世界中医药

文章介绍伍锐敏教授治疗亚急性甲状腺炎的经验，伍教授认为本病由风邪-流感病毒引起，属中医“瘿肿”“热病”范畴，急性期外因风邪-流感病毒犯表，内有肝胃郁热，内外合因发病，缓解期脾阳不振，气不化水，恢复期气郁痰凝不化，或久则成瘀。分三期论治，初期散风透邪，疏肝清胃，中期温运脾阳，以利水湿，后期理气化痰散结，或兼活血化瘀。他认为本病最容易误诊，临证中应通过中医四诊合参，结合现代医学方法确诊，治疗上，以中医中药为首选，病证结合，分期论治，同病异治，疗效卓著。

English Summary:

This paper introduces the experience of professor Wu RuiMin in the treatment of subacute thyroiditis. Professor Wu thinks the disease belongs to TCM(traditional Chinese medicine) syndrome “gall swell” or “fever”, induced by the wind evil and flu virus. In the acute phase, exuberance heat stagnated in liver and stomach, and internal and external pathogens trigger the disorder. In remission progress, due to deficiency of spleen yang, qi fails to promote water. As a result, qi and phlegm stagnate and further caused stagnation. The treatment should be processed from three stages, dispelling wind and dissipating pathogen with regulating liver and clearing stomach at first, then warm spleen yang to eliminate dampness, and last to regulate qi and remove phlegm and stagnation or activating blood movement. Professor Wu regards that such a disease is easily to be mis-diagnosed, and thus should be differentiated with both western and Chinese medicine. In treatment, Chinese medicine should be taken as priority to deal with different syndromes. This has received favorable results.

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