基于“阴平阳秘”理论探讨肠道菌群对桥本甲状腺炎的影响  

Discussion on the Influence of Gut Microbiota on Hashimoto's Thyroiditis Based on the "Relative Equilibrium of Yin-Yang" Theory

作　　者：娄文凤 胡铁琳 严泽雯 祁烁[2] 丁治国[2] LOU Wenfeng;HU Tielin;YAN Zewen;QI Shuo;DING Zhiguo(Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China;Sun Simiao Hospital of Beijing University of Chinese Medicine,Tongchuan Shaanxi 727100,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学孙思邈医院,陕西铜川727100

出　　处：《中医药导报》2025年第2期179-183,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：陕西省中医药“双链融合”中青年科研创新团队建设项目(2022-SLRH-LG-005);陕西省“秦创原”中医药创新研发转化项目(2022-QCYZH-043);铜川市甲状腺病防治中心项目(TJF-2022-18,TJF-MS-2023-01)。

摘　　要：肠道菌群失衡与桥本甲状腺炎的发生发展密切相关。中医“阴平阳秘”理论是调节机体内环境平衡的重要基础,而桥本甲状腺炎和肠道微生态的稳态失衡正是该理论的外在体现,但目前仍缺乏系统的理论阐述其科学内涵及诊治体系。本文基于“阴平阳秘”理论,探讨肠道微生态对桥本甲状腺炎的影响及其临床应用。中医针药疗法通过调节肠道菌群平衡,维持“阴平阳秘”状态能够帮助恢复机体内环境的动态平衡,并在桥本甲状腺炎的预防和治疗中发挥着重要作用。The imbalance of gut microbiota is closely related to the occurrence and development of Hashimoto's thyroiditis.The traditional Chinese medicine(TCM)theory of"relative equilibrium of Yin-Yang"is an important basis for regulating the body's internal environment balance.The imbalance of homeostasis in Hashimoto's thyroiditis and gut microbiota is precisely an external manifestation of this theory.However,there is currently a lack of a systematic theory to expound its scientific connotation and diagnosis-treatment system.Based on the theory of"relative equilibrium of Yin-Yang",this paper explores the impact of gut microbiota on Hashimoto's thyroiditis and its clinical applications.TCM acupuncture and herbal medicine therapies can help restore the dynamic balance of the body's internal environment by regulating the balance of gut microbiota and maintaining the state of"relative equilibrium of Yin-Yang",and play an important role in the prevention and treatment of Hashimoto's thyroiditis.

关 键 词：桥本甲状腺炎 阴平阳秘 肠道微生态 自身免疫性甲状腺炎 肠道菌群 动态平衡 

分 类 号：R259[医药卫生—中西医结合]