从病证结合角度探析亚急性甲状腺炎的治疗  

Treatment of Subacute Thyroiditis from the Perspective of Combination of Disease and Syndrome

作　　者：牧亚峰 向楠[1,2,3] 陈继东[1,2,3] 左新河 曾明星[1] 赵勇 Mu Yafeng;Xiang Nan;Chen Jidong(Hubei University of Chinese Medicine,Hubei,Wuhan 430065,China)

机构地区：[1]湖北中医药大学,湖北武汉430065 [2]湖北省中医院甲状腺疾病诊疗中心,湖北武汉430074 [3]湖北省陈氏瘿病学术流派工作室,湖北武汉430061

出　　处：《中国中医急症》2019年第10期1800-1802,1805,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医药管理局第一批全国中医学术流派传承工作室项目（国中医药办人教函[2012]170）;湖北中医名师向楠工作室（鄂卫生计生办通〔2018〕32号）;湖北省卫生计生委中医药科研重点项目（ZY2019Z007）;中央级公益性科研院所基本科研业务费专项资金资助项目（YZ-1837）

摘　　要：亚急性甲状腺炎是一种较为常见的甲状腺疾病,临床上具有易误诊、误治及易复发的特点。病证结合理念起于秦汉,繁荣于近现代。随着病证结合思想的深入,我们提出辨病为先,明确诊断;辨证为主,个性化治疗;病证结合,指导预后。本研究主要从中医认识、辨病与辨证、判断预后等方面来探讨亚急性甲状腺炎的病证结合思路,以期提高临床疗效和指导疾病预后。Subacute thyroiditis is a relatively common thyroid disease,clinically susceptible to misdiagnosis,mistreatment and recurrence.The concept of combination of disease and syndrome originated from the Qin and Han Dynasties and flourished in modern times.With the deepening of the thought of combining disease with syndrome,we put forward the idea of identifying disease first,defining diagnosis,giving priority to differentiation of symptoms and signs,individualizing treatment,and combining disease with syndrome to guide prognosis.This article mainly discusses the ideas of combination of disease and syndrome on subacute thyroiditis from the aspects of TCM under-standing,disease differentiation and syndrome differentiation,and prognosis,in order to improve clinical efficacy and guide disease prognosis.

关 键 词：亚急性甲状腺炎 病证结合 辨证论治 

分 类 号：R581[医药卫生—内分泌]