基于精明失养辨治桥本甲状腺炎  

Diagnosis and Treatment of Hashimoto's Thyroiditis Based on Loss of Nourishment in Bright Essence

作　　者：包文辉 张曾譻[2] BAO Wenhui;ZHANG Zengying(Tianjin University of Traditional Chinese Medicine,Tianjin,301617;Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital)

机构地区：[1]天津中医药大学,天津市301617 [2]天津市中医药研究院附属医院

出　　处：《中医杂志》2024年第13期1399-1402,共4页Journal of Traditional Chinese Medicine

摘　　要：总结基于精明失养辨治桥本甲状腺炎的临证经验。认为桥本甲状腺炎的关键病机为七情所伤、精明失养,提出以健脑宁心为治疗总则。针对桥本甲状腺炎合并甲状腺功能减退,选用自拟方甲安合剂加减,以健脑宁心、柔肝滋肾;桥本甲状腺炎合并甲状腺功能亢进,选用自拟方心脑康加减,以健脑宁心、益气活血通络;桥本甲状腺炎合并甲状腺结节,选用自拟方消癖舒加减,以益气养阴、活血散结。To summarize the clinical experience of the diagnosis and treatment of Hashimoto's thyroiditis based on the theory of"loss of nourishment in bright essence".It is believed that damages of the seven emotions and loss of nourishment in bright essence are the root cause of Hashimoto's thyroiditis,so the overall therapeutic prin⁃ciple was proposed as fortifying brain and tranquillizing mind.For patients with Hashimoto's thyroiditis combined with hypothyroidism,the self-prescribed Jiaan Mixture Formula(甲安合剂)with modification is used to fortify brain and tranquillize mind,emolliate the liver and nourish the kidneys;for patients with Hashimoto's thyroiditis combined with hyperthyroidism,the self-prescribed Xinnao Kang Formula(心脑康)with modification is used to fortify brain and tranquillize mind,boost qi,invigorate blood,and unblock the collaterals;and for patients with Hashimoto's thy⁃roiditis combined with nodularity,the self-prescribed Xiaopi Shu Formula(消癖舒)with modification is used to boost qi and nourish yin,and invigorate blood and dissipate masses.

关 键 词：桥本甲状腺炎 瘿病 精明失养 健脑宁心 

分 类 号：R259[医药卫生—中西医结合]