丁治国教授基于“木郁达之”理论论治甲状腺功能亢进症的经验总结

Professor Ding Zhiguo’s experience in treating hyperthyroidism based on the theory of“facilitating the stagnant wood”

甲状腺功能亢进症是常见的内分泌代谢性疾病,属于中医“瘿病”范畴。目前西医将131I、抗甲状腺药物、手术切除等作为治疗甲状腺功能亢进症的主要方法,但伴随潜在的严重副作用及复发或持续甲状腺功能亢进的风险,往往成为限制本病治疗效果的重要因素。丁治国教授基于中国传统医学的基本特点“整体观念,辨证论治”,提出“靥本相应”理论,认为甲状腺功能亢进发病的原因与情志密切相关,肝郁气滞是导致本病发生、发展的重要原因。从肝出发,“木郁达之”,疏肝,清肝,平肝,养肝,保持气机通畅,以求“达之”。

Hyperthyroidism is a common endocrine and metabolic disease,which belongs to the category of“goiter disease”in traditional Chinese medicine.Western medicine currently uses 131I,antithyroid drugs,surgical resection,etc.as the main methods of treatment for hyperthyroidism,but with potential serious side effects and the risk of recurrence or persistent hyperthyroidism,which often become the important factors to limit the therapeutic effect of this disease.Based on the traditional Chinese medicine characteristics of“holistic concept,differentiation and treatment based on syndrome differentiation”,Professor Ding Zhiguo proposes the theory of“Yeben Xiangying”.He believes that the cause of hyperthyroidism is closely related to mood,and liver depression and qi stagnation are the important reasons for the occurrence and development of this disease.Starting from the liver,“facilitating the stagnant wood”,soothing the liver,clearing the liver,calming the liver,nourishing the liver,maintaining the smooth of qi movement,in order to“achieve it”.