高菁主任医师中西医结合治疗甲状腺功能亢进症的经验  

Chief physician Gao Jing's Experience in Treating Hyperthyroidism by Integrated Traditional Chinese and Western medicine

作　　者：李雪[1] 李靖[2] 吴欣莉[1] 焦云涛 任彬[1] 高菁[2] 

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东直门医院,北京100700

出　　处：《世界中医药》2015年第8期1219-1221,共3页World Chinese Medicine

基　　金：北京市第四批师承双百工程继承人项目(编号:JB081)

摘　　要：甲亢是一种内分泌疾病,是临床上的常见病,近年来发病率逐年上升,现代医学对于治疗甲亢功能有明显优势,但不良反应较大且对于患者的症状并无明显改善,且易复发,而对此中医具有明显的优势,故研究中西医结合治疗甲亢对临床有重要意义。高菁主任医师主张用中西医结合的方法治疗甲亢,西医治疗为抗甲状腺素药物,中医治疗方面,根据患者的体质因素定证型,标实证定证候,总结出"四型、四候"的辨证方法,方药则以证型定主方,以证候定加减,使临床辨证变得简单灵活且易于掌握。经过临床验证发现,中西医结合治疗的疗效明显高于单纯西药的治疗。Hyperthyroidism,a kind of endocrine disease,is commonly seen in clinical diagnosis.And its morbidity is increasing year by year.Although western medicine has obvious advantages in treating hyperthyroidism,the side-effect,unclear improvement for the patients’symptoms and high relapse rate are all its drawbacks.Compared with western medicine,Chinese medicine has ob-vious advantages in those areas.Therefore,it is significant to study integration of Chinese and western medicine for treating hyper-thyroidism.,which was advocated by Chief physician Gao Jing.She used antagonist to thyroid hormone as western therapy and summarized “four types,four symptoms”based on patients’constitution and syndromes for Chinese medicine therapy.The formula were decided by syndromes and modified by symptoms.It made the clinical syndrome differentiation becomes simple and flexible and easy to master.Through clinical validation,it was shown that the treatment by integration of Chinese and western medicine was significantly more effective than western medicine treatment.

关 键 词：甲亢 瘿气 四型 四候 中西医结合治疗 

分 类 号：R249.27[医药卫生—中医临床基础] R259[医药卫生—中医学]