向楠从毒辨治甲状腺功能亢进症经验  

Experience of XIANG Nan in differentiating and treating hyperthyroidism from toxicity

作　　者：鲁志林 陈继东[1] 曾明星[1] 张海洋 周广文[1] 向楠(指导)[1] LU Zhilin;CHEN Jidong;ZENG Mingxing;ZHANG Haiyang;ZHOU Guangwen;XIANG Nan(Hubei University of Chinese Medicine,Wuhan 430065,China)

机构地区：[1]湖北中医药大学,武汉430065

出　　处：《中华中医药杂志》2024年第10期5302-5305,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖北中医名师向楠工作室建设项目(No.鄂卫生计生通报[2018]15号)。

摘　　要：甲状腺功能亢进症是临床常见的内分泌疾病,属中医学“瘿病”的范畴。向楠教授在多年的临床诊疗过程中发现,甲亢患者多存在不同程度的“毒邪”表现,遂立足毒邪学说,提出从毒论治甲状腺功能亢进症。向教授认为毒邪是甲亢发病的重要环节,并贯穿于甲亢病程的始终,火毒、痰毒、瘀毒交阻是甲亢病机的核心。在治疗方面,针对毒邪引起的不同的临床表现采取不同的治法,或清热泻火解毒,或祛痰化瘀解毒,或益气养阴解毒,或滋阴降火解毒,谨守病机,辨证用药,使毒邪得解,正气来复,邪去正安,阴阳平衡,临床疗效显著。Hyperthyroidism is a common endocrine disease,which belongs to‘gall disease’in Chinese medicine.In the course of many years of clinical diagnosis and treatment,professor XIANG Nan found that patients with hyperthyroidism often exhibit varying degrees of‘toxin’manifestations.Based on the theory of toxin,she proposed to treat hyperthyroidism from toxin.Professor XIANG Nan believes that toxin is an important part of the pathogenesis of hyperthyroidism and is present throughout the course of the disease.The interaction of fire toxin,phlegm toxin and blood stasis toxin is the core of the pathogenesis of hyperthyroidism.In terms of treatment,different therapies are adopted according to the different clinical manifestations caused by toxin,such as clearing heat and purging fire to detoxify,eliminating phlegm and removing blood stasis to detoxify,benefiting qi and nourishing yin to detoxify,or nourishing yin and depressing fire to detoxify,observing the pathogenesis,using drugs based on syndrome differentiation,so that the toxin can be removed,the vital qi can be restored,and the yin and yang can be balanced,resulting in remarkable clinical effect.

关 键 词：甲状腺功能亢进症 瘿病 毒邪 临证经验 向楠 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]