内分泌代谢病中医治疗——方剂应用指南

本团队以常见的内分泌代谢病为研究对象，参考已有的循证医学资料及《中国中医科学院广安门医院优势病种诊疗方案》，通过梳理大量古今文献，经文献研究、临床调研、专家研讨会等多个研究环节，编写出版《内分泌代谢病实用方剂使用手册》。《内分泌代谢病实用方剂使用手册》写作大纲包括：详细介绍中药的发展概要、调剂知识、内分泌代谢病常用中药、药性专长、选药用药、用药原则、相互关联等，全面介绍内分泌代谢病相关中药的研究进展，提取本团队及名老中医用药的经验，体现处方用药靶向性和灵活性。

本团队以常见的内分泌代谢病为研究对象，参考已有的循证医学资料及《中国中医科学院广安门医院优势病种诊疗方案》，通过梳理大量古今文献，经文献研究、临床调研、专家研讨会等多个研究环节，编写出版《内分泌代谢病实用方剂使用手册》。《内分泌代谢病实用方剂使用手册》写作大纲包括：详细介绍中药的发展概要、调剂知识、内分泌代谢病常用中药、药性专长、选药用药、用药原则、相互关联等，全面介绍内分泌代谢病相关中药的研究进展，提取本团队及名老中医用药的经验，体现处方用药靶向性和灵活性。

倪青，中国中医科学院广安门医院内分泌科主任、主任医师、硕士研究生指导教师。擅长采用中医为主的中西医结合方法治疗糖尿病及其并发症、甲亢、甲减、甲状腺炎、高尿酸血症与痛风、内科疑难杂病。现任国家中医药管理局“全国中医糖尿病专病医疗中心”及“北京市中医糖尿病诊疗中心”执行主任、国家中医药管理局“中医内科内分泌重心学科”学科带头人助理及后备学科带头人。

"总  论 第一章 内分泌代谢病的病证范围................................................................................3 一、糖尿病及其主要并发症..............................................................................................3 二、甲状腺疾病..................................................................................................................5 三、高脂血症.......................................................................................................................7 四、高尿酸血症与痛风......................................................................................................7 五、代谢综合征..................................................................................................................7 六、骨质疏松症..................................................................................................................8 七、围绝经期综合征..........................................................................................................8 八、多囊卵巢综合征..........................................................................................................9 第二章 内分泌代谢病选方用药模式...........................................................................11 一、审病机，寻本质，辨证求因选主方........................................................................11 二、明主病，握全局，辨病为先定主方........................................................................13 三、抓主症，查体征，病证结合方药选........................................................................14 四、探微观，悉药理，循本求因疗效彰........................................................................15 第三章 内分泌代谢病的康复方药..............................................................................27 一、未病先防.....................................................................................................................27 二、既病防变.....................................................................................................................27 三、瘥后防复.....................................................................................................................28 四、常见内分泌代谢病的康复方药................................................................................28 各  论 1.安宫牛黄丸★——《温病条辨》..................................................................................32 2.八正散——《太平惠民和剂局方》............................................................................35 3.白虎汤——《伤寒论》................................................................................................37 4.白头翁汤——《伤寒论》............................................................................................40 5.百合固金汤——《医方集解》引赵氏方....................................................................43 6.败毒散——《小儿药证直诀》....................................................................................46 7.半夏白术天麻汤★——《医学心悟》..........................................................................48 8.半夏厚朴汤——《金匮要略》....................................................................................51 9.半夏泻心汤——《伤寒论》........................................................................................54 10.保和丸★——《丹溪心法》........................................................................................58 11.贝母栝蒌散——《医学心悟》..................................................................................60 12.萆薢分清饮——《丹溪心法》..................................................................................63 13.补阳还五汤★——《医林改错》................................................................................65 14.补中益气汤——《脾胃论》......................................................................................68 15.参苓白术散★——《太平惠民和剂局方》...............................................................72 16.参苏饮——《太平惠民和剂局方》..........................................................................75 17.柴胡加龙骨牡蛎汤★——《伤寒论》........................................................................77 18.柴胡疏肝散★——《证治准绳》................................................................................80 19.赤石脂汤★——《外台秘要》....................................................................................83 20.川芎茶调散——《太平惠民和剂局方》..................................................................84 21.磁朱丸★——《备急千金要方》................................................................................87 22.大补阴丸——《丹溪心法》......................................................................................89 23.大柴胡汤★——《金匮要略》....................................................................................91 24.大承气汤——《伤寒论》..........................................................................................95 25.大黄附子汤★——《金匮要略》................................................................................98 26.大秦艽汤——《素问病机气宜保命集》................................................................100 27.丹参饮★——《时方歌括》......................................................................................102 28.丹溪痛风方★——《丹溪心法》..............................................................................104 29.当归补血汤——《内外伤辨惑论》........................................................................107 30.当归六黄汤——《兰室秘藏》................................................................................109 31.当归四逆汤★——《伤寒论》..................................................................................112 32.导赤散——《小儿药证直诀》................................................................................114 33.