摘要
总结近年来国内各家医者对甲亢的研究情况。通过查阅中医古籍和文献,甲亢的病因可归为内因与外因,内因为情志内伤,外因为火热伤津,同时也与饮食和居住地区有关联。发病的机理以气滞、痰凝、血瘀为主,初期多为肝气郁结,郁而化火,火热蒸液成痰,后期多出现为气阴两虚。在证治分类上,多出现为气郁痰阻证、痰阻血瘀证、肝旺火盛证、心肝阴虚证等证型,在此证型基础上进行辨证论治。在用药治疗上,含碘药物的使用率最高。此外临床上应用中西医结合的治疗措施疗效较高。因此,中医辨证施治结合西医常规疗法治疗甲亢不仅能改善症状,提高疗效,还可一定程度上减少甲亢的复发、降低药物不良反应。
Summarizes the research on hyperthyroidism by domestic doctors in recent years.Through consulting ancient books and literatures of traditional Chinese medicine,the etiology of hyperthyroidism can be classified as internal and external causes,internal emotional injury,external fire and heat injury,but also related to diet and living area.The pathogenesis is mainly qi stagnation,phlegm coagulation and blood stasis.In the initial stage,it is mostly stagnation of liver Qi,depression turns into fire,and hot steam liquid turns into phlegm.In the later stage,it is mostly deficiency of both qi and Yin.In the classification of syndrome treatment,there are many syndrome types,such as qi stagnation and phlegm obstruction syndrome,phlegm obstruction and blood stasis syndrome,liver prosperous fire syndrome,heart and liver yin deficiency syndrome,etc.based on this syndrome type,syndrome differentiation and treatment are carried out.In terms of medication,iodine containing drugs have the highest utilization rate.In addition,the clinical application of integrated traditional Chinese and Western medicine has a higher curative effect.Therefore,the treatment of hyperthyroidism with traditional Chinese medicine based on syndrome differentiation and conventional western medicine can not only improve symptoms and curative effect,but also reduce the recurrence of hyperthyroidism and reduce adverse drug reactions to a certain extent.
作者
金晶
刘庆阳
高天舒
JIN Jing;LIU Qingyang;GAO Tianshu(Liaoning Hospital of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)
出处
《实用中医内科杂志》
2024年第2期58-60,共3页
Journal of Practical Traditional Chinese Internal Medicine
基金
辽宁省教育厅高校科研基金项目(LJKQZ2021161)。
关键词
甲亢
中医
病因病机
hyperthyroidism
chinese medicine
etiology and pathogenesis
