吴深涛教授用上焦宣痹汤化裁治疗甲状腺疾病咽部不适经验探析

Exploration of Professor WU Shentao’s experience in treating pharyngeal discomfort of thyroid diseases with Shangjiao Xuanbi Decoction

甲状腺类疾病的患者常有咽部噎堵、颈前胀闷等症状,吴深涛教授认为甲状腺疾病患者咽部不适一症多源于气机失于宣降,气滞湿阻热郁,化生内毒并相互胶结。内毒不仅耗气损络,亦可束缚正气,使气机失于宣畅,湿郁毒结则气滞更甚,故而该症迁延难愈。吴教授使用解毒利咽、宣气化湿之法,取上焦宣痹汤化裁,以射干解毒利咽散结、郁金疏肝解郁,根据辨证配伍柴胡、黄芩、玄参、麦冬、牛蒡子等药物,往往取效。

Patients with thyroid diseases often have symptoms such as choking in the pharynx and flatulence in front of the neck.Professor WU Shentao believes that the pharyngeal discomfort of patients with thyroid disease is mostly caused by the loss of qi,qi stagnation and dampness,heat depression,metaplasia endotoxin and mutual cementation.The internal toxin not only consumes the qi and damages the collaterals,but also binds the vital qi,making the qi machine lose in Xuanchang,and the dampness stagnation is even more serious,so the disease is difficult to cure.Professor WU uses the method of detoxification,promoting pharynx,promoting qi and dampness,taking Shangjiao Xuanbi Decoction,with belamcanda chinensis,detoxifying and dispersing pharynx,radix curcumae,soothing the liver and relieving depression,according to the dialectical compatibility of radix bupleuri,scutellaria baicalensis georgi,radix scrophulariae,ophiopogon japonicus,arctium lappa L.and other drugs.