摘要
通过李红教授治疗难治性甲状腺功能亢进病案1则,简要分析中医药治疗中的含碘药物取舍。认为难治性甲状腺功能亢进多由久病亏耗气阴、阳气不振、阴血不足、阴虚内热、虚火内生而致,而含碘量较少的植物类药物(如香附、夏枯草等)亦可使患者病情反复,且难以控制,故从不含碘中药的角度提出益气养阴的治疗原则,临床常选用太子参、北沙参、麦冬、知母等中药。
Through one case of refractory hyperthyroidism treated by Professor Li Hong,this paper briefly analyzes the choice of iodine-containing traditional Chinese herbal medicines.It is considered that refractory hyperthyroidism is mostly caused by chronic consumption of qi and yin,devitalized yang qi,yin blood insufficiency,yin deficiency with exuberant heat and internal production of deficiency fire,and botanical drugs with less iodine(such as Cyperi Rhizoma,PrunellaE Spica,etc.)can also make the patient’s condition repeated and difficult to control.Therefore,the treatment principle of replenishing qi and enriching yin is put forward from the point of view of traditional Chinese herbal medicines containing no iodine,and traditional Chinese herbal medicines such as Pseudostellariae Radix,Glehniae Radix,Ophiopogonis Radix,Anemarrhenae Rhizoma are often selected in the treatment of refractory hyperthyroidism.
作者
杨羽诚
李红
YANG Yucheng;LI Hong(Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)
出处
《上海中医药杂志》
2022年第5期26-28,32,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市科委“科技创新行动计划”项目(19140904600)
上海市科委2018年度医学引导类(中、西医)科技支撑项目(18401900800)
关键词
难治性甲状腺功能亢进
含碘中药
益气养阴
中医药疗法
refractory hyperthyroidism
iodine containing Chinese herbal medicine
replenishing qi and enriching yin
traditional Chinese medicine therapy
