从脾论治甲状腺功能减退症探讨

Discussion on treating hypothyroidism from spleen

脾为后天之本,气血生化之源,滋养全身各器官脏腑。中医学认为,甲状腺功能减退症的发病主要为阳气亏虚,脏腑气血生化不足所致,以虚为主,阳虚常见。因虚所致气滞、痰饮、血瘀等病理产物,形成虚实夹杂的病症。其病变部位主要累及脾、肾二脏,亦可累及心。治疗应以补脾阳为主,使五脏六腑得以充养,气血津液得以充盛,从而缓解甲减症状。

The spleen is the foundation of acquired constitution,the source of generating of qi and blood. It nourishes various organs and ZANG FU-organ in whole body. Traditional Chinese medicine believes that the main etiology and pathogenesis of hypothyroidism are due to yang-qi deficiency and poor generating of qi and blood of ZANG FU-organ. In the general,the deficiency is main,yang deficiency is common. The pathological products of qi-stagnation,phlegm-fluid retention and blood stasis etc. due to deficiency form the disease-symptoms of mingling of deficient and excessive syndromes. The sites of their lesions involve mainly two ZANG FU-organ of spleen and kidney,also heart. The treatment should rely mainly on invigorating spleen-yang,so as to replenish five ZANG-organ and six FU-organ and flourish qi-blood-liquid-fluid.