院（审核）', '00', '', '', '0', '', '$2a$10$fVaERPXdTql.qZHBZnphUOsp5Q82yViWea1GVwjG0w80K3SpHczIS', '0', '0', '', NULL, 'admin', '2025-03-17 17:54:19', 'admin', '2025-03-28 09:24:42', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (123, NULL, 1899021275120320512, 'wtzwsysh', '五塘镇卫生院（审核）', '00', '', '', '0', '', '$2a$10$geVN4.H1v4gg4otV82rCoOuFTJuLN6MvKKVVR3L6HbEd5q5O7Ajdq', '0', '0', '', NULL, 'admin', '2025-03-17 17:55:16', 'admin', '2025-03-28 09:24:48', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (124, NULL, 1899021323279319040, 'mxdfwzxsh', '明秀东社区卫生服务中心（审核）', '00', '', '', '0', '', '$2a$10$5pcYli.6lq51ELd1xco1E.uVPZUP/DmZCSUdbtFKyjsgiGYoPh8V.', '0', '0', '', NULL, 'admin', '2025-03-17 17:55:39', 'admin', '2025-03-28 09:24:52', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (125, NULL, 1899021381445926912, 'wxqyfwzxsh', '五象秋月社区卫生服务中心', '00', '', '', '0', 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'2025-03-28 09:25:15', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (129, NULL, 1899021598224334848, 'dtzzxwsysh', '大塘镇中心卫生院（审核）', '00', '', '', '0', '', '$2a$10$xpUXXBX2awzH5geZQuQ.sOoua.oAMmR1UY31ZrVNZDvAApNSJ1YZ6', '0', '0', '', NULL, 'admin', '2025-03-17 17:58:22', 'admin', '2025-03-28 09:25:19', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (130, NULL, 1899021666394357760, 'dglfwzxsh', '东沟岭社区卫生服务中心（审核）', '00', '', '', '0', '', '$2a$10$1ZNc2ZIAoVELy.gN/eR1h.iFjHeKVhEMn43duW0JfcI8U.NCOOn4W', '0', '0', '', NULL, 'admin', '2025-03-17 17:58:41', 'admin', '2025-03-28 09:25:23', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (131, NULL, 1899021697033748480, 'klzzxwsysh', '昆仑镇中心卫生院（审核）', '00', '', '', '0', '', '$2a$10$ocvl2GtNOtJkUIbTo.nKi.sh2duuDV9ro2OLIDQqqHCf0eDJUltmO', '0', '0', '', NULL, 'admin', '2025-03-17 17:59:02', 'admin', '2025-03-28 09:25:26', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (132, NULL, 1899021733117345792, 'jhwfwzxsh', '金禾湾社区卫生服务中心（审核）', '00', '', '', '0', '', '$2a$10$OSDfEKo709.qCoIHegdnnObw/samy5bKx/UlULzKHYHKNsB43JvAm', '0', '0', '', NULL, 'admin', '2025-03-17 17:59:24', 'admin', '2025-03-28 09:25:31', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (133, NULL, 1899021773156171776, 'msxzyyysh', '马山县中医医院（审核）', '00', '', '', '0', '', '$2a$10$0uw6yCuxTMWLA1hhl7JFV.Dziy4SPdaf6RzEajKkzm23NakrpHT/q', '0', '0', '', NULL, 'admin', '2025-03-17 17:59:46', 'admin', '2025-03-28 09:25:34', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (134, NULL, 1899022489119670272, 'dlxzyyysh', '东兰县中医医院（审核）', '00', '', '', '0', '', '$2a$10$.SJcbbvcZJwS4TE98FPu.emh0.ZQ75i.L4N0rMbE.yxJABzrWkIXi', '0', '0', '', NULL, 'admin', '2025-03-17 18:00:05', 'admin', '2025-03-28 09:24:29', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (135, NULL, 1899022009782026240, 'gxgjzyyysh', '广西国际壮医医院明秀分院（审核）', '00', '', '', '0', '', '$2a$10$wopeUi1odd9T.HAdLC4aQ.WflwgADuzGnn05p.TniF0kIWed0O2DG', '0', '0', '', NULL, 'admin', '2025-03-17 18:00:24', 'admin', '2025-03-28 09:24:26', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (136, NULL, 1901557972215377920, 'mxfysh', '明秀分院（审核）', '00', '', '', '0', '', '$2a$10$bIvJdsYp.l6rlBxkmMc0IuAmaxHLnmFKyH7OzZRwPL2fCgTHDhR2y', '0', '0', '', NULL, 'admin', '2025-03-17 18:01:13', 'admin', '2025-03-28 09:24:23', NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (138, NULL, 1901557972215377920, 'cs2', 'cs2', '00', '', '', '0', '', '$2a$10$qBggJ2NRUdMIu.gy4FrF1uP9A7vMmY.9CNHF3B2A.zmHixr5oMd4a', '0', '2', '', NULL, 'admin', '2025-03-27 21:47:36', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (139, NULL, 1901557972215377920, 'cs3', 'cs3', '00', '', '', '0', '', '$2a$10$pJ5chCt/GJTKym2UVsp2Tu9BS27EgyvlOLCHdnO3eHb2WxyK1yhiC', '0', '2', '', NULL, 'admin', '2025-03-27 21:51:25', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (140, NULL, 1901557972215377920, 'cs4', 'cs4', '00', '', '', '0', '', '$2a$10$SUmbMACtKvh4G8YtAvzW9uhZ/uAhQIEHHisKbyetRsm/nYuXxX.Aq', '0', '2', '', NULL, 'admin', '2025-03-27 21:52:41', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (141, NULL, 1901557972215377920, 'cszh', '测试账号', '00', '', '', '0', '', '$2a$10$P15OcM9HqpRpEiGfox60nuIH5TRXFKoWgWkRSuSecT8cf68focm7i', '0', '2', '', NULL, 'admin', '2025-03-28 08:55:57', '', NULL, NULL, NULL, NULL, NULL); + +-- ---------------------------- +-- Table structure for sys_user_post +-- ---------------------------- +DROP TABLE IF EXISTS `sys_user_post`; +CREATE TABLE `sys_user_post` ( + `user_id` bigint NOT NULL COMMENT '用户ID', + `post_id` bigint NOT NULL COMMENT '岗位ID', + PRIMARY KEY (`user_id`, `post_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '用户与岗位关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_user_post +-- ---------------------------- +INSERT INTO `sys_user_post` VALUES (1, 1); +INSERT INTO `sys_user_post` VALUES (2, 2); + +-- ---------------------------- +-- Table structure for sys_user_role +-- ---------------------------- +DROP TABLE IF EXISTS `sys_user_role`; +CREATE TABLE `sys_user_role` ( + `user_id` bigint NOT NULL COMMENT '用户ID', + `role_id` bigint NOT NULL COMMENT '角色ID', + PRIMARY KEY (`user_id`, `role_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '用户和角色关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_user_role +-- ---------------------------- +INSERT INTO `sys_user_role` VALUES (1, 1); +INSERT INTO `sys_user_role` VALUES (2, 2); +INSERT INTO `sys_user_role` VALUES (3, 3); +INSERT INTO `sys_user_role` VALUES (105, 2); +INSERT INTO `sys_user_role` VALUES (106, 2); +INSERT INTO `sys_user_role` VALUES (107, 2); +INSERT INTO `sys_user_role` VALUES (108, 2); +INSERT INTO `sys_user_role` VALUES (109, 2); +INSERT INTO `sys_user_role` VALUES (110, 2); +INSERT INTO `sys_user_role` VALUES (111, 2); +INSERT INTO `sys_user_role` VALUES (112, 2); +INSERT INTO `sys_user_role` VALUES (113, 2); +INSERT INTO `sys_user_role` VALUES (114, 2); +INSERT INTO `sys_user_role` VALUES (115, 2); +INSERT INTO `sys_user_role` VALUES (116, 2); +INSERT INTO `sys_user_role` VALUES (117, 2); +INSERT INTO `sys_user_role` VALUES (118, 2); +INSERT INTO `sys_user_role` VALUES (119, 2); +INSERT INTO `sys_user_role` VALUES (120, 2); +INSERT INTO `sys_user_role` VALUES (121, 3); +INSERT INTO `sys_user_role` VALUES (122, 3); +INSERT INTO `sys_user_role` VALUES (123, 3); +INSERT INTO `sys_user_role` VALUES (124, 3); +INSERT INTO `sys_user_role` VALUES (125, 3); +INSERT INTO `sys_user_role` VALUES (126, 3); +INSERT INTO `sys_user_role` VALUES (127, 3); +INSERT INTO `sys_user_role` VALUES (128, 3); +INSERT INTO `sys_user_role` VALUES (129, 3); +INSERT INTO `sys_user_role` VALUES (130, 3); +INSERT INTO `sys_user_role` VALUES (131, 3); +INSERT INTO `sys_user_role` VALUES (132, 3); +INSERT INTO `sys_user_role` VALUES (133, 3); +INSERT INTO `sys_user_role` VALUES (134, 3); +INSERT INTO `sys_user_role` VALUES (135, 3); +INSERT INTO `sys_user_role` VALUES (136, 3); + +-- ---------------------------- +-- Table structure for ums_data_source +-- ---------------------------- +DROP TABLE IF EXISTS `ums_data_source`; +CREATE TABLE `ums_data_source` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT 'id', + `data_source_key` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '数据源唯一key', + `hospital_id` bigint NULL DEFAULT NULL COMMENT '医院id', + `url` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '路径', + `username` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '用户名', + `password` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '密码', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '创建者的用户名', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '更新者的用户名', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '记录状态 0-正常 1-删除', + `type` tinyint NULL DEFAULT NULL, + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 1899004714963742721 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '数据源表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of ums_data_source +-- ---------------------------- +INSERT INTO `ums_data_source` VALUES (1, 'MASTER', 100, 'jdbc:mysql://sd.tall.wiki:3306/acupuncture?useUnicode=true&characterEncoding=utf8&zeroDateTimeBehavior=convertToNull&useSSL=true&serverTimezone=GMT%2B8', 'root', 'po3OynBO[M3579p6L7)o', NULL, '2025-02-11 10:44:50', NULL, '2025-02-11 10:45:04', 0, NULL); +INSERT INTO `ums_data_source` VALUES (2, 'SXYFYY', 110, 'jdbc:mysql://sd.tall.wiki:3306/acupuncture_yfyy?useUnicode=true&characterEncoding=utf8&zeroDateTimeBehavior=convertToNull&useSSL=true&serverTimezone=GMT%2B8', 'root', 'po3OynBO[M3579p6L7)o', NULL, '2025-02-10 14:19:54', NULL, '2025-02-11 10:45:06', 0, NULL); +INSERT INTO `ums_data_source` VALUES (1892824516064989184, '数据源key', NULL, '连接信息', NULL, NULL, 'admin', '2025-02-21 14:31:46', NULL, '2025-02-21 14:33:34', 1, NULL); +INSERT INTO `ums_data_source` VALUES (1899004714963742720, 'PROD_YY', NULL, 'jdbc:mysql://sd.tall.wiki:3306/acupuncture_prod_yy?useUnicode=true&characterEncoding=utf8&zeroDateTimeBehavior=convertToNull&useSSL=true&serverTimezone=GMT%2B8', 'root', 'po3OynBO[M3579p6L7)o', 'admin', '2025-03-10 15:49:40', NULL, '2025-03-10 15:49:40', 0, NULL); + +-- ---------------------------- +-- Table structure for upl_report_image +-- ---------------------------- +DROP TABLE IF EXISTS `upl_report_image`; +CREATE TABLE `upl_report_image` ( + `id` bigint NOT NULL COMMENT '主键ID', + `patient_id` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '患者唯一编号（关联memberid）', + `file_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '存储的文件名（示例：13902345678_202304281014.jpg）', + `file_path` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '服务器文件存储路径', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0存在 2删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT '修改时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '报告图片上传表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of upl_report_image +-- ---------------------------- + +-- ---------------------------- +-- Table structure for upl_rtcf_info +-- ---------------------------- +DROP TABLE IF EXISTS `upl_rtcf_info`; +CREATE TABLE `upl_rtcf_info` ( + `id` bigint NOT NULL COMMENT '队列ID', + `message` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '队列名称', + `uuid` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '单位代码', + `device_id` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '仪器编号', + `device_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '仪器型号', + `memberid` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测试者编号', + `test_id` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测试序号', + `test_date` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测试日期', + `name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名（UTF-8编码）', + `sex` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '性别 （男1，女2）', + `height` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身高', + `birth_year` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '出生年份', + `weight` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重', + `fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪', + `bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨质', + `protein` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '蛋白质', + `water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水分', + `muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉', + `smm` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨骼肌', + `pbf` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体脂百分比', + `bmi` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质指数', + `bmr` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '基础代谢', + `whr` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '腰臀比（2位小数）', + `edema` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水肿系数（2位小数）', + `vfi` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '内脏脂肪指数', + `body_age` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身体年龄', + `score` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '健康评分', + `body_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体型判定', + `lbm` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '瘦体重（去脂体重）', + `icw` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '细胞内液', + `ecw` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '细胞外液', + `standard_weight` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '目标体重', + `weight_control` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重控制', + `fat_control` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪控制量', + `muscle_control` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉控制量', + `liver_risk` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪肝风险系数', + `asmi` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '四肢骨骼肌指数', + `tr_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干脂肪量', + `la_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢脂肪', + `ra_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢脂肪', + `ll_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢脂肪', + `rl_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢脂肪', + `tr_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干水分量', + `la_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢水分', + `ra_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢水分', + `ll_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢水分', + `rl_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢水分', + `tr_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干肌肉量', + `la_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢肌肉', + `ra_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢肌肉', + `ll_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢肌肉', + `rl_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢肌肉', + `tr_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干骨质', + `la_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢骨质', + `ra_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢骨质', + `ll_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢骨质', + `rl_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢骨质', + `weight_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重正常范围高值', + `weight_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重正常范围低值', + `fat_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪正常范围高值', + `fat_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪正常范围低值', + `bone_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨质正常范围高值', + `bone_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨质正常范围低值', + `protein_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '蛋白质正常范围高值', + `protein_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '蛋白质正常范围低值', + `water_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水分正常范围高值', + `water_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水分正常范围低值', + `muscle_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉正常范围高值', + `muscle_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉正常范围低值', + `smm_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨骼肌正常范围高值', + `smm_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨骼肌正常范围低值', + `pbf_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体脂率正常范围高值', + `pbf_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体脂率正常范围低值', + `bmi_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质指数正常范围高值', + `bmi_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质指数正常范围低值', + `whr_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '腰臀比正常范围高值', + `whr_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '腰臀比正常范围低值', + `edema_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水肿系数正常范围高值', + `edema_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水肿系数正常范围低值', + `vfi_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '内脏脂肪指数正常范围高值', + `vfi_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '内脏脂肪指数正常范围低值', + `diagnosis` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '诊断结论', + `status` tinyint NULL DEFAULT NULL COMMENT '队列状态(0启用；1禁用)', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0存在 2删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT '修改时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_name`(`name` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '人体成分上传数据表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of upl_rtcf_info +-- ---------------------------- +INSERT INTO `upl_rtcf_info` VALUES (1, 'DataUpload', 'ABC-001', '16ART1B0007', 'BCA-1D', '13902345678', '202304281014', '20230428', '张三', '1', '178.5', '1985', '72.5', '23.1', '3.8', '18.6', '33.5', '40.1', '18.5', '22.1', '22.4', '1665.0', '0.89', '0.33', '12.0', '23', '78.0', '4', '50.1', '23.0', '10.5', '70.5', '2.0', '1.3', '0.7', '65', '6.5', '14.5', '2.1', '2.1', '5.2', '5.2', '17.9', '2.6', '2.9', '4.2', '4.3', '23.9', '6.6', '6.9', '14.2', '14.3', '23.9', '6.6', '6.9', '14.2', '14.3', '84.5', '69.5', '22.5', '13.6', '3.7', '3.1', '22.5', '17.5', '43.6', '32.5', '54.5', '36.5', '32.5', '24.1', '20.0', '10.0', '24.0', '18.5', '0.95', '0.75', '0.5', '0.1', '15.0', '8.0', '体脂偏高，建议控制饮食', 0, 0, 1001, 'admin', '2025-03-15 10:21:56', 'admin', '2025-03-15 10:21:56', '首次测试'); +INSERT INTO `upl_rtcf_info` VALUES (2, 'DataUpload', 'ABC-002', '16ART1B0008', 'BCA-1D', '13902345679', '202304281015', '20230428', '李芳', '2', '165.0', '1990', '55.0', '25.0', '3.2', '16.5', '35.0', '38.0', '16.0', '27.0', '20.2', '1450.0', '0.78', '0.28', '10.0', '28', '82.0', '3', '45.0', '20.0', '9.0', '57.0', '-1.5', '-2.0', '0.5', '58', '5.8', '12.0', '1.8', '1.8', '4.5', '4.5', '16.0', '2.3', '2.5', '3.8', '3.9', '20.0', '5.5', '5.8', '12.0', '12.1', '20.0', '5.5', '5.8', '12.0', '12.1', '60.0', '52.0', '28.0', '15.0', '3.5', '2.8', '20.0', '15.0', '40.0', '30.0', '42.0', '35.0', '28.0', '20.0', '25.0', '15.0', '22.0', '18.0', '0.85', '0.70', '0.4', '0.1', '12.0', '7.0', '肌肉量偏低', 0, 0, 1001, 'admin', '2025-03-15 10:21:56', 'admin', '2025-03-15 10:21:56', '常规检查'); +INSERT INTO `upl_rtcf_info` VALUES (3, 'DataUpload', 'ABC-001', '16ART1B0007', 'BCA-1D', '13902345678', '202304281014', '20230428', '王五', '1', '178.5', '1985', '72.5', '23.1', '3.8', '18.6', '33.5', '40.1', '18.5', '22.1', '22.4', '1665.0', '0.89', '0.33', '12.0', '23', '78.0', '4', '50.1', '23.0', '10.5', '70.5', '2.0', '1.3', '0.7', '65', '6.5', '14.5', '2.1', '2.1', '5.2', '5.2', '17.9', '2.6', '2.9', '4.2', '4.3', '23.9', '6.6', '6.9', '14.2', '14.3', '23.9', '6.6', '6.9', '14.2', '14.3', '84.5', '69.5', '22.5', '13.6', '3.7', '3.1', '22.5', '17.5', '43.6', '32.5', '54.5', '36.5', '32.5', '24.1', '20.0', '10.0', '24.0', '18.5', '0.95', '0.75', '0.5', '0.1', '15.0', '8.0', '体脂偏高，建议控制饮食', 0, 0, 1001, 'admin', '2025-03-15 10:22:35', 'admin', '2025-03-15 10:22:35', '首次测试'); +INSERT INTO `upl_rtcf_info` VALUES (4, 'DataUpload', 'ABC-002', '16ART1B0008', 'BCA-1D', '13902345679', '202304281015', '20230428', '赵六', '2', '165.0', '1990', '55.0', '25.0', '3.2', '16.5', '35.0', '38.0', '16.0', '27.0', '20.2', '1450.0', '0.78', '0.28', '10.0', '28', '82.0', '3', '45.0', '20.0', '9.0', '57.0', '-1.5', '-2.0', '0.5', '58', '5.8', '12.0', '1.8', '1.8', '4.5', '4.5', '16.0', '2.3', '2.5', '3.8', '3.9', '20.0', '5.5', '5.8', '12.0', '12.1', '20.0', '5.5', '5.8', '12.0', '12.1', '60.0', '52.0', '28.0', '15.0', '3.5', '2.8', '20.0', '15.0', '40.0', '30.0', '42.0', '35.0', '28.0', '20.0', '25.0', '15.0', '22.0', '18.0', '0.85', '0.70', '0.4', '0.1', '12.0', '7.0', '肌肉量偏低', 0, 0, 1001, 'admin', '2025-03-15 10:22:35', 'admin', '2025-03-15 10:22:35', '常规检查'); + +-- ---------------------------- +-- Table structure for zytz_ems_eva_answer +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_ems_eva_answer`; +CREATE TABLE `zytz_ems_eva_answer` ( + `answer_id` bigint NOT NULL COMMENT '表ID', + `eva_id` bigint NOT NULL COMMENT '辨识档案表', + `ques_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题号', + `option_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '答案code', + `option_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '答案', + `option_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '得分', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`answer_id`) USING BTREE, + UNIQUE INDEX `uni_evaid_quescode`(`eva_id` ASC, `ques_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE, + INDEX `idx_eva_id`(`eva_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案结果' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_ems_eva_answer +-- ---------------------------- + +-- ---------------------------- +-- Table structure for zytz_qms_scale +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale`; +CREATE TABLE `zytz_qms_scale` ( + `scale_id` bigint NOT NULL COMMENT '表ID', + `scale_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '版本类型 00成人标准版 01成人简易版 10 老年版 20儿童版0-3岁 21儿童版4-7岁 22儿童版7-14岁', + `scale_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '版本名称', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`scale_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案版本表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale +-- ---------------------------- +INSERT INTO `zytz_qms_scale` VALUES (1, 'TZBS_BZ', '标准版体质辨识', '0', '', '2024-11-13 11:18:41', '', '2024-11-15 16:49:03'); +INSERT INTO `zytz_qms_scale` VALUES (2, 'TZBS_JY', '简易版体质辨识', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:07'); +INSERT INTO `zytz_qms_scale` VALUES (3, 'TZBS_LN', '老年版体质辨识', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:12'); +INSERT INTO `zytz_qms_scale` VALUES (4, 'TZBS_ET_1', '儿童版体质辨识（0-3岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:18'); +INSERT INTO `zytz_qms_scale` VALUES (5, 'TZBS_ET_4', '儿童版体质辨识（4-6岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:25'); +INSERT INTO `zytz_qms_scale` VALUES (6, 'TZBS_ET_7', '儿童版体质辨识（7-14岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:30'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti`; +CREATE TABLE `zytz_qms_scale_consti` ( + `scale_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '版本类型 00成人标准版 01成人简易版 10 老年版 20儿童版0-3岁 21儿童版4-7岁 22儿童版7-14岁', + `consti_id` bigint NOT NULL COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `consti_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质名称：平和质...特禀质', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`consti_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '量表体质表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 1, 'TZBS_BZ_A', '平和质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:05:58'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 2, 'TZBS_BZ_B', '气虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:05'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 3, 'TZBS_BZ_C', '阳虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:14'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 4, 'TZBS_BZ_D', '阴虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:21'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 5, 'TZBS_BZ_E', '痰湿质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:25'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 6, 'TZBS_BZ_F', '湿热质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:29'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 7, 'TZBS_BZ_G', '血瘀质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:36'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 8, 'TZBS_BZ_H', '气郁质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:43'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 9, 'TZBS_BZ_I', '特禀质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:53'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 11, 'TZBS_JY_A', '平和质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:09'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 12, 'TZBS_JY_B', '气虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:20'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 13, 'TZBS_JY_C', '阳虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:23'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 14, 'TZBS_JY_D', '阴虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:25'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 15, 'TZBS_JY_E', '痰湿质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:28'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 16, 'TZBS_JY_F', '湿热质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:31'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 17, 'TZBS_JY_G', '血瘀质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:35'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 18, 'TZBS_JY_H', '气郁质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:38'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 19, 'TZBS_JY_I', '特禀质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:42'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 21, 'TZBS_LN_A', '平和质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:50'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 22, 'TZBS_LN_B', '气虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:56'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 23, 'TZBS_LN_C', '阳虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:59'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 24, 'TZBS_LN_D', '阴虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:02'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 25, 'TZBS_LN_E', '痰湿质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:05'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 26, 'TZBS_LN_F', '湿热质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:08'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 27, 'TZBS_LN_G', '血瘀质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:11'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 28, 'TZBS_LN_H', '气郁质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:18'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 29, 'TZBS_LN_I', '特禀质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:23'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ques_rel +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ques_rel`; +CREATE TABLE `zytz_qms_scale_consti_ques_rel` ( + `id` bigint NOT NULL COMMENT '表ID', + `consti_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质编号', + `ques_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题目编号', + `reverse` tinyint NULL DEFAULT 0 COMMENT '是否反转计分，默认不反转', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质与题目关联表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ques_rel +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (1, 'TZBS_BZ_A', 'TZBS_BZ_Q_01', 0, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (2, 'TZBS_BZ_A', 'TZBS_BZ_Q_02', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (3, 'TZBS_BZ_A', 'TZBS_BZ_Q_07', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (4, 'TZBS_BZ_A', 'TZBS_BZ_Q_08', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (5, 'TZBS_BZ_A', 'TZBS_BZ_Q_09', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (6, 'TZBS_BZ_A', 'TZBS_BZ_Q_22', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (7, 'TZBS_BZ_A', 'TZBS_BZ_Q_53', 0, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (8, 'TZBS_BZ_A', 'TZBS_BZ_Q_54', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (9, 'TZBS_BZ_B', 'TZBS_BZ_Q_02', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (10, 'TZBS_BZ_B', 'TZBS_BZ_Q_03', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (11, 'TZBS_BZ_B', 'TZBS_BZ_Q_04', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (12, 'TZBS_BZ_B', 'TZBS_BZ_Q_05', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (13, 'TZBS_BZ_B', 'TZBS_BZ_Q_06', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (14, 'TZBS_BZ_B', 'TZBS_BZ_Q_07', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (15, 'TZBS_BZ_B', 'TZBS_BZ_Q_23', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (16, 'TZBS_BZ_B', 'TZBS_BZ_Q_27', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (17, 'TZBS_BZ_C', 'TZBS_BZ_Q_18', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (18, 'TZBS_BZ_C', 'TZBS_BZ_Q_19', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (19, 'TZBS_BZ_C', 'TZBS_BZ_Q_20', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (20, 'TZBS_BZ_C', 'TZBS_BZ_Q_22', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (21, 'TZBS_BZ_C', 'TZBS_BZ_Q_23', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (22, 'TZBS_BZ_C', 'TZBS_BZ_Q_52', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (23, 'TZBS_BZ_C', 'TZBS_BZ_Q_55', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (24, 'TZBS_BZ_D', 'TZBS_BZ_Q_17', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (25, 'TZBS_BZ_D', 'TZBS_BZ_Q_21', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (26, 'TZBS_BZ_D', 'TZBS_BZ_Q_29', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (27, 'TZBS_BZ_D', 'TZBS_BZ_Q_35', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (28, 'TZBS_BZ_D', 'TZBS_BZ_Q_38', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (29, 'TZBS_BZ_D', 'TZBS_BZ_Q_44', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (30, 'TZBS_BZ_D', 'TZBS_BZ_Q_46', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (31, 'TZBS_BZ_D', 'TZBS_BZ_Q_57', 0, '0', '', '2024-11-13 13:28:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (32, 'TZBS_BZ_E', 'TZBS_BZ_Q_14', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (33, 'TZBS_BZ_E', 'TZBS_BZ_Q_16', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (34, 'TZBS_BZ_E', 'TZBS_BZ_Q_28', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (35, 'TZBS_BZ_E', 'TZBS_BZ_Q_42', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (36, 'TZBS_BZ_E', 'TZBS_BZ_Q_49', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (37, 'TZBS_BZ_E', 'TZBS_BZ_Q_50', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (38, 'TZBS_BZ_E', 'TZBS_BZ_Q_51', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (39, 'TZBS_BZ_E', 'TZBS_BZ_Q_58', 0, '0', '', '2024-11-13 13:29:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (40, 'TZBS_BZ_F', 'TZBS_BZ_Q_39', 0, '0', '', '2024-11-13 13:30:25', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (41, 'TZBS_BZ_F', 'TZBS_BZ_Q_41', 0, '0', '', '2024-11-13 13:30:25', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (42, 'TZBS_BZ_F', 'TZBS_BZ_Q_48', 0, '0', '', '2024-11-13 13:30:25', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (43, 'TZBS_BZ_F', 'TZBS_BZ_Q_56', 0, '0', '', '2024-11-13 13:30:25', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (44, 'TZBS_BZ_F', 'TZBS_BZ_Q_59', 0, '0', '', '2024-11-13 13:30:25', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (45, 'TZBS_BZ_F', 'TZBS_BZ_Q_60', 0, '0', '', '2024-11-13 13:30:25', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (46, 'TZBS_BZ_F', 'TZBS_BZ_Q_61', 0, '0', '', '2024-11-13 13:30:25', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (47, 'TZBS_BZ_G', 'TZBS_BZ_Q_08', 0, '0', '', '2024-11-13 13:31:32', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (48, 'TZBS_BZ_G', 'TZBS_BZ_Q_33', 0, '0', '', '2024-11-13 13:31:32', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (49, 'TZBS_BZ_G', 'TZBS_BZ_Q_36', 0, '0', '', '2024-11-13 13:31:32', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (50, 'TZBS_BZ_G', 'TZBS_BZ_Q_37', 0, '0', '', '2024-11-13 13:31:32', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (51, 'TZBS_BZ_G', 'TZBS_BZ_Q_40', 0, '0', '', '2024-11-13 13:31:32', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (52, 'TZBS_BZ_G', 'TZBS_BZ_Q_43', 0, '0', '', '2024-11-13 13:31:32', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (53, 'TZBS_BZ_G', 'TZBS_BZ_Q_45', 0, '0', '', '2024-11-13 13:31:32', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (54, 'TZBS_BZ_H', 'TZBS_BZ_Q_09', 0, '0', '', '2024-11-13 13:32:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (55, 'TZBS_BZ_H', 'TZBS_BZ_Q_10', 0, '0', '', '2024-11-13 13:32:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (56, 'TZBS_BZ_H', 'TZBS_BZ_Q_11', 0, '0', '', '2024-11-13 13:32:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (57, 'TZBS_BZ_H', 'TZBS_BZ_Q_12', 0, '0', '', '2024-11-13 13:32:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (58, 'TZBS_BZ_H', 'TZBS_BZ_Q_13', 0, '0', '', '2024-11-13 13:32:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (59, 'TZBS_BZ_H', 'TZBS_BZ_Q_15', 0, '0', '', '2024-11-13 13:32:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (60, 'TZBS_BZ_H', 'TZBS_BZ_Q_47', 0, '0', '', '2024-11-13 13:32:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (61, 'TZBS_BZ_I', 'TZBS_BZ_Q_24', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (62, 'TZBS_BZ_I', 'TZBS_BZ_Q_25', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (63, 'TZBS_BZ_I', 'TZBS_BZ_Q_26', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (64, 'TZBS_BZ_I', 'TZBS_BZ_Q_30', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (65, 'TZBS_BZ_I', 'TZBS_BZ_Q_31', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (66, 'TZBS_BZ_I', 'TZBS_BZ_Q_32', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (67, 'TZBS_BZ_I', 'TZBS_BZ_Q_34', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (201, 'TZBS_LN_A', 'TZBS_LN_Q_01', 0, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (202, 'TZBS_LN_A', 'TZBS_LN_Q_02', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (203, 'TZBS_LN_A', 'TZBS_LN_Q_04', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (204, 'TZBS_LN_A', 'TZBS_LN_Q_05', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (205, 'TZBS_LN_A', 'TZBS_LN_Q_13', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (206, 'TZBS_LN_B', 'TZBS_LN_Q_02', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (207, 'TZBS_LN_B', 'TZBS_LN_Q_03', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (208, 'TZBS_LN_B', 'TZBS_LN_Q_04', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (209, 'TZBS_LN_B', 'TZBS_LN_Q_14', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (210, 'TZBS_LN_C', 'TZBS_LN_Q_11', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (211, 'TZBS_LN_C', 'TZBS_LN_Q_12', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (212, 'TZBS_LN_C', 'TZBS_LN_Q_13', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (213, 'TZBS_LN_C', 'TZBS_LN_Q_29', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (214, 'TZBS_LN_D', 'TZBS_LN_Q_10', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (215, 'TZBS_LN_D', 'TZBS_LN_Q_21', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (216, 'TZBS_LN_D', 'TZBS_LN_Q_26', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (217, 'TZBS_LN_D', 'TZBS_LN_Q_31', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (218, 'TZBS_LN_E', 'TZBS_LN_Q_09', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (219, 'TZBS_LN_E', 'TZBS_LN_Q_16', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (220, 'TZBS_LN_E', 'TZBS_LN_Q_28', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (221, 'TZBS_LN_E', 'TZBS_LN_Q_32', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (222, 'TZBS_LN_F', 'TZBS_LN_Q_23', 0, '0', '', '2024-11-13 13:42:08', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (223, 'TZBS_LN_F', 'TZBS_LN_Q_25', 0, '0', '', '2024-11-13 13:42:08', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (224, 'TZBS_LN_F', 'TZBS_LN_Q_27', 0, '0', '', '2024-11-13 13:42:08', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (225, 'TZBS_LN_F', 'TZBS_LN_Q_30', 0, '0', '', '2024-11-13 13:42:08', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (226, 'TZBS_LN_G', 'TZBS_LN_Q_19', 0, '0', '', '2024-11-13 13:42:43', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (227, 'TZBS_LN_G', 'TZBS_LN_Q_22', 0, '0', '', '2024-11-13 13:42:43', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (228, 'TZBS_LN_G', 'TZBS_LN_Q_24', 0, '0', '', '2024-11-13 13:42:43', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (229, 'TZBS_LN_G', 'TZBS_LN_Q_33', 0, '0', '', '2024-11-13 13:42:43', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (230, 'TZBS_LN_H', 'TZBS_LN_Q_05', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (231, 'TZBS_LN_H', 'TZBS_LN_Q_06', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (232, 'TZBS_LN_H', 'TZBS_LN_Q_07', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (233, 'TZBS_LN_H', 'TZBS_LN_Q_08', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (234, 'TZBS_LN_I', 'TZBS_LN_Q_15', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (235, 'TZBS_LN_I', 'TZBS_LN_Q_17', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (236, 'TZBS_LN_I', 'TZBS_LN_Q_18', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (237, 'TZBS_LN_I', 'TZBS_LN_Q_20', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ref_score +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ref_score`; +CREATE TABLE `zytz_qms_scale_consti_ref_score` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `ref_score_yes` decimal(5, 2) NULL DEFAULT NULL COMMENT '参考分数-是', + `ref_score_Maybe` decimal(5, 2) NULL DEFAULT NULL COMMENT '参考分数-基本是/倾向是', + `full_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '满分', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 30 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质养生方案表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ref_score +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (1, 'TZBS_BZ_A', 60.00, 60.00, 100.00, '0', '', '2024-11-13 13:48:23', '', '2024-11-22 13:17:34'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (2, 'TZBS_BZ_B', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:56:27', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (3, 'TZBS_BZ_C', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:56:54', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (4, 'TZBS_BZ_D', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:57:22', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (5, 'TZBS_BZ_E', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:57:47', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (6, 'TZBS_BZ_F', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:58:19', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (7, 'TZBS_BZ_G', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:58:50', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (8, 'TZBS_BZ_H', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:59:19', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (9, 'TZBS_BZ_I', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:59:52', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (21, 'TZBS_LN_A', 17.00, 17.00, 25.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 13:57:10'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (22, 'TZBS_LN_B', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:14'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (23, 'TZBS_LN_C', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (24, 'TZBS_LN_D', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (25, 'TZBS_LN_E', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (26, 'TZBS_LN_F', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (27, 'TZBS_LN_G', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (28, 'TZBS_LN_H', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (29, 'TZBS_LN_I', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ysfa +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ysfa`; +CREATE TABLE `zytz_qms_scale_consti_ysfa` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `consti_ysfa_template` longtext CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL COMMENT '体质养生方案模板', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 30 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质养生方案表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ysfa +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (1, 'TZBS_BZ_A', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '0', '', '2024-11-13 13:48:23', '', '2024-11-13 14:10:39'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (2, 'TZBS_BZ_B', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '0', '', '2024-11-13 13:56:27', '', '2024-11-13 13:56:27'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (3, 'TZBS_BZ_C', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '0', '', '2024-11-13 13:56:54', '', '2024-11-13 13:56:54'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (4, 'TZBS_BZ_D', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '0', '', '2024-11-13 13:57:22', '', '2024-11-13 13:57:22'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (5, 'TZBS_BZ_E', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '0', '', '2024-11-13 13:57:47', '', '2024-11-13 13:57:47'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (6, 'TZBS_BZ_F', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '0', '', '2024-11-13 13:58:19', '', '2024-11-13 13:58:19'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (7, 'TZBS_BZ_G', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '0', '', '2024-11-13 13:58:50', '', '2024-11-13 13:58:50'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (8, 'TZBS_BZ_H', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '0', '', '2024-11-13 13:59:19', '', '2024-11-13 13:59:19'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (9, 'TZBS_BZ_I', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '0', '', '2024-11-13 13:59:52', '', '2024-11-13 13:59:52'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (21, 'TZBS_LN_A', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:10:49'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (22, 'TZBS_LN_B', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (23, 'TZBS_LN_C', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (24, 'TZBS_LN_D', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (25, 'TZBS_LN_E', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (26, 'TZBS_LN_F', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (27, 'TZBS_LN_G', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (28, 'TZBS_LN_H', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (29, 'TZBS_LN_I', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_question +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_question`; +CREATE TABLE `zytz_qms_scale_question` ( + `ques_id` bigint NOT NULL COMMENT '表ID', + `scale_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '辨识版本类型', + `ques_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '题目编码', + `ques_sort` int NULL DEFAULT NULL COMMENT '题号', + `ques_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题目', + `gender_apply` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '哪些性别适用（0都适用，1男，2女）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`ques_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '患者信息' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_question +-- ---------------------------- +INSERT INTO `zytz_qms_scale_question` VALUES (1, 'TZBS_BZ', 'TZBS_BZ_Q_01', 1, '您精力充沛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (2, 'TZBS_BZ', 'TZBS_BZ_Q_02', 2, '您容易疲乏吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (3, 'TZBS_BZ', 'TZBS_BZ_Q_03', 3, '您容易气短（呼吸短促、接不上气）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (4, 'TZBS_BZ', 'TZBS_BZ_Q_04', 4, '您容易心慌吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (5, 'TZBS_BZ', 'TZBS_BZ_Q_05', 5, '您容易头晕或站起时晕眩吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (6, 'TZBS_BZ', 'TZBS_BZ_Q_06', 6, '您喜欢安静、懒得说话吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (7, 'TZBS_BZ', 'TZBS_BZ_Q_07', 7, '您说话声音低弱无力吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (8, 'TZBS_BZ', 'TZBS_BZ_Q_08', 8, '您容易忘事（健忘）吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (9, 'TZBS_BZ', 'TZBS_BZ_Q_09', 9, '您感到闷闷不乐、情绪低沉吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (10, 'TZBS_BZ', 'TZBS_BZ_Q_10', 10, '您容易精神紧张、焦虑不安吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (11, 'TZBS_BZ', 'TZBS_BZ_Q_11', 11, '您多愁善感、感情脆弱吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (12, 'TZBS_BZ', 'TZBS_BZ_Q_12', 12, '您容易感到害怕或受到惊吓吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (13, 'TZBS_BZ', 'TZBS_BZ_Q_13', 13, '您胁肋部或乳房胀痛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (14, 'TZBS_BZ', 'TZBS_BZ_Q_14', 14, '您感到胸闷或腹部胀满吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (15, 'TZBS_BZ', 'TZBS_BZ_Q_15', 15, '您无缘无故叹气吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (16, 'TZBS_BZ', 'TZBS_BZ_Q_16', 16, '您感到身体沉重不轻松或不爽快吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (17, 'TZBS_BZ', 'TZBS_BZ_Q_17', 17, '您感到手脚心发热吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (18, 'TZBS_BZ', 'TZBS_BZ_Q_18', 18, '您手脚发凉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (19, 'TZBS_BZ', 'TZBS_BZ_Q_19', 19, '您胃脘部、背部或腰膝部怕冷吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (20, 'TZBS_BZ', 'TZBS_BZ_Q_20', 20, '您感到怕冷、衣服比别人穿得多吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (21, 'TZBS_BZ', 'TZBS_BZ_Q_21', 21, '您感觉身体、脸上发热吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (22, 'TZBS_BZ', 'TZBS_BZ_Q_22', 22, '您比一般人耐受不了寒冷（冬天的寒冷、夏天的冷空调、电扇等）吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (23, 'TZBS_BZ', 'TZBS_BZ_Q_23', 23, '您比别人容易患感冒吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (24, 'TZBS_BZ', 'TZBS_BZ_Q_24', 24, '您没有感冒时也会打喷嚏吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (25, 'TZBS_BZ', 'TZBS_BZ_Q_25', 25, '您没有感冒时也会鼻塞、流鼻涕吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (26, 'TZBS_BZ', 'TZBS_BZ_Q_26', 26, '您有因季节变化、温度变化或异味等原因而咳喘的现象吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (27, 'TZBS_BZ', 'TZBS_BZ_Q_27', 27, '您活动量稍大就容易出虚汗吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (28, 'TZBS_BZ', 'TZBS_BZ_Q_28', 28, '您有额部油脂分泌多的现象吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (29, 'TZBS_BZ', 'TZBS_BZ_Q_29', 29, '您口唇的颜色比一般人红吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (30, 'TZBS_BZ', 'TZBS_BZ_Q_30', 30, '您容易过敏（对药物、食物、气味、花粉或在季节交替、气候变化时）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (31, 'TZBS_BZ', 'TZBS_BZ_Q_31', 31, '您的皮肤容易起荨麻疹（风团、风疹块、风疙瘩）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (32, 'TZBS_BZ', 'TZBS_BZ_Q_32', 32, '您的皮肤因过敏出现过紫癜（紫红色瘀点、瘀斑）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (33, 'TZBS_BZ', 'TZBS_BZ_Q_33', 33, '您的皮肤在不知不觉中会出现青紫瘀斑（皮下出血）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (34, 'TZBS_BZ', 'TZBS_BZ_Q_34', 34, '您的皮肤一抓就红，并出现抓痕吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (35, 'TZBS_BZ', 'TZBS_BZ_Q_35', 35, '您皮肤或口唇干吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (36, 'TZBS_BZ', 'TZBS_BZ_Q_36', 36, '您两颧部有细微红丝吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (37, 'TZBS_BZ', 'TZBS_BZ_Q_37', 37, '您身体上有哪里疼痛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (38, 'TZBS_BZ', 'TZBS_BZ_Q_38', 38, '您面部两颧潮红或偏红吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (39, 'TZBS_BZ', 'TZBS_BZ_Q_39', 39, '您面部或鼻部有油腻感或者油亮发光吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (40, 'TZBS_BZ', 'TZBS_BZ_Q_40', 40, '您面色晦暗或容易出现褐斑吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (41, 'TZBS_BZ', 'TZBS_BZ_Q_41', 41, '您容易生痤疮或疮疖吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (42, 'TZBS_BZ', 'TZBS_BZ_Q_42', 42, '您上眼睑比别人肿（上眼睑有轻微隆起的现象）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (43, 'TZBS_BZ', 'TZBS_BZ_Q_43', 43, '您容易有黑眼圈吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (44, 'TZBS_BZ', 'TZBS_BZ_Q_44', 44, '您感到眼睛干涩吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (45, 'TZBS_BZ', 'TZBS_BZ_Q_45', 45, '您口唇颜色偏暗吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (46, 'TZBS_BZ', 'TZBS_BZ_Q_46', 46, '您感到口干咽燥、总想喝水吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (47, 'TZBS_BZ', 'TZBS_BZ_Q_47', 47, '您咽喉部有异物感，且吐之不出、咽之不下吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (48, 'TZBS_BZ', 'TZBS_BZ_Q_48', 48, '您感到口苦或嘴里有异味吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (49, 'TZBS_BZ', 'TZBS_BZ_Q_49', 49, '您嘴里有黏黏的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (50, 'TZBS_BZ', 'TZBS_BZ_Q_50', 50, '您腹部肥满松软吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (51, 'TZBS_BZ', 'TZBS_BZ_Q_51', 51, '您平时痰多，特别是咽喉部总感到有痰堵着吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (52, 'TZBS_BZ', 'TZBS_BZ_Q_52', 52, '您吃（喝）凉的东西会感到不舒服或者怕吃（喝）凉东西吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (53, 'TZBS_BZ', 'TZBS_BZ_Q_53', 53, '您能适应外界自然和社会环境的变化吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (54, 'TZBS_BZ', 'TZBS_BZ_Q_54', 54, '您容易失眠吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (55, 'TZBS_BZ', 'TZBS_BZ_Q_55', 55, '您受凉或吃（喝）凉的东西后，容易腹泻（拉肚子）吗)？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (56, 'TZBS_BZ', 'TZBS_BZ_Q_56', 56, '您大便黏滞不爽、有解不尽的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (57, 'TZBS_BZ', 'TZBS_BZ_Q_57', 57, '您容易便秘或大便干燥吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (58, 'TZBS_BZ', 'TZBS_BZ_Q_58', 58, '您舌苔厚腻或有舌苔厚厚的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (59, 'TZBS_BZ', 'TZBS_BZ_Q_59', 59, '您小便时尿道有发热感、尿色浓（深）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (60, 'TZBS_BZ', 'TZBS_BZ_Q_60', 60, '您带下色黄（白带颜色发黄）吗？ （限女性回答）', '2', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:28'); +INSERT INTO `zytz_qms_scale_question` VALUES (61, 'TZBS_BZ', 'TZBS_BZ_Q_61', 61, '您的阴囊部位潮湿吗？ （限男性回答）', '1', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:29'); +INSERT INTO `zytz_qms_scale_question` VALUES (201, 'TZBS_LN', 'TZBS_LN_Q_01', 1, '您精力充沛吗？（指精神头足，乐于做事）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (202, 'TZBS_LN', 'TZBS_LN_Q_02', 2, '您容易疲乏吗？（指体力如何，是否稍微活动一下或做一点家务劳动就感到累）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (203, 'TZBS_LN', 'TZBS_LN_Q_03', 3, '您容易气短，呼吸短促，接不上气吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (204, 'TZBS_LN', 'TZBS_LN_Q_04', 4, '您说话声音低弱无力吗?（指说话没有力气）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (205, 'TZBS_LN', 'TZBS_LN_Q_05', 5, '您感到闷闷不乐、情绪低沉吗?（指心情不愉快，情绪低落）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (206, 'TZBS_LN', 'TZBS_LN_Q_06', 6, '您容易精神紧张、焦虑不安吗?（指遇事是否心情紧张）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (207, 'TZBS_LN', 'TZBS_LN_Q_07', 7, '您因为生活状态改变而感到孤独、失落吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (208, 'TZBS_LN', 'TZBS_LN_Q_08', 8, '您容易感到害怕或受到惊吓吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (209, 'TZBS_LN', 'TZBS_LN_Q_09', 9, '您感到身体超重不轻松吗?(感觉身体沉重)[BMI指数=体重（kg）/身高2（m）]', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (210, 'TZBS_LN', 'TZBS_LN_Q_10', 10, '您眼睛干涩吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (211, 'TZBS_LN', 'TZBS_LN_Q_11', 11, '您手脚发凉吗?（不包含因周围温度低或穿的少导致的手脚发冷）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (212, 'TZBS_LN', 'TZBS_LN_Q_12', 12, '您胃脘部、背部或腰膝部怕冷吗？（指上腹部、背部、腰部或膝关节等，有一处或多处怕冷）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (213, 'TZBS_LN', 'TZBS_LN_Q_13', 13, '您比一般人耐受不了寒冷吗？（指比别人容易害怕冬天或是夏天的冷空调、电扇等）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (214, 'TZBS_LN', 'TZBS_LN_Q_14', 14, '您容易患感冒吗?（指每年感冒的次数）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (215, 'TZBS_LN', 'TZBS_LN_Q_15', 15, '您没有感冒时也会鼻塞、流鼻涕吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (216, 'TZBS_LN', 'TZBS_LN_Q_16', 16, '您有口粘口腻，或睡眠打鼾吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (217, 'TZBS_LN', 'TZBS_LN_Q_17', 17, '您容易过敏(对药物、食物、气味、花粉或在季节交替、气候变化时)吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (218, 'TZBS_LN', 'TZBS_LN_Q_18', 18, '您的皮肤容易起荨麻疹吗? (包括风团、风疹块、风疙瘩)', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (219, 'TZBS_LN', 'TZBS_LN_Q_19', 19, '您的皮肤在不知不觉中会出现青紫瘀斑、皮下出血吗?（指皮肤在没有外伤的情况下出现青一块紫一块的情况）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (220, 'TZBS_LN', 'TZBS_LN_Q_20', 20, '您的皮肤一抓就红，并出现抓痕吗?（指被指甲或钝物划过后皮肤的反应）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (221, 'TZBS_LN', 'TZBS_LN_Q_21', 21, '您皮肤或口唇干吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (222, 'TZBS_LN', 'TZBS_LN_Q_22', 22, '您有肢体麻木或固定部位疼痛的感觉吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (223, 'TZBS_LN', 'TZBS_LN_Q_23', 23, '您面部或鼻部有油腻感或者油亮发光吗?（指脸上或鼻子）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (224, 'TZBS_LN', 'TZBS_LN_Q_24', 24, '您面色或目眶晦黯，或出现褐色斑块/斑点吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (225, 'TZBS_LN', 'TZBS_LN_Q_25', 25, '您有皮肤湿疹、疮疖吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (226, 'TZBS_LN', 'TZBS_LN_Q_26', 26, '您感到口干咽燥、总想喝水吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (227, 'TZBS_LN', 'TZBS_LN_Q_27', 27, '您感到口苦或嘴里有异味吗?（指口苦或口臭）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (228, 'TZBS_LN', 'TZBS_LN_Q_28', 28, '您腹部肥大吗?（指腹部脂肪肥厚）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (229, 'TZBS_LN', 'TZBS_LN_Q_29', 29, '您吃(喝)凉的东西会感到不舒服或者怕吃(喝)凉的东西吗？（指不喜欢吃凉的食物，或吃了凉的食物后会不舒服）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (230, 'TZBS_LN', 'TZBS_LN_Q_30', 30, '您有大便黏滞不爽、解不尽的感觉吗?(大便容易粘在马桶或便坑壁上)', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (231, 'TZBS_LN', 'TZBS_LN_Q_31', 31, '您容易大便干燥吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (232, 'TZBS_LN', 'TZBS_LN_Q_32', 32, '您舌苔厚腻或有舌苔厚厚的感觉吗?（如果自我感觉不清楚可由调查员观察后填写）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (233, 'TZBS_LN', 'TZBS_LN_Q_33', 33, '您舌下静脉瘀紫或增粗吗？（可由调查员辅助观察后填写）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_question_option +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_question_option`; +CREATE TABLE `zytz_qms_scale_question_option` ( + `ques_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '题目编号', + `option_id` bigint NOT NULL COMMENT '表ID', + `option_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项code', + `option_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项', + `option_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '选项得分', + `option_sort` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项编号', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`option_id`) USING BTREE, + INDEX `idx_option_code`(`option_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质与题目关联表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_question_option +-- ---------------------------- +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 1, 'TZBS_BZ_Q_01_O_001', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 2, 'TZBS_BZ_Q_01_O_002', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 3, 'TZBS_BZ_Q_01_O_003', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 4, 'TZBS_BZ_Q_01_O_004', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 5, 'TZBS_BZ_Q_01_O_005', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 6, 'TZBS_BZ_Q_02_O_006', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 7, 'TZBS_BZ_Q_02_O_007', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 8, 'TZBS_BZ_Q_02_O_008', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 9, 'TZBS_BZ_Q_02_O_009', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 10, 'TZBS_BZ_Q_02_O_010', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 11, 'TZBS_BZ_Q_03_O_011', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 12, 'TZBS_BZ_Q_03_O_012', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 13, 'TZBS_BZ_Q_03_O_013', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 14, 'TZBS_BZ_Q_03_O_014', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 15, 'TZBS_BZ_Q_03_O_015', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 16, 'TZBS_BZ_Q_04_O_016', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 17, 'TZBS_BZ_Q_04_O_017', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 18, 'TZBS_BZ_Q_04_O_018', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 19, 'TZBS_BZ_Q_04_O_019', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 20, 'TZBS_BZ_Q_04_O_020', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 21, 'TZBS_BZ_Q_05_O_021', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 22, 'TZBS_BZ_Q_05_O_022', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 23, 'TZBS_BZ_Q_05_O_023', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 24, 'TZBS_BZ_Q_05_O_024', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 25, 'TZBS_BZ_Q_05_O_025', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 26, 'TZBS_BZ_Q_06_O_026', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 27, 'TZBS_BZ_Q_06_O_027', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 28, 'TZBS_BZ_Q_06_O_028', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 29, 'TZBS_BZ_Q_06_O_029', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 30, 'TZBS_BZ_Q_06_O_030', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 31, 'TZBS_BZ_Q_07_O_031', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 32, 'TZBS_BZ_Q_07_O_032', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 33, 'TZBS_BZ_Q_07_O_033', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 34, 'TZBS_BZ_Q_07_O_034', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 35, 'TZBS_BZ_Q_07_O_035', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 36, 'TZBS_BZ_Q_08_O_036', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 37, 'TZBS_BZ_Q_08_O_037', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 38, 'TZBS_BZ_Q_08_O_038', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 39, 'TZBS_BZ_Q_08_O_039', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 40, 'TZBS_BZ_Q_08_O_040', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 41, 'TZBS_BZ_Q_09_O_041', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 42, 'TZBS_BZ_Q_09_O_042', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 43, 'TZBS_BZ_Q_09_O_043', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 44, 'TZBS_BZ_Q_09_O_044', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 45, 'TZBS_BZ_Q_09_O_045', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 46, 'TZBS_BZ_Q_10_O_046', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 47, 'TZBS_BZ_Q_10_O_047', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 48, 'TZBS_BZ_Q_10_O_048', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 49, 'TZBS_BZ_Q_10_O_049', 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13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 72, 'TZBS_BZ_Q_15_O_072', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 73, 'TZBS_BZ_Q_15_O_073', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 74, 'TZBS_BZ_Q_15_O_074', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 75, 'TZBS_BZ_Q_15_O_075', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 76, 'TZBS_BZ_Q_16_O_076', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 77, 'TZBS_BZ_Q_16_O_077', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 78, 'TZBS_BZ_Q_16_O_078', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 79, 'TZBS_BZ_Q_16_O_079', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 80, 'TZBS_BZ_Q_16_O_080', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 81, 'TZBS_BZ_Q_17_O_081', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 82, 'TZBS_BZ_Q_17_O_082', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO 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'2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 89, 'TZBS_BZ_Q_18_O_089', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 90, 'TZBS_BZ_Q_18_O_090', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 91, 'TZBS_BZ_Q_19_O_091', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 92, 'TZBS_BZ_Q_19_O_092', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 93, 'TZBS_BZ_Q_19_O_093', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 94, 'TZBS_BZ_Q_19_O_094', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 95, 'TZBS_BZ_Q_19_O_095', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 96, 'TZBS_BZ_Q_20_O_096', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 97, 'TZBS_BZ_Q_20_O_097', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 98, 'TZBS_BZ_Q_20_O_098', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 99, 'TZBS_BZ_Q_20_O_099', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 100, 'TZBS_BZ_Q_20_O_100', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 101, 'TZBS_BZ_Q_21_O_101', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 102, 'TZBS_BZ_Q_21_O_102', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 103, 'TZBS_BZ_Q_21_O_103', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 104, 'TZBS_BZ_Q_21_O_104', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 105, 'TZBS_BZ_Q_21_O_105', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 106, 'TZBS_BZ_Q_22_O_106', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 107, 'TZBS_BZ_Q_22_O_107', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 108, 'TZBS_BZ_Q_22_O_108', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 109, 'TZBS_BZ_Q_22_O_109', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 110, 'TZBS_BZ_Q_22_O_110', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO 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'0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 117, 'TZBS_BZ_Q_24_O_117', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 118, 'TZBS_BZ_Q_24_O_118', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 119, 'TZBS_BZ_Q_24_O_119', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 120, 'TZBS_BZ_Q_24_O_120', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_25', 121, 'TZBS_BZ_Q_25_O_121', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` 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'2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 128, 'TZBS_BZ_Q_26_O_128', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 129, 'TZBS_BZ_Q_26_O_129', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 130, 'TZBS_BZ_Q_26_O_130', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 131, 'TZBS_BZ_Q_27_O_131', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 132, 'TZBS_BZ_Q_27_O_132', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 133, 'TZBS_BZ_Q_27_O_133', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 134, 'TZBS_BZ_Q_27_O_134', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 135, 'TZBS_BZ_Q_27_O_135', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 136, 'TZBS_BZ_Q_28_O_136', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 137, 'TZBS_BZ_Q_28_O_137', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 138, 'TZBS_BZ_Q_28_O_138', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_29', 145, 'TZBS_BZ_Q_29_O_145', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 146, 'TZBS_BZ_Q_30_O_146', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 147, 'TZBS_BZ_Q_30_O_147', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 148, 'TZBS_BZ_Q_30_O_148', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 149, 'TZBS_BZ_Q_30_O_149', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO 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'0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 156, 'TZBS_BZ_Q_32_O_156', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 157, 'TZBS_BZ_Q_32_O_157', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 158, 'TZBS_BZ_Q_32_O_158', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 159, 'TZBS_BZ_Q_32_O_159', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 160, 'TZBS_BZ_Q_32_O_160', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 161, 'TZBS_BZ_Q_33_O_161', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 162, 'TZBS_BZ_Q_33_O_162', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 163, 'TZBS_BZ_Q_33_O_163', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 164, 'TZBS_BZ_Q_33_O_164', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 165, 'TZBS_BZ_Q_33_O_165', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 166, 'TZBS_BZ_Q_34_O_166', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 167, 'TZBS_BZ_Q_34_O_167', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 168, 'TZBS_BZ_Q_34_O_168', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 169, 'TZBS_BZ_Q_34_O_169', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 170, 'TZBS_BZ_Q_34_O_170', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 171, 'TZBS_BZ_Q_35_O_171', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 172, 'TZBS_BZ_Q_35_O_172', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 173, 'TZBS_BZ_Q_35_O_173', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 174, 'TZBS_BZ_Q_35_O_174', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 175, 'TZBS_BZ_Q_35_O_175', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_36', 176, 'TZBS_BZ_Q_36_O_176', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_36', 177, 'TZBS_BZ_Q_36_O_177', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_37', 184, 'TZBS_BZ_Q_37_O_184', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_37', 185, 'TZBS_BZ_Q_37_O_185', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 186, 