基于"虚气留滞"论治甲状腺功能亢进症OA
Treatment of Hyperthyroidism Based on the Theory of "Deficiency-Qi Stagnation"
甲状腺功能亢进症,是一种以机体兴奋性增强及基础代谢率升高为特征的慢性疾病,其典型临床表现包括"甲状腺肿大""高代谢综合征"及"突眼症".刘怀珍教授认为"虚气留滞"可视为甲亢的核心病机,贯穿于疾病发展的始末,指出甲亢以先天禀赋不足、肝肾阴虚为本,气滞、痰凝、血瘀为外在表现,治以扶正固本,散结通滞为核心,创新性地拟出柴芍二至方,补先天之阴以养肝肾,辅以理气化痰、散结消瘿之中药,标本兼治,形神共调,以达阴平阳秘之平衡.
Hyperthyroidism is a chronic condition characterized by increased bodily excitability and elevated basal metabolic rate.Its typical clinical manifestations include "goiter""hypermetabolic syndrome"and "exophthalmos".Professor LIU Hua-izhen posits that "deficiency and qi stagnation"can be considered the core pathogenesis of hyperthyroidism,persisting throughout the disease's progression.He notes that hyperthyroidism is fundamentally rooted in congenital insufficiency and yin deficiency of the liver and kidney,with qi stagnation,phlegm coagulation,and blood stasis as its external manifestations.The treatment focu-ses on reinforcing the body's resistance and consolidating its foundation,with an emphasis on resolving stagnation and dispersing nodules.Innovatively,Professor LIU formulated the Chai Shao Er Zhi prescription to nourish the congenital yin and support the liver and kidney,complemented by traditional Chinese medicines that regulate qi,resolve phlegm,disperse nodules,and elimi-nate goiter.This approach addresses both the symptoms and the root causes,harmonizing the physical and spiritual aspects to a-chieve a balance of yin and yang.
胡海英;李居一;刘怀珍;李美美;王郡华
安徽中医药大学第一临床医学院,安徽 合肥 230031安徽中医药大学第一临床医学院,安徽 合肥 230031安徽中医药大学第一临床医学院,安徽 合肥 230031安徽中医药大学第一临床医学院,安徽 合肥 230031安徽中医药大学第一临床医学院,安徽 合肥 230031
医药卫生
甲状腺功能亢进症虚气留滞肝虚痰瘀柴芍二至方
HyperthyroidismDeficiency-Qi StagnationLiver deficiency with phlegm and blood stasisChai Shao Er Zhi Formula
《实用中医内科杂志》 2026 (4)
12-15,4
国家自然科学基金项目(82274468)安徽省高校科学研究项目-重大项目(2023AH040103)安徽中医药大学临床科研项目(2021yfylc49)青年骨干教师境外访学研修资助项目(JWFX2024014)
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