摘要
桥本甲状腺炎是导致甲减的主要病因,桥本甲减多以甲状腺肿大、畏寒、倦怠乏力等甲状腺功能减退的症状为临床表现,属于中医学的“瘿病”范畴,中医学认为其发病主要与先天禀赋、情志、饮食、水土等因素相关。本文以郑钦安的“阳主阴从”理论为探讨的基本点,认为桥本甲减的主要病机是肾阳虚,在疾病的进展中可涉及脾阳和心阳,由此将桥本甲减分为肾阳虚证、脾肾阳虚证、心肾阳虚证以及阴阳两虚证四种证型以探析桥本甲减的辨治思路。
Hashimoto’s thyroiditis is the main cause of hypothyroidism.Hashimoto’s hypothyroidism is characterized by symptoms of hypothyroidism such as enlargement of the thyroid gland,aversion to cold,lethargy and weakness,and belongs to the category of“gall disease”in Chinese medicine.This paper takes Zheng Qin’an’s theory of“Yang dominates and Yin follows”as the basic point of discussion and suggests that the main pathogenesis of Hashimoto’s hypothyroidism is kidney-Yang deficiency,which may involve spleen-Yang and heart-Yang in the progression of the disease,thus dividing Hashimoto’s hypothyroidism into four types of symptoms,including kidney-Yang deficiency,spleen-kidney-Yang deficiency,heart-kidney-Yang deficiency and Yin-Yang both deficiency,in order to explore the ideas of identifying and treating Hashimoto’s hypothyroidism.
作者
张煜雪
谭爱华
石和元
邵迎新
ZHANG Yuxue;TAN Aihua;SHI Heyuan(Hubei University of Traditional Chinese Medicine,Wuhan Hubei 430065,China;Huanggang Hospital of Traditional Chinese Medicine Affiliated to Hubei University of Traditional Chinese Medicine,Huanggang Hubei 438000,China;Postdoctoral Mobile Station of Beijing University of Traditional Chinese Medicine,Beijing 100007,China)
出处
《四川中医》
2023年第2期32-34,共3页
Journal of Sichuan of Traditional Chinese Medicine
基金
全国第六批名老中医药专家学术经验继承工作项目(国中医药人教发[2017]29号)
湖北省卫生健康委员会2018~2019年度中医药科研项目(编号:ZY2019M003)
湖北省中医药管理局2023-2024年度中医药科研项目(编号:ZY2023M054)
关键词
阳主阴从
桥本甲状腺炎
甲减
阳虚
肾阳
Yang dominates and Yin follows
Hashimoto’s thyroiditis
Hypothyroidism
Yang deficiency
Kidney-Yang
