林兰教授辨治弥漫性毒性甲状腺肿经验

Experience of Professor Lin Lan in Treating Graves Disease

弥漫性毒性甲状腺肿(Graves disease,GD)是甲亢中最常见的类型,是临床的常见病和多发病,早多种原因引起甲状腺功能亢进、分泌甲状腺激素增多或因甲状腺激素在血循环中水平增高,作用于全身的组织和器官,造成机体的各系统(如神经、循环、消化等)兴奋性增高和代谢亢进为主要表现的临床综合征。通过跟随林兰教授学习,总结林兰教授治疗弥漫性毒性甲状腺肿的经验:认为本病基本病机为阴虚阳亢,本病初起多实,以气滞或肝火为主,日久则由实转虚出现虚实夹杂,多为阴虚火旺、气阴两虚;分为气滞痰凝、肝火旺盛、阴虚阳亢和气阴两虚4个证型;并重视善用化痰活血法。

As the most common type of hyperthyroidism,graves disease(GD)is a common clinical disease and frequently-occurring disease.It can cause by a variety of reasons(inside or outside the thyroid)hyperthyroidism,increase secretion of thyroid hormones or thyroid hormone levels in the blood circulation,and act on tissues and organs of the whole body,Cause the various systems of the body(such as nerve,circulation,digestion,etc.)excitability increase and metabolism hyperactivity for the main performance of clinical syndrome.Through learning from Professor Lin Lan,this paper summarized his experience in the treatment of GD.The basic pathogenesis of the disease is yin deficiency and yang hyperactivity,the disease is more sthenia at the beginning,mainly qi stagnation or irregularity.Over time,the deficiency and excess are mixed from excess to deficiency,mostly yin deficiency and fire hyperactivity,and qi and yin deficiency.It is divided into four syndromes as follows:qi stagnation and phlegm,irascibility,yin deficiency,yang hyperactivity and yin deficiency.Professor Lin Lan makes good use of the method of eliminating phlegm and promoting blood circulation.