汪悦教授从肝脾论治桥本甲状腺炎思路探析

Professor WANG Yue Analyzed the Idea of Treating HT from Liver and Spleen

[目的]总结和探讨汪悦教授运用中医药治疗桥本甲状腺炎(Hashimoto's thyroiditis,HT)的独特方法。[方法]在近年跟师抄方的过程中,细观汪师审症求因、辨证论治、斟酌用药,从病因病机、辨证论治及临症加减等方面对汪悦教授治疗HT的经验进行分析总结,归纳出汪悦教授针对HT的形成、发展及治疗的一些经验。[结果]汪悦教授从肝脾论治HT,通过区分病因病机,详参临床表现,早期疏肝清肝理脾,后期养肝柔肝健脾,配合化痰祛瘀、益气养阴等法,辨证施治,取效良多。现代药理学实验亦证实部分中药治疗HT的机制,为中医药治疗HT提供了进一步的支撑。[结论]汪悦教授从肝脾论治HT,虚实兼顾、标本同求,不仅突出其中医特色,亦结合现代药理研究成果,重视具有免疫调节作用中药的配伍使用,中西合璧,病症结合,疗效显著,值得推广。

[Purpose]To summarize and discuss Professor WANG Yue＇s unique methods of using traditional Chinese medicine to treat HT.[Methed]In the process of diagnosing and treating HT with Prof.WANG in recent years, observing the method of seeking pathogenesis,treating with syndrome differentiation and selecting preferable medicine carefully, summarising Prof.WANG ＇s viewpoints about HT in the aspects of pathogenesis, treatment and medicine, to conclude Prof.Wang＇s some experience on HT. [Results]Prof. WANG treats HT from the liver and spleen. On the one hand, Prof. WANG distinguishes the etiology and pathogenesis,on the other hand he observes the clinical manifestations.In the early stage,he smoothes and refreshes the liver or regulates the spleen with drugs,then nourishes and relaxes the liver or strengthens the spleen medicinally, together with the method of dissipating phlegm and removing blood stasis, tonifying qi and yin,embodying the law of pattern identification and treatment administration to treat the illness,which have made great effects.Modern pharmacology experiments have also confirmed the mechanism of some Chinese medicine in treating HT, providing further supports for the treatment of HT in Chinese medicine.[Conclusion] Prof. WANG treats HT from the liver and spleen and combines the actual and visual conditions together. He not only signifies the feature of traditional Chinese medicine,but also combines with modern pharmacology achievements about the Chinese medicine which has the effect of regulating immune.Prof. Wang follows the principle of integrating Chinese and western medicine,considerating both the illness itself and patients＇ symptoms to treat HT which is remarkable and worthy of promotion.