| Objectives: By collecting and analyzing the application frequency and law of "medicinal diet homologous" ingredients in diabetic ancient books,the first version of the TCM dietary scheme for elderly diabetic patients is screened and formed;on the basis of the previous research,the theories of "IKAP","28 Rule" and "Medicinal-Food Homology" are integrated to construct a TCM dietary scheme for elderly diabetic patients under the guidance of factor structure and precise TCM dialectics.Methods:(1)According to the keywords of "quenching thirst","upper consumption","middle consumption","lower consumption","spleen elimination","lung consumption","kidney elimination","elimination","spleen elimination" and "kidney elimination" as keywords combined with the inclusion criteria,the "Chinese Medical Code"(fifth edition)software is used to search and screen 63 related ancient books and literature in 9categories in the full-text area,and the relevant medicinal materials are standardized and extracted and included in the formation database.The statistical data are analyzed by the method of frequency analysis,and the efficacy of high-frequency application drugs is classified,and the first,second and third level item databases of expert correspondence are established.(2)On the basis of the collection of ancient book materials and combined with the research results of contemporary literature,the first round of expert consultation questionnaires(first and second volumes)was formed.Through the collation and comprehensive summary of the experts’ suggestions,the second round of expert letter questionnaires is formed,the third round of expert letter questionnaires are the same as the second round,the questionnaire recovery is recorded,and the results of the article correspondence after each round of correspondence are evaluated by clonbach coefficient.After three rounds of correspondence,the expert coordination coefficient and authority degree of all items(including the first,second and third level indicators)are calculated separately,and through the calculation of the coefficient of variation,average number and standard deviation of the importance score of each article,the articles with a coefficient of variation of less than 0.2 and a score greater than 3.3 are selected and arranged from high to low in the score,forming a dialectical dietary program for elderly diabetic Chinese medicine under the guidance of IKAP.Results:(1)Literature and frequency analysis found that the high-frequency medicinal materials used in the ancient books for the treatment of diabetes are licorice,wheat dong,ginseng,poria,Zhimu,Astragalus,Schisandra,Ze diarrhea,angelica,kudzu,Bai Shu,raw ground yellow,wumei,ground bone skin,dogwood,cohosh,cistanche,white peony,jujube,silk seed,cooked ground yellow,the 21 flavors of the drug are in line with the latest version of the "medicinal food homology" or can be used as a list of health care products.Licorice as one of the medicinal diet formulas with the highest application frequency,Mai Dong,licorice,poria three as one of the tea drinking formula application frequency ranked top three;in the division of drug efficacy,tonic drugs are the most commonly used,followed by water infiltration wet drugs,antipyretic drugs,astringent drugs,anti-table drugs.(2)Combined with the study of modern literature,the first round of two volumes of expert letters was formed.The recovery rates of the expert letter questionnaires in the first round were 90% and 95%,and the expert authority coefficients were 0.925 and 0.882,respectively;the recovery rate of the expert letter questionnaires in the second round was 100%,the credibility of the questionnaires was 0.997 and 0.996,and the expert authority coefficients were 0.925 and 0.907,respectively;the recovery rate of the expert letter questionnaires in the third round was100%,The credibility of the questionnaire was 0.992 and 0.987,and the expert authority coefficient was 0.926 and 0.910,respectively.After three rounds of expert correspondence,the experts maintained relatively consistent opinions on the various items of the indicators at all levels(P<0.05),and after comprehensive analysis,the group constructed and completed the modern elderly diabetic Chinese medicine dialectical dietary plan under the guidance of ICAP.Conclusions :(1)It was initially found that in the ancient records,the medicinal materials of the "medicine and food homology" type for the prevention and treatment of diabetes were most commonly used in licorice;licorice was used as one of the medicinal diet formulas with the highest frequency,and mai dong,licorice,and poria were used as one of the tea drinking formulas;according to the division of drug efficacy,tonic drugs were the most commonly used,followed by water seepage wet medicines,antipyretic drugs,astringent drugs,and antidotes.(2)Based on the research data of ancient books,combined with contemporary literature search and then combined with the opinions of senior diabetic experts,the TCM dietary guidance scheme for elderly diabetic patients is professional,targeted and feasible,and it is also suitable for the characteristics of the elderly to know and believe,can improve the compliance of the elderly with the dietary plan,and help control blood sugar. |
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