| 李艳杰,赵康超,吴善瑛,闫琪,倪青.桥本甲状腺炎中医治疗策略[J].中国临床保健杂志,2023,26(5):709-712. |
| 桥本甲状腺炎中医治疗策略 |
| Traditional Chinese medicine treatment strategy for Hashimoto′s thyroiditis |
| 投稿时间：2023-02-22 |
| DOI：10.3969/J.issn.1672-6790.2023.05.030 |
| 中文关键词: 桥本病 瘿 中医药疗法 情志疗法 生活质量 |
| 英文关键词: Hashimoto disease Goiter Traditional Chinese medicine therapy Emotional therapy Quality of life 〖FL |
| 基金项目:北京市中医药科技发展资金项目(JCZX-2020-08) |
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| 中文摘要: |
| 桥本甲状腺炎是一种女性患者好发的自身免疫性疾病,后期常发展为永久性甲状腺功能减退症(简称甲减)而严重影响患者生活质量。目前西医治疗集中于症状控制,中医认为桥本甲状腺炎属于“瘿病”范畴,“虚”“郁”为其病机总括,治疗上结合现代辅助检查大致可分为三期五证:初期常见枢机不利、痰气郁结证,治以和解枢机,通利消瘿法；甲状腺功能亢进期常见于阴虚阳亢证,治以滋阴潜阳,清热消瘿法；亚临床甲状腺功能减退、甲减期常见于中阳不足证、脾气亏虚证或脾肾阳虚证,治以温固脾肾、扶正消瘿法。同时注重疏导患者情志,联合中医外治疗法,可多途径改善患者预后转归及生活质量,为中医药诊疗桥本甲状腺炎提供新的思路与方法。 |
| 英文摘要: |
| Hashimoto′s thyroiditis is a common autoimmune disease,especially in female patients,which often develops into permanent hypothyroidism in the later stage,which seriously affects the quality of life of patients.At present,Western medicine treatment focuses on symptom control.Traditional Chinese medicine believes that Hashimoto′s thyroiditis belongs to the category of "gall disease",with "deficiency" and "depression" as its summary pathogenesis.Treatment combined with modern auxiliary examination can be roughly divided into three stages and five syndromes:early common cardinal disbenefit,phlegm-qi stagnation syndrome,treatment with with the method of "HejieSuji,TongliXiaoying";hyperthyroidism is common in yin deficiency and yang hyperactivity syndrome,which is treated the method of "ZiyinQianyang,QingreXiaoying".Subclinical hypothyroidism and hypothyroidism are common in middle yang deficiency syndrome,spleen qi deficiency syndrome or spleen and kidney yang deficiency syndrome,treatment with the method of "WenguPishen,FuzhengXiaoying".At the same time,paying attention to dredging the feelings of patients,combined with external therapy of traditional Chinese medicine,can improve the prognosis and quality of life of patients in many ways,and provide new ideas and methods for the diagnosis and treatment of Hashimoto′s thyroiditis with the combination of traditional Chinese and western medicine. |
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