Professor WU Min's Clinical Differentiation and Treatment of Early and Middle Stages of Subacute Thyroiditis Using"Warm Disease"Theory
Subacute thyroiditis falls under the category of"Goiter Pain".Professor WU Min,in the clinical differentiation and treatment of Goiter Pain believes that this disease is caused by external pathogenic heat toxins and internal emotional injuries,leading to qi and blood stagnation,phlegm coagulation,and blood stasis,which obstruct the anterior neck,manifesting as fever,neck swelling,and pain.In the middle stage,prolonged pathogenic heat damages yin fluids,resulting in yin deficiency with effulgent fire,hence symptoms such as palpitations,sweating,dry mouth and throat,and dull neck pain occur.According to the pathogenesis and evolution of this disease,combined with the"Warm Disease"theory and clinical experience,Professor WU Min proposed the differentiation and treatment principle of"defense,qi and nutrient"stages for early and middle stages of the disease.Early stage is"defense stage"with heat toxin accumulation about to enter the"qi stage,"which should be treated mainly by clearing heat,detoxifying,reducing goiter,and relieving pain,using a self-made"Yinqiao Xiaoying Zhitong Decoction."In the middle stage,it is characterized by yin deficiency with effulgent fire due to depletion of"nutrient yin",treated mainly by enriching yin,purging fire,reducing goiter,and dispersing nodules,using a self-made"Zengye Xiaoying Sanjie Decoction,"with significant clinical efficacy.
Subacute thyroiditisStaged differentiation and treatmentProfessor WU MinClearing heat and detoxifyingEnriching yin and purging fire
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