[1]张国玉,万会娜,郭盼盼,等.吕久省教授舌诊辨治亚临床甲状腺功能减退症经验[J].西部中医药,2022,35(01):54-56.[doi:10.12174/j.issn.2096-9600.2022.01.12]
　ZHANG Guoyu,WAN Huina,GUO Panpan,et al.Professor Lyu Jiusheng’s Experience in Differentiating and Treating Subclinical Hypothyroidism with Tongue Diagnosis[J].Western Journal of Traditional Chinese Medicine,2022,35(01):54-56.[doi:10.12174/j.issn.2096-9600.2022.01.12]
点击复制

吕久省教授舌诊辨治亚临床甲状腺功能减退症经验

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年01期
页码:
54-56
栏目:
出版日期:
2022-01-15

文章信息/Info

Title:
Professor Lyu Jiusheng’s Experience in Differentiating and Treating Subclinical Hypothyroidism with Tongue Diagnosis
作者:
张国玉1, 万会娜1, 郭盼盼1, 陈玲1, 涂玉洁1, 吕久省2, 燕树勋2,3
1.河南中医药大学，河南 郑州 450000
2.河南中医药大学第一附属医院
3.湖北陈氏中医瘿病学术流派主要传承人
Author(s):
ZHANG Guoyu1, WAN Huina1, GUO Panpan1, CHEN Ling1, TU Yujie1, LYU Jiusheng2, YAN Shuxun2,3
1.Henan University of Chinese Medicine, Zhengzhou 450000, China;
2.The First Affiliated Hospital of Henan University of CM
3.Hubei Provincial Chen’s Academic Schools of Goiter Disease
关键词:
亚临床甲状腺功能减退症; 舌诊; 名医经验; 吕久省
Keywords:
subclinical hypothyroidism; tongue diagnosis; the experience of famous doctor
分类号:
R581.2
DOI:
10.12174/j.issn.2096-9600.2022.01.12
摘要:
吕久省授根据多年经验总结出亚临床甲状腺功能减退症（简称亚临床甲减）的舌诊特点，并根据舌诊特点分为肝郁脾虚证，患者舌质暗淡，苔薄少，用逍遥散加减治疗；脾虚痰湿证，患者舌质淡，苔白腻，可伴有齿痕，用逍遥散合二陈汤加减治疗。舌诊可作为诊疗亚临床甲减的一种思路，但不可绝对化、盲目化，要四诊合参，方可知犯何逆，随证治之。
Abstract:
Professor Lyu Jiusheng summarized the characteristics of tongue diagnosis of subclinical hypothyroidism based on years of experience, according to the characteristics of tongue diagnosis, when the patients’ tongue was dull and tongue coating thin, the patients could be divided into liver depression and spleen deficiency pattern and treated by modified Xiaoyao powder; when the patients’ tongue was light, tongue coating white and greasy, accompanied by tooth marks, the patients could be divided into spleen deficiency and phlegm damp pattern and treated by modified Xiaoyao powder and Erchen decoction; tongue diagnosis could be used as an idea of diagnosing and treating subclinical hypothyroidism, but it cannot be absolute or blind, four diagnostic methods should be combined so that we can know what’s the problem and treat it according to the patterns.

相似文献/References:

[1]田琪,任健,王敏,等.中医舌诊源流考[J].西部中医药,2026,39(09):27.[doi:10.12174/j.issn.2096-9600.2026.09.07]
　TIAN Qi,REN Jian,WANG Min,et al.On the Historical Evolution of TCM Tongue Diagnosis[J].Western Journal of Traditional Chinese Medicine,2026,39(01):27.[doi:10.12174/j.issn.2096-9600.2026.09.07]
[2]肖采尹,巢国俊,杨海静,等.基于舌诊探析湿性年龄相关性黄斑变性辨证论治[J].西部中医药,2026,39(09):97.[doi:10.12174/j.issn.2096-9600.2026.09.19]
　XIAO Caiyi,CHAO Guojun,YANG Haijing,et al.Exploring the Syndrome Differentiation and Treatment of Wet Age-Related Macular Degeneration Based on Tongue Diagnosis[J].Western Journal of Traditional Chinese Medicine,2026,39(01):97.[doi:10.12174/j.issn.2096-9600.2026.09.19]
[3]邴雅珺,孙涛,丁欢阳.3例新型冠状病毒肺炎的中医治疗体会[J].西部中医药,2020,33(S1):32.
　BING Yajun,SUN Tao,DING Huanyang.TCM Therapeutic Experience for Three Cases of COVID-19[J].Western Journal of Traditional Chinese Medicine,2020,33(01):32.
[4]鲁瑶,李坤宁,朱自远,等.基于恒动观探析《伤寒舌鉴》之舌诊辨治思路[J].西部中医药,2025,38(11):156.[doi:10.12174/j.issn.2096-9600.2025.11.29]
　LU Yao,LI Kunning,ZHU Ziyuan,et al.Tongue Diagnosis and Treatment in Shanghan Shejian Based on the Concept of Perpetual Motion[J].Western Journal of Traditional Chinese Medicine,2025,38(01):156.[doi:10.12174/j.issn.2096-9600.2025.11.29]

备注/Memo

备注/Memo:
张国玉（1984—），男，在读硕士研究生。研究方向：中医药防治内分泌系统疾病。河南中医药大学科技创新团队支持计划（2016XCXTDO1）。
更新日期/Last Update: 2022-01-15