基于“阳化气,阴成形”理论辨治桥本甲状腺炎验案举隅

Case Example of Hashimoto's Thyroiditis Based on the Theory of“Yang Transforming Qi and Yin Forming”

桥本甲状腺炎是常见的自身免疫性甲状腺疾病,目前尚无法根治,长期激素替代治疗存在一定的副作用。中医药治疗在缓解临床症状、缩小甲状腺肿大和甲状腺结节等方面有一定的优势。文章总结了邵迎新教授治疗桥本甲状腺炎的临证经验,邵迎新教授认为桥本甲状腺炎的基本病机为阳化气不足、阴成形太过,导致痰湿瘀血等阴邪暗生,日久气滞痰凝血瘀壅结颈前为患,属本虚标实之证。自拟的益气化瘀方具有健脾益气以温阳,理气化瘀以消阴的作用,临床疗效满意,可借鉴使用。

Hashimoto's thyroiditis is a common autoimmune thyroid disease that is not yet curable,and long-term hormone replacement therapy has certain side effects.Chinese medicine treatment has certain advantages in relieving clinical symptoms and reducing the size of goiter and thyroid nodules.The article summarizes Prof.Shao Yingxin's clinical experience in treating Hashimoto's thyroiditis.Prof.Shao believes that the basic pathogenesis of Hashimoto's thyroiditis is the deficiency of yang to transform qi and too much yin to form,resulting in the dark growth of yin evil such as phlegm,dampness,stasis and blood.The self-prepared formula of benefitting Qi and resolving stasis has the effect of strengthening the spleen,benefiting Qi to warm Yang,and regulating Qi and resolving stasis to eliminate Yin,with satisfactory clinical efficacy.