国医大师路志正教授临证辨治成人甲状腺功能减退症经验浅析  

Analysis of professor LU Zhi-zheng's clinical experience about adult hypothyroidism

作　　者：魏华[1] 路洁[2] 殷翠儿 

机构地区：[1]广东省中医院内分泌科,广州510120 [2]北京三芝堂诊所,北京100043 [3]广东省从化市中心医院,从化510900

出　　处：《中华中医药杂志》2012年第12期3132-3134,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：甲状腺机能减退症属中医学"虚劳"、"水肿"、"瘿病"、"瘿肿"、"劳瘿"等范畴。文章结合病案分析,浅析跟师路志正教授辨治成人甲状腺功能减退症的点滴感悟。路志正教授认为本病的病机关键为阳虚,且以肾为本。但存在阴阳两虚、精气俱损、虚实夹杂等复杂情况。临证首当详辨机体阴阳虚损之轻重主次;其次辨虚实夹杂与寒热真假;同时重视以肾为本,与五脏相关的整体观念;用药宜轻灵巧变,忌长期过量使用温补之品。总之,慎审病机,共济阴阳方能取得良效。Hypothyroidism belongs to the categories of ＂consumptive disease＂,＂edema＂,＂goiter＂,＂Yingzhong＂,＂Laoying＂,etc,in traditional Chinese Medicine.Combined with case analysis,this article introduced Professor LU Zhi-zheng＇s clinical experience about adult hypothyroidism.Professor LU considered that the key pathogenesis of hypothyroidism was kidney-yang deficiency,but it also could include syndromes such as both yin and yang deficiency,both vital essence and qi deficiency,intermingled deficiency and excess,etc.So we should differentiate yin and yang deficiency condition of patients in clinic first;Then differentiate intermingled deficiency and excess,and true-false of cold and heat secondly;Meanwhile,attach importance to holism concept of Zang-fu were correlative based on kidney;Choose dugs carefully and do not use the warming yang dugs too long or over-dose.In a word,only discriminating pathogenesis and regulating yin and yang carefully can lead to good effect.

关 键 词：甲状腺机能减退症 病机 阴阳 路志正 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]