[1]付金香,祁烁,陈晓珩,等.丁治国教授治疗桥本氏甲状腺炎经验撷萃[J].西部中医药,2022,35(01):47-50.[doi:10.12174/j.issn.2096-9600.2022.01.10]
　FU Jinxiang,QI Shuo,CHEN Xiaoheng,et al.Professor Ding Zhiguo’s Experience in Treating Hashimoto’s Thyroiditis[J].Western Journal of Traditional Chinese Medicine,2022,35(01):47-50.[doi:10.12174/j.issn.2096-9600.2022.01.10]
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丁治国教授治疗桥本氏甲状腺炎经验撷萃
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年01期
页码:
47-50
栏目:
出版日期:
2022-01-15

文章信息/Info

Title:
Professor Ding Zhiguo’s Experience in Treating Hashimoto’s Thyroiditis
作者:
付金香1, 祁烁2, 陈晓珩2, 李哲2, 李会龙2, 黄盛1, 张磊1, 丁治国2
1.北京中医药大学，北京 100029
2.北京中医药大学东直门医院
Author(s):
FU Jinxiang1, QI Shuo2, CHEN Xiaoheng2, LI Zhe2, LI Huilong2, HUANG Sheng1, ZHANG Lei1, DING Zhiguo2
1.Beijing University of Chinese Medicine, Beijing 100029, China
2.Dongzhimen Hospital of Beijing University of Chinese Medicine
关键词:
桥本氏甲状腺炎; 瘿病; 中医药; 经验; 丁治国
Keywords:
Hashimoto’s thyroiditis; goiter; TCM; experience
分类号:
R269
DOI:
10.12174/j.issn.2096-9600.2022.01.10
摘要:
通过1则验案介绍丁治国教授治疗桥本氏甲状腺炎（Hashimoto’s thyroiditis，HT）的经验，丁治国教授创新性提出了“靥本相应”理论，即瘿病的发生与身体之本（机体内环境）功能失调密切相关，同时受自然因素的影响，并提出“窗口期”概念；丁教授将HT分为肝郁气滞证、阴虚内热证、肝郁脾虚证、脾肾阳虚证4型，以疏肝理气、滋阴清热、疏肝健脾、温补脾肾为基本治疗大法，同时重视清热解毒、逐瘀利湿、通利二便；将患者颈部局部辨证分为气滞血瘀型、气壅痰阻型、热毒炽盛型、痰瘀互结型；首创理气祛瘀消瘿膏、理气化痰消瘿膏、清热解毒消瘿膏、化痰祛瘀消瘿膏等外用中药膏膜，为中医药治疗HT提供了新思路。
Abstract:
Professor Ding Zhiguo’s experience in treating HT was summarized in an effective case, he creatively raised the theory of “dimple corresponding”, that is, the occurrence of goiter is closely related to the dysfunction of the foundation of the body (internal environment), simultaneously affected by the natural factors, and proposed the concept of “window period”; professor Ding divides HT into liver depression and Qi stagnation pattern, Yin deficiency and internal heat pattern, liver depression and spleen deficiency pattern, yang deficiency pattern of spleen and kidney, he adopts soothing liver and regulating Qi, nourishing yin and clearing heat, soothing liver and invigorating spleen, warming and tonifying spleen and kidney as basic therapeutic methods, simultaneously, he stresses clearing heat and detoxifying, dispelling stasis and eliminating dampness, freeing urine and relieving the bowels; the neck of the patients were locally differentiated into Qi stagnation and blood stasis pattern, Qi and phlegm obstruction pattern, excessive heat toxin pattern, phlegm and stasis binding together pattern; he initiates external ointments of TCM including Qi-regulating stasis-removing goiter-eliminating ointment, Qi-regulating phlegm-resolving goiter-eliminating ointment, heat-clearing detoxifying goiter-eliminating ointment, phlegm-resolving stasis-removing goiter-eliminating ointment, which could provide new thinking for TCM therapy in treating HT.

相似文献/References:

[1]包益洁,殷佩浩△.桥本氏甲状腺炎的中医研究概况[J].西部中医药,2014,27(10):167.
[2]陈岳祺,范源,阮凌玉,等.桥本氏甲状腺炎中医体质分布特征与甲状腺激素相关性研究[J].西部中医药,2020,33(02):66.[doi:10.12174/j.issn.1004-6852.2020.02.18]
　CHEN Yueqi,FAN Yuan,RUAN Lingyu,et al.A Study on the Correlation Between TCM Constitution Distribution Characteristics of Hashimoto′s Thyroiditis and Thyroid Hormone[J].Western Journal of Traditional Chinese Medicine,2020,33(01):66.[doi:10.12174/j.issn.1004-6852.2020.02.18]
[3]陆瑶瑶,钱玥,陈德轩,等.中医辨治桥本甲状腺炎研究进展[J].西部中医药,2023,36(01):153.[doi:10.12174/j.issn.2096-9600.2023.01.36]
　LU Yaoyao,QIAN Yue,CHEN Dexuan,et al.Research Progress of TCM Differentiation and Treatment of Hashimoto's Thyroiditis[J].Western Journal of Traditional Chinese Medicine,2023,36(01):153.[doi:10.12174/j.issn.2096-9600.2023.01.36]
[4]王欢,何其函,李思思,等.从脾论治桥本甲状腺炎[J].西部中医药,2023,36(08):45.[doi:10.12174/j.issn.2096-9600.2023.08.12]
　WANG Huan,HE Qihan,LI Sisi,et al.Treatment of Hashimoto′s Thyroiditis from Spleen[J].Western Journal of Traditional Chinese Medicine,2023,36(01):45.[doi:10.12174/j.issn.2096-9600.2023.08.12]

备注/Memo

备注/Memo:
付金香（1993—），女，硕士学位，医师。研究方向：甲状腺病学。国家自然科学基金面上项目（81673792）；北京市中医管理局北京中医药“薪火传承3+3工程”建设项目（2016-SZ-C-61）。
更新日期/Last Update: 2022-01-15