基于“内风”理论辨治毒性弥漫性甲状腺肿

Differentiation Treatment of Graves Disease Based on Theory of“Inner Wind”

毒性弥漫性甲状腺肿是甲状腺激素产生过多,引起神经、循环、消化等系统兴奋性增高和代谢亢进为主要表现的一组临床综合征,属中医学“瘿病”范畴。现代医学治疗存在药物不良反应、高复发率,或手术后终身服药等缺陷,而中医辨证论治具有一定疗效。结合临床与相关文献,发现“内风”理论可补充概括毒性弥漫性甲状腺肿的起病特点、病因、躯体症状、病机及治疗等,因此提出“内风”在毒性弥漫性甲状腺肿的发生、发展中均起到重要作用,可为从内风论治毒性弥漫性甲状腺肿提供参考。

Graves disease(GD)is a group of clinical syndromes characterized by excessive production of thyroid hormone,which causes high excitability of nervous,circulatory,digestive and other systems and hypermetabolism,belonging to the category of“gall disease”in the TCM.There are some defects in the treatment methods of modern medicine,such as drug side effects,high recurrence rate or lifelong medication after surgery.At present,TCM syndrome differentiation and treatment has certain efficacy.Combined with clinical and related literature,this article found that the theory of“inner wind”can supplement and summarize the onset characteristics,etiology,somatic symptoms,pathogenesis and treatment of GD.Therefore,it proposes that“inner wind”could play an important role in the occurrence and development of GD,which would provide basis for the treatment of GD with internal wind.