中药一定要“趁热喝”?喝中药有哪些禁忌?

2017-06-16 药剂科陈会朋 北京中医药大学深圳医院

吃中药的最佳时间一般来讲,上午9时和下午3时左右,是机体吸收药物的“黄金时间”,所以此时服用中药最佳。但是不同药性的中药,讲究不同的服药时机。一般而言,治疗虚症和肠胃病,应在饭前30~60分钟服用。而治疗心肺病和其他一般疾病,则通常在饭后30分钟服用为佳,以避免药物对肠胃产生刺激,减少副作用的产生。助消化或对肠胃有刺激的中药,也应饭后服用。而补益药和泻下通便的药物则宜饭前空腹服用。其中,通便药物如

吃中药的最佳时间

一般来讲,上午9时和下午3时左右,是机体吸收药物的“黄金时间”,所以此时服用中药最佳。

但是不同药性的中药,讲究不同的服药时机。

一般而言,治疗虚症和肠胃病,应在饭前30~60分钟服用。

而治疗心肺病和其他一般疾病,则通常在饭后30分钟服用为佳,以避免药物对肠胃产生刺激,减少副作用的产生。

消化或对肠胃有刺激的中药,也应饭后服用。

而补益药和泻下通便的药物则宜饭前空腹服用。其中,通便药物如大黄、火麻仁等,宜在清晨或白天服用,避免在睡前或夜间服用;驱虫药也应在早上空腹服用,而安神药则应在睡前服用。

中药一定要“趁热喝”?

“趁热喝”是大部分人喝汤药的习惯。其实,喝汤药不一定要“趁热”。

中医理论认为,一般的中药汤剂应该“温服”,即药汤煎后立即滤出,在常温下放至30℃~37℃时再喝。

而丸、散一类中成药也应该用温开水送服。

属于解表、发散风寒的中药,才应该“热服”,并且可在服药后吃点稀饭、热水,以助药力。

而止吐、解毒、清热的药,则应该“冷服”,以免引起刺激。

喝中药的六大禁忌

1、忌萝卜
服用中药时不宜吃生萝卜(服理气化痰药除外),因萝卜有消食、破气等功效,特别是服用人参、黄芪等滋补类中药时,吃萝卜会削弱人参等的补益作用,降低药效而达不到治疗目的。

2、忌生冷
生冷食物性多寒凉,难以消化。生冷类食物还易刺激胃肠道,影响胃肠对药物的吸收。吃中药时有哪些禁忌食物?故在治疗“寒症”服中药如温经通络、祛寒逐湿药,或健脾暖胃药,不可不忌生冷食物。

3、忌浓茶
一般服用中药时不要喝浓茶,因为茶叶里含有鞣酸,浓茶里含的鞣酸更多,与中药同服时会影响人体对中药中有效成分的吸收,减低疗效。尤其在服用 “阿胶”、“银耳”时,忌与茶水同服,同时服用会使茶叶中的鞣酸、生物碱等产生沉淀,影响人体吸收。如平时有喝茶习惯,可以少喝一些绿茶,而且最好在服药 2~3小时后再喝。

4、忌辛辣
热性辛辣食物性多温热,耗气动火。如服用清热败毒、养阴增液、凉血滋阴等中药或痈疡疮毒等热性病治疗期间,须忌食辛辣。吃中药时有哪些禁忌食物?如葱、蒜、胡椒、羊肉、狗肉等辛辣热性之品,如若食之,则会抵消中药效果,有的还会促发炎症,伤阴动血(出血)。

5、忌油腻
油腻食物性多粘腻,助湿生痰,滑肠滞气,不易消化和吸收,而且油腻食物与药物混合更能阻碍胃肠对药物有效成分的吸收,从而降低疗效。服用中药期间,如进食荤腻食物,势必影响中药的吸收,故对痰湿较重、脾胃虚弱、消化不良、高血压、冠心病、高脂血症、高血粘度以及肥胖病等患者更须忌食动物油脂等油腻之物。

6、忌腥膻
一般中药均有芳香气味,特别是芳香化湿、芳香理气药,含有大量的挥发油,赖以发挥治疗作用,这类芳香物质与腥膻气味最不相容。若服用中药时不避腥膻,往往影响药效。

吃中药时有哪些禁忌食物?

