空腹服、饭前服、饭后服、睡前服？肿瘤科医生教您服中药
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240305/5bb0a285cf4843e5b1702fbfeff0719d.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随着中医药在治疗恶性肿瘤方面展现出的<span style="color: black;">优良</span>日益<span style="color: black;">显著</span>，越来越多的肿瘤<span style="color: black;">病人</span><span style="color: black;">选取</span>纯中药治疗或中西医结合治疗恶性肿瘤。初次就诊<span style="color: black;">病人</span><span style="color: black;">因为</span><span style="color: black;">无</span><span style="color: black;">吃下</span>中药汤剂的经验，<span style="color: black;">针对</span>中药的煎服<span style="color: black;">办法</span>存在<span style="color: black;">许多</span>疑惑。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“这副药我应该饭前服？还是饭后呢？”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中药汤药的<span style="color: black;">吃下</span>时间可分为空腹服、饭前服、饭后服、睡前服，适应于<span style="color: black;">区别</span><span style="color: black;">病人</span>，<span style="color: black;">区别</span>病症。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">空腹服</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">早晨空腹服<span style="color: black;">药品</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">空腹服药可避免<span style="color: black;">食品</span>对<span style="color: black;">药品</span>的影响，<span style="color: black;">增多</span><span style="color: black;">药品</span>吸收，使有效<span style="color: black;">成份</span>快速进入血液循环，发挥药效。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">空腹服多用于滋补药、驱虫药。</strong><span style="color: black;">另外</span>，泻下类<span style="color: black;">药品</span><span style="color: black;">亦</span>应空腹<span style="color: black;">吃下</span>，以<span style="color: black;">加强</span>泻下之力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">饭前服</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">饭前30~60分钟前服药</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《神农本草经》曰："病在心腹以下者，先服而后食。"</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心腹以下为中焦脾胃、下焦肝肾的位置，大部分内科<span style="color: black;">疾患</span>都集中于这些部位，如<strong style="color: blue;">治疗虚证，补虚<span style="color: black;">药品</span>，最宜饭前<span style="color: black;">吃下</span>。</strong>饭前半小时到1个小时服药，可使药力快速下达。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">饭后服</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">饭后15~30分钟后服药</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《神农本草经》曰：“病在胸膈以上者，先食后服药。”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胸膈以上是上焦，心肺所在位置。饭后服食气踞中焦，治疗心肺胸膈、胃脘以上的病症，可在饭后<span style="color: black;">吃下</span>，可使药性上行。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">解表药、化痰止咳类<span style="color: black;">药品</span>多可饭后<span style="color: black;">吃下</span>。</strong><span style="color: black;">另一</span>，对胃肠道刺激、毒性大的<span style="color: black;">药品</span>，<span style="color: black;">亦</span>适于饭后<span style="color: black;">吃下</span>，可减轻或避免对胃肠的刺激或<span style="color: black;">因为</span>吸收快而<span style="color: black;">出现</span>副<span style="color: black;">功效</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">睡前服</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">睡前15~30分钟内服药</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《神农本草经》曰：“病在骨髓者，宜饱满而在夜。”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span>子午流注理论，肾经在酉时(17~19点)当令，<span style="color: black;">这里</span>时段内补肾，能起到滋补肾阴、温补肾阳的效果。肾主骨生髓，<span style="color: black;">因此</span>，<strong style="color: blue;">滋阴补血、收敛固涩、养心安神类方药，宜在睡前<span style="color: black;">吃下</span>。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肿瘤<span style="color: black;">病人</span>服药<span style="color: black;">重视</span></strong></p>肿瘤<span style="color: black;">病人</span>体质多有虚损或放化疗后正气亏虚，<span style="color: black;">吃下</span>汤药多以补虚为主，宜空腹或饭前<span style="color: black;">吃下</span>；肠胃病<span style="color: black;">病人</span>若汤药含对胃肠道有<span style="color: black;">很强</span>刺激性或毒性<span style="color: black;">药品</span>，则适宜饭后<span style="color: black;">吃下</span>；病情重、病势急，则不拘泥时间尽快<span style="color: black;">吃下</span>。<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">吃下</span>中药时多温服，冷服易伤脾胃，肿瘤<span style="color: black;">病人</span><span style="color: black;">很难</span>冷服。服药频次多为1日2次，<span style="color: black;">亦</span>可1日3次，<span style="color: black;">按照</span>病情，谨遵医嘱。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">本文作者：高劲 </strong>广安门医院肿瘤<span style="color: black;">研究</span>究生</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">审核专家：郑红刚 </strong><span style="color: black;">专家</span>医师，博士生导师，中国中医科学院广安门医院肿瘤科副<span style="color: black;">专家</span>，兼任中华中医药学会肿瘤分会秘书长，世界中医药学会联合会肿瘤专业委员会副秘书长、常务理事。<strong style="color: blue;"><span style="color: black;">善于</span>：</strong>肺癌、肠癌、肝癌、淋巴瘤等多种恶性肿瘤的中西医结合个体化治疗。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：http://www.fok120.com/</span>，查看<span style="color: black;">更加多</span></span></a></p>
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