清热养阴汤治疗心肝火旺气阴两虚型桥本氏病合并甲亢临床体会  

Clinical Experience of Qingre Yangyin Decoction in the Treatment of Hashimoto’s Disease Complicated with Hyperthyroidism Due to Hyperactivity of Heart and Liver Fire and Deficiency of Both Qi and Yin Type

作　　者：刘春雨 周爽 孙玉奇 王净 方颖 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨 [2]黑龙江中医药大学附属第二医院,黑龙江 哈尔滨

出　　处：《临床医学进展》2023年第7期11160-11165,共6页Advances in Clinical Medicine

摘　　要：桥本氏病合并甲亢是一种自身免疫性疾病,其女性发病率高于男性,目前西医利用免疫学、超声、穿刺活检等诊断技术对其诊断明确,但治疗效果并不显著。桥本氏病合并甲亢属中医瘿病范畴,笔者认为该病的发生主要与肝、心二脏有关,心肝火旺导致气阴两虚,从而引发本病。以清热养阴汤对症加减治疗,可有效治疗并控制该病复发。本文利用典型临床病例对治疗心肝火旺气阴两虚型桥本氏病合并甲亢经验进行探讨。Hashimoto’s thyroiditis complicated with hyperthyroidism is an autoimmune disease. The inci-dence in female is higher than that in male. At present, Western medicine uses immunology, ul-trasound, puncture biopsy and other diagnostic techniques to make a clear diagnosis, but the therapeutic effect is not significant. Hashimoto’s hyperthyroidism belongs to the category of gall disease in traditional Chinese medicine. The occurrence of Hashimoto’s hyperthyroidism is mainly related to the liver and heart, and the exuberant fire of the heart and liver leads to deficiency of both qi and yin, which leads to this disease. Symptomatic treatment with Qingre Yangyin decoction can effectively treat and control the recurrence of the disease. This paper discusses the experience in the treatment of Hashimoto’s disease complicated with hyperthyroidism with heart-liver fire and qi-yin deficiency by using typical clinical cases.

关 键 词：桥本氏甲状腺炎 甲状腺功能亢进 临床体会 

分 类 号：R58[医药卫生—内分泌]