產(chǎn)后恢復與塑形PostpartumRecoveryandBodyShaping案例分析特殊體質(zhì)產(chǎn)婦

產(chǎn)后恢復與塑形PostpartumRecoveryandBodyShaping案例分析：特殊體質(zhì)產(chǎn)婦月子餐食譜推薦CaseStudy:ConfinementFoodRecipesRecommendation血瘀質(zhì)的月子餐食譜推薦（RecommendationofConfinementFoodRecipesforbloodstasisconstitution）氣郁質(zhì)的月子餐食譜推薦（RecommendationofConfinementFoodRecipesforQiStagnationconstitution.）目錄（Contents）案例分析：特殊體質(zhì)產(chǎn)婦月子餐食譜的推薦(CaseStudy:ConfinementFoodRecipesRecommendation)肖女士，27歲，頭胎，于9天前順產(chǎn)一足月女嬰。因產(chǎn)后家庭矛盾凸顯，加重氣氛凝重、吵鬧不止。寶媽終日悶悶不樂，唉聲嘆氣，情緒低迷，常常暗自落淚。食欲差、進食少，失眠多夢，幾天未排大便。乳汁少，喂養(yǎng)不足。惡露量少，色暗紅，有少量血塊。查：面色蒼白帶青色，黑眼圈明顯，舌紅帶紫，苔薄白，脈弦細。測該產(chǎn)婦各體質(zhì)類型轉(zhuǎn)化分如下：平和質(zhì)25分，氣虛質(zhì)25分，陽虛質(zhì)27分，陰虛質(zhì)25分，痰濕質(zhì)12分，濕熱質(zhì)15分，血瘀質(zhì)40分，氣郁質(zhì)65分，特稟質(zhì)10分。(Ms.Xiao,27yearsold,primipara,gavebirthnaturallytoafull-termbabygirl9daysago.Duetofamilyconflictafterdelivery,heavyandnoisyatmosphere,thebabymotherwassullen,sighinganddepressedalldaylong,oftenintears.Poorappetite,inadequateintakeoffood,insomniaanddreaminess,nobowelmovementforseveraldays.Lowbreastmilksupplyandinsufficientfeeding.Lessmilkandinsufficientfeeding.Lowamountoflochia,darkred,withasmallamountofbloodclots.Examination:showspalecomplexionwithcyanosis,darkcirclesundertheeyes,redandpurpletonguewiththinwhitecoating,thinpulse.Aftercalculation,theconvertedscoresofeachtypeofbodyconstitutionofpuerperaareasfollows:25pointsforBalancedconstitution,25pointsforQi-deficiencyconstitution,27pointsforYang-deficiencyconstitution,25pointsforYin-deficiencyconstitution,12pointsforPhlegmanddampnessconstitution,15pointsforDamp-heatconstitution,40pointsforBloodstasisconstitution,65pointsforQistagnationconstitution,and10pointsforInheritedspecialconstitution.)案例(CaseStudy):請制定出適合該產(chǎn)婦的月子餐食譜。（Pleasedevelopasuitableconfinementfoodrecipeforthispuerpera.）任務（Task）月子餐的相關知識(Confinementmealrelatedknowledge)月子餐是指女性分娩之后，在產(chǎn)乳期的飲食。(Confinementmealreferstothedietofpuerperaeduringlactationafterchildbirth.)女性分娩后身體比較虛弱，所以產(chǎn)后30天為產(chǎn)婦身體修復的關鍵時期，不僅為產(chǎn)婦提供足夠的營養(yǎng)，為嬰兒提供足夠的口糧，還可滿足產(chǎn)婦“增乳不長肉”的要求。(Women'sbodiesarerelativelyweakafterchildbirth,so30daysafterchildbirthisacriticalperiodforbodyrepair,notonlytoprovidesufficientnutritionforthemotherandthebaby,butalsotomeettherequirementsof"increasingbreastmilkproductioninsteadofweight"forpuerperae.)月子餐的相關知識(Confinementmealrelatedknowledge)月子餐飲食原則(Theprinciplesofconfinementmeal)產(chǎn)后第一周以“排”為主。排惡露排廢氣，飲食要清淡。主要是把多余的水分和毒索排出體外。(Thefirstweekafterchildbirthfocuson"discharge."Dischargelochiaandgas,dietshouldbelight.Mainlytodischargeexcessivewaterandtoxinsoutofthebody.)產(chǎn)后第一周----代謝排毒階段(thefirstweekafterdelivery----metabolicdetoxificationstage)月子餐的相關知識(Confinementmealrelatedknowledge)月子餐飲食原則(Theprinciplesofconfinementmeal)產(chǎn)后第二周以“調(diào)”為主，調(diào)五臟，可以吃一點滋補元氣、下奶的食材，適宜溫補，恢復體力。