内分泌疾病“高实验室指标”之“五行圆运动”浅探

Study on Circular Motion of Five Elements in High Laboratory Indicator of Endocrine Diseases

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。

High laboratory indicators of endocrine diseases refers to high blood sugar, high blood pressure, high cholesterol, high weight, high uric acid, high mieroalbuminuria 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 or- dered 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 disF^rse,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, war- ming 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.