摘要
甲状腺功能亢进症(简称甲亢)是一种以多系统代谢亢进为主要表现的常见内分泌代谢病,临床可见心慌、手抖等症状,严重影响着人们的生活。倪青教授抓住甲状腺与肝生理特征及病理特点的相似性,紧扣“风气通于肝”理论,认为甲亢主要与肝脏相关,其病机早期以肝郁气滞、阴虚阳亢为主,中期以气阴两虚为主,后期以痰瘀互结为主,“风”可贯穿疾病始终,临床常结合甲亢病因病机和临床症状的特点从肝论治,并善于配伍风药分期治疗甲亢,临床效果满意,常有增效之用。
Hyperthyroidism is a common endocrine disorder characterized by systemic metabolic hyperactivity.Clinical manifestations include symptoms such as palpitations and tremors,significantly impacting people′s daily lives.Professor Ni Qing,seizing upon the physiological and pathological similarities between the thyroid and the liver,and adhering to the theory of“wind being connected to the liver”,believes that hyperthyroidism is primarily related to the liver.In the early stage of the disease,liver depression and qi stagnation as well as yin deficiency and yang hyperactivity are the main pathogenic factors.In the middle stage,qi and yin deficiency become dominant,and in the later stage,phlegm and stasis in combination become the main focus.“Wind”can persist throughout the disease process.In clinical practice,the treatment of hyperthyroidism is often approached from liver,taking into account the etiology,pathogenesis,and clinical symptoms,and combining with the appropriate use of wind-dispelling drugs in different stages of treatment.Satisfactory clinical results are often achieved,with enhanced effectiveness.
作者
刘旭菲
倪青
LIU Xufei;NI Qing(Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《世界中医药》
CAS
2023年第13期1902-1907,共6页
World Chinese Medicine
基金
国家中医临床研究基地开放课题-江苏省中医药研究院重点项目(JD2019SZXZD08)
北京市中医药科技发展资金项目(JCZX-2020-08)
中国中医科学院科技创新工程(CI2021A01610)。
关键词
甲状腺功能亢进症
风药
肝
病证结合
分期治疗
瘿病
祛散外风
平息内风
Hyperthyroidism
Wind-dispelling drug
Liver
Combination of disease and syndrome
Treatment by stages
Goiter
Dispelling external wind
Extinguishing internal wind
