Professor LIU Shumin's clinical experience in treating hyperthyroidism with deficiency of both Qi and Yin
The main treatment options for hyperthyroidism in modem medicine are oral methimazole tablets,radioactive iodine therapy,and surgical treatment.All three methods have more adverse reactions and are prone to hypothyroidism in the later stage.Professor LIU Shumin has been engaged in the treatment of various internal medicine diseases for over thirty years.He is skilled in using the differentiation thinking of traditional Chinese medicine to treat various difficult and complex diseases.He considers that the etiology of hyperthyroidism is hidden and often influenced multiple factors.The basic pathogenesis of hyperthyroidism is the deficiency of Qi(气)and Yin(阴),with deficiency of both Qi and Yin as the main symptoms,and liver stagnation and Qi stagnation as the main symptoms.This article systematically analyzes and summarizes Professor LIU Shumin's clinical experience in using Qixuan Yijia Ning(芪玄抑甲宁)as the basic prescription to treat hyperthyroidism with Qi and Yin deficiency syndrome from the aspects of etiology,pathogenesis,clinical characteristics,treatment and other aspects.The following five key points need to be paid attention to when treating hyperthyroidism with syndrome differentiation:First,it is important to focus on regulating the stagnation of liver Qi.Liver Qi stagnation is the main external manifestation,and regulating Qi and harmonizing the liver should be the main treatment method.Second,attention should be paid to the synergistic function of the liver and heart in regulating emotions.The liver stores blood,and the heart governs blood.The liver stores the ethereal soul,and the heart stores the spirit,which regulate emotions and maintain a pleasant mental state.In clinical practice,the liver and heart should be harmonized to achieve smooth emotional expression.Third,attention should be paid to the mother-child relationship between the liver and kidneys in terms of biochemical processes.The kidneys and liver are considered mother and child organs.The kidneys nourish the liver Yin and restrain the liver Yang.Fourth,attention should be paid to the relationship between the liver and spleen.The liver and spleen belong to the five elements that counteract each other.However,excessive counteraction can lead to the situation where the liver wood overacts on the spleen earth.Therefore,it is important to focus on the mutual generation and control between the liver and spleen to achieve a balance between wood and earth.Fifth,attention should be paid to diet.Avoiding spicy foods can prevent the consumption of Yin fluids and weaken the nourishing effect of herbal medicine on Yin.
HyperthyroidismDeficiency of Qi and Yin syndromeQixuan Yijia NingFamous doctor experience
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