名中医李中南辨证治疗桥本甲状腺炎经验撷菁OA
Essence of professor LI Zhongnan's experience in treating hashimoto's thyroiditis with dialectical theory
桥本甲状腺炎(HT)是临床上常见的甲状腺疾病,该病后期多半会转归为甲状腺功能减退症,早期干预可有效控制颈部粗大,降低甲状腺抗体指标,改善患者生活质量.本文总结李中南主任辨证治疗桥本甲状腺炎的经验.针对本病,李中南主任抓住核心病机,认为其发病与气虚,肝、脾、肾失调密切相关;气虚、痰凝、血瘀是其重要病理因素.李师重视中医药辨证论治,将此病分为肝郁脾虚型、气虚痰阻型、痰瘀互结型、脾肾阳虚四型,临床上辨病与辨证相结合,疗效显著.
Hashimoto's thyroiditis(HT)is a relatively common thyroid disease in clinical practice,and most of the late stages of the disease will naturally regress to hypothyroidism,and early intervention can effectively control neck enlargement and improve the quality of life of patients.This article summarises the experience of Director LI Zhongnan in treating Hashimoto's thyroiditis.To address this disease,Director LI Zhongnan captured the core patho-genesis,arguing that most of its sufferers have yang-qi deficiency,and that the morbidity is closely related to the liv-er,spleen,and kidneys,and that qi deficiency,qi stagnation,phlegm condensation,and blood stasis are important pathological factors.Stressing on the identification and treatment of Chinese medicine,LI classified the disease into four types:liver-depression and spleen-deficiency type,qi deficiency and phlegm obstruction type,phlegm and blood stasis type,and spleen and kidney yang deficiency,and the combination of clinical diagnosis of the disease and identifi-cation of the disease resulted in remarkable therapeutic effects.
夏延;汪四海;李中南;桂依萍;张秉芳;朱靖珂
安徽中医药大学,安徽 合肥 230031安徽中医药大学第一附属医院,安徽 合肥 230031||新安医学教育部重点实验室,安徽 合肥 230038||安徽省中医药科学院中医药防治糖尿病研究所,安徽 合肥 230031安徽中医药大学第一附属医院,安徽 合肥 230031安徽中医药大学,安徽 合肥 230031安徽中医药大学,安徽 合肥 230031安徽中医药大学,安徽 合肥 230031
医药卫生
李中南桥本甲状腺炎辨证分型治疗经验阴阳调和标本同治
LI ZhongnanHashimoto thyroiditisSyndrome differentiationTreatment experienceHarmony of yin and yangTreating both the root and branch
《陕西中医》 2026 (3)
388-391,4
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