导痰汤★——《严氏济生方》..................................................................................117 34.地黄饮子★——《黄帝素问宣明论方》..................................................................119 35.定喘汤——《摄生众妙方》....................................................................................122 36.独活寄生汤——《备急千金要方》........................................................................124 37.独参汤★——《十药神书》......................................................................................127 38.二陈汤★——《太平惠民和剂局方》......................................................................128 39.二仙汤★——《妇产科学》......................................................................................132 40.二至丸★——《医方集解》......................................................................................134 41.防风通圣散——《黄帝素问宣明论方》................................................................136 42.防己黄芪汤★——《金匮要略》..............................................................................139 43.葛根芩连汤——《伤寒论》....................................................................................141 44.固冲汤——《医学衷中参西录》............................................................................143 45.栝蒌薤白白酒汤——《金匮要略》........................................................................145 46.栝蒌薤白半夏汤★——《金匮要略》......................................................................147 47.桂附地黄汤★——《医宗金鉴》..............................................................................150 48.龟鹿二仙胶★——《医便》......................................................................................153 49.归脾汤——《正体类要》........................................................................................155 50.桂枝茯苓丸★——《金匮要略》..............................................................................158 51.桂枝汤——《伤寒论》............................................................................................162 52.厚朴温中汤——《内外伤辨惑论》........................................................................165 53.黄连解毒汤——《外台秘要》................................................................................167 54.黄芪桂枝五物汤★——《金匮要略》......................................................................169 55.黄芪六一散★——《医方集解》..............................................................................172 56.藿香正气散——《太平惠民和剂局方》................................................................174 57.加味肾气汤★——《杂病证治新义》......................................................................177 58.金锁固精丸——《医方集解》................................................................................180 59.橘皮竹茹汤——《金匮要略》................................................................................182 60.抗心梗合剂★——《中华内科杂志》......................................................................183 61.理中丸——《伤寒论》............................................................................................185 62.连朴饮★——《霍乱论》..........................................................................................188 63.凉膈散——《太平惠民和剂局方》........................................................................190 64.苓桂术甘汤★——《金匮要略》..............................................................................192 65.六味地黄丸★——《小儿药证直诀》......................................................................195 66.六君子汤★——《医学正传》..................................................................................198 67.龙胆泻肝汤★——《医方集解》..............................................................................201 68.鹿角胶丸★——《医学正传》..................................................................................203 69.麻黄汤——《伤寒论》............................................................................................205 70.麻杏石甘汤——《伤寒论》....................................................................................207 71.麻子仁丸——《伤寒论》........................................................................................209 72.麦门冬汤——《金匮要略》....................................................................................211 73.暖肝煎——《景岳全书》........................................................................................214 74.平胃散★——《太平惠民和剂局方》......................................................................216 75.普济消毒饮——《东垣试效方》............................................................................218 76.七味白术散★——《小儿药证直诀》......................................................................220 77.杞菊地黄汤★——《医级》......................................................................................223 78.青蒿鳖甲汤——《温病条辨》................................................................................225 79.清暑益气汤——《温热经纬》................................................................................227 80.清胃散——《兰室秘藏》........................................................................................229 81.清营汤——《温病条辨》........................................................................................232 82.清燥救肺汤——《医门法律》................................................................................234 83.三仁汤——《温病条辨》........................................................................................237 84.桑菊饮——《温病条辨》........................................................................................240 85.桑螵蛸散——《本草衍义》....................................................................................242 86.桑杏汤——《温病条辨》........................................................................................245 87.芍药甘草汤★——《伤寒论》..................................................................................247 88.参附汤★——《正体类要》......................................................................................250 89.参芪地黄汤★——《杂病源流犀烛》......................................................................253 90.肾气丸★——《金匮要略》......................................................................................256 91.生脉散★——《医学启源》......................................................................................259 92.十枣汤——《伤寒论》............................................................................................262 93.