'TZBS_BZ_Q_38_O_186', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 187, 'TZBS_BZ_Q_38_O_187', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 188, 'TZBS_BZ_Q_38_O_188', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO 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'0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_39', 195, 'TZBS_BZ_Q_39_O_195', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_40', 196, 'TZBS_BZ_Q_40_O_196', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_40', 197, 'TZBS_BZ_Q_40_O_197', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_40', 198, 'TZBS_BZ_Q_40_O_198', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_40', 199, 'TZBS_BZ_Q_40_O_199', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_40', 200, 'TZBS_BZ_Q_40_O_200', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_41', 201, 'TZBS_BZ_Q_41_O_201', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_41', 202, 'TZBS_BZ_Q_41_O_202', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_41', 203, 'TZBS_BZ_Q_41_O_203', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_41', 204, 'TZBS_BZ_Q_41_O_204', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_41', 205, 'TZBS_BZ_Q_41_O_205', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_42', 206, 'TZBS_BZ_Q_42_O_206', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_42', 207, 'TZBS_BZ_Q_42_O_207', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_42', 208, 'TZBS_BZ_Q_42_O_208', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_42', 209, 'TZBS_BZ_Q_42_O_209', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_42', 210, 'TZBS_BZ_Q_42_O_210', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_43', 211, 'TZBS_BZ_Q_43_O_211', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_43', 212, 'TZBS_BZ_Q_43_O_212', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_43', 213, 'TZBS_BZ_Q_43_O_213', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_43', 214, 'TZBS_BZ_Q_43_O_214', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_43', 215, 'TZBS_BZ_Q_43_O_215', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_44', 216, 'TZBS_BZ_Q_44_O_216', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_45', 223, 'TZBS_BZ_Q_45_O_223', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_45', 224, 'TZBS_BZ_Q_45_O_224', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_45', 225, 'TZBS_BZ_Q_45_O_225', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 226, 'TZBS_BZ_Q_46_O_226', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 227, 'TZBS_BZ_Q_46_O_227', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 228, 'TZBS_BZ_Q_46_O_228', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 229, 'TZBS_BZ_Q_46_O_229', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 230, 'TZBS_BZ_Q_46_O_230', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_47', 231, 'TZBS_BZ_Q_47_O_231', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_47', 232, 'TZBS_BZ_Q_47_O_232', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_47', 233, 'TZBS_BZ_Q_47_O_233', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_47', 234, 'TZBS_BZ_Q_47_O_234', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_47', 235, 'TZBS_BZ_Q_47_O_235', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 236, 'TZBS_BZ_Q_48_O_236', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 237, 'TZBS_BZ_Q_48_O_237', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 238, 'TZBS_BZ_Q_48_O_238', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 239, 'TZBS_BZ_Q_48_O_239', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 240, 'TZBS_BZ_Q_48_O_240', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_49', 241, 'TZBS_BZ_Q_49_O_241', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_49', 242, 'TZBS_BZ_Q_49_O_242', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_49', 243, 'TZBS_BZ_Q_49_O_243', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_49', 244, 'TZBS_BZ_Q_49_O_244', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_49', 245, 'TZBS_BZ_Q_49_O_245', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 246, 'TZBS_BZ_Q_50_O_246', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 247, 'TZBS_BZ_Q_50_O_247', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 248, 'TZBS_BZ_Q_50_O_248', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 249, 'TZBS_BZ_Q_50_O_249', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 250, 'TZBS_BZ_Q_50_O_250', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 251, 'TZBS_BZ_Q_51_O_251', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 252, 'TZBS_BZ_Q_51_O_252', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 253, 'TZBS_BZ_Q_51_O_253', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 254, 'TZBS_BZ_Q_51_O_254', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 255, 'TZBS_BZ_Q_51_O_255', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); 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1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_53', 262, 'TZBS_BZ_Q_53_O_262', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_53', 263, 'TZBS_BZ_Q_53_O_263', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_53', 264, 'TZBS_BZ_Q_53_O_264', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_53', 265, 'TZBS_BZ_Q_53_O_265', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_54', 266, 'TZBS_BZ_Q_54_O_266', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO 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'0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_55', 273, 'TZBS_BZ_Q_55_O_273', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_55', 274, 'TZBS_BZ_Q_55_O_274', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_55', 275, 'TZBS_BZ_Q_55_O_275', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_56', 276, 'TZBS_BZ_Q_56_O_276', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_56', 277, 'TZBS_BZ_Q_56_O_277', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` 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'2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_57', 284, 'TZBS_BZ_Q_57_O_284', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_57', 285, 'TZBS_BZ_Q_57_O_285', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_58', 286, 'TZBS_BZ_Q_58_O_286', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_58', 287, 'TZBS_BZ_Q_58_O_287', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_58', 288, 'TZBS_BZ_Q_58_O_288', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_58', 289, 'TZBS_BZ_Q_58_O_289', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_58', 290, 'TZBS_BZ_Q_58_O_290', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_59', 291, 'TZBS_BZ_Q_59_O_291', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_59', 292, 'TZBS_BZ_Q_59_O_292', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_59', 293, 'TZBS_BZ_Q_59_O_293', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_59', 294, 'TZBS_BZ_Q_59_O_294', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_59', 295, 'TZBS_BZ_Q_59_O_295', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 296, 'TZBS_BZ_Q_60_O_296', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 297, 'TZBS_BZ_Q_60_O_297', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 298, 'TZBS_BZ_Q_60_O_298', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 299, 'TZBS_BZ_Q_60_O_299', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 300, 'TZBS_BZ_Q_60_O_300', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 301, 'TZBS_BZ_Q_61_O_301', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 302, 'TZBS_BZ_Q_61_O_302', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 303, 'TZBS_BZ_Q_61_O_303', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 304, 'TZBS_BZ_Q_61_O_304', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 305, 'TZBS_BZ_Q_61_O_305', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2001, 'TZBS_LN_Q_01_O_001', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2002, 'TZBS_LN_Q_01_O_002', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2003, 'TZBS_LN_Q_01_O_003', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2004, 'TZBS_LN_Q_01_O_004', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2005, 'TZBS_LN_Q_01_O_005', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2006, 'TZBS_LN_Q_02_O_006', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2007, 'TZBS_LN_Q_02_O_007', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2008, 'TZBS_LN_Q_02_O_008', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2009, 'TZBS_LN_Q_02_O_009', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2010, 'TZBS_LN_Q_02_O_010', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2011, 'TZBS_LN_Q_03_O_011', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2012, 'TZBS_LN_Q_03_O_012', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2013, 'TZBS_LN_Q_03_O_013', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2014, 'TZBS_LN_Q_03_O_014', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2015, 'TZBS_LN_Q_03_O_015', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2016, 'TZBS_LN_Q_04_O_016', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2017, 'TZBS_LN_Q_04_O_017', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2018, 'TZBS_LN_Q_04_O_018', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2019, 'TZBS_LN_Q_04_O_019', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2020, 'TZBS_LN_Q_04_O_020', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2021, 'TZBS_LN_Q_05_O_021', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2022, 'TZBS_LN_Q_05_O_022', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2023, 'TZBS_LN_Q_05_O_023', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2024, 'TZBS_LN_Q_05_O_024', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2025, 'TZBS_LN_Q_05_O_025', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2026, 'TZBS_LN_Q_06_O_026', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2027, 'TZBS_LN_Q_06_O_027', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2028, 'TZBS_LN_Q_06_O_028', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2029, 'TZBS_LN_Q_06_O_029', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2030, 'TZBS_LN_Q_06_O_030', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2031, 'TZBS_LN_Q_07_O_031', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2032, 'TZBS_LN_Q_07_O_032', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2033, 'TZBS_LN_Q_07_O_033', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2034, 'TZBS_LN_Q_07_O_034', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2035, 'TZBS_LN_Q_07_O_035', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2036, 'TZBS_LN_Q_08_O_036', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2037, 'TZBS_LN_Q_08_O_037', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2038, 'TZBS_LN_Q_08_O_038', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2039, 'TZBS_LN_Q_08_O_039', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2040, 'TZBS_LN_Q_08_O_040', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2041, 'TZBS_LN_Q_09_O_041', '没有（BMI＜24）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2042, 'TZBS_LN_Q_09_O_042', '很少（24-25之间）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:20'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2043, 'TZBS_LN_Q_09_O_043', '有时（25-26之间）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:42'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2044, 'TZBS_LN_Q_09_O_044', '经常（26-28之间）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:54'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2045, 'TZBS_LN_Q_09_O_045', '总是（BMI≥28）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:04'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2046, 'TZBS_LN_Q_10_O_046', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2047, 'TZBS_LN_Q_10_O_047', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2048, 'TZBS_LN_Q_10_O_048', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2049, 'TZBS_LN_Q_10_O_049', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2050, 'TZBS_LN_Q_10_O_050', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2051, 'TZBS_LN_Q_11_O_051', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2052, 'TZBS_LN_Q_11_O_052', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2053, 'TZBS_LN_Q_11_O_053', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2054, 'TZBS_LN_Q_11_O_054', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2055, 'TZBS_LN_Q_11_O_055', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2056, 'TZBS_LN_Q_12_O_056', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2057, 'TZBS_LN_Q_12_O_057', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2058, 'TZBS_LN_Q_12_O_058', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2059, 'TZBS_LN_Q_12_O_059', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2060, 'TZBS_LN_Q_12_O_060', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2061, 'TZBS_LN_Q_13_O_061', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2062, 'TZBS_LN_Q_13_O_062', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2063, 'TZBS_LN_Q_13_O_063', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2064, 'TZBS_LN_Q_13_O_064', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2065, 'TZBS_LN_Q_13_O_065', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2066, 'TZBS_LN_Q_14_O_066', '没有（一年＜2次）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2067, 'TZBS_LN_Q_14_O_067', '很少（一年感冒2-4次）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:33'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2068, 'TZBS_LN_Q_14_O_068', '有时（一年感冒5-6次）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:40'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2069, 'TZBS_LN_Q_14_O_069', '经常（一年8次以上）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2070, 'TZBS_LN_Q_14_O_070', '总是（几乎每月都感冒）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:56'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2071, 'TZBS_LN_Q_15_O_071', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2072, 'TZBS_LN_Q_15_O_072', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2073, 'TZBS_LN_Q_15_O_073', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2074, 'TZBS_LN_Q_15_O_074', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2075, 'TZBS_LN_Q_15_O_075', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2076, 'TZBS_LN_Q_16_O_076', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2077, 'TZBS_LN_Q_16_O_077', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2078, 'TZBS_LN_Q_16_O_078', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2079, 'TZBS_LN_Q_16_O_079', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2080, 'TZBS_LN_Q_16_O_080', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2081, 'TZBS_LN_Q_17_O_081', '没有（从来没有）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:21'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2082, 'TZBS_LN_Q_17_O_082', '很少（一年1-2次）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:30'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2083, 'TZBS_LN_Q_17_O_083', '有时（一年3-4次）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:39'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2084, 'TZBS_LN_Q_17_O_084', '经常（一年5-6次）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2085, 'TZBS_LN_Q_17_O_085', '总是（每次遇到上述原因）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:58'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2086, 'TZBS_LN_Q_18_O_086', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2087, 'TZBS_LN_Q_18_O_087', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2088, 'TZBS_LN_Q_18_O_088', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2089, 'TZBS_LN_Q_18_O_089', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2090, 'TZBS_LN_Q_18_O_090', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2091, 'TZBS_LN_Q_19_O_091', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2092, 'TZBS_LN_Q_19_O_092', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2093, 'TZBS_LN_Q_19_O_093', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2094, 'TZBS_LN_Q_19_O_094', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2095, 'TZBS_LN_Q_19_O_095', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2096, 'TZBS_LN_Q_20_O_096', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2097, 'TZBS_LN_Q_20_O_097', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2098, 'TZBS_LN_Q_20_O_098', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2099, 'TZBS_LN_Q_20_O_099', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2100, 'TZBS_LN_Q_20_O_100', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2101, 'TZBS_LN_Q_21_O_101', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2102, 'TZBS_LN_Q_21_O_102', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2103, 'TZBS_LN_Q_21_O_103', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2104, 'TZBS_LN_Q_21_O_104', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2105, 'TZBS_LN_Q_21_O_105', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2106, 'TZBS_LN_Q_22_O_106', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2107, 'TZBS_LN_Q_22_O_107', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2108, 'TZBS_LN_Q_22_O_108', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2109, 'TZBS_LN_Q_22_O_109', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2110, 'TZBS_LN_Q_22_O_110', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2111, 'TZBS_LN_Q_23_O_111', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2112, 'TZBS_LN_Q_23_O_112', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2113, 'TZBS_LN_Q_23_O_113', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2114, 'TZBS_LN_Q_23_O_114', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2115, 'TZBS_LN_Q_23_O_115', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2116, 'TZBS_LN_Q_24_O_116', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2117, 'TZBS_LN_Q_24_O_117', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2118, 'TZBS_LN_Q_24_O_118', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2119, 'TZBS_LN_Q_24_O_119', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2120, 'TZBS_LN_Q_24_O_120', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2121, 'TZBS_LN_Q_25_O_121', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2122, 'TZBS_LN_Q_25_O_122', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2123, 'TZBS_LN_Q_25_O_123', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2124, 'TZBS_LN_Q_25_O_124', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2125, 'TZBS_LN_Q_25_O_125', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2126, 'TZBS_LN_Q_26_O_126', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2127, 'TZBS_LN_Q_26_O_127', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2128, 'TZBS_LN_Q_26_O_128', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2129, 'TZBS_LN_Q_26_O_129', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2130, 'TZBS_LN_Q_26_O_130', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2131, 'TZBS_LN_Q_27_O_131', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2132, 'TZBS_LN_Q_27_O_132', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2133, 'TZBS_LN_Q_27_O_133', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2134, 'TZBS_LN_Q_27_O_134', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2135, 'TZBS_LN_Q_27_O_135', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2136, 'TZBS_LN_Q_28_O_136', '没有（腹围<80cm，相当于2.4尺）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:18'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2137, 'TZBS_LN_Q_28_O_137', '很少（腹围80-85cm，2.4-2.55尺）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2138, 'TZBS_LN_Q_28_O_138', '有时（腹围86-90cm，2.56-2.7尺）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:33'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2139, 'TZBS_LN_Q_28_O_139', '经常（腹围91-105cm，2.71-3.15尺)）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:53:46'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2140, 'TZBS_LN_Q_28_O_140', '总是（腹围>105cm\r\n或3.15尺）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:53:55'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2141, 'TZBS_LN_Q_29_O_141', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2142, 'TZBS_LN_Q_29_O_142', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2143, 'TZBS_LN_Q_29_O_143', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2144, 'TZBS_LN_Q_29_O_144', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2145, 'TZBS_LN_Q_29_O_145', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2146, 'TZBS_LN_Q_30_O_146', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2147, 'TZBS_LN_Q_30_O_147', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2148, 'TZBS_LN_Q_30_O_148', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2149, 'TZBS_LN_Q_30_O_149', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2150, 'TZBS_LN_Q_30_O_150', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2151, 'TZBS_LN_Q_31_O_151', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2152, 'TZBS_LN_Q_31_O_152', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2153, 'TZBS_LN_Q_31_O_153', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2154, 'TZBS_LN_Q_31_O_154', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2155, 'TZBS_LN_Q_31_O_155', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2156, 'TZBS_LN_Q_32_O_156', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2157, 'TZBS_LN_Q_32_O_157', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2158, 'TZBS_LN_Q_32_O_158', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2159, 'TZBS_LN_Q_32_O_159', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2160, 'TZBS_LN_Q_32_O_160', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2161, 'TZBS_LN_Q_33_O_161', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2162, 'TZBS_LN_Q_33_O_162', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2163, 'TZBS_LN_Q_33_O_163', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2164, 'TZBS_LN_Q_33_O_164', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2165, 'TZBS_LN_Q_33_O_165', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); + +-- ---------------------------- +-- Table structure for zytz_rms_report +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_rms_report`; +CREATE TABLE `zytz_rms_report` ( + `report_id` bigint NOT NULL COMMENT '表ID', + `dept_id` bigint NULL DEFAULT NULL COMMENT '所属组织，对应数据权限', + `patient_id` bigint NOT NULL COMMENT '患者ID', + `patient_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名', + `patient_age` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户年龄', + `patient_gender` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户性别 性别 1 男 2 女', + `patient_height` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户身高 CM', + `patient_weight` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户体重 KG', + `patient_waistline` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户腰围 CM', + `eva_id` bigint NOT NULL COMMENT '测试ID', + `eva_scale_code` varchar(16) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '辨识档案版本 00成人标准版 20老年版', + `eva_time` datetime NOT NULL COMMENT '测评时间', + `eva_username` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测评师用户名', + `eva_nickname` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测评师名称', + `blh` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '病历号', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + `patient_name_pinyin` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名-拼音全拼', + `patient_name_py` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名-拼音简拼', + `patient_birthday` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '生日', + `patient_idcard` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身份证号', + `patient_phone` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '电话号码', + PRIMARY KEY (`report_id`) USING BTREE, + INDEX `idx_eva_id`(`eva_id` ASC) USING BTREE, + INDEX `idx_scale_code`(`eva_scale_code` ASC) USING BTREE, + INDEX `idx_dept_id`(`dept_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '报告单表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_rms_report +-- ---------------------------- + +-- ---------------------------- +-- Table structure for zytz_rms_report_result +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_rms_report_result`; +CREATE TABLE `zytz_rms_report_result` ( + `result_id` bigint NOT NULL COMMENT '表ID', + `report_id` bigint NOT NULL COMMENT '报告单id', + `consti_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质code', + `consti_name` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质名称', + `consti_level` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '级别：00是，10基本是[平和]，11倾向是[偏颇]，20否', + `consti_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '是否主体质：1主体质 2兼夹体质', + `main_flag` int NULL DEFAULT NULL COMMENT '是否主体质：1主体质 2兼夹体质', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`result_id`) USING BTREE, + INDEX `idx_report_id`(`report_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案结果' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_rms_report_result +-- ---------------------------- + +-- ---------------------------- +-- Table structure for zytz_rms_report_ysjy +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_rms_report_ysjy`; +CREATE TABLE `zytz_rms_report_ysjy` ( + `ysjy_id` bigint NOT NULL COMMENT '表ID', + `report_id` bigint NOT NULL COMMENT '报告单id', + `consti_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质code', + `consti_name` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质名称', + `consti_ysjy` longtext CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL COMMENT '体质的养生建议', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`ysjy_id`) USING BTREE, + INDEX `idx_report_id`(`report_id` ASC) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '养生建议' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_rms_report_ysjy +-- ---------------------------- + +-- ---------------------------- +-- View structure for all_fms_followup_queue +-- ---------------------------- +DROP VIEW IF EXISTS `all_fms_followup_queue`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `all_fms_followup_queue` AS select `acupuncture`.`fms_followup_queue`.`id` AS `id`,`acupuncture`.`fms_followup_queue`.`name` AS `name`,`acupuncture`.`fms_followup_queue`.`followup_method` AS `followup_method`,`acupuncture`.`fms_followup_queue`.`followup_type` AS `followup_type`,`acupuncture`.`fms_followup_queue`.`frequency` AS `frequency`,`acupuncture`.`fms_followup_queue`.`followup_month` AS `followup_month`,`acupuncture`.`fms_followup_queue`.`person_in_charge` AS `person_in_charge`,`acupuncture`.`fms_followup_queue`.`person_in_charge_username` AS `person_in_charge_username`,`acupuncture`.`fms_followup_queue`.`follow_window_adys` AS `follow_window_adys`,`acupuncture`.`fms_followup_queue`.`remind_time` AS `remind_time`,`acupuncture`.`fms_followup_queue`.`status` AS `status`,`acupuncture`.`fms_followup_queue`.`del_flag` AS `del_flag`,`acupuncture`.`fms_followup_queue`.`tenant_id` AS `tenant_id`,`acupuncture`.`fms_followup_queue`.`create_by` AS `create_by`,`acupuncture`.`fms_followup_queue`.`create_time` AS `create_time`,`acupuncture`.`fms_followup_queue`.`update_by` AS `update_by`,`acupuncture`.`fms_followup_queue`.`update_time` AS `update_time`,`acupuncture`.`fms_followup_queue`.`remark` AS `remark` from `acupuncture`.`fms_followup_queue` union all select `acupuncture_yfyy`.`fms_followup_queue`.`id` AS `id`,`acupuncture_yfyy`.`fms_followup_queue`.`name` AS `name`,`acupuncture_yfyy`.`fms_followup_queue`.`followup_method` AS `followup_method`,`acupuncture_yfyy`.`fms_followup_queue`.`followup_type` AS `followup_type`,`acupuncture_yfyy`.`fms_followup_queue`.`frequency` AS `frequency`,`acupuncture_yfyy`.`fms_followup_queue`.`followup_month` AS `followup_month`,`acupuncture_yfyy`.`fms_followup_queue`.`person_in_charge` AS `person_in_charge`,`acupuncture_yfyy`.`fms_followup_queue`.`person_in_charge_username` AS `person_in_charge_username`,`acupuncture_yfyy`.`fms_followup_queue`.`follow_window_adys` AS `follow_window_adys`,`acupuncture_yfyy`.`fms_followup_queue`.`remind_time` AS `remind_time`,`acupuncture_yfyy`.`fms_followup_queue`.`status` AS `status`,`acupuncture_yfyy`.`fms_followup_queue`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`fms_followup_queue`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`fms_followup_queue`.`create_by` AS `create_by`,`acupuncture_yfyy`.`fms_followup_queue`.`create_time` AS `create_time`,`acupuncture_yfyy`.`fms_followup_queue`.`update_by` AS `update_by`,`acupuncture_yfyy`.`fms_followup_queue`.`update_time` AS `update_time`,`acupuncture_yfyy`.`fms_followup_queue`.`remark` AS `remark` from `acupuncture_yfyy`.`fms_followup_queue` union all select `acupuncture_prod_yy`.`fms_followup_queue`.`id` AS `id`,`acupuncture_prod_yy`.`fms_followup_queue`.`name` AS `name`,`acupuncture_prod_yy`.`fms_followup_queue`.`followup_method` AS `followup_method`,`acupuncture_prod_yy`.`fms_followup_queue`.`followup_type` AS `followup_type`,`acupuncture_prod_yy`.`fms_followup_queue`.`frequency` AS `frequency`,`acupuncture_prod_yy`.`fms_followup_queue`.`followup_month` AS `followup_month`,`acupuncture_prod_yy`.`fms_followup_queue`.`person_in_charge` AS `person_in_charge`,`acupuncture_prod_yy`.`fms_followup_queue`.`person_in_charge_username` AS `person_in_charge_username`,`acupuncture_prod_yy`.`fms_followup_queue`.`follow_window_adys` AS `follow_window_adys`,`acupuncture_prod_yy`.`fms_followup_queue`.`remind_time` AS `remind_time`,`acupuncture_prod_yy`.`fms_followup_queue`.`status` AS `status`,`acupuncture_prod_yy`.`fms_followup_queue`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`fms_followup_queue`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`fms_followup_queue`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`fms_followup_queue`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`fms_followup_queue`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`fms_followup_queue`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`fms_followup_queue`.`remark` AS `remark` from `acupuncture_prod_yy`.`fms_followup_queue` order by `tenant_id`,`create_time` desc; + +-- ---------------------------- +-- View structure for v_ams_screen_wx_qr_code +-- ---------------------------- +DROP VIEW IF EXISTS `v_ams_screen_wx_qr_code`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_ams_screen_wx_qr_code` AS select `acupuncture_yfyy`.`ams_screen_wx_qr_code`.`id` AS `id`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`url` AS `url`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`path` AS `path`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`remark` AS `remark`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`create_by` AS `create_by`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`create_time` AS `create_time`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`update_by` AS `update_by`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`update_time` AS `update_time`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`contacts` AS `contacts`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`phone` AS `phone`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`address` AS `address`,`acupuncture_yfyy`.`ams_screen_wx_qr_code`.`center_id` AS `center_id` from `acupuncture_yfyy`.`ams_screen_wx_qr_code` union all select `acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`id` AS `id`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`url` AS `url`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`path` AS `path`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`remark` AS `remark`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`contacts` AS `contacts`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`phone` AS `phone`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`address` AS `address`,`acupuncture_prod_yy`.`ams_screen_wx_qr_code`.`center_id` AS `center_id` from `acupuncture_prod_yy`.`ams_screen_wx_qr_code` union all select `acupuncture`.`ams_screen_wx_qr_code`.`id` AS `id`,`acupuncture`.`ams_screen_wx_qr_code`.`url` AS `url`,`acupuncture`.`ams_screen_wx_qr_code`.`path` AS `path`,`acupuncture`.`ams_screen_wx_qr_code`.`tenant_id` AS `tenant_id`,`acupuncture`.`ams_screen_wx_qr_code`.`remark` AS `remark`,`acupuncture`.`ams_screen_wx_qr_code`.`create_by` AS `create_by`,`acupuncture`.`ams_screen_wx_qr_code`.`create_time` AS `create_time`,`acupuncture`.`ams_screen_wx_qr_code`.`update_by` AS `update_by`,`acupuncture`.`ams_screen_wx_qr_code`.`update_time` AS `update_time`,`acupuncture`.`ams_screen_wx_qr_code`.`del_flag` AS `del_flag`,`acupuncture`.`ams_screen_wx_qr_code`.`contacts` AS `contacts`,`acupuncture`.`ams_screen_wx_qr_code`.`phone` AS `phone`,`acupuncture`.`ams_screen_wx_qr_code`.`address` AS `address`,`acupuncture`.`ams_screen_wx_qr_code`.`center_id` AS `center_id` from `acupuncture`.`ams_screen_wx_qr_code`; + +-- ---------------------------- +-- View structure for v_fms_followup_queue +-- ---------------------------- +DROP VIEW IF EXISTS `v_fms_followup_queue`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_fms_followup_queue` AS select `acupuncture_template`.`fms_followup_queue`.`id` AS `id`,`acupuncture_template`.`fms_followup_queue`.`name` AS `name`,`acupuncture_template`.`fms_followup_queue`.`followup_method` AS `followup_method`,`acupuncture_template`.`fms_followup_queue`.`followup_type` AS `followup_type`,`acupuncture_template`.`fms_followup_queue`.`frequency` AS `frequency`,`acupuncture_template`.`fms_followup_queue`.`followup_month` AS `followup_month`,`acupuncture_template`.`fms_followup_queue`.`person_in_charge` AS `person_in_charge`,`acupuncture_template`.`fms_followup_queue`.`person_in_charge_username` AS `person_in_charge_username`,`acupuncture_template`.`fms_followup_queue`.`follow_window_adys` AS `follow_window_adys`,`acupuncture_template`.`fms_followup_queue`.`remind_time` AS `remind_time`,`acupuncture_template`.`fms_followup_queue`.`status` AS `status`,`acupuncture_template`.`fms_followup_queue`.`del_flag` AS `del_flag`,`acupuncture_template`.`fms_followup_queue`.`tenant_id` AS `tenant_id`,`acupuncture_template`.`fms_followup_queue`.`create_by` AS `create_by`,`acupuncture_template`.`fms_followup_queue`.`create_time` AS `create_time`,`acupuncture_template`.`fms_followup_queue`.`update_by` AS `update_by`,`acupuncture_template`.`fms_followup_queue`.`update_time` AS `update_time`,`acupuncture_template`.`fms_followup_queue`.`remark` AS `remark`,'acupuncture_template' AS `source_db` from `acupuncture_template`.`fms_followup_queue` union all select `acupuncture_yfyy`.`fms_followup_queue`.`id` AS `id`,`acupuncture_yfyy`.`fms_followup_queue`.`name` AS `name`,`acupuncture_yfyy`.`fms_followup_queue`.`followup_method` AS `followup_method`,`acupuncture_yfyy`.`fms_followup_queue`.`followup_type` AS `followup_type`,`acupuncture_yfyy`.`fms_followup_queue`.`frequency` AS `frequency`,`acupuncture_yfyy`.`fms_followup_queue`.`followup_month` AS `followup_month`,`acupuncture_yfyy`.`fms_followup_queue`.`person_in_charge` AS `person_in_charge`,`acupuncture_yfyy`.`fms_followup_queue`.`person_in_charge_username` AS `person_in_charge_username`,`acupuncture_yfyy`.`fms_followup_queue`.`follow_window_adys` AS `follow_window_adys`,`acupuncture_yfyy`.`fms_followup_queue`.`remind_time` AS `remind_time`,`acupuncture_yfyy`.`fms_followup_queue`.`status` AS `status`,`acupuncture_yfyy`.`fms_followup_queue`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`fms_followup_queue`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`fms_followup_queue`.`create_by` AS `create_by`,`acupuncture_yfyy`.`fms_followup_queue`.`create_time` AS `create_time`,`acupuncture_yfyy`.`fms_followup_queue`.`update_by` AS `update_by`,`acupuncture_yfyy`.`fms_followup_queue`.`update_time` AS `update_time`,`acupuncture_yfyy`.`fms_followup_queue`.`remark` AS `remark`,'acupuncture_yfyy' AS `source_db` from `acupuncture_yfyy`.`fms_followup_queue` union all select `acupuncture_prod_yy`.`fms_followup_queue`.`id` AS `id`,`acupuncture_prod_yy`.`fms_followup_queue`.`name` AS `name`,`acupuncture_prod_yy`.`fms_followup_queue`.`followup_method` AS `followup_method`,`acupuncture_prod_yy`.`fms_followup_queue`.`followup_type` AS `followup_type`,`acupuncture_prod_yy`.`fms_followup_queue`.`frequency` AS `frequency`,`acupuncture_prod_yy`.`fms_followup_queue`.`followup_month` AS `followup_month`,`acupuncture_prod_yy`.`fms_followup_queue`.`person_in_charge` AS `person_in_charge`,`acupuncture_prod_yy`.`fms_followup_queue`.`person_in_charge_username` AS `person_in_charge_username`,`acupuncture_prod_yy`.`fms_followup_queue`.`follow_window_adys` AS `follow_window_adys`,`acupuncture_prod_yy`.`fms_followup_queue`.`remind_time` AS `remind_time`,`acupuncture_prod_yy`.`fms_followup_queue`.`status` AS `status`,`acupuncture_prod_yy`.`fms_followup_queue`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`fms_followup_queue`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`fms_followup_queue`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`fms_followup_queue`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`fms_followup_queue`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`fms_followup_queue`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`fms_followup_queue`.`remark` AS `remark`,'acupuncture_prod_yy' AS `source_db` from `acupuncture_prod_yy`.`fms_followup_queue` union all select `acupuncture`.`fms_followup_queue`.`id` AS `id`,`acupuncture`.`fms_followup_queue`.`name` AS `name`,`acupuncture`.`fms_followup_queue`.`followup_method` AS `followup_method`,`acupuncture`.`fms_followup_queue`.`followup_type` AS `followup_type`,`acupuncture`.`fms_followup_queue`.`frequency` AS `frequency`,`acupuncture`.`fms_followup_queue`.`followup_month` AS `followup_month`,`acupuncture`.`fms_followup_queue`.`person_in_charge` AS `person_in_charge`,`acupuncture`.`fms_followup_queue`.`person_in_charge_username` AS `person_in_charge_username`,`acupuncture`.`fms_followup_queue`.`follow_window_adys` AS `follow_window_adys`,`acupuncture`.`fms_followup_queue`.`remind_time` AS `remind_time`,`acupuncture`.`fms_followup_queue`.`status` AS `status`,`acupuncture`.`fms_followup_queue`.`del_flag` AS `del_flag`,`acupuncture`.`fms_followup_queue`.`tenant_id` AS `tenant_id`,`acupuncture`.`fms_followup_queue`.`create_by` AS `create_by`,`acupuncture`.`fms_followup_queue`.`create_time` AS `create_time`,`acupuncture`.`fms_followup_queue`.`update_by` AS `update_by`,`acupuncture`.`fms_followup_queue`.`update_time` AS `update_time`,`acupuncture`.`fms_followup_queue`.`remark` AS `remark`,'acupuncture' AS `source_db` from `acupuncture`.`fms_followup_queue`; + +-- ---------------------------- +-- View structure for v_fms_followup_task +-- ---------------------------- +DROP VIEW IF EXISTS `v_fms_followup_task`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_fms_followup_task` AS select `acupuncture_yfyy`.`fms_followup_task`.`id` AS `id`,`acupuncture_yfyy`.`fms_followup_task`.`patient_id` AS `patient_id`,`acupuncture_yfyy`.`fms_followup_task`.`name` AS `name`,`acupuncture_yfyy`.`fms_followup_task`.`pinyin_full` AS `pinyin_full`,`acupuncture_yfyy`.`fms_followup_task`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_yfyy`.`fms_followup_task`.`gender` AS `gender`,`acupuncture_yfyy`.`fms_followup_task`.`age` AS `age`,`acupuncture_yfyy`.`fms_followup_task`.`ethnicity` AS `ethnicity`,`acupuncture_yfyy`.`fms_followup_task`.`education_years` AS `education_years`,`acupuncture_yfyy`.`fms_followup_task`.`phone` AS `phone`,`acupuncture_yfyy`.`fms_followup_task`.`id_card_type` AS `id_card_type`,`acupuncture_yfyy`.`fms_followup_task`.`id_card` AS `id_card`,`acupuncture_yfyy`.`fms_followup_task`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`fms_followup_task`.`queue_id` AS `queue_id`,`acupuncture_yfyy`.`fms_followup_task`.`times` AS `times`,`acupuncture_yfyy`.`fms_followup_task`.`start_time` AS `start_time`,`acupuncture_yfyy`.`fms_followup_task`.`end_time` AS `end_time`,`acupuncture_yfyy`.`fms_followup_task`.`status` AS `status`,`acupuncture_yfyy`.`fms_followup_task`.`lost_reason` AS `lost_reason`,`acupuncture_yfyy`.`fms_followup_task`.`followuper` AS `followuper`,`acupuncture_yfyy`.`fms_followup_task`.`followup_time` AS `followup_time`,`acupuncture_yfyy`.`fms_followup_task`.`followup_text` AS `followup_text`,`acupuncture_yfyy`.`fms_followup_task`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`fms_followup_task`.`create_by` AS `create_by`,`acupuncture_yfyy`.`fms_followup_task`.`create_time` AS `create_time`,`acupuncture_yfyy`.`fms_followup_task`.`update_by` AS `update_by`,`acupuncture_yfyy`.`fms_followup_task`.`update_time` AS `update_time`,`acupuncture_yfyy`.`fms_followup_task`.`remark` AS `remark` from `acupuncture_yfyy`.`fms_followup_task` union all select `acupuncture_template`.`fms_followup_task`.`id` AS `id`,`acupuncture_template`.`fms_followup_task`.`patient_id` AS `patient_id`,`acupuncture_template`.`fms_followup_task`.`name` AS `name`,`acupuncture_template`.`fms_followup_task`.`pinyin_full` AS `pinyin_full`,`acupuncture_template`.`fms_followup_task`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_template`.`fms_followup_task`.`gender` AS `gender`,`acupuncture_template`.`fms_followup_task`.`age` AS `age`,`acupuncture_template`.`fms_followup_task`.`ethnicity` AS `ethnicity`,`acupuncture_template`.`fms_followup_task`.`education_years` AS `education_years`,`acupuncture_template`.`fms_followup_task`.`phone` AS `phone`,`acupuncture_template`.`fms_followup_task`.`id_card_type` AS `id_card_type`,`acupuncture_template`.`fms_followup_task`.`id_card` AS `id_card`,`acupuncture_template`.`fms_followup_task`.`tenant_id` AS `tenant_id`,`acupuncture_template`.`fms_followup_task`.`queue_id` AS `queue_id`,`acupuncture_template`.`fms_followup_task`.`times` AS `times`,`acupuncture_template`.`fms_followup_task`.`start_time` AS `start_time`,`acupuncture_template`.`fms_followup_task`.`end_time` AS `end_time`,`acupuncture_template`.`fms_followup_task`.`status` AS `status`,`acupuncture_template`.`fms_followup_task`.`lost_reason` AS `lost_reason`,`acupuncture_template`.`fms_followup_task`.`followuper` AS `followuper`,`acupuncture_template`.`fms_followup_task`.`followup_time` AS `followup_time`,`acupuncture_template`.`fms_followup_task`.`followup_text` AS `followup_text`,`acupuncture_template`.`fms_followup_task`.`del_flag` AS `del_flag`,`acupuncture_template`.`fms_followup_task`.`create_by` AS `create_by`,`acupuncture_template`.`fms_followup_task`.`create_time` AS `create_time`,`acupuncture_template`.`fms_followup_task`.`update_by` AS `update_by`,`acupuncture_template`.`fms_followup_task`.`update_time` AS `update_time`,`acupuncture_template`.`fms_followup_task`.`remark` AS `remark` from `acupuncture_template`.`fms_followup_task` union all select `acupuncture_prod_yy`.`fms_followup_task`.`id` AS `id`,`acupuncture_prod_yy`.`fms_followup_task`.`patient_id` AS `patient_id`,`acupuncture_prod_yy`.`fms_followup_task`.`name` AS `name`,`acupuncture_prod_yy`.`fms_followup_task`.`pinyin_full` AS `pinyin_full`,`acupuncture_prod_yy`.`fms_followup_task`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_prod_yy`.`fms_followup_task`.`gender` AS `gender`,`acupuncture_prod_yy`.`fms_followup_task`.`age` AS `age`,`acupuncture_prod_yy`.`fms_followup_task`.`ethnicity` AS `ethnicity`,`acupuncture_prod_yy`.`fms_followup_task`.`education_years` AS `education_years`,`acupuncture_prod_yy`.`fms_followup_task`.`phone` AS `phone`,`acupuncture_prod_yy`.`fms_followup_task`.`id_card_type` AS `id_card_type`,`acupuncture_prod_yy`.`fms_followup_task`.`id_card` AS `id_card`,`acupuncture_prod_yy`.`fms_followup_task`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`fms_followup_task`.`queue_id` AS `queue_id`,`acupuncture_prod_yy`.`fms_followup_task`.`times` AS `times`,`acupuncture_prod_yy`.`fms_followup_task`.`start_time` AS `start_time`,`acupuncture_prod_yy`.`fms_followup_task`.`end_time` AS `end_time`,`acupuncture_prod_yy`.`fms_followup_task`.`status` AS `status`,`acupuncture_prod_yy`.`fms_followup_task`.`lost_reason` AS `lost_reason`,`acupuncture_prod_yy`.`fms_followup_task`.`followuper` AS `followuper`,`acupuncture_prod_yy`.`fms_followup_task`.`followup_time` AS `followup_time`,`acupuncture_prod_yy`.`fms_followup_task`.`followup_text` AS `followup_text`,`acupuncture_prod_yy`.`fms_followup_task`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`fms_followup_task`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`fms_followup_task`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`fms_followup_task`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`fms_followup_task`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`fms_followup_task`.`remark` AS `remark` from `acupuncture_prod_yy`.`fms_followup_task`; + +-- ---------------------------- +-- View structure for v_fms_patient_queue_relation +-- ---------------------------- +DROP VIEW IF EXISTS `v_fms_patient_queue_relation`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_fms_patient_queue_relation` AS select `acupuncture_yfyy`.`fms_patient_queue_relation`.`id` AS `id`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`patient_id` AS `patient_id`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`name` AS `name`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`pinyin_full` AS `pinyin_full`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`gender` AS `gender`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`birth_date` AS `birth_date`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`ethnicity` AS `ethnicity`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`education_years` AS `education_years`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`phone` AS `phone`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`id_card_type` AS `id_card_type`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`id_card` AS `id_card`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`discharge_time` AS `discharge_time`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`queue_id` AS `queue_id`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`create_by` AS `create_by`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`create_time` AS `create_time`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`update_by` AS `update_by`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`update_time` AS `update_time`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`remark` AS `remark`,`acupuncture_yfyy`.`fms_patient_queue_relation`.`task_flag` AS `task_flag` from `acupuncture_yfyy`.`fms_patient_queue_relation` union all select `acupuncture_template`.`fms_patient_queue_relation`.`id` AS `id`,`acupuncture_template`.`fms_patient_queue_relation`.`patient_id` AS `patient_id`,`acupuncture_template`.`fms_patient_queue_relation`.`name` AS `name`,`acupuncture_template`.`fms_patient_queue_relation`.`pinyin_full` AS `pinyin_full`,`acupuncture_template`.`fms_patient_queue_relation`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_template`.`fms_patient_queue_relation`.`gender` AS `gender`,`acupuncture_template`.`fms_patient_queue_relation`.`birth_date` AS `birth_date`,`acupuncture_template`.`fms_patient_queue_relation`.`ethnicity` AS `ethnicity`,`acupuncture_template`.`fms_patient_queue_relation`.`education_years` AS `education_years`,`acupuncture_template`.`fms_patient_queue_relation`.`phone` AS `phone`,`acupuncture_template`.`fms_patient_queue_relation`.`id_card_type` AS `id_card_type`,`acupuncture_template`.`fms_patient_queue_relation`.`id_card` AS `id_card`,`acupuncture_template`.`fms_patient_queue_relation`.`discharge_time` AS `discharge_time`,`acupuncture_template`.`fms_patient_queue_relation`.`tenant_id` AS `tenant_id`,`acupuncture_template`.`fms_patient_queue_relation`.`queue_id` AS `queue_id`,`acupuncture_template`.`fms_patient_queue_relation`.`del_flag` AS `del_flag`,`acupuncture_template`.`fms_patient_queue_relation`.`create_by` AS `create_by`,`acupuncture_template`.`fms_patient_queue_relation`.`create_time` AS `create_time`,`acupuncture_template`.`fms_patient_queue_relation`.`update_by` AS `update_by`,`acupuncture_template`.`fms_patient_queue_relation`.`update_time` AS `update_time`,`acupuncture_template`.`fms_patient_queue_relation`.`remark` AS `remark`,`acupuncture_template`.`fms_patient_queue_relation`.`task_flag` AS `task_flag` from `acupuncture_template`.`fms_patient_queue_relation` union all select `acupuncture_prod_yy`.`fms_patient_queue_relation`.`id` AS `id`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`patient_id` AS `patient_id`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`name` AS `name`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`pinyin_full` AS `pinyin_full`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`gender` AS `gender`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`birth_date` AS `birth_date`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`ethnicity` AS `ethnicity`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`education_years` AS `education_years`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`phone` AS `phone`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`id_card_type` AS `id_card_type`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`id_card` AS `id_card`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`discharge_time` AS `discharge_time`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`queue_id` AS `queue_id`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`remark` AS `remark`,`acupuncture_prod_yy`.`fms_patient_queue_relation`.`task_flag` AS `task_flag` from `acupuncture_prod_yy`.`fms_patient_queue_relation`; + +-- ---------------------------- +-- View structure for v_pms_patient +-- ---------------------------- +DROP VIEW IF EXISTS `v_pms_patient`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_pms_patient` AS select `acupuncture_yfyy`.`pms_patient`.`id` AS `id`,`acupuncture_yfyy`.`pms_patient`.`name` AS `name`,`acupuncture_yfyy`.`pms_patient`.`pinyin_full` AS `pinyin_full`,`acupuncture_yfyy`.`pms_patient`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_yfyy`.`pms_patient`.`gender` AS `gender`,`acupuncture_yfyy`.`pms_patient`.`birth_date` AS `birth_date`,`acupuncture_yfyy`.`pms_patient`.`ethnicity` AS `ethnicity`,`acupuncture_yfyy`.`pms_patient`.`education_years` AS `education_years`,`acupuncture_yfyy`.`pms_patient`.`phone` AS `phone`,`acupuncture_yfyy`.`pms_patient`.`id_card_type` AS `id_card_type`,`acupuncture_yfyy`.`pms_patient`.`id_card` AS `id_card`,`acupuncture_yfyy`.`pms_patient`.`source` AS `source`,`acupuncture_yfyy`.`pms_patient`.`current_illness_history` AS `current_illness_history`,`acupuncture_yfyy`.`pms_patient`.`current_illness_history_qt` AS `current_illness_history_qt`,`acupuncture_yfyy`.`pms_patient`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`pms_patient`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`pms_patient`.`create_by` AS `create_by`,`acupuncture_yfyy`.`pms_patient`.`create_time` AS `create_time`,`acupuncture_yfyy`.`pms_patient`.`update_by` AS `update_by`,`acupuncture_yfyy`.`pms_patient`.`update_time` AS `update_time`,`acupuncture_yfyy`.`pms_patient`.`remark` AS `remark` from `acupuncture_yfyy`.`pms_patient` union all select `acupuncture_template`.`pms_patient`.`id` AS `id`,`acupuncture_template`.`pms_patient`.`name` AS `name`,`acupuncture_template`.`pms_patient`.`pinyin_full` AS `pinyin_full`,`acupuncture_template`.`pms_patient`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_template`.`pms_patient`.`gender` AS `gender`,`acupuncture_template`.`pms_patient`.`birth_date` AS `birth_date`,`acupuncture_template`.`pms_patient`.`ethnicity` AS `ethnicity`,`acupuncture_template`.`pms_patient`.`education_years` AS `education_years`,`acupuncture_template`.`pms_patient`.`phone` AS `phone`,`acupuncture_template`.`pms_patient`.`id_card_type` AS `id_card_type`,`acupuncture_template`.`pms_patient`.`id_card` AS `id_card`,`acupuncture_template`.`pms_patient`.`source` AS `source`,`acupuncture_template`.`pms_patient`.`current_illness_history` AS `current_illness_history`,`acupuncture_template`.`pms_patient`.`current_illness_history_qt` AS `current_illness_history_qt`,`acupuncture_template`.`pms_patient`.`del_flag` AS `del_flag`,`acupuncture_template`.`pms_patient`.`tenant_id` AS `tenant_id`,`acupuncture_template`.`pms_patient`.`create_by` AS `create_by`,`acupuncture_template`.`pms_patient`.`create_time` AS `create_time`,`acupuncture_template`.`pms_patient`.`update_by` AS `update_by`,`acupuncture_template`.`pms_patient`.`update_time` AS `update_time`,`acupuncture_template`.`pms_patient`.`remark` AS `remark` from `acupuncture_template`.`pms_patient` union all select `acupuncture_prod_yy`.`pms_patient`.`id` AS `id`,`acupuncture_prod_yy`.`pms_patient`.`name` AS `name`,`acupuncture_prod_yy`.`pms_patient`.`pinyin_full` AS `pinyin_full`,`acupuncture_prod_yy`.`pms_patient`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_prod_yy`.`pms_patient`.`gender` AS `gender`,`acupuncture_prod_yy`.`pms_patient`.`birth_date` AS `birth_date`,`acupuncture_prod_yy`.`pms_patient`.`ethnicity` AS `ethnicity`,`acupuncture_prod_yy`.`pms_patient`.`education_years` AS `education_years`,`acupuncture_prod_yy`.`pms_patient`.`phone` AS `phone`,`acupuncture_prod_yy`.`pms_patient`.`id_card_type` AS `id_card_type`,`acupuncture_prod_yy`.`pms_patient`.`id_card` AS `id_card`,`acupuncture_prod_yy`.`pms_patient`.`source` AS `source`,`acupuncture_prod_yy`.`pms_patient`.`current_illness_history` AS `current_illness_history`,`acupuncture_prod_yy`.`pms_patient`.`current_illness_history_qt` AS `current_illness_history_qt`,`acupuncture_prod_yy`.`pms_patient`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`pms_patient`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`pms_patient`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`pms_patient`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`pms_patient`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`pms_patient`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`pms_patient`.`remark` AS `remark` from `acupuncture_prod_yy`.`pms_patient`; + +-- ---------------------------- +-- View structure for v_pms_treatment +-- ---------------------------- +DROP VIEW IF EXISTS `v_pms_treatment`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_pms_treatment` AS select `acupuncture_yfyy`.`pms_treatment`.`id` AS `id`,`acupuncture_yfyy`.`pms_treatment`.`patient_id` AS `patient_id`,`acupuncture_yfyy`.`pms_treatment`.`name` AS `name`,`acupuncture_yfyy`.`pms_treatment`.`pinyin_full` AS `pinyin_full`,`acupuncture_yfyy`.`pms_treatment`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_yfyy`.`pms_treatment`.`gender` AS `gender`,`acupuncture_yfyy`.`pms_treatment`.`age` AS `age`,`acupuncture_yfyy`.`pms_treatment`.`birth_date` AS `birth_date`,`acupuncture_yfyy`.`pms_treatment`.`ethnicity` AS `ethnicity`,`acupuncture_yfyy`.`pms_treatment`.`education_years` AS `education_years`,`acupuncture_yfyy`.`pms_treatment`.`phone` AS `phone`,`acupuncture_yfyy`.`pms_treatment`.`id_card_type` AS `id_card_type`,`acupuncture_yfyy`.`pms_treatment`.`id_card` AS `id_card`,`acupuncture_yfyy`.`pms_treatment`.`visit_type` AS `visit_type`,`acupuncture_yfyy`.`pms_treatment`.`visit_number` AS `visit_number`,`acupuncture_yfyy`.`pms_treatment`.`visit_time` AS `visit_time`,`acupuncture_yfyy`.`pms_treatment`.`discharge_time` AS `discharge_time`,`acupuncture_yfyy`.`pms_treatment`.`doctor` AS `doctor`,`acupuncture_yfyy`.`pms_treatment`.`dept_name` AS `dept_name`,`acupuncture_yfyy`.`pms_treatment`.`diagnosis_code` AS `diagnosis_code`,`acupuncture_yfyy`.`pms_treatment`.`diagnosis_name` AS `diagnosis_name`,`acupuncture_yfyy`.`pms_treatment`.`status` AS `status`,`acupuncture_yfyy`.`pms_treatment`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`pms_treatment`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`pms_treatment`.`create_by` AS `create_by`,`acupuncture_yfyy`.`pms_treatment`.`create_time` AS `create_time`,`acupuncture_yfyy`.`pms_treatment`.`update_by` AS `update_by`,`acupuncture_yfyy`.`pms_treatment`.`update_time` AS `update_time`,`acupuncture_yfyy`.`pms_treatment`.`remark` AS `remark` from `acupuncture_yfyy`.`pms_treatment` union all select `acupuncture_template`.`pms_treatment`.`id` AS `id`,`acupuncture_template`.`pms_treatment`.`patient_id` AS `patient_id`,`acupuncture_template`.`pms_treatment`.`name` AS `name`,`acupuncture_template`.`pms_treatment`.`pinyin_full` AS `pinyin_full`,`acupuncture_template`.`pms_treatment`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_template`.`pms_treatment`.`gender` AS `gender`,`acupuncture_template`.`pms_treatment`.`age` AS `age`,`acupuncture_template`.`pms_treatment`.`birth_date` AS `birth_date`,`acupuncture_template`.`pms_treatment`.`ethnicity` AS `ethnicity`,`acupuncture_template`.`pms_treatment`.`education_years` AS `education_years`,`acupuncture_template`.`pms_treatment`.`phone` AS `phone`,`acupuncture_template`.`pms_treatment`.`id_card_type` AS `id_card_type`,`acupuncture_template`.`pms_treatment`.`id_card` AS `id_card`,`acupuncture_template`.`pms_treatment`.`visit_type` AS `visit_type`,`acupuncture_template`.`pms_treatment`.`visit_number` AS `visit_number`,`acupuncture_template`.`pms_treatment`.`visit_time` AS `visit_time`,`acupuncture_template`.`pms_treatment`.`discharge_time` AS `discharge_time`,`acupuncture_template`.`pms_treatment`.`doctor` AS `doctor`,`acupuncture_template`.`pms_treatment`.`dept_name` AS `dept_name`,`acupuncture_template`.`pms_treatment`.`diagnosis_code` AS `diagnosis_code`,`acupuncture_template`.`pms_treatment`.`diagnosis_name` AS `diagnosis_name`,`acupuncture_template`.`pms_treatment`.`status` AS `status`,`acupuncture_template`.`pms_treatment`.`del_flag` AS `del_flag`,`acupuncture_template`.`pms_treatment`.`tenant_id` AS `tenant_id`,`acupuncture_template`.`pms_treatment`.`create_by` AS `create_by`,`acupuncture_template`.`pms_treatment`.`create_time` AS `create_time`,`acupuncture_template`.`pms_treatment`.`update_by` AS `update_by`,`acupuncture_template`.`pms_treatment`.`update_time` AS `update_time`,`acupuncture_template`.`pms_treatment`.`remark` AS `remark` from `acupuncture_template`.`pms_treatment` union all select `acupuncture_prod_yy`.`pms_treatment`.`id` AS `id`,`acupuncture_prod_yy`.`pms_treatment`.`patient_id` AS `patient_id`,`acupuncture_prod_yy`.`pms_treatment`.`name` AS `name`,`acupuncture_prod_yy`.`pms_treatment`.`pinyin_full` AS `pinyin_full`,`acupuncture_prod_yy`.`pms_treatment`.`pinyin_simple` AS `pinyin_simple`,`acupuncture_prod_yy`.`pms_treatment`.`gender` AS `gender`,`acupuncture_prod_yy`.`pms_treatment`.`age` AS `age`,`acupuncture_prod_yy`.`pms_treatment`.`birth_date` AS `birth_date`,`acupuncture_prod_yy`.`pms_treatment`.`ethnicity` AS `ethnicity`,`acupuncture_prod_yy`.`pms_treatment`.`education_years` AS `education_years`,`acupuncture_prod_yy`.`pms_treatment`.`phone` AS `phone`,`acupuncture_prod_yy`.`pms_treatment`.`id_card_type` AS `id_card_type`,`acupuncture_prod_yy`.`pms_treatment`.`id_card` AS `id_card`,`acupuncture_prod_yy`.`pms_treatment`.`visit_type` AS `visit_type`,`acupuncture_prod_yy`.`pms_treatment`.`visit_number` AS `visit_number`,`acupuncture_prod_yy`.`pms_treatment`.`visit_time` AS `visit_time`,`acupuncture_prod_yy`.`pms_treatment`.`discharge_time` AS `discharge_time`,`acupuncture_prod_yy`.`pms_treatment`.`doctor` AS `doctor`,`acupuncture_prod_yy`.`pms_treatment`.`dept_name` AS `dept_name`,`acupuncture_prod_yy`.`pms_treatment`.`diagnosis_code` AS `diagnosis_code`,`acupuncture_prod_yy`.`pms_treatment`.`diagnosis_name` AS `diagnosis_name`,`acupuncture_prod_yy`.`pms_treatment`.`status` AS `status`,`acupuncture_prod_yy`.`pms_treatment`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`pms_treatment`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`pms_treatment`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`pms_treatment`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`pms_treatment`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`pms_treatment`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`pms_treatment`.`remark` AS `remark` from `acupuncture_prod_yy`.`pms_treatment`; + +-- ---------------------------- +-- View structure for v_pms_treatment_record +-- ---------------------------- +DROP VIEW IF EXISTS `v_pms_treatment_record`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_pms_treatment_record` AS select `acupuncture_yfyy`.`pms_treatment_record`.`id` AS `id`,`acupuncture_yfyy`.`pms_treatment_record`.`treatment_id` AS `treatment_id`,`acupuncture_yfyy`.`pms_treatment_record`.`question_code` AS `question_code`,`acupuncture_yfyy`.`pms_treatment_record`.`answer` AS `answer`,`acupuncture_yfyy`.`pms_treatment_record`.`time` AS `time`,`acupuncture_yfyy`.`pms_treatment_record`.`source_id` AS `source_id`,`acupuncture_yfyy`.`pms_treatment_record`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`pms_treatment_record`.`create_by` AS `create_by`,`acupuncture_yfyy`.`pms_treatment_record`.`create_time` AS `create_time`,`acupuncture_yfyy`.`pms_treatment_record`.`update_by` AS `update_by`,`acupuncture_yfyy`.`pms_treatment_record`.`update_time` AS `update_time`,`acupuncture_yfyy`.`pms_treatment_record`.`remark` AS `remark` from `acupuncture_yfyy`.`pms_treatment_record` union all select `acupuncture_template`.`pms_treatment_record`.`id` AS `id`,`acupuncture_template`.`pms_treatment_record`.`treatment_id` AS `treatment_id`,`acupuncture_template`.`pms_treatment_record`.`question_code` AS `question_code`,`acupuncture_template`.`pms_treatment_record`.`answer` AS `answer`,`acupuncture_template`.`pms_treatment_record`.`time` AS `time`,`acupuncture_template`.`pms_treatment_record`.`source_id` AS `source_id`,`acupuncture_template`.`pms_treatment_record`.`del_flag` AS `del_flag`,`acupuncture_template`.`pms_treatment_record`.`create_by` AS `create_by`,`acupuncture_template`.`pms_treatment_record`.`create_time` AS `create_time`,`acupuncture_template`.`pms_treatment_record`.`update_by` AS `update_by`,`acupuncture_template`.`pms_treatment_record`.`update_time` AS `update_time`,`acupuncture_template`.`pms_treatment_record`.`remark` AS `remark` from `acupuncture_template`.`pms_treatment_record` union all select `acupuncture_prod_yy`.`pms_treatment_record`.`id` AS `id`,`acupuncture_prod_yy`.`pms_treatment_record`.`treatment_id` AS `treatment_id`,`acupuncture_prod_yy`.`pms_treatment_record`.`question_code` AS `question_code`,`acupuncture_prod_yy`.`pms_treatment_record`.`answer` AS `answer`,`acupuncture_prod_yy`.`pms_treatment_record`.`time` AS `time`,`acupuncture_prod_yy`.`pms_treatment_record`.`source_id` AS `source_id`,`acupuncture_prod_yy`.`pms_treatment_record`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`pms_treatment_record`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`pms_treatment_record`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`pms_treatment_record`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`pms_treatment_record`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`pms_treatment_record`.`remark` AS `remark` from `acupuncture_prod_yy`.`pms_treatment_record`; + +-- ---------------------------- +-- View structure for v_scr_screening +-- ---------------------------- +DROP VIEW IF EXISTS `v_scr_screening`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_scr_screening` AS select `acupuncture_yfyy`.`scr_screening`.`id` AS `id`,`acupuncture_yfyy`.`scr_screening`.`questionnaire_name` AS `questionnaire_name`,`acupuncture_yfyy`.`scr_screening`.`start_time` AS `start_time`,`acupuncture_yfyy`.`scr_screening`.`end_time` AS `end_time`,`acupuncture_yfyy`.`scr_screening`.`type` AS `type`,`acupuncture_yfyy`.`scr_screening`.`created_at` AS `created_at`,`acupuncture_yfyy`.`scr_screening`.`updated_at` AS `updated_at`,`acupuncture_yfyy`.`scr_screening`.`rec_status` AS `rec_status`,`acupuncture_yfyy`.