基于“痰瘀同治理论”治疗桥本甲状腺炎合并结节  

Treatment of Hashimoto’s Thyroiditis with Nodules Based on the Theory of “Simultaneous Treatment of Phlegm and Blood Stasis”

作　　者：陈朝蓬 马建[2] Zhaopeng Chen;Jian Ma(Graduate School,Heilongjiang University of Chinese Medicine,Harbin Heilongjiang;Department of Endocrinology,The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin Heilongjiang)

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一医院内分泌科,黑龙江哈尔滨

出　　处：《中医学》2024年第12期3315-3320,共6页Traditional Chinese Medicine

摘　　要：桥本甲状腺炎(Hashimoto’s Thyroiditis,HT)是临床常见的甲状腺疾病,同时易合并甲状腺结节,且目前发病机制仍不明确,治疗方法匮乏,中医药治疗为其中最有效的治疗手段之一。本病属于祖国医学中的“瘿病”范畴,痰、瘀是本病发生进展过程中重要因素。文章总结马建教授以“痰瘀同治理论”为出发点治疗HT的临床经验,深入阐述了“痰瘀同治理论体系”的内涵,探讨了痰瘀在HT发生、发展中的病理作用,以痰瘀同治为思路,运用玄夏消瘿汤治疗HT,并举验案一例,以期为临床治疗HT提供思路。Hashimoto’s thyroiditis(HT)is a common thyroid disease in clinical practice,which is prone to be accompanied by thyroid nodules.Its pathogenesis is still unclear,and treatment methods are scarce.Traditional Chinese medicine treatment is one of the most effective treatment methods.This disease belongs to the category of“goiter disease”in traditional Chinese medicine.Phlegm and blood stasis are important factors in the occurrence and progression of this disease.This article summarizes Professor Ma Jian’s clinical experience in treating HT based on the“theory of treating phlegm and blood stasis together”,deeply elaborates on the connotation of the“theory system of treating phlegm and blood stasis together”,explores the pathological role of phlegm and blood stasis in the occurrence and development of HT,and uses Xuanxia Xiaoying Decoction to treat HT with the idea of treating phlegm and blood stasis together.A case study is also conducted to provide ideas for clinical treatment of HT.

关 键 词：名医经验 痰瘀同治 桥本甲状腺炎 玄夏消瘿汤 

分 类 号：R73[医药卫生—肿瘤]