| 引用本文:李昕潼1，邓秀敏1，周一1，姜洪叶1,2，王佳喆1,2，祝明1，刘世巍1.从罢极之本论治桥本甲状腺炎[J].世界中医药,2021,(12):. |
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| 从罢极之本论治桥本甲状腺炎 |
| Treating Hashimoto Thyroiditis from the Root of Pi Ji |
| 投稿时间：2020-10-16 |
| DOI：10.3969/j.issn.1673-7202.2021.12.001 |
| 中文关键词: 罢极之本 肝 桥本甲状腺炎 慢性淋巴细胞性甲状腺炎 柴胡旋覆花汤 中医 一气周流 辨证论治 |
| English Keywords:The Root of Pi Ji Liver Hashimoto Thyroiditis Chronic lymphocytic thyroiditis Chaihu Xuanfuhua Decoction Traditional Chinese Medicine Yiqi Zhouliu Syndrome differentiation |
| 基金项目:中央本级重大增减支项目(2060302);首都卫生发展科研专项项目(2020-2-4162) |
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| 中文摘要: |
| 桥本甲状腺炎属于中医学“瘿病”范畴。肝为罢极之本,对气血运行、六经气机、五脏功能起调节作用。瘿病的主要病因是情志不畅,核心致病环节为肝失疏泄,五脏功能及气机升降失常,产生病理产物堵塞于经络。本病的西医治疗目前以甲状腺激素替代疗法为主,但该疗法及其他非特异免疫治疗对于桥本甲状腺炎的免疫损伤进程和伴随的健康危害和生命质量的多系统损害无效。现从中医基础理论出发,结合黄元御“一气周流”理论对从肝论治瘿病的机制进行探讨,提出以疏肝解郁消瘿、缓肝健脾消瘿、暖肝温阳消瘿、柔肝养阴消瘿为治疗法则,并列举相应代表方药柴胡旋覆花汤、柴胡芍药半夏汤、温肝汤、阿胶鸡子黄汤以供参考,以期发挥中医特色、提高临床疗效,对造福桥本甲状腺炎患者有所裨益。 |
| English Summary: |
| Hashimoto thyroiditis belongs to the category of gall disease in traditional Chinese medicine(TCM).The liver is the foundation of dysfunction and regulates the circulation of qi and blood，the six channels of qi，and the functions of the five internal organs.The main cause of gall disease is emotional dissatisfaction，the core pathogenesis is liver failure，the dysfunction of the five internal organs and the abnormal movement of the qi，resulting in pathological products congested in the meridians.Western medicine treatment of this disease is still mainly based on thyroid hormone replacement therapy，but this therapy and other non-specific immunotherapy are not effective in intervening the immune damage process of Hashimoto thyroiditis and the accompanying multi-system damage that harms health and quality of life.Based on the basic theories of traditional Chinese medicine，this paper discusses the mechanism of treating gall from the theory of liver based on the theory of HUANG Yuanyu's “Yiqi Zhouliu”.He proposed that the treatment principal of the gall is soothing liver and resolving stagnation for eliminating gall，soothing liver and invigorating spleen for eliminating gall，softening the liver and nourishing yin.Each of the representative prescriptions such as Chaihu Xuanfuhua Decoction，Chaihu Shaoyao Banxia Decoction，Wengan Decoction，Ejiao Jizihuang Decoction are listed for reference，in order to give full play to the characteristics of traditional Chinese medicine，to improve clinical efficacy and to be beneficial to patients with Hashimoto thyroiditis. |
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