`scr_screening`.`write_start_time` AS `write_start_time`,`acupuncture_yfyy`.`scr_screening`.`write_end_time` AS `write_end_time`,`acupuncture_yfyy`.`scr_screening`.`data_scope` AS `data_scope` from `acupuncture_yfyy`.`scr_screening` union all select `acupuncture_prod_yy`.`scr_screening`.`id` AS `id`,`acupuncture_prod_yy`.`scr_screening`.`questionnaire_name` AS `questionnaire_name`,`acupuncture_prod_yy`.`scr_screening`.`start_time` AS `start_time`,`acupuncture_prod_yy`.`scr_screening`.`end_time` AS `end_time`,`acupuncture_prod_yy`.`scr_screening`.`type` AS `type`,`acupuncture_prod_yy`.`scr_screening`.`created_at` AS `created_at`,`acupuncture_prod_yy`.`scr_screening`.`updated_at` AS `updated_at`,`acupuncture_prod_yy`.`scr_screening`.`rec_status` AS `rec_status`,`acupuncture_prod_yy`.`scr_screening`.`write_start_time` AS `write_start_time`,`acupuncture_prod_yy`.`scr_screening`.`write_end_time` AS `write_end_time`,`acupuncture_prod_yy`.`scr_screening`.`data_scope` AS `data_scope` from `acupuncture_prod_yy`.`scr_screening` union all select `acupuncture`.`scr_screening`.`id` AS `id`,`acupuncture`.`scr_screening`.`questionnaire_name` AS `questionnaire_name`,`acupuncture`.`scr_screening`.`start_time` AS `start_time`,`acupuncture`.`scr_screening`.`end_time` AS `end_time`,`acupuncture`.`scr_screening`.`type` AS `type`,`acupuncture`.`scr_screening`.`created_at` AS `created_at`,`acupuncture`.`scr_screening`.`updated_at` AS `updated_at`,`acupuncture`.`scr_screening`.`rec_status` AS `rec_status`,`acupuncture`.`scr_screening`.`write_start_time` AS `write_start_time`,`acupuncture`.`scr_screening`.`write_end_time` AS `write_end_time`,`acupuncture`.`scr_screening`.`data_scope` AS `data_scope` from `acupuncture`.`scr_screening`; + +-- ---------------------------- +-- View structure for v_scr_screening_detail +-- ---------------------------- +DROP VIEW IF EXISTS `v_scr_screening_detail`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_scr_screening_detail` AS select `acupuncture_yfyy`.`scr_screening_detail`.`id` AS `id`,`acupuncture_yfyy`.`scr_screening_detail`.`record_id` AS `record_id`,`acupuncture_yfyy`.`scr_screening_detail`.`question_code` AS `question_code`,`acupuncture_yfyy`.`scr_screening_detail`.`answer` AS `answer`,`acupuncture_yfyy`.`scr_screening_detail`.`created_at` AS `created_at`,`acupuncture_yfyy`.`scr_screening_detail`.`updated_at` AS `updated_at`,`acupuncture_yfyy`.`scr_screening_detail`.`del_flag` AS `del_flag` from `acupuncture_yfyy`.`scr_screening_detail` where `acupuncture_yfyy`.`scr_screening_detail`.`del_flag` = 0 union all select `acupuncture_prod_yy`.`scr_screening_detail`.`id` AS `id`,`acupuncture_prod_yy`.`scr_screening_detail`.`record_id` AS `record_id`,`acupuncture_prod_yy`.`scr_screening_detail`.`question_code` AS `question_code`,`acupuncture_prod_yy`.`scr_screening_detail`.`answer` AS `answer`,`acupuncture_prod_yy`.`scr_screening_detail`.`created_at` AS `created_at`,`acupuncture_prod_yy`.`scr_screening_detail`.`updated_at` AS `updated_at`,`acupuncture_prod_yy`.`scr_screening_detail`.`del_flag` AS `del_flag` from `acupuncture_prod_yy`.`scr_screening_detail` where `acupuncture_prod_yy`.`scr_screening_detail`.`del_flag` = 0 union all select `acupuncture`.`scr_screening_detail`.`id` AS `id`,`acupuncture`.`scr_screening_detail`.`record_id` AS `record_id`,`acupuncture`.`scr_screening_detail`.`question_code` AS `question_code`,`acupuncture`.`scr_screening_detail`.`answer` AS `answer`,`acupuncture`.`scr_screening_detail`.`created_at` AS `created_at`,`acupuncture`.`scr_screening_detail`.`updated_at` AS `updated_at`,`acupuncture`.`scr_screening_detail`.`del_flag` AS `del_flag` from `acupuncture`.`scr_screening_detail` where `acupuncture`.`scr_screening_detail`.`del_flag` = 0; + +-- ---------------------------- +-- View structure for v_scr_screening_record +-- ---------------------------- +DROP VIEW IF EXISTS `v_scr_screening_record`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_scr_screening_record` AS select `acupuncture_yfyy`.`scr_screening_record`.`id` AS `id`,`acupuncture_yfyy`.`scr_screening_record`.`name` AS `name`,`acupuncture_yfyy`.`scr_screening_record`.`idcard` AS `idcard`,`acupuncture_yfyy`.`scr_screening_record`.`age` AS `age`,`acupuncture_yfyy`.`scr_screening_record`.`phone` AS `phone`,`acupuncture_yfyy`.`scr_screening_record`.`city` AS `city`,`acupuncture_yfyy`.`scr_screening_record`.`county` AS `county`,`acupuncture_yfyy`.`scr_screening_record`.`province` AS `province`,`acupuncture_yfyy`.`scr_screening_record`.`hospital_level` AS `hospital_level`,`acupuncture_yfyy`.`scr_screening_record`.`hospital_name` AS `hospital_name`,`acupuncture_yfyy`.`scr_screening_record`.`departments` AS `departments`,`acupuncture_yfyy`.`scr_screening_record`.`user_id` AS `user_id`,`acupuncture_yfyy`.`scr_screening_record`.`screen_id` AS `screen_id`,`acupuncture_yfyy`.`scr_screening_record`.`submit_status` AS `submit_status`,`acupuncture_yfyy`.`scr_screening_record`.`position_id` AS `position_id`,`acupuncture_yfyy`.`scr_screening_record`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`scr_screening_record`.`rzsc_result` AS `rzsc_result`,`acupuncture_yfyy`.`scr_screening_record`.`screen_type` AS `screen_type`,`acupuncture_yfyy`.`scr_screening_record`.`screen_result` AS `screen_result`,`acupuncture_yfyy`.`scr_screening_record`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`scr_screening_record`.`create_by` AS `create_by`,`acupuncture_yfyy`.`scr_screening_record`.`create_time` AS `create_time`,`acupuncture_yfyy`.`scr_screening_record`.`update_by` AS `update_by`,`acupuncture_yfyy`.`scr_screening_record`.`update_time` AS `update_time`,`acupuncture_yfyy`.`scr_screening_record`.`remark` AS `remark`,`acupuncture_yfyy`.`scr_screening_record`.`pinyin_full` AS `pinyin_full`,`acupuncture_yfyy`.`scr_screening_record`.`pinyin_simple` AS `pinyin_simple` from `acupuncture_yfyy`.`scr_screening_record` where `acupuncture_yfyy`.`scr_screening_record`.`del_flag` = 0 union all select `acupuncture_prod_yy`.`scr_screening_record`.`id` AS `id`,`acupuncture_prod_yy`.`scr_screening_record`.`name` AS `name`,`acupuncture_prod_yy`.`scr_screening_record`.`idcard` AS `idcard`,`acupuncture_prod_yy`.`scr_screening_record`.`age` AS `age`,`acupuncture_prod_yy`.`scr_screening_record`.`phone` AS `phone`,`acupuncture_prod_yy`.`scr_screening_record`.`city` AS `city`,`acupuncture_prod_yy`.`scr_screening_record`.`county` AS `county`,`acupuncture_prod_yy`.`scr_screening_record`.`province` AS `province`,`acupuncture_prod_yy`.`scr_screening_record`.`hospital_level` AS `hospital_level`,`acupuncture_prod_yy`.`scr_screening_record`.`hospital_name` AS `hospital_name`,`acupuncture_prod_yy`.`scr_screening_record`.`departments` AS `departments`,`acupuncture_prod_yy`.`scr_screening_record`.`user_id` AS `user_id`,`acupuncture_prod_yy`.`scr_screening_record`.`screen_id` AS `screen_id`,`acupuncture_prod_yy`.`scr_screening_record`.`submit_status` AS `submit_status`,`acupuncture_prod_yy`.`scr_screening_record`.`position_id` AS `position_id`,`acupuncture_prod_yy`.`scr_screening_record`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`scr_screening_record`.`rzsc_result` AS `rzsc_result`,`acupuncture_prod_yy`.`scr_screening_record`.`screen_type` AS `screen_type`,`acupuncture_prod_yy`.`scr_screening_record`.`screen_result` AS `screen_result`,`acupuncture_prod_yy`.`scr_screening_record`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`scr_screening_record`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`scr_screening_record`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`scr_screening_record`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`scr_screening_record`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`scr_screening_record`.`remark` AS `remark`,`acupuncture_prod_yy`.`scr_screening_record`.`pinyin_full` AS `pinyin_full`,`acupuncture_prod_yy`.`scr_screening_record`.`pinyin_simple` AS `pinyin_simple` from `acupuncture_prod_yy`.`scr_screening_record` where `acupuncture_prod_yy`.`scr_screening_record`.`del_flag` = 0 union all select `acupuncture`.`scr_screening_record`.`id` AS `id`,`acupuncture`.`scr_screening_record`.`name` AS `name`,`acupuncture`.`scr_screening_record`.`idcard` AS `idcard`,`acupuncture`.`scr_screening_record`.`age` AS `age`,`acupuncture`.`scr_screening_record`.`phone` AS `phone`,`acupuncture`.`scr_screening_record`.`city` AS `city`,`acupuncture`.`scr_screening_record`.`county` AS `county`,`acupuncture`.`scr_screening_record`.`province` AS `province`,`acupuncture`.`scr_screening_record`.`hospital_level` AS `hospital_level`,`acupuncture`.`scr_screening_record`.`hospital_name` AS `hospital_name`,`acupuncture`.`scr_screening_record`.`departments` AS `departments`,`acupuncture`.`scr_screening_record`.`user_id` AS `user_id`,`acupuncture`.`scr_screening_record`.`screen_id` AS `screen_id`,`acupuncture`.`scr_screening_record`.`submit_status` AS `submit_status`,`acupuncture`.`scr_screening_record`.`position_id` AS `position_id`,`acupuncture`.`scr_screening_record`.`tenant_id` AS `tenant_id`,`acupuncture`.`scr_screening_record`.`rzsc_result` AS `rzsc_result`,`acupuncture`.`scr_screening_record`.`screen_type` AS `screen_type`,`acupuncture`.`scr_screening_record`.`screen_result` AS `screen_result`,`acupuncture`.`scr_screening_record`.`del_flag` AS `del_flag`,`acupuncture`.`scr_screening_record`.`create_by` AS `create_by`,`acupuncture`.`scr_screening_record`.`create_time` AS `create_time`,`acupuncture`.`scr_screening_record`.`update_by` AS `update_by`,`acupuncture`.`scr_screening_record`.`update_time` AS `update_time`,`acupuncture`.`scr_screening_record`.`remark` AS `remark`,`acupuncture`.`scr_screening_record`.`pinyin_full` AS `pinyin_full`,`acupuncture`.`scr_screening_record`.`pinyin_simple` AS `pinyin_simple` from `acupuncture`.`scr_screening_record` where `acupuncture`.`scr_screening_record`.`del_flag` = 0; + +-- ---------------------------- +-- View structure for v_sys_user +-- ---------------------------- +DROP VIEW IF EXISTS `v_sys_user`; +CREATE ALGORITHM = UNDEFINED SQL SECURITY DEFINER VIEW `v_sys_user` AS select `acupuncture_yfyy`.`sys_user`.`user_id` AS `user_id`,`acupuncture_yfyy`.`sys_user`.`dept_id` AS `dept_id`,`acupuncture_yfyy`.`sys_user`.`tenant_id` AS `tenant_id`,`acupuncture_yfyy`.`sys_user`.`user_name` AS `user_name`,`acupuncture_yfyy`.`sys_user`.`nick_name` AS `nick_name`,`acupuncture_yfyy`.`sys_user`.`user_type` AS `user_type`,`acupuncture_yfyy`.`sys_user`.`email` AS `email`,`acupuncture_yfyy`.`sys_user`.`phonenumber` AS `phonenumber`,`acupuncture_yfyy`.`sys_user`.`sex` AS `sex`,`acupuncture_yfyy`.`sys_user`.`avatar` AS `avatar`,`acupuncture_yfyy`.`sys_user`.`password` AS `password`,`acupuncture_yfyy`.`sys_user`.`status` AS `status`,`acupuncture_yfyy`.`sys_user`.`del_flag` AS `del_flag`,`acupuncture_yfyy`.`sys_user`.`login_ip` AS `login_ip`,`acupuncture_yfyy`.`sys_user`.`login_date` AS `login_date`,`acupuncture_yfyy`.`sys_user`.`create_by` AS `create_by`,`acupuncture_yfyy`.`sys_user`.`create_time` AS `create_time`,`acupuncture_yfyy`.`sys_user`.`update_by` AS `update_by`,`acupuncture_yfyy`.`sys_user`.`update_time` AS `update_time`,`acupuncture_yfyy`.`sys_user`.`remark` AS `remark` from `acupuncture_yfyy`.`sys_user` union all select `acupuncture_prod_yy`.`sys_user`.`user_id` AS `user_id`,`acupuncture_prod_yy`.`sys_user`.`dept_id` AS `dept_id`,`acupuncture_prod_yy`.`sys_user`.`tenant_id` AS `tenant_id`,`acupuncture_prod_yy`.`sys_user`.`user_name` AS `user_name`,`acupuncture_prod_yy`.`sys_user`.`nick_name` AS `nick_name`,`acupuncture_prod_yy`.`sys_user`.`user_type` AS `user_type`,`acupuncture_prod_yy`.`sys_user`.`email` AS `email`,`acupuncture_prod_yy`.`sys_user`.`phonenumber` AS `phonenumber`,`acupuncture_prod_yy`.`sys_user`.`sex` AS `sex`,`acupuncture_prod_yy`.`sys_user`.`avatar` AS `avatar`,`acupuncture_prod_yy`.`sys_user`.`password` AS `password`,`acupuncture_prod_yy`.`sys_user`.`status` AS `status`,`acupuncture_prod_yy`.`sys_user`.`del_flag` AS `del_flag`,`acupuncture_prod_yy`.`sys_user`.`login_ip` AS `login_ip`,`acupuncture_prod_yy`.`sys_user`.`login_date` AS `login_date`,`acupuncture_prod_yy`.`sys_user`.`create_by` AS `create_by`,`acupuncture_prod_yy`.`sys_user`.`create_time` AS `create_time`,`acupuncture_prod_yy`.`sys_user`.`update_by` AS `update_by`,`acupuncture_prod_yy`.`sys_user`.`update_time` AS `update_time`,`acupuncture_prod_yy`.`sys_user`.`remark` AS `remark` from `acupuncture_prod_yy`.`sys_user` union all select `acupuncture`.`sys_user`.`user_id` AS `user_id`,`acupuncture`.`sys_user`.`dept_id` AS `dept_id`,`acupuncture`.`sys_user`.`tenant_id` AS `tenant_id`,`acupuncture`.`sys_user`.`user_name` AS `user_name`,`acupuncture`.`sys_user`.`nick_name` AS `nick_name`,`acupuncture`.`sys_user`.`user_type` AS `user_type`,`acupuncture`.`sys_user`.`email` AS `email`,`acupuncture`.`sys_user`.`phonenumber` AS `phonenumber`,`acupuncture`.`sys_user`.`sex` AS `sex`,`acupuncture`.`sys_user`.`avatar` AS `avatar`,`acupuncture`.`sys_user`.`password` AS `password`,`acupuncture`.`sys_user`.`status` AS `status`,`acupuncture`.`sys_user`.`del_flag` AS `del_flag`,`acupuncture`.`sys_user`.`login_ip` AS `login_ip`,`acupuncture`.`sys_user`.`login_date` AS `login_date`,`acupuncture`.`sys_user`.`create_by` AS `create_by`,`acupuncture`.`sys_user`.`create_time` AS `create_time`,`acupuncture`.`sys_user`.`update_by` AS `update_by`,`acupuncture`.`sys_user`.`update_time` AS `update_time`,`acupuncture`.`sys_user`.`remark` AS `remark` from `acupuncture`.`sys_user`; + +SET FOREIGN_KEY_CHECKS = 1; diff --git a/sql/acupuncture_yfyy.sql b/sql/acupuncture_yfyy.sql new file mode 100644 index 00000000..599b3630 --- /dev/null +++ b/sql/acupuncture_yfyy.sql @@ -0,0 +1,4054 @@ +/* + Navicat Premium Data Transfer + + Source Server : sd.tall.wiki-ssh + Source Server Type : MySQL + Source Server Version : 100323 + Source Host : localhost:3306 + Source Schema : acupuncture_yfyy + + Target Server Type : MySQL + Target Server Version : 100323 + File Encoding : 65001 + + Date: 06/04/2025 23:55:42 +*/ + +SET NAMES utf8mb4; +SET FOREIGN_KEY_CHECKS = 0; + +-- ---------------------------- +-- Table structure for ams_screen_wx_qr_code +-- ---------------------------- +DROP TABLE IF EXISTS `ams_screen_wx_qr_code`; +CREATE TABLE `ams_screen_wx_qr_code` ( + `id` bigint NOT NULL COMMENT 'id', + `url` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '二维码地址', + `path` varchar(256) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '生成path', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '医院ID', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 1代表删除）', + `contacts` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系人', + `phone` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系电话', + `address` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '地址', + `center_id` bigint NULL DEFAULT NULL, + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '筛查小程序码信息' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of ams_screen_wx_qr_code +-- ---------------------------- +INSERT INTO `ams_screen_wx_qr_code` VALUES (1902286118610870272, '/profile/upload/qrCode1742375327988.jpg', 'https://test.tall.wiki/acupuncture/client/screening/h5?tenantId=2&tenantName=山西因孚医院', 2, NULL, 'zhangsan', '2025-03-19 17:08:48', '', '2025-03-19 17:08:48', 0, NULL, NULL, NULL, NULL); + +-- ---------------------------- +-- Table structure for dms_tenant +-- ---------------------------- +DROP TABLE IF EXISTS `dms_tenant`; +CREATE TABLE `dms_tenant` ( + `id` bigint NOT NULL COMMENT '组织ID', + `code` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '租户CODE，唯一', + `name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '组织名称', + `leader` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '负责人', + `contact_phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系电话', + `data_source_id` bigint NULL DEFAULT NULL COMMENT '数据源ID', + `status` tinyint NULL DEFAULT NULL, + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_name`(`name` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '医疗机构组织表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of dms_tenant +-- ---------------------------- +INSERT INTO `dms_tenant` VALUES (2, 'SXYFYY', '山西因孚医院', '张三', '13888888888', 2, 0, 0, '', '2025-02-10 14:19:07', '', '2025-02-21 14:11:54', NULL); + +-- ---------------------------- +-- Table structure for dms_user +-- ---------------------------- +DROP TABLE IF EXISTS `dms_user`; +CREATE TABLE `dms_user` ( + `id` int NOT NULL COMMENT '用户ID', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '租户ID', + `user_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户账号', + `password` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '密码', + `nick_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户昵称', + `email` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '用户邮箱', + `phonenumber` varchar(11) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '手机号码', + `sex` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '用户性别（0男 1女 2未知）', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '帐号状态（0正常 1停用）', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '上报管理表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of dms_user +-- ---------------------------- +INSERT INTO `dms_user` VALUES (-2034176000, 2, 'zhangsan1', '$2a$10$7JB720yubVSZvUI0rEqK/.VqGOZTH.ulu33dHOiBE8ByOhJIrdAu2', '张三', '', '18888888888', '0', '0', 0, 'zhangsanAdmin', '2025-02-14 15:52:07', '', '2025-02-21 14:17:20', NULL); +INSERT INTO `dms_user` VALUES (1, 1, 'admin', '$2a$10$7JB720yubVSZvUI0rEqK/.VqGOZTH.ulu33dHOiBE8ByOhJIrdAu2', '若依', NULL, '15888888888', '0', '0', 0, 'admin', '2025-02-08 17:42:06', 'admin', '2025-02-10 14:32:09', NULL); +INSERT INTO `dms_user` VALUES (2, 2, 'zhangsan', '$2a$10$.s6GB19ejMR/q8vb1lcZ6.02GtMMl/6x85ob7e6CKznci53qv1jsC', '张三', NULL, '13888888888', '0', '0', 0, 'admin', '2025-02-08 17:42:06', 'admin', '2025-03-17 09:36:44', NULL); + +-- ---------------------------- +-- Table structure for fms_followup_queue +-- ---------------------------- +DROP TABLE IF EXISTS `fms_followup_queue`; +CREATE TABLE `fms_followup_queue` ( + `id` bigint NOT NULL COMMENT '队列ID', + `name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '队列名称', + `followup_method` tinyint NULL DEFAULT NULL COMMENT '随访方式（0电话随访；1入户随访；2到院随访）', + `followup_type` tinyint NULL DEFAULT NULL COMMENT '随访类型（0单次；1周期）', + `frequency` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '随访频次（cron表达式）', + `followup_month` int NULL DEFAULT NULL COMMENT ' 随访总月数 ', + `person_in_charge` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '负责医生名称', + `person_in_charge_username` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '负责医生账号', + `follow_window_adys` int NULL DEFAULT NULL COMMENT '随访窗口期(天)', + `remind_time` int NULL DEFAULT NULL COMMENT '临近提醒时间(天)', + `status` tinyint NULL DEFAULT NULL COMMENT '队列状态(0启用； 1禁用）', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_name`(`name` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '随访队列配置表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of fms_followup_queue +-- ---------------------------- +INSERT INTO `fms_followup_queue` VALUES (1, '因孚-肥胖队列1', 0, 0, '0 0 0 ? * 1', 1, '张三', 'admin', 31, 31, 1, 0, 2, '', '2025-03-21 16:08:49', 'zhangsan', '2025-03-28 19:28:47', NULL); +INSERT INTO `fms_followup_queue` VALUES (2, '因孚-失眠队列2', 1, 1, '0 0 0 ? * 1', 3, '李四', 'admin', 7, 7, 1, 0, 2, '', '2025-02-19 17:48:55', 'zhangsan', '2025-03-28 19:28:48', NULL); +INSERT INTO `fms_followup_queue` VALUES (1890698661826207744, '队列名称1', 1, 1, '0 0 0 ? * 1', NULL, '', '', 7, NULL, 0, 1, 2, 'zhangsan', '2025-02-15 17:49:54', 'zhangsan', '2025-02-19 21:47:45', NULL); +INSERT INTO `fms_followup_queue` VALUES (1890708156765773824, '1', 0, 0, '0 0 0 ? * 1', NULL, '', '', 7, NULL, 0, 1, 2, 'zhangsan', '2025-02-15 18:22:06', '', '2025-02-19 21:47:45', NULL); +INSERT INTO `fms_followup_queue` VALUES (1890733005689135104, '111', 0, 0, '0 0 0 ? * 1', NULL, '', '', 7, NULL, 0, 1, 2, 'zhangsan', '2025-02-15 20:00:51', '', '2025-02-19 21:47:45', NULL); +INSERT INTO `fms_followup_queue` VALUES (1892149574633828352, '111', 0, 0, '111', 1, '', '', 1, 1, 1, 1, 2, 'zhangsan', '2025-02-19 17:49:47', '', '2025-02-19 17:49:50', NULL); + +-- ---------------------------- +-- Table structure for fms_followup_task +-- ---------------------------- +DROP TABLE IF EXISTS `fms_followup_task`; +CREATE TABLE `fms_followup_task` ( + `id` bigint NOT NULL COMMENT '工单ID', + `patient_id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `age` int NULL DEFAULT NULL COMMENT '患者年龄', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证； 1护照； 2军官证）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '证件号码', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `queue_id` bigint NOT NULL COMMENT '随访队列ID', + `times` int NULL DEFAULT NULL COMMENT '第几次随访', + `start_time` datetime NULL DEFAULT NULL COMMENT '有效开始时间', + `end_time` datetime NULL DEFAULT NULL COMMENT '有效结束时间', + `status` tinyint NULL DEFAULT NULL COMMENT '随访状态（0待随访, 1已随访, 2失访(手动标记)） 超期根据时间判断 超期已随访', + `lost_reason` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '失访原因', + `followuper` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '随访人', + `followup_time` timestamp NULL DEFAULT NULL COMMENT '随访时间', + `followup_text` text CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL COMMENT '随访内容', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_patient_id`(`patient_id` ASC) USING BTREE, + INDEX `idx_queue_id`(`queue_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '随访工单表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of fms_followup_task +-- ---------------------------- +INSERT INTO `fms_followup_task` VALUES (1892882365625425920, 1902901395870498816, '白光', 'baiguang', 'bg', 1, 52, '汉族', 16, '18767895678', 0, '140107197310243781', 2, 1, 1, '2025-02-23 00:00:00', '2025-02-26 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-02-21 18:21:38', '', '2025-03-21 17:31:51', NULL); +INSERT INTO `fms_followup_task` VALUES (1902913367550771200, 1902901395870498816, '白光', 'baiguang', 'bg', 1, 52, '汉族', 16, '18767895678', 0, '140107197310243781', 2, 2, 5, '2025-03-18 00:00:00', '2025-03-25 00:00:00', 2, '患者病情加重或死亡，无法参与随访', NULL, NULL, NULL, 0, '', '2025-03-21 17:33:13', '', '2025-03-22 15:45:18', NULL); +INSERT INTO `fms_followup_task` VALUES (1902919958106783744, 1902919958048063488, '张力', 'zhangli', 'zl', 0, 43, '蒙古族', 12, '19820315643', 0, '140107198203156433', 2, 2, 1, '2025-03-25 00:00:00', '2025-04-03 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-21 17:34:46', '', '2025-03-21 17:36:09', NULL); +INSERT INTO `fms_followup_task` VALUES (1902919958106783745, 1902919958048063488, '张力', 'zhangli', 'zl', 0, 43, '蒙古族', 12, '19820315643', 0, '140107198203156433', 2, 2, 2, '2025-03-25 00:00:00', '2025-04-03 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-21 17:34:46', '', '2025-03-21 17:36:09', NULL); +INSERT INTO `fms_followup_task` VALUES (1906524681502990336, 1906331363992522752, '西顿', 'xidun', 'xd', 0, 63, '蒙古族', 12, '17890907878', 0, '140107196105059331', 2, 2, 2, '2025-04-06 00:00:00', '2025-04-09 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-31 09:51:20', '', '2025-03-31 09:51:22', NULL); +INSERT INTO `fms_followup_task` VALUES (1906524681779814401, 1902998339561246720, '莫问', 'mowen', 'mw', 1, 48, '维吾尔族', 19, '19760713660', 1, '140107197607136602', 2, 2, 4, '2025-04-06 00:00:00', '2025-04-09 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-31 09:51:20', '', '2025-03-31 09:51:22', NULL); +INSERT INTO `fms_followup_task` VALUES (1906524682337656833, 1902919958048063488, '张力', 'zhangli', 'zl', 0, 43, '回族', 12, '19820315646', 0, '140107198203156433', 2, 10, 3, '2025-04-06 00:00:00', '2025-04-09 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-31 09:51:20', '', '2025-03-31 09:51:22', NULL); +INSERT INTO `fms_followup_task` VALUES (1906524682497040385, 1902901395870498816, '白光', 'baiguang', 'bg', 1, 51, '汉族', 16, '18767895678', 0, '140107197310243781', 2, 10, 4, '2025-04-06 00:00:00', '2025-04-09 00:00:00', 0, NULL, NULL, NULL, NULL, 0, '', '2025-03-31 09:51:20', '', '2025-03-31 09:51:22', NULL); + +-- ---------------------------- +-- Table structure for fms_patient_queue_relation +-- ---------------------------- +DROP TABLE IF EXISTS `fms_patient_queue_relation`; +CREATE TABLE `fms_patient_queue_relation` ( + `id` bigint NOT NULL, + `patient_id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `birth_date` date NULL DEFAULT NULL COMMENT '出生日期', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证； 1护照； 2军官证）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '证件号码', + `discharge_time` datetime NULL DEFAULT NULL COMMENT '出院时间', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `queue_id` bigint NULL DEFAULT NULL COMMENT '队列ID', + `del_flag` tinyint NOT NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `task_flag` tinyint NULL DEFAULT NULL, + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '患者与随访队列关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of fms_patient_queue_relation +-- ---------------------------- +INSERT INTO `fms_patient_queue_relation` VALUES (1902901395925024768, 1902901395870498816, '白光', 'baiguang', 'bg', 1, '1973-10-24', '汉族', 16, '18767895678', 0, '140107197310243781', '2025-03-19 00:00:00', 2, NULL, 1, 'zhangsan', '2025-03-21 09:53:41', '', '2025-03-21 10:41:15', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1902913367550771200, 1902901395870498816, '白光', 'baiguang', 'bg', 1, '1973-10-24', '汉族', 16, '18767895678', 0, '140107197310243781', '2025-03-12 00:00:00', 2, 10, 0, 'zhangsan', '2025-03-21 10:41:15', 'zhangsan', '2025-03-21 09:54:09', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1902919958106783744, 1902919958048063488, '张力', 'zhangli', 'zl', 0, '1982-03-15', '蒙古族', 12, '19820315643', 0, '140107198203156433', '2025-03-19 00:00:00', 2, NULL, 1, 'zhangsan', '2025-03-21 11:07:27', '', '2025-03-21 11:26:16', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1902924692918161408, 1902919958048063488, '张力', 'zhangli', 'zl', 0, '1982-03-15', '蒙古族', 12, '19820315643', 0, '140107198203156433', '2025-03-19 00:00:00', 2, 10, 1, 'zhangsan', '2025-03-21 11:26:16', '', '2025-03-22 10:01:11', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1902981363833032704, 1902981363694620672, '王朝', 'wangchao', 'wc', 0, '1951-05-09', '蒙古族', 9, '19510509727', 0, '14010719510509727X', '2025-03-02 00:00:00', 2, NULL, 1, 'zhangsan', '2025-03-21 15:11:27', '', '2025-03-21 15:14:41', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1902982177666420736, 1902981363694620672, '王朝', 'wangchao', 'wc', 0, '1951-05-09', '蒙古族', 9, '19510509727', 0, '14010719510509727X', '2025-03-02 00:00:00', 2, 1, 1, 'zhangsan', '2025-03-21 15:14:41', '', '2025-03-21 15:23:36', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1902984419853258752, 1902981363694620672, '王朝', 'wangchao', 'wc', 0, '1951-05-09', '蒙古族', 9, '19510509727', 0, '14010719510509727X', '2025-03-02 00:00:00', 2, 1, 0, 'zhangsan', '2025-03-21 15:23:36', '', '2025-03-21 15:11:27', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1902998339653521408, 1902998339561246720, '莫问', 'mowen', 'mw', 1, '1976-07-13', '维吾尔族', 19, '19760713660', 1, '140107197607136602', '2025-03-10 00:00:00', 2, NULL, 1, 'zhangsan', '2025-03-21 16:18:54', '', '2025-03-21 16:29:09', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1903000919750266880, 1902998339561246720, '莫问', 'mowen', 'mw', 1, '1976-07-13', '维吾尔族', 19, '19760713660', 1, '140107197607136602', '2025-03-10 00:00:00', 2, 1, 0, 'zhangsan', '2025-03-21 16:29:09', '', '2025-03-21 16:18:54', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1903000919775432704, 1902998339561246720, '莫问', 'mowen', 'mw', 1, '1976-07-13', '维吾尔族', 19, '19760713660', 1, '140107197607136602', '2025-03-10 00:00:00', 2, 2, 0, 'zhangsan', '2025-03-21 16:29:09', '', '2025-03-21 16:18:54', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1903265671814631424, 1902919958048063488, '张力', 'zhangli', 'zl', 0, '1982-03-15', '蒙古族', 12, '19820315643', 0, '140107198203156433', '2025-03-19 00:00:00', 2, 10, 1, 'zhangsan', '2025-03-22 10:01:11', 'zhangsan', '2025-03-22 10:02:06', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1903265902492962816, 1902919958048063488, '张力', 'zhangli', 'zl', 0, '1982-03-15', '蒙古族', 12, '19820315643', 0, '140107198203156433', '2025-03-19 00:00:00', 2, 10, 1, 'zhangsan', '2025-03-22 10:02:06', 'zhangsan', '2025-03-22 15:44:58', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1903352184762040320, 1902919958048063488, '张力', 'zhangli', 'zl', 0, '1982-03-15', '回族', 12, '19820315646', 0, '140107198203156433', '2025-03-19 00:00:00', 2, 10, 0, 'zhangsan', '2025-03-22 15:44:58', 'zhangsan', '2025-03-21 16:12:30', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906331364223209472, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, NULL, 1, 'zhangsan', '2025-03-30 21:03:09', '', '2025-03-30 21:04:52', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906331794718183424, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 1, 1, 'zhangsan', '2025-03-30 21:04:52', '', '2025-03-30 21:06:24', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906331794734960640, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 2, 1, 'zhangsan', '2025-03-30 21:04:52', '', '2025-03-30 21:06:24', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906332179923062784, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 1, 1, 'zhangsan', '2025-03-30 21:06:24', '', '2025-03-30 21:06:42', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906332179939840000, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 2, 1, 'zhangsan', '2025-03-30 21:06:24', '', '2025-03-30 21:06:42', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906332254522953728, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 1, 1, 'zhangsan', '2025-03-30 21:06:42', '', '2025-03-30 21:07:57', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906332254569091072, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 2, 1, 'zhangsan', '2025-03-30 21:06:42', '', '2025-03-30 21:07:57', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906332572610580480, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 1, 1, 'zhangsan', '2025-03-30 21:07:57', '', '2025-03-31 16:56:06', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906332572627357696, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 2, 1, 'zhangsan', '2025-03-30 21:07:57', '', '2025-03-31 16:56:06', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906631580130234368, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 1, 1, 'zhangsan', '2025-03-31 16:56:06', '', '2025-04-03 17:33:30', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1906631580172177408, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 2, 1, 'zhangsan', '2025-03-31 16:56:06', '', '2025-04-03 17:33:30', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1907721213446512640, 1907719587918831616, '白二', 'baier', 'be', 0, '1991-02-01', '汉族', 9, '18978989898', 0, '140107199102013876', '2025-04-03 00:00:00', 2, NULL, 1, 'zhangsan', '2025-04-03 17:05:55', '', '2025-04-03 17:17:33', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1907724139552366592, 1907719587918831616, '白二', 'baier', 'be', 0, '1991-02-01', '汉族', 9, '18978989898', 0, '140107199102013876', '2025-04-03 00:00:00', 2, 11, 0, 'zhangsan', '2025-04-03 17:17:33', '', '2025-04-03 17:05:55', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1907724139577532416, 1907719587918831616, '白二', 'baier', 'be', 0, '1991-02-01', '汉族', 9, '18978989898', 0, '140107199102013876', '2025-04-03 00:00:00', 2, 10, 0, 'zhangsan', '2025-04-03 17:17:33', '', '2025-04-03 17:05:55', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1907728155657166848, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 1, 0, 'zhangsan', '2025-04-03 17:33:30', '', '2025-03-30 21:03:09', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1907728155678138368, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 2, 0, 'zhangsan', '2025-04-03 17:33:30', '', '2025-03-30 21:03:09', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1907728155707498496, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 10, 0, 'zhangsan', '2025-04-03 17:33:30', '', '2025-03-30 21:03:09', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1907728155732664320, 1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', '2025-03-24 00:00:00', 2, 11, 0, 'zhangsan', '2025-04-03 17:33:30', '', '2025-03-30 21:03:09', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1908677265562329088, 1908677265503608832, '测试患者01', 'ceshihuanzhe01', 'cshz01', 0, '1945-03-05', '', NULL, '18534353638', 0, '141125200209030050', '2025-04-06 00:00:00', 2, NULL, 0, 'zhangsan', '2025-04-06 08:24:56', '', '2025-04-06 08:24:56', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1908677760448258048, 1908677760397926400, '筛查患者02', 'shaichahuanzhe02', 'schz02', 0, '1945-02-03', NULL, NULL, '18534353637', 0, '220523199905161532', '2025-04-06 00:00:00', 2, NULL, 0, 'zhangsan', '2025-04-06 08:26:54', '', '2025-04-06 08:26:54', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1908678384736854016, 1908678384694910976, '筛查患者02', 'shaichahuanzhe02', 'schz02', 0, '1945-02-03', NULL, NULL, '18534353637', 0, '620921199405099297', '2025-04-06 00:00:00', 2, NULL, 0, 'zhangsan', '2025-04-06 08:29:23', '', '2025-04-06 08:29:23', NULL, NULL); +INSERT INTO `fms_patient_queue_relation` VALUES (1908907402765598720, 1908907401561833472, '筛查患者03', 'shaichahuanzhe03', 'schz03', 0, '1945-03-03', '汉族', NULL, '18534353639', 0, '142733198703123918', '2025-04-16 00:00:00', 2, NULL, 0, 'zhangsan', '2025-04-06 23:39:25', '', '2025-04-06 23:39:25', NULL, NULL); + +-- ---------------------------- +-- Table structure for pms_patient +-- ---------------------------- +DROP TABLE IF EXISTS `pms_patient`; +CREATE TABLE `pms_patient` ( + `id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `birth_date` date NULL DEFAULT NULL COMMENT '出生日期', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证；1护照或外国人永居证； 2港澳居民来往内地通行； 3台湾居民来往大陆通行证； 4其他；）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '证件号码', + `source` tinyint NULL DEFAULT NULL COMMENT '数据来源(0筛查, 1录入, 2HIS)', + `current_illness_history` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '现病史，存储格式：[\"高血压\",\"脑血管病\"]', + `current_illness_history_qt` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '现病史_其他', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_phone`(`phone` ASC) USING BTREE, + INDEX `idx_id_card`(`id_card` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '患者基本信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of pms_patient +-- ---------------------------- +INSERT INTO `pms_patient` VALUES (1902901395870498816, '白光', 'baiguang', 'bg', 1, '1973-10-24', '汉族', 16, '18767895678', 0, '140107197310243781', 1, '过敏性疾病,骨质疏松症', NULL, 0, 2, 'zhangsan', '2025-03-21 09:53:41', 'zhangsan', '2025-03-21 10:44:02', NULL); +INSERT INTO `pms_patient` VALUES (1902919958048063488, '张力', 'zhangli', 'zl', 0, '1982-03-15', '回族', 12, '19820315646', 0, '140107198203156433', 1, '高脂血症,遗传性、先天性疾病,糖尿病,慢性肺系疾病,过敏性疾病', NULL, 0, 2, 'zhangsan', '2025-03-21 11:07:27', 'zhangsan', '2025-03-22 16:59:25', NULL); +INSERT INTO `pms_patient` VALUES (1902981363694620672, '王朝', 'wangchao', 'wc', 0, '1951-05-09', '回族', 9, '19510509727', 0, '14010719510509727X', 1, '胃和十二指肠溃疡,精神疾病', NULL, 0, 2, 'zhangsan', '2025-03-21 15:11:27', 'zhangsan', '2025-03-21 16:02:23', NULL); +INSERT INTO `pms_patient` VALUES (1902990601594654720, '李晨', 'li chen', 'lc', 0, '1994-07-07', NULL, NULL, '18797678767', NULL, NULL, 0, NULL, NULL, 0, 2, '', '2025-03-21 15:48:09', '', '2025-03-21 15:48:09', NULL); +INSERT INTO `pms_patient` VALUES (1902998339561246720, '莫问', 'mowen', 'mw', 1, '1976-07-13', '维吾尔族', 19, '19760713660', 1, '140107197607136602', 1, '肝脏疾病(脂肪肝、乙型肝炎、肝硬化等),多囊卵巢综合症,肾炎、肾病,过敏性疾病,脑血管病,精神疾病,高脂血症,高血压,胃和十二指肠溃疡,肥胖症,恶性肿瘤,骨质疏松症,胰岛素抵抗,高尿酸,冠心病,糖尿病,遗传性、先天性疾病,痛风,关节炎,慢性肺系疾病', NULL, 0, 2, 'zhangsan', '2025-03-21 16:18:54', 'zhangsan', '2025-03-22 15:19:46', NULL); +INSERT INTO `pms_patient` VALUES (1905540674413170688, '测试患者001', 'ce shi huan zhe 0 0 1', 'cshz001', 0, '2008-03-05', NULL, NULL, '18534353638', NULL, NULL, 0, NULL, NULL, 1, 2, '', '2025-03-28 16:41:14', '', '2025-03-30 20:00:32', NULL); +INSERT INTO `pms_patient` VALUES (1906331363992522752, '西顿', 'xidun', 'xd', 0, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', 1, NULL, NULL, 0, 2, 'zhangsan', '2025-03-30 21:03:09', '', '2025-03-30 21:03:09', NULL); +INSERT INTO `pms_patient` VALUES (1907013941892239360, '王艳萍', 'wang yan ping', 'wyp', 0, '1945-02-03', NULL, NULL, '18534353638', NULL, NULL, 0, NULL, NULL, 0, 2, '', '2025-04-01 18:15:29', '', '2025-04-01 18:15:29', NULL); +INSERT INTO `pms_patient` VALUES (1907622673303003136, '筛查患者01', 'shai cha huan zhe 0 1', 'schz01', 0, '1945-01-03', NULL, NULL, '18534353638', NULL, NULL, 0, NULL, NULL, 0, 2, '', '2025-04-03 10:34:21', '', '2025-04-03 10:34:21', NULL); +INSERT INTO `pms_patient` VALUES (1907622959656525824, '筛查患者02', 'shai cha huan zhe 0 2', 'schz02', 0, '1945-02-03', NULL, NULL, '18534353637', NULL, NULL, 0, NULL, NULL, 0, 2, '', '2025-04-03 10:35:30', '', '2025-04-03 10:35:30', NULL); +INSERT INTO `pms_patient` VALUES (1907623319620083712, '筛查患者03', 'shai cha huan zhe 0 3', 'schz03', 0, '1945-03-03', NULL, NULL, '18534353639', NULL, NULL, 0, NULL, NULL, 0, 2, '', '2025-04-03 10:36:55', '', '2025-04-03 10:36:55', NULL); +INSERT INTO `pms_patient` VALUES (1907719587918831616, '白二', 'baier', 'be', 0, '1991-02-01', '汉族', 9, '17689584567', 0, '140107199102013876', 0, '肝脏疾病(脂肪肝、乙型肝炎、肝硬化等)', NULL, 0, 2, '', '2025-04-03 16:59:28', 'zhangsan', '2025-04-03 17:04:48', NULL); +INSERT INTO `pms_patient` VALUES (1908677265503608832, '测试患者01', 'ceshihuanzhe01', 'cshz01', 0, '1945-03-05', '', NULL, '18534353638', 0, '141125200209030050', 1, NULL, NULL, 0, 2, 'zhangsan', '2025-04-06 08:24:56', '', '2025-04-06 08:24:56', NULL); +INSERT INTO `pms_patient` VALUES (1908677760397926400, '筛查患者02', 'shaichahuanzhe02', 'schz02', 0, '1945-02-03', NULL, NULL, '18534353637', 0, '220523199905161532', 0, NULL, NULL, 0, 2, 'zhangsan', '2025-04-06 08:26:54', '', '2025-04-06 08:26:54', NULL); +INSERT INTO `pms_patient` VALUES (1908678384694910976, '筛查患者02', 'shaichahuanzhe02', 'schz02', 0, '1945-02-03', NULL, NULL, '18534353637', 0, '620921199405099297', 0, NULL, NULL, 0, 2, 'zhangsan', '2025-04-06 08:29:23', '', '2025-04-06 08:29:23', NULL); +INSERT INTO `pms_patient` VALUES (1908907401561833472, '筛查患者03', 'shaichahuanzhe03', 'schz03', 0, '1945-03-03', '汉族', NULL, '18534353639', 0, '142733198703123918', 0, NULL, NULL, 0, 2, 'zhangsan', '2025-04-06 23:39:25', '', '2025-04-06 23:39:25', NULL); + +-- ---------------------------- +-- Table structure for pms_treatment +-- ---------------------------- +DROP TABLE IF EXISTS `pms_treatment`; +CREATE TABLE `pms_treatment` ( + `id` bigint NOT NULL COMMENT '诊疗记录ID', + `patient_id` bigint NOT NULL COMMENT '患者ID', + `name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '姓名', + `pinyin_full` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名全拼', + `pinyin_simple` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名简拼', + `gender` tinyint NULL DEFAULT NULL COMMENT '性别(0男, 1女)', + `age` int NULL DEFAULT NULL COMMENT '患者就诊年龄', + `birth_date` date NULL DEFAULT NULL COMMENT '出生日期', + `ethnicity` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '民族', + `education_years` int NULL DEFAULT NULL COMMENT '受教育年限', + `phone` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '手机号码', + `id_card_type` tinyint NULL DEFAULT NULL COMMENT '证件类型（0身份证； 1护照； 2军官证）', + `id_card` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '证件号码', + `visit_type` tinyint NULL DEFAULT NULL COMMENT '0门诊; 1住院', + `visit_number` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '门诊号/住院号', + `visit_time` datetime NULL DEFAULT NULL COMMENT '就诊时间/住院时间', + `discharge_time` datetime NULL DEFAULT NULL COMMENT '出院时间', + `doctor` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '责任医生名称', + `dept_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '责任医生科室', + `diagnosis_code` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '主要诊断ICD/TCD编码', + `diagnosis_name` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '主要诊断名称', + `status` tinyint NULL DEFAULT NULL COMMENT '档案状态(0保存, 1待审核, 2通过, 3驳回)', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_patient_id`(`patient_id` ASC) USING BTREE, + INDEX `idx_doctor`(`doctor` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '诊疗档案表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of pms_treatment +-- ---------------------------- +INSERT INTO `pms_treatment` VALUES (1902901395904053248, 1902901395870498816, '白光', 'baiguang', 'bg', 1, 51, '1973-10-24', '汉族', 16, '18767895678', 0, '140107197310243781', 1, '001', '2025-03-01 00:00:00', '2025-03-12 00:00:00', '王硕', NULL, NULL, '肥胖症,失眠病,项痹病,腰痛病', 2, 0, 2, 'zhangsan', '2025-03-21 09:53:41', 'zhangsan', '2025-03-21 16:12:34', NULL); +INSERT INTO `pms_treatment` VALUES (1902919958077423616, 1902919958048063488, '张力', 'zhangli', 'zl', 0, 43, '1982-03-15', '回族', 12, '19820315646', 0, '140107198203156433', 1, '002', '2025-03-11 00:00:00', '2025-03-19 00:00:00', '王硕', NULL, NULL, '面瘫病,项痹病', 3, 0, 2, 'zhangsan', '2025-03-21 11:07:27', 'zhangsan', '2025-03-21 16:12:30', NULL); +INSERT INTO `pms_treatment` VALUES (1902981363799478272, 1902981363694620672, '王朝', 'wangchao', 'wc', 0, 73, '1951-05-09', '蒙古族', 9, '19510509727', 0, '14010719510509727X', 0, '001', '2025-03-02 00:00:00', '2025-03-02 00:00:00', '王忙', NULL, NULL, '肥胖症,中风病', 2, 0, 2, 'zhangsan', '2025-03-21 15:11:27', 'zhangsan', '2025-03-21 16:12:28', NULL); +INSERT INTO `pms_treatment` VALUES (1902998339603189760, 1902998339561246720, '莫问', 'mowen', 'mw', 1, 48, '1976-07-13', '维吾尔族', 19, '19760713660', 1, '140107197607136602', 1, '006', '2025-03-04 00:00:00', '2025-03-10 00:00:00', '张超', NULL, NULL, '痉挛性斜颈', 1, 0, 2, 'zhangsan', '2025-03-21 16:18:54', 'zhangsan', '2025-03-21 22:26:24', NULL); +INSERT INTO `pms_treatment` VALUES (1906331364189655040, 1906331363992522752, '西顿', 'xidun', 'xd', 0, 63, '1961-05-05', '蒙古族', 12, '17890907878', 0, '140107196105059331', 0, '003', '2025-03-24 00:00:00', '2025-03-24 00:00:00', '王医生', NULL, NULL, NULL, 0, 0, 2, 'zhangsan', '2025-03-30 21:03:09', '', '2025-03-30 21:03:09', NULL); +INSERT INTO `pms_treatment` VALUES (1907721213417152512, 1907719587918831616, '白二', 'baier', 'be', 0, 34, '1991-02-01', '汉族', 9, '18978989898', 0, '140107199102013876', 0, '009', '2025-04-03 00:00:00', '2025-04-03 00:00:00', '王毅', NULL, NULL, '肥胖症,失眠病', 2, 0, 2, 'zhangsan', '2025-04-03 17:05:55', 'zhangsan', '2025-04-03 17:26:45', NULL); +INSERT INTO `pms_treatment` VALUES (1908677265545551872, 1908677265503608832, '测试患者01', 'ceshihuanzhe01', 'cshz01', 0, 80, '1945-03-05', '', NULL, '18534353638', 0, '141125200209030050', 0, '112', '2025-04-06 00:00:00', '2025-04-06 00:00:00', '责任医生', NULL, NULL, NULL, 0, 1, 2, 'zhangsan', '2025-04-06 08:24:56', '', '2025-04-06 08:25:06', NULL); +INSERT INTO `pms_treatment` VALUES (1908677760427286528, 1908677760397926400, '筛查患者02', 'shaichahuanzhe02', 'schz02', 0, 80, '1945-02-03', NULL, NULL, '18534353637', 0, '220523199905161532', 0, '112', '2025-04-06 00:00:00', '2025-04-06 00:00:00', '责任医生', NULL, NULL, NULL, NULL, 1, 2, 'zhangsan', '2025-04-06 08:26:54', '', '2025-04-06 08:29:00', NULL); +INSERT INTO `pms_treatment` VALUES (1908678384715882496, 1908678384694910976, '筛查患者02', 'shaichahuanzhe02', 'schz02', 0, 80, '1945-02-03', NULL, NULL, '18534353637', 0, '620921199405099297', 0, '112', '2025-04-06 00:00:00', '2025-04-06 00:00:00', '王艳萍', NULL, NULL, NULL, 0, 0, 2, 'zhangsan', '2025-04-06 08:29:23', '', '2025-04-06 08:29:23', NULL); +INSERT INTO `pms_treatment` VALUES (1908907402719461376, 1908907401561833472, '筛查患者03', 'shaichahuanzhe03', 'schz03', 0, 80, '1945-03-03', '汉族', NULL, '18534353639', 0, '142733198703123918', 0, '999', '2025-04-16 00:00:00', '2025-04-16 00:00:00', 'zhangsan', NULL, NULL, NULL, 0, 0, 2, 'zhangsan', '2025-04-06 23:39:25', '', '2025-04-06 23:39:25', NULL); + +-- ---------------------------- +-- Table structure for pms_treatment_record +-- ---------------------------- +DROP TABLE IF EXISTS `pms_treatment_record`; +CREATE TABLE `pms_treatment_record` ( + `id` bigint NOT NULL, + `treatment_id` bigint NULL DEFAULT 0 COMMENT '诊疗id', + `question_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '题目code', + `answer` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '题目答案', + `time` datetime NOT NULL COMMENT '发生时间', + `source_id` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '数据来源ID(0筛查, 1录入, 2HIS)', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_treatment_id`(`treatment_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_bin COMMENT = '急救记录表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of pms_treatment_record +-- ---------------------------- +INSERT INTO `pms_treatment_record` VALUES (1902913367294918656, 1902901395904053248, 'JBXX_ZYZD', '肥胖症!@#失眠病!@#项痹病!@#腰痛病', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367303307264, 1902901395904053248, 'PG_RTCF_TZ', '78', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367307501568, 1902901395904053248, 'PG_RTCF_QZTZ', '22', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367315890176, 1902901395904053248, 'PG_RTCF_JRL', '30', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367320084480, 1902901395904053248, 'PG_RTCF_TBW', '55', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367324278784, 1902901395904053248, 'PG_RTCF_DBZ', '14', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367328473088, 1902901395904053248, 'PG_RTCF_GZ', '3', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367332667392, 1902901395904053248, 'PG_RTCF_PBF', '33', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367336861696, 1902901395904053248, 'PG_RTCF_GGJ', '30', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367345250304, 1902901395904053248, 'PG_RTCF_BMI', '21', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367349444608, 1902901395904053248, 'PG_RTCF_WHR', '0.85', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367353638912, 1902901395904053248, 'PG_RTCF_NZZFSP', '12', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO 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10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367382999040, 1902901395904053248, 'PG_TT_TAPS_DF', '3', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367387193344, 1902901395904053248, 'PG_TT_TRACE_DF', '1', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367391387648, 1902901395904053248, 'PG_TT_SRS22_DF', '1.12', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367429136384, 1902901395904053248, 'PG_SM_PHQ-9_DF', '1', '2025-03-21 10:41:15', NULL, 0, 'zhangsan', '2025-03-21 10:41:15', '', '2025-03-21 10:41:15', NULL); +INSERT INTO `pms_treatment_record` VALUES (1902913367433330688, 1902901395904053248, 'PG_SM_EPSW_DF', '2', 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(1907728155799773184, 1906331364189655040, 'ZLFA_ZLXG', '治愈', '2025-04-03 17:33:30', NULL, 0, 'zhangsan', '2025-04-03 17:33:30', '', '2025-04-03 17:33:30', NULL); +INSERT INTO `pms_treatment_record` VALUES (1907728155824939008, 1906331364189655040, 'ZLFA_ZTFY', '900 ~ 2000元', '2025-04-03 17:33:30', NULL, 0, 'zhangsan', '2025-04-03 17:33:30', '', '2025-04-03 17:33:30', NULL); +INSERT INTO `pms_treatment_record` VALUES (1908907852977995776, 1908907402719461376, 'JBXX_ZYZD', '失眠病!@#中风病', '2025-04-06 23:41:12', NULL, 0, 'zhangsan', '2025-04-06 23:41:12', '', '2025-04-06 23:41:12', NULL); +INSERT INTO `pms_treatment_record` VALUES (1908907852986384384, 1908907402719461376, 'PG_RTCF_TXLX', '健康匀称型', '2025-04-06 23:41:12', NULL, 0, 'zhangsan', '2025-04-06 23:41:12', '', '2025-04-06 23:41:12', NULL); +INSERT INTO `pms_treatment_record` VALUES (1908907852994772992, 1908907402719461376, 'PG_TZBS_ZYTZ', '特禀质', '2025-04-06 23:41:12', NULL, 0, 'zhangsan', '2025-04-06 23:41:12', '', '2025-04-06 23:41:12', NULL); +INSERT INTO `pms_treatment_record` VALUES (1908907853003161600, 1908907402719461376, 'PG_TZBS_JJTZ', '阳虚质!@#痰湿质!@#湿热质', '2025-04-06 23:41:12', NULL, 0, 'zhangsan', '2025-04-06 23:41:12', '', '2025-04-06 23:41:12', NULL); + +-- ---------------------------- +-- Table structure for rms_report_management +-- ---------------------------- +DROP TABLE IF EXISTS `rms_report_management`; +CREATE TABLE `rms_report_management` ( + `id` bigint NOT NULL COMMENT '上报ID', + `report_title` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '上报标题', + `report_type` bigint NOT NULL COMMENT '上报类型', + `time_range_start` date NULL DEFAULT NULL COMMENT '时间范围开始', + `time_range_end` date NULL DEFAULT NULL COMMENT '时间范围结束', + `status` tinyint NOT NULL COMMENT '上报状态', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '上报管理表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of rms_report_management +-- ---------------------------- + +-- ---------------------------- +-- Table structure for rms_report_type +-- ---------------------------- +DROP TABLE IF EXISTS `rms_report_type`; +CREATE TABLE `rms_report_type` ( + `id` bigint NOT NULL, + `type_name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '上报类型名称', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '上报类型表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of rms_report_type +-- ---------------------------- + +-- ---------------------------- +-- Table structure for scr_hospital +-- ---------------------------- +DROP TABLE IF EXISTS `scr_hospital`; +CREATE TABLE `scr_hospital` ( + `id` bigint NOT NULL COMMENT 'id', + `parent_id` bigint NULL DEFAULT 0 COMMENT '父医院id', + `area` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '市所属地区信息', + `name` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '医院名称', + `code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '医院编号', + `dept_id` bigint NULL DEFAULT NULL COMMENT '部门ID', + `county_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '县Code', + `level` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '医院等级(一级二级)', + `level1` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '医院等级1(甲等乙等)', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', 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0); +INSERT INTO `scr_screening_detail` VALUES (1907719586849284096, 1907719585309974528, 'SCWJ-JL', '正常', '2025-04-03 16:59:27', '2025-04-03 16:59:27', 0); +INSERT INTO `scr_screening_detail` VALUES (1907719587012861952, 1907719585309974528, 'SCWJ-SCSJ', '22:00', '2025-04-03 16:59:27', '2025-04-03 16:59:27', 0); +INSERT INTO `scr_screening_detail` VALUES (1907719587159662592, 1907719585309974528, 'SCWJ-RSSJ', '22:30', '2025-04-03 16:59:27', '2025-04-03 16:59:27', 0); +INSERT INTO `scr_screening_detail` VALUES (1907719587302268928, 1907719585309974528, 'SCWJ-SXSJ', '06:30', '2025-04-03 16:59:27', '2025-04-03 16:59:27', 0); +INSERT INTO `scr_screening_detail` VALUES (1907719587440680960, 1907719585309974528, 'SCWJ-QCSJ', '07:00', '2025-04-03 16:59:28', '2025-04-03 16:59:28', 0); +INSERT INTO `scr_screening_detail` VALUES (1907719587583287296, 1907719585309974528, 'SCWJ-SMXL', '89', '2025-04-03 16:59:28', '2025-04-03 16:59:28', 0); +INSERT INTO `scr_screening_detail` VALUES (1907719587730087936, 1907719585309974528, 'SCREEN-JL', '均属于正常范围，请继续保持', '2025-04-03 16:59:28', '2025-04-03 16:59:28', 0); +INSERT INTO `scr_screening_detail` VALUES (1907719587876888576, 1907719585309974528, 'SCWJ-SUBMIT', '1743670768122', '2025-04-03 16:59:28', '2025-04-03 16:59:28', NULL); + +-- ---------------------------- +-- Table structure for scr_screening_record +-- ---------------------------- +DROP TABLE IF EXISTS `scr_screening_record`; +CREATE TABLE `scr_screening_record` ( + `id` bigint NOT NULL, + `name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '姓名', + `idcard` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身份证', + `age` int NULL DEFAULT NULL COMMENT '年龄', + `phone` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '手机号', + `city` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '市名', + `county` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '县名', + `province` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '省名称', + `hospital_level` tinyint(1) NULL DEFAULT 0 COMMENT '医院等级 2:二级 3:三级', + `hospital_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '医院名称', + `departments` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '科室', + `user_id` bigint NULL DEFAULT 0 COMMENT '用户id', + `screen_id` bigint NULL DEFAULT 0 COMMENT '问卷id', + `submit_status` tinyint(1) NULL DEFAULT 0 COMMENT '提交状态(0-保存,1-提交)', + `position_id` bigint NULL DEFAULT 0 COMMENT '职位id', + `tenant_id` bigint NULL DEFAULT NULL, + `rzsc_result` int NULL DEFAULT NULL COMMENT '认知筛查结果', + `screen_type` tinyint NULL DEFAULT NULL COMMENT '筛查类型', + `screen_result` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '筛查结论', + `del_flag` tinyint NULL DEFAULT NULL, + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `pinyin_full` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL, + `pinyin_simple` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL, + PRIMARY KEY (`id`) USING BTREE, + INDEX `user_id_index`(`user_id` ASC) USING BTREE, + INDEX `questionnaire_id_index`(`screen_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '筛查记录表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of scr_screening_record +-- ---------------------------- +INSERT INTO `scr_screening_record` VALUES (1902990597538762752, '李晨', NULL, 30, '18797678767', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-03-21 15:48:08', '', '2025-03-21 15:48:09', NULL, 'li chen', 'lc'); +INSERT INTO `scr_screening_record` VALUES (1905540669501640704, '测试患者001', NULL, 17, '18534353638', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-03-28 16:41:13', '', '2025-03-28 16:41:14', NULL, 'ce shi huan zhe 0 0 1', 'cshz001'); +INSERT INTO `scr_screening_record` VALUES (1905628809721581568, '测试患者001', NULL, 29, '18534353638', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-03-28 22:31:27', '', '2025-03-28 22:31:28', NULL, 'ce shi huan zhe 0 0 1', 'cshz001'); +INSERT INTO `scr_screening_record` VALUES (1907013925874192384, '王艳萍', NULL, 80, '18534353638', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-04-01 18:15:25', '', '2025-04-01 18:15:28', NULL, 'wang yan ping', 'wyp'); +INSERT INTO `scr_screening_record` VALUES (1907612097801674752, '王艳萍', NULL, 50, '18534353638', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-04-03 09:52:20', '', '2025-04-03 09:52:24', NULL, 'wang yan ping', 'wyp'); +INSERT INTO `scr_screening_record` VALUES (1907622658702630912, '筛查患者01', NULL, 80, '18534353638', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-04-03 10:34:18', '', '2025-04-03 10:34:21', NULL, 'shai cha huan zhe 0 1', 'schz01'); +INSERT INTO `scr_screening_record` VALUES (1907622945181982720, '筛查患者02', NULL, 80, '18534353637', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-04-03 10:35:26', '', '2025-04-03 10:35:30', NULL, 'shai cha huan zhe 0 2', 'schz02'); +INSERT INTO `scr_screening_record` VALUES (1907623304826773504, '筛查患者03', NULL, 80, '18534353639', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-04-03 10:36:52', '', '2025-04-03 10:36:55', NULL, 'shai cha huan zhe 0 3', 'schz03'); +INSERT INTO `scr_screening_record` VALUES (1907719585309974528, '白二', NULL, 34, '17689584567', '', '', '', 0, '', '', 0, 0, 1, 0, 2, NULL, NULL, NULL, 0, '', '2025-04-03 16:59:27', '', '2025-04-03 16:59:28', NULL, 'bai er', 'be'); + +-- ---------------------------- +-- Table structure for sys_config +-- ---------------------------- +DROP TABLE IF EXISTS `sys_config`; +CREATE TABLE `sys_config` ( + `config_id` int NOT NULL AUTO_INCREMENT COMMENT '参数主键', + `config_name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '参数名称', + `config_key` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '参数键名', + `config_value` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '参数键值', + `config_type` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT 'N' COMMENT '系统内置（Y是 N否）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`config_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 100 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '参数配置表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_config +-- ---------------------------- +INSERT INTO `sys_config` VALUES (1, '主框架页-默认皮肤样式名称', 'sys.index.skinName', 'skin-blue', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '蓝色 skin-blue、绿色 skin-green、紫色 skin-purple、红色 skin-red、黄色 skin-yellow'); +INSERT INTO `sys_config` VALUES (2, '用户管理-账号初始密码', 'sys.user.initPassword', '123456', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '初始化密码 123456'); +INSERT INTO `sys_config` VALUES (3, '主框架页-侧边栏主题', 'sys.index.sideTheme', 'theme-dark', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '深色主题theme-dark，浅色主题theme-light'); +INSERT INTO `sys_config` VALUES (4, '账号自助-验证码开关', 'sys.account.captchaEnabled', 'true', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '是否开启验证码功能（true开启，false关闭）'); +INSERT INTO `sys_config` VALUES (5, '账号自助-是否开启用户注册功能', 'sys.account.registerUser', 'false', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '是否开启注册用户功能（true开启，false关闭）'); +INSERT INTO `sys_config` VALUES (6, '用户登录-黑名单列表', 'sys.login.blackIPList', '', 'Y', 'admin', '2025-02-08 17:42:06', '', NULL, '设置登录IP黑名单限制，多个匹配项以;分隔，支持匹配（*通配、网段）'); + +-- ---------------------------- +-- Table structure for sys_dept +-- ---------------------------- +DROP TABLE IF EXISTS `sys_dept`; +CREATE TABLE `sys_dept` ( + `dept_id` bigint NOT NULL AUTO_INCREMENT COMMENT '部门id', + `parent_id` bigint NULL DEFAULT 0 COMMENT '父部门id', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '租户ID，关联主库dms_tenant的ID', + `ancestors` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '祖级列表', + `dept_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '部门名称', + `order_num` int NULL DEFAULT 0 COMMENT '显示顺序', + `leader` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '负责人', + `phone` varchar(11) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '联系电话', + `email` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '邮箱', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '部门状态（0正常 1停用）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + PRIMARY KEY (`dept_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 111 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '部门表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_dept +-- ---------------------------- +INSERT INTO `sys_dept` VALUES (100, 0, NULL, '0', '若依科技', 0, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (101, 100, NULL, '0,100', '深圳总公司', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (102, 100, NULL, '0,100', '长沙分公司', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (103, 101, NULL, '0,100,101', '研发部门', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (104, 101, NULL, '0,100,101', '市场部门', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (105, 101, NULL, '0,100,101', '测试部门', 3, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (106, 101, NULL, '0,100,101', '财务部门', 4, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (107, 101, NULL, '0,100,101', '运维部门', 5, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (108, 102, NULL, '0,100,102', '市场部门', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (109, 102, NULL, '0,100,102', '财务部门', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL); +INSERT INTO `sys_dept` VALUES (110, 0, 2, '0', '山西因孚医院', 0, NULL, '张三', '13888888888', '0', '0', '', NULL, '', NULL); + +-- ---------------------------- +-- Table structure for sys_dict_data +-- ---------------------------- +DROP TABLE IF EXISTS `sys_dict_data`; +CREATE TABLE `sys_dict_data` ( + `dict_code` bigint NOT NULL AUTO_INCREMENT COMMENT '字典编码', + `dict_sort` int NULL DEFAULT 0 COMMENT '字典排序', + `dict_label` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典标签', + `dict_value` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典键值', + `dict_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典类型', + `css_class` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '样式属性（其他样式扩展）', + `list_class` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '表格回显样式', + `is_default` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT 'N' COMMENT '是否默认（Y是 N否）', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '状态（0正常 1停用）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`dict_code`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 100 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '字典数据表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_dict_data +-- ---------------------------- +INSERT INTO `sys_dict_data` VALUES (1, 1, '男', '0', 'sys_user_sex', '', '', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '性别男'); +INSERT INTO `sys_dict_data` VALUES (2, 2, '女', '1', 'sys_user_sex', '', '', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '性别女'); +INSERT INTO `sys_dict_data` VALUES (3, 3, '未知', '2', 'sys_user_sex', '', '', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '性别未知'); +INSERT INTO `sys_dict_data` VALUES (4, 1, '显示', '0', 'sys_show_hide', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '显示菜单'); +INSERT INTO `sys_dict_data` VALUES (5, 2, '隐藏', '1', 'sys_show_hide', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '隐藏菜单'); +INSERT INTO `sys_dict_data` VALUES (6, 1, '正常', '0', 'sys_normal_disable', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (7, 2, '停用', '1', 'sys_normal_disable', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '停用状态'); +INSERT INTO `sys_dict_data` VALUES (8, 1, '正常', '0', 'sys_job_status', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (9, 2, '暂停', '1', 'sys_job_status', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '停用状态'); +INSERT INTO `sys_dict_data` VALUES (10, 1, '默认', 'DEFAULT', 'sys_job_group', '', '', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '默认分组'); +INSERT INTO `sys_dict_data` VALUES (11, 2, '系统', 'SYSTEM', 'sys_job_group', '', '', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统分组'); +INSERT INTO `sys_dict_data` VALUES (12, 1, '是', 'Y', 'sys_yes_no', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统默认是'); +INSERT INTO `sys_dict_data` VALUES (13, 2, '否', 'N', 'sys_yes_no', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统默认否'); +INSERT INTO `sys_dict_data` VALUES (14, 1, '通知', '1', 'sys_notice_type', '', 'warning', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '通知'); +INSERT INTO `sys_dict_data` VALUES (15, 2, '公告', '2', 'sys_notice_type', '', 'success', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '公告'); +INSERT INTO `sys_dict_data` VALUES (16, 1, '正常', '0', 'sys_notice_status', '', 'primary', 'Y', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (17, 2, '关闭', '1', 'sys_notice_status', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '关闭状态'); +INSERT INTO `sys_dict_data` VALUES (18, 99, '其他', '0', 'sys_oper_type', '', 'info', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '其他操作'); +INSERT INTO `sys_dict_data` VALUES (19, 1, '新增', '1', 'sys_oper_type', '', 'info', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '新增操作'); +INSERT INTO `sys_dict_data` VALUES (20, 2, '修改', '2', 'sys_oper_type', '', 'info', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '修改操作'); +INSERT INTO `sys_dict_data` VALUES (21, 3, '删除', '3', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '删除操作'); +INSERT INTO `sys_dict_data` VALUES (22, 4, '授权', '4', 'sys_oper_type', '', 'primary', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '授权操作'); +INSERT INTO `sys_dict_data` VALUES (23, 5, '导出', '5', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '导出操作'); +INSERT INTO `sys_dict_data` VALUES (24, 6, '导入', '6', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '导入操作'); +INSERT INTO `sys_dict_data` VALUES (25, 7, '强退', '7', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '强退操作'); +INSERT INTO `sys_dict_data` VALUES (26, 8, '生成代码', '8', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '生成操作'); +INSERT INTO `sys_dict_data` VALUES (27, 9, '清空数据', '9', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '清空操作'); +INSERT INTO `sys_dict_data` VALUES (28, 1, '成功', '0', 'sys_common_status', '', 'primary', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '正常状态'); +INSERT INTO `sys_dict_data` VALUES (29, 2, '失败', '1', 'sys_common_status', '', 'danger', 'N', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '停用状态'); +INSERT INTO `sys_dict_data` VALUES (30, 0, '肥胖症', 'E66.0', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (31, 1, '失眠病', 'F51.0', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (32, 2, '中风病', 'I63', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (33, 3, '面瘫病', 'G51.802', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (34, 4, '项痹病', 'M47.221+G55.2*', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (35, 5, '腰痛病', 'M51.202', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (36, 6, '痉挛性斜颈', 'G24.300', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (37, 7, '其他', '', 'ims_zyzd', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (38, 0, '隐形肥胖型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (39, 1, '脂肪过多型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (40, 2, '肥胖型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (41, 3, '肌肉不足型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (42, 4, '健康匀称型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (43, 5, '超重肌肉型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (44, 6, '消瘦型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (45, 7, '低脂肪型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (46, 8, '运动员型', '', 'ims_txlx', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (47, 0, '平和质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (48, 1, '气虚质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (49, 2, '阳虚质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (50, 3, '阴虚质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (51, 4, '痰湿质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (52, 5, '湿热质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (53, 6, '血瘀质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (54, 7, '气郁质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (55, 8, '特禀质', '', 'ims_tz', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (56, 0, '毫针/电针疗法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (57, 1, '温针疗法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (58, 2, '耳穴贴压疗法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (59, 3, '穴位埋针法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (60, 4, '穴位埋线法', '', 'ims_zj', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (61, 0, '足三里', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (62, 1, '中脘', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (63, 2, '天枢', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (64, 3, '神门', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (65, 4, '三阴交', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (66, 5, '百会', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (67, 6, '安眠', '', 'ims_xw', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (68, 0, '治愈', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (69, 1, '显效', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (70, 2, '好转', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); +INSERT INTO `sys_dict_data` VALUES (71, 3, '无效', '', 'ims_zlxg', NULL, 'info', 'N', '0', '', NULL, '', NULL, NULL); + +-- ---------------------------- +-- Table structure for sys_dict_type +-- ---------------------------- +DROP TABLE IF EXISTS `sys_dict_type`; +CREATE TABLE `sys_dict_type` ( + `dict_id` bigint NOT NULL AUTO_INCREMENT COMMENT '字典主键', + `dict_name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典名称', + `dict_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '字典类型', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '状态（0正常 1停用）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`dict_id`) USING BTREE, + UNIQUE INDEX `dict_type`(`dict_type` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 18 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '字典类型表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_dict_type +-- ---------------------------- +INSERT INTO `sys_dict_type` VALUES (1, '用户性别', 'sys_user_sex', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '用户性别列表'); +INSERT INTO `sys_dict_type` VALUES (2, '菜单状态', 'sys_show_hide', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '菜单状态列表'); +INSERT INTO `sys_dict_type` VALUES (3, '系统开关', 'sys_normal_disable', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统开关列表'); +INSERT INTO `sys_dict_type` VALUES (4, '任务状态', 'sys_job_status', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '任务状态列表'); +INSERT INTO `sys_dict_type` VALUES (5, '任务分组', 'sys_job_group', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '任务分组列表'); +INSERT INTO `sys_dict_type` VALUES (6, '系统是否', 'sys_yes_no', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '系统是否列表'); +INSERT INTO `sys_dict_type` VALUES (7, '通知类型', 'sys_notice_type', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '通知类型列表'); +INSERT INTO `sys_dict_type` VALUES (8, '通知状态', 'sys_notice_status', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '通知状态列表'); +INSERT INTO `sys_dict_type` VALUES (9, '操作类型', 'sys_oper_type', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '操作类型列表'); +INSERT INTO `sys_dict_type` VALUES (10, '系统状态', 'sys_common_status', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '登录状态列表'); +INSERT INTO `sys_dict_type` VALUES (11, '主要诊断', 'ims_zyzd', '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_dict_type` VALUES (12, '体系类型', 'ims_txlx', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (13, '体质', 'ims_tz', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (14, '针灸疗法', 'ims_zj', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (15, '针灸穴位', 'ims_xw', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (16, '药物', 'ims_yw', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); +INSERT INTO `sys_dict_type` VALUES (17, '治理效果', 'ims_zlxg', '0', 'admin', '2025-02-08 17:42:06', '', NULL, NULL); + +-- ---------------------------- +-- Table structure for sys_job +-- ---------------------------- +DROP TABLE IF EXISTS `sys_job`; +CREATE TABLE `sys_job` ( + `job_id` bigint NOT NULL AUTO_INCREMENT COMMENT '任务ID', + `job_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL DEFAULT '' COMMENT '任务名称', + `job_group` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL DEFAULT 'DEFAULT' COMMENT '任务组名', + `invoke_target` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '调用目标字符串', + `cron_expression` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT 'cron执行表达式', + `misfire_policy` varchar(20) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '3' COMMENT '计划执行错误策略（1立即执行 2执行一次 3放弃执行）', + `concurrent` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '1' COMMENT '是否并发执行（0允许 1禁止）', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '状态（0正常 1暂停）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '备注信息', + PRIMARY KEY (`job_id`, `job_name`, `job_group`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 100 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '定时任务调度表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_job +-- ---------------------------- +INSERT INTO `sys_job` VALUES (1, '系统默认（无参）', 'DEFAULT', 'ryTask.ryNoParams', '0/10 * * * * ?', '3', '1', '1', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_job` VALUES (2, '系统默认（有参）', 'DEFAULT', 'ryTask.ryParams(\'ry\')', '0/15 * * * * ?', '3', '1', '1', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_job` VALUES (3, '系统默认（多参）', 'DEFAULT', 'ryTask.ryMultipleParams(\'ry\', true, 2000L, 316.50D, 100)', '0/20 * * * * ?', '3', '1', '1', 'admin', '2025-02-08 17:42:06', '', NULL, ''); + +-- ---------------------------- +-- Table structure for sys_job_log +-- ---------------------------- +DROP TABLE IF EXISTS `sys_job_log`; +CREATE TABLE `sys_job_log` ( + `job_log_id` bigint NOT NULL AUTO_INCREMENT COMMENT '任务日志ID', + `job_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '任务名称', + `job_group` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '任务组名', + `invoke_target` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '调用目标字符串', + `job_message` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '日志信息', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '执行状态（0正常 1失败）', + `exception_info` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '异常信息', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + PRIMARY KEY (`job_log_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 1 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '定时任务调度日志表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_job_log +-- ---------------------------- + +-- ---------------------------- +-- Table structure for sys_logininfor +-- ---------------------------- +DROP TABLE IF EXISTS `sys_logininfor`; +CREATE TABLE `sys_logininfor` ( + `info_id` bigint NOT NULL AUTO_INCREMENT COMMENT '访问ID', + `user_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '用户账号', + `ipaddr` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '登录IP地址', + `login_location` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '登录地点', + `browser` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '浏览器类型', + `os` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '操作系统', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '登录状态（0成功 1失败）', + `msg` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '提示消息', + `login_time` datetime NULL DEFAULT NULL COMMENT '访问时间', + PRIMARY KEY (`info_id`) USING BTREE, + INDEX `idx_sys_logininfor_s`(`status` ASC) USING BTREE, + INDEX `idx_sys_logininfor_lt`(`login_time` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 243 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '系统访问记录' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_logininfor +-- ---------------------------- +INSERT INTO `sys_logininfor` VALUES (100, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '验证码已失效', '2025-02-10 10:57:37'); +INSERT INTO `sys_logininfor` VALUES (101, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 10:59:17'); +INSERT INTO `sys_logininfor` VALUES (102, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:01:15'); +INSERT INTO `sys_logininfor` VALUES (103, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:27:01'); +INSERT INTO `sys_logininfor` VALUES (104, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:31:40'); +INSERT INTO `sys_logininfor` VALUES (105, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'No AuthenticationProvider found for com.acupuncture.framework.security.token.DmsUserAuthenticationToken', '2025-02-10 11:33:54'); +INSERT INTO `sys_logininfor` VALUES (106, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 11:38:23'); +INSERT INTO `sys_logininfor` VALUES (107, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 14:12:40'); +INSERT INTO `sys_logininfor` VALUES (108, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 14:18:26'); +INSERT INTO `sys_logininfor` VALUES (109, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 14:32:12'); +INSERT INTO `sys_logininfor` VALUES (110, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 14:32:18'); +INSERT INTO `sys_logininfor` VALUES (111, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 15:48:49'); +INSERT INTO `sys_logininfor` VALUES (112, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 15:50:17'); +INSERT INTO `sys_logininfor` VALUES (113, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:21:54'); +INSERT INTO `sys_logininfor` VALUES (114, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:28:48'); +INSERT INTO `sys_logininfor` VALUES (115, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:28:51'); +INSERT INTO `sys_logininfor` VALUES (116, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:30:43'); +INSERT INTO `sys_logininfor` VALUES (117, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:30:47'); +INSERT INTO `sys_logininfor` VALUES (118, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:31:22'); +INSERT INTO `sys_logininfor` VALUES (119, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:31:27'); +INSERT INTO `sys_logininfor` VALUES (120, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:33:58'); +INSERT INTO `sys_logininfor` VALUES (121, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:36:22'); +INSERT INTO `sys_logininfor` VALUES (122, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:36:28'); +INSERT INTO `sys_logininfor` VALUES (123, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-10 16:38:24'); +INSERT INTO `sys_logininfor` VALUES (124, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-10 16:38:27'); +INSERT INTO `sys_logininfor` VALUES (125, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-11 09:24:54'); +INSERT INTO `sys_logininfor` VALUES (126, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'Redis exception; nested exception is io.lettuce.core.RedisException: java.io.IOException: 远程主机强迫关闭了一个现有的连接。', '2025-02-17 17:30:44'); +INSERT INTO `sys_logininfor` VALUES (127, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-17 17:30:59'); +INSERT INTO `sys_logininfor` VALUES (128, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 09:46:12'); +INSERT INTO `sys_logininfor` VALUES (129, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-18 14:58:09'); +INSERT INTO `sys_logininfor` VALUES (130, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'Redis exception; nested exception is io.lettuce.core.RedisException: java.io.IOException: 远程主机强迫关闭了一个现有的连接。', '2025-02-18 15:19:08'); +INSERT INTO `sys_logininfor` VALUES (131, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-18 16:33:21'); +INSERT INTO `sys_logininfor` VALUES (132, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:17:41'); +INSERT INTO `sys_logininfor` VALUES (133, 'admin', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:18:25'); +INSERT INTO `sys_logininfor` VALUES (134, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-18 17:19:21'); +INSERT INTO `sys_logininfor` VALUES (135, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 17:20:53'); +INSERT INTO `sys_logininfor` VALUES (136, 'zhangsan', '192.168.1.95', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 17:26:12'); +INSERT INTO `sys_logininfor` VALUES (137, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-18 17:38:59'); +INSERT INTO `sys_logininfor` VALUES (138, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 18:06:10'); +INSERT INTO `sys_logininfor` VALUES (139, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-18 18:09:38'); +INSERT INTO `sys_logininfor` VALUES (140, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-18 19:34:44'); +INSERT INTO `sys_logininfor` VALUES (141, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-18 19:35:03'); +INSERT INTO `sys_logininfor` VALUES (142, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 19:42:51'); +INSERT INTO `sys_logininfor` VALUES (143, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-18 20:02:04'); +INSERT INTO `sys_logininfor` VALUES (144, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-19 13:58:04'); +INSERT INTO `sys_logininfor` VALUES (145, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-19 14:31:09'); +INSERT INTO `sys_logininfor` VALUES (146, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-19 14:41:36'); +INSERT INTO `sys_logininfor` VALUES (147, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-19 14:42:57'); +INSERT INTO `sys_logininfor` VALUES (148, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-19 14:52:15'); +INSERT INTO `sys_logininfor` VALUES (149, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-19 14:52:22'); +INSERT INTO `sys_logininfor` VALUES (150, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-19 14:56:33'); +INSERT INTO `sys_logininfor` VALUES (151, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-19 14:58:25'); +INSERT INTO `sys_logininfor` VALUES (152, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-02-19 14:59:15'); +INSERT INTO `sys_logininfor` VALUES (153, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-19 14:59:23'); +INSERT INTO `sys_logininfor` VALUES (154, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-19 15:00:40'); +INSERT INTO `sys_logininfor` VALUES (155, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-19 15:00:59'); +INSERT INTO `sys_logininfor` VALUES (156, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-19 18:17:31'); +INSERT INTO `sys_logininfor` VALUES (157, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-20 10:26:46'); +INSERT INTO `sys_logininfor` VALUES (158, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 09:20:13'); +INSERT INTO `sys_logininfor` VALUES (159, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 09:48:31'); +INSERT INTO `sys_logininfor` VALUES (160, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 09:56:49'); +INSERT INTO `sys_logininfor` VALUES (161, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 14:07:43'); +INSERT INTO `sys_logininfor` VALUES (162, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 14:16:00'); +INSERT INTO `sys_logininfor` VALUES (163, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 14:16:22'); +INSERT INTO `sys_logininfor` VALUES (164, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-21 14:16:38'); +INSERT INTO `sys_logininfor` VALUES (165, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 14:23:14'); +INSERT INTO `sys_logininfor` VALUES (166, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 15:33:32'); +INSERT INTO `sys_logininfor` VALUES (167, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 16:10:51'); +INSERT INTO `sys_logininfor` VALUES (168, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 17:40:28'); +INSERT INTO `sys_logininfor` VALUES (169, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-21 17:40:50'); +INSERT INTO `sys_logininfor` VALUES (170, 'admin', '192.168.1.136', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-21 17:58:29'); +INSERT INTO `sys_logininfor` VALUES (171, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 18:08:37'); +INSERT INTO `sys_logininfor` VALUES (172, 'admin', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-21 18:59:42'); +INSERT INTO `sys_logininfor` VALUES (173, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-21 19:43:30'); +INSERT INTO `sys_logininfor` VALUES (174, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-21 20:03:01'); +INSERT INTO `sys_logininfor` VALUES (175, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-21 20:03:21'); +INSERT INTO `sys_logininfor` VALUES (176, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-23 10:03:49'); +INSERT INTO `sys_logininfor` VALUES (177, 'admin', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '退出成功', '2025-02-23 10:04:46'); +INSERT INTO `sys_logininfor` VALUES (178, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '1', '用户不存在/密码错误', '2025-02-23 10:04:55'); +INSERT INTO `sys_logininfor` VALUES (179, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '1', '用户不存在/密码错误', '2025-02-23 10:05:11'); +INSERT INTO `sys_logininfor` VALUES (180, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '1', '用户不存在/密码错误', '2025-02-23 10:05:21'); +INSERT INTO `sys_logininfor` VALUES (181, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '1', '用户不存在/密码错误', '2025-02-23 10:05:26'); +INSERT INTO `sys_logininfor` VALUES (182, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '1', '密码输入错误5次，帐户锁定10分钟', '2025-02-23 10:06:11'); +INSERT INTO `sys_logininfor` VALUES (183, 'zhangsan1', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-02-23 10:09:39'); +INSERT INTO `sys_logininfor` VALUES (184, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-23 10:19:28'); +INSERT INTO `sys_logininfor` VALUES (185, 'zhangsan', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-23 10:46:22'); +INSERT INTO `sys_logininfor` VALUES (186, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', '用户不存在/密码错误', '2025-02-23 10:46:29'); +INSERT INTO `sys_logininfor` VALUES (187, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '1', 'Redis exception; nested exception is io.lettuce.core.RedisException: java.io.IOException: 远程主机强迫关闭了一个现有的连接。', '2025-02-23 10:46:35'); +INSERT INTO `sys_logininfor` VALUES (188, 'zhangsan1', '127.0.0.1', '内网IP', 'Unknown', 'Unknown', '0', '登录成功', '2025-02-23 10:46:47'); +INSERT INTO `sys_logininfor` VALUES (189, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-23 11:17:39'); +INSERT INTO `sys_logininfor` VALUES (190, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-23 11:17:43'); +INSERT INTO `sys_logininfor` VALUES (191, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-24 09:17:50'); +INSERT INTO `sys_logininfor` VALUES (192, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-24 09:19:15'); +INSERT INTO `sys_logininfor` VALUES (193, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-02-24 09:19:20'); +INSERT INTO `sys_logininfor` VALUES (194, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-24 09:31:10'); +INSERT INTO `sys_logininfor` VALUES (195, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-24 09:33:18'); +INSERT INTO `sys_logininfor` VALUES (196, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-02-24 09:35:33'); +INSERT INTO `sys_logininfor` VALUES (197, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-02-24 09:35:43'); +INSERT INTO `sys_logininfor` VALUES (198, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-24 09:35:50'); +INSERT INTO `sys_logininfor` VALUES (199, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-26 16:05:26'); +INSERT INTO `sys_logininfor` VALUES (200, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-02-27 07:55:46'); +INSERT INTO `sys_logininfor` VALUES (201, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 08:47:12'); +INSERT INTO `sys_logininfor` VALUES (202, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-03 08:49:20'); +INSERT INTO `sys_logininfor` VALUES (203, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 08:49:39'); +INSERT INTO `sys_logininfor` VALUES (204, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-03 17:00:49'); +INSERT INTO `sys_logininfor` VALUES (205, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 17:01:04'); +INSERT INTO `sys_logininfor` VALUES (206, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-03 19:04:00'); +INSERT INTO `sys_logininfor` VALUES (207, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:05:16'); +INSERT INTO `sys_logininfor` VALUES (208, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-03 19:06:00'); +INSERT INTO `sys_logininfor` VALUES (209, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:07:53'); +INSERT INTO `sys_logininfor` VALUES (210, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-03 19:14:17'); +INSERT INTO `sys_logininfor` VALUES (211, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:14:23'); +INSERT INTO `sys_logininfor` VALUES (212, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:27:04'); +INSERT INTO `sys_logininfor` VALUES (213, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:43:42'); +INSERT INTO `sys_logininfor` VALUES (214, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:45:36'); +INSERT INTO `sys_logininfor` VALUES (215, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:46:32'); +INSERT INTO `sys_logininfor` VALUES (216, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:51:20'); +INSERT INTO `sys_logininfor` VALUES (217, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:57:16'); +INSERT INTO `sys_logininfor` VALUES (218, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-03 19:58:25'); +INSERT INTO `sys_logininfor` VALUES (219, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 16:05:31'); +INSERT INTO `sys_logininfor` VALUES (220, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-04 16:08:45'); +INSERT INTO `sys_logininfor` VALUES (221, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 16:11:07'); +INSERT INTO `sys_logininfor` VALUES (222, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 16:15:14'); +INSERT INTO `sys_logininfor` VALUES (223, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-04 18:00:58'); +INSERT INTO `sys_logininfor` VALUES (224, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 18:01:07'); +INSERT INTO `sys_logininfor` VALUES (225, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 18:05:47'); +INSERT INTO `sys_logininfor` VALUES (226, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 18:06:52'); +INSERT INTO `sys_logininfor` VALUES (227, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-04 20:28:05'); +INSERT INTO `sys_logininfor` VALUES (228, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '退出成功', '2025-03-04 21:31:00'); +INSERT INTO `sys_logininfor` VALUES (229, 'admin', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '0', '登录成功', '2025-03-04 21:31:23'); +INSERT INTO `sys_logininfor` VALUES (230, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 11', 'Windows 10', '1', '用户不存在/密码错误', '2025-03-04 21:41:19'); +INSERT INTO `sys_logininfor` VALUES (231, 'zhangsan', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 10:50:52'); +INSERT INTO `sys_logininfor` VALUES (232, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 15:38:34'); +INSERT INTO `sys_logininfor` VALUES (233, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 15:45:55'); +INSERT INTO `sys_logininfor` VALUES (234, 'admin', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 15:46:06'); +INSERT INTO `sys_logininfor` VALUES (235, 'admin', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-10 15:50:23'); +INSERT INTO `sys_logininfor` VALUES (236, 'zzccs', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '0', '登录成功', '2025-03-10 16:12:30'); +INSERT INTO `sys_logininfor` VALUES (237, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-10 16:12:51'); +INSERT INTO `sys_logininfor` VALUES (238, 'stzwsy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '登录成功', '2025-03-10 16:13:10'); +INSERT INTO `sys_logininfor` VALUES (239, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '退出成功', '2025-03-10 16:15:35'); +INSERT INTO `sys_logininfor` VALUES (240, 'zzccs', '127.0.0.1', '内网IP', 'Chrome 13', 'Windows 10', '0', '登录成功', '2025-03-10 16:15:41'); +INSERT INTO `sys_logininfor` VALUES (241, 'admin', '127.0.0.1', '内网IP', 'Chrome Mobile', 'Android 6.x', '1', '用户不存在/密码错误', '2025-03-10 16:17:25'); +INSERT INTO `sys_logininfor` VALUES (242, 'nndbrmyy', '127.0.0.1', '内网IP', 'Chrome 12', 'Windows 10', '0', '退出成功', '2025-03-10 17:10:59'); + +-- ---------------------------- +-- Table structure for sys_menu +-- ---------------------------- +DROP TABLE IF EXISTS `sys_menu`; +CREATE TABLE `sys_menu` ( + `menu_id` bigint NOT NULL AUTO_INCREMENT COMMENT '菜单ID', + `menu_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '菜单名称', + `parent_id` bigint NULL DEFAULT 0 COMMENT '父菜单ID', + `order_num` int NULL DEFAULT 0 COMMENT '显示顺序', + `path` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '路由地址', + `component` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '组件路径', + `query` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '路由参数', + `route_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '路由名称', + `is_frame` int NULL DEFAULT 1 COMMENT '是否为外链（0是 1否）', + `is_cache` int NULL DEFAULT 0 COMMENT '是否缓存（0缓存 1不缓存）', + `menu_type` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '菜单类型（M目录 C菜单 F按钮）', + `visible` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '菜单状态（0显示 1隐藏）', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '菜单状态（0正常 1停用）', + `perms` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '权限标识', + `icon` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '#' COMMENT '菜单图标', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '备注', + PRIMARY KEY (`menu_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 1061 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '菜单权限表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_menu +-- ---------------------------- +INSERT INTO `sys_menu` VALUES (1, '系统管理', 0, 1, 'system', NULL, '', '', 1, 0, 'M', '0', '0', '', 'system', 'admin', '2025-02-08 17:42:06', '', NULL, '系统管理目录'); +INSERT INTO `sys_menu` VALUES (2, '系统监控', 0, 2, 'monitor', NULL, '', '', 1, 0, 'M', '0', '0', '', 'monitor', 'admin', '2025-02-08 17:42:06', '', NULL, '系统监控目录'); +INSERT INTO `sys_menu` VALUES (3, '系统工具', 0, 3, 'tool', NULL, '', '', 1, 0, 'M', '0', '0', '', 'tool', 'admin', '2025-02-08 17:42:06', '', NULL, '系统工具目录'); +INSERT INTO `sys_menu` VALUES (4, '若依官网', 0, 4, 'http://acupuncture.vip', NULL, '', '', 0, 0, 'M', '0', '0', '', 'guide', 'admin', '2025-02-08 17:42:06', '', NULL, '若依官网地址'); +INSERT INTO `sys_menu` VALUES (100, '用户管理', 1, 1, 'user', 'system/user/index', '', '', 1, 0, 'C', '0', '0', 'system:user:list', 'user', 'admin', '2025-02-08 17:42:06', '', NULL, '用户管理菜单'); +INSERT INTO `sys_menu` VALUES (101, '角色管理', 1, 2, 'role', 'system/role/index', '', '', 1, 0, 'C', '0', '0', 'system:role:list', 'peoples', 'admin', '2025-02-08 17:42:06', '', NULL, '角色管理菜单'); +INSERT INTO `sys_menu` VALUES (102, '菜单管理', 1, 3, 'menu', 'system/menu/index', '', '', 1, 0, 'C', '0', '0', 'system:menu:list', 'tree-table', 'admin', '2025-02-08 17:42:06', '', NULL, '菜单管理菜单'); +INSERT INTO `sys_menu` VALUES (103, '部门管理', 1, 4, 'dept', 'system/dept/index', '', '', 1, 0, 'C', '0', '0', 'system:dept:list', 'tree', 'admin', '2025-02-08 17:42:06', '', NULL, '部门管理菜单'); +INSERT INTO `sys_menu` VALUES (104, '岗位管理', 1, 5, 'post', 'system/post/index', '', '', 1, 0, 'C', '0', '0', 'system:post:list', 'post', 'admin', '2025-02-08 17:42:06', '', NULL, '岗位管理菜单'); +INSERT INTO `sys_menu` VALUES (105, '字典管理', 1, 6, 'dict', 'system/dict/index', '', '', 1, 0, 'C', '0', '0', 'system:dict:list', 'dict', 'admin', '2025-02-08 17:42:06', '', NULL, '字典管理菜单'); +INSERT INTO `sys_menu` VALUES (106, '参数设置', 1, 7, 'config', 'system/config/index', '', '', 1, 0, 'C', '0', '0', 'system:config:list', 'edit', 'admin', '2025-02-08 17:42:06', '', NULL, '参数设置菜单'); +INSERT INTO `sys_menu` VALUES (107, '通知公告', 1, 8, 'notice', 'system/notice/index', '', '', 1, 0, 'C', '0', '0', 'system:notice:list', 'message', 'admin', '2025-02-08 17:42:06', '', NULL, '通知公告菜单'); +INSERT INTO `sys_menu` VALUES (108, '日志管理', 1, 9, 'log', '', '', '', 1, 0, 'M', '0', '0', '', 'log', 'admin', '2025-02-08 17:42:06', '', NULL, '日志管理菜单'); +INSERT INTO `sys_menu` VALUES (109, '在线用户', 2, 1, 'online', 'monitor/online/index', '', '', 1, 0, 'C', '0', '0', 'monitor:online:list', 'online', 'admin', '2025-02-08 17:42:06', '', NULL, '在线用户菜单'); +INSERT INTO `sys_menu` VALUES (110, '定时任务', 2, 2, 'job', 'monitor/job/index', '', '', 1, 0, 'C', '0', '0', 'monitor:job:list', 'job', 'admin', '2025-02-08 17:42:06', '', NULL, '定时任务菜单'); +INSERT INTO `sys_menu` VALUES (111, '数据监控', 2, 3, 'druid', 'monitor/druid/index', '', '', 1, 0, 'C', '0', '0', 'monitor:druid:list', 'druid', 'admin', '2025-02-08 17:42:06', '', NULL, '数据监控菜单'); +INSERT INTO `sys_menu` VALUES (112, '服务监控', 2, 4, 'server', 'monitor/server/index', '', '', 1, 0, 'C', '0', '0', 'monitor:server:list', 'server', 'admin', '2025-02-08 17:42:06', '', NULL, '服务监控菜单'); +INSERT INTO `sys_menu` VALUES (113, '缓存监控', 2, 5, 'cache', 'monitor/cache/index', '', '', 1, 0, 'C', '0', '0', 'monitor:cache:list', 'redis', 'admin', '2025-02-08 17:42:06', '', NULL, '缓存监控菜单'); +INSERT INTO `sys_menu` VALUES (114, '缓存列表', 2, 6, 'cacheList', 'monitor/cache/list', '', '', 1, 0, 'C', '0', '0', 'monitor:cache:list', 'redis-list', 'admin', '2025-02-08 17:42:06', '', NULL, '缓存列表菜单'); +INSERT INTO `sys_menu` VALUES (115, '表单构建', 3, 1, 'build', 'tool/build/index', '', '', 1, 0, 'C', '0', '0', 'tool:build:list', 'build', 'admin', '2025-02-08 17:42:06', '', NULL, '表单构建菜单'); +INSERT INTO `sys_menu` VALUES (116, '代码生成', 3, 2, 'gen', 'tool/gen/index', '', '', 1, 0, 'C', '0', '0', 'tool:gen:list', 'code', 'admin', '2025-02-08 17:42:06', '', NULL, '代码生成菜单'); +INSERT INTO `sys_menu` VALUES (117, '系统接口', 3, 3, 'swagger', 'tool/swagger/index', '', '', 1, 0, 'C', '0', '0', 'tool:swagger:list', 'swagger', 'admin', '2025-02-08 17:42:06', '', NULL, '系统接口菜单'); +INSERT INTO `sys_menu` VALUES (500, '操作日志', 108, 1, 'operlog', 'monitor/operlog/index', '', '', 1, 0, 'C', '0', '0', 'monitor:operlog:list', 'form', 'admin', '2025-02-08 17:42:06', '', NULL, '操作日志菜单'); +INSERT INTO `sys_menu` VALUES (501, '登录日志', 108, 2, 'logininfor', 'monitor/logininfor/index', '', '', 1, 0, 'C', '0', '0', 'monitor:logininfor:list', 'logininfor', 'admin', '2025-02-08 17:42:06', '', NULL, '登录日志菜单'); +INSERT INTO `sys_menu` VALUES (1000, '用户查询', 100, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1001, '用户新增', 100, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1002, '用户修改', 100, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1003, '用户删除', 100, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1004, '用户导出', 100, 5, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1005, '用户导入', 100, 6, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:import', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1006, '重置密码', 100, 7, '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:resetPwd', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1007, '角色查询', 101, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1008, '角色新增', 101, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1009, '角色修改', 101, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1010, '角色删除', 101, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1011, '角色导出', 101, 5, '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1012, '菜单查询', 102, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1013, '菜单新增', 102, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1014, '菜单修改', 102, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1015, '菜单删除', 102, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1016, '部门查询', 103, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1017, '部门新增', 103, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1018, '部门修改', 103, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1019, '部门删除', 103, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1020, '岗位查询', 104, 1, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1021, '岗位新增', 104, 2, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1022, '岗位修改', 104, 3, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1023, '岗位删除', 104, 4, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1024, '岗位导出', 104, 5, '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1025, '字典查询', 105, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1026, '字典新增', 105, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1027, '字典修改', 105, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1028, '字典删除', 105, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1029, '字典导出', 105, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1030, '参数查询', 106, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1031, '参数新增', 106, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1032, '参数修改', 106, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1033, '参数删除', 106, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1034, '参数导出', 106, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1035, '公告查询', 107, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1036, '公告新增', 107, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1037, '公告修改', 107, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1038, '公告删除', 107, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1039, '操作查询', 500, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1040, '操作删除', 500, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1041, '日志导出', 500, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1042, '登录查询', 501, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1043, '登录删除', 501, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1044, '日志导出', 501, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1045, '账户解锁', 501, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:unlock', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1046, '在线查询', 109, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1047, '批量强退', 109, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:batchLogout', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1048, '单条强退', 109, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:forceLogout', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1049, '任务查询', 110, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1050, '任务新增', 110, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:add', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1051, '任务修改', 110, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1052, '任务删除', 110, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1053, '状态修改', 110, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:changeStatus', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1054, '任务导出', 110, 6, '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:export', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1055, '生成查询', 116, 1, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:query', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1056, '生成修改', 116, 2, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:edit', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1057, '生成删除', 116, 3, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:remove', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1058, '导入代码', 116, 4, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:import', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1059, '预览代码', 116, 5, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:preview', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_menu` VALUES (1060, '生成代码', 116, 6, '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:code', '#', 'admin', '2025-02-08 17:42:06', '', NULL, ''); + +-- ---------------------------- +-- Table structure for sys_notice +-- ---------------------------- +DROP TABLE IF EXISTS `sys_notice`; +CREATE TABLE `sys_notice` ( + `notice_id` int NOT NULL AUTO_INCREMENT COMMENT '公告ID', + `notice_title` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '公告标题', + `notice_type` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '公告类型（1通知 2公告）', + `notice_content` longblob NULL COMMENT '公告内容', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '公告状态（0正常 1关闭）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`notice_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 3 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '通知公告表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_notice +-- ---------------------------- +INSERT INTO `sys_notice` VALUES (1, '温馨提醒：2018-07-01 若依新版本发布啦', '2', 0xE696B0E78988E69CACE58685E5AEB9, '0', 'admin', '2025-02-08 17:42:07', '', NULL, '管理员'); +INSERT INTO `sys_notice` VALUES (2, '维护通知：2018-07-01 若依系统凌晨维护', '1', 0xE7BBB4E68AA4E58685E5AEB9, '0', 'admin', '2025-02-08 17:42:07', '', NULL, '管理员'); + +-- ---------------------------- +-- Table structure for sys_oper_log +-- ---------------------------- +DROP TABLE IF EXISTS `sys_oper_log`; +CREATE TABLE `sys_oper_log` ( + `oper_id` bigint NOT NULL AUTO_INCREMENT COMMENT '日志主键', + `title` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '模块标题', + `business_type` int NULL DEFAULT 0 COMMENT '业务类型（0其它 1新增 2修改 3删除）', + `method` varchar(200) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '方法名称', + `request_method` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '请求方式', + `operator_type` int NULL DEFAULT 0 COMMENT '操作类别（0其它 1后台用户 2手机端用户）', + `oper_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '操作人员', + `dept_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '部门名称', + `oper_url` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '请求URL', + `oper_ip` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '主机地址', + `oper_location` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '操作地点', + `oper_param` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '请求参数', + `json_result` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '返回参数', + `status` int NULL DEFAULT 0 COMMENT '操作状态（0正常 1异常）', + `error_msg` varchar(2000) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '错误消息', + `oper_time` datetime NULL DEFAULT NULL COMMENT '操作时间', + `cost_time` bigint NULL DEFAULT 0 COMMENT '消耗时间', + PRIMARY KEY (`oper_id`) USING BTREE, + INDEX `idx_sys_oper_log_bt`(`business_type` ASC) USING BTREE, + INDEX `idx_sys_oper_log_s`(`status` ASC) USING BTREE, + INDEX `idx_sys_oper_log_ot`(`oper_time` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 29 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '操作日志记录' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_oper_log +-- ---------------------------- +INSERT INTO `sys_oper_log` VALUES (1, '用户管理', 5, 'com.acupuncture.web.controller.system.SysUserController.export()', 'POST', 1, 'zhangsan', NULL, '/system/user/export', '127.0.0.1', '内网IP', '{\"admin\":false,\"params\":{\"dataScope\":\"\"}}', NULL, 1, '', '2025-02-18 17:39:58', 6); +INSERT INTO `sys_oper_log` VALUES (2, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member\",\"createTime\":\"2025-02-08 17:42:06\",\"icon\":\"github\",\"isCache\":\"0\",\"isFrame\":\"0\",\"menuId\":4,\"menuName\":\"成员管理\",\"menuType\":\"M\",\"orderNum\":4,\"params\":{},\"parentId\":0,\"path\":\"member\",\"perms\":\"member\",\"query\":\"\",\"routeName\":\"\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"修改菜单\'成员管理\'失败，地址必须以http(s)://开头\",\"code\":500}', 0, NULL, '2025-02-21 10:59:22', 15); +INSERT INTO `sys_oper_log` VALUES (3, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member\",\"createTime\":\"2025-02-08 17:42:06\",\"icon\":\"github\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":4,\"menuName\":\"成员管理\",\"menuType\":\"M\",\"orderNum\":4,\"params\":{},\"parentId\":0,\"path\":\"member\",\"perms\":\"member\",\"query\":\"\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 10:59:28', 10); +INSERT INTO `sys_oper_log` VALUES (4, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member/index.vue\",\"createBy\":\"admin\",\"icon\":\"build\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuName\":\"主治管理\",\"menuType\":\"C\",\"orderNum\":1,\"params\":{},\"parentId\":4,\"path\":\"/index\",\"perms\":\"member:index\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:00:24', 9); +INSERT INTO `sys_oper_log` VALUES (5, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member/index.vue\",\"createTime\":\"2025-02-21 11:00:24\",\"icon\":\"build\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1063,\"menuName\":\"组织管理\",\"menuType\":\"C\",\"orderNum\":1,\"params\":{},\"parentId\":4,\"path\":\"/memberIndex\",\"perms\":\"member:index\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:06:39', 13); +INSERT INTO `sys_oper_log` VALUES (6, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member\",\"createTime\":\"2025-02-08 17:42:06\",\"icon\":\"peoples\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":4,\"menuName\":\"成员管理\",\"menuType\":\"M\",\"orderNum\":4,\"params\":{},\"parentId\":0,\"path\":\"/member/index\",\"perms\":\"member\",\"query\":\"\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:08:08', 9); +INSERT INTO `sys_oper_log` VALUES (7, '菜单管理', 3, 'com.acupuncture.web.controller.system.SysMenuController.remove()', 'DELETE', 1, 'admin', NULL, '/system/menu/4', '127.0.0.1', '内网IP', '4', '{\"msg\":\"存在子菜单,不允许删除\",\"code\":601}', 0, NULL, '2025-02-21 11:08:22', 2); +INSERT INTO `sys_oper_log` VALUES (8, '菜单管理', 3, 'com.acupuncture.web.controller.system.SysMenuController.remove()', 'DELETE', 1, 'admin', NULL, '/system/menu/1063', '127.0.0.1', '内网IP', '1063', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:08:26', 11); +INSERT INTO `sys_oper_log` VALUES (9, '菜单管理', 3, 'com.acupuncture.web.controller.system.SysMenuController.remove()', 'DELETE', 1, 'admin', NULL, '/system/menu/4', '127.0.0.1', '内网IP', '4', '{\"msg\":\"菜单已分配,不允许删除\",\"code\":601}', 0, NULL, '2025-02-21 11:08:28', 2); +INSERT INTO `sys_oper_log` VALUES (10, '菜单管理', 3, 'com.acupuncture.web.controller.system.SysMenuController.remove()', 'DELETE', 1, 'admin', NULL, '/system/menu/4', '127.0.0.1', '内网IP', '4', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:08:46', 9); +INSERT INTO `sys_oper_log` VALUES (11, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"createBy\":\"admin\",\"icon\":\"peoples\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuName\":\"成员管理\",\"menuType\":\"M\",\"orderNum\":4,\"params\":{},\"parentId\":0,\"path\":\"member\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:09:06', 8); +INSERT INTO `sys_oper_log` VALUES (12, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"/member/index.vue\",\"createTime\":\"2025-02-21 11:09:06\",\"icon\":\"peoples\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1064,\"menuName\":\"成员管理\",\"menuType\":\"C\",\"orderNum\":4,\"params\":{},\"parentId\":0,\"path\":\"/memberIndex\",\"perms\":\"\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:09:36', 6); +INSERT INTO `sys_oper_log` VALUES (13, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member/index.vue\",\"createTime\":\"2025-02-21 11:09:06\",\"icon\":\"peoples\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1064,\"menuName\":\"成员管理\",\"menuType\":\"C\",\"orderNum\":4,\"params\":{},\"parentId\":0,\"path\":\"/memberIndex\",\"perms\":\"member:index.vue\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:09:50', 8); +INSERT INTO `sys_oper_log` VALUES (14, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"patientFile/index.vue\",\"createTime\":\"2025-02-11 14:32:30\",\"icon\":\"date-range\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1061,\"menuName\":\"患者档案\",\"menuType\":\"C\",\"orderNum\":5,\"params\":{},\"parentId\":0,\"path\":\"patientFile/index\",\"perms\":\"patientFile:index\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:10:04', 15); +INSERT INTO `sys_oper_log` VALUES (15, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"medicalFile/index.vue\",\"createTime\":\"2025-02-12 14:23:01\",\"icon\":\"education\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1062,\"menuName\":\"诊疗档案\",\"menuType\":\"C\",\"orderNum\":6,\"params\":{},\"parentId\":0,\"path\":\"medicalFile/index\",\"perms\":\"medicalFile:index\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:10:09', 8); +INSERT INTO `sys_oper_log` VALUES (16, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member/Index.vue\",\"createBy\":\"admin\",\"icon\":\"component\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuName\":\"组织管理\",\"menuType\":\"C\",\"orderNum\":1,\"params\":{},\"parentId\":1064,\"path\":\"/memberIndex\",\"perms\":\"member:index\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:11:35', 7); +INSERT INTO `sys_oper_log` VALUES (17, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member/index.vue\",\"createTime\":\"2025-02-21 11:11:35\",\"icon\":\"component\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1065,\"menuName\":\"组织管理\",\"menuType\":\"C\",\"orderNum\":1,\"params\":{},\"parentId\":1064,\"path\":\"/memberIndex\",\"perms\":\"member:index\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 11:12:17', 13); +INSERT INTO `sys_oper_log` VALUES (18, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member/index.vue\",\"createTime\":\"2025-02-21 11:11:35\",\"icon\":\"component\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1065,\"menuName\":\"组织管理\",\"menuType\":\"C\",\"orderNum\":2,\"params\":{},\"parentId\":1064,\"path\":\"/memberIndex\",\"perms\":\"member:index\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 13:57:05', 25); +INSERT INTO `sys_oper_log` VALUES (19, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"member/dataSources.vue\",\"createTime\":\"2025-02-21 13:58:22\",\"icon\":\"radio\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1066,\"menuName\":\"数据源管理\",\"menuType\":\"C\",\"orderNum\":1,\"params\":{},\"parentId\":1064,\"path\":\"/dataSources\",\"perms\":\"member:dataSources\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 13:58:47', 7); +INSERT INTO `sys_oper_log` VALUES (20, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"createTime\":\"2025-02-21 15:41:30\",\"icon\":\"edit\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1068,\"menuName\":\"随访档案\",\"menuType\":\"M\",\"orderNum\":7,\"params\":{},\"parentId\":0,\"path\":\"/followFile\",\"perms\":\"\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 16:25:38', 27); +INSERT INTO `sys_oper_log` VALUES (21, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"report/type.vue\",\"createBy\":\"admin\",\"icon\":\"color\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuName\":\"上报类型\",\"menuType\":\"C\",\"orderNum\":1,\"params\":{},\"parentId\":1072,\"path\":\"type\",\"perms\":\"report:type\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 16:28:17', 9); +INSERT INTO `sys_oper_log` VALUES (22, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"report/manage\",\"createBy\":\"admin\",\"icon\":\"nested\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuName\":\"上报管理\",\"menuType\":\"C\",\"orderNum\":2,\"params\":{},\"parentId\":1072,\"path\":\"manage\",\"perms\":\"report:manage\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-02-21 16:29:05', 7); +INSERT INTO `sys_oper_log` VALUES (23, '用户头像', 2, 'com.acupuncture.web.controller.system.SysProfileController.avatar()', 'POST', 1, 'zhangsan', NULL, '/system/user/profile/avatar', '127.0.0.1', '内网IP', '', '{\"msg\":\"操作成功\",\"imgUrl\":\"/profile/avatar/2025/03/03/zj_20250303192631A001.png\",\"code\":200}', 0, NULL, '2025-03-03 19:26:31', 145); +INSERT INTO `sys_oper_log` VALUES (24, '菜单管理', 1, 'com.acupuncture.web.controller.system.SysMenuController.add()', 'POST', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"medicalFile/details.vue\",\"createBy\":\"admin\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuName\":\"诊疗档案详情\",\"menuType\":\"C\",\"orderNum\":6,\"params\":{},\"parentId\":0,\"path\":\"medicalFile/details\",\"perms\":\"medicalFile:details\",\"status\":\"0\",\"visible\":\"0\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-03 19:32:18', 20); +INSERT INTO `sys_oper_log` VALUES (25, '菜单管理', 2, 'com.acupuncture.web.controller.system.SysMenuController.edit()', 'PUT', 1, 'admin', NULL, '/system/menu', '127.0.0.1', '内网IP', '{\"children\":[],\"component\":\"medicalFile/details.vue\",\"createTime\":\"2025-03-03 19:32:18\",\"icon\":\"#\",\"isCache\":\"0\",\"isFrame\":\"1\",\"menuId\":1075,\"menuName\":\"诊疗档案详情\",\"menuType\":\"C\",\"orderNum\":6,\"params\":{},\"parentId\":0,\"path\":\"medicalFile/details\",\"perms\":\"medicalFile:details\",\"routeName\":\"\",\"status\":\"0\",\"updateBy\":\"admin\",\"visible\":\"1\"}', '{\"msg\":\"操作成功\",\"code\":200}', 0, NULL, '2025-03-03 19:34:40', 10); +INSERT INTO `sys_oper_log` VALUES (26, '用户头像', 2, 'com.acupuncture.web.controller.system.SysProfileController.avatar()', 'POST', 1, 'admin', NULL, '/system/user/profile/avatar', '127.0.0.1', '内网IP', '', '{\"msg\":\"操作成功\",\"imgUrl\":\"/profile/avatar/2025/03/03/zj_20250303194115A002.png\",\"code\":200}', 0, NULL, '2025-03-03 19:41:15', 9); +INSERT INTO `sys_oper_log` VALUES (27, '用户头像', 2, 'com.acupuncture.web.controller.system.SysProfileController.avatar()', 'POST', 1, 'admin', NULL, '/system/user/profile/avatar', '127.0.0.1', '内网IP', '', '{\"msg\":\"操作成功\",\"imgUrl\":\"/profile/avatar/2025/03/03/zj_20250303194558A003.png\",\"code\":200}', 0, NULL, '2025-03-03 19:45:58', 15); +INSERT INTO `sys_oper_log` VALUES (28, '用户头像', 2, 'com.acupuncture.web.controller.system.SysProfileController.avatar()', 'POST', 1, 'admin', NULL, '/system/user/profile/avatar', '127.0.0.1', '内网IP', '', '{\"msg\":\"操作成功\",\"imgUrl\":\"/profile/avatar/2025/03/04/zj_20250304161138A004.png\",\"code\":200}', 0, NULL, '2025-03-04 16:11:38', 10); + +-- ---------------------------- +-- Table structure for sys_post +-- ---------------------------- +DROP TABLE IF EXISTS `sys_post`; +CREATE TABLE `sys_post` ( + `post_id` bigint NOT NULL AUTO_INCREMENT COMMENT '岗位ID', + `post_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '岗位编码', + `post_name` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '岗位名称', + `post_sort` int NOT NULL COMMENT '显示顺序', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '状态（0正常 1停用）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`post_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 5 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '岗位信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_post +-- ---------------------------- +INSERT INTO `sys_post` VALUES (1, 'ceo', '董事长', 1, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_post` VALUES (2, 'se', '项目经理', 2, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_post` VALUES (3, 'hr', '人力资源', 3, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); +INSERT INTO `sys_post` VALUES (4, 'user', '普通员工', 4, '0', 'admin', '2025-02-08 17:42:06', '', NULL, ''); + +-- ---------------------------- +-- Table structure for sys_role +-- ---------------------------- +DROP TABLE IF EXISTS `sys_role`; +CREATE TABLE `sys_role` ( + `role_id` bigint NOT NULL AUTO_INCREMENT COMMENT '角色ID', + `role_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '角色名称', + `role_key` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '角色权限字符串', + `role_sort` int NOT NULL COMMENT '显示顺序', + `data_scope` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '1' COMMENT '数据范围（1：全部数据权限 2：自定数据权限 3：本部门数据权限 4：本部门及以下数据权限）', + `menu_check_strictly` tinyint(1) NULL DEFAULT 1 COMMENT '菜单树选择项是否关联显示', + `dept_check_strictly` tinyint(1) NULL DEFAULT 1 COMMENT '部门树选择项是否关联显示', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '角色状态（0正常 1停用）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`role_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 4 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '角色信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_role +-- ---------------------------- +INSERT INTO `sys_role` VALUES (1, '超级管理员', 'admin', 1, '1', 1, 1, '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '超级管理员'); +INSERT INTO `sys_role` VALUES (2, '普通角色', 'common', 2, '2', 1, 1, '0', '0', 'admin', '2025-02-08 17:42:06', '', NULL, '普通角色'); +INSERT INTO `sys_role` VALUES (3, '前台-审核角色', 'qt_shjs', 3, '1', 1, 1, '0', '0', 'admin', '2025-03-16 11:56:45', '', NULL, NULL); + +-- ---------------------------- +-- Table structure for sys_role_dept +-- ---------------------------- +DROP TABLE IF EXISTS `sys_role_dept`; +CREATE TABLE `sys_role_dept` ( + `role_id` bigint NOT NULL COMMENT '角色ID', + `dept_id` bigint NOT NULL COMMENT '部门ID', + PRIMARY KEY (`role_id`, `dept_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '角色和部门关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_role_dept +-- ---------------------------- +INSERT INTO `sys_role_dept` VALUES (2, 100); +INSERT INTO `sys_role_dept` VALUES (2, 101); +INSERT INTO `sys_role_dept` VALUES (2, 105); + +-- ---------------------------- +-- Table structure for sys_role_menu +-- ---------------------------- +DROP TABLE IF EXISTS `sys_role_menu`; +CREATE TABLE `sys_role_menu` ( + `role_id` bigint NOT NULL COMMENT '角色ID', + `menu_id` bigint NOT NULL COMMENT '菜单ID', + PRIMARY KEY (`role_id`, `menu_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '角色和菜单关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_role_menu +-- ---------------------------- +INSERT INTO `sys_role_menu` VALUES (2, 1); +INSERT INTO `sys_role_menu` VALUES (2, 2); +INSERT INTO `sys_role_menu` VALUES (2, 3); +INSERT INTO `sys_role_menu` VALUES (2, 4); +INSERT INTO `sys_role_menu` VALUES (2, 100); +INSERT INTO `sys_role_menu` VALUES (2, 101); +INSERT INTO `sys_role_menu` VALUES (2, 102); +INSERT INTO `sys_role_menu` VALUES (2, 103); +INSERT INTO `sys_role_menu` VALUES (2, 104); +INSERT INTO `sys_role_menu` VALUES (2, 105); +INSERT INTO `sys_role_menu` VALUES (2, 106); +INSERT INTO `sys_role_menu` VALUES (2, 107); +INSERT INTO `sys_role_menu` VALUES (2, 108); +INSERT INTO `sys_role_menu` VALUES (2, 109); +INSERT INTO `sys_role_menu` VALUES (2, 110); +INSERT INTO `sys_role_menu` VALUES (2, 111); +INSERT INTO `sys_role_menu` VALUES (2, 112); +INSERT INTO `sys_role_menu` VALUES (2, 113); +INSERT INTO `sys_role_menu` VALUES (2, 114); +INSERT INTO `sys_role_menu` VALUES (2, 115); +INSERT INTO `sys_role_menu` VALUES (2, 116); +INSERT INTO `sys_role_menu` VALUES (2, 117); +INSERT INTO `sys_role_menu` VALUES (2, 500); +INSERT INTO `sys_role_menu` VALUES (2, 501); +INSERT INTO `sys_role_menu` VALUES (2, 1000); +INSERT INTO `sys_role_menu` VALUES (2, 1001); +INSERT INTO `sys_role_menu` VALUES (2, 1002); +INSERT INTO `sys_role_menu` VALUES (2, 1003); +INSERT INTO `sys_role_menu` VALUES (2, 1004); +INSERT INTO `sys_role_menu` VALUES (2, 1005); +INSERT INTO `sys_role_menu` VALUES (2, 1006); +INSERT INTO `sys_role_menu` VALUES (2, 1007); +INSERT INTO `sys_role_menu` VALUES (2, 1008); +INSERT INTO `sys_role_menu` VALUES (2, 1009); +INSERT INTO `sys_role_menu` VALUES (2, 1010); +INSERT INTO `sys_role_menu` VALUES (2, 1011); +INSERT INTO `sys_role_menu` VALUES (2, 1012); +INSERT INTO `sys_role_menu` VALUES (2, 1013); +INSERT INTO `sys_role_menu` VALUES (2, 1014); +INSERT INTO `sys_role_menu` VALUES (2, 1015); +INSERT INTO `sys_role_menu` VALUES (2, 1016); +INSERT INTO `sys_role_menu` VALUES (2, 1017); +INSERT INTO `sys_role_menu` VALUES (2, 1018); +INSERT INTO `sys_role_menu` VALUES (2, 1019); +INSERT INTO `sys_role_menu` VALUES (2, 1020); +INSERT INTO `sys_role_menu` VALUES (2, 1021); +INSERT INTO `sys_role_menu` VALUES (2, 1022); +INSERT INTO `sys_role_menu` VALUES (2, 1023); +INSERT INTO `sys_role_menu` VALUES (2, 1024); +INSERT INTO `sys_role_menu` VALUES (2, 1025); +INSERT INTO `sys_role_menu` VALUES (2, 1026); +INSERT INTO `sys_role_menu` VALUES (2, 1027); +INSERT INTO `sys_role_menu` VALUES (2, 1028); +INSERT INTO `sys_role_menu` VALUES (2, 1029); +INSERT INTO `sys_role_menu` VALUES (2, 1030); +INSERT INTO `sys_role_menu` VALUES (2, 1031); +INSERT INTO `sys_role_menu` VALUES (2, 1032); +INSERT INTO `sys_role_menu` VALUES (2, 1033); +INSERT INTO `sys_role_menu` VALUES (2, 1034); +INSERT INTO `sys_role_menu` VALUES (2, 1035); +INSERT INTO `sys_role_menu` VALUES (2, 1036); +INSERT INTO `sys_role_menu` VALUES (2, 1037); +INSERT INTO `sys_role_menu` VALUES (2, 1038); +INSERT INTO `sys_role_menu` VALUES (2, 1039); +INSERT INTO `sys_role_menu` VALUES (2, 1040); +INSERT INTO `sys_role_menu` VALUES (2, 1041); +INSERT INTO `sys_role_menu` VALUES (2, 1042); +INSERT INTO `sys_role_menu` VALUES (2, 1043); +INSERT INTO `sys_role_menu` VALUES (2, 1044); +INSERT INTO `sys_role_menu` VALUES (2, 1045); +INSERT INTO `sys_role_menu` VALUES (2, 1046); +INSERT INTO `sys_role_menu` VALUES (2, 1047); +INSERT INTO `sys_role_menu` VALUES (2, 1048); +INSERT INTO `sys_role_menu` VALUES (2, 1049); +INSERT INTO `sys_role_menu` VALUES (2, 1050); +INSERT INTO `sys_role_menu` VALUES (2, 1051); +INSERT INTO `sys_role_menu` VALUES (2, 1052); +INSERT INTO `sys_role_menu` VALUES (2, 1053); +INSERT INTO `sys_role_menu` VALUES (2, 1054); +INSERT INTO `sys_role_menu` VALUES (2, 1055); +INSERT INTO `sys_role_menu` VALUES (2, 1056); +INSERT INTO `sys_role_menu` VALUES (2, 1057); +INSERT INTO `sys_role_menu` VALUES (2, 1058); +INSERT INTO `sys_role_menu` VALUES (2, 1059); +INSERT INTO `sys_role_menu` VALUES (2, 1060); +INSERT INTO `sys_role_menu` VALUES (3, 1062); +INSERT INTO `sys_role_menu` VALUES (3, 1076); + +-- ---------------------------- +-- Table structure for sys_user +-- ---------------------------- +DROP TABLE IF EXISTS `sys_user`; +CREATE TABLE `sys_user` ( + `user_id` bigint NOT NULL AUTO_INCREMENT COMMENT '用户ID', + `dept_id` bigint NULL DEFAULT NULL COMMENT '部门ID', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '租户ID，关联主库dms_tenant的ID', + `user_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户账号', + `nick_name` varchar(30) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '用户昵称', + `user_type` varchar(2) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '00' COMMENT '用户类型（00系统用户）', + `email` varchar(50) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '用户邮箱', + `phonenumber` varchar(11) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '手机号码', + `sex` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '用户性别（0男 1女 2未知）', + `avatar` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '头像地址', + `password` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '密码', + `status` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '帐号状态（0正常 1停用）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `login_ip` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '最后登录IP', + `login_date` datetime NULL DEFAULT NULL COMMENT '最后登录时间', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` datetime NULL DEFAULT NULL COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` datetime NULL DEFAULT NULL COMMENT '更新时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + `slaver_admin` tinyint NULL DEFAULT NULL COMMENT '是否具有审核权限(0不具有； 1具有)', + `tenant_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '租户名称', + `tenant_phone` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '租户联系人手机号', + PRIMARY KEY (`user_id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 1905863278017683457 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '用户信息表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_user +-- ---------------------------- +INSERT INTO `sys_user` VALUES (1, 103, NULL, 'admin', '若依', '00', 'ry@163.com', '15888888888', '1', '', '$2a$10$7JB720yubVSZvUI0rEqK/.VqGOZTH.ulu33dHOiBE8ByOhJIrdAu2', '0', '0', '127.0.0.1', '2025-02-08 17:42:06', 'admin', '2025-02-08 17:42:06', '', NULL, '管理员', NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (2, 105, 2, 'zhangsan', '张三', '00', 'ry@qq.com', '15666666666', '0', '', '$2a$10$7JB720yubVSZvUI0rEqK/.VqGOZTH.ulu33dHOiBE8ByOhJIrdAu2', '0', '0', '127.0.0.1', '2025-02-08 17:42:06', 'admin', '2025-02-08 17:42:06', '', '2025-04-03 17:26:38', '测试员', 1, NULL, NULL); +INSERT INTO `sys_user` VALUES (3, 110, 2, 'zhangsan', '张三11', '01', '', '13888888888', '0', '/profile/avatar/2025/03/03/zj_20250303192631A001.png', '$2a$10$.s6GB19ejMR/q8vb1lcZ6.02GtMMl/6x85ob7e6CKznci53qv1jsC', '0', '0', '', NULL, '', NULL, '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (4, 110, 2, 'guanlizhangsan', '管理张三', '00', '13888888888', '13888888888', '0', '0', '$2a$10$7JB720yubVSZvUI0rEqK/.VqGOZTH.ulu33dHOiBE8ByOhJIrdAu2', '0', '0', NULL, '2025-02-14 13:52:31', '', NULL, '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (9, NULL, 2, 'zhangsan1', '张三', '00', '', '18888888888', '0', '', '$2a$10$WhkYJ3CmMiHp4yxjD6gHVuGsJDiwSdpqaJG.mnF.ZmiHYvsRGgo5a', '0', '2', '', NULL, 'zhangsan', '2025-02-14 16:18:15', '', NULL, NULL, NULL, NULL, NULL); +INSERT INTO `sys_user` VALUES (10, NULL, 2, 'cszh', '测试账号', '00', '', '', '0', '', '$2a$10$dPZR4HIcnz3VTrsg33d5n.m941Je0TuGMqFKPCNllfphHGmznwJ1S', '0', '2', '', NULL, 'admin', '2025-03-28 20:53:02', '', NULL, NULL, 1, NULL, NULL); +INSERT INTO `sys_user` VALUES (11, NULL, 2, 'cszh1', '测试账号', '00', '', '', '0', '', '$2a$10$O08I55Ot07fBBCZwgkgLS.kCz5hw6MIW7VqWurqO46O.7WfUp1EDK', '0', '0', '', NULL, 'admin', '2025-03-28 21:06:09', '', NULL, NULL, 1, NULL, NULL); +INSERT INTO `sys_user` VALUES (12, NULL, 2, 'cszh2', '测试账号2', '00', '', '', '0', '', '$2a$10$3qyZ8amz69gtgZz4avMYFeEWxJfQzraN6g/PE4wQ5LaoApTW8xBFq', '0', '0', '', NULL, 'admin', '2025-03-28 21:15:54', '', NULL, NULL, 1, NULL, NULL); +INSERT INTO `sys_user` VALUES (13, NULL, 2, 'cszh3', '测试账号3', '00', '', '', '0', '', '$2a$10$VPTK1QK0rFHq.Nf1lND.feiWR4.aKZKC8GoThOAe2ibsIdp5lVBcS', '0', '0', '', NULL, 'admin', '2025-03-28 21:30:37', '', NULL, NULL, 1, NULL, NULL); +INSERT INTO `sys_user` VALUES (1905863278017683456, NULL, 2, 