从肝脾肾论治甲亢合并白细胞减少症验案分析

Experience in Treating Hyperthyroidism with Leukopenia from Liver,Spleen and Kidney

甲亢合并白细胞减少症是甲亢患者中常见的临床并发症,中医属于“瘿病”“血虚”范畴。该病病因多端,病机复杂,涉及多个脏腑,治疗时常难以兼顾。目前现代医学治疗采用抗甲状腺药物与升白细胞药物联合的方案,但副作用较多,疗效欠佳。中医认为该病的主要病机是肝郁血热兼脾虚,治疗时常采用疏肝、健脾、补肾兼凉血消瘿法,对于改善甲亢的临床症状、缩短病程有显著的优势。

Hyperthyroidism combined with leucopenia is a common clinical complication in patients with hyperthyroidism.Traditional Chinese medicine belongs to the category of“gall disease”and“blood deficiency”.The disease has many causes and complex pathogenesis,involving multiple viscera,which is often difficult to give consideration to treatment.At present,the combination of antithyroid drugs and leukocyte raising drugs is used in western medicine,but it has many side effects and poor curative effect.Traditional Chinese medicine believes that the main pathogenesis of this disease is liver depression and blood heat and spleen deficiency.The treatment often adopts the methods of soothing the liver,strengthening the spleen,tonifying the kidney and cooling blood and eliminating gall,which has significant advantages in improving the clinical symptoms of hyperthyroidism and shortening the course of disease.