产后恢复与塑形PostpartumRecoveryandBodyShaping案例分析特殊体质产妇

产后恢复与塑形PostpartumRecoveryandBodyShaping案例分析：特殊体质产妇月子餐食谱推荐CaseStudy:ConfinementFoodRecipesRecommendation血瘀质的月子餐食谱推荐（RecommendationofConfinementFoodRecipesforbloodstasisconstitution）气郁质的月子餐食谱推荐（RecommendationofConfinementFoodRecipesforQiStagnationconstitution.）目录（Contents）案例分析：特殊体质产妇月子餐食谱的推荐(CaseStudy:ConfinementFoodRecipesRecommendation)肖女士，27岁，头胎，于9天前顺产一足月女婴。因产后家庭矛盾凸显，加重气氛凝重、吵闹不止。宝妈终日闷闷不乐，唉声叹气，情绪低迷，常常暗自落泪。食欲差、进食少，失眠多梦，几天未排大便。乳汁少，喂养不足。恶露量少，色暗红，有少量血块。查：面色苍白带青色，黑眼圈明显，舌红带紫，苔薄白，脉弦细。测该产妇各体质类型转化分如下：平和质25分，气虚质25分，阳虚质27分，阴虚质25分，痰湿质12分，湿热质15分，血瘀质40分，气郁质65分，特禀质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):请制定出适合该产妇的月子餐食谱。（Pleasedevelopasuitableconfinementfoodrecipeforthispuerpera.）任务（Task）月子餐的相关知识(Confinementmealrelatedknowledge)月子餐是指女性分娩之后，在产乳期的饮食。(Confinementmealreferstothedietofpuerperaeduringlactationafterchildbirth.)女性分娩后身体比较虚弱，所以产后30天为产妇身体修复的关键时期，不仅为产妇提供足够的营养，为婴儿提供足够的口粮，还可满足产妇“增乳不长肉”的要求。(Women'sbodiesarerelativelyweakafterchildbirth,so30daysafterchildbirthisacriticalperiodforbodyrepair,notonlytoprovidesufficientnutritionforthemotherandthebaby,butalsotomeettherequirementsof"increasingbreastmilkproductioninsteadofweight"forpuerperae.)月子餐的相关知识(Confinementmealrelatedknowledge)月子餐饮食原则(Theprinciplesofconfinementmeal)产后第一周以“排”为主。排恶露排废气，饮食要清淡。主要是把多余的水分和毒索排出体外。(Thefirstweekafterchildbirthfocuson"discharge."Dischargelochiaandgas,dietshouldbelight.Mainlytodischargeexcessivewaterandtoxinsoutofthebody.)产后第一周----代谢排毒阶段(thefirstweekafterdelivery----metabolicdetoxificationstage)月子餐的相关知识(Confinementmealrelatedknowledge)月子餐饮食原则(Theprinciplesofconfinementmeal)产后第二周以“调”为主，调五脏，可以吃一点滋补元气、下奶的食材，适宜温补，恢复体力。(Thesecondweekafterchildbirthismainlyto"regulate",regulatethefiveviscera.Foodsthatnourishvitalenergyandgalactagoguecanbeconsumedinsmallamount,suitableforwarmtonicfoodandrestorephysicalstrength.）产后第二周----收缩内脏阶段（thesecondweekafterdelivery----visceralcontractionstage）月子餐的相关知识(Confinementmealrelatedknowledge)月子餐饮食原则(Theprinciplesofconfinementmeal)产后第三周----滋养进补阶段(thethirdweekafterchildbirth----nourishingandtonifyingstage)产后第三周以“补”为主，补气血，饮食可以吃一些较重口的，补脑固腰肾，滋阴补血。（Thethirdweekafterchildbirthismainlyto“tonic”,replenishQiandblood.Puerperaecanconsumesomeheavy-tastefoodtonourishbrainandkidney,Yinandblood.)月子餐的相关知识(Confinementmealrelatedknowledge)月子餐饮食原则(Theprinciplesofconfinementmeal)产后第四周以“养”为主，滋养进补，进补一些促进新陈代谢、美容养颜、补气养血的食物。(Thefourthweekafterchildbirthismainlyto"nourish,"nourishingandtonifyingfoodstopromotemetabolism,beautyandskin,Qiandblood.)产后第四周----巩固乳汁阶段(thefourthweekafterchildbirth----consolidationofbreastmilkstage)

月子餐的相关知识(Confinementmealrelatedknowledge)根据案例分析，我们可以看到这个肖女士是产后第9天，由于第一周肖女士家人并没有对肖女士进行“排废血、排废水、排废气”的调理，再加上各种其他因素，使得肖女士气血瘀滞，因此，肖女士属于特殊体质（即：气郁质伴血瘀质）。现在肖女士正处在第二周“调”这个阶段。所以，这一周的食谱我们必须要进行气郁质伴血瘀质的体质调理，同时，把废血、废水、废气排出体外。(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.)月子餐的相关知识(Confinementmealrelatedknowledge)气郁质者需行气、解郁、消食、醒神。(ThosewithQiStagnationconstitutionneedtocirculateQi,relievedepression,avoidfoodsitsinstomachfortoolong,andwakeupthespirit.)饮食上可多吃葱、蒜、海带、海藻、萝卜、金橘、山楂等；睡前避免饮茶、咖啡等提神醒脑的饮料。(Eatmoreonions,garlic,kelp,seaweed,radish,kumquat,hawthorn,etc.Avoidtea,coffeeandotherrefreshingdrinksbeforebedtime.)月子餐的相关知识(Confinementmealrelatedknowledge)饮食上可多食黑豆、海藻、海带、紫菜、萝卜、胡萝卜、金橘、橙、柚、桃、李子、山楂、醋、玫瑰花、绿茶。Eatmoreblackbeans,seaweed,kelp,nori,radish,carrot,kumquat,orange,grapefruit,peach,plum,hawthorn,vinegar,roseandgreentea)血瘀质者需活血、散结、行气、疏肝解郁。(Thosewithbloodstasisneedtopromotebloodcirculation,dispersethestasis,circulateQi,sootheliverandrelievedepression.)月子餐的食谱制定(ConfinementFoodRecipes)烹饪月子餐的常见食材（表一）食物名称功效说明糙米促进消化吸收、调节新陈代谢，对产后肥胖、贫血、便秘都有食疗效果。小米养心安神、补血健脑、促消化吸收，可减轻皱纹、避免色素沉着。糯米补虚养血、健脾暖胃，含蛋白质、脂肪、B族维生素等，帮助产妇增肠胃蠕动。黑米对贫血、白发、胶膝酸软疗效很好，还可滋阴补肾、健身暖胃。薏米促进新陈代调，利水消肿、健胆祛湿。黄豆长肌肤、益颜色、填精髓、补虚开胃，含丰富优的植物性蛋白质和卵磷脂。月子餐的食谱制定(ConfinementFoodRecipes)烹饪月子餐的常见食材（表一）食物名称功效说明红豆健脾止泻、利水消肿、强心利尿，能维持神经系统的正常运作，帮助吸收功能和细胞正常运作。黑豆活血利水、补虚乌发、延级衰老、防止便秘。玉米碎促代谢，改善产后便秘，还可降血压、降血脂。山