如鱼、虾、海鲜腥气,牛羊膻味。对那些过敏性哮喘、过敏性鼻炎、疮疖、湿疹、荨麻疹等过敏性皮炎患者,在服用中药期间必须忌食腥膻之物,还应少吃鸡、羊、猪头肉、蟹、鹅肉等腥膻辛辣刺激之发物。因为这类食物中含有异性蛋白,部分病人特别敏感容易产生过敏,从而加重病情。

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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, 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    2017-06-22 大爰

    学习了谢谢分享!

    0

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    2017-06-22 1391e9f2a7m

    好东西,知道如何服药了

    0

  3. 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  4. 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, encodeId=78d721182138, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sat Jun 17 07:52:56 CST 2017, time=2017-06-17, status=1, ipAttribution=)]
    2017-06-18 刘煜

    谢谢分享学习了

    0

  5. 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, encodeId=78d721182138, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sat Jun 17 07:52:56 CST 2017, time=2017-06-17, status=1, ipAttribution=)]
    2017-06-18 chunjianf

    学习了,谢谢分享

    0

  6. 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Sat Jun 17 10:33:30 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211878, encodeId=17a02118e8b2, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jun 17 10:14:40 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211843, encodeId=824521184339, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, encodeId=78d721182138, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sat Jun 17 07:52:56 CST 2017, time=2017-06-17, status=1, ipAttribution=)]
    2017-06-17 中医痴

    不错的,学习了,谢谢分享!

    0

  7. 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06:27:46 CST 2017, time=2017-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545091, encodeId=027915450913c, content=<a href='/topic/show?id=b7abe4635e0' target=_blank style='color:#2F92EE;'>#禁忌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74635, encryptionId=b7abe4635e0, topicName=禁忌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d9513684874, createdName=thinkibmz_44722598, createdTime=Sun Jun 18 14:56:00 CST 2017, time=2017-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=212274, encodeId=c47b2122e436, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, encodeId=78d721182138, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sat Jun 17 07:52:56 CST 2017, time=2017-06-17, status=1, ipAttribution=)]
    2017-06-17 明月清辉

    谢谢分享,学习了

    0

  8. 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, encodeId=78d721182138, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sat Jun 17 07:52:56 CST 2017, time=2017-06-17, status=1, ipAttribution=)]
    2017-06-17 Y—xianghai

    学习了新知识

    0

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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, encodeId=78d721182138, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Sat Jun 17 07:52:56 CST 2017, time=2017-06-17, status=1, ipAttribution=)]
    2017-06-17 惠映实验室

    学习了,谢谢分享

    0

  10. 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06:27:46 CST 2017, time=2017-06-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1545091, encodeId=027915450913c, content=<a href='/topic/show?id=b7abe4635e0' target=_blank style='color:#2F92EE;'>#禁忌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74635, encryptionId=b7abe4635e0, topicName=禁忌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d9513684874, createdName=thinkibmz_44722598, createdTime=Sun Jun 18 14:56:00 CST 2017, time=2017-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=212274, encodeId=c47b2122e436, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sun Jun 18 11:39:45 CST 2017, time=2017-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=212131, encodeId=196f2121313f, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRk75KAEKrLGic0S0IvH1aNynsEFQWiaNKdtzvtwj2kafCoPg2icYVbrfBCFiaS74X1uEiaaTTY1H9Xyem/0, createdBy=cec11614828, createdName=chunjianf, createdTime=Sun Jun 18 07:13:50 CST 2017, time=2017-06-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211893, encodeId=20c12118937b, content=不错的,学习了,谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, 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channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201006/4db877c2887649beb09cb5effd0b38c7/916f66edd48a4e77b20ebc3e14b6e45c.jpg, createdBy=141e1980133, createdName=Y—xianghai, createdTime=Sat Jun 17 09:02:08 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211825, encodeId=22a4211825bd, content=学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Sat Jun 17 07:56:28 CST 2017, time=2017-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=211821, 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    2017-06-17 大爰

    学习了谢谢分享!

    0