桥本氏甲状腺炎中医证候及辨证用药分析

Traditional Chinese Medicine Research on Syndromes and Dialectical Medication of Hashimoto's Thyroiditis

目的通过文献整理和归纳,总结桥本氏甲状腺炎的中医证候分布特点及辨证用药规律。方法检索近10年中国知网期刊论文数据库,筛选有关桥本氏甲状腺炎的中医证候及中药用药方面的相关文献77篇,对证型、中医药治则及中药使用频率进行整理,采用SPSS19.0统计软件进行统计分析。结果涉及证候17个,其中脾肾阳虚型23.81%、气滞痰凝12.38%、气阴两虚12.38%,为常见证候,占48.57%;证候组成要素8个,实证占61.35%,虚证38.65%;用药方面共涉及中药143味,总频次1906,频率前八位依次为夏枯草4.51%、柴胡4.09%、茯苓3.88%、白芍3.62%、黄芪3.41%、当归3.10%、甘草3.10%、丹参3.04%。结论桥本氏甲状腺炎的中医证型以脾肾阳虚、气滞痰凝为主,多表现为实证,治疗以活血化瘀化痰理气类中药为主。

Objective Through literature review and conclusion,summarize the distribution of TCM syndromes and the rule of dialectical medication of Hashimoto＇s thyroiditis. Methods Through retrieval recently ten years CNKI database and Master database,screening 77 pieces of literature related to Hashimoto＇s thyroiditis in TCM syndromes and dialectical medication,finishing therapeutic principle of TCM and traditional Chinese medicine using frequency,the statistical analysis was carried out by using of SPSS19. 0. Results Involving 17 syndromes,among them asdthenic splenonephro- yang 23. 81%,stagnant qi and phlegm cohere 12. 38%,deficiency of both vital energy and yin 12. 38% are common syndromes,accounted for 48. 57%; Eight syndrome elements,sthenic syndrome 61. 35%,asthenic syndrome 38. 65%; Involving 143 kinds Chinese Medicine,Total frequency 1906,the order of the first eight of the frequency,Prunella vulgaris L4. 51% 、Bupleurum chinense DC 4. 09% 、Poria cocos 3. 88% 、Paeonia lactiflora Pall 3. 62% 、Astragalus membranaceus3. 41% 、Angelica sinensis 3. 10% 、Glycyrrhiza uralensis 3. 10% 、Salvia miltiorrhiza 3. 04%. Conclusion The main TCM syndromes of Hashimoto＇s thyroiditis are asdthenic splenonephro- yang,stagnant qi and phlegm cohere,multi performance sthenic syndrome. Therapeutically,we mainly used promoting blood circulation to remove blood stasis and regulating qi- flowing for eliminating phlegm herbs.