摘要
甲状腺功能亢进症是一种多发于青年人群、以乏力消瘦及心悸多汗等高代谢证候群为主要表现的内分泌疾病。现代医家多从心肝火旺、心肾阴虚等为切入点治疗甲状腺功能亢进症。刘喜明教授中医功底深厚,临证三十余载,对内分泌系统疾病有着丰富的临床经验,尤其在对甲状腺功能亢进症认识及用药方面有自己独到见解。刘教授结合古籍文献记载及个人临床经验,认为甲状腺功能亢进症发病除心肝肾外,亦当从脾阴虚立论。刘教授明确脾阴虚的本质为气阴两虚,从解剖、病理、临床症状、脾与四脏关联性等角度总结脾阴虚与甲状腺功能亢进症发病密切相关,提出益气健脾,养阴清热的基本治法及“甘淡合酸微寒”的基本用药法则,主张药用莲子肉、白扁豆、薏苡仁等“甘淡平和以益营气”、白芍、麦冬、五味子等“甘酸微寒以滋营阴”,为甲状腺功能亢进症的治疗提供新方法、新思路。
Hyperthyroidism is an endocrine disease that occurs mostly in young people and mainly manifests in hypermetabolic syndromes such as fatigue,weight loss,palpitations and hyperhidrosis.Modern doctors usually treat hyperthyroidism from fire hyperactivity of heart and liver,heart and kidney Yin deficiency,etc.Professor LIU Ximing has a solid foundation in traditional Chinese medicine and has more than 30 years of clinical experience.He has extensive clinical experience in endocrine system diseases,especially in the understanding of hyperthyroidism and medication.Based on ancient literature records and personal clinical experience,Professor LIU believes that in addition to the heart,liver and kidney,the onset of hyperthyroidism should also be based on the deficiency of spleen and Yin.Professor LIU has made clear that the essence of spleen-Yin deficiency is deficiency of both Qi and Yin,from the perspectives of anatomy,pathology,clinical symptoms,and the correlation between the spleen and the other four organs.It is concluded that spleen-Yin deficiency is closely related to the onset of hyperthyroidism and puts forward the basic treatment method of replenishing Qi and invigorating the spleen,nourishing Yin and clearing away heat,and the basic medication rule of“sweet,light,acid and slightly cold”.It advocates that the medicinal Lianzi(Semen Nelumbinis),Baibiandou(Semen Lablab Album),Yiyiren(Semen Coicis)and other drugs which are sweet and slight to nourish Ying-Qi and Baishao(Radix Paeoniae Alba),Maidong(Radix Ophiopogonis)and Wuweizi(Fructus Schisandrae Chinensis)and other drugs which are sweet,sour and slight cold to nourish Yin,so as to provide new methods and ideas for the treatment of hyperthyroidism.
作者
杨九天
刘喜明
YANG Jiutian;LIU Ximing(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《辽宁中医杂志》
CAS
2022年第4期28-31,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81804085)
关键词
甲状腺功能亢进症
脾阴虚
气阴两虚
甘淡合酸微寒法
hyperthyroidism
spleen Yin deficiency
Qi and Yin deficiency
slight cold method with sweet,light and sour drugs
