基于“肺胃主瘿”理论辨治甲状腺功能亢进症  

Research on the Differentiation and Treatment of Hyperthyroidism based on the Theory of “Lung-Stomach Governing goiter Qi”

作　　者：胡恒昶 殷丽平[2] HU Hengchang;YIN Liping(Chengdu University of Traditional Chinese Medicine,Sichuan Chengdu 610075,China;Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Sichuan Chengdu 610072,China)

机构地区：[1]成都中医药大学,四川成都610075 [2]成都中医药大学附属医院,四川成都610072

出　　处：《中医药临床杂志》2019年第2期261-263,共3页Clinical Journal of Traditional Chinese Medicine

基　　金：国家中医临床研究基地业务建设第二批科研专项(编号JDZX2015222)

摘　　要：甲状腺功能亢进症的临床表现主要有易激动、烦躁失眠、乏力、多汗、消瘦、食欲亢进等,并伴有不同程度的甲状腺肿大,属于中医学中瘿病范畴。《太平圣惠方》载:"咽门者,胃气之道路;喉咙者,肺气之往来。今两经为邪气所乘,致经络否涩,气不宣通,结聚成瘿。"邪气侵犯肺胃二经,致经络气血运行不畅,瘀滞于颈部而成瘿。故从肺胃去讨论甲状腺功能亢进症之病因病机,以期获得更为精准的治疗。The clinical manifestations of hyperthyroidism include excitable,dysphoria,insomnia,weak,hidrosis, emaciation,bulimia,etc,accompanied by goiter in various degree,which belongs to category of goiter disease in traditional Chinese medicine.There are recorded in Taiping Shenghui Fang:"Way of stomach Qi is pharynx,intercourse of lung Qi is throat.Lung meridian and stomach meridian is invaded by pathogenic factor nowadays,which lead to the impairment in meridians and urn-diffusion with unobstructed in Qi,which gathered into goiter disease eventually."Lung meridian and stomach meridian is invaded by pathogenic factor that result in impede circulation of Qi and blood of meridian which stained in neck and developed into goiter disease.So it is necessary to discuss the etiology and pathogenesis of hyperthyroidism based on lung and stomach in order to acquire m ore accurate therapy.

关 键 词：肺胃 瘿气 甲状腺功能亢进症 辨证论治 

分 类 号：R-012[医药卫生]