从肝论治甲亢与围绝经期综合征

From liver treatment of hyperthyroidism and perimenopausal syndrome

甲状腺功能亢进症(简称"甲亢")与围绝经期综合征均为内分泌系统常见病、多发病,二者在病因病机上存在共性,与肝的生理、病理联系极为紧密,症状也多有相似。在其辨证施治方面,古今医家见仁见智,缺乏统一的标准,纵观近现代相关文献,多见肝郁气滞、肝阳上亢、阴虚火旺、肝郁脾虚、肝血不足等证型,常见治法有疏肝解郁、平肝潜阳、清肝泻火、滋补肝肾、疏肝健脾、养肝宁心等,尤以从肝论治为要。各医家对从肝论治此二病颇有见解,灵活运用疏肝、清肝、平肝、养肝治之,体现了中医"异病同治"的理论,丰富了对甲亢与围绝经期综合征二者和肝脏之间的认识。

Hyperthyroidism and perimenopausal syndrome are both the common and frequently-occurring disease of the endocrine system,their etiology and pathogenesis have commonness,which closely related to the physiological and pathological changes of the liver,and their symptoms are similar. In the syndrome differentiation and treatment,ancient and modern doctors have different opinions,lack of uniform standard,throughout the modern literature,clinical syndromes covered stagnation of liver qi,hyperactivity of liver yang,fire excess from yin deficiency,stagnation of liver qi and spleen deficiency,deficiency of liver-blood,etc. the common treatments include soothing the liver depression,calming liver and suppressing yang,clearing liver and purging fire,nourishing the liver and kidney,soothing liver and invigorating spleen,nourishing the liver and heart,etc,especially from the theory of liver. Many doctors are insightful in treating hyperthyroidism and perimenopausal syndrome from the theory of liver,flexibility in the use of soothing,clearing,calming,nourishing the liver,reflect the theory of ＂same treatment to different diseases＂in Chinese medicine,and enriched the knowledge about the relationship between hyperthyroidism and perimenopausal syndrome and the liver.