SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine膏方的合理使用2SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine膏方，又称膏剂或膏滋药。膏方是以中医理论为指导，辨证论治为基础，强身与疗疾相结合，作用明显、服用方便的中医特种保健品，是中医的一个鲜明特色。属于中医常用八种剂型——丸、散、膏、丹、汤、酒、露、锭之一。3SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine膏方的渊源及其发展简史4SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine战国秦汉时期即有关于膏剂的制作和临床运用的论述。《灵枢·痈疽》篇：“发于腋下赤坚者，名曰米疽，治之以砭石……涂以豕膏，六日已，勿裹之。”5SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine膏方的运用，已由皮肤外敷，逐步发展到五官科外用和内服并用以治疗疾病。《肘后百一方》中“莽草膏”：“耳鼻病可以绵裹塞之。”“裴氏五毒神膏”：“温酒服，如枣核一枚。”晋代6SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine明代，人们已经认识到膏方具有延年的功能。《御制饮膳调养指南》：用人参、生地，茯苓、蜂蜜制“琼玉膏”，用枸杞子制“金髓煎”，用天门冬制“天门冬膏”等。均规定以“慢火熬成膏”，并认为能“延年益寿，填精补髓，发白变黑，返老还童”。7SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine清代，膏方已成为临床治疗疾病的常用手段。吴师机《理瀹骈文》对膏方的治病机理、配制工艺、应用方法等，均作了详细的论述。书中指出：“外治之理，即内治之理；外治之药，亦即内治之药。所异者法耳。”将内、外二法，融汇贯通，颇具特色。8SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine现代，除临床外科应用膏方日益丰富多采外，并发展前人经验，形成补虚疗疾，复方多味的“膏滋药”。《张聿青医案》中，有近三十例膏滋方治疗血证、眩晕、遗精、哮喘、不孕、痛经等病。《丁甘仁医案》中的膏滋方案例辨证细致，论述精辟，理、法、方、药严谨。9SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine膏方的种类10SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine外用内服黑膏药软膏药成药：如传统的益母膏、二冬膏,十全大补膏、扶元和中膏、八珍膏、安胎膏、安神膏等。其组成单纯，药味不多，既有针对性，又有全面性。膏滋药：经医生辨证分析，给予处方，将药浓煎后去渣取汁，浓缩，再根据不同病情需要，加入适量的冰糖、饴糖或蜂蜜，并配以驴皮胶、鹿角胶等收膏。11SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine膏方的适应及禁忌对象12SinceSince19581958DongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicineDongzhimenHospitalAffiliatedtoBeijingUniversityofChineseMedicine•慢性病患者慢性病患者•亚健康...
