世界中医药

作者	单位
朱章志¹ 林明欣^1，2 吴伟²	1 广州中医药大学第一附属医院，广东省广州市机场路16号，510405； 2 广州中医药大学

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中文摘要:

内分泌疾病“高实验室指标”是指高血糖、高血压、高血脂、高体重、高尿酸、高微量白蛋白尿等，是一组在代谢上相互关联之危险因素组合。笔者认为，平人乃一气周流之“五行圆运动”，中央土气为轴，四维之东方木气、南方火气、西方金气、北方水气为轮，“运动圆”则人身康健，“运动不圆”则百病由生。立足“五行圆运动”之道，“高实验室指标”之病机可归纳为“东方木气”疏泄太过，“中央土气”温运不及，“北方水气”温养失司，治法则以敷和木气、温运土气、温养水气为主，方可选乌梅丸、吴茱萸汤、理中丸、四逆汤等。一言以蔽之，识得阴阳五行理，通晓五行圆运动，中医百病一圆中。

English Summary:

High laboratory indicators of endocrine diseases refers to high blood sugar，high blood pressure，high cholesterol，high weight，high uric acid，high microalbuminuria and proteinuria，which is a group of interrelated metabolic risk factors combination. We believe that normal people is a circular motion of five elements，Tu-qi in the central is an axis; Mu-qi in the east，Huo-qi in the south，Jin-qi in the west，Shui-qi in the north，which are the four wheels. The body will maintain good health as long as the circular motion in the ordered state，otherwise disease will occur. Based on the circular motion of five elements，the pathogenesis of the high laboratory indicators is mainly excessive Mu-qi in the east to disperse，failure of Tu-qi in the central to transport and transform，failure of Shui-qi in the north to warm and reinforce. In clinical practice，reconciling Mu-qi in the east，transporting and transforming Tu-qi in the central，warming and reinforcing Shui-qi in the north，is the main therapeutic principle; commonly used medicine include Mume Pill， Decoction of Evodia，Bolus for the Function of Middle Energizer，Decoction for Resuscitation. In conclusion, we must understand the theories of Yin-yang and five elements, and its motions in order to understand and treat various disease.

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