实脾散（实脾饮）★——《严氏济生方》.............................................................264 93.四君子汤★——《太平惠民和剂局方》..................................................................267 95.四妙丸（四妙方）★——《成方便读》..................................................................269 96.四磨汤——《严氏济生方》....................................................................................272 97.四逆散★——《伤寒论》..........................................................................................274 98.四逆汤——《伤寒论》............................................................................................277 99.四物汤★——《太平惠民和剂局方》......................................................................279 100.苏子降气汤——《太平惠民和剂局方》..............................................................282 101.酸枣仁汤——《金匮要略》..................................................................................284 102.桃核承气汤——《伤寒论》..................................................................................287 103.桃红四物汤★——《医宗金鉴》............................................................................290 104.天麻钩藤饮——《杂病证治新义》......................................................................292 105.通窍活血汤★——《医林改错》............................................................................294 106.痛泻要方——《景岳全书》引刘草窗方..............................................................297 107.温胆汤★——《三因极一病证方论》....................................................................299 108.温脾汤——《备急千金要方》..............................................................................302 109.乌梅丸——《伤寒论》..........................................................................................304 110.吴茱萸汤——《伤寒论》......................................................................................307 111.五苓散——《伤寒论》..........................................................................................310 112.五味消毒饮★——《医宗金鉴》............................................................................313 113.犀角地黄汤——《备急千金要方》......................................................................315 114.仙方活命饮——《校注妇人良方》......................................................................319 115.消风散——《外科正宗》......................................................................................321 116.消渴方★——《丹溪心法》....................................................................................324 117.逍遥散——《太平惠民和剂局方》......................................................................326 118.小柴胡汤——《伤寒论》......................................................................................329 119.小承气汤★——《伤寒论》....................................................................................333 120.小蓟饮子——《济生方》......................................................................................335 121.小建中汤——《伤寒论》......................................................................................337 122.小青龙汤——《伤寒论》......................................................................................340 123.小陷胸汤——《伤寒论》......................................................................................342 124.泻白散（泻肺散）——《小儿药证直诀》..........................................................345 125.杏苏散——《温病条辨》......................................................................................347 126.旋覆代赭汤——《伤寒论》..................................................................................349 127.血府逐瘀汤——《医林改错》..............................................................................351 128.羊肝丸★——《肘后备急方》................................................................................355 129.养阴清肺汤——《重楼玉玥》..............................................................................356 130.一贯煎★——《柳州医话》....................................................................................358 131.茵陈蒿汤——《伤寒论》......................................................................................361 132.银翘散——《温病条辨》......................................................................................364 133.右归丸★——《景岳全书》....................................................................................366 134.玉女煎★——《景岳全书》....................................................................................369 135.玉屏风散——《丹溪心法》..................................................................................372 136.玉液汤★——《医学衷中参西录》........................................................................374 137.越鞠丸——《丹溪心法》......................................................................................377 138.增液汤——《温病条辨》......................................................................................379 139.真武汤★——《伤寒论》........................................................................................381 140.镇肝熄风汤——《医学衷中参西录》..................................................................383 141.指迷茯苓丸★——《证治准绳》............................................................................385 142.止嗽散——《医学心悟》......................................................................................387 143.枳实导滞丸——《内外伤辨惑论》......................................................................389 144.枳实消痞丸——《兰室秘藏》..............................................................................391 145.炙甘草汤——《伤寒论》......................................................................................394 146.猪苓汤——《伤寒论》..........................................................................................396 147.竹叶石膏汤——《伤寒论》..................................................................................399 148.左归丸★——《景岳全书》....................................................................................402 149.左金丸——《丹溪心法》......................................................................................405 方剂索引....................................................................................................................409 内分泌病症方剂索引..................................................................................................418"