高天舒从维生素D代谢论述自身免疫性甲状腺炎“脾失之卫”  

GAO Tianshu Discusses Autoimmune Thyroiditis"Spleen Loss of Guard"from the Perspective of Vitamin D Metabolism

作　　者：吴琼[1] 高天舒[2] WU Qiong;GAO Tianshu(Liaoning University of Traditional Chinese Medicine,Liaoning Shenyang 110847,China;The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Shenyang 110032,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中医药临床杂志》2022年第9期1648-1651,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：辽宁省名中医传承工作室建设项目(2022-1);沈阳市临床医学研究中心项目(沈科发[2018]75号)。

摘　　要：“脾为之卫”理论强调了脾在护卫机体、防御病邪中的重要作用,“脾失之卫”则致痰凝血瘀凝结于颈前而发为自身免疫性甲状腺炎,其发病机制与维生素D(Vitamin D,VD)亦存在关联性,维生素D水平降低有可能影响自身免疫性甲状腺炎患者的治疗及预后。高天舒教授率先将“脾为之卫”应用于自身免疫性甲状腺炎的治疗上,该文旨在总结导师从维生素D代谢角度治疗自身免疫性甲状腺炎“脾失之卫”的经验,期为临床治疗提供新思路。The theory of“the spleen serves as a guard”emphasizes the important role of the spleen in protecting the body and defending against pathogens,while“the spleen loses its guard”,which causes autoimmune thyroiditis due to coagulation of phlegm and blood stasis in the front of the neck,and its pathogenesis There is also a correlation with vitamin D(Vitamin D,VD),and the reduction of vitamin D levels may affect the treatment and prognosis of patients with autoimmune thyroiditis.Professor GAO Tianshu took the lead in applying“spleen to protect”in the treatment of autoimmune thyroiditis.The purpose of this article is to summarize the tutor's experience in treating autoimmune thyroiditis“spleen-defense”from the perspective of vitamin D metabolism.Treatment offers new ideas.

关 键 词：自身免疫性甲状腺炎 脾失之卫 维生素D 

分 类 号：R259[医药卫生—中西医结合]