从脾肾论治桥本甲状腺炎合并甲状腺功能减退

Treatment of Hashimoto's Thyroiditis With Hypothyroidism From The Spleen and Kidney

桥本甲状腺炎与甲状腺功能减退属于中医学"瘿病""虚劳"范畴。基于中医理论从病因病机、辨病辨证方面探讨桥本甲减与脾肾两脏的关系,提出"脾肾两虚则化气行水不能、血液运行无力"为其基本病机,病理因素离不开水湿、痰浊、瘀血,同时结合"益火补土"及"治未病"思想,进而总结出从脾肾治疗及预防桥本甲减的经验,强调临证治疗时"健脾不忘化湿祛瘀,补肾注重阴阳双调"的重要性,以期此法在临床上得到进一步的推广及应用。

According to the theory of Chinese Medicine,Hashimoto＇s Thyroiditis and Hypothyroidism are recognized in the‘simple goiter＇and‘Fatigue＇category. Based on theories of Chinese Medicine,this report analyzes the relationship between spleen-kidney and Hashimoto＇s Hypothyroidism from etiologies,pathogenesis,differentiation of symptoms and diseases respectively. The analysis indicates that the deficiency of spleen and kidney may have negative effects on the transformation of qi,the metabolism of water as well as the circulation of blood. The dampness,phlegm and blood stasis also need to be considered,which are main pathological causes of the Hypothyroidism. Meanwhile,this report summarizes different methods of treating and preventing Hashimoto＇s Hypothyroidism by combining the idea of ‘strengthening fire to benefit earth and preventing disease ahead ＇ which is the basic theory of Chinese Medicine. It also emphasizes the importance of making equal efforts on drying the dampness, strengthening the spleen, eliminating the stasis and harmonizing both yin and yang on clinical treatments. Overall,this report not only aims to promote previous experiences and methods of treating Hashimoto ＇s Thyroiditis and Hypothyroidism,but also encourages further researches on this subject.