基于“营卫亢害”辨治Graves病心悸

Differential treatment of palpitations in Graves'disease based on the theory of"restraining excessiveness to acquire harmony of defensive qi and nutrient qi"

通过分析“亢害承制”的理论内涵,以及“营卫亢害”在Graves病(毒性弥漫性甲状腺肿)心悸中的作用,认为其病机为卫亢邪盛、卫亢营害、营卫俱虚。结合“营卫亢害”理论与本病病机,提出调和营卫,平其亢害的治疗大法,将Graves病心悸分三期辨治,分别选用白虎汤合桂枝汤、竹叶石膏汤合桂枝汤、炙甘草汤等方随证加减治疗。

By analyzing theoretical connotation of"restraining excessiveness to acquire harmony"and the role of"restraining excessiveness to acquire harmony of defensive qi and nutrient qi"in the palpitations of Graves'disease(Toxic diff use goiter),it is believed that the pathogenesis of this disease is hyperactivity of defensive qi and pathogen excessiveness,hyperactivity of defensive qi and restraining of nutrient qi,and defi ciency of both defensive qi and nutrient qi.Based on the theory of"restraining excessiveness to acquire harmony of defensive qi and nutrient qi"and the pathogenesis of the disease,there are the treatment methods of harmonizing defensive qi and nutrient qi and removing the harm caused by excessive defensive qi.And the palpitations of Graves'disease are divided into three stages and treated according to syndrome differentiation,using the formula of Baihu Decoction combined with Guizhi Decoction,Zhuyeshigao Decoction combined with Guizhi Decoction,and Zhigancao Decoction,respectively,for symptomatic addition and subtraction treatment.