(Thesecondweekafterchildbirthismainlyto"regulate",regulatethefiveviscera.Foodsthatnourishvitalenergyandgalactagoguecanbeconsumedinsmallamount,suitableforwarmtonicfoodandrestorephysicalstrength.）產(chǎn)后第二周----收縮內(nèi)臟階段（thesecondweekafterdelivery----visceralcontractionstage）月子餐的相關知識(Confinementmealrelatedknowledge)月子餐飲食原則(Theprinciplesofconfinementmeal)產(chǎn)后第三周----滋養(yǎng)進補階段(thethirdweekafterchildbirth----nourishingandtonifyingstage)產(chǎn)后第三周以“補”為主，補氣血，飲食可以吃一些較重口的，補腦固腰腎，滋陰補血。（Thethirdweekafterchildbirthismainlyto“tonic”,replenishQiandblood.Puerperaecanconsumesomeheavy-tastefoodtonourishbrainandkidney,Yinandblood.)月子餐的相關知識(Confinementmealrelatedknowledge)月子餐飲食原則(Theprinciplesofconfinementmeal)產(chǎn)后第四周以“養(yǎng)”為主，滋養(yǎng)進補，進補一些促進新陳代謝、美容養(yǎng)顏、補氣養(yǎng)血的食物。(Thefourthweekafterchildbirthismainlyto"nourish,"nourishingandtonifyingfoodstopromotemetabolism,beautyandskin,Qiandblood.)產(chǎn)后第四周----鞏固乳汁階段(thefourthweekafterchildbirth----consolidationofbreastmilkstage)

月子餐的相關知識(Confinementmealrelatedknowledge)根據(jù)案例分析，我們可以看到這個肖女士是產(chǎn)后第9天，由于第一周肖女士家人并沒有對肖女士進行“排廢血、排廢水、排廢氣”的調(diào)理，再加上各種其他因素，使得肖女士氣血瘀滯，因此，肖女士屬于特殊體質(zhì)（即：氣郁質(zhì)伴血瘀質(zhì)）。現(xiàn)在肖女士正處在第二周“調(diào)”這個階段。所以，這一周的食譜我們必須要進行氣郁質(zhì)伴血瘀質(zhì)的體質(zhì)調(diào)理，同時，把廢血、廢水、廢氣排出體外。(Accordingtothecasestudy,wecanseethatMs.Xiaoisonthe9thdayafterdelivery.Becauseconditioningof"dischargeofwasteblood,wastewaterandwastegas"wasnotperformedforherbyfamilymembers,coupledwithvariousotherfactors,Ms.Xiao'sQiandbloodarestagnant,therefore,Ms.Xiaobelongstoaspecialconstitution(i.e.Qiandbloodstasis).NowMs.Xiaoisinthesecondweekof"Regulating"stage.Therefore,inthisweek'sdiet,wemustimplementconditioningforbloodstasisconstitutionandQiStagnationconstitution,anddischargewasteblood,wastewaterandwastegasoutofthebodyatthesametime.)月子餐的相關知識(Confinementmealrelatedknowledge)氣郁質(zhì)者需行氣、解郁、消食、醒神。(ThosewithQiStagnationconstitutionneedtocirculateQi,relievedepression,avoidfoodsitsinstomachfortoolong,andwakeupthespirit.)飲食上可多吃蔥、蒜、海帶、海藻、蘿卜、金橘、山楂等；睡前避免飲茶、咖啡等提神醒腦的飲料。(Eatmoreonions,garlic,kelp,seaweed,radish,kumquat,hawthorn,etc.Avoidtea,coffeeandotherrefreshingdrinksbeforebedtime.)月子餐的相關知識(Confinementmealrelatedknowledge)飲食上可多食黑豆、海藻、海帶、紫菜、蘿卜、胡蘿卜、金橘、橙、柚、桃、李子、山楂、醋、玫瑰花、綠茶。Eatmoreblackbeans,seaweed,kelp,nori,radish,carrot,kumquat,orange,grapefruit,peach,plum,hawthorn,vinegar,roseandgreentea)血瘀質(zhì)者需活血、散結(jié)、行氣、疏肝解郁。(Thosewithbloodstasisneedtopromotebloodcirculation,dispersethestasis,circulateQi,sootheliverandrelievedepression.)月子餐的食譜制定(ConfinementFoodRecipes)烹飪月子餐的常見食材（表一）食物名稱功效說明糙米促進消化吸收、調(diào)節(jié)新陳代謝，對產(chǎn)后肥胖、貧血、便秘都有食療效果。小米養(yǎng)心安神、補血健腦、促消化吸收，可減輕皺紋、避免色素沉著。糯米補虛養(yǎng)血、健脾暖胃，含蛋白質(zhì)、脂肪、B族維生素等，幫助產(chǎn)婦增腸胃蠕動。黑米對貧血、白發(fā)、膠膝酸軟療效很好，還可滋陰補腎、健身暖胃。薏米促進新陳代調(diào)，利水消腫、健膽祛濕。黃豆長肌膚、益顏色、填精髓、補虛開胃，含豐富優(yōu)的植物性蛋白質(zhì)和卵磷脂。月子餐的食譜制定(ConfinementFoodRecipes)烹飪月子餐的常見食材（表一）食物名稱功效說明紅豆健脾止瀉、利水消腫、強心利尿，能維持神經(jīng)系統(tǒng)的正常運作，幫助吸收功能和細胞正常運作。黑豆活血利水、補虛烏發(fā)、延級衰老、防止便秘。玉米碎促代謝，改善產(chǎn)后便秘，還可降血壓、降血脂。山