甲减论治须究三焦,温阳化湿不离气血

Treatment of hypothyroidism should be focused on the syndrome dif ferentiation of sanjiao and warming yang for eliminating dampness with perceiving qi congelation and blood stasis as its main pathogenic factors

温阳化湿贯穿于甲状腺功能减退症整个治疗过程,仔细论治须究三焦,不离气血。甲减初期,病在上中焦,气滞明显,涉及肝脾,治宜温阳疏肝;甲减中后期,病在中下焦,阳虚明显,涉及脾肾,治宜温阳利水;甲减迁延,因虚致瘀为主,涉及多脏腑,治宜温阳活血;故虽甲减难愈,以三焦气机失常为主,但整体调治,多法并举,则效如桴鼓。

Warming yang for eliminating dampness runs through the entire treatment process of hypothyroidism,whose treatment should be focused on the syndrome differentiation of sanjiao and taking qi congelation and blood stasis as its main pathogenic factors.In its early stage,the disease is located in the upper jiao and middle jiao with an obvious qi stagnation syndrome in the liver and spleen,so it should be treated by warming yang for dispersing the stagnated liver qi.While in its middle and late stages,the disease is located in the middle jiao and lower jiao with an obvious yang deficiency syndrome in the spleen and kidneys,so it should be treated by warming yang for promoting diuresis.When hypothyroidism is prolonged mainly due to qi deficiency and blood stasis in multiple zang-fu viscera,it should be treated by warming yang for promoting blood circulation.Therefore,though as an intractable disease mainly due to abnormal qi movement in sanjiao,hypothyroidism can be regulated and treated in a holistic manner and by adopting multiple methods simultaneously,achieving a remarkable curative effect.