张振宇主任医师应用调平法治疗桥本甲状腺炎经验
Chief Physician Zhang Zhenyu's Experience in Treating Hashimoto's Thyroiditis by Restoring Balance
陈燊 1张振宇 2胡润萍 3朱玲逸 3阮艳玲 2杨丹 2胡超2
作者信息
- 1. 云南省昆明市官渡区金马社区卫生服务中心中医全科(云南 昆明 650220);云南中医药大学第一临床医学院(云南 昆明 650500)
- 2. 云南省昆明市官渡区金马社区卫生服务中心中医全科(云南 昆明 650220)
- 3. 云南中医药大学第一临床医学院(云南 昆明 650500)
- 折叠
摘要
桥本甲状腺炎近年来发病率居高不下,现代医学对其病理特征的研究相对清晰,但缺乏针对性药物,亦无直接证据证明目前用药对本病的病程进展有明显阻滞作用,或针对性地改变病理特征,治疗周期较长的情况下亦无显效.张振宇主任医师认为"瘿病"的病因病机实为情志、饮食、水土及脏腑气机失调、自身正气不足等原因导致气滞、痰凝、血瘀壅结颈前而为病,应用调平法,即调平阴阳、调和脏腑、调畅气血,从健脾疏肝法论治,具体治则为健脾疏肝养脏、调气化痰散结,方药常用半夏厚朴汤合小柴胡汤加味化裁,在长期的临床诊治中,每获良效.
Abstract
The incidence of Hashimoto's thyroiditis has remained high in recent years.Although modern studies have clarified the pathological features of this disease,there is a lack of targeted drugs.In addition,there is no direct evidence proving that the current medications can block the progression of this disease,or specifically changes the pathological characteristics,or showcase obvious effect in the long treatment period.Chief physician Zhang Zhenyu believes that the etiology of goiter is actually lies in the emotion,diet,water,soil,and zang-fu organ qi movement disorders and the deficiency of healthy qi,which result in qi stagnation,phlegm coagulation,and blood stasis in the neck.Accordingly,the methods of restoring balance,i.e.,balancing yin and yang,harmonizing zang-fu organs,and regulating qi and blood,should be adopted.From the spleen and liver,the specific treatment methods include invigorating spleen and soothing liver to nourish zang-fu organs and regulating qi movement and resolving phlegm to dissipate mass.Modified Banxia Houpo Decoction combined with Xiaochaihu Decoction is commonly used,demonstrating definite effects in the long-term clinical treatment.
关键词
张振宇/调平法/桥本甲状腺炎/基层名中医治疗经验Key words
Zhang Zhenyu/method of restoring balance/Hashimoto's thyroiditis(HT)/experience of famous TCM physicians in community medical institutions引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据