许芝银应用温阳法辨治瘿病后期经验  

XU Zhiyin′s Clinical Experience in Treating Late Stage of Goiter by Warming Yang Based on Syndrome Differentiation

作　　者：赵浩然 许芝银 马朝群 ZHAO Haoran;XU Zhiyin;MA Chaoqun(The First Clinical Medical College of Nanjing University of Chinese Medicine,Nanjing 210010,China;Department of General Surgery,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210010,China)

机构地区：[1]南京中医药大学第一临床医学院,南京210010 [2]南京中医药大学附属医院普外科,南京210010

出　　处：《世界中医药》2024年第8期1153-1158,共6页World Chinese Medicine

基　　金：全国名老中医专家许芝银传承工作室建设项目(国中医药办人教函[2017]125号)。

摘　　要：全国名老中医药专家许芝银教授对于瘿病诊疗经验丰富,认为甲状腺功能减退、亚急性甲状腺炎、桥本甲状腺炎、甲状腺肿瘤术后等瘿病在临床进展到后期均出现甲状腺激素分泌不足或缺乏,常进一步累及肝、脾、肾等脏腑,均有阳虚证候。强调在辨治基础上审证求机,灵活应用温阳法,温阳以行气、消痰、祛瘀、利水、散结、益气养阴。突出脏腑辨证、兼顾整体与局部统一,且灵活应用药对,颇具特色,疗效显著,更好地诠释“异病同治”思想。Professor XU Zhiyin,a famous TCM expert in China,has accumulated rich experience in the diagnosis and treatment of goiter.He believes that goiter diseases such as hypothyroidism,subacute thyroiditis,Hashimoto′s thyroiditis,and thyroid tumor all have insufficient or lack of thyroid hormone secretion at the late stage of disease development,which often further involves the liver,spleen,kidney and other zang-fu organs.The patients all present the syndrome of yang deficiency.Therefore,he emphasizes that the method of warming yang should be adopted flexibly to move qi,eliminate phlegm,resolve stasis,drain water,dissipate mass,replenish qi,and nourish yin.He highlights the syndrome differentiation of zang-fu organs,consideration of both the whole and the local parts,and flexible application of medicine pairs,which is quite characteristic and demonstrates significant therapeutic effect,reflecting the thought of treating different diseases with same method.

关 键 词：瘿病后期 温阳法 辨证论治 名老中医 @许芝银 经验 异病同治 验案 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]