'cszh4', '测试账号45', '00', '', '', '0', '', '$2a$10$pyiM6nFa25V.NRdcWNqpMuU5myExbEsgmqukS4mFcJioN8FXRgV4y', '0', '0', '', NULL, 'admin', '2025-03-29 14:03:09', '', '2025-03-29 14:10:32', NULL, 0, NULL, NULL); + +-- ---------------------------- +-- Table structure for sys_user_post +-- ---------------------------- +DROP TABLE IF EXISTS `sys_user_post`; +CREATE TABLE `sys_user_post` ( + `user_id` bigint NOT NULL COMMENT '用户ID', + `post_id` bigint NOT NULL COMMENT '岗位ID', + PRIMARY KEY (`user_id`, `post_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '用户与岗位关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_user_post +-- ---------------------------- +INSERT INTO `sys_user_post` VALUES (1, 1); + +-- ---------------------------- +-- Table structure for sys_user_role +-- ---------------------------- +DROP TABLE IF EXISTS `sys_user_role`; +CREATE TABLE `sys_user_role` ( + `user_id` bigint NOT NULL COMMENT '用户ID', + `role_id` bigint NOT NULL COMMENT '角色ID', + PRIMARY KEY (`user_id`, `role_id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '用户和角色关联表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of sys_user_role +-- ---------------------------- +INSERT INTO `sys_user_role` VALUES (1, 1); + +-- ---------------------------- +-- Table structure for ums_data_source +-- ---------------------------- +DROP TABLE IF EXISTS `ums_data_source`; +CREATE TABLE `ums_data_source` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT 'id', + `data_source_key` varchar(128) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '数据源唯一key', + `hospital_id` bigint NULL DEFAULT NULL COMMENT '医院id', + `url` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '路径', + `username` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '用户名', + `password` varchar(512) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '密码', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '创建者的用户名', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT ' 创建时间 ', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '更新者的用户名', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT ' 修改时间 ', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '记录状态 0-正常 1-删除', + `type` tinyint NULL DEFAULT NULL COMMENT '0 mysql 1oracle', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 1862715549393719297 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '数据源表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of ums_data_source +-- ---------------------------- +INSERT INTO `ums_data_source` VALUES (2, 'SXYFYY', 110, 'jdbc:mysql://sd.tall.wiki:3306/acupuncture_yfyy?useUnicode=true&characterEncoding=utf8&zeroDateTimeBehavior=convertToNull&useSSL=true&serverTimezone=GMT%2B8', 'root', 'po3OynBO[M3579p6L7)o', NULL, '2025-02-10 14:19:54', NULL, '2025-02-11 10:45:06', 0, NULL); + +-- ---------------------------- +-- Table structure for upl_report_image +-- ---------------------------- +DROP TABLE IF EXISTS `upl_report_image`; +CREATE TABLE `upl_report_image` ( + `id` bigint NOT NULL COMMENT '主键ID', + `member_id` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '患者唯一编号（关联memberid）', + `file_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '存储的文件名（示例：13902345678_202304281014.jpg）', + `file_path` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '服务器文件存储路径', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0存在 2删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT '修改时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '报告图片上传表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of upl_report_image +-- ---------------------------- +INSERT INTO `upl_report_image` VALUES (1901455443377541120, '123456', '/profile/upload/2025/03/17/123456_20250317100758A001.jpg', 'http://127.0.0.1:20001/profile/upload/2025/03/17/123456_20250317100758A001.jpg', 0, NULL, '', '2025-03-17 10:07:59', '', '2025-03-17 10:08:03', NULL); +INSERT INTO `upl_report_image` VALUES (1901462262762209280, '112', '/profile/upload/2025/03/17/13902345678_20250317103505A001.jpg', 'http://127.0.0.1:20001/profile/upload/2025/03/17/13902345678_20250317103505A001.jpg', 0, NULL, '', '2025-03-17 10:35:05', '', '2025-03-17 15:16:44', NULL); +INSERT INTO `upl_report_image` VALUES (1901537708341518336, '139023456789', '/profile/upload/2025/03/17/139023456789_20250317153453A001.jpg', 'http://test.tall.wiki/profile/upload/2025/03/17/139023456789_20250317153453A001.jpg', 0, NULL, '', '2025-03-17 15:34:53', '', '2025-03-17 15:34:53', NULL); + +-- ---------------------------- +-- Table structure for upl_rtcf_info +-- ---------------------------- +DROP TABLE IF EXISTS `upl_rtcf_info`; +CREATE TABLE `upl_rtcf_info` ( + `id` bigint NOT NULL COMMENT '队列ID', + `message` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '队列名称', + `uuid` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '单位代码', + `device_id` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '仪器编号', + `device_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '仪器型号', + `memberid` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测试者编号', + `test_id` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测试序号', + `test_date` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测试日期', + `name` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '姓名（UTF-8编码）', + `sex` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '性别 （男1，女2）', + `height` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身高', + `birth_year` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '出生年份', + `weight` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重', + `fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪', + `bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨质', + `protein` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '蛋白质', + `water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水分', + `muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉', + `smm` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨骼肌', + `pbf` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体脂百分比', + `bmi` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质指数', + `bmr` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '基础代谢', + `whr` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '腰臀比（2位小数）', + `edema` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水肿系数（2位小数）', + `vfi` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '内脏脂肪指数', + `body_age` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身体年龄', + `score` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '健康评分', + `body_type` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体型判定', + `lbm` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '瘦体重（去脂体重）', + `icw` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '细胞内液', + `ecw` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '细胞外液', + `standard_weight` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '目标体重', + `weight_control` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重控制', + `fat_control` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪控制量', + `muscle_control` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉控制量', + `liver_risk` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪肝风险系数', + `asmi` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '四肢骨骼肌指数', + `tr_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干脂肪量', + `la_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢脂肪', + `ra_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢脂肪', + `ll_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢脂肪', + `rl_fat` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢脂肪', + `tr_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干水分量', + `la_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢水分', + `ra_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢水分', + `ll_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢水分', + `rl_water` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢水分', + `tr_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干肌肉量', + `la_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢肌肉', + `ra_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢肌肉', + `ll_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢肌肉', + `rl_muscle` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢肌肉', + `tr_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '躯干骨质', + `la_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左上肢骨质', + `ra_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右上肢骨质', + `ll_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '左下肢骨质', + `rl_bone` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '右下肢骨质', + `weight_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重正常范围高值', + `weight_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体重正常范围低值', + `fat_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪正常范围高值', + `fat_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '脂肪正常范围低值', + `bone_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨质正常范围高值', + `bone_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨质正常范围低值', + `protein_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '蛋白质正常范围高值', + `protein_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '蛋白质正常范围低值', + `water_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水分正常范围高值', + `water_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水分正常范围低值', + `muscle_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉正常范围高值', + `muscle_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '肌肉正常范围低值', + `smm_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨骼肌正常范围高值', + `smm_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '骨骼肌正常范围低值', + `pbf_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体脂率正常范围高值', + `pbf_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体脂率正常范围低值', + `bmi_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质指数正常范围高值', + `bmi_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质指数正常范围低值', + `whr_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '腰臀比正常范围高值', + `whr_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '腰臀比正常范围低值', + `edema_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水肿系数正常范围高值', + `edema_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '水肿系数正常范围低值', + `vfi_max` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '内脏脂肪指数正常范围高值', + `vfi_min` varchar(100) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '内脏脂肪指数正常范围低值', + `diagnosis` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '诊断结论', + `status` tinyint NULL DEFAULT NULL COMMENT '队列状态(0启用；1禁用)', + `del_flag` tinyint NULL DEFAULT 0 COMMENT '删除标志（0存在 2删除）', + `tenant_id` bigint NULL DEFAULT NULL COMMENT '建档组织（当前登录账号医院ID）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NOT NULL DEFAULT current_timestamp ON UPDATE CURRENT_TIMESTAMP COMMENT '修改时间', + `remark` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '备注', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_name`(`name` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '人体成分上传数据表' ROW_FORMAT = Dynamic; + +-- ---------------------------- +-- Records of upl_rtcf_info +-- ---------------------------- +INSERT INTO `upl_rtcf_info` VALUES (4, 'DataUpload', '2', '16ART1B0008', 'BCA-1D', '112', '202304281015', '20230428', '赵六', '2', '165.0', '1990', '55.0', '25.0', '3.2', '16.5', '35.0', '38.0', '16.0', '27.0', '20.2', '1450.0', '0.78', '0.28', '10.0', '28', '82.0', '3', '45.0', '20.0', '9.0', '57.0', '-1.5', '-2.0', '0.5', '58', '5.8', '12.0', '1.8', '1.8', '4.5', '4.5', '16.0', '2.3', '2.5', '3.8', '3.9', '20.0', '5.5', '5.8', '12.0', '12.1', '20.0', '5.5', '5.8', '12.0', '12.1', '60.0', '52.0', '28.0', '15.0', '3.5', '2.8', '20.0', '15.0', '40.0', '30.0', '42.0', '35.0', '28.0', '20.0', '25.0', '15.0', '22.0', '18.0', '0.85', '0.70', '0.4', '0.1', '12.0', '7.0', '肌肉量偏低', 0, 0, 1001, 'admin', '2025-03-15 10:22:35', 'admin', '2025-03-17 15:16:53', '常规检查'); +INSERT INTO `upl_rtcf_info` VALUES (1901462049678983168, 'DataUpload', '2', '16ART1B0007', 'BCA-1D', '123456', '202304281014', '20230428', '郑八', '1', '178.5', '1985', '72.5', '23.1', '3.8', '18.6', '33.5', '40.1', '18.5', '22.1', '22.4', '1665.0', '0.89', '0.33', '12.0', '23', '78.0', '4', '50.1', '23.0', '10.5', '70.5', '2.0', '1.3', '0.7', '65', '6.5', '14.5', '2.1', '2.1', '5.2', '5.2', '17.9', '2.6', '2.9', '4.2', '4.3', '23.9', '6.6', '6.9', '14.2', '14.3', '23.9', '6.6', '6.9', '14.2', '14.3', '84.5', '69.5', '22.5', '13.6', '3.7', '3.1', '22.5', '17.5', '43.6', '32.5', '54.5', '36.5', '32.5', '24.1', '20.0', '10.0', '24.0', '18.5', '0.95', '0.75', '0.5', '0.1', '15.0', '8.0', '体脂偏高，建议控制饮食', NULL, 0, NULL, NULL, '2025-03-17 10:34:14', NULL, '2025-03-17 14:46:28', NULL); +INSERT INTO `upl_rtcf_info` VALUES (1901572029475516416, 'DataUpload', '2', '16ART1B0007', 'BCA-1D', '1901557972215377920', '202304281014', '20230428', '郑八', '1', '178.5', '1985', '72.5', '23.1', '3.8', '18.6', '33.5', '40.1', '18.5', '22.1', '22.4', '1665.0', '0.89', '0.33', '12.0', '23', '78.0', '4', '50.1', '23.0', '10.5', '70.5', '2.0', '1.3', '0.7', '65', '6.5', '14.5', '2.1', '2.1', '5.2', '5.2', '17.9', '2.6', '2.9', '4.2', '4.3', '23.9', '6.6', '6.9', '14.2', '14.3', '23.9', '6.6', '6.9', '14.2', '14.3', '84.5', '69.5', '22.5', '13.6', '3.7', '3.1', '22.5', '17.5', '43.6', '32.5', '54.5', '36.5', '32.5', '24.1', '20.0', '10.0', '24.0', '18.5', '0.95', '0.75', '0.5', '0.1', '15.0', '8.0', '体脂偏高，建议控制饮食', NULL, NULL, NULL, NULL, '2025-03-17 17:51:15', NULL, '2025-03-17 17:51:16', NULL); + +-- ---------------------------- +-- Table structure for zytz_ems_eva_answer +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_ems_eva_answer`; +CREATE TABLE `zytz_ems_eva_answer` ( + `answer_id` bigint NOT NULL COMMENT '表ID', + `eva_id` bigint NOT NULL COMMENT '辨识档案表', + `ques_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题号', + `option_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '答案code', + `option_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '答案', + `option_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '得分', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`answer_id`) USING BTREE, + UNIQUE INDEX `uni_evaid_quescode`(`eva_id` ASC, `ques_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE, + INDEX `idx_eva_id`(`eva_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案结果' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_ems_eva_answer +-- ---------------------------- +INSERT INTO `zytz_ems_eva_answer` VALUES (1908882420610158592, 1908678384715882496, 'TZBS_LN_Q_01', 'TZBS_LN_Q_01_O_001', '没有（根本不）', 1.00, NULL, '2025-04-06 22:00:09', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908882466944634880, 1908678384715882496, 'TZBS_LN_Q_06', 'TZBS_LN_Q_06_O_026', '没有（根本不）', 1.00, NULL, '2025-04-06 22:00:20', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908888515376852992, 1902901395904053248, 'TZBS_LN_Q_01', 'TZBS_LN_Q_01_O_002', '很少（有一点）', 2.00, NULL, '2025-04-06 22:24:22', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908888515376852993, 1902901395904053248, 'TZBS_LN_Q_02', 'TZBS_LN_Q_02_O_007', '很少（有一点）', 2.00, NULL, '2025-04-06 22:24:22', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908888515376852994, 1902901395904053248, 'TZBS_LN_Q_03', 'TZBS_LN_Q_03_O_012', '很少（有一点）', 2.00, NULL, '2025-04-06 22:24:22', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908895884711854080, 1908678384715882496, 'TZBS_LN_Q_11', 'TZBS_LN_Q_11_O_051', '没有（根本不）', 1.00, NULL, '2025-04-06 22:53:39', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908895896309104640, 1908678384715882496, 'TZBS_LN_Q_16', 'TZBS_LN_Q_16_O_076', '没有（根本不）', 1.00, NULL, '2025-04-06 22:53:41', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908895953934647296, 1908678384715882496, 'TZBS_LN_Q_21', 'TZBS_LN_Q_21_O_101', '没有（根本不）', 1.00, NULL, '2025-04-06 22:53:55', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908895978001563648, 1908678384715882496, 'TZBS_LN_Q_27', 'TZBS_LN_Q_27_O_131', '没有（根本不）', 1.00, NULL, '2025-04-06 22:54:01', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908897173474672640, 1908678384715882496, 'TZBS_LN_Q_32', 'TZBS_LN_Q_32_O_156', '没有（根本不）', 1.00, NULL, '2025-04-06 22:58:46', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899368127463424, 1908678384715882496, 'TZBS_LN_Q_04', 'TZBS_LN_Q_04_O_016', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:29', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899371688427520, 1908678384715882496, 'TZBS_LN_Q_05', 'TZBS_LN_Q_05_O_021', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:30', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899377057136640, 1908678384715882496, 'TZBS_LN_Q_07', 'TZBS_LN_Q_07_O_031', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:31', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899380794261504, 1908678384715882496, 'TZBS_LN_Q_08', 'TZBS_LN_Q_08_O_036', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:32', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899381888974848, 1908678384715882496, 'TZBS_LN_Q_09', 'TZBS_LN_Q_09_O_041', '没有（BMI＜24）', 1.00, NULL, '2025-04-06 23:07:32', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899388016852992, 1908678384715882496, 'TZBS_LN_Q_10', 'TZBS_LN_Q_10_O_046', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:34', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899393410727936, 1908678384715882496, 'TZBS_LN_Q_12', 'TZBS_LN_Q_12_O_056', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:35', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899394601910272, 1908678384715882496, 'TZBS_LN_Q_13', 'TZBS_LN_Q_13_O_061', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:35', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899398523584512, 1908678384715882496, 'TZBS_LN_Q_14', 'TZBS_LN_Q_14_O_066', '没有（一年＜2次）', 1.00, NULL, '2025-04-06 23:07:36', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899402659168256, 1908678384715882496, 'TZBS_LN_Q_15', 'TZBS_LN_Q_15_O_071', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:37', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899410074697728, 1908678384715882496, 'TZBS_LN_Q_17', 'TZBS_LN_Q_17_O_081', '没有（从来没有）', 1.00, NULL, '2025-04-06 23:07:39', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899415896391680, 1908678384715882496, 'TZBS_LN_Q_18', 'TZBS_LN_Q_18_O_086', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:41', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899418547191808, 1908678384715882496, 'TZBS_LN_Q_19', 'TZBS_LN_Q_19_O_091', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:41', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899423869763584, 1908678384715882496, 'TZBS_LN_Q_20', 'TZBS_LN_Q_20_O_096', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:42', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899428823236608, 1908678384715882496, 'TZBS_LN_Q_22', 'TZBS_LN_Q_22_O_106', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:44', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899434523295744, 1908678384715882496, 'TZBS_LN_Q_23', 'TZBS_LN_Q_23_O_111', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:45', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899437568360448, 1908678384715882496, 'TZBS_LN_Q_24', 'TZBS_LN_Q_24_O_116', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:46', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899442123374592, 1908678384715882496, 'TZBS_LN_Q_25', 'TZBS_LN_Q_25_O_121', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:47', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899444518322176, 1908678384715882496, 'TZBS_LN_Q_26', 'TZBS_LN_Q_26_O_126', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:47', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899451824799744, 1908678384715882496, 'TZBS_LN_Q_28', 'TZBS_LN_Q_28_O_136', '没有（腹围<80cm，相当于2.4尺）', 1.00, NULL, '2025-04-06 23:07:49', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899453359915008, 1908678384715882496, 'TZBS_LN_Q_29', 'TZBS_LN_Q_29_O_141', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:49', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899459160637440, 1908678384715882496, 'TZBS_LN_Q_30', 'TZBS_LN_Q_30_O_146', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:51', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899460720918528, 1908678384715882496, 'TZBS_LN_Q_31', 'TZBS_LN_Q_31_O_151', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:51', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908899466739744768, 1908678384715882496, 'TZBS_LN_Q_33', 'TZBS_LN_Q_33_O_161', '没有（根本不）', 1.00, NULL, '2025-04-06 23:07:53', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908900899723706368, 1908678384715882496, 'TZBS_LN_Q_02', 'TZBS_LN_Q_02_O_007', '很少（有一点）', 2.00, NULL, '2025-04-06 23:13:34', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908900903280476160, 1908678384715882496, 'TZBS_LN_Q_03', 'TZBS_LN_Q_03_O_012', '很少（有一点）', 2.00, NULL, '2025-04-06 23:13:35', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905158125060096, 1907721213417152512, 'TZBS_LN_Q_01', 'TZBS_LN_Q_01_O_001', '没有（根本不）', 1.00, NULL, '2025-04-06 23:30:30', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905161761521664, 1907721213417152512, 'TZBS_LN_Q_02', 'TZBS_LN_Q_02_O_006', '没有（根本不）', 1.00, NULL, '2025-04-06 23:30:30', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905193894084608, 1907721213417152512, 'TZBS_LN_Q_03', 'TZBS_LN_Q_03_O_012', '很少（有一点）', 2.00, NULL, '2025-04-06 23:30:38', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905197740261376, 1907721213417152512, 'TZBS_LN_Q_04', 'TZBS_LN_Q_04_O_017', '很少（有一点）', 2.00, NULL, '2025-04-06 23:30:39', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905204816052224, 1907721213417152512, 'TZBS_LN_Q_05', 'TZBS_LN_Q_05_O_023', '有时（有些）', 3.00, NULL, '2025-04-06 23:30:41', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905210151206912, 1907721213417152512, 'TZBS_LN_Q_06', 'TZBS_LN_Q_06_O_028', '有时（有些）', 3.00, NULL, '2025-04-06 23:30:42', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905214634917888, 1907721213417152512, 'TZBS_LN_Q_07', 'TZBS_LN_Q_07_O_034', '经常（相当）', 4.00, NULL, '2025-04-06 23:30:43', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905217264746496, 1907721213417152512, 'TZBS_LN_Q_08', 'TZBS_LN_Q_08_O_039', '经常（相当）', 4.00, NULL, '2025-04-06 23:30:44', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905224315371520, 1907721213417152512, 'TZBS_LN_Q_09', 'TZBS_LN_Q_09_O_045', '总是（BMI≥28）', 5.00, NULL, '2025-04-06 23:30:45', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905226366386176, 1907721213417152512, 'TZBS_LN_Q_10', 'TZBS_LN_Q_10_O_050', '总是（非常）', 5.00, NULL, '2025-04-06 23:30:46', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905230795571200, 1907721213417152512, 'TZBS_LN_Q_11', 'TZBS_LN_Q_11_O_051', '没有（根本不）', 1.00, NULL, '2025-04-06 23:30:47', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905233165352960, 1907721213417152512, 'TZBS_LN_Q_12', 'TZBS_LN_Q_12_O_056', '没有（根本不）', 1.00, NULL, '2025-04-06 23:30:47', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905240295669760, 1907721213417152512, 'TZBS_LN_Q_13', 'TZBS_LN_Q_13_O_062', '很少（有一点）', 2.00, NULL, '2025-04-06 23:30:49', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905242644480000, 1907721213417152512, 'TZBS_LN_Q_14', 'TZBS_LN_Q_14_O_067', '很少（一年感冒2-4次）', 2.00, NULL, '2025-04-06 23:30:50', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905248583614464, 1907721213417152512, 'TZBS_LN_Q_15', 'TZBS_LN_Q_15_O_073', '有时（有些）', 3.00, NULL, '2025-04-06 23:30:51', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905251318300672, 1907721213417152512, 'TZBS_LN_Q_16', 'TZBS_LN_Q_16_O_078', '有时（有些）', 3.00, NULL, '2025-04-06 23:30:52', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905262689058816, 1907721213417152512, 'TZBS_LN_Q_17', 'TZBS_LN_Q_17_O_084', '经常（一年5-6次）', 4.00, NULL, '2025-04-06 23:30:55', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905266031919104, 1907721213417152512, 'TZBS_LN_Q_18', 'TZBS_LN_Q_18_O_089', '经常（相当）', 4.00, NULL, '2025-04-06 23:30:55', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905273078349824, 1907721213417152512, 'TZBS_LN_Q_19', 'TZBS_LN_Q_19_O_095', '总是（非常）', 5.00, NULL, '2025-04-06 23:30:57', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905275813036032, 1907721213417152512, 'TZBS_LN_Q_20', 'TZBS_LN_Q_20_O_100', '总是（非常）', 5.00, NULL, '2025-04-06 23:30:58', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905280896532480, 1907721213417152512, 'TZBS_LN_Q_21', 'TZBS_LN_Q_21_O_101', '没有（根本不）', 1.00, NULL, '2025-04-06 23:30:59', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905283631218688, 1907721213417152512, 'TZBS_LN_Q_22', 'TZBS_LN_Q_22_O_106', '没有（根本不）', 1.00, NULL, '2025-04-06 23:31:00', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905287892631552, 1907721213417152512, 'TZBS_LN_Q_23', 'TZBS_LN_Q_23_O_112', '很少（有一点）', 2.00, NULL, '2025-04-06 23:31:01', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905290413408256, 1907721213417152512, 'TZBS_LN_Q_24', 'TZBS_LN_Q_24_O_117', '很少（有一点）', 2.00, NULL, '2025-04-06 23:31:01', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905295496904704, 1907721213417152512, 'TZBS_LN_Q_25', 'TZBS_LN_Q_25_O_123', '有时（有些）', 3.00, NULL, '2025-04-06 23:31:02', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905298428723200, 1907721213417152512, 'TZBS_LN_Q_26', 'TZBS_LN_Q_26_O_128', '有时（有些）', 3.00, NULL, '2025-04-06 23:31:03', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905305282215936, 1907721213417152512, 'TZBS_LN_Q_27', 'TZBS_LN_Q_27_O_134', '经常（相当）', 4.00, NULL, '2025-04-06 23:31:05', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905310927749120, 1907721213417152512, 'TZBS_LN_Q_28', 'TZBS_LN_Q_28_O_139', '经常（腹围91-105cm，2.71-3.15尺)）', 4.00, NULL, '2025-04-06 23:31:06', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905324034949120, 1907721213417152512, 'TZBS_LN_Q_29', 'TZBS_LN_Q_29_O_145', '总是（非常）', 5.00, NULL, '2025-04-06 23:31:09', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905326064992256, 1907721213417152512, 'TZBS_LN_Q_30', 'TZBS_LN_Q_30_O_150', '总是（非常）', 5.00, NULL, '2025-04-06 23:31:10', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905331337232384, 1907721213417152512, 'TZBS_LN_Q_31', 'TZBS_LN_Q_31_O_151', '没有（根本不）', 1.00, NULL, '2025-04-06 23:31:11', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905333862203392, 1907721213417152512, 'TZBS_LN_Q_32', 'TZBS_LN_Q_32_O_156', '没有（根本不）', 1.00, NULL, '2025-04-06 23:31:11', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908905337708380160, 1907721213417152512, 'TZBS_LN_Q_33', 'TZBS_LN_Q_33_O_162', '很少（有一点）', 2.00, NULL, '2025-04-06 23:31:12', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907542956015616, 1908907402719461376, 'TZBS_LN_Q_01', 'TZBS_LN_Q_01_O_005', '总是（非常）', 5.00, NULL, '2025-04-06 23:39:58', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907553651490816, 1908907402719461376, 'TZBS_LN_Q_02', 'TZBS_LN_Q_02_O_006', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:01', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907562170122240, 1908907402719461376, 'TZBS_LN_Q_03', 'TZBS_LN_Q_03_O_011', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:03', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907567845015552, 1908907402719461376, 'TZBS_LN_Q_04', 'TZBS_LN_Q_04_O_016', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:04', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907572290977792, 1908907402719461376, 'TZBS_LN_Q_05', 'TZBS_LN_Q_05_O_021', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:05', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907576573362176, 1908907402719461376, 'TZBS_LN_Q_06', 'TZBS_LN_Q_06_O_026', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:06', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907584697729024, 1908907402719461376, 'TZBS_LN_Q_07', 'TZBS_LN_Q_07_O_031', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:08', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907589705728000, 1908907402719461376, 'TZBS_LN_Q_08', 'TZBS_LN_Q_08_O_036', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:09', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907595103797248, 1908907402719461376, 'TZBS_LN_Q_09', 'TZBS_LN_Q_09_O_042', '很少（24-25之间）', 2.00, NULL, '2025-04-06 23:40:11', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907602112479232, 1908907402719461376, 'TZBS_LN_Q_10', 'TZBS_LN_Q_10_O_046', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:12', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907606663299072, 1908907402719461376, 'TZBS_LN_Q_11', 'TZBS_LN_Q_11_O_052', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:13', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907612619210752, 1908907402719461376, 'TZBS_LN_Q_12', 'TZBS_LN_Q_12_O_057', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:15', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907617488797696, 1908907402719461376, 'TZBS_LN_Q_13', 'TZBS_LN_Q_13_O_064', '经常（相当）', 4.00, NULL, '2025-04-06 23:40:16', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907624078049280, 1908907402719461376, 'TZBS_LN_Q_14', 'TZBS_LN_Q_14_O_067', '很少（一年感冒2-4次）', 2.00, NULL, '2025-04-06 23:40:18', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907628691783680, 1908907402719461376, 'TZBS_LN_Q_15', 'TZBS_LN_Q_15_O_072', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:19', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907633183883264, 1908907402719461376, 'TZBS_LN_Q_16', 'TZBS_LN_Q_16_O_078', '有时（有些）', 3.00, NULL, '2025-04-06 23:40:20', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907637466267648, 1908907402719461376, 'TZBS_LN_Q_17', 'TZBS_LN_Q_17_O_083', '有时（一年3-4次）', 3.00, NULL, '2025-04-06 23:40:21', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907642168082432, 1908907402719461376, 'TZBS_LN_Q_18', 'TZBS_LN_Q_18_O_089', '经常（相当）', 4.00, NULL, '2025-04-06 23:40:22', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907646790205440, 1908907402719461376, 'TZBS_LN_Q_19', 'TZBS_LN_Q_19_O_092', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:23', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907650934177792, 1908907402719461376, 'TZBS_LN_Q_20', 'TZBS_LN_Q_20_O_098', '有时（有些）', 3.00, NULL, '2025-04-06 23:40:24', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907654734217216, 1908907402719461376, 'TZBS_LN_Q_21', 'TZBS_LN_Q_21_O_104', '经常（相当）', 4.00, NULL, '2025-04-06 23:40:25', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907659201150976, 1908907402719461376, 'TZBS_LN_Q_22', 'TZBS_LN_Q_22_O_107', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:26', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907663542255616, 1908907402719461376, 'TZBS_LN_Q_23', 'TZBS_LN_Q_23_O_112', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:27', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907667732365312, 1908907402719461376, 'TZBS_LN_Q_24', 'TZBS_LN_Q_24_O_118', '有时（有些）', 3.00, NULL, '2025-04-06 23:40:28', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907672266407936, 1908907402719461376, 'TZBS_LN_Q_25', 'TZBS_LN_Q_25_O_122', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:29', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907677639311360, 1908907402719461376, 'TZBS_LN_Q_27', 'TZBS_LN_Q_27_O_132', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:30', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907682466955264, 1908907402719461376, 'TZBS_LN_Q_28', 'TZBS_LN_Q_28_O_137', '很少（腹围80-85cm，2.4-2.55尺）', 2.00, NULL, '2025-04-06 23:40:31', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907686984220672, 1908907402719461376, 'TZBS_LN_Q_29', 'TZBS_LN_Q_29_O_141', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:33', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907690788454400, 1908907402719461376, 'TZBS_LN_Q_30', 'TZBS_LN_Q_30_O_148', '有时（有些）', 3.00, NULL, '2025-04-06 23:40:33', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907694844346368, 1908907402719461376, 'TZBS_LN_Q_31', 'TZBS_LN_Q_31_O_152', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:34', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907699546161152, 1908907402719461376, 'TZBS_LN_Q_32', 'TZBS_LN_Q_32_O_157', '很少（有一点）', 2.00, NULL, '2025-04-06 23:40:36', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907708870098944, 1908907402719461376, 'TZBS_LN_Q_33', 'TZBS_LN_Q_33_O_161', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:38', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908907738964230144, 1908907402719461376, 'TZBS_LN_Q_26', 'TZBS_LN_Q_26_O_126', '没有（根本不）', 1.00, NULL, '2025-04-06 23:40:45', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908909504304840704, 1902919958077423616, 'TZBS_LN_Q_01', 'TZBS_LN_Q_01_O_001', '没有（根本不）', 1.00, NULL, '2025-04-06 23:47:46', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908909537968324608, 1902919958077423616, 'TZBS_LN_Q_02', 'TZBS_LN_Q_02_O_006', '没有（根本不）', 1.00, NULL, '2025-04-06 23:47:54', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908909542137462784, 1902919958077423616, 'TZBS_LN_Q_03', 'TZBS_LN_Q_03_O_011', '没有（根本不）', 1.00, NULL, '2025-04-06 23:47:55', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908909546243686400, 1902919958077423616, 'TZBS_LN_Q_04', 'TZBS_LN_Q_04_O_016', '没有（根本不）', 1.00, NULL, '2025-04-06 23:47:56', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908909589625372672, 1902919958077423616, 'TZBS_LN_Q_05', 'TZBS_LN_Q_05_O_021', '没有（根本不）', 1.00, NULL, '2025-04-06 23:48:06', '', NULL); +INSERT INTO `zytz_ems_eva_answer` VALUES (1908909592263589888, 1902919958077423616, 'TZBS_LN_Q_06', 'TZBS_LN_Q_06_O_026', '没有（根本不）', 1.00, NULL, '2025-04-06 23:48:07', '', NULL); + +-- ---------------------------- +-- Table structure for zytz_qms_scale +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale`; +CREATE TABLE `zytz_qms_scale` ( + `scale_id` bigint NOT NULL COMMENT '表ID', + `scale_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '版本类型 00成人标准版 01成人简易版 10 老年版 20儿童版0-3岁 21儿童版4-7岁 22儿童版7-14岁', + `scale_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '版本名称', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`scale_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案版本表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale +-- ---------------------------- +INSERT INTO `zytz_qms_scale` VALUES (1, 'TZBS_BZ', '标准版体质辨识', '0', '', '2024-11-13 11:18:41', '', '2024-11-15 16:49:03'); +INSERT INTO `zytz_qms_scale` VALUES (2, 'TZBS_JY', '简易版体质辨识', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:07'); +INSERT INTO `zytz_qms_scale` VALUES (3, 'TZBS_LN', '老年版体质辨识', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:12'); +INSERT INTO `zytz_qms_scale` VALUES (4, 'TZBS_ET_1', '儿童版体质辨识（0-3岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:18'); +INSERT INTO `zytz_qms_scale` VALUES (5, 'TZBS_ET_4', '儿童版体质辨识（4-6岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:25'); +INSERT INTO `zytz_qms_scale` VALUES (6, 'TZBS_ET_7', '儿童版体质辨识（7-14岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:30'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti`; +CREATE TABLE `zytz_qms_scale_consti` ( + `scale_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '版本类型 00成人标准版 01成人简易版 10 老年版 20儿童版0-3岁 21儿童版4-7岁 22儿童版7-14岁', + `consti_id` bigint NOT NULL COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `consti_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质名称：平和质...特禀质', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`consti_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '量表体质表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 1, 'TZBS_BZ_A', '平和质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:05:58'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 2, 'TZBS_BZ_B', '气虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:05'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 3, 'TZBS_BZ_C', '阳虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:14'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 4, 'TZBS_BZ_D', '阴虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:21'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 5, 'TZBS_BZ_E', '痰湿质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:25'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 6, 'TZBS_BZ_F', '湿热质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:29'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 7, 'TZBS_BZ_G', '血瘀质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:36'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 8, 'TZBS_BZ_H', '气郁质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:43'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 9, 'TZBS_BZ_I', '特禀质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:53'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 11, 'TZBS_JY_A', '平和质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:09'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 12, 'TZBS_JY_B', '气虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:20'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 13, 'TZBS_JY_C', '阳虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:23'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 14, 'TZBS_JY_D', '阴虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:25'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 15, 'TZBS_JY_E', '痰湿质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:28'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 16, 'TZBS_JY_F', '湿热质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:31'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 17, 'TZBS_JY_G', '血瘀质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:35'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 18, 'TZBS_JY_H', '气郁质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:38'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 19, 'TZBS_JY_I', '特禀质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:42'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 21, 'TZBS_LN_A', '平和质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:50'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 22, 'TZBS_LN_B', '气虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:56'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 23, 'TZBS_LN_C', '阳虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:59'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 24, 'TZBS_LN_D', '阴虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:02'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 25, 'TZBS_LN_E', '痰湿质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:05'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 26, 'TZBS_LN_F', '湿热质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:08'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 27, 'TZBS_LN_G', '血瘀质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:11'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 28, 'TZBS_LN_H', '气郁质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:18'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 29, 'TZBS_LN_I', '特禀质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:23'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ques_rel +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ques_rel`; +CREATE TABLE `zytz_qms_scale_consti_ques_rel` ( + `id` bigint NOT NULL COMMENT '表ID', + `consti_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质编号', + `ques_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题目编号', + `reverse` tinyint NULL DEFAULT 0 COMMENT '是否反转计分，默认不反转', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质与题目关联表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ques_rel +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (1, 'TZBS_BZ_A', 'TZBS_BZ_Q_01', 0, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (2, 'TZBS_BZ_A', 'TZBS_BZ_Q_02', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (3, 'TZBS_BZ_A', 'TZBS_BZ_Q_07', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (4, 'TZBS_BZ_A', 'TZBS_BZ_Q_08', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (5, 'TZBS_BZ_A', 'TZBS_BZ_Q_09', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (6, 'TZBS_BZ_A', 'TZBS_BZ_Q_22', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (7, 'TZBS_BZ_A', 'TZBS_BZ_Q_53', 0, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (8, 'TZBS_BZ_A', 'TZBS_BZ_Q_54', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (9, 'TZBS_BZ_B', 'TZBS_BZ_Q_02', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (10, 'TZBS_BZ_B', 'TZBS_BZ_Q_03', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (11, 'TZBS_BZ_B', 'TZBS_BZ_Q_04', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (12, 'TZBS_BZ_B', 'TZBS_BZ_Q_05', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (13, 'TZBS_BZ_B', 'TZBS_BZ_Q_06', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (14, 'TZBS_BZ_B', 'TZBS_BZ_Q_07', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (15, 'TZBS_BZ_B', 'TZBS_BZ_Q_23', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` 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'2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (63, 'TZBS_BZ_I', 'TZBS_BZ_Q_26', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (64, 'TZBS_BZ_I', 'TZBS_BZ_Q_30', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (65, 'TZBS_BZ_I', 'TZBS_BZ_Q_31', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (66, 'TZBS_BZ_I', 'TZBS_BZ_Q_32', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (67, 'TZBS_BZ_I', 'TZBS_BZ_Q_34', 0, '0', '', '2024-11-13 13:33:16', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (201, 'TZBS_LN_A', 'TZBS_LN_Q_01', 0, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (202, 'TZBS_LN_A', 'TZBS_LN_Q_02', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (203, 'TZBS_LN_A', 'TZBS_LN_Q_04', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (204, 'TZBS_LN_A', 'TZBS_LN_Q_05', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (205, 'TZBS_LN_A', 'TZBS_LN_Q_13', 1, '0', '', '2024-11-13 13:37:49', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (206, 'TZBS_LN_B', 'TZBS_LN_Q_02', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (207, 'TZBS_LN_B', 'TZBS_LN_Q_03', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (208, 'TZBS_LN_B', 'TZBS_LN_Q_04', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (209, 'TZBS_LN_B', 'TZBS_LN_Q_14', 0, '0', '', '2024-11-13 13:38:22', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (210, 'TZBS_LN_C', 'TZBS_LN_Q_11', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (211, 'TZBS_LN_C', 'TZBS_LN_Q_12', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (212, 'TZBS_LN_C', 'TZBS_LN_Q_13', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (213, 'TZBS_LN_C', 'TZBS_LN_Q_29', 0, '0', '', '2024-11-13 13:39:34', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (214, 'TZBS_LN_D', 'TZBS_LN_Q_10', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (215, 'TZBS_LN_D', 'TZBS_LN_Q_21', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (216, 'TZBS_LN_D', 'TZBS_LN_Q_26', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (217, 'TZBS_LN_D', 'TZBS_LN_Q_31', 0, '0', '', '2024-11-13 13:40:28', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (218, 'TZBS_LN_E', 'TZBS_LN_Q_09', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (219, 'TZBS_LN_E', 'TZBS_LN_Q_16', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (220, 'TZBS_LN_E', 'TZBS_LN_Q_28', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (221, 'TZBS_LN_E', 'TZBS_LN_Q_32', 0, '0', '', '2024-11-13 13:41:27', '', '2024-11-13 14:09:29'); +INSERT INTO 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'2024-11-13 13:42:43', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (229, 'TZBS_LN_G', 'TZBS_LN_Q_33', 0, '0', '', '2024-11-13 13:42:43', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (230, 'TZBS_LN_H', 'TZBS_LN_Q_05', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (231, 'TZBS_LN_H', 'TZBS_LN_Q_06', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (232, 'TZBS_LN_H', 'TZBS_LN_Q_07', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (233, 'TZBS_LN_H', 'TZBS_LN_Q_08', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (234, 'TZBS_LN_I', 'TZBS_LN_Q_15', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (235, 'TZBS_LN_I', 'TZBS_LN_Q_17', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (236, 'TZBS_LN_I', 'TZBS_LN_Q_18', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (237, 'TZBS_LN_I', 'TZBS_LN_Q_20', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ref_score +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ref_score`; +CREATE TABLE `zytz_qms_scale_consti_ref_score` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `ref_score_yes` decimal(5, 2) NULL DEFAULT NULL COMMENT '参考分数-是', + `ref_score_Maybe` decimal(5, 2) NULL DEFAULT NULL COMMENT '参考分数-基本是/倾向是', + `full_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '满分', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 30 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质养生方案表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ref_score +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (1, 'TZBS_BZ_A', 60.00, 60.00, 100.00, '0', '', '2024-11-13 13:48:23', '', '2024-11-22 13:17:34'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (2, 'TZBS_BZ_B', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:56:27', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (3, 'TZBS_BZ_C', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:56:54', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (4, 'TZBS_BZ_D', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:57:22', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (5, 'TZBS_BZ_E', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:57:47', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (6, 'TZBS_BZ_F', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:58:19', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (7, 'TZBS_BZ_G', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:58:50', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (8, 'TZBS_BZ_H', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:59:19', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (9, 'TZBS_BZ_I', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:59:52', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (21, 'TZBS_LN_A', 17.00, 17.00, 25.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 13:57:10'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (22, 'TZBS_LN_B', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:14'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (23, 'TZBS_LN_C', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (24, 'TZBS_LN_D', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (25, 'TZBS_LN_E', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (26, 'TZBS_LN_F', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (27, 'TZBS_LN_G', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (28, 'TZBS_LN_H', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (29, 'TZBS_LN_I', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ysfa +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ysfa`; +CREATE TABLE `zytz_qms_scale_consti_ysfa` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `consti_ysfa_template` longtext CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL COMMENT '体质养生方案模板', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 30 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质养生方案表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ysfa +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (1, 'TZBS_BZ_A', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '0', '', '2024-11-13 13:48:23', '', '2024-11-13 14:10:39'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (2, 'TZBS_BZ_B', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '0', '', '2024-11-13 13:56:27', '', '2024-11-13 13:56:27'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (3, 'TZBS_BZ_C', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '0', '', '2024-11-13 13:56:54', '', '2024-11-13 13:56:54'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (4, 'TZBS_BZ_D', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '0', '', '2024-11-13 13:57:22', '', '2024-11-13 13:57:22'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (5, 'TZBS_BZ_E', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '0', '', '2024-11-13 13:57:47', '', '2024-11-13 13:57:47'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (6, 'TZBS_BZ_F', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '0', '', '2024-11-13 13:58:19', '', '2024-11-13 13:58:19'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (7, 'TZBS_BZ_G', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '0', '', '2024-11-13 13:58:50', '', '2024-11-13 13:58:50'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (8, 'TZBS_BZ_H', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '0', '', '2024-11-13 13:59:19', '', '2024-11-13 13:59:19'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (9, 'TZBS_BZ_I', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '0', '', '2024-11-13 13:59:52', '', '2024-11-13 13:59:52'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (21, 'TZBS_LN_A', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:10:49'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (22, 'TZBS_LN_B', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (23, 'TZBS_LN_C', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (24, 'TZBS_LN_D', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (25, 'TZBS_LN_E', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (26, 'TZBS_LN_F', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (27, 'TZBS_LN_G', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (28, 'TZBS_LN_H', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (29, 'TZBS_LN_I', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_question +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_question`; +CREATE TABLE `zytz_qms_scale_question` ( + `ques_id` bigint NOT NULL COMMENT '表ID', + `scale_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '辨识版本类型', + `ques_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '题目编码', + `ques_sort` int NULL DEFAULT NULL COMMENT '题号', + `ques_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题目', + `gender_apply` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '哪些性别适用（0都适用，1男，2女）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`ques_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '患者信息' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_question +-- ---------------------------- +INSERT INTO `zytz_qms_scale_question` VALUES (1, 'TZBS_BZ', 'TZBS_BZ_Q_01', 1, '您精力充沛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (2, 'TZBS_BZ', 'TZBS_BZ_Q_02', 2, '您容易疲乏吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (3, 'TZBS_BZ', 'TZBS_BZ_Q_03', 3, '您容易气短（呼吸短促、接不上气）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (4, 'TZBS_BZ', 'TZBS_BZ_Q_04', 4, '您容易心慌吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (5, 'TZBS_BZ', 'TZBS_BZ_Q_05', 5, '您容易头晕或站起时晕眩吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (6, 'TZBS_BZ', 'TZBS_BZ_Q_06', 6, '您喜欢安静、懒得说话吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (7, 'TZBS_BZ', 'TZBS_BZ_Q_07', 7, '您说话声音低弱无力吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (8, 'TZBS_BZ', 'TZBS_BZ_Q_08', 8, '您容易忘事（健忘）吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (9, 'TZBS_BZ', 'TZBS_BZ_Q_09', 9, '您感到闷闷不乐、情绪低沉吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (10, 'TZBS_BZ', 'TZBS_BZ_Q_10', 10, '您容易精神紧张、焦虑不安吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (11, 'TZBS_BZ', 'TZBS_BZ_Q_11', 11, '您多愁善感、感情脆弱吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (12, 'TZBS_BZ', 'TZBS_BZ_Q_12', 12, '您容易感到害怕或受到惊吓吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (13, 'TZBS_BZ', 'TZBS_BZ_Q_13', 13, '您胁肋部或乳房胀痛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (14, 'TZBS_BZ', 'TZBS_BZ_Q_14', 14, '您感到胸闷或腹部胀满吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (15, 'TZBS_BZ', 'TZBS_BZ_Q_15', 15, '您无缘无故叹气吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (16, 'TZBS_BZ', 'TZBS_BZ_Q_16', 16, '您感到身体沉重不轻松或不爽快吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (17, 'TZBS_BZ', 'TZBS_BZ_Q_17', 17, '您感到手脚心发热吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (18, 'TZBS_BZ', 'TZBS_BZ_Q_18', 18, '您手脚发凉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (19, 'TZBS_BZ', 'TZBS_BZ_Q_19', 19, '您胃脘部、背部或腰膝部怕冷吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (20, 'TZBS_BZ', 'TZBS_BZ_Q_20', 20, '您感到怕冷、衣服比别人穿得多吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (21, 'TZBS_BZ', 'TZBS_BZ_Q_21', 21, '您感觉身体、脸上发热吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (22, 'TZBS_BZ', 'TZBS_BZ_Q_22', 22, '您比一般人耐受不了寒冷（冬天的寒冷、夏天的冷空调、电扇等）吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (23, 'TZBS_BZ', 'TZBS_BZ_Q_23', 23, '您比别人容易患感冒吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (24, 'TZBS_BZ', 'TZBS_BZ_Q_24', 24, '您没有感冒时也会打喷嚏吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (25, 'TZBS_BZ', 'TZBS_BZ_Q_25', 25, '您没有感冒时也会鼻塞、流鼻涕吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (26, 'TZBS_BZ', 'TZBS_BZ_Q_26', 26, '您有因季节变化、温度变化或异味等原因而咳喘的现象吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (27, 'TZBS_BZ', 'TZBS_BZ_Q_27', 27, '您活动量稍大就容易出虚汗吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (28, 'TZBS_BZ', 'TZBS_BZ_Q_28', 28, '您有额部油脂分泌多的现象吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (29, 'TZBS_BZ', 'TZBS_BZ_Q_29', 29, '您口唇的颜色比一般人红吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (30, 'TZBS_BZ', 'TZBS_BZ_Q_30', 30, '您容易过敏（对药物、食物、气味、花粉或在季节交替、气候变化时）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (31, 'TZBS_BZ', 'TZBS_BZ_Q_31', 31, '您的皮肤容易起荨麻疹（风团、风疹块、风疙瘩）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (32, 'TZBS_BZ', 'TZBS_BZ_Q_32', 32, '您的皮肤因过敏出现过紫癜（紫红色瘀点、瘀斑）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (33, 'TZBS_BZ', 'TZBS_BZ_Q_33', 33, '您的皮肤在不知不觉中会出现青紫瘀斑（皮下出血）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (34, 'TZBS_BZ', 'TZBS_BZ_Q_34', 34, '您的皮肤一抓就红，并出现抓痕吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (35, 'TZBS_BZ', 'TZBS_BZ_Q_35', 35, '您皮肤或口唇干吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (36, 'TZBS_BZ', 'TZBS_BZ_Q_36', 36, '您两颧部有细微红丝吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (37, 'TZBS_BZ', 'TZBS_BZ_Q_37', 37, '您身体上有哪里疼痛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (38, 'TZBS_BZ', 'TZBS_BZ_Q_38', 38, '您面部两颧潮红或偏红吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (39, 'TZBS_BZ', 'TZBS_BZ_Q_39', 39, '您面部或鼻部有油腻感或者油亮发光吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (40, 'TZBS_BZ', 'TZBS_BZ_Q_40', 40, '您面色晦暗或容易出现褐斑吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (41, 'TZBS_BZ', 'TZBS_BZ_Q_41', 41, '您容易生痤疮或疮疖吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (42, 'TZBS_BZ', 'TZBS_BZ_Q_42', 42, '您上眼睑比别人肿（上眼睑有轻微隆起的现象）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (43, 'TZBS_BZ', 'TZBS_BZ_Q_43', 43, '您容易有黑眼圈吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (44, 'TZBS_BZ', 'TZBS_BZ_Q_44', 44, '您感到眼睛干涩吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (45, 'TZBS_BZ', 'TZBS_BZ_Q_45', 45, '您口唇颜色偏暗吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (46, 'TZBS_BZ', 'TZBS_BZ_Q_46', 46, '您感到口干咽燥、总想喝水吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (47, 'TZBS_BZ', 'TZBS_BZ_Q_47', 47, '您咽喉部有异物感，且吐之不出、咽之不下吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (48, 'TZBS_BZ', 'TZBS_BZ_Q_48', 48, '您感到口苦或嘴里有异味吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (49, 'TZBS_BZ', 'TZBS_BZ_Q_49', 49, '您嘴里有黏黏的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (50, 'TZBS_BZ', 'TZBS_BZ_Q_50', 50, '您腹部肥满松软吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (51, 'TZBS_BZ', 'TZBS_BZ_Q_51', 51, '您平时痰多，特别是咽喉部总感到有痰堵着吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (52, 'TZBS_BZ', 'TZBS_BZ_Q_52', 52, '您吃（喝）凉的东西会感到不舒服或者怕吃（喝）凉东西吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (53, 'TZBS_BZ', 'TZBS_BZ_Q_53', 53, '您能适应外界自然和社会环境的变化吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (54, 'TZBS_BZ', 'TZBS_BZ_Q_54', 54, '您容易失眠吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (55, 'TZBS_BZ', 'TZBS_BZ_Q_55', 55, '您受凉或吃（喝）凉的东西后，容易腹泻（拉肚子）吗)？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (56, 'TZBS_BZ', 'TZBS_BZ_Q_56', 56, '您大便黏滞不爽、有解不尽的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (57, 'TZBS_BZ', 'TZBS_BZ_Q_57', 57, '您容易便秘或大便干燥吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (58, 'TZBS_BZ', 'TZBS_BZ_Q_58', 58, '您舌苔厚腻或有舌苔厚厚的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (59, 'TZBS_BZ', 'TZBS_BZ_Q_59', 59, '您小便时尿道有发热感、尿色浓（深）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (60, 'TZBS_BZ', 'TZBS_BZ_Q_60', 60, '您带下色黄（白带颜色发黄）吗？ （限女性回答）', '2', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:28'); +INSERT INTO `zytz_qms_scale_question` VALUES (61, 'TZBS_BZ', 'TZBS_BZ_Q_61', 61, '您的阴囊部位潮湿吗？ （限男性回答）', '1', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:29'); +INSERT INTO `zytz_qms_scale_question` VALUES (201, 'TZBS_LN', 'TZBS_LN_Q_01', 1, '您精力充沛吗？（指精神头足，乐于做事）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (202, 'TZBS_LN', 'TZBS_LN_Q_02', 2, '您容易疲乏吗？（指体力如何，是否稍微活动一下或做一点家务劳动就感到累）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (203, 'TZBS_LN', 'TZBS_LN_Q_03', 3, '您容易气短，呼吸短促，接不上气吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (204, 'TZBS_LN', 'TZBS_LN_Q_04', 4, '您说话声音低弱无力吗?（指说话没有力气）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (205, 'TZBS_LN', 'TZBS_LN_Q_05', 5, '您感到闷闷不乐、情绪低沉吗?（指心情不愉快，情绪低落）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (206, 'TZBS_LN', 'TZBS_LN_Q_06', 6, '您容易精神紧张、焦虑不安吗?（指遇事是否心情紧张）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (207, 'TZBS_LN', 'TZBS_LN_Q_07', 7, '您因为生活状态改变而感到孤独、失落吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (208, 'TZBS_LN', 'TZBS_LN_Q_08', 8, '您容易感到害怕或受到惊吓吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (209, 'TZBS_LN', 'TZBS_LN_Q_09', 9, '您感到身体超重不轻松吗?(感觉身体沉重)[BMI指数=体重（kg）/身高2（m）]', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (210, 'TZBS_LN', 'TZBS_LN_Q_10', 10, '您眼睛干涩吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (211, 'TZBS_LN', 'TZBS_LN_Q_11', 11, '您手脚发凉吗?（不包含因周围温度低或穿的少导致的手脚发冷）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (212, 'TZBS_LN', 'TZBS_LN_Q_12', 12, '您胃脘部、背部或腰膝部怕冷吗？（指上腹部、背部、腰部或膝关节等，有一处或多处怕冷）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (213, 'TZBS_LN', 'TZBS_LN_Q_13', 13, '您比一般人耐受不了寒冷吗？（指比别人容易害怕冬天或是夏天的冷空调、电扇等）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (214, 'TZBS_LN', 'TZBS_LN_Q_14', 14, '您容易患感冒吗?（指每年感冒的次数）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (215, 'TZBS_LN', 'TZBS_LN_Q_15', 15, '您没有感冒时也会鼻塞、流鼻涕吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (216, 'TZBS_LN', 'TZBS_LN_Q_16', 16, '您有口粘口腻，或睡眠打鼾吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (217, 'TZBS_LN', 'TZBS_LN_Q_17', 17, '您容易过敏(对药物、食物、气味、花粉或在季节交替、气候变化时)吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (218, 'TZBS_LN', 'TZBS_LN_Q_18', 18, '您的皮肤容易起荨麻疹吗? (包括风团、风疹块、风疙瘩)', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (219, 'TZBS_LN', 'TZBS_LN_Q_19', 19, '您的皮肤在不知不觉中会出现青紫瘀斑、皮下出血吗?（指皮肤在没有外伤的情况下出现青一块紫一块的情况）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (220, 'TZBS_LN', 'TZBS_LN_Q_20', 20, '您的皮肤一抓就红，并出现抓痕吗?（指被指甲或钝物划过后皮肤的反应）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (221, 'TZBS_LN', 'TZBS_LN_Q_21', 21, '您皮肤或口唇干吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (222, 'TZBS_LN', 'TZBS_LN_Q_22', 22, '您有肢体麻木或固定部位疼痛的感觉吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (223, 'TZBS_LN', 'TZBS_LN_Q_23', 23, '您面部或鼻部有油腻感或者油亮发光吗?（指脸上或鼻子）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (224, 'TZBS_LN', 'TZBS_LN_Q_24', 24, '您面色或目眶晦黯，或出现褐色斑块/斑点吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (225, 'TZBS_LN', 'TZBS_LN_Q_25', 25, '您有皮肤湿疹、疮疖吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (226, 'TZBS_LN', 'TZBS_LN_Q_26', 26, '您感到口干咽燥、总想喝水吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (227, 'TZBS_LN', 'TZBS_LN_Q_27', 27, '您感到口苦或嘴里有异味吗?（指口苦或口臭）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (228, 'TZBS_LN', 'TZBS_LN_Q_28', 28, '您腹部肥大吗?（指腹部脂肪肥厚）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (229, 'TZBS_LN', 'TZBS_LN_Q_29', 29, '您吃(喝)凉的东西会感到不舒服或者怕吃(喝)凉的东西吗？（指不喜欢吃凉的食物，或吃了凉的食物后会不舒服）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (230, 'TZBS_LN', 'TZBS_LN_Q_30', 30, '您有大便黏滞不爽、解不尽的感觉吗?(大便容易粘在马桶或便坑壁上)', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (231, 'TZBS_LN', 'TZBS_LN_Q_31', 31, '您容易大便干燥吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (232, 'TZBS_LN', 'TZBS_LN_Q_32', 32, '您舌苔厚腻或有舌苔厚厚的感觉吗?（如果自我感觉不清楚可由调查员观察后填写）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (233, 'TZBS_LN', 'TZBS_LN_Q_33', 33, '您舌下静脉瘀紫或增粗吗？