基于形气神理论探讨桥本甲状腺炎的发病机制及治疗思路  

Discussion on Pathogenesis and Treatment Strategies of Hashimoto's Thyroiditis Based on Body-Qi-Spirit Theory

作　　者：赵一涵 林碧蓝 刘莹 姚南珍 任一帆 常如春 林旋[1] ZHAO Yihan;LIN Bilan;LIU Ying;YAO Nanzhen;REN Yifan;CHANG Ruchun;LIN Xuan(The Eighth Clinical Medical School,Guangzhou University of Chinese Medicine,Foshan Guangdong 528000,China;Foshan Gaoming District Traditional Chinese Medicine Hospital,Foshan Guangdong 528500,China;Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528000,China)

机构地区：[1]广州中医药大学第八临床医学院,广东佛山528000 [2]佛山市高明区中医院,广东佛山528500 [3]佛山市中医院,广东佛山528000

出　　处：《新中医》2025年第7期188-192,共5页New Chinese Medicine

基　　金：佛山市自筹经费类科技创新项目(2320001007322)。

摘　　要：桥本甲状腺炎是一种以自身甲状腺组织为抗原的慢性、自身免疫性、无菌性炎症疾病。形气神与桥本甲状腺炎的病因病机有密切联系,精神情志是桥本甲状腺炎的关键致病因素,肝郁气滞是发病的根本因素,气、血、痰互结是疾病发展的关键因素,最终会出现甲状腺大小、质地等形态上的改变。治疗桥本甲状腺炎应兼顾理气、安神、治形,理气应重视肝的气机疏泄,安神当注重心与肝的调养,治形需内外同治祛瘀化痰消瘿。文章试从形气神三位一体生命观与桥本甲状腺炎的联系及临床辨治展开探讨,以期为临床诊疗提供新思路。Hashimoto's thyroiditis is a chronic,autoimmune,non-infectious inflammatory disease that targets the thyroid gland as an antigen.The body-qi-spirit is closely related to the etiology and pathogenesis of Hashimoto's thyroiditis.Emotional factors are key pathogenic factors in Hashimoto's thyroiditis,liver constraint and qi stagnation is the fundamental cause of the disease,and the binding of qi,blood,and phlegm is a critical factor in disease progression,ultimately leading to morphological changes in the thyroid such as size and texture.The treatment of Hashimoto's thyroiditis should focus on regulating qi,calming the mind,and treating the body.Regulating qi should emphasize the liver's function of governing the free flow of qi;calming the mind should focus on the nourishment of the heart and liver;treating the body requires both internal and external therapies to remove blood stasis,dissolve phlegm,and disperse goiter.This article explores the connection between the trinity of body-qi-spirit and Hashimoto's thyroiditis and its clinical diagnosis and treatment,aiming to provide new insights for clinical practice.

关 键 词：形气神 桥本甲状腺炎 病机 治疗思路 

分 类 号：R249[医药卫生—中医临床基础]