疏肝温肾运脾论治难治性甲亢探析  

Exploration of the theory of soothing the liver,warming the kidney and moving the spleen in combination in treating refractory hyperthyroidism

作　　者：刘颖 梁建明 LIU Ying;LIANG Jianming(Qingyuan Hospital of Traditional Chinese Medicine,Qingyuan 511500,China;不详)

机构地区：[1]清远市中医院,广东清远511500

出　　处：《现代医院》2020年第7期1089-1092,共4页Modern Hospitals

摘　　要：甲状腺功能亢进症经抗甲状腺药物、放射性碘治疗、手术治疗后仍迁延难愈、反复发作,易成难治性甲亢,目前小剂量抗甲亢药物治疗为重要治疗策略之一,常配合中医药方法进行辨证论治,尚无统一定论。梁建明副主任中医师基于30余年临证经验,认为难治性甲亢之根本在于肝,久病涉及脾肾,不离太阴、少阴、厥阴,拟疏肝温肾运脾配合治疗难治性甲亢,现已应用于临床,取得良好效果,为难治性甲亢提供临床新思路。Hyperthyroidism,after treatment with antithyroid drugs,radioiodine and surgery,is still protracted,relapsed,and easy to become refractory hyperthyroidism.At present,low-dose antithyroid drugs are one of the important treatment strategies,often combined with traditional Chinese medicine for syndrome differentiation and treatment,but there is no unified theory.Liang Jianming,deputy director of traditional Chinese medicine,drawing on more than 30 years of clinical experience,believes that the root of refractory hyperthyroidism lies in the liver,and the long-term disease involves the spleen and kidney,which is inseparable from the Taiyin,Shaoyin and Jueyin.He plans to soothe the liver,warm the kidney and move the spleen in combination with the treatment of refractory hyperthyroidism.Now it has been applied in clinical practice,and has achieved good results,providing a new vision for clinical treatment for refractory hyperthyroidism.

关 键 词：疏肝温肾运脾 难治性甲亢 辨证论治 

分 类 号：R581[医药卫生—内分泌]