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张发荣运用角药分期治疗甲状腺功能亢进症经验

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总结张发荣教授运用角药分期治疗甲状腺功能亢进症的经验.认为邪热耗伤气阴是甲状腺功能亢进症的病机关键,初期肝郁化火,邪热内盛,耗气伤阴;中期火热炽盛,痰瘀互结,气阴始亏;后期气阴两虚,病久及肾,肝肾亏虚.治疗时,注重扶正祛邪,顾护气阴,分期辨证施治,根据不同时期病机特点总结出8组角药.初期常以柴胡-香附-郁金疏肝解郁,龙胆草-黄芩-栀子清肝泻火;中期常以夏枯草-白花蛇舌草-半枝莲清热散结,黄药子-猫爪草-山慈菇化痰散结,丹参-玄参-苦参活血消瘿;后期常以党参-白术-薏苡仁健脾益气,麦冬-北沙参-五味子养阴宁心,黄芪-黄精-地榆养阴益肾.
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

段雯、岳仁宋、杨旭、张小静

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宁夏医科大学总医院,宁夏回族自治区银川市兴庆区胜利南街804号,750004

成都中医药大学附属医院

甲状腺功能亢进症 角药 阴虚 名医经验 张发荣

四川省科技计划重点研发计划

2022YFS0389

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(16)
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