基于六经辨证分析亚急性甲状腺炎诊治经验  

Experience in Diagnosis and Treatment of Subacute Thyroiditis Based on Syndrome Differentiation of Six Meridians

作　　者：周强 张效科[1] ZHOU Qiang;ZHANG Xiaoke(Shaanxi University of traditional Chinese medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学,陕西咸阳712046

出　　处：《山东中医杂志》2020年第11期1219-1223,共5页Shandong Journal of Traditional Chinese Medicine

摘　　要：中医对亚急性甲状腺炎的诊治有独到优势,张效科教授主张四诊合参,整体审查,辨证求因,尤其多从伤寒六经着手,认为本病早中期应以太少合病为着手点,临证以和解少阳、疏风清热、解毒散结为治疗原则,常用小柴胡汤、银翘散加解毒散结药物治疗,晚期考虑本病热毒化火伤及气阴,常在上方的基础上加益气养阴、固护正气之药,临床疗效显著。Traditional Chinese medicine(TCM)diagnosis and treatment for subacute thyroiditis are of unique advantages.Professor ZHANG Xiaoke advocates the combination of four diagnostic methods,the overall examination and syndrome differentiation to determine the cause,especially from the six meridians.He holds that in the early and middle stages,this disease should be treated from the combination of Taiyang(太阳)and Shaoyang(少阳)diseases,and in clinic the treatment principle should be harmonizing Shaoyang,dispersing wind and clearing heat,removing toxin and dissolving knots.Xiaochaihu Decoction(小柴胡汤)and Yinqiao Powder(银翘散)should be applied in combination with Chinese medicinals for removing toxin and dissolving knots.In the late stage,this disease usually involves heat toxin transforming into fire to damage qi and yin,and therefore the above formulas should be added with Chinese medicines for tonifying qi and nourishing yin,consolidating and protecting healthy qi so as to achieve better effect.

关 键 词：亚急性甲状腺炎 太阳少阳合病 小柴胡汤 银翘散 解毒散结 

分 类 号：R249[医药卫生—中医临床基础]