高健生治疗甲状腺相关眼病临床经验  

GAO Jiansheng's clinical experience in treatment of thyroid-related eye diseases

作　　者：高明雪 马若楠 严京[1] 吴正正[1] 接传红[1] 高健生[1] GAO Mingxue;MA Ruonan;YAN Jing;WU Zhengzheng;JIE Chuanhong;GAO Jiansheng(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2023年第5期451-454,共4页China Journal of Chinese Ophthalmology

基　　金：中国中医科学院育苗基金培育专项(ZZ11-087)。

摘　　要：甲状腺相关眼病(TAO)是常见的致盲性成人眼眶疾病,可明显改变患者容貌,甚至引起暴露性角膜溃疡、继发性青光眼、视神经损害等严重后果。目前,西医治疗以糖皮质激素、免疫抑制剂、放射、手术治疗为主,疗效欠佳且不良反应多。中医治疗具有独特优势,疗效显著。高健生总结多年临床经验,认为情志因素是诱发本病的首要原因,病变脏腑与肝、脾、肾密切相关,将本病分为肝郁脾虚、痰瘀互结证和脾肾阳虚、痰瘀毒结证,治疗上主张标本同治,寒热并用,注重“温阳通络开郁”法的运用,常用温阳、通络、清热、引经上行中药及活血化瘀中药药对治疗本病。Thyroid associated ophthalmopathy(TAO)is a common blinding adult orbital disease,which can significantly change the appearance of patients,and even cause serious consequences such as exposure corneal ulcers,secondary glaucoma,and optic nerve damage.At present,modern medicine treatment is mainly based on hormones,immunosuppressants,radiation and surgery,with poor efficacy and many adverse reactions.Traditional Chinese Medicine(TCM)has unique advantages and remarkable curative effect.GAO Jiansheng sums up many years of clinical experience and believes that emotional factors are the primary cause of this disease.The diseased viscera is closely related to the liver,spleen and kidney.This disease is divided into liver stagnation and spleen deficiency,phlegm and blood stasis syndrome and spleen-kidney Yang deficiency,phlegm stasis toxin syndrome.In the treatment,it is advocated to treat both the tip and the root,use combined therapy of cold and hot,and pay attention to"warming Yang and dredging collaterals".Commonly,medicinal with effects as warming Yang,dredging collaterals,clearing heat,ascending-ushering,as well as promoting blood circulation and removing blood stasis paired medicinal are used to treat this disease.

关 键 词：甲状腺相关眼病 名家经验 高健生 诊疗经验 

分 类 号：R276.7[医药卫生—中医五官科学]