首页|中医药治疗甲亢的概况与展望

中医药治疗甲亢的概况与展望

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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.
Overview and Prospect of Hyperthyroidism Treated with Traditional Chinese Medicine
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 classi-fication 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 differen-tiation 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.

hyperthyroidismchinese medicineetiology and pathogenesis

金晶、刘庆阳、高天舒

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属医院,辽宁沈阳 110032

甲亢 中医 病因病机

辽宁省教育厅高校科研基金

LJKQZ2021161

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(2)
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