张兰教授基于“阳虚三劳统于脾”理论辨治阳虚型桥本氏甲状腺炎甲减期  

Professor Zhang Lan identifies and treats the hypothyroidism of Yang deficiency-type Hashimoto's thyroiditis based on the theory of“three labors of yang deficiency in the spleen”

作　　者：陈滢冰 张兰[2] CHEN Yingbing;ZHANG Lan(Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China;The Affiliated Hospital to Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110000 [2]辽宁中医药大学附属医院,辽宁沈阳110000

出　　处：《四川中医》2025年第4期6-10,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目{国中医药人教函[2022]75号}。

摘　　要：桥本氏甲状腺炎是自身免疫性疾病,疾病进展到后期合并甲减。近年来桥本氏甲状腺炎伴甲减的患病率逐年上升,且呈年轻化趋势,中医临床分型以阳虚型最常见。张兰教授基于《理虚元鉴》中“阳虚三劳统于脾”的理论,在阳虚型桥本甲减的临床治疗中以脾为切入点,补脾温阳为主思路,临床疗效颇为显著。本文将理论与疾病相结合,阐述张兰教授对于疾病的认识与治疗思路,以期为临床治疗桥本氏甲状腺炎伴甲减提供新思路。Hashimoto's thyroiditis is an autoimmune disease that progresses to the later stage with hypothyroidism.In recent years,the prevalence of Hashimoto's thyroiditis with hypothyroidism has increased year by year,and it has shown a trend of reju-venation.The most common clinical type in traditional Chinese medicine is yang deficiency type.Based on the theory of“the three labors of yang deficiency are unified in the spleen”in the“Lixu Yuanjian”,Professor Zhang Lan takes the spleen as the starting point in the clinical treatment of yang deficiency-type hashimoto hypothyroidism,and the main idea is to strengthen the spleen and warm the yang,and the clinical effect is quite remarkable.This review combines theory and disease,and expounds Professor Zhang Lan's understanding of the disease and treatment ideas,in order to provide new ideas for the clinical treatment of Hashimoto's thyroiditis with hypothyroidism.

关 键 词：桥本氏甲状腺炎 桥本氏甲状腺炎伴甲减 补脾温阳 张兰 经验 

分 类 号：R249[医药卫生—中医临床基础] R269[医药卫生—中医学]