（可由调查员辅助观察后填写）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_question_option +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_question_option`; +CREATE TABLE `zytz_qms_scale_question_option` ( + `ques_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '题目编号', + `option_id` bigint NOT NULL COMMENT '表ID', + `option_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项code', + `option_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项', + `option_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '选项得分', + `option_sort` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项编号', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`option_id`) USING BTREE, + INDEX `idx_option_code`(`option_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质与题目关联表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_question_option +-- ---------------------------- +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 1, 'TZBS_BZ_Q_01_O_001', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 2, 'TZBS_BZ_Q_01_O_002', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 3, 'TZBS_BZ_Q_01_O_003', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 4, 'TZBS_BZ_Q_01_O_004', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 5, 'TZBS_BZ_Q_01_O_005', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 6, 'TZBS_BZ_Q_02_O_006', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 7, 'TZBS_BZ_Q_02_O_007', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 8, 'TZBS_BZ_Q_02_O_008', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 9, 'TZBS_BZ_Q_02_O_009', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 10, 'TZBS_BZ_Q_02_O_010', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 11, 'TZBS_BZ_Q_03_O_011', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 12, 'TZBS_BZ_Q_03_O_012', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 13, 'TZBS_BZ_Q_03_O_013', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 14, 'TZBS_BZ_Q_03_O_014', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 15, 'TZBS_BZ_Q_03_O_015', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 16, 'TZBS_BZ_Q_04_O_016', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 17, 'TZBS_BZ_Q_04_O_017', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 18, 'TZBS_BZ_Q_04_O_018', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 19, 'TZBS_BZ_Q_04_O_019', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 20, 'TZBS_BZ_Q_04_O_020', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 21, 'TZBS_BZ_Q_05_O_021', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 22, 'TZBS_BZ_Q_05_O_022', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 23, 'TZBS_BZ_Q_05_O_023', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 24, 'TZBS_BZ_Q_05_O_024', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 25, 'TZBS_BZ_Q_05_O_025', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 26, 'TZBS_BZ_Q_06_O_026', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 27, 'TZBS_BZ_Q_06_O_027', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 28, 'TZBS_BZ_Q_06_O_028', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 29, 'TZBS_BZ_Q_06_O_029', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 30, 'TZBS_BZ_Q_06_O_030', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 31, 'TZBS_BZ_Q_07_O_031', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 32, 'TZBS_BZ_Q_07_O_032', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 33, 'TZBS_BZ_Q_07_O_033', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 34, 'TZBS_BZ_Q_07_O_034', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 35, 'TZBS_BZ_Q_07_O_035', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 36, 'TZBS_BZ_Q_08_O_036', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 37, 'TZBS_BZ_Q_08_O_037', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 38, 'TZBS_BZ_Q_08_O_038', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 39, 'TZBS_BZ_Q_08_O_039', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 40, 'TZBS_BZ_Q_08_O_040', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 41, 'TZBS_BZ_Q_09_O_041', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 42, 'TZBS_BZ_Q_09_O_042', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 43, 'TZBS_BZ_Q_09_O_043', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 44, 'TZBS_BZ_Q_09_O_044', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 45, 'TZBS_BZ_Q_09_O_045', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 46, 'TZBS_BZ_Q_10_O_046', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 47, 'TZBS_BZ_Q_10_O_047', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 48, 'TZBS_BZ_Q_10_O_048', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_11', 55, 'TZBS_BZ_Q_11_O_055', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 56, 'TZBS_BZ_Q_12_O_056', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 57, 'TZBS_BZ_Q_12_O_057', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 58, 'TZBS_BZ_Q_12_O_058', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 59, 'TZBS_BZ_Q_12_O_059', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 60, 'TZBS_BZ_Q_12_O_060', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 61, 'TZBS_BZ_Q_13_O_061', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 62, 'TZBS_BZ_Q_13_O_062', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 63, 'TZBS_BZ_Q_13_O_063', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 64, 'TZBS_BZ_Q_13_O_064', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 65, 'TZBS_BZ_Q_13_O_065', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 66, 'TZBS_BZ_Q_14_O_066', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 67, 'TZBS_BZ_Q_14_O_067', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 68, 'TZBS_BZ_Q_14_O_068', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 69, 'TZBS_BZ_Q_14_O_069', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 70, 'TZBS_BZ_Q_14_O_070', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 71, 'TZBS_BZ_Q_15_O_071', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 72, 'TZBS_BZ_Q_15_O_072', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 73, 'TZBS_BZ_Q_15_O_073', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 74, 'TZBS_BZ_Q_15_O_074', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 75, 'TZBS_BZ_Q_15_O_075', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 76, 'TZBS_BZ_Q_16_O_076', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 77, 'TZBS_BZ_Q_16_O_077', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 78, 'TZBS_BZ_Q_16_O_078', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 79, 'TZBS_BZ_Q_16_O_079', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 80, 'TZBS_BZ_Q_16_O_080', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 81, 'TZBS_BZ_Q_17_O_081', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 82, 'TZBS_BZ_Q_17_O_082', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 83, 'TZBS_BZ_Q_17_O_083', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 84, 'TZBS_BZ_Q_17_O_084', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 85, 'TZBS_BZ_Q_17_O_085', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 86, 'TZBS_BZ_Q_18_O_086', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 87, 'TZBS_BZ_Q_18_O_087', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 88, 'TZBS_BZ_Q_18_O_088', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 89, 'TZBS_BZ_Q_18_O_089', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 90, 'TZBS_BZ_Q_18_O_090', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 91, 'TZBS_BZ_Q_19_O_091', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 92, 'TZBS_BZ_Q_19_O_092', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 93, 'TZBS_BZ_Q_19_O_093', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 94, 'TZBS_BZ_Q_19_O_094', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 95, 'TZBS_BZ_Q_19_O_095', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 96, 'TZBS_BZ_Q_20_O_096', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 97, 'TZBS_BZ_Q_20_O_097', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 98, 'TZBS_BZ_Q_20_O_098', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 99, 'TZBS_BZ_Q_20_O_099', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 100, 'TZBS_BZ_Q_20_O_100', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 101, 'TZBS_BZ_Q_21_O_101', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 102, 'TZBS_BZ_Q_21_O_102', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 103, 'TZBS_BZ_Q_21_O_103', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 104, 'TZBS_BZ_Q_21_O_104', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 105, 'TZBS_BZ_Q_21_O_105', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 106, 'TZBS_BZ_Q_22_O_106', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 107, 'TZBS_BZ_Q_22_O_107', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 108, 'TZBS_BZ_Q_22_O_108', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 109, 'TZBS_BZ_Q_22_O_109', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 110, 'TZBS_BZ_Q_22_O_110', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 111, 'TZBS_BZ_Q_23_O_111', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 112, 'TZBS_BZ_Q_23_O_112', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 113, 'TZBS_BZ_Q_23_O_113', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 114, 'TZBS_BZ_Q_23_O_114', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 133, 'TZBS_BZ_Q_27_O_133', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 134, 'TZBS_BZ_Q_27_O_134', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 135, 'TZBS_BZ_Q_27_O_135', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 136, 'TZBS_BZ_Q_28_O_136', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 137, 'TZBS_BZ_Q_28_O_137', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 138, 'TZBS_BZ_Q_28_O_138', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 139, 'TZBS_BZ_Q_28_O_139', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_28', 140, 'TZBS_BZ_Q_28_O_140', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_29', 141, 'TZBS_BZ_Q_29_O_141', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_29', 142, 'TZBS_BZ_Q_29_O_142', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_29', 143, 'TZBS_BZ_Q_29_O_143', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_29', 144, 'TZBS_BZ_Q_29_O_144', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_29', 145, 'TZBS_BZ_Q_29_O_145', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 146, 'TZBS_BZ_Q_30_O_146', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 147, 'TZBS_BZ_Q_30_O_147', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 148, 'TZBS_BZ_Q_30_O_148', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 149, 'TZBS_BZ_Q_30_O_149', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_30', 150, 'TZBS_BZ_Q_30_O_150', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_31', 151, 'TZBS_BZ_Q_31_O_151', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_31', 152, 'TZBS_BZ_Q_31_O_152', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_31', 153, 'TZBS_BZ_Q_31_O_153', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_31', 154, 'TZBS_BZ_Q_31_O_154', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_31', 155, 'TZBS_BZ_Q_31_O_155', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 156, 'TZBS_BZ_Q_32_O_156', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 157, 'TZBS_BZ_Q_32_O_157', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 158, 'TZBS_BZ_Q_32_O_158', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 159, 'TZBS_BZ_Q_32_O_159', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_32', 160, 'TZBS_BZ_Q_32_O_160', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 161, 'TZBS_BZ_Q_33_O_161', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 162, 'TZBS_BZ_Q_33_O_162', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 163, 'TZBS_BZ_Q_33_O_163', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 164, 'TZBS_BZ_Q_33_O_164', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_33', 165, 'TZBS_BZ_Q_33_O_165', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 166, 'TZBS_BZ_Q_34_O_166', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 167, 'TZBS_BZ_Q_34_O_167', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 168, 'TZBS_BZ_Q_34_O_168', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 169, 'TZBS_BZ_Q_34_O_169', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 170, 'TZBS_BZ_Q_34_O_170', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 171, 'TZBS_BZ_Q_35_O_171', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 172, 'TZBS_BZ_Q_35_O_172', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 173, 'TZBS_BZ_Q_35_O_173', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 174, 'TZBS_BZ_Q_35_O_174', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_45', 223, 'TZBS_BZ_Q_45_O_223', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_45', 224, 'TZBS_BZ_Q_45_O_224', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_45', 225, 'TZBS_BZ_Q_45_O_225', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 226, 'TZBS_BZ_Q_46_O_226', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 227, 'TZBS_BZ_Q_46_O_227', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_46', 228, 'TZBS_BZ_Q_46_O_228', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_47', 235, 'TZBS_BZ_Q_47_O_235', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 236, 'TZBS_BZ_Q_48_O_236', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 237, 'TZBS_BZ_Q_48_O_237', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 238, 'TZBS_BZ_Q_48_O_238', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 239, 'TZBS_BZ_Q_48_O_239', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_48', 240, 'TZBS_BZ_Q_48_O_240', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_59', 295, 'TZBS_BZ_Q_59_O_295', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 296, 'TZBS_BZ_Q_60_O_296', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 297, 'TZBS_BZ_Q_60_O_297', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 298, 'TZBS_BZ_Q_60_O_298', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 299, 'TZBS_BZ_Q_60_O_299', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_60', 300, 'TZBS_BZ_Q_60_O_300', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 301, 'TZBS_BZ_Q_61_O_301', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 302, 'TZBS_BZ_Q_61_O_302', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 303, 'TZBS_BZ_Q_61_O_303', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 304, 'TZBS_BZ_Q_61_O_304', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_61', 305, 'TZBS_BZ_Q_61_O_305', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2001, 'TZBS_LN_Q_01_O_001', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2002, 'TZBS_LN_Q_01_O_002', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2003, 'TZBS_LN_Q_01_O_003', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2004, 'TZBS_LN_Q_01_O_004', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2005, 'TZBS_LN_Q_01_O_005', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2006, 'TZBS_LN_Q_02_O_006', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2007, 'TZBS_LN_Q_02_O_007', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2008, 'TZBS_LN_Q_02_O_008', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2009, 'TZBS_LN_Q_02_O_009', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2010, 'TZBS_LN_Q_02_O_010', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2011, 'TZBS_LN_Q_03_O_011', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2012, 'TZBS_LN_Q_03_O_012', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2013, 'TZBS_LN_Q_03_O_013', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2014, 'TZBS_LN_Q_03_O_014', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2015, 'TZBS_LN_Q_03_O_015', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2016, 'TZBS_LN_Q_04_O_016', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2017, 'TZBS_LN_Q_04_O_017', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2018, 'TZBS_LN_Q_04_O_018', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2019, 'TZBS_LN_Q_04_O_019', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2020, 'TZBS_LN_Q_04_O_020', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2021, 'TZBS_LN_Q_05_O_021', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2022, 'TZBS_LN_Q_05_O_022', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2023, 'TZBS_LN_Q_05_O_023', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2024, 'TZBS_LN_Q_05_O_024', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2025, 'TZBS_LN_Q_05_O_025', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2026, 'TZBS_LN_Q_06_O_026', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2027, 'TZBS_LN_Q_06_O_027', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2028, 'TZBS_LN_Q_06_O_028', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2029, 'TZBS_LN_Q_06_O_029', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2030, 'TZBS_LN_Q_06_O_030', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2031, 'TZBS_LN_Q_07_O_031', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2032, 'TZBS_LN_Q_07_O_032', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2033, 'TZBS_LN_Q_07_O_033', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2034, 'TZBS_LN_Q_07_O_034', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2035, 'TZBS_LN_Q_07_O_035', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2036, 'TZBS_LN_Q_08_O_036', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2037, 'TZBS_LN_Q_08_O_037', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2038, 'TZBS_LN_Q_08_O_038', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2039, 'TZBS_LN_Q_08_O_039', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2040, 'TZBS_LN_Q_08_O_040', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2041, 'TZBS_LN_Q_09_O_041', '没有（BMI＜24）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2042, 'TZBS_LN_Q_09_O_042', '很少（24-25之间）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:20'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2043, 'TZBS_LN_Q_09_O_043', '有时（25-26之间）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:42'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2044, 'TZBS_LN_Q_09_O_044', '经常（26-28之间）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:54'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2045, 'TZBS_LN_Q_09_O_045', '总是（BMI≥28）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:04'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2046, 'TZBS_LN_Q_10_O_046', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2047, 'TZBS_LN_Q_10_O_047', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2048, 'TZBS_LN_Q_10_O_048', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2049, 'TZBS_LN_Q_10_O_049', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2050, 'TZBS_LN_Q_10_O_050', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2051, 'TZBS_LN_Q_11_O_051', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2052, 'TZBS_LN_Q_11_O_052', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2053, 'TZBS_LN_Q_11_O_053', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2054, 'TZBS_LN_Q_11_O_054', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2055, 'TZBS_LN_Q_11_O_055', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2056, 'TZBS_LN_Q_12_O_056', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2057, 'TZBS_LN_Q_12_O_057', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2058, 'TZBS_LN_Q_12_O_058', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2059, 'TZBS_LN_Q_12_O_059', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2060, 'TZBS_LN_Q_12_O_060', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2061, 'TZBS_LN_Q_13_O_061', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2062, 'TZBS_LN_Q_13_O_062', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2063, 'TZBS_LN_Q_13_O_063', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2064, 'TZBS_LN_Q_13_O_064', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2065, 'TZBS_LN_Q_13_O_065', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2066, 'TZBS_LN_Q_14_O_066', '没有（一年＜2次）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2067, 'TZBS_LN_Q_14_O_067', '很少（一年感冒2-4次）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:33'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2068, 'TZBS_LN_Q_14_O_068', '有时（一年感冒5-6次）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:40'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2069, 'TZBS_LN_Q_14_O_069', '经常（一年8次以上）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2070, 'TZBS_LN_Q_14_O_070', '总是（几乎每月都感冒）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:56'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2071, 'TZBS_LN_Q_15_O_071', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2072, 'TZBS_LN_Q_15_O_072', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2073, 'TZBS_LN_Q_15_O_073', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2074, 'TZBS_LN_Q_15_O_074', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2075, 'TZBS_LN_Q_15_O_075', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2076, 'TZBS_LN_Q_16_O_076', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2077, 'TZBS_LN_Q_16_O_077', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2078, 'TZBS_LN_Q_16_O_078', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2079, 'TZBS_LN_Q_16_O_079', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2080, 'TZBS_LN_Q_16_O_080', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2081, 'TZBS_LN_Q_17_O_081', '没有（从来没有）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:21'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2082, 'TZBS_LN_Q_17_O_082', '很少（一年1-2次）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:30'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2083, 'TZBS_LN_Q_17_O_083', '有时（一年3-4次）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:39'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2084, 'TZBS_LN_Q_17_O_084', '经常（一年5-6次）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2085, 'TZBS_LN_Q_17_O_085', '总是（每次遇到上述原因）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:58'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2086, 'TZBS_LN_Q_18_O_086', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2087, 'TZBS_LN_Q_18_O_087', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2088, 'TZBS_LN_Q_18_O_088', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2089, 'TZBS_LN_Q_18_O_089', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2090, 'TZBS_LN_Q_18_O_090', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2091, 'TZBS_LN_Q_19_O_091', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2092, 'TZBS_LN_Q_19_O_092', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2093, 'TZBS_LN_Q_19_O_093', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2094, 'TZBS_LN_Q_19_O_094', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2095, 'TZBS_LN_Q_19_O_095', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2096, 'TZBS_LN_Q_20_O_096', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2097, 'TZBS_LN_Q_20_O_097', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2098, 'TZBS_LN_Q_20_O_098', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2099, 'TZBS_LN_Q_20_O_099', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2100, 'TZBS_LN_Q_20_O_100', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2101, 'TZBS_LN_Q_21_O_101', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2102, 'TZBS_LN_Q_21_O_102', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2103, 'TZBS_LN_Q_21_O_103', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2104, 'TZBS_LN_Q_21_O_104', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2105, 'TZBS_LN_Q_21_O_105', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2106, 'TZBS_LN_Q_22_O_106', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2107, 'TZBS_LN_Q_22_O_107', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2108, 'TZBS_LN_Q_22_O_108', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2109, 'TZBS_LN_Q_22_O_109', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2110, 'TZBS_LN_Q_22_O_110', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2111, 'TZBS_LN_Q_23_O_111', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2112, 'TZBS_LN_Q_23_O_112', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2113, 'TZBS_LN_Q_23_O_113', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2114, 'TZBS_LN_Q_23_O_114', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2115, 'TZBS_LN_Q_23_O_115', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2116, 'TZBS_LN_Q_24_O_116', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2117, 'TZBS_LN_Q_24_O_117', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2118, 'TZBS_LN_Q_24_O_118', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2119, 'TZBS_LN_Q_24_O_119', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2120, 'TZBS_LN_Q_24_O_120', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2121, 'TZBS_LN_Q_25_O_121', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2122, 'TZBS_LN_Q_25_O_122', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2123, 'TZBS_LN_Q_25_O_123', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2124, 'TZBS_LN_Q_25_O_124', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2125, 'TZBS_LN_Q_25_O_125', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2126, 'TZBS_LN_Q_26_O_126', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2127, 'TZBS_LN_Q_26_O_127', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2128, 'TZBS_LN_Q_26_O_128', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2129, 'TZBS_LN_Q_26_O_129', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2130, 'TZBS_LN_Q_26_O_130', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2131, 'TZBS_LN_Q_27_O_131', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2132, 'TZBS_LN_Q_27_O_132', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2133, 'TZBS_LN_Q_27_O_133', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2134, 'TZBS_LN_Q_27_O_134', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2135, 'TZBS_LN_Q_27_O_135', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2136, 'TZBS_LN_Q_28_O_136', '没有（腹围<80cm，相当于2.4尺）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:18'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2137, 'TZBS_LN_Q_28_O_137', '很少（腹围80-85cm，2.4-2.55尺）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2138, 'TZBS_LN_Q_28_O_138', '有时（腹围86-90cm，2.56-2.7尺）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:33'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2139, 'TZBS_LN_Q_28_O_139', '经常（腹围91-105cm，2.71-3.15尺)）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:53:46'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2140, 'TZBS_LN_Q_28_O_140', '总是（腹围>105cm\r\n或3.15尺）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:53:55'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2141, 'TZBS_LN_Q_29_O_141', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2142, 'TZBS_LN_Q_29_O_142', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2143, 'TZBS_LN_Q_29_O_143', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2144, 'TZBS_LN_Q_29_O_144', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2145, 'TZBS_LN_Q_29_O_145', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2146, 'TZBS_LN_Q_30_O_146', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2147, 'TZBS_LN_Q_30_O_147', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2148, 'TZBS_LN_Q_30_O_148', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2149, 'TZBS_LN_Q_30_O_149', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2150, 'TZBS_LN_Q_30_O_150', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2151, 'TZBS_LN_Q_31_O_151', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2152, 'TZBS_LN_Q_31_O_152', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2153, 'TZBS_LN_Q_31_O_153', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2154, 'TZBS_LN_Q_31_O_154', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2155, 'TZBS_LN_Q_31_O_155', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2156, 'TZBS_LN_Q_32_O_156', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2157, 'TZBS_LN_Q_32_O_157', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2158, 'TZBS_LN_Q_32_O_158', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2159, 'TZBS_LN_Q_32_O_159', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2160, 'TZBS_LN_Q_32_O_160', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2161, 'TZBS_LN_Q_33_O_161', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2162, 'TZBS_LN_Q_33_O_162', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2163, 'TZBS_LN_Q_33_O_163', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2164, 'TZBS_LN_Q_33_O_164', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2165, 'TZBS_LN_Q_33_O_165', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); + +-- ---------------------------- +-- Table structure for zytz_rms_report +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_rms_report`; +CREATE TABLE `zytz_rms_report` ( + `report_id` bigint NOT NULL COMMENT '表ID', + `dept_id` bigint NULL DEFAULT NULL COMMENT '所属组织，对应数据权限', + `patient_id` bigint NOT NULL COMMENT '患者ID', + `patient_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名', + `patient_age` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户年龄', + `patient_gender` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户性别 性别 1 男 2 女', + `patient_height` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户身高 CM', + `patient_weight` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户体重 KG', + `patient_waistline` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户腰围 CM', + `eva_id` bigint NOT NULL COMMENT '测试ID', + `eva_scale_code` varchar(16) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '辨识档案版本 00成人标准版 20老年版', + `eva_time` datetime NOT NULL COMMENT '测评时间', + `eva_username` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测评师用户名', + `eva_nickname` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测评师名称', + `blh` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '病历号', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + `patient_name_pinyin` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名-拼音全拼', + `patient_name_py` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名-拼音简拼', + `patient_birthday` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '生日', + `patient_idcard` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身份证号', + `patient_phone` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '电话号码', + PRIMARY KEY (`report_id`) USING BTREE, + INDEX `idx_eva_id`(`eva_id` ASC) USING BTREE, + INDEX `idx_scale_code`(`eva_scale_code` ASC) USING BTREE, + INDEX `idx_dept_id`(`dept_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '报告单表' ROW_FORMAT = DYNAMIC; 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+INSERT INTO `zytz_rms_report_ysjy` VALUES (1859883295983403008, 1859883232611663872, 'TZBS_BZ_I', '特禀质', 'TZBS_BZ_I', '', '2024-11-22 16:55:07', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1859885186738012160, 1859885167620374528, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-22 17:02:38', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1859885186792538112, 1859885167620374528, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-22 17:02:38', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1859885186830286848, 1859885167620374528, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-22 17:02:38', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1859885186863841280, 1859885167620374528, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-22 17:02:38', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1859885186897395712, 1859885167620374528, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-22 17:02:38', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1859885186922561536, 1859885167620374528, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-22 17:02:38', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1859885186972893184, 1859885167620374528, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-22 17:02:38', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264202768384, 1861599264152436736, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264227934208, 1861599264152436736, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264253100032, 1861599264152436736, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264274071552, 1861599264152436736, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264299237376, 1861599264152436736, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264324403200, 1861599264152436736, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264349569024, 1861599264152436736, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861599264370540544, 1861599264152436736, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 10:33:46', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568806809600, 1861602568773255168, 'TZBS_LN_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 10:46:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568831975424, 1861602568773255168, 'TZBS_LN_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 10:46:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568852946944, 1861602568773255168, 'TZBS_LN_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 10:46:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568873918464, 1861602568773255168, 'TZBS_LN_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 10:46:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568894889984, 1861602568773255168, 'TZBS_LN_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 10:46:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568915861504, 1861602568773255168, 'TZBS_LN_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 10:46:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568928444416, 1861602568773255168, 'TZBS_LN_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 10:46:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861602568949415936, 1861602568773255168, 'TZBS_LN_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 10:46:54', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732806963200, 1861606732773408768, 'TZBS_LN_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732827934720, 1861606732773408768, 'TZBS_LN_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732848906240, 1861606732773408768, 'TZBS_LN_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732869877760, 1861606732773408768, 'TZBS_LN_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732890849280, 1861606732773408768, 'TZBS_LN_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732911820800, 1861606732773408768, 'TZBS_LN_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732928598016, 1861606732773408768, 'TZBS_LN_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861606732949569536, 1861606732773408768, 'TZBS_LN_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 11:03:26', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045641293824, 1861670045595156480, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045679042560, 1861670045595156480, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045704208384, 1861670045595156480, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045720985600, 1861670045595156480, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045737762816, 1861670045595156480, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045775511552, 1861670045595156480, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045792288768, 1861670045595156480, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670045809065984, 1861670045595156480, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 15:15:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798711799808, 1861670798682439680, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798724382720, 1861670798682439680, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798741159936, 1861670798682439680, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798753742848, 1861670798682439680, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798766325760, 1861670798682439680, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798778908672, 1861670798682439680, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798795685888, 1861670798682439680, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861670798808268800, 1861670798682439680, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 15:18:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096863899648, 1861671096834539520, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096880676864, 1861671096834539520, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096893259776, 1861671096834539520, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096905842688, 1861671096834539520, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096922619904, 1861671096834539520, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096935202816, 1861671096834539520, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096947785728, 1861671096834539520, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671096964562944, 1861671096834539520, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 15:19:12', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176610201600, 1861671176580841472, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176626978816, 1861671176580841472, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176639561728, 1861671176580841472, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176652144640, 1861671176580841472, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176668921856, 1861671176580841472, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176681504768, 1861671176580841472, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176694087680, 1861671176580841472, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671176710864896, 1861671176580841472, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 15:19:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582211981312, 1861671582182621184, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582224564224, 1861671582182621184, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582241341440, 1861671582182621184, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582253924352, 1861671582182621184, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582266507264, 1861671582182621184, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582283284480, 1861671582182621184, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582295867392, 1861671582182621184, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1861671582308450304, 1861671582182621184, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-27 15:21:08', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862318243472879616, 1862318243418353664, 'TZBS_BZ_A', '平和质', '颐路创新平和质', '', '2024-11-29 10:10:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253295714304, 1862325253257965568, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253316685824, 1862325253257965568, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253333463040, 1862325253257965568, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253350240256, 1862325253257965568, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253367017472, 1862325253257965568, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253383794688, 1862325253257965568, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253400571904, 1862325253257965568, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1862325253417349120, 1862325253257965568, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-11-29 10:38:35', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100836425728, 1864299100777705472, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100857397248, 1864299100777705472, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100874174464, 1864299100777705472, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100886757376, 1864299100777705472, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100903534592, 1864299100777705472, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100920311808, 1864299100777705472, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100937089024, 1864299100777705472, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864299100953866240, 1864299100777705472, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-12-04 21:21:57', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303615920795648, 1864303615883046912, 'TZBS_LN_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303615937572864, 1864303615883046912, 'TZBS_LN_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303615950155776, 1864303615883046912, 'TZBS_LN_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303615966932992, 1864303615883046912, 'TZBS_LN_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303615979515904, 1864303615883046912, 'TZBS_LN_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303615992098816, 1864303615883046912, 'TZBS_LN_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303616008876032, 1864303615883046912, 'TZBS_LN_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864303616021458944, 1864303615883046912, 'TZBS_LN_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-12-04 21:39:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864527678941392896, 1864527678912032768, 'TZBS_BZ_A', '平和质', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '', '2024-12-05 12:30:14', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1864527678953975808, 1864527678912032768, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2024-12-05 12:30:14', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1866781942958985216, 1866781942908653568, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2024-12-11 17:47:52', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1866781942975762432, 1866781942908653568, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2024-12-11 17:47:52', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1866781942992539648, 1866781942908653568, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2024-12-11 17:47:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1866781943009316864, 1866781942908653568, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2024-12-11 17:47:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1866781943021899776, 1866781942908653568, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2024-12-11 17:47:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1866781943038676992, 1866781942908653568, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2024-12-11 17:47:53', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892420978054475776, 1892420977978978304, 'TZBS_BZ_A', '平和质', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '', '2025-02-20 11:48:15', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651098488832, 1892431651027185664, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-02-20 12:30:39', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651148820480, 1892431651027185664, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-02-20 12:30:39', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651173986304, 1892431651027185664, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-02-20 12:30:39', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651203346432, 1892431651027185664, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-02-20 12:30:39', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651224317952, 1892431651027185664, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-02-20 12:30:39', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651253678080, 1892431651027185664, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-02-20 12:30:40', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651283038208, 1892431651027185664, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-02-20 12:30:40', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892431651308204032, 1892431651027185664, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-02-20 12:30:40', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892438326123630592, 1892438326060716032, 'TZBS_BZ_A', '平和质', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '', '2025-02-20 12:57:11', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791714537472, 1892463791580319744, 'TZBS_LN_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791739703296, 1892463791580319744, 'TZBS_LN_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791760674816, 1892463791580319744, 'TZBS_LN_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791781646336, 1892463791580319744, 'TZBS_LN_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791798423552, 1892463791580319744, 'TZBS_LN_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791823589376, 1892463791580319744, 'TZBS_LN_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791844560896, 1892463791580319744, 'TZBS_LN_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892463791878115328, 1892463791580319744, 'TZBS_LN_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-02-20 14:38:22', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892465253324623872, 1892465253286875136, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-02-20 14:44:11', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892465253345595392, 1892465253286875136, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-02-20 14:44:11', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892467531091742720, 1892467531053993984, 'TZBS_BZ_A', '平和质', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '', '2025-02-20 14:53:14', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892500614650200064, 1892500614591479808, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-02-20 17:04:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892505778794725376, 1892505778744393728, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-02-20 17:25:13', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892505778815696896, 1892505778744393728, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-02-20 17:25:13', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892505778836668416, 1892505778744393728, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-02-20 17:25:13', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892505778853445632, 1892505778744393728, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-02-20 17:25:13', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892506129644060672, 1892506129602117632, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-02-20 17:26:37', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892506129665032192, 1892506129602117632, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-02-20 17:26:37', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892506129681809408, 1892506129602117632, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-02-20 17:26:37', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892761552246734848, 1892761552213180416, 'TZBS_BZ_A', '平和质', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '', '2025-02-21 10:21:34', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892761552263512064, 1892761552213180416, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-02-21 10:21:34', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1892811572056621056, 1892811572027260928, 'TZBS_BZ_A', '平和质', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '', '2025-02-21 13:40:20', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1893082950722846720, 1893082950689292288, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-02-22 07:38:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1893082950739623936, 1893082950689292288, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-02-22 07:38:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1893082950756401152, 1893082950689292288, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-02-22 07:38:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1897106545140760576, 1897106545115594752, 'TZBS_LN_A', '平和质', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '', '2025-03-05 10:07:01', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1897114342230261760, 1897114342200901632, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-03-05 10:38:00', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1897114342247038976, 1897114342200901632, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-03-05 10:38:00', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1901845467284570112, 1901845467255209984, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-03-18 11:57:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1901845467301347328, 1901845467255209984, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-03-18 11:57:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1901845467318124544, 1901845467255209984, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-03-18 11:57:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1901845467330707456, 1901845467255209984, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-03-18 11:57:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1901845467343290368, 1901845467255209984, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-03-18 11:57:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1901845467360067584, 1901845467255209984, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-03-18 11:57:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1901845467372650496, 1901845467255209984, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-03-18 11:57:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1902634635723997184, 1902634635694637056, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-03-20 16:13:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1902634635740774400, 1902634635694637056, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-03-20 16:13:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1902634635753357312, 1902634635694637056, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-03-20 16:13:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1902634635765940224, 1902634635694637056, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-03-20 16:13:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1902634635782717440, 1902634635694637056, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-03-20 16:13:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1902634635795300352, 1902634635694637056, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-03-20 16:13:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1902634635807883264, 1902634635694637056, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-03-20 16:13:41', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168523218944, 1905900168498053120, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168539996160, 1905900168498053120, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168552579072, 1905900168498053120, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168569356288, 1905900168498053120, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168581939200, 1905900168498053120, 'TZBS_BZ_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168602910720, 1905900168498053120, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168615493632, 1905900168498053120, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1905900168632270848, 1905900168498053120, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-03-29 16:29:44', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604630466560, 1908516604609495040, 'TZBS_LN_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604643049472, 1908516604609495040, 'TZBS_LN_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604659826688, 1908516604609495040, 'TZBS_LN_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604672409600, 1908516604609495040, 'TZBS_LN_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604684992512, 1908516604609495040, 'TZBS_LN_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604697575424, 1908516604609495040, 'TZBS_LN_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604714352640, 1908516604609495040, 'TZBS_LN_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908516604726935552, 1908516604609495040, 'TZBS_LN_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-04-05 21:46:31', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908661355170168832, 1908661355140808704, 'TZBS_LN_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-04-06 07:21:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908661355182751744, 1908661355140808704, 'TZBS_LN_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-04-06 07:21:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908661355199528960, 1908661355140808704, 'TZBS_LN_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-04-06 07:21:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908661355212111872, 1908661355140808704, 'TZBS_LN_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-04-06 07:21:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908661355224694784, 1908661355140808704, 'TZBS_LN_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-04-06 07:21:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908661355237277696, 1908661355140808704, 'TZBS_LN_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-04-06 07:21:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908661355249860608, 1908661355140808704, 'TZBS_LN_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-04-06 07:21:42', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908687716395974656, 1908687716370808832, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-04-06 09:06:27', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908687716412751872, 1908687716370808832, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-04-06 09:06:27', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908687716429529088, 1908687716370808832, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-04-06 09:06:27', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908687716442112000, 1908687716370808832, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-04-06 09:06:27', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908687716454694912, 1908687716370808832, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-04-06 09:06:27', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908687716471472128, 1908687716370808832, 'TZBS_BZ_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-04-06 09:06:27', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908701772829884416, 1908701772808912896, 'TZBS_LN_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-04-06 10:02:19', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908701772846661632, 1908701772808912896, 'TZBS_LN_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-04-06 10:02:19', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908701772859244544, 1908701772808912896, 'TZBS_LN_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-04-06 10:02:19', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908701772871827456, 1908701772808912896, 'TZBS_LN_F', '湿热质', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '', '2025-04-06 10:02:19', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908701772884410368, 1908701772808912896, 'TZBS_LN_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-04-06 10:02:19', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908701772896993280, 1908701772808912896, 'TZBS_LN_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-04-06 10:02:19', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908701772909576192, 1908701772808912896, 'TZBS_LN_I', '特禀质', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '', '2025-04-06 10:02:19', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908718755822632960, 1908718755797467136, 'TZBS_BZ_B', '气虚质', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '', '2025-04-06 11:09:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908718755839410176, 1908718755797467136, 'TZBS_BZ_C', '阳虚质', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '', '2025-04-06 11:09:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908718755851993088, 1908718755797467136, 'TZBS_BZ_D', '阴虚质', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '', '2025-04-06 11:09:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908718755868770304, 1908718755797467136, 'TZBS_BZ_E', '痰湿质', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '', '2025-04-06 11:09:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908718755881353216, 1908718755797467136, 'TZBS_BZ_G', '血瘀质', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '', '2025-04-06 11:09:48', '', NULL); +INSERT INTO `zytz_rms_report_ysjy` VALUES (1908718755893936128, 1908718755797467136, 'TZBS_BZ_H', '气郁质', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '', '2025-04-06 11:09:48', '', NULL); + +SET FOREIGN_KEY_CHECKS = 1; diff --git a/sql/quartz.sql b/sql/quartz.sql deleted file mode 100644 index 5f99bfb5..00000000 --- a/sql/quartz.sql +++ /dev/null @@ -1,174 +0,0 @@ -DROP TABLE IF EXISTS QRTZ_FIRED_TRIGGERS; -DROP TABLE IF EXISTS QRTZ_PAUSED_TRIGGER_GRPS; -DROP TABLE IF EXISTS QRTZ_SCHEDULER_STATE; -DROP TABLE IF EXISTS QRTZ_LOCKS; -DROP TABLE IF EXISTS QRTZ_SIMPLE_TRIGGERS; -DROP TABLE IF EXISTS QRTZ_SIMPROP_TRIGGERS; -DROP TABLE IF EXISTS QRTZ_CRON_TRIGGERS; -DROP TABLE IF EXISTS QRTZ_BLOB_TRIGGERS; -DROP TABLE IF EXISTS QRTZ_TRIGGERS; -DROP TABLE IF EXISTS QRTZ_JOB_DETAILS; -DROP TABLE IF EXISTS QRTZ_CALENDARS; - --- ---------------------------- --- 1、存储每一个已配置的 jobDetail 的详细信息 --- ---------------------------- -create table QRTZ_JOB_DETAILS ( - sched_name varchar(120) not null comment '调度名称', - job_name varchar(200) not null comment '任务名称', - job_group varchar(200) not null comment '任务组名', - description varchar(250) null comment '相关介绍', - job_class_name varchar(250) not null comment '执行任务类名称', - is_durable varchar(1) not null comment '是否持久化', - is_nonconcurrent varchar(1) not null comment '是否并发', - is_update_data varchar(1) not null comment '是否更新数据', - requests_recovery varchar(1) not null comment '是否接受恢复执行', - job_data blob null comment '存放持久化job对象', - primary key (sched_name, job_name, job_group) -) engine=innodb comment = '任务详细信息表'; - --- ---------------------------- --- 2、 存储已配置的 Trigger 的信息 --- ---------------------------- -create table QRTZ_TRIGGERS ( - sched_name varchar(120) not null comment '调度名称', - trigger_name varchar(200) not null comment '触发器的名字', - trigger_group varchar(200) not null comment '触发器所属组的名字', - job_name varchar(200) not null comment 'qrtz_job_details表job_name的外键', - job_group varchar(200) not null comment 'qrtz_job_details表job_group的外键', - description varchar(250) null comment '相关介绍', - next_fire_time bigint(13) null comment '上一次触发时间（毫秒）', - prev_fire_time bigint(13) null comment '下一次触发时间（默认为-1表示不触发）', - priority integer null comment '优先级', - trigger_state varchar(16) not null comment '触发器状态', - trigger_type varchar(8) not null comment '触发器的类型', - start_time bigint(13) not null comment '开始时间', - end_time bigint(13) null comment '结束时间', - calendar_name varchar(200) null comment '日程表名称', - misfire_instr smallint(2) null comment '补偿执行的策略', - job_data blob null comment '存放持久化job对象', - primary key (sched_name, trigger_name, trigger_group), - foreign key (sched_name, job_name, job_group) references QRTZ_JOB_DETAILS(sched_name, job_name, job_group) -) engine=innodb comment = '触发器详细信息表'; - --- ---------------------------- --- 3、 存储简单的 Trigger，包括重复次数，间隔，以及已触发的次数 --- ---------------------------- -create table QRTZ_SIMPLE_TRIGGERS ( - sched_name varchar(120) not null comment '调度名称', - trigger_name varchar(200) not null comment 'qrtz_triggers表trigger_name的外键', - trigger_group varchar(200) not null comment 'qrtz_triggers表trigger_group的外键', - repeat_count bigint(7) not null comment '重复的次数统计', - repeat_interval bigint(12) not null comment '重复的间隔时间', - times_triggered bigint(10) not null comment '已经触发的次数', - primary key (sched_name, trigger_name, trigger_group), - foreign key (sched_name, trigger_name, trigger_group) references QRTZ_TRIGGERS(sched_name, trigger_name, trigger_group) -) engine=innodb comment = '简单触发器的信息表'; - --- ---------------------------- --- 4、 存储 Cron Trigger，包括 Cron 表达式和时区信息 --- ---------------------------- -create table QRTZ_CRON_TRIGGERS ( - sched_name varchar(120) not null comment '调度名称', - trigger_name varchar(200) not null comment 'qrtz_triggers表trigger_name的外键', - trigger_group varchar(200) not null comment 'qrtz_triggers表trigger_group的外键', - cron_expression varchar(200) not null comment 'cron表达式', - time_zone_id varchar(80) comment '时区', - primary key (sched_name, trigger_name, trigger_group), - foreign key (sched_name, trigger_name, trigger_group) references QRTZ_TRIGGERS(sched_name, trigger_name, trigger_group) -) engine=innodb comment = 'Cron类型的触发器表'; - --- ---------------------------- --- 5、 Trigger 作为 Blob 类型存储(用于 Quartz 用户用 JDBC 创建他们自己定制的 Trigger 类型，JobStore 并不知道如何存储实例的时候) --- ---------------------------- -create table QRTZ_BLOB_TRIGGERS ( - sched_name varchar(120) not null comment '调度名称', - trigger_name varchar(200) not null comment 'qrtz_triggers表trigger_name的外键', - trigger_group varchar(200) not null comment 'qrtz_triggers表trigger_group的外键', - blob_data blob null comment '存放持久化Trigger对象', - primary key (sched_name, trigger_name, trigger_group), - foreign key (sched_name, trigger_name, trigger_group) references QRTZ_TRIGGERS(sched_name, trigger_name, trigger_group) -) engine=innodb comment = 'Blob类型的触发器表'; - --- ---------------------------- --- 6、 以 Blob 类型存储存放日历信息， quartz可配置一个日历来指定一个时间范围 --- ---------------------------- -create table QRTZ_CALENDARS ( - sched_name varchar(120) not null comment '调度名称', - calendar_name varchar(200) not null comment '日历名称', - calendar blob not null comment '存放持久化calendar对象', - primary key (sched_name, calendar_name) -) engine=innodb comment = '日历信息表'; - --- ---------------------------- --- 7、 存储已暂停的 Trigger 组的信息 --- ---------------------------- -create table QRTZ_PAUSED_TRIGGER_GRPS ( - sched_name varchar(120) not null comment '调度名称', - trigger_group varchar(200) not null comment 'qrtz_triggers表trigger_group的外键', - primary key (sched_name, trigger_group) -) engine=innodb comment = '暂停的触发器表'; - --- ---------------------------- --- 8、 存储与已触发的 Trigger 相关的状态信息，以及相联 Job 的执行信息 --- ---------------------------- -create table QRTZ_FIRED_TRIGGERS ( - sched_name varchar(120) not null comment '调度名称', - entry_id varchar(95) not null comment '调度器实例id', - trigger_name varchar(200) not null comment 'qrtz_triggers表trigger_name的外键', - trigger_group varchar(200) not null comment 'qrtz_triggers表trigger_group的外键', - instance_name varchar(200) not null comment '调度器实例名', - fired_time bigint(13) not null comment '触发的时间', - sched_time bigint(13) not null comment '定时器制定的时间', - priority integer not null comment '优先级', - state varchar(16) not null comment '状态', - job_name varchar(200) null comment '任务名称', - job_group varchar(200) null comment '任务组名', - is_nonconcurrent varchar(1) null comment '是否并发', - requests_recovery varchar(1) null comment '是否接受恢复执行', - primary key (sched_name, entry_id) -) engine=innodb comment = '已触发的触发器表'; - --- ---------------------------- --- 9、 存储少量的有关 Scheduler 的状态信息，假如是用于集群中，可以看到其他的 Scheduler 实例 --- ---------------------------- -create table QRTZ_SCHEDULER_STATE ( - sched_name varchar(120) not null comment '调度名称', - instance_name varchar(200) not null comment '实例名称', - last_checkin_time bigint(13) not null comment '上次检查时间', - checkin_interval bigint(13) not null comment '检查间隔时间', - primary key (sched_name, instance_name) -) engine=innodb comment = '调度器状态表'; - --- ---------------------------- --- 10、 存储程序的悲观锁的信息(假如使用了悲观锁) --- ---------------------------- -create table QRTZ_LOCKS ( - sched_name varchar(120) not null comment '调度名称', - lock_name varchar(40) not null comment '悲观锁名称', - primary key (sched_name, lock_name) -) engine=innodb comment = '存储的悲观锁信息表'; - --- ---------------------------- --- 11、 Quartz集群实现同步机制的行锁表 --- ---------------------------- -create table QRTZ_SIMPROP_TRIGGERS ( - sched_name varchar(120) not null comment '调度名称', - trigger_name varchar(200) not null comment 'qrtz_triggers表trigger_name的外键', - trigger_group varchar(200) not null comment 'qrtz_triggers表trigger_group的外键', - str_prop_1 varchar(512) null comment 'String类型的trigger的第一个参数', - str_prop_2 varchar(512) null comment 'String类型的trigger的第二个参数', - str_prop_3 varchar(512) null comment 'String类型的trigger的第三个参数', - int_prop_1 int null comment 'int类型的trigger的第一个参数', - int_prop_2 int null comment 'int类型的trigger的第二个参数', - long_prop_1 bigint null comment 'long类型的trigger的第一个参数', - long_prop_2 bigint null comment 'long类型的trigger的第二个参数', - dec_prop_1 numeric(13,4) null comment 'decimal类型的trigger的第一个参数', - dec_prop_2 numeric(13,4) null comment 'decimal类型的trigger的第二个参数', - bool_prop_1 varchar(1) null comment 'Boolean类型的trigger的第一个参数', - bool_prop_2 varchar(1) null comment 'Boolean类型的trigger的第二个参数', - primary key (sched_name, trigger_name, trigger_group), - foreign key (sched_name, trigger_name, trigger_group) references QRTZ_TRIGGERS(sched_name, trigger_name, trigger_group) -) engine=innodb comment = '同步机制的行锁表'; - -commit; \ No newline at end of file diff --git a/sql/ry_20240629.sql b/sql/ry_20240629.sql deleted file mode 100644 index 58f11e32..00000000 --- a/sql/ry_20240629.sql +++ /dev/null @@ -1,701 +0,0 @@ --- ---------------------------- --- 1、部门表 --- ---------------------------- -drop table if exists sys_dept; -create table sys_dept ( - dept_id bigint(20) not null auto_increment comment '部门id', - parent_id bigint(20) default 0 comment '父部门id', - ancestors varchar(50) default '' comment '祖级列表', - dept_name varchar(30) default '' comment '部门名称', - order_num int(4) default 0 comment '显示顺序', - leader varchar(20) default null comment '负责人', - phone varchar(11) default null comment '联系电话', - email varchar(50) default null comment '邮箱', - status char(1) default '0' comment '部门状态（0正常 1停用）', - del_flag char(1) default '0' comment '删除标志（0代表存在 2代表删除）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - primary key (dept_id) -) engine=innodb auto_increment=200 comment = '部门表'; - --- ---------------------------- --- 初始化-部门表数据 --- ---------------------------- -insert into sys_dept values(100, 0, '0', '若依科技', 0, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(101, 100, '0,100', '深圳总公司', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(102, 100, '0,100', '长沙分公司', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(103, 101, '0,100,101', '研发部门', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(104, 101, '0,100,101', '市场部门', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(105, 101, '0,100,101', '测试部门', 3, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(106, 101, '0,100,101', '财务部门', 4, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(107, 101, '0,100,101', '运维部门', 5, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(108, 102, '0,100,102', '市场部门', 1, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); -insert into sys_dept values(109, 102, '0,100,102', '财务部门', 2, '若依', '15888888888', 'ry@qq.com', '0', '0', 'admin', sysdate(), '', null); - - --- ---------------------------- --- 2、用户信息表 --- ---------------------------- -drop table if exists sys_user; -create table sys_user ( - user_id bigint(20) not null auto_increment comment '用户ID', - dept_id bigint(20) default null comment '部门ID', - user_name varchar(30) not null comment '用户账号', - nick_name varchar(30) not null comment '用户昵称', - user_type varchar(2) default '00' comment '用户类型（00系统用户）', - email varchar(50) default '' comment '用户邮箱', - phonenumber varchar(11) default '' comment '手机号码', - sex char(1) default '0' comment '用户性别（0男 1女 2未知）', - avatar varchar(100) default '' comment '头像地址', - password varchar(100) default '' comment '密码', - status char(1) default '0' comment '帐号状态（0正常 1停用）', - del_flag char(1) default '0' comment '删除标志（0代表存在 2代表删除）', - login_ip varchar(128) default '' comment '最后登录IP', - login_date datetime comment '最后登录时间', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default null comment '备注', - primary key (user_id) -) engine=innodb auto_increment=100 comment = '用户信息表'; - --- ---------------------------- --- 初始化-用户信息表数据 --- ---------------------------- -insert into sys_user values(1, 103, 'admin', '若依', '00', 'ry@163.com', '15888888888', '1', '', '$2a$10$7JB720yubVSZvUI0rEqK/.VqGOZTH.ulu33dHOiBE8ByOhJIrdAu2', '0', '0', '127.0.0.1', sysdate(), 'admin', sysdate(), '', null, '管理员'); -insert into sys_user values(2, 105, 'ry', '若依', '00', 'ry@qq.com', '15666666666', '1', '', '$2a$10$7JB720yubVSZvUI0rEqK/.VqGOZTH.ulu33dHOiBE8ByOhJIrdAu2', '0', '0', '127.0.0.1', sysdate(), 'admin', sysdate(), '', null, '测试员'); - - --- ---------------------------- --- 3、岗位信息表 --- ---------------------------- -drop table if exists sys_post; -create table sys_post -( - post_id bigint(20) not null auto_increment comment '岗位ID', - post_code varchar(64) not null comment '岗位编码', - post_name varchar(50) not null comment '岗位名称', - post_sort int(4) not null comment '显示顺序', - status char(1) not null comment '状态（0正常 1停用）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default null comment '备注', - primary key (post_id) -) engine=innodb comment = '岗位信息表'; - --- ---------------------------- --- 初始化-岗位信息表数据 --- ---------------------------- -insert into sys_post values(1, 'ceo', '董事长', 1, '0', 'admin', sysdate(), '', null, ''); -insert into sys_post values(2, 'se', '项目经理', 2, '0', 'admin', sysdate(), '', null, ''); -insert into sys_post values(3, 'hr', '人力资源', 3, '0', 'admin', sysdate(), '', null, ''); -insert into sys_post values(4, 'user', '普通员工', 4, '0', 'admin', sysdate(), '', null, ''); - - --- ---------------------------- --- 4、角色信息表 --- ---------------------------- -drop table if exists sys_role; -create table sys_role ( - role_id bigint(20) not null auto_increment comment '角色ID', - role_name varchar(30) not null comment '角色名称', - role_key varchar(100) not null comment '角色权限字符串', - role_sort int(4) not null comment '显示顺序', - data_scope char(1) default '1' comment '数据范围（1：全部数据权限 2：自定数据权限 3：本部门数据权限 4：本部门及以下数据权限）', - menu_check_strictly tinyint(1) default 1 comment '菜单树选择项是否关联显示', - dept_check_strictly tinyint(1) default 1 comment '部门树选择项是否关联显示', - status char(1) not null comment '角色状态（0正常 1停用）', - del_flag char(1) default '0' comment '删除标志（0代表存在 2代表删除）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default null comment '备注', - primary key (role_id) -) engine=innodb auto_increment=100 comment = '角色信息表'; - --- ---------------------------- --- 初始化-角色信息表数据 --- ---------------------------- -insert into sys_role values('1', '超级管理员', 'admin', 1, 1, 1, 1, '0', '0', 'admin', sysdate(), '', null, '超级管理员'); -insert into sys_role values('2', '普通角色', 'common', 2, 2, 1, 1, '0', '0', 'admin', sysdate(), '', null, '普通角色'); - - --- ---------------------------- --- 5、菜单权限表 --- ---------------------------- -drop table if exists sys_menu; -create table sys_menu ( - menu_id bigint(20) not null auto_increment comment '菜单ID', - menu_name varchar(50) not null comment '菜单名称', - parent_id bigint(20) default 0 comment '父菜单ID', - order_num int(4) default 0 comment '显示顺序', - path varchar(200) default '' comment '路由地址', - component varchar(255) default null comment '组件路径', - query varchar(255) default null comment '路由参数', - route_name varchar(50) default '' comment '路由名称', - is_frame int(1) default 1 comment '是否为外链（0是 1否）', - is_cache int(1) default 0 comment '是否缓存（0缓存 1不缓存）', - menu_type char(1) default '' comment '菜单类型（M目录 C菜单 F按钮）', - visible char(1) default 0 comment '菜单状态（0显示 1隐藏）', - status char(1) default 0 comment '菜单状态（0正常 1停用）', - perms varchar(100) default null comment '权限标识', - icon varchar(100) default '#' comment '菜单图标', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default '' comment '备注', - primary key (menu_id) -) engine=innodb auto_increment=2000 comment = '菜单权限表'; - --- ---------------------------- --- 初始化-菜单信息表数据 --- ---------------------------- --- 一级菜单 -insert into sys_menu values('1', '系统管理', '0', '1', 'system', null, '', '', 1, 0, 'M', '0', '0', '', 'system', 'admin', sysdate(), '', null, '系统管理目录'); -insert into sys_menu values('2', '系统监控', '0', '2', 'monitor', null, '', '', 1, 0, 'M', '0', '0', '', 'monitor', 'admin', sysdate(), '', null, '系统监控目录'); -insert into sys_menu values('3', '系统工具', '0', '3', 'tool', null, '', '', 1, 0, 'M', '0', '0', '', 'tool', 'admin', sysdate(), '', null, '系统工具目录'); -insert into sys_menu values('4', '若依官网', '0', '4', 'http://acupuncture.vip', null, '', '', 0, 0, 'M', '0', '0', '', 'guide', 'admin', sysdate(), '', null, '若依官网地址'); --- 二级菜单 -insert into sys_menu values('100', '用户管理', '1', '1', 'user', 'system/user/index', '', '', 1, 0, 'C', '0', '0', 'system:user:list', 'user', 'admin', sysdate(), '', null, '用户管理菜单'); -insert into sys_menu values('101', '角色管理', '1', '2', 'role', 'system/role/index', '', '', 1, 0, 'C', '0', '0', 'system:role:list', 'peoples', 'admin', sysdate(), '', null, '角色管理菜单'); -insert into sys_menu values('102', '菜单管理', '1', '3', 'menu', 'system/menu/index', '', '', 1, 0, 'C', '0', '0', 'system:menu:list', 'tree-table', 'admin', sysdate(), '', null, '菜单管理菜单'); -insert into sys_menu values('103', '部门管理', '1', '4', 'dept', 'system/dept/index', '', '', 1, 0, 'C', '0', '0', 'system:dept:list', 'tree', 'admin', sysdate(), '', null, '部门管理菜单'); -insert into sys_menu values('104', '岗位管理', '1', '5', 'post', 'system/post/index', '', '', 1, 0, 'C', '0', '0', 'system:post:list', 'post', 'admin', sysdate(), '', null, '岗位管理菜单'); -insert into sys_menu values('105', '字典管理', '1', '6', 'dict', 'system/dict/index', '', '', 1, 0, 'C', '0', '0', 'system:dict:list', 'dict', 'admin', sysdate(), '', null, '字典管理菜单'); -insert into sys_menu values('106', '参数设置', '1', '7', 'config', 'system/config/index', '', '', 1, 0, 'C', '0', '0', 'system:config:list', 'edit', 'admin', sysdate(), '', null, '参数设置菜单'); -insert into sys_menu values('107', '通知公告', '1', '8', 'notice', 'system/notice/index', '', '', 1, 0, 'C', '0', '0', 'system:notice:list', 'message', 'admin', sysdate(), '', null, '通知公告菜单'); -insert into sys_menu values('108', '日志管理', '1', '9', 'log', '', '', '', 1, 0, 'M', '0', '0', '', 'log', 'admin', sysdate(), '', null, '日志管理菜单'); -insert into sys_menu values('109', '在线用户', '2', '1', 'online', 'monitor/online/index', '', '', 1, 0, 'C', '0', '0', 'monitor:online:list', 'online', 'admin', sysdate(), '', null, '在线用户菜单'); -insert into sys_menu values('110', '定时任务', '2', '2', 'job', 'monitor/job/index', '', '', 1, 0, 'C', '0', '0', 'monitor:job:list', 'job', 'admin', sysdate(), '', null, '定时任务菜单'); -insert into sys_menu values('111', '数据监控', '2', '3', 'druid', 'monitor/druid/index', '', '', 1, 0, 'C', '0', '0', 'monitor:druid:list', 'druid', 'admin', sysdate(), '', null, '数据监控菜单'); -insert into sys_menu values('112', '服务监控', '2', '4', 'server', 'monitor/server/index', '', '', 1, 0, 'C', '0', '0', 'monitor:server:list', 'server', 'admin', sysdate(), '', null, '服务监控菜单'); -insert into sys_menu values('113', '缓存监控', '2', '5', 'cache', 'monitor/cache/index', '', '', 1, 0, 'C', '0', '0', 'monitor:cache:list', 'redis', 'admin', sysdate(), '', null, '缓存监控菜单'); -insert into sys_menu values('114', '缓存列表', '2', '6', 'cacheList', 'monitor/cache/list', '', '', 1, 0, 'C', '0', '0', 'monitor:cache:list', 'redis-list', 'admin', sysdate(), '', null, '缓存列表菜单'); -insert into sys_menu values('115', '表单构建', '3', '1', 'build', 'tool/build/index', '', '', 1, 0, 'C', '0', '0', 'tool:build:list', 'build', 'admin', sysdate(), '', null, '表单构建菜单'); -insert into sys_menu values('116', '代码生成', '3', '2', 'gen', 'tool/gen/index', '', '', 1, 0, 'C', '0', '0', 'tool:gen:list', 'code', 'admin', sysdate(), '', null, '代码生成菜单'); -insert into sys_menu values('117', '系统接口', '3', '3', 'swagger', 'tool/swagger/index', '', '', 1, 0, 'C', '0', '0', 'tool:swagger:list', 'swagger', 'admin', sysdate(), '', null, '系统接口菜单'); --- 三级菜单 -insert into sys_menu values('500', '操作日志', '108', '1', 'operlog', 'monitor/operlog/index', '', '', 1, 0, 'C', '0', '0', 'monitor:operlog:list', 'form', 'admin', sysdate(), '', null, '操作日志菜单'); -insert into sys_menu values('501', '登录日志', '108', '2', 'logininfor', 'monitor/logininfor/index', '', '', 1, 0, 'C', '0', '0', 'monitor:logininfor:list', 'logininfor', 'admin', sysdate(), '', null, '登录日志菜单'); --- 用户管理按钮 -insert into sys_menu values('1000', '用户查询', '100', '1', '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1001', '用户新增', '100', '2', '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1002', '用户修改', '100', '3', '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1003', '用户删除', '100', '4', '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1004', '用户导出', '100', '5', '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:export', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1005', '用户导入', '100', '6', '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:import', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1006', '重置密码', '100', '7', '', '', '', '', 1, 0, 'F', '0', '0', 'system:user:resetPwd', '#', 'admin', sysdate(), '', null, ''); --- 角色管理按钮 -insert into sys_menu values('1007', '角色查询', '101', '1', '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1008', '角色新增', '101', '2', '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1009', '角色修改', '101', '3', '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1010', '角色删除', '101', '4', '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1011', '角色导出', '101', '5', '', '', '', '', 1, 0, 'F', '0', '0', 'system:role:export', '#', 'admin', sysdate(), '', null, ''); --- 菜单管理按钮 -insert into sys_menu values('1012', '菜单查询', '102', '1', '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1013', '菜单新增', '102', '2', '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1014', '菜单修改', '102', '3', '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1015', '菜单删除', '102', '4', '', '', '', '', 1, 0, 'F', '0', '0', 'system:menu:remove', '#', 'admin', sysdate(), '', null, ''); --- 部门管理按钮 -insert into sys_menu values('1016', '部门查询', '103', '1', '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1017', '部门新增', '103', '2', '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1018', '部门修改', '103', '3', '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1019', '部门删除', '103', '4', '', '', '', '', 1, 0, 'F', '0', '0', 'system:dept:remove', '#', 'admin', sysdate(), '', null, ''); --- 岗位管理按钮 -insert into sys_menu values('1020', '岗位查询', '104', '1', '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1021', '岗位新增', '104', '2', '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1022', '岗位修改', '104', '3', '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1023', '岗位删除', '104', '4', '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1024', '岗位导出', '104', '5', '', '', '', '', 1, 0, 'F', '0', '0', 'system:post:export', '#', 'admin', sysdate(), '', null, ''); --- 字典管理按钮 -insert into sys_menu values('1025', '字典查询', '105', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1026', '字典新增', '105', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1027', '字典修改', '105', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1028', '字典删除', '105', '4', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1029', '字典导出', '105', '5', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:dict:export', '#', 'admin', sysdate(), '', null, ''); --- 参数设置按钮 -insert into sys_menu values('1030', '参数查询', '106', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1031', '参数新增', '106', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1032', '参数修改', '106', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1033', '参数删除', '106', '4', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1034', '参数导出', '106', '5', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:config:export', '#', 'admin', sysdate(), '', null, ''); --- 通知公告按钮 -insert into sys_menu values('1035', '公告查询', '107', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1036', '公告新增', '107', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1037', '公告修改', '107', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1038', '公告删除', '107', '4', '#', '', '', '', 1, 0, 'F', '0', '0', 'system:notice:remove', '#', 'admin', sysdate(), '', null, ''); --- 操作日志按钮 -insert into sys_menu values('1039', '操作查询', '500', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1040', '操作删除', '500', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1041', '日志导出', '500', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:operlog:export', '#', 'admin', sysdate(), '', null, ''); --- 登录日志按钮 -insert into sys_menu values('1042', '登录查询', '501', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1043', '登录删除', '501', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1044', '日志导出', '501', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:export', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1045', '账户解锁', '501', '4', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:logininfor:unlock', '#', 'admin', sysdate(), '', null, ''); --- 在线用户按钮 -insert into sys_menu values('1046', '在线查询', '109', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1047', '批量强退', '109', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:batchLogout', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1048', '单条强退', '109', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:online:forceLogout', '#', 'admin', sysdate(), '', null, ''); --- 定时任务按钮 -insert into sys_menu values('1049', '任务查询', '110', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1050', '任务新增', '110', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:add', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1051', '任务修改', '110', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1052', '任务删除', '110', '4', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1053', '状态修改', '110', '5', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:changeStatus', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1054', '任务导出', '110', '6', '#', '', '', '', 1, 0, 'F', '0', '0', 'monitor:job:export', '#', 'admin', sysdate(), '', null, ''); --- 代码生成按钮 -insert into sys_menu values('1055', '生成查询', '116', '1', '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:query', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1056', '生成修改', '116', '2', '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:edit', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1057', '生成删除', '116', '3', '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:remove', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1058', '导入代码', '116', '4', '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:import', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1059', '预览代码', '116', '5', '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:preview', '#', 'admin', sysdate(), '', null, ''); -insert into sys_menu values('1060', '生成代码', '116', '6', '#', '', '', '', 1, 0, 'F', '0', '0', 'tool:gen:code', '#', 'admin', sysdate(), '', null, ''); - - --- ---------------------------- --- 6、用户和角色关联表 用户N-1角色 --- ---------------------------- -drop table if exists sys_user_role; -create table sys_user_role ( - user_id bigint(20) not null comment '用户ID', - role_id bigint(20) not null comment '角色ID', - primary key(user_id, role_id) -) engine=innodb comment = '用户和角色关联表'; - --- ---------------------------- --- 初始化-用户和角色关联表数据 --- ---------------------------- -insert into sys_user_role values ('1', '1'); -insert into sys_user_role values ('2', '2'); - - --- ---------------------------- --- 7、角色和菜单关联表 角色1-N菜单 --- ---------------------------- -drop table if exists sys_role_menu; -create table sys_role_menu ( - role_id bigint(20) not null comment '角色ID', - menu_id bigint(20) not null comment '菜单ID', - primary key(role_id, menu_id) -) engine=innodb comment = '角色和菜单关联表'; - --- ---------------------------- --- 初始化-角色和菜单关联表数据 --- ---------------------------- -insert into sys_role_menu values ('2', '1'); -insert into sys_role_menu values ('2', '2'); -insert into sys_role_menu values ('2', '3'); -insert into sys_role_menu values ('2', '4'); -insert into sys_role_menu values ('2', '100'); -insert into sys_role_menu values ('2', '101'); -insert into sys_role_menu values ('2', '102'); -insert into sys_role_menu values ('2', '103'); -insert into sys_role_menu values ('2', '104'); -insert into sys_role_menu values ('2', '105'); -insert into sys_role_menu values ('2', '106'); -insert into sys_role_menu values ('2', '107'); -insert into sys_role_menu values ('2', '108'); -insert into sys_role_menu values ('2', '109'); -insert into sys_role_menu values ('2', '110'); -insert into sys_role_menu values ('2', '111'); -insert into sys_role_menu values ('2', '112'); -insert into sys_role_menu values ('2', '113'); -insert into sys_role_menu values ('2', '114'); -insert into sys_role_menu values ('2', '115'); -insert into sys_role_menu values ('2', '116'); -insert into sys_role_menu values ('2', '117'); -insert into sys_role_menu values ('2', '500'); -insert into sys_role_menu values ('2', '501'); -insert into sys_role_menu values ('2', '1000'); -insert into sys_role_menu values ('2', '1001'); -insert into sys_role_menu values ('2', '1002'); -insert into sys_role_menu values ('2', '1003'); -insert into sys_role_menu values ('2', '1004'); -insert into sys_role_menu values ('2', '1005'); -insert into sys_role_menu values ('2', '1006'); -insert into sys_role_menu values ('2', '1007'); -insert into sys_role_menu values ('2', '1008'); -insert into sys_role_menu values ('2', '1009'); -insert into sys_role_menu values ('2', '1010'); -insert into sys_role_menu values ('2', '1011'); -insert into sys_role_menu values ('2', '1012'); -insert into sys_role_menu values ('2', '1013'); -insert into sys_role_menu values ('2', '1014'); -insert into sys_role_menu values ('2', '1015'); -insert into sys_role_menu values ('2', '1016'); -insert into sys_role_menu values ('2', '1017'); -insert into sys_role_menu values ('2', '1018'); -insert into sys_role_menu values ('2', '1019'); -insert into sys_role_menu values ('2', '1020'); -insert into sys_role_menu values ('2', '1021'); -insert into sys_role_menu values ('2', '1022'); -insert into sys_role_menu values ('2', '1023'); -insert into sys_role_menu values ('2', '1024'); -insert into sys_role_menu values ('2', '1025'); -insert into sys_role_menu values ('2', '1026'); -insert into sys_role_menu values ('2', '1027'); -insert into sys_role_menu values ('2', '1028'); -insert into sys_role_menu values ('2', '1029'); -insert into sys_role_menu values ('2', '1030'); -insert into sys_role_menu values ('2', '1031'); -insert into sys_role_menu values ('2', '1032'); -insert into sys_role_menu values ('2', '1033'); -insert into sys_role_menu values ('2', '1034'); -insert into sys_role_menu values ('2', '1035'); -insert into sys_role_menu values ('2', '1036'); -insert into sys_role_menu values ('2', '1037'); -insert into sys_role_menu values ('2', '1038'); -insert into sys_role_menu values ('2', '1039'); -insert into sys_role_menu values ('2', '1040'); -insert into sys_role_menu values ('2', '1041'); -insert into sys_role_menu values ('2', '1042'); -insert into sys_role_menu values ('2', '1043'); -insert into sys_role_menu values ('2', '1044'); -insert into sys_role_menu values ('2', '1045'); -insert into sys_role_menu values ('2', '1046'); -insert into sys_role_menu values ('2', '1047'); -insert into sys_role_menu values ('2', '1048'); -insert into sys_role_menu values ('2', '1049'); -insert into sys_role_menu values ('2', '1050'); -insert into sys_role_menu values ('2', '1051'); -insert into sys_role_menu values ('2', '1052'); -insert into sys_role_menu values ('2', '1053'); -insert into sys_role_menu values ('2', '1054'); -insert into sys_role_menu values ('2', '1055'); -insert into sys_role_menu values ('2', '1056'); -insert into sys_role_menu values ('2', '1057'); -insert into sys_role_menu values ('2', '1058'); -insert into sys_role_menu values ('2', '1059'); -insert into sys_role_menu values ('2', '1060'); - --- ---------------------------- --- 8、角色和部门关联表 角色1-N部门 --- ---------------------------- -drop table if exists sys_role_dept; -create table sys_role_dept ( - role_id bigint(20) not null comment '角色ID', - dept_id bigint(20) not null comment '部门ID', - primary key(role_id, dept_id) -) engine=innodb comment = '角色和部门关联表'; - --- ---------------------------- --- 初始化-角色和部门关联表数据 --- ---------------------------- -insert into sys_role_dept values ('2', '100'); -insert into sys_role_dept values ('2', '101'); -insert into sys_role_dept values ('2', '105'); - - --- ---------------------------- --- 9、用户与岗位关联表 用户1-N岗位 --- ---------------------------- -drop table if exists sys_user_post; -create table sys_user_post -( - user_id bigint(20) not null comment '用户ID', - post_id bigint(20) not null comment '岗位ID', - primary key (user_id, post_id) -) engine=innodb comment = '用户与岗位关联表'; - --- ---------------------------- --- 初始化-用户与岗位关联表数据 --- ---------------------------- -insert into sys_user_post values ('1', '1'); -insert into sys_user_post values ('2', '2'); - - --- ---------------------------- --- 10、操作日志记录 --- ---------------------------- -drop table if exists sys_oper_log; -create table sys_oper_log ( - oper_id bigint(20) not null auto_increment comment '日志主键', - title varchar(50) default '' comment '模块标题', - business_type int(2) default 0 comment '业务类型（0其它 1新增 2修改 3删除）', - method varchar(200) default '' comment '方法名称', - request_method varchar(10) default '' comment '请求方式', - operator_type int(1) default 0 comment '操作类别（0其它 1后台用户 2手机端用户）', - oper_name varchar(50) default '' comment '操作人员', - dept_name varchar(50) default '' comment '部门名称', - oper_url varchar(255) default '' comment '请求URL', - oper_ip varchar(128) default '' comment '主机地址', - oper_location varchar(255) default '' comment '操作地点', - oper_param varchar(2000) default '' comment '请求参数', - json_result varchar(2000) default '' comment '返回参数', - status int(1) default 0 comment '操作状态（0正常 1异常）', - error_msg varchar(2000) default '' comment '错误消息', - oper_time datetime comment '操作时间', - cost_time bigint(20) default 0 comment '消耗时间', - primary key (oper_id), - key idx_sys_oper_log_bt (business_type), - key idx_sys_oper_log_s (status), - key idx_sys_oper_log_ot (oper_time) -) engine=innodb auto_increment=100 comment = '操作日志记录'; - - --- ---------------------------- --- 11、字典类型表 --- ---------------------------- -drop table if exists sys_dict_type; -create table sys_dict_type -( - dict_id bigint(20) not null auto_increment comment '字典主键', - dict_name varchar(100) default '' comment '字典名称', - dict_type varchar(100) default '' comment '字典类型', - status char(1) default '0' comment '状态（0正常 1停用）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default null comment '备注', - primary key (dict_id), - unique (dict_type) -) engine=innodb auto_increment=100 comment = '字典类型表'; - -insert into sys_dict_type values(1, '用户性别', 'sys_user_sex', '0', 'admin', sysdate(), '', null, '用户性别列表'); -insert into sys_dict_type values(2, '菜单状态', 'sys_show_hide', '0', 'admin', sysdate(), '', null, '菜单状态列表'); -insert into sys_dict_type values(3, '系统开关', 'sys_normal_disable', '0', 'admin', sysdate(), '', null, '系统开关列表'); -insert into sys_dict_type values(4, '任务状态', 'sys_job_status', '0', 'admin', sysdate(), '', null, '任务状态列表'); -insert into sys_dict_type values(5, '任务分组', 'sys_job_group', '0', 'admin', sysdate(), '', null, '任务分组列表'); -insert into sys_dict_type values(6, '系统是否', 'sys_yes_no', '0', 'admin', sysdate(), '', null, '系统是否列表'); -insert into sys_dict_type values(7, '通知类型', 'sys_notice_type', '0', 'admin', sysdate(), '', null, '通知类型列表'); -insert into sys_dict_type values(8, '通知状态', 'sys_notice_status', '0', 'admin', sysdate(), '', null, '通知状态列表'); -insert into sys_dict_type values(9, '操作类型', 'sys_oper_type', '0', 'admin', sysdate(), '', null, '操作类型列表'); -insert into sys_dict_type values(10, '系统状态', 'sys_common_status', '0', 'admin', sysdate(), '', null, '登录状态列表'); - - --- ---------------------------- --- 12、字典数据表 --- ---------------------------- -drop table if exists sys_dict_data; -create table sys_dict_data -( - dict_code bigint(20) not null auto_increment comment '字典编码', - dict_sort int(4) default 0 comment '字典排序', - dict_label varchar(100) default '' comment '字典标签', - dict_value varchar(100) default '' comment '字典键值', - dict_type varchar(100) default '' comment '字典类型', - css_class varchar(100) default null comment '样式属性（其他样式扩展）', - list_class varchar(100) default null comment '表格回显样式', - is_default char(1) default 'N' comment '是否默认（Y是 N否）', - status char(1) default '0' comment '状态（0正常 1停用）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default null comment '备注', - primary key (dict_code) -) engine=innodb auto_increment=100 comment = '字典数据表'; - -insert into sys_dict_data values(1, 1, '男', '0', 'sys_user_sex', '', '', 'Y', '0', 'admin', sysdate(), '', null, '性别男'); -insert into sys_dict_data values(2, 2, '女', '1', 'sys_user_sex', '', '', 'N', '0', 'admin', sysdate(), '', null, '性别女'); -insert into sys_dict_data values(3, 3, '未知', '2', 'sys_user_sex', '', '', 'N', '0', 'admin', sysdate(), '', null, '性别未知'); -insert into sys_dict_data values(4, 1, '显示', '0', 'sys_show_hide', '', 'primary', 'Y', '0', 'admin', sysdate(), '', null, '显示菜单'); -insert into sys_dict_data values(5, 2, '隐藏', '1', 'sys_show_hide', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '隐藏菜单'); -insert into sys_dict_data values(6, 1, '正常', '0', 'sys_normal_disable', '', 'primary', 'Y', '0', 'admin', sysdate(), '', null, '正常状态'); -insert into sys_dict_data values(7, 2, '停用', '1', 'sys_normal_disable', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '停用状态'); -insert into sys_dict_data values(8, 1, '正常', '0', 'sys_job_status', '', 'primary', 'Y', '0', 'admin', sysdate(), '', null, '正常状态'); -insert into sys_dict_data values(9, 2, '暂停', '1', 'sys_job_status', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '停用状态'); -insert into sys_dict_data values(10, 1, '默认', 'DEFAULT', 'sys_job_group', '', '', 'Y', '0', 'admin', sysdate(), '', null, '默认分组'); -insert into sys_dict_data values(11, 2, '系统', 'SYSTEM', 'sys_job_group', '', '', 'N', '0', 'admin', sysdate(), '', null, '系统分组'); -insert into sys_dict_data values(12, 1, '是', 'Y', 'sys_yes_no', '', 'primary', 'Y', '0', 'admin', sysdate(), '', null, '系统默认是'); -insert into sys_dict_data values(13, 2, '否', 'N', 'sys_yes_no', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '系统默认否'); -insert into sys_dict_data values(14, 1, '通知', '1', 'sys_notice_type', '', 'warning', 'Y', '0', 'admin', sysdate(), '', null, '通知'); -insert into sys_dict_data values(15, 2, '公告', '2', 'sys_notice_type', '', 'success', 'N', '0', 'admin', sysdate(), '', null, '公告'); -insert into sys_dict_data values(16, 1, '正常', '0', 'sys_notice_status', '', 'primary', 'Y', '0', 'admin', sysdate(), '', null, '正常状态'); -insert into sys_dict_data values(17, 2, '关闭', '1', 'sys_notice_status', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '关闭状态'); -insert into sys_dict_data values(18, 99, '其他', '0', 'sys_oper_type', '', 'info', 'N', '0', 'admin', sysdate(), '', null, '其他操作'); -insert into sys_dict_data values(19, 1, '新增', '1', 'sys_oper_type', '', 'info', 'N', '0', 'admin', sysdate(), '', null, '新增操作'); -insert into sys_dict_data values(20, 2, '修改', '2', 'sys_oper_type', '', 'info', 'N', '0', 'admin', sysdate(), '', null, '修改操作'); -insert into sys_dict_data values(21, 3, '删除', '3', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '删除操作'); -insert into sys_dict_data values(22, 4, '授权', '4', 'sys_oper_type', '', 'primary', 'N', '0', 'admin', sysdate(), '', null, '授权操作'); -insert into sys_dict_data values(23, 5, '导出', '5', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', sysdate(), '', null, '导出操作'); -insert into sys_dict_data values(24, 6, '导入', '6', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', sysdate(), '', null, '导入操作'); -insert into sys_dict_data values(25, 7, '强退', '7', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '强退操作'); -insert into sys_dict_data values(26, 8, '生成代码', '8', 'sys_oper_type', '', 'warning', 'N', '0', 'admin', sysdate(), '', null, '生成操作'); -insert into sys_dict_data values(27, 9, '清空数据', '9', 'sys_oper_type', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '清空操作'); -insert into sys_dict_data values(28, 1, '成功', '0', 'sys_common_status', '', 'primary', 'N', '0', 'admin', sysdate(), '', null, '正常状态'); -insert into sys_dict_data values(29, 2, '失败', '1', 'sys_common_status', '', 'danger', 'N', '0', 'admin', sysdate(), '', null, '停用状态'); - - --- ---------------------------- --- 13、参数配置表 --- ---------------------------- -drop table if exists sys_config; -create table sys_config ( - config_id int(5) not null auto_increment comment '参数主键', - config_name varchar(100) default '' comment '参数名称', - config_key varchar(100) default '' comment '参数键名', - config_value varchar(500) default '' comment '参数键值', - config_type char(1) default 'N' comment '系统内置（Y是 N否）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default null comment '备注', - primary key (config_id) -) engine=innodb auto_increment=100 comment = '参数配置表'; - -insert into sys_config values(1, '主框架页-默认皮肤样式名称', 'sys.index.skinName', 'skin-blue', 'Y', 'admin', sysdate(), '', null, '蓝色 skin-blue、绿色 skin-green、紫色 skin-purple、红色 skin-red、黄色 skin-yellow' ); -insert into sys_config values(2, '用户管理-账号初始密码', 'sys.user.initPassword', '123456', 'Y', 'admin', sysdate(), '', null, '初始化密码 123456' ); -insert into sys_config values(3, '主框架页-侧边栏主题', 'sys.index.sideTheme', 'theme-dark', 'Y', 'admin', sysdate(), '', null, '深色主题theme-dark，浅色主题theme-light' ); -insert into sys_config values(4, '账号自助-验证码开关', 'sys.account.captchaEnabled', 'true', 'Y', 'admin', sysdate(), '', null, '是否开启验证码功能（true开启，false关闭）'); -insert into sys_config values(5, '账号自助-是否开启用户注册功能', 'sys.account.registerUser', 'false', 'Y', 'admin', sysdate(), '', null, '是否开启注册用户功能（true开启，false关闭）'); -insert into sys_config values(6, '用户登录-黑名单列表', 'sys.login.blackIPList', '', 'Y', 'admin', sysdate(), '', null, '设置登录IP黑名单限制，多个匹配项以;分隔，支持匹配（*通配、网段）'); - - --- ---------------------------- --- 14、系统访问记录 --- ---------------------------- -drop table if exists sys_logininfor; -create table sys_logininfor ( - info_id bigint(20) not null auto_increment comment '访问ID', - user_name varchar(50) default '' comment '用户账号', - ipaddr varchar(128) default '' comment '登录IP地址', - login_location varchar(255) default '' comment '登录地点', - browser varchar(50) default '' comment '浏览器类型', - os varchar(50) default '' comment '操作系统', - status char(1) default '0' comment '登录状态（0成功 1失败）', - msg varchar(255) default '' comment '提示消息', - login_time datetime comment '访问时间', - primary key (info_id), - key idx_sys_logininfor_s (status), - key idx_sys_logininfor_lt (login_time) -) engine=innodb auto_increment=100 comment = '系统访问记录'; - - --- ---------------------------- --- 15、定时任务调度表 --- ---------------------------- -drop table if exists sys_job; -create table sys_job ( - job_id bigint(20) not null auto_increment comment '任务ID', - job_name varchar(64) default '' comment '任务名称', - job_group varchar(64) default 'DEFAULT' comment '任务组名', - invoke_target varchar(500) not null comment '调用目标字符串', - cron_expression varchar(255) default '' comment 'cron执行表达式', - misfire_policy varchar(20) default '3' comment '计划执行错误策略（1立即执行 2执行一次 3放弃执行）', - concurrent char(1) default '1' comment '是否并发执行（0允许 1禁止）', - status char(1) default '0' comment '状态（0正常 1暂停）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default '' comment '备注信息', - primary key (job_id, job_name, job_group) -) engine=innodb auto_increment=100 comment = '定时任务调度表'; - -insert into sys_job values(1, '系统默认（无参）', 'DEFAULT', 'ryTask.ryNoParams', '0/10 * * * * ?', '3', '1', '1', 'admin', sysdate(), '', null, ''); -insert into sys_job values(2, '系统默认（有参）', 'DEFAULT', 'ryTask.ryParams(\'ry\')', '0/15 * * * * ?', '3', '1', '1', 'admin', sysdate(), '', null, ''); -insert into sys_job values(3, '系统默认（多参）', 'DEFAULT', 'ryTask.ryMultipleParams(\'ry\', true, 2000L, 316.50D, 100)', '0/20 * * * * ?', '3', '1', '1', 'admin', sysdate(), '', null, ''); - - --- ---------------------------- --- 16、定时任务调度日志表 --- ---------------------------- -drop table if exists sys_job_log; -create table sys_job_log ( - job_log_id bigint(20) not null auto_increment comment '任务日志ID', - job_name varchar(64) not null comment '任务名称', - job_group varchar(64) not null comment '任务组名', - invoke_target varchar(500) not null comment '调用目标字符串', - job_message varchar(500) comment '日志信息', - status char(1) default '0' comment '执行状态（0正常 1失败）', - exception_info varchar(2000) default '' comment '异常信息', - create_time datetime comment '创建时间', - primary key (job_log_id) -) engine=innodb comment = '定时任务调度日志表'; - - --- ---------------------------- --- 17、通知公告表 --- ---------------------------- -drop table if exists sys_notice; -create table sys_notice ( - notice_id int(4) not null auto_increment comment '公告ID', - notice_title varchar(50) not null comment '公告标题', - notice_type char(1) not null comment '公告类型（1通知 2公告）', - notice_content longblob default null comment '公告内容', - status char(1) default '0' comment '公告状态（0正常 1关闭）', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(255) default null comment '备注', - primary key (notice_id) -) engine=innodb auto_increment=10 comment = '通知公告表'; - --- ---------------------------- --- 初始化-公告信息表数据 --- ---------------------------- -insert into sys_notice values('1', '温馨提醒：2018-07-01 若依新版本发布啦', '2', '新版本内容', '0', 'admin', sysdate(), '', null, '管理员'); -insert into sys_notice values('2', '维护通知：2018-07-01 若依系统凌晨维护', '1', '维护内容', '0', 'admin', sysdate(), '', null, '管理员'); - - --- ---------------------------- --- 18、代码生成业务表 --- ---------------------------- -drop table if exists gen_table; -create table gen_table ( - table_id bigint(20) not null auto_increment comment '编号', - table_name varchar(200) default '' comment '表名称', - table_comment varchar(500) default '' comment '表描述', - sub_table_name varchar(64) default null comment '关联子表的表名', - sub_table_fk_name varchar(64) default null comment '子表关联的外键名', - class_name varchar(100) default '' comment '实体类名称', - tpl_category varchar(200) default 'crud' comment '使用的模板（crud单表操作 tree树表操作）', - tpl_web_type varchar(30) default '' comment '前端模板类型（element-ui模版 element-plus模版）', - package_name varchar(100) comment '生成包路径', - module_name varchar(30) comment '生成模块名', - business_name varchar(30) comment '生成业务名', - function_name varchar(50) comment '生成功能名', - function_author varchar(50) comment '生成功能作者', - gen_type char(1) default '0' comment '生成代码方式（0zip压缩包 1自定义路径）', - gen_path varchar(200) default '/' comment '生成路径（不填默认项目路径）', - options varchar(1000) comment '其它生成选项', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - remark varchar(500) default null comment '备注', - primary key (table_id) -) engine=innodb auto_increment=1 comment = '代码生成业务表'; - - --- ---------------------------- --- 19、代码生成业务表字段 --- ---------------------------- -drop table if exists gen_table_column; -create table gen_table_column ( - column_id bigint(20) not null auto_increment comment '编号', - table_id bigint(20) comment '归属表编号', - column_name varchar(200) comment '列名称', - column_comment varchar(500) comment '列描述', - column_type varchar(100) comment '列类型', - java_type varchar(500) comment 'JAVA类型', - java_field varchar(200) comment 'JAVA字段名', - is_pk char(1) comment '是否主键（1是）', - is_increment char(1) comment '是否自增（1是）', - is_required char(1) comment '是否必填（1是）', - is_insert char(1) comment '是否为插入字段（1是）', - is_edit char(1) comment '是否编辑字段（1是）', - is_list char(1) comment '是否列表字段（1是）', - is_query char(1) comment '是否查询字段（1是）', - query_type varchar(200) default 'EQ' comment '查询方式（等于、不等于、大于、小于、范围）', - html_type varchar(200) comment '显示类型（文本框、文本域、下拉框、复选框、单选框、日期控件）', - dict_type varchar(200) default '' comment '字典类型', - sort int comment '排序', - create_by varchar(64) default '' comment '创建者', - create_time datetime comment '创建时间', - update_by varchar(64) default '' comment '更新者', - update_time datetime comment '更新时间', - primary key (column_id) -) engine=innodb auto_increment=1 comment = '代码生成业务表字段'; \ No newline at end of file diff --git a/sql/zytz.sql b/sql/zytz.sql new file mode 100644 index 00000000..88c62bc8 --- /dev/null +++ b/sql/zytz.sql @@ -0,0 +1,1029 @@ +/* + Navicat Premium Data Transfer + + Source Server : sd.tall.wiki-ssh + Source Server Type : MySQL + Source Server Version : 100323 + Source Host : localhost:3306 + Source Schema : acupuncture + + Target Server Type : MySQL + Target Server Version : 100323 + File Encoding : 65001 + + Date: 06/04/2025 23:51:33 +*/ + +SET NAMES utf8mb4; +SET FOREIGN_KEY_CHECKS = 0; + +-- ---------------------------- +-- Table structure for zytz_ems_eva_answer +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_ems_eva_answer`; +CREATE TABLE `zytz_ems_eva_answer` ( + `answer_id` bigint NOT NULL COMMENT '表ID', + `eva_id` bigint NOT NULL COMMENT '辨识档案表', + `ques_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题号', + `option_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '答案code', + `option_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '答案', + `option_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '得分', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`answer_id`) USING BTREE, + UNIQUE INDEX `uni_evaid_quescode`(`eva_id` ASC, `ques_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE, + INDEX `idx_eva_id`(`eva_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案结果' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_ems_eva_answer +-- ---------------------------- + +-- ---------------------------- +-- Table structure for zytz_qms_scale +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale`; +CREATE TABLE `zytz_qms_scale` ( + `scale_id` bigint NOT NULL COMMENT '表ID', + `scale_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '版本类型 00成人标准版 01成人简易版 10 老年版 20儿童版0-3岁 21儿童版4-7岁 22儿童版7-14岁', + `scale_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '版本名称', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`scale_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案版本表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale +-- ---------------------------- +INSERT INTO `zytz_qms_scale` VALUES (1, 'TZBS_BZ', '标准版体质辨识', '0', '', '2024-11-13 11:18:41', '', '2024-11-15 16:49:03'); +INSERT INTO `zytz_qms_scale` VALUES (2, 'TZBS_JY', '简易版体质辨识', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:07'); +INSERT INTO `zytz_qms_scale` VALUES (3, 'TZBS_LN', '老年版体质辨识', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:12'); +INSERT INTO `zytz_qms_scale` VALUES (4, 'TZBS_ET_1', '儿童版体质辨识（0-3岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:18'); +INSERT INTO `zytz_qms_scale` VALUES (5, 'TZBS_ET_4', '儿童版体质辨识（4-6岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:25'); +INSERT INTO `zytz_qms_scale` VALUES (6, 'TZBS_ET_7', '儿童版体质辨识（7-14岁）', '0', '', '2024-11-13 11:20:30', '', '2024-11-13 11:34:30'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti`; +CREATE TABLE `zytz_qms_scale_consti` ( + `scale_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '版本类型 00成人标准版 01成人简易版 10 老年版 20儿童版0-3岁 21儿童版4-7岁 22儿童版7-14岁', + `consti_id` bigint NOT NULL COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `consti_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质名称：平和质...特禀质', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`consti_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '量表体质表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 1, 'TZBS_BZ_A', '平和质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:05:58'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 2, 'TZBS_BZ_B', '气虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:05'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 3, 'TZBS_BZ_C', '阳虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:14'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 4, 'TZBS_BZ_D', '阴虚质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:21'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 5, 'TZBS_BZ_E', '痰湿质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:25'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 6, 'TZBS_BZ_F', '湿热质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:29'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 7, 'TZBS_BZ_G', '血瘀质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:36'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 8, 'TZBS_BZ_H', '气郁质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:43'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_BZ', 9, 'TZBS_BZ_I', '特禀质', '0', '', '2024-11-13 11:36:59', '', '2024-11-13 14:06:53'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 11, 'TZBS_JY_A', '平和质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:09'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 12, 'TZBS_JY_B', '气虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:20'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 13, 'TZBS_JY_C', '阳虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:23'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 14, 'TZBS_JY_D', '阴虚质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:25'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 15, 'TZBS_JY_E', '痰湿质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:28'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 16, 'TZBS_JY_F', '湿热质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:31'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 17, 'TZBS_JY_G', '血瘀质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:35'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 18, 'TZBS_JY_H', '气郁质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:38'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_JY', 19, 'TZBS_JY_I', '特禀质', '0', '', '2024-11-13 11:39:49', '', '2024-11-13 14:07:42'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 21, 'TZBS_LN_A', '平和质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:50'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 22, 'TZBS_LN_B', '气虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:56'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 23, 'TZBS_LN_C', '阳虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:07:59'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 24, 'TZBS_LN_D', '阴虚质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:02'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 25, 'TZBS_LN_E', '痰湿质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:05'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 26, 'TZBS_LN_F', '湿热质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:08'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 27, 'TZBS_LN_G', '血瘀质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:11'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 28, 'TZBS_LN_H', '气郁质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:18'); +INSERT INTO `zytz_qms_scale_consti` VALUES ('TZBS_LN', 29, 'TZBS_LN_I', '特禀质', '0', '', '2024-11-13 11:40:32', '', '2024-11-13 14:08:23'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ques_rel +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ques_rel`; +CREATE TABLE `zytz_qms_scale_consti_ques_rel` ( + `id` bigint NOT NULL COMMENT '表ID', + `consti_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质编号', + `ques_code` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题目编号', + `reverse` tinyint NULL DEFAULT 0 COMMENT '是否反转计分，默认不反转', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质与题目关联表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ques_rel +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (1, 'TZBS_BZ_A', 'TZBS_BZ_Q_01', 0, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (2, 'TZBS_BZ_A', 'TZBS_BZ_Q_02', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (3, 'TZBS_BZ_A', 'TZBS_BZ_Q_07', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (4, 'TZBS_BZ_A', 'TZBS_BZ_Q_08', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (5, 'TZBS_BZ_A', 'TZBS_BZ_Q_09', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (6, 'TZBS_BZ_A', 'TZBS_BZ_Q_22', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (7, 'TZBS_BZ_A', 'TZBS_BZ_Q_53', 0, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (8, 'TZBS_BZ_A', 'TZBS_BZ_Q_54', 1, '0', '', '2024-11-13 13:25:27', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (9, 'TZBS_BZ_B', 'TZBS_BZ_Q_02', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (10, 'TZBS_BZ_B', 'TZBS_BZ_Q_03', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (11, 'TZBS_BZ_B', 'TZBS_BZ_Q_04', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (12, 'TZBS_BZ_B', 'TZBS_BZ_Q_05', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (13, 'TZBS_BZ_B', 'TZBS_BZ_Q_06', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (14, 'TZBS_BZ_B', 'TZBS_BZ_Q_07', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (15, 'TZBS_BZ_B', 'TZBS_BZ_Q_23', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (16, 'TZBS_BZ_B', 'TZBS_BZ_Q_27', 0, '0', '', '2024-11-13 13:26:18', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (17, 'TZBS_BZ_C', 'TZBS_BZ_Q_18', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (18, 'TZBS_BZ_C', 'TZBS_BZ_Q_19', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (19, 'TZBS_BZ_C', 'TZBS_BZ_Q_20', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (20, 'TZBS_BZ_C', 'TZBS_BZ_Q_22', 0, '0', '', '2024-11-13 13:27:07', '', '2024-11-13 14:09:29'); 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+INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (231, 'TZBS_LN_H', 'TZBS_LN_Q_06', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (232, 'TZBS_LN_H', 'TZBS_LN_Q_07', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (233, 'TZBS_LN_H', 'TZBS_LN_Q_08', 0, '0', '', '2024-11-13 13:43:20', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (234, 'TZBS_LN_I', 'TZBS_LN_Q_15', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (235, 'TZBS_LN_I', 'TZBS_LN_Q_17', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (236, 'TZBS_LN_I', 'TZBS_LN_Q_18', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); +INSERT INTO `zytz_qms_scale_consti_ques_rel` VALUES (237, 'TZBS_LN_I', 'TZBS_LN_Q_20', 0, '0', '', '2024-11-13 13:43:47', '', '2024-11-13 14:09:29'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ref_score +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ref_score`; +CREATE TABLE `zytz_qms_scale_consti_ref_score` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `ref_score_yes` decimal(5, 2) NULL DEFAULT NULL COMMENT '参考分数-是', + `ref_score_Maybe` decimal(5, 2) NULL DEFAULT NULL COMMENT '参考分数-基本是/倾向是', + `full_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '满分', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 30 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质养生方案表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ref_score +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (1, 'TZBS_BZ_A', 60.00, 60.00, 100.00, '0', '', '2024-11-13 13:48:23', '', '2024-11-22 13:17:34'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (2, 'TZBS_BZ_B', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:56:27', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (3, 'TZBS_BZ_C', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:56:54', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (4, 'TZBS_BZ_D', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:57:22', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (5, 'TZBS_BZ_E', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:57:47', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (6, 'TZBS_BZ_F', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:58:19', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (7, 'TZBS_BZ_G', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:58:50', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (8, 'TZBS_BZ_H', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:59:19', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (9, 'TZBS_BZ_I', 40.00, 30.00, 100.00, '0', '', '2024-11-13 13:59:52', '', '2024-11-22 13:17:36'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (21, 'TZBS_LN_A', 17.00, 17.00, 25.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 13:57:10'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (22, 'TZBS_LN_B', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:14'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (23, 'TZBS_LN_C', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (24, 'TZBS_LN_D', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (25, 'TZBS_LN_E', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (26, 'TZBS_LN_F', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (27, 'TZBS_LN_G', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (28, 'TZBS_LN_H', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); +INSERT INTO `zytz_qms_scale_consti_ref_score` VALUES (29, 'TZBS_LN_I', 11.00, 9.00, 20.00, '0', '', '2024-11-13 14:04:03', '', '2024-11-26 14:11:16'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_consti_ysfa +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_consti_ysfa`; +CREATE TABLE `zytz_qms_scale_consti_ysfa` ( + `id` bigint NOT NULL AUTO_INCREMENT COMMENT '表ID', + `consti_code` varchar(10) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '体质类型：a,b,c,d,e,f,g,h,i', + `consti_ysfa_template` longtext CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL COMMENT '体质养生方案模板', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`id`) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB AUTO_INCREMENT = 30 CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质养生方案表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_consti_ysfa +-- ---------------------------- +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (1, 'TZBS_BZ_A', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '0', '', '2024-11-13 13:48:23', '', '2024-11-13 14:10:39'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (2, 'TZBS_BZ_B', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '0', '', '2024-11-13 13:56:27', '', '2024-11-13 13:56:27'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (3, 'TZBS_BZ_C', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '0', '', '2024-11-13 13:56:54', '', '2024-11-13 13:56:54'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (4, 'TZBS_BZ_D', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '0', '', '2024-11-13 13:57:22', '', '2024-11-13 13:57:22'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (5, 'TZBS_BZ_E', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '0', '', '2024-11-13 13:57:47', '', '2024-11-13 13:57:47'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (6, 'TZBS_BZ_F', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '0', '', '2024-11-13 13:58:19', '', '2024-11-13 13:58:19'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (7, 'TZBS_BZ_G', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '0', '', '2024-11-13 13:58:50', '', '2024-11-13 13:58:50'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (8, 'TZBS_BZ_H', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '0', '', '2024-11-13 13:59:19', '', '2024-11-13 13:59:19'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (9, 'TZBS_BZ_I', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '0', '', '2024-11-13 13:59:52', '', '2024-11-13 13:59:52'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (21, 'TZBS_LN_A', '㈠体质概要\r\n1.定义\r\n气血阴阳平衡，无不适表现为主要特征的体质状态。\r\n2.易见体质特征\r\n总体特征：阴阳气血调和，以体态适中、面色红润、精力充沛等为主要特征。\r\n形体特征：体形匀称健壮。\r\n常见表现：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，唇色红润，不易疲劳，精力充沛，耐受寒热，睡眠良好，胃纳佳，二便正常，舌色淡红，苔薄白，脉和缓有力。\r\n心理特征：性格随和开朗。\r\n发病倾向：平素患病较少。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：顺其自然，适当运动，营养丰富，处事中正。\r\n顺其自然：主要指环境起居方面应该顺应自然界的阴阳变化，祖国医学认为：人与自然是一个统一的整体，人生于天地之间，天地合气命之曰人，人是一个“小宇宙”，是大自然（“大宇宙”）的组成部分，赖于自然界天地之气的充养，又必须顺应自然界阴阳之气的变化，方能“阴平阳秘，精神乃治”。\r\n适当运动：主要指形体运动时，应该把握住“度”。形体运动可促进气血的周流，“人之所有者，血与气耳”，而“气血冲和，万病不生”，“一有弗郁，诸病生焉”。但过与不及都是病，运动应该根据自身的具体情况，“适当”为度，不可不及，也不可太过。\r\n营养丰富：主要指饮食物的种类、成分应该平衡搭配。《内经》有云：“五谷为养，五果为助，五畜为益，五菜为充”，饮食应该种类丰富，但又不可偏食，不可偏寒偏热。\r\n处事中正：指处事得当，不偏不倚，内心平和。古人早就发现情绪的波动可以引起身体的疾病，因而非常讲究内心的平衡之道。《黄帝内经》说：“百病生于气也。怒则气上，喜则气缓，悲则气结，惊则气乱，劳则气耗……”情绪的波动可以导致气血内乱而诱发疾病。现代医学也发现，人类疾病与心理压抑有关的比例约为65%～90%。紧张、愤怒、敌意等不良情绪容易破坏人体免疫系统，易患高血压、冠心病、动脉硬化等疾病。平和质的人心理素质较好，如果遇事能够恰当地应对，就可保持内心的平和状态，有利于身心健康。\r\n2.环境起居：生活起居顺应一年四季气候特点，保证充足睡眠。春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。根据气候变化适时增减衣物。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的四季、昼夜等规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n3.形体运动：根据个人体力可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓的运动。也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目。\r\n长期坚持体育锻炼可以调理气机、增强体质、舒畅情志。平和质的人精力充沛、体力较好，既可进行太极拳（剑）、五禽戏、八段锦、散步等柔缓运动，也可选择跑步、篮球、排球、足球、踢毽子、跳交谊舞、健身操、抖空竹等运动量较大的项目，视个人体力和爱好量力而行。\r\n4.精神调适：开朗乐观，心态平和，与人为善，和谐上进，乐于合作。\r\n平和质的人性格随和开朗，心理素质较好，平时要多和朋友交流，培养对身心有益的兴趣爱好，与人为善，多帮助别人，不攀比，不计较，有助于保持平和的心理状态、建立良好的人际关系。\r\n5.饮食调理：饮食宜营养丰富，荤素合理搭配，不可偏食。进食应有所节制，不可过饥过饱，不要偏寒偏热。少吃油盐。\r\n平和体质的人，机体处于阴阳平衡状态，饮食调理方面也应注意保持这种平衡。饮食宜多样化，营养结构、温凉寒热应合理搭配，不可偏食；进食有度，不可过饥过饱。善于养生的人，还可以借助食物的寒热温凉之性，来制约四时阴阳的偏盛，通过互制，达到互养，使阴阳不偏，以保健康。\r\n6.药物调养：不需药物调摄。\r\n平和体质是一种相对健康的状态，没有生病的时候不需药物调养。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。坚持点按足三里、涌泉等保健穴位。\r\n根据个人喜好选择音乐，各种风格的可以交替欣赏，意在保持平衡的心态、愉悦的心情。可坚持点按足三里、涌泉等保健穴位。足三里穴属足阳明胃经，该穴位于外膝眼下四指、胫骨旁开一横指。该穴是保健要穴，因为脾胃是后天之本，经常按摩足三里穴有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪等作用。涌泉穴属足少阴肾经，该穴位于足底前部凹陷处第二、三趾趾缝纹头端与足跟连线的前三分之一处，“肾出于涌泉，涌泉者，足心也”。肾是先天之本，经常按摩此穴，可使肾精充足，耳聪目明，精力充沛，行走有力。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:10:49'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (22, 'TZBS_LN_B', '㈠体质概要\r\n1.定义\r\n由于元气不足，以气息低弱、机体、脏腑功能状态低下为主要特征的一种体质状态。\r\n2.成因\r\n先天本弱，后天失养或病后气亏。如家族成员多较弱、孕育时父母体弱、早产、人工喂养不当、偏食、厌食，或因年老气衰等。\r\n3.易见体质特征\r\n总体特征：元气不足，以疲乏、气短、自汗等气虚表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素语音低弱，气短懒言，容易疲乏，精神不振，易出汗，舌淡红，舌边有齿痕，脉弱。\r\n心理特征：性格内向，不喜冒险。\r\n发病倾向：易患感冒、内脏下垂等病；病后康复缓慢。\r\n对外界环境适应能力：不耐受风、寒、暑、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜益气。\r\n避免劳累：主要指气虚体质者凡事要量力而为，以不感到疲劳为度，避免进一步损耗正气。气是生命的元动力，具有推动、营养、固摄等作用，机体的一切生理活动皆赖气的化生与推动。“气甚则物壮，气弱则物衰”，气充才能神旺，神旺才能健康长寿。《黄帝内经·素问·举痛论》云“劳则气耗”，过度劳累会使已经虚少的正气进一步损耗。\r\n食宜甘温：主要指气虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同：“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品入脾补气，因脾胃为水谷之海，为气血生化之源、后天之本，《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”，从而营养周身。\r\n药宜益气：主要指药物调养应该以益气补虚为主。益气药物对应五脏，可以分为补心气、补肝气、补脾气、补肺气、补肾气等五类，应该区分清楚。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，生活起居规律，切忌连续熬夜。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n“正气存内，邪不可干”，气虚质者不耐署湿寒热，对环境的适应能力差，最怕气温的骤升骤降、过冷过热。气虚体质的人都要根据季节、气温的变化而注意养护，衣服的增减，空气的流通，保暖避暑等工作都要做好。空调使用要适度，勿贪凉、贪热，避免室内外温差过大。一身大汗、醉酒、熬夜都容易让已虚的正气耗散过多，加重气虚的程度。\r\n3.形体运动：根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等偏于柔缓的运动。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n运动可以畅通气血经络、活动筋骨、和调脏腑。唐代名医孙思邈指出：“人欲劳于形，百病不能成”，“养生之道，常欲小劳”。气虚者，气不足所以常常懒动，但懒动又易导致气留滞不行而加重气虚的程度。因此，气虚质者应该多静少动，宜量力而行，以柔缓为主，而不宜多动或争运动之胜负，避免过度劳累而耗气。太极拳（剑）、五禽戏、八段锦等传统体育保健项目动静结合、身心俱养、简便易行，比较适合气虚质者。冬泳因为是在寒冷的季节进入寒冷的水体中运动，耗损阳气严重，不适合气虚质者。\r\n4.精神调适：适当多休息。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，避免过度思虑。\r\n气虚质的人精神情绪常处于低落状态，导致阻碍气血的周流。精神调适的目的是要让气虚质者身心变得乐观、豁达、愉快，促进气血的流通。老子《道德经·第十二章》：“五色令人目盲，五音令人耳聋，五味令人口爽；驰骋田猎，令人心发狂”。所以，气虚质者心志应适当多休息，清心净欲，以保存精神，避免散神耗气，比较适合欣赏书法、绘画、戏曲或养喂花鸟鱼虫等偏于静心养神的方法。\r\n与人攀比，多见短长，力不足以改变局势则为心存为思虑，思虑过多则伤脾耗气。气虚质者养心方面应做到知足常乐，不以物喜，不以已悲。《素问·上古天真论》云：“恬淡虚无，真气从之。精神内守，病安从来”？\r\n5.饮食调理：常吃粳米、糯米、小米、黍米、山药、土豆、大枣、胡萝卜、香菇、鹅肉、鹌鹑、牛肉、兔肉、鲢鱼、鳜鱼、鳝鱼等。少吃青萝卜、槟榔等耗气食物。饮茶宜选红茶，不宜多饮绿茶。药膳可用茯苓粳米粥（茯苓12克，粳米100克）、山药桂圆粥（山药100克，桂圆15克）等。少吃油、盐。\r\n气虚质者应多吃上述所列甘温益气之品。常见的如粳米，性平，味甘，《食鉴本草》记载：“粳米，皆能补脾，益五脏，壮气力，止泄痢，惟粳米之功为第一。”粳米对于脾气不足，饮食减少，大便稀溏，呕吐，腹泻等人有益。糯米，性温，味甘，有补脾益气的作用，脾虚者宜用之煮粥服食,现代常用于慢性胃炎、消化性溃疡的治疗。牛肉，性平，味甘，有补脾胃、益气血的作用,宜用牛肉炖汁服食，或用牛肉适量与大米煮粥进服，这对脾胃虚弱的恢复大有裨益。大枣，性温，味甘，有补脾胃、益气血的作用，脾虚气血不足之人可经常服用，宜用大枣煨烂服食。山药，性平，味甘，有养阴补肺、益气健脾、补肾固精的作用，脾气虚弱，食欲差，慢性腹泻者宜多食。\r\n青萝卜、槟榔等食物具有耗气作用，多吃容易影响营养物质的消化、吸收，所以气虚质者不宜多吃。红茶偏温，绿茶偏寒，故气虚者宜选红茶，不宜多饮绿茶。\r\n益气药膳：茯苓粳米粥，茯苓12克，粳米100克，加水适量共煮为粥。山药桂圆粥，去皮的鲜山药100克切为小块，加桂圆15克及适量清水，慢火炖为糜粥。\r\n6.药物调养：可用人参、黄芪、党参、太子参、白术等。脾气虚宜选四君子丸或参苓白术散。肺气虚常感冒宜选玉屏风散。肾气虚宜服肾气丸。\r\n气虚质者宜选上述所列益气之品。人参，性微温，味甘、微苦，能大补元气，益智安神。黄芪，性微温，味甘，有补气升阳、益气固表、托毒生肌、利水退肿等功效。党参，性平、味甘，有补中益气、生津养血的功效，常用于气虚不足的倦怠乏力、气短、心悸等症。太子参，性平，味甘、微苦，有补肺健脾、益气生津的功效，用于脾气虚弱的食少，倦怠，小儿清瘦者。白术，性温，味甘、苦，有补气健脾、燥湿利水、止汗安胎的功效，用于脾气虚弱的食少便溏、倦怠少气、自汗等症。\r\n益气方剂：四君子丸由党参、白术（炒）、茯苓、炙甘草组成，有益气健脾的功效，用于脾胃气虚，胃纳不佳，食少便溏。参苓白术散出于《太平惠民和剂局方》，组成：莲子肉、薏苡仁、砂仁、桔梗、白扁豆、白茯苓、人参、炙甘草、白术、山药，有益气健脾、渗湿止泻的功效，用于脾虚湿盛证。玉屏风散出于元代朱震亨《丹溪心法》，组成：黄芪、白术、防风，有益气、固表、止汗的功效，用于表虚自汗，易感风邪。玉屏风散是中医预防气虚感冒的专方，还能治疗症状轻微的早期感冒，比如伤风后出现鼻塞、怕冷等症状。肾气丸多用张仲景《金匮要略》中所载之方，由干地黄，薯蓣，山茱萸，泽泻，茯苓，牡丹皮，桂枝，附子（炮）组成，主治肾气不足，腰酸脚软，肢体畏寒，少腹拘急，小便不利或频数，舌质淡胖，尺脉沉细；及痰饮喘咳，水肿脚气，消渴，久泄等。\r\n7.音乐及其它调摄：欣赏具有田园、山野等自然风格的乐曲。轻缓按揉足三里、阴陵泉等穴位。艾灸气海、百会等穴位。\r\n气虚质者应以轻柔和缓的乐曲陶冶性情，既有利于气血周流，又不耗伤气血，田园、山野等自然风格的乐曲比较适合，此类乐曲有静谧、流畅的特点，令人心绪宁静、舒畅。\r\n足三里：定位：仰卧伸下肢，或正坐屈膝，在小腿前外侧，当外膝眼（犊鼻穴）下3寸，距胫骨前缘一横指。按揉足三里是补益气血的好方法，因为足三里是个强身健体的要穴，此穴所属的足阳明胃经多气多血，主人后天之气。民间还有“常按足三里，胜吃老母鸡”的说法。利用足三里来养护身体的方法自古以来就大受人们的推崇，早在隋唐时期的医学著作里就有灸足三里治病养生的记载。在《黄帝内经》中也有“邪在脾胃……皆调与足三里”之说。阴陵泉：在小腿内侧，当胫骨内侧髁后下方凹陷处。足太阴脾经的合穴。功用：清利温热，健脾理气，益肾调经，通经活络。气海：位于前正中线，脐下1寸半，属于任脉。功用：培补元气，益肾固精，补益回阳，延年益寿。主治：虚脱、形体赢瘦、脏气衰惫、乏力等气虚病证；水谷不化、绕脐疼痛、腹泻、痢疾、便秘等肠腑病证；小便不利、遗尿；遗精、阳痿、疝气；月经不调、痛经、闭经、崩漏、带下、阴挺、恶露不尽、胞衣不下等妇科病证。百会：头顶正中线与两耳尖联线的交点处，属督脉，别名“三阳五会”。 百脉之会，百病所主，可以升提一身之气，故百会穴的治症颇多：头痛、头重脚轻、痔疮、高血压、低血压、宿醉、目眩失眠、焦躁等。如用艾灸，更可温阳益气，补脑益髓。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (23, 'TZBS_LN_C', '㈠阳虚质概要\r\n1.定义\r\n由于阳气不足，以虚寒现象为主要特征的体质状态。\r\n2.成因\r\n先天不足，或病后阳亏。如家族中均有虚寒表现，孕育时父母体弱，或年长受孕，早产，或平素偏嗜寒凉损伤阳气，或久病阳亏，或年老阳衰等。\r\n3.易见体质特征\r\n总体特征：阳气不足，以畏寒怕冷、手足不温等虚寒表现为主要特征。\r\n形体特征：肌肉松软不实。\r\n常见表现：平素畏冷，手足不温，喜热饮食，精神不振，舌淡胖嫩，脉沉迟。\r\n心理特征：性格多沉静、内向。\r\n发病倾向：易患痰饮、肿胀、泄泻等病；感邪易从寒化。\r\n对外界环境适应能力：耐夏不耐冬；易感风、寒、湿邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘温，药宜温补。\r\n避免劳累：主要指阳虚质者凡事要量力为，以不感到疲劳为度，避免进一步损耗阳气。阳气具有推动、温煦、气化等作用。在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。以免耗伤阳气。\r\n食宜甘温：主要指阳虚质者饮食应以味甘、性温为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。味甘、性温之品多有温补阳气之功。\r\n药宜温补：主要指阳虚体质的人应当用性温补益作用的中药进行调理。温补药物又有卫阳不足、脾阳不足、肾阳不足之别，用药又当有所区别。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。夏季注意避暑，使用空调避免直吹、久吹。秋冬注意保暖。避免大汗、醉酒等，切忌连续熬夜损伤元气。房事应有所节制。避免在树荫下、水亭中及过堂风中久留。平时注意足下、背部及丹田部位的保暖。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短，故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阳虚质者耐夏不耐冬；易感风、寒、湿邪。气候稍微转凉，即觉冷不可受。因此，秋冬季节要注意保暖，夏季要注意避暑。夏季人体阳气趋向体表，毛孔、腠理开疏，因此使用空调避免直吹、久吹。一身大汗、醉酒、熬夜都容易加重阳气虚。肾阳是一身阳气之根本，阳虚质者当节制房事。树荫下、水亭中及过堂风很大的过道等地方阴气较重，阳气不足，故不可在此久留，否则易起感冒、腹泻等病症，乃至引起麻木不遂或面瘫等“风痹”病。\r\n人的足部距离心脏最远，最易受到寒邪侵袭，有“寒从脚下起”之说，因此，阳虚体质者足部保暖很重要。背部乃阳经聚集巡行之地，阳虚质者背部易受寒邪，应注意保暖。丹田是“性命之根本”，精气神贮藏之所在，因此阳虚体质者应注意丹田部位的保暖。\r\n3.形体运动：动作宜柔缓。根据个人体力选择太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等。不宜作剧烈运动，避免激烈的竞赛及冬泳等。\r\n“动则生阳”，适量运动可以提振人体的阳气，故阳虚体质之人可进行适当运动，但动作宜柔缓，以防过劳耗伤阳气，具体项目当因体力强弱而定。\r\n太极拳（剑）、五禽戏、八段锦、散步、慢跑或放风筝、打门球等均是偏于静养的运动。其中，太极拳（剑）结合了传统导引、吐纳的方法，著重练身、练气、练意三者之间的紧密调协。练习时一方面可锻炼肌肉，舒筋活络；另一方面又能透过呼吸与动作间的相互配合，对内脏加以按摩锻炼，达到强身健体的作用。五禽戏相传是由东汉名医华佗模仿虎、鹿、熊、猿、鹤五种动物动作创编的一套防病、治病、延年益寿的医疗气功。它是一种“外动内静”、“动中求静”、“动静兼备”、有刚有柔、刚柔并济、练内练外、内外兼练的仿生功法。祖国医学认为，八段锦柔筋健骨、养气壮力，具有行气活血、协调五脏六腑之功能。此类运动都可增强体质、温补阳气。阳虚体质者若参加冬泳及激烈竞赛容易损伤阳气，因此不宜作剧烈运动，避免激烈的竞赛及冬泳。\r\n4.精神调摄：欣赏书法、绘画、戏曲或养喂花鸟鱼虫等。多知足，少攀比，不可躁动，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n阳虚质的人元阳不固，虚阳上扰，致使心神浮越，容易受到惊吓，而且睡眠轻浅，心神不稳定。常常表现出情绪不佳，易于悲哀，并进而影响气血运行，故精神调养方面要善于调节自己的情感，消除不良情绪的影响。要善于自我排遣或与人倾诉，宽宏大量，以解悲哀。欣赏书法、绘画、戏曲或养喂花鸟鱼虫等方法可陶冶自己的情操，排遣因阳气虚弱引起的不良情绪。应该养成多知足、少攀比、不躁动的习惯，尽量避免和减少悲伤，防止惊恐、大喜大悲等不良情绪的影响。\r\n5.饮食调理：常吃生姜、韭菜、荔枝、菠萝、桃、羊肉、狗肉等，少吃冰激凌、西瓜、梨等生冷之品。药膳可用当归生姜羊肉汤（当归15克、生姜五片、羊肉100克）、韭菜炒胡桃仁（胡桃仁20克、韭菜30克）。少吃油盐。\r\n阳虚质者应多吃温阳益气之品。冰激凌、西瓜、梨等生冷之品有伤阳之弊，应该少吃。生姜，性热，味辛；归脾、胃、心、肺经；温中，回阳，温肺化饮；常用于治寒饮伏肺之咳嗽气喘、形寒背冷、痰多清稀。韭菜，味甘、辛，性温，无毒；补肾温阳、益肝健胃、行气理血、润肠通便；主治盗汗、遗尿、尿频、阳痿、遗精，噎隔、反胃，下痢、腹痛，妇女月经病，经漏、带下以及跌打损伤、吐血、鼻衄等症。荔枝，温脾益肝，生津止渴，益心养血，理气止痛，降逆止呃；主治脾虚久泻，烦渴，呃逆，胃寒疼痛，癌病，疗肿，牙痛，崩漏贫血，外伤出血等病症。菠萝，温补脾胃、生津止渴、润肠通便、利尿消肿；主治痢疾，腹痛等症。桃，具有温补气血、生津、解渴润肠的功效，对肺病、大病之后的气血亏虚有治疗作用。羊肉，味甘而不腻，性温而不燥；具有补肾壮阳、暖中祛寒、温补气血、开胃健脾的功效。狗肉，补中益气、利血脉、厚肠胃、实下焦、温腰肾、补虚劳、壮阳道；可治五痨七伤、脾胃虚寒、浮肿尿涩、腰膝疲软、肾虚阳萎。\r\n补阳药膳：当归生姜羊肉汤，当归15克、生姜五片、羊肉100克共煮成汤食用。韭菜炒胡桃仁，胡桃仁20克、韭菜30克一起炒菜食用。\r\n6.药物调养：宜用巴戟天、肉苁蓉、补骨脂、杜仲、菟丝子、狗脊等。可选用金匮肾气丸，脾阳虚者可选择理中丸或附子理中丸。\r\n阳虚质者宜选用补阳药物。巴戟天，补肾阳，壮筋骨，祛风湿，治疗阳痿，少腹冷痛，小便不禁，子宫虚冷，风寒湿痹，腰膝酸痛。肉苁蓉，补肾阳，益精血，润肠通便，用于阳痿，不孕，腰膝酸软，筋骨无力，肠燥便秘。补骨脂，补肾助阳，纳气平喘，温脾止泻。杜仲，补肝肾，强筋骨，安胎，治腰脊酸疼，足膝痿弱，小便余沥，阴下湿痒，胎漏欲堕，胎动不安。菟丝子，补肝肾，益精髓，明目，治腰膝酸痛，遗精，消渴，尿有余沥，目暗。狗脊，补肝肾，强腰脊，祛风湿，用于腰脊酸软、下肢无力、风湿痹痛、屈伸不利。\r\n金匮肾气丸来源于汉代张仲景所著《金匮要略》，组成：炮附子、熟地黄、山茱萸、泽泻、肉桂、丹皮、山药、茯苓；主要用于治疗因肾阳不足所致的咳嗽、哮喘、阳痿、早泄、慢性肾炎等疾病。理中丸源于张仲景所著《伤寒杂病论》，组成：人参、干姜、白术、甘草；有温中祛寒，补气健脾之功。附子理中丸是在理中丸的基础上加用大辛大热之附子,其温中散寒之力更强,且能温肾；用于脾胃虚寒，脘腹冷痛，呕吐泄泻，手足不温。\r\n7.音乐及其它调摄：可多听欢快、喜庆的音乐。坚持每晚用热水（40～45度）泡脚15分钟。可按揉足三里、合谷、涌泉穴。艾灸（关元、大椎、命门），拔罐（肺俞、风门）。\r\n阳虚体质者多安静、沉静、内敛，但安静、沉静、内敛过度易陷入抑郁、忧愁、悲伤中难以自拔，并影响气血运行。因此可以多听欢快、喜庆的音乐。\r\n脚部容易受寒邪侵袭，俗话说“寒从脚下起”，脚离心脏最远，血液供应慢而少，抵御寒冷的能力较差。因此阳虚体质者可坚持每晚用热水（40～45度）泡脚15分钟，以温阳驱寒。\r\n足三里：按揉足三里有调节机体免疫力、增强抗病能力、调理脾胃、补中益气、通经活络、疏风化湿、扶正祛邪的作用。合谷：是手阳明大肠经的原穴，原穴是脏腑原气经过和留止的部位，该穴又是营卫之气留聚之处，具有补益阳气的功能。涌泉：是人体长寿要穴，经常按摩此穴，则肾精充足，耳聪目明，发育正常，精力充沛，腰膝壮实不软，行走有力；《灵枢·本输》：“肾出于涌泉，涌泉者，足心也”。关元：是人体足太阴脾经、足少阴肾经，足厥阴肝经在任脉的交会点，此穴有“精宫”、“丹田”等别名，艾灸关元穴可以治疗一切阳虚症、气虚症。艾灸大椎具有温阳解表，温经通络，回阳固脱的作用。艾灸命门穴可强肾固本，温肾壮阳，强腰膝固肾气。肺俞穴与肺脏相应,故又为肺的背俞穴，能改善肺功能,增强肺卫之气。风门具有疏风解表、宣通肺气的功能，能防治感冒和呼吸系统疾病，因此肺俞、风门两穴拔罐可温补肺卫之气，并可祛除肺经寒气，可预防并治疗阳虚体质者伤寒病症。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (24, 'TZBS_LN_D', '㈠阴虚质概要\r\n1.定义\r\n由于体内津液精血等物质亏少，以有关组织器官失养和内热为主要症状的体质状态。\r\n2.成因\r\n先天不足，或久病失血，纵欲耗精，积劳伤阴。如家族成员体型多偏瘦，为孕育时父母体弱，或年长受孕，早产，或曾患出血性疾病等。\r\n3.易见体质特征\r\n总体特征：阴液亏少，以口燥咽干、手足心热等虚热表现为主要特征。\r\n形体特征：体形偏瘦。\r\n常见表现：手足心热，口燥咽干，鼻微干，喜冷饮，大便干燥，舌红少津，脉细数。\r\n心理特征：性情急躁，外向好动，活泼。\r\n发病倾向：易患虚劳、失精、不寐等病；感邪易从热化。\r\n对外界环境适应能力：耐冬不耐夏；不耐受暑、热、燥邪。\r\n㈡调养指导方案\r\n1.调摄原则：避免劳累，食宜甘润，药宜养阴。\r\n避免劳累：主要指在日常生活、工作和学习中要尽可能做些力所能及的体力劳动或脑力劳动，以促进气血周流，勿过度疲倦，劳伤阴气。应尽量做到“行不疾步，耳不极听，目不极视，坐不至久，卧不极疲”，“量力而行，勿令气之喘，量力谈笑，才得欢通，不可过度”。\r\n食宜甘润：主要指阴虚质者饮食应以味甘、滋润为宜。每种食物都有调养气血的作用，“五味入口，藏于肠胃，以养五脏气”（《素问·五脏别论》）。食物有寒、热、温、凉之“四气”，有酸、苦、甘、辛、咸之“五味”。性味不同则作用不同。“此五者，有辛、酸、甘、苦、咸，各有所利，或散、或收、或缓、或急、或坚、或软，四时五脏，病随五味所宜也”（《素问·脏气法时论》）。甘润之品多补益脾胃，化生气血津液。《素问·经脉别论篇》云：“食气入胃，散精于肝，淫气于筋；食气入胃，浊气归心，淫精于脉……脾气散精，上归于肺”。\r\n药宜养阴：阴虚质者用药宜选滋阴清热之品。滋阴之品又分肺阴虚、胃阴虚、肝肾阴虚之别，用药各不相同，当分别开来。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。炎热夏季应注意避暑，避免强紫外线照射，有条件的可到海边、高山之地旅游。居室环境应安静。应穿浅颜色散热透气性好的棉织、丝绸衣服。房事应有所节制。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n阴虚质的人耐冬不耐夏，不耐受暑、热、燥邪。故炎热夏季应注意避暑，避免强紫外线照射，有条件的人夏季可到海边、林区、山区去旅游休假。阴虚体质的人多火旺，常感手足心潮热，口咽干燥，怕热喜凉，故居室环境应安静，应穿浅颜色散热透气性好的棉织、丝绸衣服。\r\n古人所言：“房中之事，能生人，能煞人，譬如水火，知用者，可以养生；不能用之者，立可尸矣”。这些话告诫世人，房事应该有所节制。恣情纵欲易耗伤肾阴，阴虚体质的人更应注意节制房事。\r\n3.形体运动：宜根据个人体力选动静结合项目，如太极拳（剑）、八段锦、五禽戏、游泳或传统健身项目“六字诀”中的“吹字诀”。不要大汗出，及时补充水分。不宜激烈活动。\r\n阴虚质者应该根据个人体力选动静结合项目。太极拳（剑）、八段锦、五禽戏等传统体育保健项目动静结合、身心俱养、简便易行，健身效果较好，可选用并坚持锻炼。游泳池的水温以26度到28度为宜。吹字功可对治腰膝酸软，盗汗遗精、阳痿、早泄、子宫虚寒等肾阴虚疾患，因此可常练传统健身项目“六字诀”中的“吹字诀”。大汗出耗伤阴液，汗后应及时补充水分。不宜激烈活动，因过激活动易耗气伤阴，锻炼时注意不要汗出过多。\r\n4.精神调摄：养成冷静、沉着的性格，保持稳定的心态，切忌急躁。少与人争，以减少激怒，少参加竞赛性的文娱活动。\r\n阴虚质之人性情较急躁，常常心烦易怒，这是阴虚火旺，火扰神明之故，故应遵循《黄帝内经》中“恬淡虚无”、“精神内守”的原则，平素加强自我涵养，自觉地养成冷静、沉着的习惯。常与人争易引起激怒，涌动气血，耗伤阴液，故阴虚质者应少参加争胜负的文娱活动。\r\n5.饮食调理：多食甘凉滋润食物，如银耳、茼蒿、雪梨、木瓜、无花果、鸭肉、冰糖、百合、菠菜等。