陈霞波从舌辨治甲状腺功能亢进症经验介绍

Experience Introduction of CHEN Xiabo in Treating Hyperthyroidism from Tongue Syndrome Differentiation

介绍陈霞波从舌辨治甲状腺功能亢进症的经验。陈霞波认为甲状腺功能亢进症的病机关键为肝失疏泄。舌体分属五脏,舌边对应肝胆,观舌析病,从舌辨治甲状腺功能亢进症可起执简驭繁的作用。主要有4种证型,各有其特征:肝气郁滞,常见舌偏暗,苔薄白;气郁化火,常见舌红,苔黄;阴虚阳亢,常见舌红绛,苔少或无苔;气阴两虚,或兼痰瘀,常见舌质暗红或紫暗,舌边齿痕或有瘀斑,舌下脉络蓝紫,苔少或苔腻。陈霞波指出,该病见症庞杂,以舌辨证,四诊合参,判断病情虚实变化,及时调整用药,可有效缩短病程。

This paper introduces the experience of Chen Xiabo in treating hyperthyroidism from tongue syndrome differentiation.Chen believes that the key pathogenesis of the disease is the failure of the liver governing the free flow of qi.The tongue belongs to the five zang organs,and the tongue side corresponds to the liver and gallbladder,so analyzing the disease from observing the tongue and treating hyperthyroidism from the tongue syndrome differentiation can play an important role.There are four types of syndromes of tongues,each with its own characteristics.The syndrome of constraint and stagnation of liver qi reflects in a dark tongue with thin and white coating;the syndrome of qi constraint transforming into fire reflects in a red tongue with yellow coating;the syndrome of yin deficiency with yang hyperactivity reflects in a red tongue with little coating or without coating;and the syndrome of deficiency of both qi and yin or combined with phlegm and stasis reflects in a dark red or dark purplish tongue with little coating or greasy coating whose sides have teeth marks or bruises and whose beneath collaterals are bluish violet.Chen points out that the syndromes of hyperthyroidism is numerous and complicated,and the course of it can be effectively shortened by differentiating the tongue syndromes and referring to four diagnosis methods to judge the changes of the condition and adjusting the medication in time.