世界中医药
文章摘要
引用本文:张美珍,郝晓晖,杨亚男,倪青.经方辨治甲状腺功能亢进症[J].世界中医药,2021,(05):.  
经方辨治甲状腺功能亢进症
Treatment of Hyperthyroidism with Classical Prescriptions Syndrome Differentiation
投稿时间:2021-01-20  
DOI:10.3969/j.issn.1673-7202.2021.05.004
中文关键词:  甲状腺功能亢进症  经方  中医药  治疗  急躁易怒  心悸  甲状腺肿  突眼
English Keywords:Hyperthyroidism  Classical prescriptions  Traditional Chinese medicine  Treatment  Irritability  Palpitation  Goiter  Exophthalmos
基金项目:科技部国家重点研发项目(2018YFC1704102)——林兰名老中医学术观点、特色诊疗方法和重大疾病防治研究经验
作者单位
张美珍,郝晓晖,杨亚男,倪青 中国中医科学院广安门医院内分泌科北京100053 
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中文摘要:
      对《伤寒论》《金匮要略》中与甲状腺功能亢进症发病特点与临床表现相似记载及现代医家使用经方治疗甲状腺功能亢进症的经验进行整理,归纳总结甲状腺功能亢进症发病特点及治疗策略。传统中医学认为,甲状腺功能亢进症病机以少阳枢机不利为要,善用柴胡汤类方,但临证时需辨“症”,活用经方,如桂枝汤类方和瓜蒌汤类方治疗心悸,泻心汤类方治疗甲状腺肿,五苓散治疗甲状腺功能亢进症性突眼等等,并结合“分期辨证”、抗甲状腺药物的使用,将甲状腺功能亢进症经方用药分为初期、中期、后期和恢复期,据证用药。经方临证,症状缓解明显,并可改善甲状腺功能,前景广阔,值得借鉴。
English Summary:
      This paper summarizes the characteristics and treatment strategies of disease similar to those of hyperthyroidism in Treatise on Cold Pathogenic Diseases and Synopsis of Golden Chamber,and the experience of modern doctors in treating hyperthyroidism with classical prescriptions.According to traditional Chinese medicine(TCM),the pathogenesis of hyperthyroidism is mainly due to the dysfunction of Shaoyang pivot,and good use of Chaihu Decoction is necessary in clinical practice,such as Guizhi Decoction and Gualou Decoction for palpitation,Xiexin Decoction for goiter,Wuling Powder for treating hyperthyroidism exophthalmos.In the middle,late and recovery period,the drugs were used according to syndromes.Prescriptions in clinics can significantly relieve the symptoms and improve thyroid function in clinical practice,and has a broad prospect and is worthy of reference.
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