少吃葱、姜、蒜、辣椒等辛辣燥烈之品。药膳可用沙参粥（沙参15克、粳米100克、冰糖5粒）、百合粥（粳米100克、百合15克、白砂糖10～20克）、枸杞粥（枸杞20克、粳米100克）、桑椹粥（桑椹30克、粳米60克）。少吃油盐。\r\n阴虚质者应该多吃甘凉滋润食物。银耳，有强精、补肾、润肺、生津、止咳、清热、养胃、补气、和血、强心、壮身、补脑、提神之功。茼蒿，味甘涩，入肝、肾经，有滋补肝肾，缩小便，宽中理气之功。雪梨，味甘性寒，含苹果酸、柠檬酸、维生素B1、B2、C、胡萝卜素等，具生津润燥、清热化痰之功效，特别适合秋天食用。木瓜，味酸，入肝、脾经； 具有滋阴清热，消食，驱虫，祛风的功效。无花果，味甘，性凉，归肺、胃、大肠经，有清热生津、健脾开胃、解毒消肿之功。鸭肉，味甘、咸，性微寒，具有滋阴养胃、清肺补血、利水消肿的功效。冰糖，性平偏凉，具有补中益气、养阴润肺、止咳化痰的功效。百合，润肺止咳，清心安神，补中益气，清热利尿，清热解毒，凉血止血，健脾和胃。菠菜，性甘凉，能养血、止血、敛阴、润燥，长于清理人体肠胃的热毒。\r\n养阴药膳：沙参粥，沙参15克、粳米100克、冰糖5粒共煮为粥。百合粥，粳米100克、百合15克、白砂糖10～20克共煮为粥。枸杞粥，枸杞20克、粳米100克共煮为粥。桑椹粥，桑椹30克、粳米60克共煮为粥。其中，沙参粥偏于滋养肺阴，百合粥偏于滋阴胃阴，枸杞粥、桑椹粥偏于滋阴肝肾之阴。\r\n6.药物调养：可选用女贞子、山茱萸、五味子、旱莲草、麦门冬、天门冬、生地黄、熟地黄、黄精、玉竹、枸杞子、桑椹等药。成方宜选六味地黄丸。\r\n阴虚质者应该选用养阴药物。女贞子，补肝肾阴，乌须明目。用于肝肾阴虚的目暗不明，视力减退，须发早白，腰酸耳鸣及阴虚发热等。山茱萸，补益肝肾，涩精固脱。用于眩晕耳鸣，腰膝酸痛，阳痿遗精，遗尿尿频，崩漏带下，大汗虚脱。内热消渴。五味子，敛肺，滋肾，生津，收汗，涩精。治肺虚喘咳，口干作渴，自汗，盗汗，劳伤羸瘦，梦遗滑精，久泻久痢。旱莲草，滋补肝肾，凉血止血。用于肝肾阴虚证及阴虚血热的失血证。麦门冬，养阴生津，润肺清心。用于肺燥干咳，虚痨咳嗽，津伤口渴，心烦失眠，内热消渴，肠燥便秘，咽白喉。天门冬，养阴润燥，清肺生津。用于肺燥干咳,顿咳痰黏，咽干口渴，肠燥便秘。生地黄，清热，生津，滋阴，养血。治阴虚发热，消渴，吐血，衄血，血崩，月经不调，胎动不安，阴伤便秘。熟地黄，滋阴补血，益精填髓。用于肝肾阴虚，腰膝酸软，骨蒸潮热，盗汗遗精，内热消渴，血虚萎黄，心悸怔忡，月经不调，崩漏下血，眩晕，耳鸣，须发早白。黄精，补气养阴，健脾，润肺，益肾功能。用于治疗脾胃虚弱，体倦乏力，口干食少，肺虚燥咳，精血不足，内热消渴等症。玉竹，养阴，润燥，除烦，止渴。治热病阴伤，咳嗽烦渴，虚劳发热，消谷易饥，小便频数。枸杞子，补肾益精，养肝明目，补血安神，生津止渴，润肺止咳。治肝肾阴亏，腰膝酸软，头晕，目眩，目昏多泪，虚劳咳嗽，消渴，遗精。桑椹，补肝，益肾，熄风，滋液。治肝肾阴亏，消渴，便秘，目暗，耳鸣，瘰疬，关节不利。\r\n六味地黄丸源于钱乙的《小儿药证直诀》。配方具有三补三泻的特点：熟地、山茱萸、山药为三味补药，泽泻、茯苓、丹皮为三味泻药，同时补药的用量大于泻药的用量，以补为主。主要用于肾阴虚引起的腰膝酸软、头晕耳鸣、手脚心发热、遗精盗汗等症状。\r\n7.音乐及其它调摄：可多听舒缓音乐。自行按揉太溪、三阴交、照海穴，轻揉涌泉。\r\n音乐养生：速度舒缓的音乐能够对阴虚体质者的紧张情绪起到放松的作用。清代医学家吴尚先曾说：“七情之病，看花闷，听曲消愁，有胜于服药也”。阴虚体质者常听一些悠扬音乐，如《摇篮曲》、《小夜曲》等可以使其情绪平稳、放松、安静，有助于阴虚之火内藏。\r\n太溪：位于足内侧，内踝后方，当内踝尖与跟腱之间的凹陷处。本穴不但是肾经的大补穴，还是全身的补阴要穴，主治咳嗽、痰多、心疼、尿黄、便密、疲劳、阳痿、月经不调、神经衰弱、下肢瘫痪、肾炎、膀胱炎等。\r\n三阴交：位于内踝上三寸，是肝、脾、肾三条阴经的交会穴。肝藏血、脾统血、肾藏精，“精血同源”。肾为先天之本，脾为后天之本，先天赖后天的滋养，后天赖先天的促动。所以要经常按揉三阴交穴，可调补肝、脾、肾三经的气血，三经气血调和，则先天之精旺盛，后天气血充足，因而可以达到调补精血，健康长寿的目的。\r\n照海：是八脉交会穴，通阴蹻，在足内侧，内踝尖下方凹陷处。主治咽喉干燥，痫证，失眠，嗜卧，惊恐不宁，目赤肿痛，月经不调，痛经，赤白带下，阴挺，阴痒，疝气，小便频数，不寐，脚气。\r\n涌泉：属足少阴肾经，位于足跖屈卷足时，在足心前三分之一的凹陷中。《灵枢经‧本输》：“肾出于涌泉，涌泉者，足心也”。涌泉穴是人体长寿大穴，经常按摩揉此穴，则肾精充足，耳聪目明，发育正常，精力充沛，性功能强盛，腰膝壮实不软，行走有力。并能治疗多种疾病，如昏厥、头痛、休克、中暑、偏瘫、耳鸣、肾炎、阳痿、遗精、各类妇科病和生殖系统类疾病。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (25, 'TZBS_LN_E', '㈠痰湿质概况\r\n1.定义\r\n由于水液内停而痰湿凝聚，以粘滞重浊为主要特征的体质状态。\r\n2.成因\r\n先天不足，或后天过食肥甘。\r\n3.易见体质特征\r\n总体特征：痰湿凝聚，以形体肥胖、腹部肥满、口黏苔腻等痰湿表现为主要特征。\r\n形体特征：体形肥胖，腹部肥满松软。\r\n常见表现：面部皮肤油脂较多，多汗且黏，胸闷，痰多，口黏腻或甜，喜食肥甘甜黏，苔腻，脉滑。\r\n心理特征：性格偏温和、稳重，多善于忍耐。\r\n发病倾向：易患消渴、中风、胸痹等病。\r\n对外界环境适应能力：对梅雨季节及湿重环境适应能力差。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜温化\r\n加强运动：痰湿体质者多形体肥胖，身重易倦，与高血压、高血脂、冠心病的发生有明显的相关性。加强运动，促进气血周流，有利于水液的代谢，所以痰湿质者要根据自己身体情况，长期坚持体育锻炼。\r\n食宜清淡：痰湿体质的人主要是因为水液内停，痰湿凝聚，所以身体表现出黏滞重浊。肥甘厚腻之品性重浊，易化湿生痰，进一步加重身体负担。所以，痰湿体质者饮食以清淡为宜。\r\n药宜温化：痰湿体质者体内水液内停，痰湿凝聚，《金匮要略》云“病痰饮者，当以温药和之”，温药可以温脾化湿祛痰。故痰湿体质用药宜温化为主。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。天气晴朗时多进行户外活动，常晒太阳或进行日光浴。气候阴冷时减少户外活动，避免受寒淋雨；保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，人体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n痰湿体质者对梅雨季节及潮湿环境适应能力差，不能耐受潮湿。湿气重浊，反过来又会阻塞气机，损伤阳气，加重痰湿。所以痰湿体质的人应避免外湿伤身，尽量少待在潮湿的地方，天气晴好时多进行户外活动，常晒太阳或进行日光浴，以舒展阳气，通达气机，化湿祛痰。\r\n如果条件允许，室内可使用除湿机或在墙角放置干燥剂，保持湿度适中。阴雨天气注意关闭门窗，等到天晴后及时打开门窗，保持空气流通。外出时携带雨具以防淋雨；出游时不要坐在阴冷潮湿的地方。痰湿体质者多体形肥胖，动则汗出，衣着应宽松，面料以棉麻丝等天然纤维为主，容易吸汗，且不阻碍气机运行，。\r\n⑶形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动环境应温暖宜人。\r\n痰湿体质的人要长期坚持运动锻炼，促进气血周流，祛湿化痰。应该尽量选择低强度、长时间、不间断、有规律的运动项目，有氧运动很适合痰湿体质的人。所有中小强度较长时间的全身运动都属于有氧运动，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。无论进行何种运动项目，都要循序渐进，最终达到每次锻炼时间维持在60分钟以上。因为痰湿体质的人耐热能力差，所以尽量避免在炎热和潮湿的环境中锻炼。运动环境应温暖宜人。\r\n4.精神调摄：尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n形成痰湿体质的一个重要原因，就是久卧、久坐，而且痰湿体质的人大多形体臃肿，也不爱动，干什么都不着急，慢悠悠的。因此，精神调摄上应该“动起来”，尽量多参加社会活动，培养广泛的兴趣爱好。适度地让自己紧张起来，培养魄力和决断力，这样才利于振奋阳气，改变痰湿体质状态。痰湿体质的人一般来说脾胃的功能都不好，而思伤脾，抑郁伤肝，肝气不舒亦横逆犯胃，又会导致脾胃功能低下。因此，痰湿体质者遇事不宜过度思虑，要想得开，放得下，少生闷气，少计较。\r\n5.饮食调理：宜常吃冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等。忌吃饴糖、柚子、李子、柿子、砂糖、肥肉及油腻的食物。勿暴饮暴食，忌吃生冷性寒之品，少吃贝类海产品。少吃油盐。\r\n痰湿体质的人在饮食方面应清淡，应适当多吃一些能够宣肺、健脾、益肾、化湿的食物，冬瓜、红小豆、扁豆、白萝卜、南瓜、紫菜、洋葱、薏苡仁、包菜、茯苓等均属于清淡食物，均有祛湿化痰到作用。肥肉和甜、黏、腻的食物如蛋糕、甜点心、饴糖、砂糖等均滋腻碍胃，易于生痰。柚子、李子、柿子等果蔬，海蟹等贝类海鲜等性寒，易致滑泄，应忌吃。盐味咸、性寒，饮食摄入过多的盐，易伤脾胃，还会诱发高血压、肥胖、胃癌等疾病，应控制在每人每天不超过6克。\r\n6.药物调养：可用苍术、白术、砂仁、陈皮、泽泻、瓜蒌、荷叶、橘红、猪苓、冬瓜皮等。可用荷叶15g，泡水当茶饮，每天适量频服。中成药可选用二陈丸。\r\n痰湿体质者多发咳嗽、哮喘、痰多、头晕、肠胃不适、呕吐等症状，易生慢性支气管炎、支气管哮喘、肺气肿、动脉硬化、慢性胃炎、慢性肠炎、肥胖症等疾患。因此痰湿体质者可通过温燥化痰的药物，如橘红、砂仁、陈皮、苍术、白术，利水渗湿化痰的药物如白扁豆、泽泻、瓜蒌、荷叶、薏苡仁、茯苓、猪苓、赤小豆、冬瓜皮等进行调养。荷叶味苦辛微涩、性凉，归心、肝、脾经，清香升散，具有消暑利湿，健脾升阳，散瘀止血的功效，含有莲碱、原荷叶碱和荷叶碱等多种生物碱及维生素C、多糖，临床及实验研究均证实有减肥轻身之效，且长期服用不伤正气。可泡水当茶饮，每天适量频服。\r\n二陈丸出自《太平惠民和剂局方》，由陈皮、半夏、茯苓、炙甘草四味中药配伍组成。陈皮和半夏是主药：陈皮宽胸理气、化痰和胃，常用于治疗咳嗽、痰多、痰湿呕吐等症状。半夏能燥湿化痰，且具有降逆止呕的作用，常用于痰湿不化或因寒痰过盛而引起的呕吐等症。茯苓健脾、利湿、安神，可用于治疗因脾虚湿困而引起的食少纳差等症。甘草补脾、益气。由以上四味组成的二陈丸具有除湿化痰、调气和胃等功能，临床上常于治疗因痰湿困脾所引起的胃气不舒、咳嗽痰盛、恶心呕吐等症，适宜于痰湿体质者选用。\r\n7.音乐及其他调摄：多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛。可常点按丰隆、中脘、足三里、阴陵泉等穴位。\r\n 痰湿体质者痰湿内蕴，阻滞气机。多听一些激昂高亢的进行曲、励志歌曲、戏曲，多看一些表现力量、对抗性强的体育比赛，可以活跃精神，振奋阳气，有利于改变痰湿的体质状态。\r\n丰隆：属足阳明胃经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。中脘：属任脉，定位：在上腹部，前正中线上，当脐中上四寸；功效：健脾和胃，行气化滞。足三里：属足阳明胃经，定位：在小腿前外侧，当犊鼻下3寸，距胫骨前缘一横指；功效：健脾和胃，扶正培元，理气降逆，通经活络，为保健要穴。阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：健脾利湿，通经活络。上述穴位均是具有化痰祛湿作用的常用穴位，每天用手指按摩约10分钟以上。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (26, 'TZBS_LN_F', '㈠湿热质概要\r\n1.定义\r\n以湿热内蕴为主要特征到体质状态。\r\n2.成因\r\n系先天禀赋，或久居湿地、膳食肥甘，或长期饮酒，湿热内蕴。\r\n3.易见体质特征\r\n总体特征：湿热内蕴，以面垢油光、口苦、苔黄腻等湿热表现为主要特征。\r\n形体特征：形体中等或偏瘦。\r\n常见表现：面垢油光，易生痤疮，口苦口干，身重困倦，大便黏滞不畅或燥结，小便短黄，男性易阴囊潮湿，女性易带下增多，舌质偏红，苔黄腻，脉滑数。\r\n心理特征：容易心烦急躁。\r\n发病倾向：易患疮疖、黄疸、热淋等病。\r\n对外界环境适应能力：对夏末秋初湿热气候，湿重或气温偏高环境较难适应。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜清淡，药宜清利。\r\n加强运动：湿热体质的人适合做大强度、大运动量的锻炼。身动则气血周流加速，气行则痰湿祛，气行则热邪散去。\r\n食宜清淡：主要指饮食应清淡，忌食油腻食物以及热性食物，以利清热祛湿，避免加重湿热。\r\n药宜清利：主要指药物治疗宜选择清热、利湿之品，如佩兰、茵陈、薏苡仁、泽泻等。如《素问·至真要大论》所说：“热者寒之”、“实者泻之”。但要注意不可蛮用苦寒药物，应佐以少量温化之品，以防伤脾助湿。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。多户外活动，常晒太阳。暑湿季节，减少户外活动，避免受寒淋雨及感受暑湿。保持居室干燥。衣着宽松，面料以棉麻丝等天然纤维为主。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n湿热体质的人应保持居室干燥、凉爽、卫生、通风，衣被要勤晒。衣着宽松，以棉麻丝织物为宜，有助于透气散热及排汗，不要穿紧身裤和化纤内衣。运动可以帮助调畅气机、排热排湿，但要注意避开暑湿天气，以免湿热内外交蒸。\r\n3.形体运动：长期坚持运动锻炼，如太极拳（剑）、八段锦、站桩功、揉腹功、步行、快走、慢跑、竞走、登山、游泳、骑自行车、健身舞、跳绳、韵律操等。运动应避开雨雾、暑热天气。可以做传统保健项目“六字诀”中的“呼”、“嘻”字诀。\r\n湿热体质的人应长期坚持运动锻炼，太极拳、八段锦、站桩功、揉腹功等，可以调畅气机、健脾助运，有助于体内的水湿运化。登山、骑车、跳绳、韵律操等属于强度较大的运动，可以消耗体内多余的热量，排泄多余的水分，达到清热除湿的目的。练习“六字诀”中的“呼”、“嘻”字诀，也有健脾、清热、利湿的功效。湿热体质的人应多参加户外活动，如在秋高气爽的季节登高而呼，有助于疏畅气机、清热化湿。但运动时要避开暑湿环境，长夏季节尤应注意。\r\n4.精神调适：尽量多参加社会活动，培养广泛的兴趣爱好。注意克服急躁心理，保持稳定心态。遇事不宜过度思虑，要想得开，放得下，少生闷气少计较。\r\n湿热最易郁结于肝胆，导致心情烦闷，急躁易怒。所以湿热体质的人在精神调适方面应以安神定志为主，遵循《黄帝内经》中“恬淡虚无”、“精神内守”的养神大法。培养广泛的兴趣爱好：看书、写字、绘画、弹琴、钓鱼、养花等，有助于分散多余的精力，陶冶性情、锻炼耐性，平稳心态。在烦恼苦闷的时候应该迅速转移注意力，还可多与朋友交流、倾诉，以排解不良情绪。要宽以待人，与人为善，不要为了一些小事生气、计较。\r\n5.饮食调理：可常吃红小豆、绿豆、薏苡仁、芹菜、黄瓜、冬瓜、藕、荠菜等食物，可适量吃苦瓜、苦苣、西瓜等。食忌辛温、滋腻，少吃韭菜、辣椒、花椒、生姜、羊肉或火锅、烹炸、烧烤等食物，以及肥肉、粘糕、鲇鱼等粘腻食物。可用石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮。少吃油盐。\r\n饮食清淡，可进食赤小豆、绿豆、芹菜、黄瓜、藕等甘寒、甘平的食物，有帮助清热利湿的作用；还应多吃些清利化湿的食物，如薏苡仁、茯苓、鲫鱼、苦瓜、冬瓜、西瓜等。忌食辛温、滋腻以及大热、大补之品，如韭菜、大蒜、辣椒、生姜、肥肉、羊肉、狗肉、酒等，否则会加重湿热。还应少食饴糖、石榴、大枣、柚子等酸甘之品，以免滋腻恋湿，导致湿热不易排出。忌暴饮暴食和进食速度过快，要限制油盐的摄入。石竹茶、苦丁茶、莲子芯、竹叶、玉米须等泡茶饮有清热利湿的功效。\r\n6.药物调养：可用佩兰、栀子、龙胆草、茵陈、苦参、泽泻等。脾胃湿热者用泻黄散。肝胆湿热者，用龙胆泻肝丸。\r\n泻黄散出于宋代钱乙的《小儿药证直诀》，组成：藿香叶，山栀仁，石膏，甘草，防风。功效：泻脾胃伏火，主治：脾胃伏火证。目疮口臭，烦渴易饥，口燥唇干，舌红脉数，以及脾热弄舌等。肝胆湿热者，选用\r\n龙胆泻肝丸出于清代汪昂的《医方集解》，组成：龙胆，柴胡，黄芩，栀子（炒），泽泻，关木通，车前子（盐炒），当归（酒炒），地黄，炙甘草；功效：清肝胆，利湿热。用于肝胆湿热，头晕目赤，耳鸣耳聋，耳肿疼痛，胁痛口苦，尿赤，湿热带下。\r\n7.音乐及其他调摄：可经常听一些悠闲、和缓的音乐。经常点按阴陵泉、曲池等穴位。也可常做大椎穴拔罐、督脉或膀胱经刮痧等疗法。\r\n湿热质者容易躁动，因此可经常听一些悠闲、和缓的音乐，如《小夜曲》、《摇篮曲》或中国古典音乐中的古琴、萧独奏等，颐养心神。\r\n阴陵泉：属足太阴脾经，定位：在小腿内侧，当胫骨内侧髁后下方凹陷处，功效：清利湿热，健脾理气，益肾调经，通经活络；主治：腹胀，泄泻，水肿，黄疸，小便不利或失禁，膝痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n大椎穴：属于督脉，定位：位于后正中线上，第七颈椎棘突下凹陷中，功效：振奋人体阳气、强身保健、通阳解表、疏风散寒、退热镇静等；主治：热病，感冒，咳嗽，气喘等外感病证，头痛项强，疟疾，癫狂，小儿惊风等。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (27, 'TZBS_LN_G', '㈠血瘀质概要\r\n1.定义\r\n是指体内有血液运行不畅的潜在倾向或瘀血内阻的病理基础，并表现出一系列外在征象的体质状态。\r\n2.成因\r\n系先天禀赋，或后天损伤，忧郁气滞，久病入络。\r\n3.易见体质特征\r\n总体特征：血行不畅，以肤色晦黯、舌质紫黯等血瘀表现为主要特征。\r\n形体特征：胖瘦均见。\r\n常见表现：肤色晦黯，色素沉着，容易出现瘀斑，口唇黯淡，舌黯或有瘀点，舌下络脉紫黯或增粗，脉涩。\r\n心理特征：易烦，健忘。\r\n发病倾向：易患癥瘕及痛证、血证等。\r\n对外界环境适应能力：不耐受寒邪。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，食宜辛温，药宜活血。\r\n加强运动：“血为气之母，气为血之帅”，气行则血行，“气血冲和，万病不生”。运动可促进气血周流。故血瘀质者当加强运动。\r\n食宜辛温：辛者散之，温者行之，具有行散消滞、活血化瘀作用。而血得温则行，得寒则凝，《素问·调经论》云:“血气者，喜温而恶寒，寒则涩而不能流，温则消而去之。”故血瘀质者当常食辛温之品。\r\n药宜活血：“坚而削之，结而散之”，血瘀质者当用消法，药宜活血。“活血”就是畅通血流，“化瘀”就是祛除瘀滞。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室宜温不宜凉，环境宜宽敞明亮，装饰宜明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n血得温则行，得寒则凝，血瘀质者不可过于安逸，以免气机郁滞而加重血瘀程度。故血瘀质者居室、环境、装饰宜温暖、明快为宜，衣着、形体、心情当宽松、舒展为宜。\r\n3.形体运动：根据个人体力加强户外运动，强度要适中，如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。可练习“六字诀”中的“嘘”字功。\r\n根据个人体力进行一些有助于促进气血运行的运动项目，强度要适中，过则伤津耗气，不利血行，而致血瘀加重；不及则气机壅塞，也能加重血瘀。故应选诸如太极拳（剑）、舞蹈、步行健身法、徒手健身操、健身球、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等运动，使身体各部位都活跃起来。运动时，最好选择视野开阔、空间较大、空气清新的地方，避免在封闭环境中进行。环境狭小、闭塞，易使人心情郁闷，情绪低落，不利血行。\r\n可练习“六字诀”中的“嘘”字功，“六字诀”中的六个字是按照中医五行生克之理论排列的。肝属木，调气和血，木旺于春，四季以春为首，练习“嘘”字功可以平肝气，调气机，畅血行。\r\n血瘀质的人虽要加强户外运动，但强度一定要适中。因血瘀质者大多心血管机能较弱，不宜做大强度、大负荷的体育运动，应采用小负荷、多次数的锻炼，如果出现胸闷、恶心、眩晕等，应及时停止运动，不能缓解者及时就诊。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n血瘀质者常与精神紧张、压力多大有关，常表现为心烦、急躁、健忘，或忧郁、苦闷、多疑等。精神调适对于血瘀质的人尤为重要。常看喜剧、滑稽剧、励志电影、电视，听相声等有助于培养乐观情绪，精神愉悦则气血和顺，营卫流畅。勿看悲剧，阴雨雾霾天气要设法调节好情绪。常和朋友交流、培养新的爱好，如集邮、摄影、绘画、种花、钓鱼等都是不错的陶冶性情方式，可及时宣泄不良情绪，使体内气机不易郁结，促进气血的运行。凡是业余爱好、兴趣广泛之人，少见血瘀体质。反之，如果长期陷入苦闷、忧郁，无法自拔，则会加重血瘀倾向。\r\n5.饮食调理：宜食山楂、金橘、玫瑰花、月季花、田七苗、黑豆等。忌吃乌梅、苦瓜、柿子、李子、石榴等酸涩之品。少吃蛋黄、蟹子、猪肉、奶酪等。适量饮用葡萄酒、黄酒等。药膳可选用山楂汤（山楂20克加少许红糖）、当归田七乌鸡汤（乌鸡250克、当归15克、田七10克、生姜五片）。少吃油盐。\r\n山楂、金橘、玫瑰花、月季花、田七苗、黑豆等均具有活血化瘀、散结行气、疏肝解郁的作用。乌梅、苦瓜、柿子、李子、石榴等酸涩之品有碍血行，故当忌吃。蛋黄、蟹子、猪肉、奶酪等物滋腻，易致气血瘀滞，故当少吃。葡萄酒、黄酒有温经活血化瘀之功，可以适量饮用。\r\n推荐药膳：山楂汤：生山楂20克，去核打碎，放入锅中，加清水煮约20分钟，调以红糖进食，可活血散瘀。当归田七乌鸡汤：乌鸡250可，当归15克，田七10克，生姜5片。制作方法：首先把当归和田七清洗浸泡于水中，然后把洗好的当归、田七、生姜放在乌鸡上下锅。加入适量的盐，倒入清水。水的高度要没过乌鸡，然后合盖。等水烧开后，膳料上锅隔水蒸，大火蒸约３个小时，待汤料烂熟后即可。此汤能补血祛瘀，特别适合月经不调、贫血的女性。\r\n6.药物调养：可用当归、红花、川芎、丹参、赤芍、鸡血藤、桃仁等。可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。\r\n上述所列之药均是常用的活血化瘀药物，如当归性甘、辛温，归肝、心、脾经，具有补血活血，调经止痛，润肠通便之功效，可用于血虚萎黄，眩晕心悸，月经不调，经闭痛经，癥瘕结聚，跌扑损伤等。红花味辛温，入肝，心二经，有活血通经，祛瘀止痛的作用，可以治疗瘀血凝结引起的经闭，产后瘀血腹痛，关节痹痛以及跌打损伤等。\r\n成方可选用桃红四物汤、血府逐瘀汤、复元活血汤、复方丹参片等。血府逐瘀汤：对于血瘀体质偏于瘀血阻滞在上焦的，可选用血府逐瘀汤，这是非常经典的一个方剂，出自于《医林改错》。王清任认为：膈膜的低处，且如池，满腔存血，名曰“血府”。根据“血府”产生“血瘀”的理论，王氏创立血府逐瘀之剂，称之为“血府逐瘀汤”。组成：当归、生地、桃仁、红花、枳壳、赤芍、柴胡、甘草、桔梗、川芎、牛膝。主要有活血化瘀、行气止痛的作用。实验研究也证明血府逐瘀汤有活血化瘀，改善微循环，增加组织血流灌注量的效应。桃红四物汤：桃红四物汤这一方名始见于《医宗金鉴》，由当归、白芍、熟地黄、川芎、桃仁、红花组成。桃红四物汤以祛瘀为核心，辅以养血、行气。具有养血活血之功效。现代研究表明，桃红四物汤具有扩张血管、抗炎、抗疲劳、抗休克、调节免疫功能、降脂、补充微量元素、抗过敏等作用。复元活血汤：出自《医学发明》卷三方，由柴胡、瓜蒌根、当归、红花、甘草、穿山甲组成，具有活血祛瘀，疏肝通络功效，是治疗跌打损伤，瘀血留于胁下，疼痛不已之常用方，现代药理研究证明复元活血汤有镇痛、抗炎及降低血液粘稠度，改善微循环等作用。复方丹参片是临床常用的治疗血瘀的中成药。\r\n7.音乐及其他调摄：选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。可舒缓按揉膻中、血海、太冲、三阴交、委中、曲泽等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。\r\n在音乐方面，可选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格，使精神顺畅，情志条达，气血调和，阴平阳秘，而百病不生。血瘀质的调养，很适合针灸推拿。主要穴位有膻中、血海、太冲、三阴交、委中、曲池等穴位，或者拔罐（膈俞、肝俞）、刮痧（督脉或膀胱经）。如膻中穴是任脉上的主要穴位之一，具有募集心包经气血之功效，可治胸痹心痛，心悸，心烦等。太冲穴为人体足厥阴肝经上的重要穴位之一，循肝经上传中封穴，具有平肝泄热，舒肝养血之功效，可治头痛、胸痹、胸胁胀痛等。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (28, 'TZBS_LN_H', '㈠气郁质概要\r\n1.定义\r\n由于长期情志不畅、气机郁滞而形成的以性格内向不稳定、忧郁脆弱、敏感多疑为主要表现到体质状态。\r\n2.成因\r\n先天遗传，或因精神刺激暴受惊恐，所欲不遂忧郁思虑等。\r\n3.易见体质特征\r\n总体特征：气机郁滞，以神情抑郁、忧虑脆弱等气郁表现为主要特征。\r\n形体特征：形体瘦者为多。\r\n常见表现：神情抑郁，情感脆弱，烦闷不乐，舌淡红，苔薄白，脉弦。\r\n心理特征：性格内向不稳定、敏感多虑。\r\n发病倾向：易患脏躁、梅核气、百合病及郁证等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：形神宜动，食宜辛温，药宜理气。\r\n形神宜动：主要指在形体运动和精神调适两个方面要有所加强。动形以养生，可促进气血的周流，以利于人体的吐故纳新和气血调畅；动神以畅情，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。\r\n食宜辛温：主要指饮食上宜选用辛散微温的食品。辛散类食物能够帮助升发体内阳气，而温性食品则可以顾护人体的阳气。“违其性故苦，遂其性故欲”，肝属木而性喜条达，主疏泄，适当进食辛散微温的食品利于阳气的生发和肝气的疏泄。\r\n药宜理气：主要指药物调养应选择具有疏肝理气功效的药物。龚居中在《红炉点雪·忌忧郁》中说:“夫气贵舒而不贵郁,舒则周身畅利,郁则百脉违和，故曰喜则气缓。然缓者，因有徐和、畅利之义。”肝木失于条达，肝体失于柔和，易致肝气横逆、郁结，呈现种种病变。疏肝解郁、理气宽中类药物可起到疏理肝脏气机，恢复肝脏功能的作用。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。居室环境宜宽敞明亮，温湿度适宜。装饰明快亮丽。衣着宽松。多走出户外，舒展形体，放松心情。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n气郁质的人春季一定要舒展形体，释放自己的情志，与自然界同步，促进人体的阳气正常发散；秋冬之凄风苦雨、万木凋零，容易使人心情低落、悲忧，尤其要注意调整情绪，应多走出户外，舒展形体，放松心情。徜徉于自然山水之间，人就不会钻牛角尖，就不郁闷，气机自然就舒展。\r\n居室环境宽敞明亮，温度、湿度适宜，室内环境要注意自然通风，装修宜明快亮丽，可以舒缓心情。衣着宽松，舒适大方，能够舒展人体气机。阴雨天等压抑性天气，容易使人气机郁滞，要设法调节好情绪。\r\n3.形体运动：尽量进行户外活动，适度加大运动量，如跑步、登山、打乒乓球、打羽毛球、扭秧歌、跳交谊舞等。有意识学习某一项技术性体育项目，定时进行练习。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功。\r\n运动健身可以使气郁质者气机调理、情志舒畅，因此应尽量增加户外活动，坚持较大量的运动锻炼，如跑步、登山、乒乓球、羽毛球、扭秧歌、跳交谊舞等。春季天地之气清明，万物以荣，春芽初萌，自然生发之气始生，当顺应自然之生机，踏青便是一项有益的活动；秋高气爽的季节，是旅游的最佳时机，无论登山临水，还是游览古迹，均不失为最使人惬意的黄金季节。而观今古奇观和起落较大的险景胜地，更可以改变抑郁多愁之心境。锻炼方法主要有较大强度练习法、专项兴趣爱好锻炼法和体育游戏法。有意识学习某一项技术性体育项目，定时进行练习，从提高技术水平上体会体育锻炼的乐趣是最好的方法。气功方面，以强壮功、保健功、动桩功为宜，着意锻炼呼吸吐纳功法，以开导郁滞。可练习“六字诀”中的“嘘”字功，以疏畅肝气。\r\n4.精神调适：培养乐观向上的情绪，宜常看喜剧、滑稽剧、励志电影、电视，听相声，勿看悲剧。阴雨雾霾天气要设法调节好情绪。常和朋友聊天、培养新的爱好，及时宣泄不良情绪。\r\n培养乐观向上的情绪。“愁忧者，气闭塞而不行。”根据《素问·阴阳应象大论》“喜胜忧”的情志制约原则，精神愉快则气血和畅、营卫流通，有益于气郁体质的改善。主动寻求快乐，常看喜剧、滑稽剧、听相声，以及富有鼓励、激励的电影、电视，勿看悲剧。七情波动闷在心里，最容易伤及内脏，和朋友交流、移情培养新的爱好，都是很好的选择。要学会发泄，掌握各种排解郁闷的方法，及时宣泄不良情绪，尽快恢复心理平衡。可直接把埋在心中的不良情绪发泄出去，也可借助于别人的疏导，把闷在心里的郁闷宣散出来，以免伤及肺脏。所以，扩大社会交往，广交朋友，互相尊重，互相帮助，是解忧消愁、克服不良情绪的有效方法。\r\n5.饮食调理：宜饮花茶，少量饮酒。宜常吃茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等。少吃酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等。药膳宜用橘皮粳米粥（橘皮50g、粳米100g）或山药佛手冬瓜汤（山药50克、佛手50克、冬瓜150克）。少吃油盐。\r\n气郁质者应多食辛温的食物，宜饮花茶，其中的茉莉花可疏肝解郁，理脾消食。少量饮酒可以活血通脉，提高情绪。茴香、佛手、萝卜、橙子、柑子、刀豆、金橘等，均有调畅气机的作用。酸菜、乌梅、石榴、青梅、杨梅、酸枣、李子、柠檬等酸涩之品，具有收敛气机的作用，气郁质者应该少吃。\r\n药膳宜用橘皮粳米粥：橘皮50g，研细末备用。粳米100g，淘洗干净，放入锅内，加清水煮。煮至粥将成时，加入橘皮，再煮10分钟即成。本品理气运脾，适用于脘腹胀满，不思饮食。山药佛手冬瓜汤：山药50克、佛手50克、冬瓜150克，至锅中慢火煲30分钟，调味后即可饮用。可健脾、理气、利湿。\r\n6.药物调养：可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。\r\n疏肝理气可用香附、香橼、柴胡、枳壳、麦芽、青皮、陈皮等。香附：性平，味辛、微苦、微甘，入肝、三焦经，能理气解郁，调经止痛。香橼：性温，味辛、微苦、酸，归肝、肺、脾经，能疏肝理气，和中化痰。柴胡：性微寒，味苦、辛，归肝、心包络、三焦、胆经，能疏肝解郁，升举阳气，和解退热。枳壳：性微寒，味苦、辛，归脾、胃、大肠经，能行气宽中除胀。麦芽：性平，味甘，归脾、胃、肝经，能消食和中疏肝。青皮：性温，味苦、辛，归肝、胆、胃经，能疏肝破气，散结消滞。陈皮：性温，味苦、辛，归脾、肺经，能理气调中，燥湿化痰。\r\n对于气郁质者，中成药可选用逍遥丸、柴胡疏肝散、越鞠丸等。逍遥丸: 来源于宋代《太平惠民和剂局方》，组成：柴胡、当归、白芍、白术（炒）、茯苓、薄荷、生姜、甘草（炙），能舒肝健脾，养血调经。用于肝气不舒，胸胁胀痛，头晕目眩，食欲减退，月经不调等。柴胡疏肝散: 出自《医学统旨》，组成：陈皮(醋炒) 、柴胡、川芎、枳壳(麸炒) 、芍药、甘草(炙)、 香附，能疏肝解郁，行气止痛，主治肝气郁滞证：胁肋疼痛，或寒热往来，嗳气太息，脘腹胀满等。越鞠丸: 来自《丹溪心法》，组成：苍术、香附、川芎、神曲、栀子，能行气解郁，用于气、血、痰、火、湿、食等郁，如胸膈痞闷，脘腹胀痛，吞酸呕吐，饮食不化等。气郁质者多兼血郁、痰郁、火郁、湿郁、食郁，但以气郁为先导。其中，血瘀加丹参、桃仁；痰郁加半夏、竹茹；火郁加连翘、栀子；湿郁加苍术、厚朴；食郁加神曲、山楂等。\r\n7.音乐及其他调摄：宜选择激昂高亢、令人振奋的音乐，以培养开朗、豁达的性格。每天叩拍膻中穴10～30次，或进行5分钟推腹法。也可点按内关、太冲、期门等穴位。\r\n《荀子·乐论》中说“以钟鼓道志，以琴瑟乐心……故听其雅、颂之声，而志意得广焉。”因此选择激昂高亢、令人振奋的音乐，可以培养开朗、豁达的性格。膻中穴：属于任脉。在胸部前正中线上，平第4肋间，两乳头连线的中点。膻指的是胸部，膻中也就是胸部的中间，在胸膜当中，是心的外围。膻中也是心包经的募穴，即脏腑之气汇聚的地方，所以膻中又被称为“气会”，但凡和气有关的疾病，如气虚、气机郁滞等都均可取膻中来调治。每天叩拍膻中穴10～30次，或进行5分钟推腹法，都能促进气血运行，和调五脏六腑，舒筋通络，可以达到 “如释重负”的效果。\r\n气郁质者可点按内关、太冲、期门等穴位，具有调肝、安眠的作用。内关：手厥阴心包经穴。在前臂掌侧，当曲泽与大陵的连线上，腕横纹上2寸，掌长肌腱与桡侧腕屈肌腱之间。内关既是手厥阴心包经的络穴，又是八脉交会穴，通于阴维脉。此穴功能疏导水湿、宁心安神、理气镇痛。由于内关穴为心包经的络穴，联络着上、中、下三焦，故可用于治疗上焦的心悸、胸痛胸闷；中焦的胃痛呕吐；下焦的月经病、泌尿系疾病等。太冲：足厥阴肝经穴。位于足背侧，第一、二跖骨结合部之前凹陷处。此穴是足厥阴肝经的输穴、原穴。具有平肝熄风、调整气血、镇静止痛作用。可用于头痛、眩晕、癫狂等神经系统疾病；月经不调、疝气、诸泌尿生殖系统疾病；腹胀、胁痛、泄泻等消化系统疾病及下肢局部疾病。 如果经常按摩太冲的话，对防治高血压、头痛、头晕、失眠、多梦等都很有好处。期门：属于足厥阴肝经，为肝的募穴。其定位在胸肋部，当乳头直下，第6肋间隙，前正中线旁开4寸。期门穴功能健脾疏肝，理气活血，主治消化系统疾病，心绞痛，胸胁胀满，癃闭遗尿，肋间神经痛等。胁肋部为肝胆经所过，每晚睡觉前，把两手搓热，然后轻搓胁肋，以疏畅肝胆气机。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); +INSERT INTO `zytz_qms_scale_consti_ysfa` VALUES (29, 'TZBS_LN_I', '㈠体质概述\r\n1.定义\r\n表现为一种特异性体质，多指由于先天性和遗传因素造成的一种体质缺陷，包括先天性、遗传性的生理缺陷，先天性、遗传性疾病，过敏反应，原发性免疫缺陷等。其中对过敏体质概念的表述是：在禀赋遗传的基础上形成的一种特异体质，在外界因子的作用下，生理机能和自我调适力低下，反应性增强，其敏感倾向表现为对过敏源的亲和性和反应性呈现个体体质的差异性和家族聚集的倾向性。\r\n2.成因\r\n先天因素、遗传因素，或环境因素，药物因素等。\r\n3.易见体质特征\r\n总体特征：先天失常，以生理缺陷、过敏反应等为主要特征。\r\n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。\r\n常见表现：过敏体质者常见哮喘、风团、咽痒、鼻塞、喷嚏等；患遗传性疾病者有垂直遗传、先天性、家族性特征；患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特征。\r\n心理特征：随禀质不同情况各异。\r\n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(立迟、行迟、发迟、齿迟和语迟)、五软（头软、项软、手足软、肌肉软、口软）、解颅、胎惊、胎痫等。\r\n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。\r\n㈡调养指导方案\r\n1.调摄原则：加强运动，避免接触过敏原，药遵医嘱。\r\n加强运动：特禀质中最多见的是过敏性体质，包括哮喘、荨麻疹、花粉症及药物过敏等。加强运动，可以促进气血周流，增强机体的抗病能力。现代医学认为：适当运动，能够锻炼肺功能，使身体释放一些激素如肾上腺素等，可舒张支气管，有助于改善过敏状态。\r\n避免接触过敏原：特禀体质者对外界环境适应能力较差，如过敏体质者对过敏季节适应能力差，在接触易致敏的花粉、食物或药物等之后，易引发过敏反应。\r\n特禀质者的表现千差万别，如需应用药物应遵循医嘱。\r\n2.环境起居：春天早睡早起，夏天晚睡早起、适当午睡，秋天早睡早起，冬天早睡晚起。起居应有规律，保持室内清洁，被褥、床单要经常洗晒，室内装修后不宜立即搬进居住。在春季和陌生的环境中减少室外活动，避免接触各种致敏物质。不宜养宠物。在季节更替或外出之时，及时增减衣物。\r\n某些特禀质是来源于父母的一种特殊的体质类型，其中包含两个意思：先天的、特殊的体质。就是禀赋比较特殊，较一般人差一点的体质，它包括三种：第一种是过敏体质，有过敏性鼻炎、过敏性哮喘、过敏性紫癜、湿疹、荨麻疹等过敏性疾病的人大多都属于这一种；第二种是遗传性体质，就是有家族遗传病史的，这一类大多很难治愈；第三种是胎传体质，就是母亲在妊娠期间所受的不良影响传给胎儿所造成的一种体质。特禀质已经是“先天不足”，更应在后天生活起居、环境、饮食、运动等方面加强调摄，一是防止进一步耗损真气，二是增强和改善体质。\r\n睡卧顺应四时：养生应根据四时季节的阴阳变化而调整，顺应自然规律以得天地之养。人体内的生物钟与自然界的昼夜规律相符，顺应自然界的规律安排作息，有利于机体的健康。四季具有春温、夏热、秋凉、冬寒的特点，生物体也相应具有春生、夏长，秋收、冬藏的变化。四季的作息时间应根据季节阴阳相互关系的不同而有所区别，“春夏养阳”则春天宜早睡早起，夏天宜晚睡早起，因夏天昼长夜短故要适当午睡；“秋冬养阴”则秋天宜早睡早起，冬天宜早睡晚起。\r\n室内要保持清洁，被褥、床单要经常在晴好天气洗晒。室内装修后不宜立即搬进居住。氡、苯、甲醛、氨、三氯乙烯、对二氯苯……这些室内空气污染物包围全球近一半的人，导致人体35.7%的呼吸道疾病，22%的慢性肺病和15%的气管炎、支气管炎和肺癌。特禀质者很大一部分是过敏性体质，更容易受家居装修污染的伤害。刚装修的房子应至少保持通风半年后入住，或采用优质空气净化设备。春季风沙较大，空气中的粉尘相对较多，加上百花盛开，各类花的花粉会在空气中形成一种类似于粉尘的漂浮物，部分过敏体质者接触后易引发过敏反应。陌生环境可能含有未知的致敏物质，也应加强自我防护意识。所以应尽量减少室外活动，避免接触各种致敏物质。宠物的毛发、唾液中的蛋白质和皮屑等容易引发部分特禀质者过敏反应，且宠物易携带多种致病微生物，可能会加重特禀体质者的免疫负荷，产生多种疾病，所以对这类体质的人，应尽量避免养宠物。在季节更替或外出之时，及时增减衣物。\r\n3.形体运动：积极参加各种体育锻炼，可根据个人体力选择太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”。强壮功、瑜伽、步行、慢跑等。逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动。\r\n特禀质者多体质较差，对外界环境、气候变化敏感，其运动以强壮体质为主。太极拳（剑）、“六字诀”中的“吹字诀”、“呬字诀”、强壮功、瑜伽、步行、慢跑等传统体育保健项目动静结合、身心俱养、简便易行，健身效果比较好。特禀质尤其是过敏质多不耐受寒冷空气，在运动中应注意逐步进行耐寒训练，增强身体对冷空气的适应性。不宜参加对抗性强的竞技运动，以免过度耗损正气。\r\n4.精神调摄：多关注具有积极意义的事物，培养乐观情绪，避免情绪紧张。\r\n特禀质者，特别是有先天身体缺陷、畸形或残疾者，很容易出现悲观、消极、孤僻、胆怯、自卑的性格，不愿与人交往，甚至意志消沉，丧失生活信心。所以，在精神心理方面，应关注具有积极意义的事物，“乐以忘忧”(出自《论语·述尔》)，“美意延年” (出自《荀子·致士》)，培养乐观情绪，避免情绪紧张，有利于改善体质和身体疾病的康复。\r\n5.饮食调理：避免食用各种致敏食物或来源、性味不明的食物。少食荞麦、蚕豆、辣椒、虾、蟹等食物。少吃油盐。\r\n特禀质尤其是过敏体质者要避免食用各种已知致敏食物。来源、性味不明的食物可能含有致敏原，应尽量避免食用。荞麦、蚕豆、辣椒、虾、蟹等食物易致过敏，所以应减少信用。\r\n6.药物调养：在医师指导下，可选用乌梅、五味子、银柴胡等药物。药膳可用乌梅粥（乌梅15g，黄芪20g，当归12g）。\r\n乌梅以其味酸能生津，涩可收敛，与辛散祛风剂相伍，更能调营卫、固肌腠，为调和营卫。《伤寒论》末篇乌梅丸中附子、花椒与乌梅同施，辛、酸相用，调和阴阳，使气血营卫和谐。后人受此启迪将乌梅与辛温发散药相配合治疗各种皮肤过敏症，如施今墨先生的脱敏煎（乌梅、防风、银柴胡等），临床常用乌梅为主治疗激素依赖性哮喘多种过敏疾患，确有疗效。\r\n《随息居饮食食谱》所载：“梅，酸温，温胆生津，孕妇多嗜之。”乌梅益气养血生津，健脾益胃和中，合黄芪当归同用，黄芪益气固表，提高免疫功能，当归性温，昧甘、辛，归肝、心、脾经活血养血，有当归补血汤之意。上述三药共奏益气养阴活血之效，长期服用乌梅粥可增强体质。\r\n7.音乐及其他调摄：根据个人喜好选择音乐，各种风格的可以交替欣赏。可按揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。可艾灸肺俞、风门、曲池、合谷。\r\n对于患有过敏性鼻炎的人，可以揉迎香、鼻通穴、印堂穴，捏鼻、擦鼻翼等各1～2分钟，每日早晚各一次。迎香：位于鼻翼之两旁，是治鼻塞、不闻香臭之要穴。鼻通：位于鼻的两侧、鼻唇沟上端尽头。印堂：位于两眉头连线中点。揉鼻通和印堂穴可宣散鼻部的郁热以通鼻窍。另外，捏鼻、擦鼻翼也可使鼻部气血流通，改变局部血液循环，收到预防和治疗过敏性鼻炎效果。\r\n患过敏性鼻炎、哮喘、荨麻疹者，可艾灸肺俞、风门、曲池、合谷等穴位，益肺气，固卫表，增强免疫功能。\r\n肺俞：属足太阳膀胱经，定位：背部第3胸椎棘突下，旁开1.5寸。功效：调肺气、补虚损、止咳化痰。\r\n风门：属足太阳膀胱经，定位：当第2胸椎棘突下，旁开1.5寸。功效：疏风解表、宣通肺气，主治：伤风，咳嗽，发热头痛，项强，胸背痛。\r\n曲池：属手阳明大肠经，定位：屈肘成直角，当肘横纹外端与肱骨外上髁连线的中点。功效：清热和营，降逆活络。主治：咽喉肿痛，齿痛，目赤痛，瘰疬，瘾疹，热病，上肢不遂，手臂肿痛，腹痛吐泻，高血压，癫狂。\r\n合谷：属手阳明大肠经，定位：手背，第一、二掌骨之间，约平第二掌骨中点处。功效：镇静止痛，通经活经，清热解表。主治：头痛，目赤肿痛，鼻衄，齿痛，牙关紧闭，口眼喎斜，耳聋，痄腮，咽喉肿痛，热病无汗，多汗，腹痛，便秘，经闭，滞产。', '0', '', '2024-11-13 14:04:03', '', '2024-11-13 14:04:03'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_question +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_question`; +CREATE TABLE `zytz_qms_scale_question` ( + `ques_id` bigint NOT NULL COMMENT '表ID', + `scale_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '辨识版本类型', + `ques_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '题目编码', + `ques_sort` int NULL DEFAULT NULL COMMENT '题号', + `ques_name` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '题目', + `gender_apply` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '哪些性别适用（0都适用，1男，2女）', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`ques_id`) USING BTREE, + INDEX `idx_scale_code`(`scale_code` ASC) USING BTREE, + INDEX `idx_ques_code`(`ques_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '患者信息' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_question +-- ---------------------------- +INSERT INTO `zytz_qms_scale_question` VALUES (1, 'TZBS_BZ', 'TZBS_BZ_Q_01', 1, '您精力充沛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (2, 'TZBS_BZ', 'TZBS_BZ_Q_02', 2, '您容易疲乏吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (3, 'TZBS_BZ', 'TZBS_BZ_Q_03', 3, '您容易气短（呼吸短促、接不上气）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (4, 'TZBS_BZ', 'TZBS_BZ_Q_04', 4, '您容易心慌吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (5, 'TZBS_BZ', 'TZBS_BZ_Q_05', 5, '您容易头晕或站起时晕眩吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (6, 'TZBS_BZ', 'TZBS_BZ_Q_06', 6, '您喜欢安静、懒得说话吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (7, 'TZBS_BZ', 'TZBS_BZ_Q_07', 7, '您说话声音低弱无力吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (8, 'TZBS_BZ', 'TZBS_BZ_Q_08', 8, '您容易忘事（健忘）吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (9, 'TZBS_BZ', 'TZBS_BZ_Q_09', 9, '您感到闷闷不乐、情绪低沉吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (10, 'TZBS_BZ', 'TZBS_BZ_Q_10', 10, '您容易精神紧张、焦虑不安吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (11, 'TZBS_BZ', 'TZBS_BZ_Q_11', 11, '您多愁善感、感情脆弱吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (12, 'TZBS_BZ', 'TZBS_BZ_Q_12', 12, '您容易感到害怕或受到惊吓吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (13, 'TZBS_BZ', 'TZBS_BZ_Q_13', 13, '您胁肋部或乳房胀痛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (14, 'TZBS_BZ', 'TZBS_BZ_Q_14', 14, '您感到胸闷或腹部胀满吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (15, 'TZBS_BZ', 'TZBS_BZ_Q_15', 15, '您无缘无故叹气吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (16, 'TZBS_BZ', 'TZBS_BZ_Q_16', 16, '您感到身体沉重不轻松或不爽快吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (17, 'TZBS_BZ', 'TZBS_BZ_Q_17', 17, '您感到手脚心发热吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (18, 'TZBS_BZ', 'TZBS_BZ_Q_18', 18, '您手脚发凉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (19, 'TZBS_BZ', 'TZBS_BZ_Q_19', 19, '您胃脘部、背部或腰膝部怕冷吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (20, 'TZBS_BZ', 'TZBS_BZ_Q_20', 20, '您感到怕冷、衣服比别人穿得多吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (21, 'TZBS_BZ', 'TZBS_BZ_Q_21', 21, '您感觉身体、脸上发热吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (22, 'TZBS_BZ', 'TZBS_BZ_Q_22', 22, '您比一般人耐受不了寒冷（冬天的寒冷、夏天的冷空调、电扇等）吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (23, 'TZBS_BZ', 'TZBS_BZ_Q_23', 23, '您比别人容易患感冒吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (24, 'TZBS_BZ', 'TZBS_BZ_Q_24', 24, '您没有感冒时也会打喷嚏吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (25, 'TZBS_BZ', 'TZBS_BZ_Q_25', 25, '您没有感冒时也会鼻塞、流鼻涕吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (26, 'TZBS_BZ', 'TZBS_BZ_Q_26', 26, '您有因季节变化、温度变化或异味等原因而咳喘的现象吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (27, 'TZBS_BZ', 'TZBS_BZ_Q_27', 27, '您活动量稍大就容易出虚汗吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (28, 'TZBS_BZ', 'TZBS_BZ_Q_28', 28, '您有额部油脂分泌多的现象吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (29, 'TZBS_BZ', 'TZBS_BZ_Q_29', 29, '您口唇的颜色比一般人红吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (30, 'TZBS_BZ', 'TZBS_BZ_Q_30', 30, '您容易过敏（对药物、食物、气味、花粉或在季节交替、气候变化时）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (31, 'TZBS_BZ', 'TZBS_BZ_Q_31', 31, '您的皮肤容易起荨麻疹（风团、风疹块、风疙瘩）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (32, 'TZBS_BZ', 'TZBS_BZ_Q_32', 32, '您的皮肤因过敏出现过紫癜（紫红色瘀点、瘀斑）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (33, 'TZBS_BZ', 'TZBS_BZ_Q_33', 33, '您的皮肤在不知不觉中会出现青紫瘀斑（皮下出血）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (34, 'TZBS_BZ', 'TZBS_BZ_Q_34', 34, '您的皮肤一抓就红，并出现抓痕吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (35, 'TZBS_BZ', 'TZBS_BZ_Q_35', 35, '您皮肤或口唇干吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (36, 'TZBS_BZ', 'TZBS_BZ_Q_36', 36, '您两颧部有细微红丝吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (37, 'TZBS_BZ', 'TZBS_BZ_Q_37', 37, '您身体上有哪里疼痛吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (38, 'TZBS_BZ', 'TZBS_BZ_Q_38', 38, '您面部两颧潮红或偏红吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (39, 'TZBS_BZ', 'TZBS_BZ_Q_39', 39, '您面部或鼻部有油腻感或者油亮发光吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (40, 'TZBS_BZ', 'TZBS_BZ_Q_40', 40, '您面色晦暗或容易出现褐斑吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (41, 'TZBS_BZ', 'TZBS_BZ_Q_41', 41, '您容易生痤疮或疮疖吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (42, 'TZBS_BZ', 'TZBS_BZ_Q_42', 42, '您上眼睑比别人肿（上眼睑有轻微隆起的现象）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (43, 'TZBS_BZ', 'TZBS_BZ_Q_43', 43, '您容易有黑眼圈吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (44, 'TZBS_BZ', 'TZBS_BZ_Q_44', 44, '您感到眼睛干涩吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (45, 'TZBS_BZ', 'TZBS_BZ_Q_45', 45, '您口唇颜色偏暗吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (46, 'TZBS_BZ', 'TZBS_BZ_Q_46', 46, '您感到口干咽燥、总想喝水吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (47, 'TZBS_BZ', 'TZBS_BZ_Q_47', 47, '您咽喉部有异物感，且吐之不出、咽之不下吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (48, 'TZBS_BZ', 'TZBS_BZ_Q_48', 48, '您感到口苦或嘴里有异味吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (49, 'TZBS_BZ', 'TZBS_BZ_Q_49', 49, '您嘴里有黏黏的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (50, 'TZBS_BZ', 'TZBS_BZ_Q_50', 50, '您腹部肥满松软吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (51, 'TZBS_BZ', 'TZBS_BZ_Q_51', 51, '您平时痰多，特别是咽喉部总感到有痰堵着吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (52, 'TZBS_BZ', 'TZBS_BZ_Q_52', 52, '您吃（喝）凉的东西会感到不舒服或者怕吃（喝）凉东西吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (53, 'TZBS_BZ', 'TZBS_BZ_Q_53', 53, '您能适应外界自然和社会环境的变化吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (54, 'TZBS_BZ', 'TZBS_BZ_Q_54', 54, '您容易失眠吗？*', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (55, 'TZBS_BZ', 'TZBS_BZ_Q_55', 55, '您受凉或吃（喝）凉的东西后，容易腹泻（拉肚子）吗)？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (56, 'TZBS_BZ', 'TZBS_BZ_Q_56', 56, '您大便黏滞不爽、有解不尽的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (57, 'TZBS_BZ', 'TZBS_BZ_Q_57', 57, '您容易便秘或大便干燥吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (58, 'TZBS_BZ', 'TZBS_BZ_Q_58', 58, '您舌苔厚腻或有舌苔厚厚的感觉吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (59, 'TZBS_BZ', 'TZBS_BZ_Q_59', 59, '您小便时尿道有发热感、尿色浓（深）吗？', '0', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (60, 'TZBS_BZ', 'TZBS_BZ_Q_60', 60, '您带下色黄（白带颜色发黄）吗？ （限女性回答）', '2', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:28'); +INSERT INTO `zytz_qms_scale_question` VALUES (61, 'TZBS_BZ', 'TZBS_BZ_Q_61', 61, '您的阴囊部位潮湿吗？ （限男性回答）', '1', '0', '', '2024-11-13 12:06:51', '', '2024-11-29 09:26:29'); +INSERT INTO `zytz_qms_scale_question` VALUES (201, 'TZBS_LN', 'TZBS_LN_Q_01', 1, '您精力充沛吗？（指精神头足，乐于做事）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (202, 'TZBS_LN', 'TZBS_LN_Q_02', 2, '您容易疲乏吗？（指体力如何，是否稍微活动一下或做一点家务劳动就感到累）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (203, 'TZBS_LN', 'TZBS_LN_Q_03', 3, '您容易气短，呼吸短促，接不上气吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (204, 'TZBS_LN', 'TZBS_LN_Q_04', 4, '您说话声音低弱无力吗?（指说话没有力气）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (205, 'TZBS_LN', 'TZBS_LN_Q_05', 5, '您感到闷闷不乐、情绪低沉吗?（指心情不愉快，情绪低落）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (206, 'TZBS_LN', 'TZBS_LN_Q_06', 6, '您容易精神紧张、焦虑不安吗?（指遇事是否心情紧张）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (207, 'TZBS_LN', 'TZBS_LN_Q_07', 7, '您因为生活状态改变而感到孤独、失落吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (208, 'TZBS_LN', 'TZBS_LN_Q_08', 8, '您容易感到害怕或受到惊吓吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (209, 'TZBS_LN', 'TZBS_LN_Q_09', 9, '您感到身体超重不轻松吗?(感觉身体沉重)[BMI指数=体重（kg）/身高2（m）]', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (210, 'TZBS_LN', 'TZBS_LN_Q_10', 10, '您眼睛干涩吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (211, 'TZBS_LN', 'TZBS_LN_Q_11', 11, '您手脚发凉吗?（不包含因周围温度低或穿的少导致的手脚发冷）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (212, 'TZBS_LN', 'TZBS_LN_Q_12', 12, '您胃脘部、背部或腰膝部怕冷吗？（指上腹部、背部、腰部或膝关节等，有一处或多处怕冷）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (213, 'TZBS_LN', 'TZBS_LN_Q_13', 13, '您比一般人耐受不了寒冷吗？（指比别人容易害怕冬天或是夏天的冷空调、电扇等）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (214, 'TZBS_LN', 'TZBS_LN_Q_14', 14, '您容易患感冒吗?（指每年感冒的次数）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (215, 'TZBS_LN', 'TZBS_LN_Q_15', 15, '您没有感冒时也会鼻塞、流鼻涕吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (216, 'TZBS_LN', 'TZBS_LN_Q_16', 16, '您有口粘口腻，或睡眠打鼾吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (217, 'TZBS_LN', 'TZBS_LN_Q_17', 17, '您容易过敏(对药物、食物、气味、花粉或在季节交替、气候变化时)吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (218, 'TZBS_LN', 'TZBS_LN_Q_18', 18, '您的皮肤容易起荨麻疹吗? (包括风团、风疹块、风疙瘩)', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (219, 'TZBS_LN', 'TZBS_LN_Q_19', 19, '您的皮肤在不知不觉中会出现青紫瘀斑、皮下出血吗?（指皮肤在没有外伤的情况下出现青一块紫一块的情况）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (220, 'TZBS_LN', 'TZBS_LN_Q_20', 20, '您的皮肤一抓就红，并出现抓痕吗?（指被指甲或钝物划过后皮肤的反应）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (221, 'TZBS_LN', 'TZBS_LN_Q_21', 21, '您皮肤或口唇干吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (222, 'TZBS_LN', 'TZBS_LN_Q_22', 22, '您有肢体麻木或固定部位疼痛的感觉吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (223, 'TZBS_LN', 'TZBS_LN_Q_23', 23, '您面部或鼻部有油腻感或者油亮发光吗?（指脸上或鼻子）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (224, 'TZBS_LN', 'TZBS_LN_Q_24', 24, '您面色或目眶晦黯，或出现褐色斑块/斑点吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (225, 'TZBS_LN', 'TZBS_LN_Q_25', 25, '您有皮肤湿疹、疮疖吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (226, 'TZBS_LN', 'TZBS_LN_Q_26', 26, '您感到口干咽燥、总想喝水吗？', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (227, 'TZBS_LN', 'TZBS_LN_Q_27', 27, '您感到口苦或嘴里有异味吗?（指口苦或口臭）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (228, 'TZBS_LN', 'TZBS_LN_Q_28', 28, '您腹部肥大吗?（指腹部脂肪肥厚）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (229, 'TZBS_LN', 'TZBS_LN_Q_29', 29, '您吃(喝)凉的东西会感到不舒服或者怕吃(喝)凉的东西吗？（指不喜欢吃凉的食物，或吃了凉的食物后会不舒服）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (230, 'TZBS_LN', 'TZBS_LN_Q_30', 30, '您有大便黏滞不爽、解不尽的感觉吗?(大便容易粘在马桶或便坑壁上)', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (231, 'TZBS_LN', 'TZBS_LN_Q_31', 31, '您容易大便干燥吗?', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (232, 'TZBS_LN', 'TZBS_LN_Q_32', 32, '您舌苔厚腻或有舌苔厚厚的感觉吗?（如果自我感觉不清楚可由调查员观察后填写）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); +INSERT INTO `zytz_qms_scale_question` VALUES (233, 'TZBS_LN', 'TZBS_LN_Q_33', 33, '您舌下静脉瘀紫或增粗吗？（可由调查员辅助观察后填写）', '0', '0', '', '2024-11-13 12:14:20', '', '2024-11-29 09:26:06'); + +-- ---------------------------- +-- Table structure for zytz_qms_scale_question_option +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_qms_scale_question_option`; +CREATE TABLE `zytz_qms_scale_question_option` ( + `ques_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NOT NULL COMMENT '题目编号', + `option_id` bigint NOT NULL COMMENT '表ID', + `option_code` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项code', + `option_name` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项', + `option_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '选项得分', + `option_sort` varchar(255) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '选项编号', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`option_id`) USING BTREE, + INDEX `idx_option_code`(`option_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '体质与题目关联表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_qms_scale_question_option +-- ---------------------------- +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 1, 'TZBS_BZ_Q_01_O_001', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 2, 'TZBS_BZ_Q_01_O_002', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 3, 'TZBS_BZ_Q_01_O_003', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 4, 'TZBS_BZ_Q_01_O_004', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_01', 5, 'TZBS_BZ_Q_01_O_005', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 6, 'TZBS_BZ_Q_02_O_006', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 7, 'TZBS_BZ_Q_02_O_007', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 8, 'TZBS_BZ_Q_02_O_008', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 9, 'TZBS_BZ_Q_02_O_009', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_02', 10, 'TZBS_BZ_Q_02_O_010', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 11, 'TZBS_BZ_Q_03_O_011', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 12, 'TZBS_BZ_Q_03_O_012', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 13, 'TZBS_BZ_Q_03_O_013', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 14, 'TZBS_BZ_Q_03_O_014', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_03', 15, 'TZBS_BZ_Q_03_O_015', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 16, 'TZBS_BZ_Q_04_O_016', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 17, 'TZBS_BZ_Q_04_O_017', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 18, 'TZBS_BZ_Q_04_O_018', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 19, 'TZBS_BZ_Q_04_O_019', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_04', 20, 'TZBS_BZ_Q_04_O_020', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 21, 'TZBS_BZ_Q_05_O_021', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 22, 'TZBS_BZ_Q_05_O_022', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 23, 'TZBS_BZ_Q_05_O_023', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 24, 'TZBS_BZ_Q_05_O_024', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_05', 25, 'TZBS_BZ_Q_05_O_025', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 26, 'TZBS_BZ_Q_06_O_026', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 27, 'TZBS_BZ_Q_06_O_027', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 28, 'TZBS_BZ_Q_06_O_028', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 29, 'TZBS_BZ_Q_06_O_029', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_06', 30, 'TZBS_BZ_Q_06_O_030', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 31, 'TZBS_BZ_Q_07_O_031', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 32, 'TZBS_BZ_Q_07_O_032', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 33, 'TZBS_BZ_Q_07_O_033', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 34, 'TZBS_BZ_Q_07_O_034', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_07', 35, 'TZBS_BZ_Q_07_O_035', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 36, 'TZBS_BZ_Q_08_O_036', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 37, 'TZBS_BZ_Q_08_O_037', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 38, 'TZBS_BZ_Q_08_O_038', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 39, 'TZBS_BZ_Q_08_O_039', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_08', 40, 'TZBS_BZ_Q_08_O_040', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 41, 'TZBS_BZ_Q_09_O_041', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 42, 'TZBS_BZ_Q_09_O_042', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 43, 'TZBS_BZ_Q_09_O_043', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 44, 'TZBS_BZ_Q_09_O_044', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_09', 45, 'TZBS_BZ_Q_09_O_045', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 46, 'TZBS_BZ_Q_10_O_046', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 47, 'TZBS_BZ_Q_10_O_047', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 48, 'TZBS_BZ_Q_10_O_048', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 49, 'TZBS_BZ_Q_10_O_049', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_10', 50, 'TZBS_BZ_Q_10_O_050', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_11', 51, 'TZBS_BZ_Q_11_O_051', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_11', 52, 'TZBS_BZ_Q_11_O_052', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_11', 53, 'TZBS_BZ_Q_11_O_053', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_11', 54, 'TZBS_BZ_Q_11_O_054', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_11', 55, 'TZBS_BZ_Q_11_O_055', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 56, 'TZBS_BZ_Q_12_O_056', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 57, 'TZBS_BZ_Q_12_O_057', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 58, 'TZBS_BZ_Q_12_O_058', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 59, 'TZBS_BZ_Q_12_O_059', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_12', 60, 'TZBS_BZ_Q_12_O_060', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 61, 'TZBS_BZ_Q_13_O_061', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 62, 'TZBS_BZ_Q_13_O_062', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 63, 'TZBS_BZ_Q_13_O_063', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 64, 'TZBS_BZ_Q_13_O_064', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_13', 65, 'TZBS_BZ_Q_13_O_065', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 66, 'TZBS_BZ_Q_14_O_066', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 67, 'TZBS_BZ_Q_14_O_067', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 68, 'TZBS_BZ_Q_14_O_068', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 69, 'TZBS_BZ_Q_14_O_069', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_14', 70, 'TZBS_BZ_Q_14_O_070', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 71, 'TZBS_BZ_Q_15_O_071', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 72, 'TZBS_BZ_Q_15_O_072', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 73, 'TZBS_BZ_Q_15_O_073', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 74, 'TZBS_BZ_Q_15_O_074', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_15', 75, 'TZBS_BZ_Q_15_O_075', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 76, 'TZBS_BZ_Q_16_O_076', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 77, 'TZBS_BZ_Q_16_O_077', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 78, 'TZBS_BZ_Q_16_O_078', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 79, 'TZBS_BZ_Q_16_O_079', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_16', 80, 'TZBS_BZ_Q_16_O_080', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 81, 'TZBS_BZ_Q_17_O_081', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 82, 'TZBS_BZ_Q_17_O_082', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 83, 'TZBS_BZ_Q_17_O_083', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 84, 'TZBS_BZ_Q_17_O_084', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_17', 85, 'TZBS_BZ_Q_17_O_085', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 86, 'TZBS_BZ_Q_18_O_086', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 87, 'TZBS_BZ_Q_18_O_087', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 88, 'TZBS_BZ_Q_18_O_088', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 89, 'TZBS_BZ_Q_18_O_089', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_18', 90, 'TZBS_BZ_Q_18_O_090', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 91, 'TZBS_BZ_Q_19_O_091', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 92, 'TZBS_BZ_Q_19_O_092', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 93, 'TZBS_BZ_Q_19_O_093', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 94, 'TZBS_BZ_Q_19_O_094', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_19', 95, 'TZBS_BZ_Q_19_O_095', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 96, 'TZBS_BZ_Q_20_O_096', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 97, 'TZBS_BZ_Q_20_O_097', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 98, 'TZBS_BZ_Q_20_O_098', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 99, 'TZBS_BZ_Q_20_O_099', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_20', 100, 'TZBS_BZ_Q_20_O_100', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 101, 'TZBS_BZ_Q_21_O_101', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 102, 'TZBS_BZ_Q_21_O_102', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 103, 'TZBS_BZ_Q_21_O_103', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 104, 'TZBS_BZ_Q_21_O_104', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_21', 105, 'TZBS_BZ_Q_21_O_105', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 106, 'TZBS_BZ_Q_22_O_106', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 107, 'TZBS_BZ_Q_22_O_107', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 108, 'TZBS_BZ_Q_22_O_108', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 109, 'TZBS_BZ_Q_22_O_109', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_22', 110, 'TZBS_BZ_Q_22_O_110', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 111, 'TZBS_BZ_Q_23_O_111', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 112, 'TZBS_BZ_Q_23_O_112', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 113, 'TZBS_BZ_Q_23_O_113', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 114, 'TZBS_BZ_Q_23_O_114', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_23', 115, 'TZBS_BZ_Q_23_O_115', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 116, 'TZBS_BZ_Q_24_O_116', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 117, 'TZBS_BZ_Q_24_O_117', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 118, 'TZBS_BZ_Q_24_O_118', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 119, 'TZBS_BZ_Q_24_O_119', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_24', 120, 'TZBS_BZ_Q_24_O_120', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_25', 121, 'TZBS_BZ_Q_25_O_121', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_25', 122, 'TZBS_BZ_Q_25_O_122', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_25', 123, 'TZBS_BZ_Q_25_O_123', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_25', 124, 'TZBS_BZ_Q_25_O_124', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_25', 125, 'TZBS_BZ_Q_25_O_125', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 126, 'TZBS_BZ_Q_26_O_126', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 127, 'TZBS_BZ_Q_26_O_127', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 128, 'TZBS_BZ_Q_26_O_128', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 129, 'TZBS_BZ_Q_26_O_129', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_26', 130, 'TZBS_BZ_Q_26_O_130', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 131, 'TZBS_BZ_Q_27_O_131', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_27', 132, 'TZBS_BZ_Q_27_O_132', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 169, 'TZBS_BZ_Q_34_O_169', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_34', 170, 'TZBS_BZ_Q_34_O_170', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 171, 'TZBS_BZ_Q_35_O_171', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 172, 'TZBS_BZ_Q_35_O_172', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 173, 'TZBS_BZ_Q_35_O_173', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 174, 'TZBS_BZ_Q_35_O_174', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_35', 175, 'TZBS_BZ_Q_35_O_175', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_36', 176, 'TZBS_BZ_Q_36_O_176', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_36', 177, 'TZBS_BZ_Q_36_O_177', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_36', 178, 'TZBS_BZ_Q_36_O_178', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_36', 179, 'TZBS_BZ_Q_36_O_179', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_36', 180, 'TZBS_BZ_Q_36_O_180', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_37', 181, 'TZBS_BZ_Q_37_O_181', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_37', 182, 'TZBS_BZ_Q_37_O_182', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_37', 183, 'TZBS_BZ_Q_37_O_183', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_37', 184, 'TZBS_BZ_Q_37_O_184', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_37', 185, 'TZBS_BZ_Q_37_O_185', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 186, 'TZBS_BZ_Q_38_O_186', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 187, 'TZBS_BZ_Q_38_O_187', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 188, 'TZBS_BZ_Q_38_O_188', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 189, 'TZBS_BZ_Q_38_O_189', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_38', 190, 'TZBS_BZ_Q_38_O_190', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_39', 191, 'TZBS_BZ_Q_39_O_191', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_39', 192, 'TZBS_BZ_Q_39_O_192', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:48', '', '2024-11-13 13:15:48'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 247, 'TZBS_BZ_Q_50_O_247', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 248, 'TZBS_BZ_Q_50_O_248', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 249, 'TZBS_BZ_Q_50_O_249', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_50', 250, 'TZBS_BZ_Q_50_O_250', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 251, 'TZBS_BZ_Q_51_O_251', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 252, 'TZBS_BZ_Q_51_O_252', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 253, 'TZBS_BZ_Q_51_O_253', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 254, 'TZBS_BZ_Q_51_O_254', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_51', 255, 'TZBS_BZ_Q_51_O_255', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_52', 256, 'TZBS_BZ_Q_52_O_256', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_52', 257, 'TZBS_BZ_Q_52_O_257', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_BZ_Q_52', 258, 'TZBS_BZ_Q_52_O_258', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:15:49', '', '2024-11-13 13:15:49'); 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+INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2002, 'TZBS_LN_Q_01_O_002', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2003, 'TZBS_LN_Q_01_O_003', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2004, 'TZBS_LN_Q_01_O_004', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_01', 2005, 'TZBS_LN_Q_01_O_005', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2006, 'TZBS_LN_Q_02_O_006', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2007, 'TZBS_LN_Q_02_O_007', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2008, 'TZBS_LN_Q_02_O_008', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2009, 'TZBS_LN_Q_02_O_009', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_02', 2010, 'TZBS_LN_Q_02_O_010', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2011, 'TZBS_LN_Q_03_O_011', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2012, 'TZBS_LN_Q_03_O_012', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2013, 'TZBS_LN_Q_03_O_013', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2014, 'TZBS_LN_Q_03_O_014', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_03', 2015, 'TZBS_LN_Q_03_O_015', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2016, 'TZBS_LN_Q_04_O_016', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2017, 'TZBS_LN_Q_04_O_017', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2018, 'TZBS_LN_Q_04_O_018', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2019, 'TZBS_LN_Q_04_O_019', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_04', 2020, 'TZBS_LN_Q_04_O_020', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2021, 'TZBS_LN_Q_05_O_021', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2022, 'TZBS_LN_Q_05_O_022', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2023, 'TZBS_LN_Q_05_O_023', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2024, 'TZBS_LN_Q_05_O_024', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_05', 2025, 'TZBS_LN_Q_05_O_025', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2026, 'TZBS_LN_Q_06_O_026', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2027, 'TZBS_LN_Q_06_O_027', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2028, 'TZBS_LN_Q_06_O_028', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2029, 'TZBS_LN_Q_06_O_029', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_06', 2030, 'TZBS_LN_Q_06_O_030', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2031, 'TZBS_LN_Q_07_O_031', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2032, 'TZBS_LN_Q_07_O_032', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2033, 'TZBS_LN_Q_07_O_033', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2034, 'TZBS_LN_Q_07_O_034', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_07', 2035, 'TZBS_LN_Q_07_O_035', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2036, 'TZBS_LN_Q_08_O_036', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2037, 'TZBS_LN_Q_08_O_037', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2038, 'TZBS_LN_Q_08_O_038', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2039, 'TZBS_LN_Q_08_O_039', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_08', 2040, 'TZBS_LN_Q_08_O_040', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2041, 'TZBS_LN_Q_09_O_041', '没有（BMI＜24）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2042, 'TZBS_LN_Q_09_O_042', '很少（24-25之间）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:20'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2043, 'TZBS_LN_Q_09_O_043', '有时（25-26之间）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:42'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2044, 'TZBS_LN_Q_09_O_044', '经常（26-28之间）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:49:54'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_09', 2045, 'TZBS_LN_Q_09_O_045', '总是（BMI≥28）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:04'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2046, 'TZBS_LN_Q_10_O_046', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2047, 'TZBS_LN_Q_10_O_047', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2048, 'TZBS_LN_Q_10_O_048', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2049, 'TZBS_LN_Q_10_O_049', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_10', 2050, 'TZBS_LN_Q_10_O_050', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2051, 'TZBS_LN_Q_11_O_051', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2052, 'TZBS_LN_Q_11_O_052', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2053, 'TZBS_LN_Q_11_O_053', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2054, 'TZBS_LN_Q_11_O_054', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_11', 2055, 'TZBS_LN_Q_11_O_055', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2056, 'TZBS_LN_Q_12_O_056', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2057, 'TZBS_LN_Q_12_O_057', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2058, 'TZBS_LN_Q_12_O_058', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2059, 'TZBS_LN_Q_12_O_059', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_12', 2060, 'TZBS_LN_Q_12_O_060', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2061, 'TZBS_LN_Q_13_O_061', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2062, 'TZBS_LN_Q_13_O_062', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2063, 'TZBS_LN_Q_13_O_063', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2064, 'TZBS_LN_Q_13_O_064', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_13', 2065, 'TZBS_LN_Q_13_O_065', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2066, 'TZBS_LN_Q_14_O_066', '没有（一年＜2次）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2067, 'TZBS_LN_Q_14_O_067', '很少（一年感冒2-4次）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:33'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2068, 'TZBS_LN_Q_14_O_068', '有时（一年感冒5-6次）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:40'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2069, 'TZBS_LN_Q_14_O_069', '经常（一年8次以上）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_14', 2070, 'TZBS_LN_Q_14_O_070', '总是（几乎每月都感冒）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:50:56'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2071, 'TZBS_LN_Q_15_O_071', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2072, 'TZBS_LN_Q_15_O_072', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2073, 'TZBS_LN_Q_15_O_073', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2074, 'TZBS_LN_Q_15_O_074', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_15', 2075, 'TZBS_LN_Q_15_O_075', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2076, 'TZBS_LN_Q_16_O_076', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2077, 'TZBS_LN_Q_16_O_077', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2078, 'TZBS_LN_Q_16_O_078', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2079, 'TZBS_LN_Q_16_O_079', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_16', 2080, 'TZBS_LN_Q_16_O_080', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2081, 'TZBS_LN_Q_17_O_081', '没有（从来没有）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:21'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2082, 'TZBS_LN_Q_17_O_082', '很少（一年1-2次）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:30'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2083, 'TZBS_LN_Q_17_O_083', '有时（一年3-4次）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:39'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2084, 'TZBS_LN_Q_17_O_084', '经常（一年5-6次）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:48'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_17', 2085, 'TZBS_LN_Q_17_O_085', '总是（每次遇到上述原因）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-26 11:51:58'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2086, 'TZBS_LN_Q_18_O_086', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2087, 'TZBS_LN_Q_18_O_087', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2088, 'TZBS_LN_Q_18_O_088', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2089, 'TZBS_LN_Q_18_O_089', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_18', 2090, 'TZBS_LN_Q_18_O_090', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2091, 'TZBS_LN_Q_19_O_091', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2092, 'TZBS_LN_Q_19_O_092', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:25', '', '2024-11-13 13:17:25'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2093, 'TZBS_LN_Q_19_O_093', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2094, 'TZBS_LN_Q_19_O_094', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_19', 2095, 'TZBS_LN_Q_19_O_095', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2096, 'TZBS_LN_Q_20_O_096', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2097, 'TZBS_LN_Q_20_O_097', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2098, 'TZBS_LN_Q_20_O_098', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2099, 'TZBS_LN_Q_20_O_099', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_20', 2100, 'TZBS_LN_Q_20_O_100', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2101, 'TZBS_LN_Q_21_O_101', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2102, 'TZBS_LN_Q_21_O_102', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2103, 'TZBS_LN_Q_21_O_103', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2104, 'TZBS_LN_Q_21_O_104', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_21', 2105, 'TZBS_LN_Q_21_O_105', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2106, 'TZBS_LN_Q_22_O_106', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2107, 'TZBS_LN_Q_22_O_107', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2108, 'TZBS_LN_Q_22_O_108', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2109, 'TZBS_LN_Q_22_O_109', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_22', 2110, 'TZBS_LN_Q_22_O_110', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2111, 'TZBS_LN_Q_23_O_111', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2112, 'TZBS_LN_Q_23_O_112', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2113, 'TZBS_LN_Q_23_O_113', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2114, 'TZBS_LN_Q_23_O_114', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_23', 2115, 'TZBS_LN_Q_23_O_115', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2116, 'TZBS_LN_Q_24_O_116', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2117, 'TZBS_LN_Q_24_O_117', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2118, 'TZBS_LN_Q_24_O_118', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2119, 'TZBS_LN_Q_24_O_119', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_24', 2120, 'TZBS_LN_Q_24_O_120', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2121, 'TZBS_LN_Q_25_O_121', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2122, 'TZBS_LN_Q_25_O_122', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2123, 'TZBS_LN_Q_25_O_123', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2124, 'TZBS_LN_Q_25_O_124', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_25', 2125, 'TZBS_LN_Q_25_O_125', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2126, 'TZBS_LN_Q_26_O_126', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2127, 'TZBS_LN_Q_26_O_127', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2128, 'TZBS_LN_Q_26_O_128', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2129, 'TZBS_LN_Q_26_O_129', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_26', 2130, 'TZBS_LN_Q_26_O_130', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2131, 'TZBS_LN_Q_27_O_131', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2132, 'TZBS_LN_Q_27_O_132', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2133, 'TZBS_LN_Q_27_O_133', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2134, 'TZBS_LN_Q_27_O_134', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_27', 2135, 'TZBS_LN_Q_27_O_135', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2136, 'TZBS_LN_Q_28_O_136', '没有（腹围<80cm，相当于2.4尺）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:18'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2137, 'TZBS_LN_Q_28_O_137', '很少（腹围80-85cm，2.4-2.55尺）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2138, 'TZBS_LN_Q_28_O_138', '有时（腹围86-90cm，2.56-2.7尺）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:52:33'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2139, 'TZBS_LN_Q_28_O_139', '经常（腹围91-105cm，2.71-3.15尺)）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:53:46'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_28', 2140, 'TZBS_LN_Q_28_O_140', '总是（腹围>105cm\r\n或3.15尺）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-26 11:53:55'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2141, 'TZBS_LN_Q_29_O_141', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2142, 'TZBS_LN_Q_29_O_142', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2143, 'TZBS_LN_Q_29_O_143', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2144, 'TZBS_LN_Q_29_O_144', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_29', 2145, 'TZBS_LN_Q_29_O_145', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2146, 'TZBS_LN_Q_30_O_146', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2147, 'TZBS_LN_Q_30_O_147', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2148, 'TZBS_LN_Q_30_O_148', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2149, 'TZBS_LN_Q_30_O_149', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_30', 2150, 'TZBS_LN_Q_30_O_150', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2151, 'TZBS_LN_Q_31_O_151', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2152, 'TZBS_LN_Q_31_O_152', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2153, 'TZBS_LN_Q_31_O_153', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2154, 'TZBS_LN_Q_31_O_154', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_31', 2155, 'TZBS_LN_Q_31_O_155', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2156, 'TZBS_LN_Q_32_O_156', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2157, 'TZBS_LN_Q_32_O_157', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2158, 'TZBS_LN_Q_32_O_158', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2159, 'TZBS_LN_Q_32_O_159', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_32', 2160, 'TZBS_LN_Q_32_O_160', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2161, 'TZBS_LN_Q_33_O_161', '没有（根本不）', 1.00, '1', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2162, 'TZBS_LN_Q_33_O_162', '很少（有一点）', 2.00, '2', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2163, 'TZBS_LN_Q_33_O_163', '有时（有些）', 3.00, '3', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2164, 'TZBS_LN_Q_33_O_164', '经常（相当）', 4.00, '4', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); +INSERT INTO `zytz_qms_scale_question_option` VALUES ('TZBS_LN_Q_33', 2165, 'TZBS_LN_Q_33_O_165', '总是（非常）', 5.00, '5', '0', '', '2024-11-13 13:17:26', '', '2024-11-13 13:17:26'); + +-- ---------------------------- +-- Table structure for zytz_rms_report +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_rms_report`; +CREATE TABLE `zytz_rms_report` ( + `report_id` bigint NOT NULL COMMENT '表ID', + `dept_id` bigint NULL DEFAULT NULL COMMENT '所属组织，对应数据权限', + `patient_id` bigint NOT NULL COMMENT '患者ID', + `patient_name` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名', + `patient_age` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户年龄', + `patient_gender` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户性别 性别 1 男 2 女', + `patient_height` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户身高 CM', + `patient_weight` varchar(500) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户体重 KG', + `patient_waistline` varchar(125) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户腰围 CM', + `eva_id` bigint NOT NULL COMMENT '测试ID', + `eva_scale_code` varchar(16) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '辨识档案版本 00成人标准版 20老年版', + `eva_time` datetime NOT NULL COMMENT '测评时间', + `eva_username` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测评师用户名', + `eva_nickname` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '测评师名称', + `blh` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '病历号', + `del_flag` char(1) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '0' COMMENT '删除标志（0代表存在 2代表删除）', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + `patient_name_pinyin` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名-拼音全拼', + `patient_name_py` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '客户姓名-拼音简拼', + `patient_birthday` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '生日', + `patient_idcard` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '身份证号', + `patient_phone` varchar(24) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '电话号码', + PRIMARY KEY (`report_id`) USING BTREE, + INDEX `idx_eva_id`(`eva_id` ASC) USING BTREE, + INDEX `idx_scale_code`(`eva_scale_code` ASC) USING BTREE, + INDEX `idx_dept_id`(`dept_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '报告单表' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_rms_report +-- ---------------------------- + +-- ---------------------------- +-- Table structure for zytz_rms_report_result +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_rms_report_result`; +CREATE TABLE `zytz_rms_report_result` ( + `result_id` bigint NOT NULL COMMENT '表ID', + `report_id` bigint NOT NULL COMMENT '报告单id', + `consti_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质code', + `consti_name` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质名称', + `consti_level` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '级别：00是，10基本是[平和]，11倾向是[偏颇]，20否', + `consti_score` decimal(5, 2) NULL DEFAULT NULL COMMENT '是否主体质：1主体质 2兼夹体质', + `main_flag` int NULL DEFAULT NULL COMMENT '是否主体质：1主体质 2兼夹体质', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`result_id`) USING BTREE, + INDEX `idx_report_id`(`report_id` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '辨识档案结果' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_rms_report_result +-- ---------------------------- + +-- ---------------------------- +-- Table structure for zytz_rms_report_ysjy +-- ---------------------------- +DROP TABLE IF EXISTS `zytz_rms_report_ysjy`; +CREATE TABLE `zytz_rms_report_ysjy` ( + `ysjy_id` bigint NOT NULL COMMENT '表ID', + `report_id` bigint NOT NULL COMMENT '报告单id', + `consti_code` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质code', + `consti_name` varchar(32) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT NULL COMMENT '体质名称', + `consti_ysjy` longtext CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL COMMENT '体质的养生建议', + `create_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '创建者', + `create_time` timestamp NOT NULL DEFAULT current_timestamp COMMENT '创建时间', + `update_by` varchar(64) CHARACTER SET utf8mb4 COLLATE utf8mb4_general_ci NULL DEFAULT '' COMMENT '更新者', + `update_time` timestamp NULL DEFAULT NULL ON UPDATE CURRENT_TIMESTAMP COMMENT '更新时间', + PRIMARY KEY (`ysjy_id`) USING BTREE, + INDEX `idx_report_id`(`report_id` ASC) USING BTREE, + INDEX `idx_consti_code`(`consti_code` ASC) USING BTREE +) ENGINE = InnoDB CHARACTER SET = utf8mb4 COLLATE = utf8mb4_general_ci COMMENT = '养生建议' ROW_FORMAT = DYNAMIC; + +-- ---------------------------- +-- Records of zytz_rms_report_ysjy +-- ---------------------------- + +SET FOREIGN_KEY_CHECKS = 1;