ZHANG Farong's Experience in the Staged Treatment of Hyperthyroidism with Triangular Medicine
This paper summarized Professor ZHANG Farong's experience in the staged treatment of hyperthyroi-dism with triangular medicine.It is considered that"pathogenic heat consuming and damaging qi-yin"is the key pathogenesis of hyperthyroidism.In the early stage,liver constraint transforms into fire,and then pathogenic heat becomes exuberant inside,consuming qi and damaging yin.In the middle stage,the fire and heat are intense,and phlegm and stasis are binded,when qi and yin are initially depleted.In the late stage,both qi and yin are deficient,and as the disease lasts for a long time,the kidneys are affected,resulting in liver and kidney depletion.For treat-ment,it is suggested to put focus on rectifying healthy qi and dispelling pathogen,protecting qi and yin,and treating the disease by stages based on syndrome differentiation,and eight groups of triangular medicines have been summa-rized according to the characteristics of pathogenesis in different periods.In the early stage,the combination of Chaihu(Radix Bupleuri),Xiangfu(Rhizoma Cyperi)and Yujin(Radix Curcumae)is used to soothe the liver and resolve con-straint,and the combination of Longdancao(Radix et Rhizoma Gentianae),Huangqin(Radix Scutellariae)and Zhizi(Fructus Gardeniae)is recommended to clear liver and drain fire.In the middle stage,the combination of Xiakucao(Spica Prunellae),Baihua Sheshecao(Herba Hedyotis Diffusae)and Banzhilian(Herba Scutellariae Barbatae)is used to clear heat and dissipate masses,and the combination of Huangyaozi(Rhizoma Dioscoreae bulbiferae),Maozhuacao(Ranunculus Ternatus)and Shancigu(Asarum Sagittarioides)can dissolve phlegm and dissipate masses,and the combination of Danshen(Radix et Rhizoma Salviae Miltiorrhizae),Xuanshen(Radix Scrophulariae)and Kushen(Radix Sophorae Flavescentis)can invigorate blood and eliminate goiter.In the late stage,the combination of Dangshen(Radix Codonopsis),Baizhu(Rhizoma Atractylodis Macrocephalae)and Yiyiren(Semen Coicis)can fortify spleen and replenish qi,and the combination of Maidong(Radix Ophiopogonis),Beishashen(Radix Glehniae)and Wuweizi(Fructus Schisandrae Chinensis)is used to nourish yin and calm heart,while the combination of Huangqi(Radix Astragali),Huangjing(Rhizoma Polygonati)and Diyu(Radix Sanguisorbae)is used to nourish yin and re-plenish kidneys.
hyperthyroidismtriangular medicineyin deficiencyexperience of famous doctorsZHANG Farong